FCM-2

Syllabus

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FCM-2

Syllabus

FCM-2

Syllabus

2016

Overview

Course Objectives

FCM-2 is a longitudinal course in which the 2nd-year medical student applies the biopsychosocial model in the clinical setting to gain proficiency in history-taking, physical examination, and beginner skills of diagnosis.  Regular clinical sessions with faculty physicians are supplemented with didactic courses, group discussions, skills sessions, and OSCE’s.  This cohesive educational experience will prepare the medical student for the role of a clerk.  This will be achieved through the following individual objectives:

History-taking skills

  • Gain familiarity with the components of a full history.
  • Understand similarities and differences between a complete history and a focused history.

  • Gain proficiency in obtaining the various components of the complete history, with an appreciation of need for flexibility when unable to adhere to a specific sequence.
  • Become comfortable interviewing patients about sensitive subject matters related to sexual practices, legal and illicit substance use, educational background, and socioeconomic levels.

  • Gain experience with performing a detailed review of systems.

  • Understand how a properly organized ROS can help to characterize an unknown chief complaint.

  • Demonstrate proficiency in obtaining a complete history on a healthy adult.

  • Demonstrate proficiency in focused history-taking and examination skills surrounding a given chief complaint.

Examination skills

  •          Demonstrate proficiency in performing a complete physical examination on a healthy adult.

  • Demonstrate proficiency in focused history-taking and examination skills surrounding a given chief complaint.

  • Demonstrate competence in obtaining vital signs, and understand relevance of vital signs to a given clinical scenario.

  • Demonstrate proficiency in physical examination techniques of every major organ system, with beginning skills of differentiating between normal and abnormal findings.

Differential diagnosis skills

  •          Demonstrate organized writing skills in documenting all relevant components of a complete history following a prescribed format.

  • Document a complete history and physical, including a detailed psychosocial history that is respectful and non-judgmental, taking into account cultural humility, and how the following can impact the documentation of the patient encounter:

    o   implicit bias

    o   social determinants of health

    o   health disparities

    o   health literacy

  • Demonstrate narrative writing skills in documenting an HPI, progressively increasing from beginner to proficient.

Presentation

  • Gain beginner-level skills in verbal presentation of a clinical encounter to professional colleagues.

Patient care

  • Demonstrate proficiency working as a member of a team to further patient care and facilitate the learning experience of one’s colleagues.

  • Gain familiarity with Social Determinants of Health and how psychosocial history (e.g., trauma and other Adverse Life Events, depression, substance use, health literacy, prior exposures to healthcare providers, social exclusion and discrimination, etc.) and current social situation (e.g., financial hardship, food insecurity, caregiver burden) may impact patient communication, trust, and adherence to treatment, including such information in the documentation of the clinical encounter.

  • Demonstrate skills of cultural humility when communicating with patients across dimensions of cultural difference (racial, ethnic, religious, linguistic, sexual, geographic, etc.) so that the role of culture and patient health beliefs are acknowledged and respected, and do not become a barrier to patient-provider communication and effective care.

  • Demonstrate professional self-awareness and the ability to identify and discuss the role of implicit bias, stereotypes, and cognitive shortcuts in clinical practice, and discuss ways in which these can contribute to health disparities in treatment if not brought into conscious awareness and mitigated.

Evaluation

  • Demonstrate proficiency of all learned clinical skills through completion of a pre-determined number of patient write-ups and successful completion of a comprehensive OSCE.
  • Gain the capacity for self-reflection through required formal and informal review of videotaped Objective Structure Clinical Encounters (OSCE’s), with corresponding feedback sessions.

 

Personnel
Christopher Nelson, MD Course Director
Dr. Christopher Nelson, MD
Family Medicine physician, Carle Physician Group-Mahomet
(217) 586-8400
christopher.nelson2@carle.com
Grace Park, MD LCE Director
Dr. Grace Park, MD
Family Medicine physician, UI McKinley Health Center
(217) 383-3211
gleepark@illinois.edu
Kirsten Lawhead LCE Staff
Kirsten Lawhead
Admin Asst, Dept of Family Medicine, UICOM-UC
(217) 383-3121
klawhead@illinois.edu
Carle Forum
611 W. Park
Urbana, IL 61801
Kathleen Collins, MD Faculty
Dr. Kathleen Collins, MD
Internal Medicine physician, Christie Clinic-Champaign
(217) 366-6895
klcollin@illinois.edu
Janet Liechty, PhD Faculty
Dr. Janet Liechty, PhD
Assoc Prof, School of Social Work
(217) 265-0577
jliechty@illinois.edu
Robert Woodward, MD Faculty
Dr. Robert Woodward, MD
Family Medicine physician, UI McKinley Health Center
(217) 333-2701
rtwoodwa@illinois.edu
Jo-Ann Archey, MD Small Group Leader
Dr. Jo-Ann Archey, MD
Family Medicine physician, Christie Clinic-Rantoul
(217) 892-9671
archey@illinois.edu
Elizabeth Kim, DO Small Group Leader
Dr. Elizabeth Kim, DO
Family Medicine physician, Carle Physician Group-Urbana (Windsor)
(217) 383-3311
Elizabeth.Kim@carle.com
Jane Kim, MD Small Group Leader
Dr. Jane Kim, MD
Family Medicine physician, Carle Physician Group-Champaign (Curtis)
(217) 383-3311
jane.kim@carle.com
Christopher Nelson, MD Small Group Leader
Dr. Christopher Nelson, MD
Family Medicine physician, Carle Physician Group-Mahomet
(217) 586-8400
christopher.nelson2@carle.com
Scott Paluska, MD Small Group Leader
Dr. Scott Paluska, MD
Family Medicine & Sportsmedicine physician, Christie Clinic-Champaign
(217) 366-2632
paluska@illinois.edu
Grace Park, MD Small Group Leader
Dr. Grace Park, MD
Family Medicine physician, UI McKinley Health Center
(217) 383-3211
gleepark@illinois.edu
Japhia Jayasingh-Ramkumar, MD Sim Center Director
Dr. Japhia Jayasingh-Ramkumar, MD
Internal Medicine physician, UI McKinley Health Center
(217) 333-2701
jayasing@illinois.edu
Medical Sciences Building
506 S. Mathews Ave.
Urbana, IL 61801
Diane Corsaro, BSN Sim Center Staff
Diane Corsaro, BSN
Coordinator of simulation center, UICOM-UC
(217) 300-1096
dcorsaro@illinois.edu
Medical Sciences Building
506 S. Mathews Ave.
Urbana, IL 61801
Debbie Deedrich Sim Center Staff
Debbie Deedrich
Support staff, UICOM-UC
(217) 244-0598
deedrich@illinois.edu
Medical Sciences Building
506 S. Mathews Ave.
Urbana, IL 61801
Barbara Bennett, CDA, RDH, MS Staff
Barbara Bennett, CDA, RDH, MS
Director of Medical Education & Curriculum Management
(217) 244-4031
blbennet@illinois.edu
Medical Sciences Building
Room: 255
506 S. Mathews Ave.
Urbana, IL 61801
Regina Cook Staff
Regina Cook
Office Manager, Academic Affairs, UICOM-UC
(217) 265-0964
rcook@illinois.edu
Medical Sciences Building
Room: 253
506 S. Mathews Ave.
Urbana, IL 61801
Christy Foster Staff
Christy Foster
Office Support, Academic Affairs, UICOM-UC
(217) 300-4854
foste@illinois.edu
Medical Sciences Building
Room: 253
506 S. Mathews Ave.
Urbana, IL 61801
J. Patrick Grenda, EdD Staff
J. Patrick Grenda, EdD
Academic Skills Specialist
(217) 265-6265
jpgrenda@illinois.edu
Medical Sciences Building
Room: 255
506 S. Mathews Ave.
Urbana, IL 61801
Textbooks and Materials

Required Textbooks

Bates Guide to Physical Examination and History-Taking, 11th Edition by Lynn Bickley, MD, LWW
First Aid for the USMLE Step 1 2016 by Tao Le and Vikas Bhushan, McGraw-Hill Education / Medical (January 1, 2016)
Smith's Patient-Centered Interviewing: And Evidence-Based Method, 3rd Edition by Auguste H. Fortin VI, Francesca C. Dwamena, Richard M. Frankel, Robert C. Smith, McGraw-Hill Medical
Symptom to Diagnosis: An Evidence-Based Guide, 3rd Edition by Scott D.C. Stern, Adam S. Cifu, Diane Altkorn, McGraw-Hill Medical

The texts are required for the FCM-2 course, as the components of the course (Expert sessions, Small Group sessions, and Longitudinal Clinical Experience) all utilize these texts to illustrate the concepts and meet the goals & objectives of the FCM-2 course.

Equipment

      Required

  • White coat (short, no colors please): 1 is supplied by COM, consider buying a second at Troy's Uniforms (approx. $30) for convenience
  • UICOM-UC Name Tag: provided at Carle and other sites
  • Stethoscope (good quality, Littmann brand is recommended)
  • Reflex or neurological hammer (large rounded head recommended)
  • Penlight

      Recommended

  • Otoscope/Ophthalmoscope* (Welch-Allyn Halogen 3.5 volt, rechargeable is recommended)
  • Sphygmomanometer a.k.a. blood pressure cuff (may be purchased from non-medical stores, calibrated at no cost at the Blood Bank) usually available on the wards

*You are free to purchase the newer PanOptic® style of ophthalmoscope,
but you are required to be familiar with using the traditional one.

      Other Useful Instruments/Supplies

  • Tape measure (non-stretch cloth, metric)
  • Tuning forks x 2 (512 or 1024 Hz: 128 Hz)
  • Vials containing "scented" materials for assessing olfaction
  • Nasal speculum (those which attach to otoscope are not recommended; hand held "pliers" type are recommended)
  • Pocket metric ruler
  • Dividers for ECG interpretation for 2 point discrimination

 There will be a box of communal supplies that may be
checked out and used. Please contact the Simulation Center coordinator for more information.

      Supplies that will be provided in class

  • Examination gloves (disposable)
  • Tongue depressors
  • Cotton swabs
  • Cards to assess stool for occult blood

 

Assessment

Assessment Description Percent
OSCE Comp MID - cases 1, 2, 3, 4 16.6666%
OSCE Comp END - cases 1, 2, 3, 4 16.6666%
LCE Preceptor eval, Fall & Spring 14.6666%
LCE PIF response pape, Fall & Spring 4%
LCE Mini-CEX, Fall & Spring 14.6666%
Small Group Patient write-ups, Fall & Spring 20%
Small Group Facilitator evaluations, Fall & Spring 10%
Small Group Student self-eval, Fall & Spring 3.3333%

Schedule

The official up-to-date schedule is listed on the M2 Calendar.

Emergency/Extreme Weather
If conditions require the cancelling of classes or closure, the college will broadcast an announcement on this website, Facebook, Twitter, and Google+.

Review the full Emergency Action Plan.
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College of Medicine at Urbana-Champaign

506 S. Mathews Ave.
Urbana, IL 61801


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