Acute Care Training and Clerkships

Clinical Applications

The Clinical Applications phase, which is 12 months in duration, provides students with extensive clinical learning experiences in six of the core disciplines of medicine.  In these clinical experiences, students begin to apply the knowledge and skills learned from the first phase toward formally caring for patients in both the hospital and ambulatory clinic settings.  Clinical rotations range from 6-12 weeks in length over the course of Phase 2.

Phase 2 begins with the Acute Care Training block is followed by the required clinical clerkships. We schedule clerkships via a lottery system and students will be given the opportunity to give input as to the order they wish to complete these clerkships.

Phase 2 Director: Amy Cutright, MD

Block Duration Course
Acute Care and Clinical Transitions 4 weeks M-ID 532 - Acute Care and Clinical Transitions

Department Duration Course
Family Medicine 8 weeks FMED - 705 Community Preceptorship
Internal Medicine 12 weeks IMED - 705 Basic Medicine Required Clerkship
OB/GYN 6 weeks OB-GYN - 705 Junior Clinical Clerkship
Pediatrics 8 weeks PEDS - 703 Required Primary Clerkship in Pediatrics
Psychiatry 6 weeks PSYC - 705 Required Psychiatry Clerkship
Surgery 8 weeks SURG - 708 Primary Clerkship


The descriptions of the Acute Care Training block and the clerkships are below. The directors and support staff for each are also listed.

Acute Care Training  

M-ID - 532 Acute Care Training 

This required 2-week acute care course is a precursor to the clinical clerkships and is designed to facilitate the transition to clinic practice. This course will focus on differential diagnosis and initial workup for common chief complaints with emphasis on severe or time-sensitive diagnoses. Students will learn to integrate basic science knowledge in the context of clinical presentation through interactive lectures, case-based small groups, and simulation. Challenges of the clinic environment such as personal wellness, professionalism, and tips and tricks for clerkship success will be discussed. Common clinical procedures will be introduced in skills labs and simulations. BLS certification, Epic training, infectious disease training, patient safety training, trauma-informed care, mistreatment training module, and a full H&P OSCE will also be required prior to beginning the clinical clerkships.

Family Medicine  

FMED - 705 Community Preceptorship

This is a clerkship which allows the students an "immersion" experience in Family Medicine in a rural Nebraska community. The student will participate in the care of the preceptor's patients under the direct supervision of the preceptor. Students will care for patients in the office, hospital, and extended care facilities. A written report about a community health project is required. A portion of the core clerkship content will be delivered on-site via the Internet.

Internal Medicine  

IMED - 705 Basic Medicine Required Clerkship

The student spends one half of the 12-week clerkship as an integral member of a health care team responsible for the care of inpatients on the Internal Medicine service at either the Omaha Veterans Administration Hospital or UNMC. During the other half of the clerkship, students may elect a variety of medicine subspecialties and outpatient clinical experiences at the University of Nebraska Medical Center, the Omaha Veteran’s Administration Hospital and private practice internists. Throughout the clerkship, students will assume responsibility for the initial patient assessment and daily care commensurate with their level of training, supervised by Internal Medicine residents and attending faculty. Skills in patient interaction, decision making, and the fundamentals of Internal Medicine will be reviewed in formal sessions and daily attending rounds.

OB-GYN  

OB-GYN - 705 Junior Clinical Clerkship

Students are assigned to the University Hospital and affiliated hospitals for inpatient experience and to the Nebraska Medicine clinics for outpatient obstetric and gynecologic clinics. They will follow the progress of patients in labor, assist at operative procedures, and maintain a complete record until the patient is discharged from the hospital. Outpatient experience will include participation in the following clinics: normal and complicated obstetrics, gynecology, and family planning. Seminars, conferences, and ward rounds are scheduled regularly.

Pediatrics  

PEDS - 703 Required Primary Clerkship in Pediatrics

The Pediatrics Clerkship provides an immersive exposure to the care of patients from infancy through adolescence.  The Clerkship is divided into two tracks; with a portion of students assigned to community preceptors outside of Omaha, and the remainder completing their entire clerkship in Omaha. All students will complete 2 weeks of inpatient pediatrics at either UNMC or Children's Hospital.  Additional experiences in ambulatory general pediatrics and pediatric sub-specialties are offered.  The goals and objectives for the clerkship are based upon the national standard curriculum for Pediatrics established by the Council on Medical Student Education in Pediatrics. The curriculum is delivered through a combination of bedside clinical teaching, lecture and small group activities, self-study and reflection, and computer-aided instruction.

Psychiatry  

PSYC - 705 Required Psychiatry Clerkship

Students spend six weeks on this required clerkship. The clinical structure of the rotation is two 3-week rotations at two different sites. Sites include the UNMC consult and liaison service, UNMC Adult Crisis Unit inpatient service, VA Medical Center inpatient psychiatric unit, Lasting Hope Recovery Center psychiatric hospital, Community Alliance outpatient clinic, UNMC Addictions consult and liaison service, and Douglas County psychiatric services. Students will be able to experience outpatient psychiatric care by participating in the COPE clinic (Clinic for Outpatient Psychiatric Education). Other electives and mentorship groups are available to enhance the psychiatry clerkship experience. Didactics are scheduled regularly for all clerkship students and take place on the UNMC main campus.

Surgery  

SURG - 708 Primary Clerkship

The third-year student will have an eight-week rotation on surgery. The surgical clerkship is divided between a structured educational curriculum (didactic lectures, computer-aided learning, and skills workshops), a four-week clinical rotation on general surgery, and two-week rotations on two of five surgical specialties (urology, orthopedics, ophthalmology, neurology, and ENT). The general surgical portion of the clerkship will place students at the Nebraska Medicine system, VA Medical Center, Immanuel, or Nebraska Methodist Hospital. Students will be involved as an integral part of the ward team and will participate in morning and afternoon rounds. Mandatory attendance at lectures and skills workshops presented throughout the rotation is required and takes precedence over clinical activities.

Grading/evaluation will be based 50% on clinical assessment and 50% on a final examination. The examination is a multiple choice format/subject examination prepared by the NBME.