Longitudinal Clinical Clerkship

MD/PhD students on longitudinal clerkship
Dr. Sullivan and MD/PhD students


Course title: MD/PhD Longitudinal Clinical Clerkship

Elective type: Clinical

Sponsoring Dept: Internal Medicine Department, Hospital Medicine Division

Course Director:Dr. Peter Sullivan

Hospital: OHSU inpatient wards or outpatient clinic


Students begin this starting when they start the PhD portion of their program. Two 5-hr sessions per month (time/schedule can be flexible as long as students complete 240 hours at the end of 2 years of clerkship). Upon completing two years of the clerkship then he/she participates in clinical clerkship at least one 5-hr session per month until they complete their PhD.


Up to 6 clinical credits apply toward MD required elective credit from MD/PhD Longitudinal Clinical Clerkship. After the first two years students who are continuing in it register as auditing.

Course Description:

Students will do a full workup, including history and physical, and reviewing records and laboratory results as well as other pertinent tests, and will then do a full formal presentation, including diagnostic and treatment plans.Patients will be identified and assigned by the attending faculty.

Course Objectives:

  • Provide an ongoing clinical experience for MD/PhD students during their Graduate Studies years.
  • Teach and maintain the basic skills of patient communication, history taking, physical examination, and written & oral presentations (SOAP notes & complete H&Ps).

Course Goals:

  • Obtain an accurate history, covering essential medical, personal and socioeconomic considerations.
  • Perform accurate physical examinations appropriate to patient presentation.
  • Construct and present a clinical assessment and treatment plan.
  • Construct a prioritized differential diagnosis for common presenting complaints.
  • Apply basic principles of clinical, laboratory and imaging tests for clinical screening and diagnosis, and critically evaluate their limitations.
  • Demonstrate the ability to critically evaluate and interpret scientific and medical literature and to apply findings to clinical situations.
  • Continually self-assess one's strengths and areas for improvement, and pursue a plan for improvement.
  • Accept and incorporate into clinical practice the feedback received from patients and colleagues.
  • Demonstrate skills necessary to support independent lifelong learning and ongoing professional development.
  • Demonstrate effective listening and speaking skills when communicating with patients and their families.
  • Demonstrate effective written and verbal communication skills with all members of the health care team.
  • Demonstrate respect for cultural and ethnic backgrounds of patients and their families and other members of the health care team.
  • Demonstrate compassion, sensitivity and respect for patients.
  • Demonstrate honesty and integrity in all interactions with patients, patients' families, and members of the health care team.
  • Demonstrate professional judgment in the use of electronic and social media.


  • Students are to complete 240 hours for this clinical rotation (including CPX time). Students send a log each term of their activities to the course director.
  • Students are to complete 3 SIMPLE cases per quarter to supplement learning. The Course Director will be the administrator. SIMPLE cases are available through the Dean's Office.