Abstract
In this report , the author summarizes the creation and evolution of an internal medicine clerkship in three large teaching hospitals undergoing transition from affiliated hospitals to the university hospitals of a new medical school . The creation of the clerkship has had major effects on the perceptions of both the residents and the faculty of their roles as teachers and evaluators . The methods felt to be particularly successful in facilitating the transition of the hospitals are emphasized : a preceptorship for medical students , monthly grading conferences for students , and evaluations by the students of the clerkship , the house staff , and the faculty .

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