Dr. Kiran C. Patel College of Allopathic Medicine—M.D. Program 589 following a clinical encounter), #3 (recommend and interpret common diagnostic and screening tests), and #6 (provide an oral presentation of a clinical encounter). M4 students are expected to build on those skills and work toward demonstrating the skills described in EPAs #7 (form clinical questions and retrieve evidence to advance patient care), #8 (give or receive a patient handover to transition care responsibly), #9 (collaborate as a member of an interprofessional team), and #10 (recognize a patient requiring urgent or emergent care and initiate evaluation and management). MDCP 8003—Sub-Internship in Pediatrics The sub-internship, also known as an acting internship, is a four-week rotation designed to allow senior medical students to take on an expanded role in direct patient care activities. Students will serve as acting interns under the direct supervision of senior residents and faculty attendings on an inpatient hospital team. Students will expand their knowledge base and clinical skills, while developing attitudes and practices that will support functioning as PGY1 residents after medical school graduation. This course serves as a cornerstone within the M4 curriculum, as it fosters the transition from student to early GME trainee and helps students prepare for the next phase of their medical training. The skills emphasized during this course build on those developed during the M3 core clerkships and focus on those identified by program directors as key to successfully beginning GME training. The six core competencies identified by the Accreditation Council for Graduate Medical Education (ACGME) for residency programs are 1) patient care (PC), 2) medical (surgical) knowledge (MK), 3) practice-based learning and improvement (PBLI), 4) interpersonal skills and communication (ISC), 5) ethics and professionalism (EP), and 6) systems-based practice (SBP). Crucial to this rotation are the following specific skills: patient evaluation skills (recognizing sick patients), communicating effectively within health care teams, time management (prioritization of tasks), and recognizing limits (knowing when to ask for help). NSU MD students focus primarily on several foundational, entrustable professional activities (EPAs) developed by the AAMC. M3 students focus on EPAs #1 (gather a history and perform a physical examination), #2 (prioritize a differential diagnosis following a clinical encounter), #3 (recommend and interpret common diagnostic and screening tests), and #6 (provide an oral presentation of a clinical encounter). M4 students are expected to build on those skills and work toward demonstrating the skills described in EPAs #7 (form clinical questions and retrieve evidence to advance patient care), #8 (give or receive a patient handover to transition care responsibly), #9 (collaborate as a member of an interprofessional team), and #10 (recognize a patient requiring urgent or emergent care and initiate evaluation and management). Electives Anesthesiology (Direct Patient Care) MDCA 9037 (A)—Anesthesiology Elective This four-week rotation is designed to expose students to the field of anesthesiology. It will cover the complete perioperative period of patient care, including preoperative assessment, operating room patient management, and postoperative acute pain management recovery. Students will also gain exposure to other subspecialties within anesthesia, including OB anesthesia, regional anesthesia, and procedural anesthesia in the GI suites and/or the radiology department (for MRI or interventional radiology procedures). Students will be exposed to attendings, residents, and CRNAs in anesthesiology during this rotation. MDCA 9053—Pain Management Elective This four-week elective course is designed to expose students to the field of interventional pain medicine. Clinical activities will include the opportunity to spend time in the operating room and procedure suite performing interventional pain management procedures. Most of the clinical elective will be spent engaging in outpatient experiences in the clinic, evaluating and treating patients presenting with chronic pain management issues. Dermatology (Direct Patient Care) MDCD 9065—Dermatology Elective This elective will provide exposure to pediatric and adult medical dermatology, cutaneous oncology/Mohs Micrographic Surgery, and dermatopathology. The goals of this course are to be able to recognize common skin lesions, create a differential for various rashes, perform simple skin procedures (such as, skin biopsy and sutures), and assist in surgical cases. Diagnostic Radiology (Direct Patient Care) MDCR 9031—Advanced Clinical Radiology Elective This course is designed to offer a focused, radiology deepdive, learning experience, emphasizing two specific radiology subspecialties selected from chest, cardiac, breast, body, musculoskeletal, neuro, trauma, interventional, and nuclear medicine. The student will create an individualized learning plan depending on the chosen areas, including participation in the acquisition and interpretation of medical imaging, planning and performing of image-guided procedures, and involvement in multidisciplinary tumor boards working with residents, faculty members, and technologists. These experiences will be complemented by self-paced learning relevant to the particular radiology subspecialty domains. By the end of the rotation, each student will be expected to generate a presentation for submission as a poster at a medical conference or publication as a case report.
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