Core Clerkship Elements

A core clerkship is a required academic period of instruction based in clinical experience in which the medical student learns and participates in patient care broadly, but is generally focused on a single medical discipline. The experience grows out of a set of knowledge, skills, and attitudes based on the Twelve Competencies Expected of the UVA Physician.

Elements Expected of All Clerkships

  1. Orientation, learning objectives and learning materials.
  2. Direct participation in and observation of patient care with resident/fellow/attending physician  and including daily discussion of evaluation, differential diagnosis, treatment, and follow-up.
  3. Daily medical student presentation of patient history & physical examination (or follow-up) to supervising resident/fellow/attending physician.
  4. Regular patient-based formal teaching such as Clerkship Directors (or Designee) Rounds, student morning, report or Ethics Rounds
  5. Regular teaching conferences, e.g. Grand Rounds, Clinical Pathologic Conferences, journal clubs
  6. Clerkship Requirements (electronic record of clinical exposure and experience)
  7. Self-learning: student should review and personally perform patient’s medical history and physical examination, review imaging and pathology laboratory studies, and read about the patient’s disorder and read about diagnostic and treatment options. Reading may include relevant basic science, anatomy and procedures.
  8. Student communication to team in oral and written format
  9. Direct teaching time with an attending physician at least three days a week
  10. Evaluation of knowledge, skills, and attitudes both formative and summative relating to the clerkship

Other recommended elements of clerkships

  1. Clerkship designated learning events, e.g. radiology rounds
  2. Exercises in Clinical Problem Solving, e.g. CLIPP and SIMPLE cases, Virtual Patient
  3. New patient admission opportunities, e.g. night call, night float, day on call
  4. In ward rotations, student should experience the life of a resident
  5. Workshops for clinical skill learning.
  6. OSCE type evaluations