Universidad Iberoamericana (UNIBE)
School of Medicine
Regulations Medical Internships
1. Before the Internship:
We recommend all students beginning their Internship cycle to update their vaccination program by applying vaccines and boosters that are necessary according to the Amplified Program of Immunizations (PAI) of the Dominican Republic, and we wish to remind you that in this country new cases emerge every year of transmissible diseases such as Tetanus and Diphtheria.
It is important to remember at all times to keep adhered to the universal precautions aiming to reduce the possibilities of contracting illnesses that are connected to the exercise of our profession and maintain an ethical behavior and human treatment to users of health services
“It is the right of all human beings to receive dignified attention, with good quality and warmth, putting into practice the privilege of being doctors for the service of others”.
2. Initiation, duration and finalization:
- The Internship of Medicine belongs to the last (5th.) year of the career and includes semesters 13, 14, and 15. It is indispensable to have approved all subjects pertaining to pre-internship before entering Internship.
- The Internship commences with the beginning of regular classes of the University and concludes according to the calendar previously reviewed and indicated in your program and ratified in the orientation speech prior to the initiation of each rotation. It is necessary for the intern to review the date of conclusion of the internship in order to avoid confusion or misunderstandings.
- The initiating group will commence their rotations in the following manner: the first cycle will be Surgery (19)-Psychiatry (6), the second cycle will be Obstetrics-Gynecology (8) and Pediatrics (8), and the third cycle Internal Medicine (12) and Primary Care Attention (8). Each cycle has a duration of 16 weeks with the exception of the last cycle which has 20 weeks.
- Those interns who wish to divide the internship in cycles of Gynecology-Obstetrics/Pediatrics or Surgery/Psychiatry must present a written communication to the Clinical Sciences Coordinator for the consideration and final decision thereof.
- Once the student has selected the health care center where the pertinent rotations will take place, said student cannot assist to any other place and if, on the contrary, said student decides to do so, there is a risk to the effect that this rotation may be immediately annulled.
- Interns can only rotate two cycles in the same hospital, and the violation of this disposition may entail an annulment of the cycle in which this fault occurs.
- It is essential to comply with the established duration of each rotation. It is forbidden to finish before the dates established. The intern who abandons internship before the formal ending of the period established for that internship cycle, will have the risk of invalidating that rotation, or failing the corresponding internship cycle. The general coordinator of the Internship cycle in the hospital will be responsible of causing the faithful compliance of this provision.
3.1 Dress Code: :
Interns must have a white long sleeve coat, with the logo of the University placed on the left shoulder, with his (her) name and intern card for identification, in a visible manner.
Males should wear ties. The use of jeans and peep toe shoes is forbidden. Interns should not use their surgery or service clothing outside the hospital.
3.2 Working Hours:
The schedule in many health care centers begins at 7:30 - 8:00 a.m. however, the working hours will be determined from the commencement of the Internship by the hospital, through the General Coordinator or the Coordinator of each area: Internal Medicine, Surgery, Obstetrics/Gynecology, Pediatrics, Surgery, Psychiatry and Primary Care.
It has been stipulated that there is a daily schedule to meet and any absence without excuse will be considered a disciplinary fault that may cause the application of sanctions with additional hours of service or the annulment of that Internship cycle. The regular hour schedule is until 2pm, if there are no other duties to conclude.
3.3 Duty Service in the Hospital:
The schedule of the on duty services in the hospital will be in charge of the area coordinator, who will decide the manner of distribution of the interns.
Interns will take service turns in a systematic manner every 4 days and will dispose of the end of the post-service duty shifts as soon as the assigning of patients is made on the following morning, unless an academic activity has been programmed, in which case the intern will attend even if after the completion of service.
3.4 Permissions and Medical Certificates:
Permits of any nature will be valid only when they are duly reported, signed, and sealed by the general coordinators of the area, or by the Clinical Sciences Coordinator of the School of Medicine. Permits for continued medical education activities shall only be issued by the Internship Coordinators.
Medical certificates will be received by the secretaries of hospitals, and reviewed by the General Coordinator, who will determine the future replacement of the hours not worked due to the cause specified in the medical certificate.
3.5 Withdrawal of the internship cycle:
The withdrawal of an internship may be processed only through the evaluation of the pertinent case, and by a medical excuse duly supported or by a cause of force majeure, and may only be authorized and signed by the Director or the Dean of the School of Medicine and within the period granted by the Academic and Disciplinary Regulation
The Internship evaluation process has three principal items: The grade of the hospital rotations (80%), the grade of Continuous Education (10%) and the grade pertaining to the caption of Research/Written Exam (10%).
For interns with rotations in a foreign country the grade shall be equivalent to the grade sent by the assigned hospital. Those students will need to present a written report of the academic activities carried out during his (her) stay in a foreign country.
Hospital Rotations have a value of 80% of the final grade. Each hospital has a format to describe the teaching-learning activities of each student. This document was been recently modified due to the adjustment of the living necessities required at this time.
- In this format 4 fundamental areas will be evaluated: 1) Medical Knowledge, II) Interactions with patients, III) Professionalism, and IV) Teaching and Learning.
- The coordination of each area in conjunction with the general coordinator of the hospital will have full liberty to realize this process, and those that find the application of theory evaluations necessary or recommendable, may do so.
- The scores of the rotations should be signed by the Coordinator of the area or the General Coordinator and duly sealed before being forwarded to the School of Medicine.
The scores or grades obtained in the hospital will be added to the grade of the written examinations offered by the School of Medicine at the end of each cycle and to the grades accumulated by the Continuous Medical Education (EMC) reported to the School of Medicine during the time period established by the academic calendar.
To obtain punctuation of the activity called Research /Written Examination, the student may submit an research work on topics related to his (her) internship cycle and authorized and supervised by the Coordinator of the pertinent internship (Dr. J.R. Luciano), will have an average punctuation of 5 points, it is not mandatory to do this.
At the end of each cycle, preferably on a Saturday, a written examination will be programmed, elaborated based on clinical cases and closely related to the abilities and competences that an intern of UNIBE should have in the pertinent cycle. This examination will be worth 5 points for those interns who opted for the presentation of an research work as described in the previous paragraph, or 10 points for those interns who have rejected the idea of doing the mentioned research work.
- For this internship a staff of professors was incorporated to complement the process of learning of this branch of Medicine.
- These professors will undertake the cycle of conferences on Wednesdays where conferences will emphasize on: mental examination, psychiatry emergencies that should be known and handled by a primary health care doctor, as well as the bibliographic presentation of cases related to that specialty.
- This educative activity will have a value of 10 points and its punctuation will be obtained from a written examination and/or information regarding a movie that relates to the rotation cycle (Psychiatry).
Internship of Primary Attention and Family Health:
The Primary Health Care internship will substitute the written evaluation of 10 points for a portfolio that will describe the activities completed during the clinical rotations, including a reflection on the advantages and opportunities in said internship.
The conferences programmed with anticipation with invited professors will begin at 7:30 pm on the dot, and will be announced in advance using the UNIBE web page in the section dedicated to the School of Medicine (Ave. Francia). These conferences will be programmed, preferably on Wednesdays.
Also themes with the variant Continuum will be discussed and diagnostic images will be reviewed and mini clinical cases among the participants.
In order to be entitled to receive the final theory examination of each cycle it is indispensable to have 80% attendance to such academic activities programmed for Wednesdays.
Cell phones should be left in vibration mode or turned off during the conference or reviewing of the weekly themes.
Continuous Education topics and/or Community Action may be obtained as follows:
- Each 15 theory hours of courses or congresses= 1 academic credit=5 points UNIBE CME
- For each 30 hours of practice in courses, workshops=1 academic credit=5 points UNIBE CME We take as reference the punctuation of credits offered by MESCyT for such purposes.
- For each 16 hours of community service duly certified =1 credit=5 points of UNIBE CME Example: Operation Walk.
- Activities of CME in institutions such as Medscape will be taken into account and will be computed in the following manner: For each 15 hours certified of CME or 2 credits category 1, the equivalent of one academic UNIBE credit is granted. No more than one credit will be allowed per internship cycle under this caption.
- Per each research proyect that is approved by the Department of Investigations of UNIBE=2 academic credits =10 points UNIBE CME
- Note: This punctuation has been assigned by UNIBE School of Medicine with the support of its Academic Vice Rectory.
- Conferences of the Academy of Medicine: 2 hours=0.13 Cr EMC; 7.5 hours=0.5 CME; 15 hours= 1 Cr EMC =5 points UNIBE CME
Each student of the internship will have since the first day one sheet of a report of activities or procedures that should be filled and signed by the coordinator of the pertinent area; without such documents the final grade will not be reported and must be placed in the file of each intern as proof of his (her) educative activities and assistance within the rotation of the Hospital.
The top date for depositing the documents related to Continued Education will be related with the academic calendar, and will coincide with the last week of education in the evaluation of practice classes of the semesters previous to the Internship (Premedic, Basic Sciences, Pre-internship).
Rotations of Internship in Foreign Countries.
The Universidad Iberoamericana offers the opportunity to apply for clinical rotations in Puerto Rico, Florida, New York, Alicante, Madrid (España) and Dresden (Germany).
According to our mission and vision, these rotations are at the disposal of those students who promote academic excellence and comply with the requirements for application are as follows:
- Academic average – 3.0
- Service sheet of absences, disciplinary faults
- Current BLS Certification
- Command of the language of the country where rotations will take place (certification).
- Recommendation Letters (2)
- Publications, Presentation of Works
- Attendance to events with CME value
- USMLE. Step 1 approved. (Requirement for the Children Hospital of Cincinnati and other North American institutions).
5.1 Special Rotations
In order to have the option for rotations in the Hospital Traumatológico Profesor Juan Bosch, as well as by the Centro de Medicina Avanzada y Telemedicina (CEDIMAT) and the Hospital Traumatológico Dr. Ney Arias, it will be necessary to fill out a similar documentation as the format required for rotations in a foreign country. The selection of candidates will be taken into account based on the same factors of academic excellence considered for rotations outside the country.