Introduction to Clinical Medicine II (ICM II) – SMD 542

Total Contact Hours:

125 hours

Course Director:

S. Bruce Binder, M.D., Ph.D., Associate Professor of Family Medicine and Pharmacology

Course Description:

Similar to ICM I, this year-long course prepares students for their first clinical year. Small group case discussions and tutorials are used to learn about common presenting signs and symptoms, interpretation of physical and laboratory findings, and the development of a differential diagnosis. Clinical skills exercises with standardized patients ensure the development of skills for the urogenital and rectal exams. Observed Structured Clinical Examinations are used at several points during the year to assess achievement of objectives and provide feedback.


Course Learning Goals, Assessment, Practice, Teaching and Learning Activities, and their Integration with the Institutional Educational Objectives:

What does our institution want our graduates to do?

If your students mastered the content of your course, what would they be able to do?
 

What will students need to do for them and others (peers, professors) to know whether they have achieved this specific learning goal?

How will students get the information they need to learn?

1.
Institutional Objectives

2.
Learning Goals

3.
Assessment
Activities (graded)

4.
Practice/Feedback Activities (non-graded)

5.
Teaching and Learning Activities

K1

Identify common abnormal heart and lung sounds, and interpret them in light of potential pathology

July “written” exam

Cardiac workshop (July)

Lecture

K1

Interpret a 12 lead EKG and rhythm strips

July “written” exam

EKG workshop (July)

Year 2 cardiovascular course

K1

Interpret basic chest and limb x-rays

July “written” exam

Radiology workshop (July)

Radiology workshop during longitudinal portion of course

K1

Given a case vignette, determine the diagnosis of common and catastrophic ophthalmologic and otolaryngologic problems by applying classic signs and symptoms, epidemiology, and underlying pathology.

Written exam

 

Lecture

K1

Demonstrate use of the basic principles of nutrition, and apply them to diabetes and obesity

Written exam

 

Lecture

K1, K2

Demonstrate an understanding of  important concepts in the care of geriatric patients, including normal aging, delirium, polypharmacy and safe prescribing, and falls

Written exam

Geriatrics workshop (July)

Lecture

C1

Build an accurate and thorough focused patient history for a patient (adult, adolescent, pediatric) with select common presenting complaints

OSCE

Simulated Patient Encounter  workshops (4 total with 12 cases)

Lecture, case discussions

C1

Perform an appropriate focused physical examination for a patient with select common presenting complaints

OSCE

SPE workshops

Lecture, case discussions

C1

Generate an appropriate differential diagnosis and basic diagnostic plan for a patient with select common presenting complaints

OSCE; Written exam

SPE workshops

Lecture, case discussions

C1

Establish and build a professional and caring relationship with a patient in a variety of settings

OSCE

SPE workshops; Male Exam workshop; Female Exam workshop

ICM 1

C1

Perform “sensitive” exams on patients:  a breast and pelvic exam on a female patient; a genital and rectal exam on a male patient

Clerkships; some evaluation in Female Exam workshop; some evaluation in male exam workshop

Female Exam workshop; Male exam workshop

Workshop reading assignment

K1

  1. Perform common procedural skills (NG placement, suturing, catherization of the GU tract, IV placement, venipuncture)

Clerkships

Procedural Skills workshop

Procedural skills videos

C1, C2

Deliver bad news to a patient in a caring and compassionate manner

Clerkships, some evaluation in Bad News workshop

Bad News workshop

Lecture

C2

Perform an oral presentation of a patient encounter for faculty and peers

Clerkships

Case Presentation workshop

Lecture

C2

Document appropriately:  Write a progress note in the SOAP format; write a prescription

OSCE

Documentation workshop

Lecture

C3

Communicate effectively and in a constructive manner with peers and faculty during multiple small group sessions (Workshop, Case Discussions)

 

Presentation Skills workshop; other workshops; Case discussion sessions

ICM 1

C3

P1

Receive oral and written feedback from faculty, teaching associates, patients, and simulated patients in a respectful manner, and use that feedback to improve skills in succeeding encounters

 

SPE workshops; Bad News workshop; Male Exam workshop; Female Exam workshop

ICM 1

P2

Demonstrate professional behavior in a variety of settings during interactions with faculty, staff, teaching associates, course director – through the ability to attend all required workshops in a punctual manner; dressing professionally when required; exhibiting a positive attitude (especially in the presence of patients); being truthful, reliable, prepared, and courteous in all workshops; maintaining confidentiality regarding patient care; contributing to a positive learning environment, collaborating with colleagues, and performing self-assessment and self-directed learning

Evaluated informally by course director through ongoing discussions with personnel mentioned and third year clerkship directors.

All workshops

Course orientation; July ICM orientation session featuring third and fourth year clerkship directors