Dr. Kiran C. Patel College of Allopathic Medicine—M.D. Program 585 MDC 6050—Practice of Medicine 1 Practice of Medicine (POM) 1 is an introductory course to the clinical skills all students are expected to master by the end of medical school as they enter their residency. The skills acquired in this course will later be built upon as the students continue through POM 2 and POM 3, as well as their clerkship rotations. The skills that students will be introduced to include establishing a doctor-patient relationship, hypothesis-driven history taking and physical examination, documentation of the clinical interaction, and introductory physical exam skills. The major foci of the POM 1 course are communication, interpersonal skills, humanities, and gathering the patient’s story. Each week during the first 12 weeks, students will be introduced to new skills and techniques in these areas. This will be done through participation in both large- and smallgroup clinical skills sessions. Additional skills that students will begin to learn are basic physical examination techniques and an introduction to clinical documentation. Throughout the course, students will be expected to demonstrate their ability to take a history and gather a patient’s story. They will be assessed both formatively during practice sessions, as well as summatively at specific checkpoints. MDC 6051—Practice of Medicine 2 Practice of Medicine 2 builds on the basic clinical skills from Practice of Medicine 1 (establishing a doctor-patient relationship, hypothesis-driven history taking and basic principles of the physical examination, and introduction to writing clinical notes) by allowing students to focus on 1) both the basic physical examination and advanced/specialized physical examinations; 2) integration of clinical reasoning; 3) discussion of threadrelated topics—such as ethics, leadership, research, biomedical informatics, and others—as they pertain to the case; 4) clinical preceptorship; and 5) service-learning project activities. By the end of this course, students will pass two objective structured clinical examinations (OSCEs) and three summative clinical skills assessments (CSAs) covering both a focused and complete history and physical examination and writing a clinical note. The course is taught entirely utilizing active-learning modalities where the class is divided into small group practice sessions with standardized patients, small group discussions on clinical reasoning, and independent student learning. Due to the practical nature of this course, student progression will be tied closely to participation in these activities. MDC 6052—Practice of Medicine 3 Practice of Medicine 3 continues and adds to the practice of skills learned in POM 1 and POM 2. The skills may include history taking; focused and complete physical examination skills; clinical reasoning; discussion and application of integrated, clinically applicable topics, such as those from threads (ethics, law, humanities, interprofessional education, and others); clinical documentation (note writing); and oral presentation abilities. Students will apply their clinical reasoning, learned in the morning session, as well as additional clinically applicable skills, to the afternoon session, through active, hypothesisdriven history and physical examination. By the end of this course, students will pass a series of assessments that cover the skills learned during the course. These skills may include taking a focused and/or complete history, describing and/or performing the physical examination, writing a clinical note, giving an oral case presentation, and demonstrating clinical reasoning, among other skills. MDC 7000A—Health Systems Science and Advanced Clinical Skills This intensive, third-year nonclinical clerkship is designed to prepare students for entry into the third-year clinical clerkships. Clerkships will further develop skills in problemsolving and ethical decision-making by incorporating content from the domain of health systems science. Students will be introduced to concepts related to how care is delivered, how health professionals work together to deliver that care, and how the health system can improve patient care and health care delivery. Foundational didactic content related to each clerkship is also presented, providing an introduction to each specialty. Students refine their oral presentation and physical exam skills appropriate to the patient populations seen in each of the clerkships: internal medicine, pediatrics, OB-GYN, psychiatry, surgery, and primary care medicine. Students are oriented to the clinical environment through experiences in the simulation center (OR, inpatient hospital room, etc). Both low- and hi-fidelity simulation are used to familiarize students with common clinical procedures. Upon completion of the clerkship, competent students will be able to appropriately identify, present, and document clinical findings, perform specialtyspecific clinical procedures, and demonstrate an understanding of patient safety and infection control in clinical environments. MDCI 7002—Internal Medicine Clerkship During this eight-week clerkship, students develop a comprehensive approach to the evaluation and care of the adult medical patient, focusing on improving their ability to obtain, record, analyze, and communicate clinical information. This clerkship is focused on the inpatient setting, where students will participate as members of a teaching team that includes residents. Each student gains an awareness of the knowledge, skills, values, and attitudes that internists strive to acquire and maintain throughout their professional lives. Students have supervised responsibility for patient care, learning to integrate clinical knowledge with practical experience. MDCG 7003—Obstetrics and Gynecology Clerkship The Obstetrics and Gynecology Clerkship provides experiences in both obstetrics and gynecology patients in inpatient and outpatient settings. These include inpatient labor and delivery and gynecologic surgery, weekly experiences in office
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