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Medical Education
Bridges Curriculum

Clinical Immersion Experiences (CIExs)

Clinical Immersion Experiences (CIExs) are clinical electives that students will experience during the Foundations 2 (F2) phase. The F2 phase spans 48 weeks and consists of 12 weeks for third-year students to schedule their CIEXs (2 weeks in the Pediatrics and Obstetrics/Gynecology clerkships, 4 weeks in the Neurology and Psychiatry clerkships, 2 weeks in the Anesthesia clerkship and 4 weeks for vacation).  CIExs can be scheduled as either 2-week or 4-week experiences once Bridges launches.

There are 4 types of CIExs:

  1. Integrative Elective (IE) The goal is to explore a clinical topic and gain insight into how it integrates with other aspects of care.
  2. Clinical Skills Building (CSB) The goal is to provide additional skill clinical building in topics such as clinical reasoning and/or organization of clinical tasks for students needing additional practice.
  3. Subspecialty Elective (SSE) or Inpatient Immersive (IPI)  (For LIC students) The goal is to provide experience in subspecialty areas not covered in core clinical clerkships (SSE) or an immersive core inpatient experience (IPI to balance the ambulatory focus of the LIC programs).
  4. Apprenticeship Experience (AE) Goals can include exploring a potential field of career interest, gaining clinical experience, experiencing mentorship in an area of career interest or obtaining coaching in an area of interest.

Eight new Bridges CIExs will debut as clinical electives in the current academic year:

1. Introduction to Ocular Disturbances and Ophthalmology

This elective will combine online curricular material using interactive modules demonstrating how to obtain an eye-focused history, measure visual acuity, check pupil responses, use the slit lamp opthalmoscope and the direct opthalmoscope. These activities will be coupled with immersive clinical experiences to help students evaluate patients with ocular disorders such as acute vision loss, red eye and diplopia. 

2. Eating Disorders: A Multi-Disciplinary Integrative CIEx  

The UCSF Adolescent and Young Adult Eating Disorder Program is a clinical and research program that is a partnership of the departments of pediatrics and psychiatry.  Students will see and work with patients in both the inpatient setting (UCSF Benioff Children’s Hospital at Mission Bay) and outpatient setting (Parnassus Campus).  In both of these settings, students will see patients and their families, and work with professionals in pediatrics, psychiatry, nutrition and social work.

3. Neurointensivist/Neurohospitalist Immersion

Students assigned to Fresno will be paired with a neurosurgeon for the first week of the rotation and a neurohospitalist for the second week.  Students will round daily with the attending; activities include patient rounds, radiology conferences and multidisciplinary rounds. 

4. Integrative Musculoskeletal Elective

This elective includes a combination of lectures, clinical exposure and anatomy lab/dissection. Students will learn how to perform the basic physical examination of the spine, shoulder, elbow, wrist, hand, hip, knee and ankle; perform and interpret diagnostic tests for muscular-skeletal conditions and distinguish between acute and chronic presentation of these conditions.

5. PISCES Inpatient Immersion Electives

Students participating in PISCES will have the opportunity to do a 2-week inpatient immersive elective experience in internal medicine, surgery, Ob/Gyn, pediatric, psychiatry and neurology. PISCES students would have a similar role as students in a traditional block clerkship including active patient care responsibilities and participation within the inpatient team.

6. Radiology Primer

Students considering radiology as a career will be paired with a radiology faculty member to work with residents, observe reading room activities and have authentic experiences in reading cases.  There will be discussion sessions on hot topics in radiology as well as a final, reflective writing assignment.   

7. Introduction to Subacute Care of Complex and Older Adults

Students will work in an interprofessional team to help care for a panel of patients living in the VA Community Living Center.  Activities include participating in a variety of supervised and independent patient care experiences and interprofessional care planning meetings.  Students will also attend a weekly evidence-based medicine training session. 

8. Developing Clinical Skills in Internal Medicine

Under the direction of internal medicine residents and faculty, students will work to improve their clinical reasoning and organization skills.  Students will work in both the inpatient and outpatient settings in sessions targeted to develop individualized goals and enhance needed skill sets.

The F2/Career Launch Clinical Design Team will be assessing the effectiveness of these electives and will be soliciting new electives in coming months.  Contact Patricia Cornett, MD, for any questions.