Mini Clinical Science

Third and fourth year medical students will participate two years of clinical activities in hospitals and clinics. Our Mini Clinical Curriculum is shorter and simplified version of the clinical disciplines of Family Medicine, Internal Medicine, Pediatrics, Geriatric Medicine, Surgery, and Emergency Medicine. Students participate in the care of patients under the supervision of certified teacher, medical school faculty, resident physicians, interns, physician assistant, nurse practitioners, and/or medical students. Outside speakers, scientific reading, scientific writing, and presentations are essential parts of these courses. Writing in this course involves students’ personal reflections on their understanding of the topics, workings of disease in society, write-ups case studies, journal entries, and descriptive narratives of the human systems.

Clinical Ethics

State Course Code: 14003 Subject: Health Science Grade: 9-12 Credits: 0.5 (HS). Prerequisites: Complete MMS Curriculum. Completion Time: Competency-based, one semester.

Descriptions: Provides exposure to key issues in clinical ethics as well as the tools for ethical reasoning and critical thinking that support the student’s current and future work. Objectives, at the conclusion of this course, students should be able to:

  1. Recognize ethical dimensions of clinical problems in a variety of clinical settings.
  2. Reason through ethical dilemmas and challenges posed in clinical practice.
  3. Discuss the doctor’s historical and contextual responsibilities towards patients.
  4. Justify a course of action.

Introduction to Clinical Medicine

Descriptions: Instruction in communication skills and interview techniques to form the basis for the doctor-patient relationship and the skills of communicating with patients are introduced. The patient profile will be obtained. There will be attention to developing comfort in the physician role. The medical history will be introduced and instruction in data collection will begin. There will be further experience in conducting medical interviews with patients for the purpose of obtaining the medical history and patient profile. Special problems related to interviewing will be addressed. The adult screening physical examination will be taught through the use of lectures, audio/visual aids, and small group tutorials where students in supervised settings practice the physical exam on one another. Objectives, at the conclusion of this course, students should be able to:
Professionalism Ethics

State Course Code: 14003 Subject: Health Science Grade: 11-12 Credits: 0.5 (HS). Prerequisites: Complete MMS Curriculum. Completion Time: Competency-based.

o Develop standards of professional conduct in medicine including: sensitivity and caring towards patients, ethical conduct (especially confidentiality and personal integrity), conscientious self-directed learning, appropriate appearance and demeanor in clinical settings, responsible performance in commitments, and appointments and record keeping.
o Discuss professional development and adjustment to the demands and privileges of being a medical student.
o Describe the meaning of the doctor/patient relationship.
o Discuss and apply some ethical principles in discussion of ethical cases.
o Describe the meaning and value of continuity of care.

Medical Interviewing

State Course Code: 14254 Subject: Health Science Grade: 10-12 Credits: 0.5 (HS). Prerequisites: Complete MMS Curriculum. Completion Time: Competency-based.

o Demonstrate an understanding of the purpose and function of the medical interview.
o Develop interpersonal communication skills and effective interview questioning, listening, and observational skills.
o Understand the concept of the patient’s narrative and its importance in patient-centered interviewing.
o Demonstrate an ability to respond to and deal with patients’ emotions.
o Develop questioning skills to specific populations and situations: pediatric, adolescent, and geriatric patients, difficult interviews, human sexuality/sexual minorities, HIV/AIDS, substance abuse, diversity/culture in medicine

Medical database/Documentation

State Course Code: 14157 Subject: Health Science Grade: 10-12 Credits: 0.5 (HS). Prerequisites: Complete MMS Curriculum. Completion Time: Competency-based.

o Identify the elements of the complete medical database
o Organize and write-up the medical database clearly and concisely by completing 3-5 patient interviews.
o Able to construct a problem list and understand its function in the Problem Oriented Medical Record.

Physical Exam Skills

State Course Code: 14151 Subject: Health Science Grade: 10-12 Credits: 0.5 (HS). Prerequisites: Complete MMS Curriculum. Completion Time: Competency-based.

o Perform a standardized basic physical examination and understand the rationale for that examination.
o Demonstrate the correct use of the medical instruments in the performance of the physical examination.
o Develop a systematic approach to recording the basic physical examination.

Case Presentation and Clinical Reasoning (Speech)

State Course Code: 01199 Subject: Health Science/Language Arts Grade: 10-12. Credits: 0.5 (HS) Prerequisites: Complete MMS Curriculum. Completion Time: Competency-based.

o Understanding the systematic approach to the verbal presentation of the medical history.

o Understand the clinical reasoning process by contributing to small group discussion and submitting write-ups that demonstrate an ability to perform the first step of the clinical reasoning process, the reporting of patient data.

Internal Medicine

State Course Code: 14254 Subject: Health Science Grade: 11-12 Credits: 0.5 (HS). Prerequisites: Complete MMS Curriculum. Completion Time: Competency-based.

Description: Our Mini Clinical Curriculum is similar to, but shorter version of Internal Medicine – This basic clerkship serves as a prerequisite for most other medicine courses and clerkships. Currently this clerkship is divided into inpatient and outpatient experience. Students participate in the care of hospitalized patients to refine their skills of taking medical history and physical examinations and to learn to care for the acutely ill. Daily rounds and conferences are held.

The curriculum contains 12 core clinical topics, listed below. For each topic we expect you to see at least one patient with the topic, and hope you will develop the knowledge and judgment necessary to manage a patient presenting with this problem. Management is an advanced skill, and we acknowledge that not all will achieve this goal. The 12 topics are:

1. Chest pain

2. Dyspnea

3. GI bleed

4. Abdominal pain

5. Altered mental status

6. Preventive care

7. Fever

8. Hypertension

9. Diabetes

10. Electrolyte disorder

11. Kidney failure

12. Joint or back pain

Surgery Technology and Clerkship

State Course Code: 14056 Subject: Health Science Grade: 11-12 Credits: 0.5 (HS). Prerequisites: Complete MMS Curriculum. Completion Time: Competency-based.

Description: Our Mini Clinical Curriculum is similar to, but shorter version of Surgery Technology and Clerkship. First, surgical Technology courses emphasize the care and needs of patients undergoing surgery while covering general health care topics (i.e., patient care, anatomy and physiology, medical terminology, hygiene and disease prevention, first aid and CPR, and laboratory procedures). In keeping with that focus, topics may include operation room materials, tools, and procedures; aseptic surgical techniques; preparation and handling of surgical instruments; efficiency in the operating room; and the roles of various medical personnel who are present during surgery. Second, surgery clerkship introduces the student to the diagnosis and management of problems amenable to surgical therapy. The program is offered which includes instruction in the physiological basis of surgical care, differential diagnosis and decision-making, and the basic principles of surgical management. Active participation in the care of inpatients and outpatients, including participation in the operating rooms, provides practical experience in the application of these skills. Students will be assigned to the surgical service of one of the major affiliated hospitals. A series of lectures (required attendance) and/or discussions expand on major topics related to general, vascular, cardiothoracic, and plastic surgery.

Geriatric Medicine

State Course Code: 14254 Subject: Health Science Grade: 11-12 Credits: 0.5 (HS). Prerequisites: Complete MMS Curriculum. Completion Time: Competency-based.

Description: Our Mini Clinical Curriculum is similar to, but shorter version of Gerontology courses that provide students with knowledge and understanding of the processes of adult development and aging. Topics covered may include the study of the biological, economic, psychological, social, and health/fitness aspects of the aging process.

Pediatrics

State Course Code: 14254 Subject: Health Science Grade: 11-12 Credits: 0.5 (HS). Prerequisites: Complete MMS Curriculum. Completion Time: Competency-based.

Description: Our Mini Clinical Curriculum is similar to, but shorter version of PEDIATRICS – This clerkship provides a general introduction to inpatient and outpatient pediatrics. The aim is to expose students to settings where children receive medical and health care services either in an inpatient hospital setting, outpatient department, a clinic, or a series of offices.

Emergency Medicine Clerkship and Technology

State Course Code: 14055 Subject: Health Science Grade: 11-12 Credits: 0.5 (HS). Prerequisites: Complete MMS Curriculum. Completion Time: Competency-based.

Description: Our Mini Clinical Curriculum is similar to, but shorter version of Emergency Medicine and Emergency Medical Technology. First for Emergency Medical Technology course places a special emphasis on the knowledge and skills needed in medical emergencies. Topics typically include clearing airway obstructions, controlling bleeding, bandaging, methods for lifting and transporting injured persons, simple spinal immobilization, infection control, stabilizing fractures, and responding to cardiac arrest. The courses may also cover the legal and ethical responsibilities involved in dealing with medical emergencies. These courses may prepare students to obtain certification in Emergency Medical Response (EMR), CPR, First Aid, Incident Command System (ICS), and Wilderness First Responder. Our Mini Clinical Curriculum is similar to, but shorter version of EMERGENCY MEDICINE – Students work with resident doctor and attending supervision, encountering a wide range of patients, presenting complaints, and levels of acuity, spanning the scope of all specialties and both private and public hospital populations. Learning is primarily through direct patient care experience and bedside teaching, supplemented with lectures and directed readings. Development of the knowledge and skills necessary to evaluate and manage multiple patients simultaneously will be emphasized direct patient care experiences, bedside teaching, and readings.

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