September was a CRAZY month for me! I jumped right into my acting internship after Labor Day, and four weeks later, it felt like I was just coming up for air for the first time.
An acting intern (aka AI, sub-intern, or sub-I) is a fourth-year medical student who “acts” like an intern, usually in the field that he or she is planning on pursuing residency in. It is a pretty intense 4-week rotation in the inpatient setting in which we have more responsibility in caring for patients and play an active role as a primary team member. My four weeks were broken down into three weeks of days and one week of nights. Whereas I carried 1-2 patients as a third-year medical student on my clinical rotations, as an AI, I took care of 3-4 patients at a time, a little less than a real intern does.
Our days started at 6AM with sign out from the night resident and then I would pre-round before rounds. Pre-rounds are where we see patients on our own and check on labs and any imaging tests done overnight, whereas rounds are where we see patients as a team with our attending doctors. Our afternoons were spent following up on any labs, tests, and consults for our patients and working on new admissions. On nights, we primarily worked on new admissions, checking on our patients overnight (sometimes once an hour!), and putting out any fires that would pop up.
Between working 65-70 hours a week, by my one weekend day off, I was pooped! But I learned so much, and I’m so excited to become a full-fledged intern myself next year!