Inpatient Internal Medicine Clerkship


During the six-week Inpatient Internal Medicine clerkship, students are assigned to work three-weeks on the general internal medicine teaching service at Iowa Methodist Medical Center (IMMC) and three-weeks on an inpatient medicine team at the VA Central Iowa Health Care System (VACIHCS). 

Requirements of this rotation include working up a minimum of three new patients each week and participating in on-call activities one week-night each week and two weekend days during the rotation. Students attend weekly case-based learning sessions where they interact with faculty and discuss core topics assigned for review. Students also participate in additional sessions that address reading electrocardiograms and interpreting chest and abdominal x-rays.

To hear first hand about this core clerkship  from prior students, watch  their feedback here.


  • Inpatient Internal Medicine Survival Guide
  • A binder for this rotation will be provided on the first day of your rotation.
  • Additional reference books will be provided for use during the rotation.  These need to be returned at the end of the rotation.
  • Health Sciences Library: Students have 24-hour access 7 days per week to the IMMC Health Sciences library. A UnityPoint - Des Moines picture ID badge will be needed for after-hours entry. Internet and photocopying is available. Students may call the Health Sciences librarians for assistance at 515-241-6490.
  • See Clerkship ICON website for additional electronic resources


  • Weekly CBL Sessions in Nelson Student Classroom
  • EKG Reading Session (see lecture schedule in binder)
  • IMMC Morning Report: Tuesday and Friday mornings from 8:00 - 8:30 a.m. in the Powell 5 Conference Room
  • Wednesday Morning Conferences: (CPC, Grand Rounds, M&M) at 7:30 a.m. in Thompson Auditorium
  • Noon Conferences:  From noon - 1 p.m. in Dorner Seminar Room (see Internal Medicine monthly conference schedule for details)


Final Grading:

The final grade students receive for this clerkship is based on:

  • Clinical performance ratings from faculty and residents who supervise them in Des Moines.
  • Performance on a final examination administered at the end of the clerkship.
  • The final examination is a two-part, computer-based exam.
    1. A knowledge-based exam using a super-list format (two and half hours).
    2. Diagnostic reasoning exam involving a virtual patient simulation (one hour).

Mini-Clinical Evaluation Exercises:

Students are to participate in at least two mini-clinical evaluation exercises with faculty. During these exercises, faculty observe the student interacting with a patient. The observation can be limited to any part of the patient evaluation. The exercise may focus on observing the student taking the history, performing the physical examination, or counseling the patient. Evaluation forms must be submitted to document completion of this requirement.

Mini-Clinical Oral Evaluation:

Students are to have faculty formally evaluate a minimum of two oral new patient presentations during the rotation. Evaluation forms are included in the rotation binder.

PxDx Electronic Documentation:

Students are required to document the number of patients they are assigned and the diagnoses and patient care activities they participate while caring for these patients. The expectation is that students who do not have sufficient opportunities to care for patients with essential clinical conditions during the clerkship can be identified and  provided with supplemental experiences to assure all students are provided broad exposure to all areas of clinical training.

Housing & ParkingThis link provides information regarding housing at the InnTowner and associated parking.

Office of Student Affairs and Curriculum (OSAC)