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One of the challenges of being a clerkship director of internal medicine is that there is no perfect textbook for one’s course. More comprehensive textbooks often have all the information a student should have for their patient care needs, but the volume of information in these comprehensive textbooks is far too much for a student to read (much less reread, and study) in the few weeks of a medicine clerkship. Therefore, many students resort to purchasing one of the shorter textbooks, readable within the confines of a clerkship, but often not having the detail of information needed to understand in-depth the patient’s problems (with that superficial knowledge inevitably. | First Exposure INTERNAL MEDICINE Hospital Medicine Follows core competencies of clerkship curriculum Focuses on comprehension of clinical concepts rather than memorization of facts FIRST EXPOSURE TO INTERNAL MEDICINE HOSPITAL MEDICINE To my students from whom I learn every day to my colleagues in internal medicine at the University of Kentucky it s a joy to work with you all to my fellow clerkship directors around the country you inspire me with your idealism and dedication and to my family my foundation. Charles H. Griffith III MD .