title: Medical subinternship: student experience on a resident uncovered hospitalist service.
abstract: BACKGROUND
  Studies demonstrating the value of hospitalists to medical student education have been performed in traditional resident covered ward service settings (RCWS).
  
  
  OBJECTIVE
  To compare medical subinterns' experiences on an RCWS to that on a resident uncovered hospitalist service (RUHS).
  
  
  METHODS
  We assessed students' overall experience and knowledge learned on the two services using a 5-point Likert scale. We also assessed learning environment characteristics, workload, and time spent at the hospital on each service.
  
  
  RESULTS
  The mean rating for knowledge learned was higher on the RCWS. Subinterns rated the two services equivalent on measures of educational value of patient problems, faculty assessment, supervision, and number and value of teaching sessions. The RCWS received higher ratings on variety of patient problems and frequency of intellectual discussion.
  
  
  CONCLUSIONS
  The RCWS provided a superior learning experience for subinterns. Academic medical centers should take these findings into consideration before placing medical students on an RUHS.
authors.affiliation: Division of General Internal Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611, USA. koleary@nmff.org
authors.forename: Kevin J
authors.initials: KJ
authors.lastname: O'Leary
authors.forename: Vinky
authors.initials: V
authors.lastname: Chadha
authors.forename: Victoria M
authors.initials: VM
authors.lastname: Fleming
authors.forename: Gary J
authors.initials: GJ
authors.lastname: Martin
authors.forename: David W
authors.initials: DW
authors.lastname: Baker
mesh_terms: D002983:Clinical Competence; D003625:Data Collection; D004503:Education, Medical, Graduate; D004504:Education, Medical, Undergraduate; D004521:Educational Measurement; D005180:Faculty, Medical; D007722:Health Knowledge, Attitudes, Practice; D020445:Hospitalists; D006784:Hospitals, Teaching; D006801:Humans; D007087:Illinois; D007396:Internship and Residency; D007858:Learning; D013337:Students, Medical; D013663:Teaching