6.Year Internship

Effective communication with the patients and their relatives, taking medical history and performing  physical examination, improving physical examination skills, evaluation of signs and symptoms of the diseases, selection of the most appropriate laboratory or diagnostic tests, a reasonable analysis of patient data, and reporting patient information. To have critical knowledge about the diagnosis and management of common, foremost acute/chronic medical illnesses. Ability to select and interpret laboratory tests and imaging modalities and rational drug therapies. (8 weeks; compulsory on-call nights and weekends)

Interns will spend four weeks in the Emergency Department. They will take an active role in the initial evaluation and treatment of patients, work alongside senior residents, attendings, and nursing staff, and are exposed to wide variety of patients, medical and surgical emergencies, and procedures. Interns will gain valuable experience, as they will be able to follow patients from presentation, through their workup, and onto their diagnosis and management. Interns will evaluate the patients’ level of urgency, learn and apply triage principles. Learn the basic interventions (such as urinary catheter, N/G gavage, taking blood sample, intubation etc). Interns will participate in daily teaching sessions, weekly departmental conferences, as well as lecture series designed specifically for them. (4 weeks; compulsory on-call nights and weekends)

Basic clinical skills to assess the medical, developmental, and behavioral issues concerning children, from newborns to adolescents. Disease and injury prevention, the use of screening tools, and immunizations. Common acute/chronic medical and surgical conditions in childhood: mechanisms of diseases, pathologic findings, clinical presentations, physical examination, symptomatology, laboratory tests, diagnostic imaging and treatment. Generation of an age-appropriate differential diagnosis for common symptoms or patient presentations. Interpretation of the results of common diagnostic tests with an emphasis on age related norms. Neonatal and pediatric advanced life support, approach to the emergent pediatric patients and stabilization skills. In this block, the interns will rotate in the general pediatric ward, pediatric ambulatory settings, the newborn and pediatric intensive care units and pediatric emergency unit. The program will consist of patient follow-up, shifts, case discussions and literature research and presentations. (8 weeks; compulsory on-call nights and weekends)

Understanding the fundamental therapy principles of surgery and acquiring basic surgical skills. Supervised primary responsibility in areas of communication (history taking, informed consent, communication of results with patients/relatives and colleagues, recommendations on further therapy), diagnosis, therapy and documentation. The interns will be responsible from the following tasks: Examination of the patients, daily rounds, taking part in the operations, blood collection, blood (product) transfusion, inserting needles and catheters, wound-dressing, presenting patients during rounds and tumor board meetings, preparing discharge reports. (4 weeks; compulsory on-call nights and weekends)

Lectures on child, adolescent and women reproductive health services, immunization services, health services for communicable and non-communicable diseases, environmental health services, community mental health services, planning for health education, school health services and health management in primary health care setting. Determining the most prevalent diseases in the community and individual and social interventions for these problems during the rotation in Community Health Centers. Planning and conveying health education to students and public. Outpatient services for Tuberculosis Disease in Tuberculosis Control Dispensaries. During the rotation in Family Health Centers participating in outpatient clinics, household visits, immunization, baby and pregnant follow up services along with the family physician. During the whole block, there will be lectures, video presentations and discussions with health managers about preventive and curative health services in the primary health care setting. (8 weeks)

Interns in Obstetrics and Gynecology are expected to fulfill a four-week program rotating through specialties in the Department. Two weeks are spent as part of the labor and delivery team; following-up laboring and antepartum patients, assisting in deliveries and C-sections, seeing patients in the outpatient Obstetrics clinics. Interns will spend two weeks as part of the Gynecology service. During this period, they are expected to actively take part in the care of in-patients, assist in the operating room, consult emergency patients and work in the Outpatient Clinic. (4 weeks; compulsory on-call nights and weekends)

Interns are expected to solidify their knowledge about adult and child psychopathology and will gain hands-on experience in working with psychiatric patients. They will be able to connect with their underlying humanity, will work on effective communication strategies and professional behaviors with patients, families, and other members of the team caring for the patient. Interns will be expected to conduct diagnostic interviews, formulate a biopsychosocial understanding of the presenting problem and work on implementing treatment plans. They will spend half their time in inpatient settings and the rest in outpatient clinics as well as consultation and liaison services. They will have exposure to different treatment modalities such as pharmacotherapy, diverse psychotherapy techniques, electroconvulsive therapy, occupational therapy, group, family and other supportive interventions. (4 weeks; compulsory on-call nights and weekends)