2022-2023 M3/M4 Course Syllabi
Internal Medicine
COURSE NUMBER:
07 02 80
TITLE:
The Other Clinical Skills You Need But No One Teac
The goal of the elective is to help students develop important skills needed in residency that students have been exposed to but probably have not had dedicated time to refine or practice their skills. Students will develop these skills through interactive and hands-on experiences such as small group discussions, simulation sessions, and standardized patient sessions. The course covers end-of-life discussions as well as topics such as handoffs, patient safety, and cognitive bias.
PREREQUISITES:
26920371 (FAMILY MEDICINE CORE CLKSP), 26931373 (INTERNAL MEDICINE CORE CLKSP), 26931472 (ACTING INTERNSHP-INT MEDICINE), 26961373 (PEDIATRICS CORE CLKSP), 26980373 (SURGERY CORE CLKSP)

Successfully passed Clerkship in Internal Medicine
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
4
CREDIT WEEKS:
2
DOMESTIC VISITING:
NO
INTERNATIONAL VISITING:
NO
GRADED:
Pass/Fail
COURSE QUALIFICATIONS:
COURSE TYPE:
Clinical
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: YES
COURSE LENGTH:
2 weeks
DIRECTOR:
Danielle Weber
WEBER2DE@UCMAIL.UC.EDU
558-2592
MSB, 6055
ADMINISTRATIVE SUPPORT PERSON:
Jessica Bailey
baileyj7@uc.edu
558-2592
MSB, 6055
SITE(S):
UCMC - University of Cincinnati Medical Center
MAX ENROLL:
12 
ROTATIONS:
Rotation Dates Max
9 01/30/2023 - 02/10/2023 12

NOTE: If a rotation is offered in both 2 and 4 week slots, the max capacity is limited to the actual spots offered for the 4 weeks. (ie: the 2 week rotations listed share the max of the 4 week rotation)
WORKING HOURS:
8:00 AM to 5:00 PM Monday - Friday
REPORT 1ST DAY:
Students will receive an email prior to start date.

INSTRUCTION

LEARNING ACTIVITIES:
  • Conference
  • Discussion-Small Group (Small Group (=12)
  • Reflection
  • Simulation
LEARNING ENVIRONMENT POLICIES:
UCCOM strives to provide medical students with a learning environment that is conducive to their professional growth. All UCCOM and visiting medical students are encouraged to review the Student Handbook.

The Office of Student Affairs and Admissions is available to all UCCOM and visiting medical students to discuss any concerns/questions related to the learning environment. Please call 558-6796 to access faculty/staff that can assist you.
TEACHING:
100% Other Faculty
FEEDBACK:
Faculty
ASSESSMENT:
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
ACP Best Practice Guidelines for Communication About Serious Illness Care Goals.
Bernacki RE, Block SD. Communication About Serious Illness Care Goals A Review and Synthesis of Best Practices. JAMA Internal Medicine. 2014;174(12):1994-2003.

Department of Internal Medicine website (intmed.uc.edu) under Residency Program, “Resident Resource Center” includes access to major medical search sites, full text journals, fast facts on End of Life care, clinical pearls, M.D. Consult, National Guideline Clearinghouse.

Up To Date- online clinical resources, available on all UH computers


Optional readings:

Being Mortal By Atul Gawande

On Death & Dying, What the Dying Have to Teach Doctors, Nurses, Clergy & Their Own Families
By Elisabath Kubler-Ross
Instructional Methods:
Discussion-Small Group (Small Group (=12)
Discussion- Large Group (>12)
Reflection
Role Play/Dramatization
Self-Directed Learning
Simulation

Knowledge/Skills:
    Explain basic end-of-life terminology including DNR (do-not-resuscitate), POA (power-of-attorney), and a living will.
    Describe the six steps of the SPIKES method.
    Identify elements of a safe, effective handoff.
    Describe processes to identify factors that contributed to a medical error.
    Compare and contrast common cognitive bias

    Demonstrate effective communication in an end-of-life discussion during a standardized patient scenario
    Demonstrate ability to use self-assessment to generate a SMART goal
    Demonstrate ability to incorporate feedback into improving performance
    Demonstrate ability to perform an effective hand off
    Discuss a medical error in a blame-free way
Main Course Topics :
-    End of life care
-    End of life communication
-    Diagnostic reasoning
-    Critical thinking
-    Cognitive Bias
-    Patient Safety
-    Handoffs
-    Simulation
Procedures:
N/A

SAMPLE WEEK

Monday:
8:00AM 10:00AM Didactic
10:00AM 12:00PM Small Group
12:00PM 1:00PM Lunch
1:00PM 5:00PM Simulation Session
Tuesday:
8:00AM 10:00AM Didactic
10:00AM 12:00PM Small Group
12:00PM 1:00PM Lunch
1:00PM 5:00PM Simulation Session
Wednesday:
8:00AM 12:00PM Standardized Patient Session
12:00PM 1:00PM Lunch Optional: Grand Rounds
1:00PM 3:00PM Didactic
3:00PM 5:00PM Small Group
Thursday:
8:00AM 10:00AM Didactic
10:00AM 12:00PM Small Group
12:00PM 1:00PM Lunch
1:00PM 5:00PM Didactic/small groups
Friday:
8:00AM 10:00AM Didactic
10:00AM 12:00PM Small Group
12:00PM 1:00PM Lunch
1:00PM 5:00PM Independent Study (EBM Project, Self-Assessment Assignment)
SCHEDULE NOTE:
Participation: attendance of didactics, small group discussion, role-play, active participation in simulation sessions, completion of two standardized patient scenarios, formation of a clinical handoff.
Self-evaluation Assignment: review of standardized patient scenario video with self-reflection.

Please note that this course is pass/fail.

ATTENDANCE AND ABSENCE POLICY

 

Session Attendance for M4 Students

  • Students may miss no more than two days of planned excused absences on a four week rotation without being required to make-up the work, at the discretion of the clerkship/elective/course director or his/her designee.
  • Non-AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the clerkship director to best align with the site schedule. Students may request to schedule 1 or more of these 4 days for planned absences that fall under 1 of the categories listed below for excused absences during non-AI rotations, in consultation with the course/elective director, who may or may not approve such planned absences.
  • AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the course director to best align with the site schedule. Students may request to schedule 1 or 2 of these days for planned absences that fall under 1 of the categories listed below for excused absences during AI rotations, in consultation with the course director, who may or may not approve such planned absences. Students must avoid scheduling Step 2 examinations during an Acting Internship.
  • Excused Absences - The following will be considered excused absences:
    • Diagnostic, preventative, and therapeutic health services (e.g. doctor appointments, physical therapy, counselling, etc).
    • Personal illness, accident or a major catastrophic event
    • Death or serious illness of immediate family members. Immediate family members, as defined by UC, are Grandparents, Brother, Sister, Brother-in law, Sister-in-law, Daughter-in-law, Son-in-law, Father, Mother, Mother-in-law, Father-in-law, Step-sister, Step-brother, Step-mother, Step-father, Spouse or domestic partner, Child, Grandchild, legal Guardian or other person who stands in place of parent (in Loco Parentis)
  • Whenever possible, planned absences should be requested a minimum of six weeks in advance of the start of the clerkship/elective/course in which the absence will occur; this enables the clerkship/course/elective to help plan for educational event scheduling (e.g. a known appointment could be scheduled around with enough notice and the student might not have any required coursework to make up). Absences requested less than 1 week prior to the planned absence may not be considered for a possible excused absence unless extenuating circumstances prevented the student from providing timely notification per the policy. Students should first submit their request for a planned absence to the clerkship/elective/course director using the online MSSF. All planned/excused absences for any reason should be documented on the MSSF.
  • The COM abides by the UC Religious Observance Policy that respects the religious diversity of its students by providing opportunities, where possible, for accommodation in cases where conflicts exist between students’ religious beliefs/practices and educational activities. In clinical settings, such accommodations must honor the primacy of a commitment to patient care and avoid unduly burdening faculty, staff and the general student population involved in the affected educational and/or patient care activity.
  • The following items are explained in detail in the Medical Student Handbook:
    • Excused/unexcused/unplanned absence, religious holidays, jury duty, and make-up work

See Attendance and Absences Policy, Religious Observance Policy, Medical Student Handbook.




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