University of Illinois

LCME

Liaison Committee on Medical Education

Goals and Objectives

M2 Goals and Objectives
Clinical Tutorials

COURSE NAME
       
        Clinical Tutorials

GOALS/OBJECTIVES

The Student as a Learner

  1. assumes responsibility for his/her learning
  2. seeks out academic sources relevant to the patient's case, e.g., syllabi, reference books, journal articles
  3. seeks out clinical sources relevant to the patient's problems, e.g., laboratory data, medical records, radiologic reports, health care personnel
  4. seeks peer and tutor feedback on his/her performance and acts on feedback to improve performance
  5. evaluates self both critically and realistically and uses self evaluation to improve performance
  6. acknowledges gaps or errors in application of knowledge and attempts to remediate those
  7. identifies learning issues and objectives and achieves them at a level appropriate for this point in his/her medical education
  8. participates actively in the peer review process

The Student as a Group Member

  1. shares knowledge and questions with peers and tutor
  2. offers constructive feedback to group members about:
    1. strengths and weaknesses in thought processes
    2. errors in reasoning, interpretation, and integration of pathophysiological principles, basic science principles, inter disciplinary knowledge, and clinical data
    3. alternative explanations to account for HxPxDx, problem list, and initial plans
    4. relevance of sociomedical knowledge to the patient's important problems.
  3. asks relevant questions to clarify discussions and maintains the focus of the discussion
  4. contributes to the development and maintenance of a supportive group atmosphere conducive to application of medical knowledge and participation of all group members
  5. contributes to explicit resolution of interpersonal group conflicts
  6. participates in School-developed evaluation systems
  7. is present at all tutorials unless excused, in advance, by the tutor

The Student as a Problem Solver

  1. integrates clinical data, pathophysiological principles, basic science principles, and sociomedical knowledge to explain relationships among HxPxDx findings, problem list and initial plans
  2. interprets clinical data accurately
  3. applies interdisciplinary knowledge to gathering data, preparing the written work-up, and discussing the patient’s problems
    1. describes the effect(s) of the patient's condition on his/her life style, self concept and family
    2. shows cost consciousness in discussing laboratory tests, x-rays and prescriptions
    3. takes into account the significance of social, cultural, and psychological factors in dealing with the patient and his/her condition.
  4. recognizes when available information is incomplete and where additional findings are needed.
  5. gathers additional findings required for the clarification and refinement of the patient problem.
  6. prepares an appropriately thorough and organized written work up of the patient.

The Student Displays Appropriate Professional Values

  1. dresses appropriately and presents an appropriate professional appearance
  2. treats patient with respect and courtesy and acknowledges the patient's dignity and right to privacy when collecting data from the patient and discussing the patient during the tutorial
  3. treats nurses, technicians, other hospital/clinic personnel and physicians with courtesy and respect
  4. respects hospital and clinical facilities and property
  5. completes assigned responsibilities as scheduled

The Presenting Student is Responsible for Making the Oral Presentation a Valuable Learning Experience for All Group Members

  1. uses Health Care professionals, Clinical Education Center staff and hospital resources effectively and efficiently
  2. plans sufficiently to involve other students in learning about aspects of the patient's case
  3. completes the history and physical examination to allow sufficient time to organize and prepare the oral presentation
  4. develops a list of possible learning issues relevant to the presented case

The Presenting Student Gives an Appropriate Oral Presentation

  1. combines knowledge from various sources to present an appropriate, rationally developed and defensible summary of the patient’s case, including:
    1. HxPxDx findings
    2. problem list
    3. initial plans
  2. communicates clearly and succinctly
  3. is well organized
  4. uses notes as a guide for presentation, but does not read from them
  5. is able and prepared to explain the logic behind the development of the summary of HxPxDx findings, problem list and initial plans.
  6. interacts effectively and efficiently with Clinical Education Center staff to acquire assigned patients.

Tutorials Lecture Objectives

OSHA

    1. The student shall understand the infection control and OSHA principles and practices for staff.
    2. The student shall understand Carle specific practices.
    3. The student shall know the infection control practices that will protect the student, staff, patients, and visitor.
    4. The student shall know where to locate further resources for further questions.

 Universal Health Precautions with Lynn Reagan

    1. The student shall demonstrate a basic understanding of the Occupational Safety and Health Administration's universal precautions principle and the attendant requirements.
    2. The student shall demonstrate a basic understanding of the Centers for Disease Control's standard and transmission-based precautions.
    3. The student shall recognize the value of hand hygiene and ways to achieve personal compliance.
    4. The student shall discuss the importance of infection prevention principles as a method to protect themselves, their patients and others in a healthcare setting.
    5. The student shall locate resources to answer further questions about infection prevention.

Tutorials Library Demo with Mary Schultz

    1. The student shall gain knowledge regarding the range of online resources for clinical information including the availability of library resources with PDA components.   Specific resources covered may vary yearly but may include FirstConsult and UpToDate.
    2. The student shall understand how to access the Library’s online and print exam review materials including: USMLEasy, Harrison’s pretest questions, PreTest Exam review series through ebrary.
    3. The student shall acquire advanced skills in searching the biomedical literature through PubMed.  This includes formulating strategies utilizing logical operators, search filters, and controlled vocabularies.  The student shall be able to use the history option for combining sets, apply limits to searches, using MeSH database for searching by controlled vocabulary, using Citation Matcher, using Journals Browser, and linking out to full text.
    4. The student shall understand the range of library services available that can assist students particularly during their clinical years, including the interlibrary loan service, the research assistance, and the online reference assistance.

Tutorials Focused Interviews

    1. The student shall perform a condensed history and physical by integrating information from pathology, HxPxDx, FCP, Psychology, and medical imaging.
    2. The student shall receive feedback from faculty observers on history taking and physical exam skills.
    3. The student shall receive feedback from standardized patients on communications and interpersonal skills.
    4. The student shall begin to practice the skills required in the Clinical Skills exam taken in the 4th year.

 Difficult Medical Student-Patient Interactions

    1. The student shall manage a variety of patient-medical student interactions identified as potentially “difficult” by their peers.
    2. The student shall observe their classmates managing difficult patient-student interactions.
    3. The student shall discuss strategies for managing difficult situations with faculty observers and their peers.
    4. The student shall present their suggestions for interacting with patients to faculty and peers.
    5. The student shall receive feedback on their skills and strategies.

Tutorials Clinical Skills with Diane Corsaro

    1. The student shall demonstrate the ability to perform an IM, Subcutaneous, and Intradermal injection.
    2. The student shall demonstrate the technique to insert and to remove an IV for peripheral therapy.
    3. The student shall demonstrate the ability to insert and remove an NG tube.
    4. The student shall demonstrate the ability to insert and to remove a Foley catheter for male and female.
    5. The student shall demonstrate the ability to perform a sterile dressing change.
    6. The student shall demonstrate the ability to put on sterile gowns and gloves unassisted.

Medical Ethics and Law with Joe Goldberg

    1. The student shall gain an appreciation for the definitions of ethics and professionalism.
    2. The student shall appreciate the dilemmas that a physician may face.
    3. The student shall understand the role of legal and financial/insurance institutions in medical ethics.

Physical Diagnosis Rounds

    1. The student will be able to meet hospital patients with a variety of illnesses and learn more about the presentation of these illnesses.
    2. The student will be able to clinically correlate lessons from M2 curriculum—including FCP, pathology, pharmacology, and radiology—with the guidance of tutorials faculty.
    3. The student will be able to witness experienced physicians and residents interact with patients in a learning environment.
    4. The student will be able to have an introduction to comprehensive patient care—including history-taking, physical exam, the use of labs and imaging, and diagnosis.
    5. The student will be able to become familiar with hospital facilities, staff, residents, and physicians.

Introduction to OB

    1. The student will be able to discuss the impact of pregnancy in health care.
    2. The student shall be able to describe issues related to preconception.
    3. The student shall be familiar with the history, physical exam, and diagnosis for an obstetric patient.
    4. The student shall understand basic fetal development through the trimesters.
    5. The student shall gain an appreciation of prenatal care including the initial and follow-up visits.
    6. The student shall gain an appreciation for labor and delivery.

Mental Status Rounds

    1. The student shall be able to perform a mental status exam.
    2. The student shall observe a mental status exam on a hospitalized psychiatric patient.
    3. The student shall be able to appreciate the pathology and environment associated with a hospitalized psychiatric patient.

Tutorial Sessions

The Student as a Learner

    1. assumes responsibility for his/her learning
    2. seeks out academic sources relevant to the patient's case, e.g., syllabi, reference books, journal articles
    3. seeks out clinical sources relevant to the patient's problems, e.g., laboratory data, medical records, radiologic reports, health care personnel
    4. seeks peer and tutor feedback on his/her performance and acts on feedback to improve performance
    5. evaluates self both critically and realistically and uses self evaluation to improve performance
    6. acknowledges gaps or errors in application of knowledge and attempts to remediate those
    7. identifies learning issues and objectives and achieves them at a level appropriate for this point in his/her medical education
    8. participates actively in the peer review process

The Student as a Group Member

  1. shares knowledge and questions with peers and tutor
  2. offers constructive feedback to group members about: a. strengths and weaknesses in thought processes b. errors in reasoning, interpretation, and integration of pathophysiological principles, basic science principles, interdisciplinary knowledge, and clinical data c. alternative explanations to account for HxPxDx, problem list, and initial plans d. relevance of sociomedical knowledge to the patient's important problems.
  3. asks relevant questions to clarify discussions and maintains the focus of the discussion
  4. contributes to the development and maintenance of a supportive group atmosphere conducive to application of medical knowledge and participation of all group members
  5. contributes to explicit resolution of interpersonal group conflicts
  6. participates in School-developed evaluation systems
  7. is present at all tutorials unless excused, in advance, by the tutor
The Student as a Problem Solver
  1. integrates clinical data, pathophysiological principles, basic science principles, and sociomedical knowledge to explain relationships among HxPxDx findings, problem list and initial plans
  2. interprets clinical data accurately
  3. applies interdisciplinary knowledge to gathering data, preparing the written work-up, and discussing the patient’s problems a. describes the effect(s) of the patient's condition on his/her life style, self concept and family b. shows cost consciousness in discussing laboratory tests, x-rays and prescriptions c. takes into account the significance of social, cultural, and psychological factors in dealing with the patient and his/her condition.
  4. recognizes when available information is incomplete and where additional findings are needed.
  5. gathers additional findings required for the clarification and refinement of the patient problem.
  6. prepares an appropriately thorough and organized written work up of the patient.

The Student Displays Appropriate Professional Values

  1. dresses appropriately and presents an appropriate professional appearance
  2. treats patient with respect and courtesy and acknowledges the patient's dignity and right to privacy when collecting data from the patient and discussing the patient during the tutorial
  3. treats nurses, technicians, other hospital/clinic personnel and physicians with courtesy and respect
  4. respects hospital and clinical facilities and property
  5. completes assigned responsibilities as scheduled

The Presenting Student is Responsible for Making the Oral Presentation a Valuable Learning Experience for All Group Members

  1. uses Health Care professionals, Clinical Education Center staff and hospital resources effectively and efficiently
  2. plans sufficiently to involve other students in learning about aspects of the patient's case
  3. completes the history and physical examination to allow sufficient time to organize and prepare the oral presentation
  4. develops a list of possible learning issues relevant to the presented case

The Presenting Student Gives an Appropriate Oral Presentation

  1. combines knowledge from various sources to present an appropriate, rationally developed and defensible summary of the patient’s case, including:
    1. HxPxDx findings
    2. problem list
    3. initial plans
  2. communicates clearly and succinctly
  3. is well organized
  4. uses notes as a guide for presentation, but does not read from them
  5. is able and prepared to explain the logic behind the development of the summary of HxPxDx findings, problem list and initial plans.
  6. interacts effectively and efficiently with Clinical Education Center staff to acquire assigned patients

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