IMED 730 is a 4-week course in which students practice inpatient medicine at a single hospital site. In this experience, students will develop critical knowledge and skills pertinent to inpatient care of the adult patient. They will learn to navigate complex EMRs to obtain accurate and focused data, obtain hypothesis-driven histories, and perform problem-focused exams. They will formulate an overall assessment, prioritized problem list, and triaged differential diagnosis with a focus on common and/or dangerous conditions. They will communicate their findings, assessment, plan and reasoning both orally and in writing. Students will follow the patients through until discharge (or rotation off service) and will gain an appreciation for the complexity and risks of transitions of care. They will do this in a clinical environment that is diverse but also rich in "common" medical conditions such as pneumonia, COPD, heart failure, decompensated liver failure, pancreatitis, sepsis, and malignancies and their complications. They will develop structured approaches to common inpatient complaints such as abdominal pain, chest pain, acute and progressive dyspnea, fever, failure to thrive and syncope. 

IMED 731A is an 8-week continuity course in which students practice inpatient medicine at a single hospital site. In addition to the above, students will develop a longitudinal relationship with key faculty, and will have the opportunity to learn about and practice interdisciplinary care. Safe transitions of care from the unit to home/ICU/skilled nursing will be an emphasis.

IMED 731B is an 8-week continuity course in which students spend 4-weeks in the ambulatory care (clinic) setting and 4-weeks in the inpatient (hospital setting) within the same healthcare system. Students have the opportunity to develop clinical diagnosis, reasoning and communication skills in the care of adult patients with a wide range of acute and chronic, multi-organ system disease in both the ambulatory and hospital settings, with a focus on transitions of care. Students will have the opportunity to see post-hospitalization patients in clinic and to see hospitalized patients during their clinic weeks in order to better understand the patient context of complex transitions of care. They will work in an interdisciplinary team to better understand everyone's role in both settings. Students will be able to use their knowledge and clinical reasoning skills to perform basic history and physical examinations, develop differential diagnoses, order and interpret diagnostic studies, and devise basic treatment plans. As part of this clinical experience students will work one on one with outpatient attendings in a fast paced outpatient practice where they will further enhance their time management and agenda setting skills. In addition, students will experience full breadth and depth of the practice of general internal medicine.