General Surgery Student Clerkship

Fourth Year Sub-Internship

It is a firm belief that the fourth year medical student acquires the skills by the time they reach this level so as to commonly function independently with minimal supervision from staff or resident physicians. The senior student is privileged with the opportunity to provide first encounter management so as to formulate plans and therapies. This expectation begins the confidence building as students mature to resident and eventually staff physicians. The independence afforded still requires staff intervention to maintain a level of continuous education to the student, while maintaining optimal patient care. 


Andrew Kastenmeier, MD
Department of Surgery
Sub-Internship Director

Sub-Internship Program
The fourth-year Surgery Sub-Internship program consists of a one-month rotation that is required of all fourth year medical students as a Sub-Intern. The purpose of this rotation is to familiarize the student with the responsibilities of a resident and aid in the transition from medical school to physician.

Surgically oriented Sub-Intern rotations are offered in a number of specialties including vascular surgery, CT surgery, general surgery, etc. to fulfill the requirements. The Sub-Intern program is based on the M4 Surgical Sub-Internship Major Goals and Key Features, which were designed to preview the responsibilities of an intern during the fourth year. 

During the one-month rotation, the Sub-Intern will be the source of first encounters with patients performing a complete history, physical examination, differential diagnosis, diagnostic plan, and implementation of treatment. The Sub-Intern's treatments are always under resident or staff supervision.

Medical Student Performance Evaluation
Each rotation has individualized their methods of testing the Sub-Interns. Some will use written and/or oral examinations. Other rotations will use residents' and attendings' assessment of the quality of the Sub-Intern's presentations and their ability to work at the intern level.

The Director of the Sub-Internship Program is Dr. Andrew Kastenmeier, Assistant Professor, General Surgery.  Dr. Kastenmeier is a member of the Sub-Internship Committee and the Student Education Committee.

The Surgery Student Coordinator, Catie Fihn, is a member of the Association for Surgical Education (ASE), the Student Education Committee, and the Sub-Internship Committee.

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Page Updated 07/18/2016