After USMLE Step I exam is complete, the students are introduced to their clinical experiences through the Transition to Clerkships, a five-week block which incorporates a series of teaching sessions and simulation activities that will prepare students for the clinical setting and the academic rigor of the clerkship experience. Large and small group sessions are designed to cover a number of important topics including.
- Lab Medicine.
- Radiology Overview.
- Patient Safety and Quality Care.
- Resuscitation and ACLS.
- Communication Skills.
- Cultural Competency.
- Ethics, Professionalism.
- Giving and Receiving Feedback.
- Mobile Decision Support Tools and Biomedical Informatics.
- Recognizing Fatigue.
- Clinical Boot Camp.
- Integrative Medicine.
Educational Program Objectives are a subset of more broadly defined physician competencies, which represent general domains of performance for which the profession and the public hold physicians accountable.
Upon completing the Transitions to Clerkship Block, students should be able to:
- Students will build on prior knowledge and develop new strategies to enable them to excel in the clinical setting. They will apply these strategies to develop an understanding of their role and responsibilities in the clinical clerkship environment.
- Determine the importance of professionalism and learn how to model this behavior in the clinical setting. Develop strategies for dealing with conflict in the professional setting.
- BMI Objectives:
- Define decision analysis and sensitivity analysis and describe how these techniques can be utilized in analyzing clinical decisions.
- Describe clinical decisions and review the advantages and disadvantages of each.
- Describe the medical decision making process for each patient.
- Discuss how patient preference affects clinical medical decision making.
- Describe the factors that affect the ability to summarize and add knowledge and experience into Heuristics, Algorithms and Guidelines.
- Define the role of laboratory and transfusion medicine in addition to pathology in the clinical setting and discuss their use in the clinical setting.
- Apply previously learned history taking and physical exam skills in order to evaluate, present using medical vernacular and develop differential diagnoses and plans for patients who will present to different specialties (surgery, OB/GYN, pediatrics, psychiatry, etc.) and venues (clinic, hospital inpatient ward, outpatient surgical facility, emergency room, urgent care, etc.) during the clerkship years.
- Apply previously learned oral and written communication skills to the clinical setting and formulate new tactics to effectively and efficiently communicate with health care professionals.
- Synthesize the plan of care for patients using available resources during case presentations utilizing critical thinking skills acquired in the preclinical years. Use evidence based medicine tools to answer specific questions regarding patient care and deliver concise and well thought out answers utilizing evidence based medicine support for conclusions.
- Discuss risks and benefits of radiologic studies and review safety mechanisms in place to protect patients when radiation exposure is necessary. Determine the appropriate radiographic study for patients based on presentation, understanding the risks inherent to many radiologic studies. Develop a standardized approach to reading basic radiographic studies.
- Explain how to perform basic procedures in the clinical setting. Utilize clinical assessment skills and resuscitation principles to effectively care for and treat simulated patients.
- Understand the legal obligations of consent to treat discussions with patients and describe what this discussion, both oral and written, should include. Explain how to minimize risk as it pertains to medical malpractice in the clinical setting. Understand the importance of complying with laws in order to protect patients and health care workers in medicine and be able to explain the student’s role in assuring best practices in the clinical setting.
- Introduce students to their new clinical role and define their daily duties that will be expected of them in the clinical years. Explain the upcoming clinical years as far as expectations, work hours and assessment (behavioral competencies and shelf exams) during clerkship rotations and describe your anticipated approach to maintain a healthy lifestyle during this rigorous schedule.
- Synthesize culturally relevant information and develop a course of action based on ethically sound judgment while being aware of your own personal and moral biases.