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The Advanced Clerkship in Medicine

The Department of Medicine offers the Advanced Clerkship in Medicine, a one-month rotation that provides medical students additional training and experience in management of the hospitalized patient on an internal medicine inpatient ward. Students may rotate on housestaff teams or hospitalist-led teams at both the Johns Hopkins Hospital and Johns Hopkins Bayview Medical Center.

Students often enroll in the Advanced Clerkship in Medicine to better prepare for an internship year in internal medicine, to make a decision about internal medicine residency or as a last opportunity to study internal medicine prior to residency training in another field. In fact, the Department of Medicine encourages all students to take the Advanced Clerkship in Medicine (sub-internship) prior to graduation, as it is an outstanding preparation for post-graduate training in any field.

The Department of Medicine is committed to providing students with opportunities beyond the Medicine Core Clerkship experience, and has structured the Advanced Clerkship in Medicine to approximate the role of the intern such as taking overnight call, admitting patients and entering orders.


Successful completion of the Core Clerkship in Internal Medicine.

Rotation Dates

The Advanced Clerkship in Internal Medicine Elective follows the academic/quarterly calendar dates. Dates are available at:

Scheduling Recommendations

If you have decided that you will be applying for a residency in Internal Medicine, try to take the Advanced Clerkship in Internal Medicine before August of the academic year that you are applying.

Drop Policy

You are required to contact the course director, course coordinator, and registrar to obtain permission for any drops. You will be required to meet with the course director and submit a "Drop Elective Form" signed by the course coordinator (on behalf of the course director).  

Drop forms are available at the Registrar's Office.

If you drop the course with less than one month prior to the start date and the course is full, you will need to find someone to replace you. If you cannot you will be required to complete the rotation.


Prior to the start of your elective, you will be required to complete credentialing paperwork.

Required Training, Prior To Start Of Rotation

Students are required to complete training for EPIC before the start of the elective. Your status in Epic will need to be verified prior to starting the rotation.

Evaluation Process

Course directors will collect evaluations from faculty and residents who supervised the student during the rotation. Course directors will then adjudicate the evaluations and enter a composite evaluation in New Innovations. This is a software program with multiple levels of security that uses encryption technology and multiple levels of security to coordinate the evaluation system.

Grading Process

The Department of Medicine will use the following system for assigning final grades for the Advanced Clerkship in Medicine Elective: Fail, Pass, High Pass, and Honors.


Orientation will depend on which site you choose.

Work Hours

The Advanced Clerkship in Internal Medicine adheres to the School of Medicine for work hours for medical studentsStudents will not work more than 80 hours per week. Also, students should have 8 hours between shifts. Students who feel they are being asked to exceed these hours by their supervisors should contact the course director immediately.

Visiting Students

Visiting students should contact the visiting student coordinator at, regarding other offerings for sub-internships. Due to the complexity of hospital information systems and the credentialing process, visiting students are only eligible for the Johns Hopkins Hospital Hospitalist Sub-internship. For more information contact Dr. Padmini Ranasinghe at

Course Directors

Johns Hopkins Hospital firms- Amit Pahwa, MD (
Johns Hopkins Hospital Hospitals – Padmini Ransinghe, MD, MPH (
Johns Hopkins Bayview Medical Center Resident Teams – Janet Record, MD (
Johns Hopkins Bayview Medical Center Hospitalist – Lucia Ponor, MD (