Veterans Administration Central Iowa Health Care System (VACIHCS) - Internal Medicine Sub-Internship

Rotation Overview

During this four week subinternship in Internal Medicine, students will be assigned to work under the direct supervision of a general internal medicine hospitalist physician. Students will assist with the admission and management of patients admitted to the Internal Medicine Teaching Service, and responsibilities will include completion of an admission history and physical examination, entering admission orders and daily orders thereafter, and following daily the patients to whom they are assigned. The student will write daily progress notes, and will participate in on-call activities once weekly and every other weekend. This rotation will allow the student to gain greater knowledge in the management of disorders commonly found on an internal medicine inpatient service, and will include exposure to patients with COPD, atherosclerotic heart disease, diabetes mellitus, electrolyte disorders, and both common and uncommon infections. Students will have the opportunity to develop and demonstrate patient care skills expected of an intern. Students will participate in daily teaching rounds, and also will attend other daily teaching conferences conducted by the Internal Medicine Residency Program. There will be a first-year or second-year internal medicine resident assigned to this service as well.


  • The student will have access to the VA Resident Library and Resident Lounge area 24 hours per day, 7 days per week. In addition, the Electronic Health Record at the VA Medical Center includes an extensive electronic data base, including Up To Date, Micromedex, and access to many other electronic resources. ;
  • IMMC Health Sciences Library: Students have 24-hour access 7 days per week to the library. A student picture UPHDM ID is needed for after-hours entry. Students may also call the Health Sciences librarians for assistance at 515-241-6490


  • Wednesday morning conferences will be held in Thompson Auditorium at IMMC, from 7:30-8:30 AM every Wednesday. These conferences include Grand Rounds, Morbidity and Mortality Conference, and Clinicopathologic Conference.
  • Noon Conferences, Core Internal Medicine lecture series, 12-1 PM, in the Dorner Seminar Room. See monthly conference schedule for details.
  • Morning Report at the VA Medical Center. This will be conducted twice weekly by the Chief Medical Resident from 7:30-8:00 AM.

Evaluation and Grading:

The student will be evaluated by the attending physician assigned to the Internal Medicine Service. Feedback will be provided regularly on an informal basis. The final grade will be determined by the attending physician based upon the overall performance of the student during the rotation.

Housing and Parking:

Students will be provided a private furnished apartment at no charge . These are efficiency apartments, and offer single accommodations including kitchenette and bath, appliances, and air conditioning in a facility located on the campus of Iowa Methodist Medical Center. Free parking is also provided in a lot immediately adjacent to the apartment building.