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. Alan Hunter/Dr. Peter Sullivan

Hospital: OHSU inpatient wards or outpatient clinic


Students begin this starting after completing their first year of their Graduate Studies years. 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). If a student is extending his/her Graduate Studies beyond 3 years (has completed 2 years of this clerkship) then he/she must continue to participate 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 must 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). The Course Director is responsible for keeping track of students' attendance.
  • 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.

Evaluation (formative):

Faculty will complete the required mid-term feedback form every 6 months (December and June) of clinical experience and submit them to the Course Director.

Students go through CPX (Clinical Performance Examination) at the Emma Jones at the end of first and second years. 5-6 stations (cases), formative feedback is provided by faculty. Standardized Patients (SPs) are paid by the Dean's educational funding. Cases are to be developed by the Course Director. Initial training of SPs is done by the Course Director. Manager of the Sim Lab, Jennifer McNeil will take over SP training from then on.