Hospital medicine is a growing professional track for internal medicine physicians. The Society for Hospital Medicine defines a hospitalist as a physician "who engages in clinical care, teaching, research, or leadership in the field of general hospital medicine. Advanced hospital clerkships provide the opportunity for students to further his/her understanding of the medical problems commonly seen in hospitalized adult patients and permits the student to have a greater role in the evaluation and management of these patients by assuming greater responsibility for patient care, develop advanced differential diagnoses, and create a management plan focused on evidence-based medicine - all with oversight from supervising residents and attending physicians. Students expand upon competencies they develop during the third year as they care for one to two patients at a time. Additional expectations include responsibility for developing management plans, writing orders, patient handovers and transfers of care, recognizing the policies that support patient safety, and developing competency in procedures that they will perform independently as residents. They will also be expected to improve their documentation skills by writing patient notes in the electronic medical record. Fourth year students also assist in teaching third year students throughout the clerkship, helping develop effective leadership and communication skills. The student will attend weekly Grand Rounds and Internal Medicine block conference.