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Medical Education
Medical Student Education

Medicine 110 Course Objectives

By the end of the clerkship, students will be able to identify and interpret appropriate tests to rule in/out a given diagnosis.

By the end of the clerkship students will be able to apply knowledge of fundamental sciences to interpretation of clinical problems; perform an appropriate history and physical exam; and use deductive reasoning to generate problem lists, from a hypotheses, and to formulate differential diagnoses.

By the end of the clerkship, students can be entrusted, under supervision, to perform the following for a medical inpatient from admission through discharge;

  1. complete admission history and physical exam to generate a problem list and construct a differential diagnosis using the information and relevant diagnostic test data.
  2. Follow each assigned patient daily throughout the hospital stay, performing daily histories and physical exams targeted to patient problems and diagnoses, and documenting each patient encounter.
  3. Participating in discharge planning taking into account each patient's social situation

By the end of the clerkship, students will be able to explain findings, diagnoses and treatment plan to patients and families; give complete oral presentations for each admission; present patient information in SOAP format on daily rounds including assessment and plan that reflects own clinical reasoning; discuss breaking bad news, negotiating complex discharge plans, end-of-life care issues with patients under the direction of the health care team; teach patients and families about illness, treatment and prognosis; elicit patient concerns and agenda for care; identify and address cultural forces and communication issues affecting patient care; communicate with consultants including initial consult and follow-up; and provide handover of clinical information to next team/provider when leaving team.

Students will be able to demonstrate punctuality, reliability, preparedness, initiative, follow through and honesty; create accurate, timely, legible notes, orders and prescriptions; acknowledge gaps in skills, knowledge or patient information; ask for help when needed; work collaboratively with team.

Students will ask for feedback on performance, receive and incorporate feedback willingly; reflect on the impact of discharge planning on patient's transition from hospital to community and consider individual goal(s) for improvement in discharge planning.

Students will be able to use the medical record system to access and handle patient data; incorporate the nature of health care delivery system into management of an individual patient; participate in discharge planning that takes into account the patient's social situation; work with interdisciplinary team members; learn to conduct a medication reconciliation.