Rotation Structure

OGME Rotation Months-Training Site
1 Internal Medicine 2-Clinton Twp.
1 General Surgery 2-Clinton Twp.
1 Family Practice 1-Ambulatory
1 Pediatrics 1-Clinton Twp. or Children's Hospital of Michigan In-patient
1 Women's Medicine 1-Clinton Twp. in-patient for OB
1 Emergency Medicine 1-Clinton Twp.
1 ICU 1-Clinton Twp.
1 Electives 3

The traditional internship may be modified to accommodate the individual's future practice goals, in consultation with and approval of the Program Director.

  1. Patient rounds should be made with the attending physician daily.
  2. The intern should see all patients on the service daily except during the intern's off duty weekend.
  3. The intern shall attend department and other AOA-required committee meetings.
  4. The intern shall participate in the education of students and other trainees.

Ambulatory Experiences

Ambulatory management of common and complex problems is a significant dimension of current medical care. As a goal of their ambulatory training experience, interns are expected to demonstrate competence in case management based on the principles of evidence based medicine. Faculty and other clinic staff will provide many opportunities for residents to acquire skills in the financial responsibilities of operating an ambulatory clinic site.

On average, the trainee in internal medicine will average 5 to 7 patients per half-day session in the clinic. However, new trainees will see fewer patients, and the number of patient encounters will increase significantly as trainee skill, knowledge, and autonomy increase. Residents spend 10 percent of their time at the ambulatory clinic.

As residents develop their patient panels, they will care for a growing number of patients. This training site provides their primary opportunity to develop knowledge, skills, and competency in the management of outpatient care. They will be supervised and held responsible for:

  • Eliciting a chief complaint
  • Developing a differential diagnosis
  • Formulating a treatment plan using evidence based medicine
  • Complete, accurate, timely and legible documentation of patient visits and utilization of the concepts of managed care.

Mandatory Intern Requirements

  1. Interns will conform to the requirements delineated for them by the Director of Medical Education, the Program Director, and the Hospital's Medical Education Committee. Interns will participate in this process utilizing the following methods:
    • Discussions with the faculty, Program Director, DME, and the Department and Hospital Medical Education Committee of progress in meeting the objectives of the training program (scheduled formally at regular intervals)
    • Each Intern will complete a written "Service Evaluation" at the end of each month's rotation and submit it to the Medical Education Department
  2. Completion of Logs in accordance with AOA standards and format
  3. Satisfactory completion of the Annual Intern Report
  4. Attendance at didactic programs
  5. Attendance at mandatory meetings, as scheduled by the DME or Program Director.
  6. Participation in teaching and education of students and other trainees.
  7. Interns must obtain a Michigan Educational Osteopathic License.
Learn more about this program