The Internal Medicine clerkship has less room for anything other than Internal Medicine. I find it just as intriguing, actually. The problem is, it's harder to make pleural effusion palatable to a lay audience (my stats indicate a fair number of you are here to read about Quiznos subs). Doc Shazam and Hermes both do a good job of weaving patient's stories with medical information and decisions, and that's something I plan to work on... when I have a little more perspective on what's going on.
Most notably, the continuity-of-care means I'm connecting more with patients. As days go by, their ups and downs have come to affect me more than I expected, based on earlier clerkships. The other day I cheered and high-fived my resident when a patient's potassium labs came back. I can't recall being that excited about lab results during any other clerkship (if it helps to convey the drama, I'll add that she had RTA and had just started a course of Amphotericin B).
The downs are real downers, though. Our team had a storm cloud over us today, following some surprisingly bad news relayed by the night float. A small consolation: it might make a good teaching case... with some more perspective.