Icm Course Syllabus.pdf 56395t

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INTRODUCTION TO CLINICAL MEDICINE COURSE SYLLABUS AND SCHEDULE FOR MD-1

Department of Introduction to Clinical Medicine, WINDSOR UNIVERSITY SCHOOL OF MEDICINE.

Dr.Pushparaj shetty

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Faculty Dr Pushparaj Shetty Ms Elizabeth S .Stephens

Lab Instructor

For all initial s related to the course please use the following: [email protected]

Office Hours 1-2pm

Course Information Basic Information Pre-requisite: Premed course in Basic Anatomy and Physiology Academic Year: 2015 Academic Semester: summer Course Title: Introduction to Clinical Medicine Location of lectures: Lecture Hall no 1

Course Description This is a 2 credit hour class taught over 15 weeks. The course is organized by body system in to five semester course. Introduction to Clinical Medicine (14 weeks) taught in MD-I and it includes - Ethics and Professionalism, - Introduction to History Taking, - Musculoskeletal Examination, - General survey - Vital signs Recording , - Clinical Reasoning and assessment

Each instructional day has one large group traditional lecture activity, many of which will include active learning Segments. There are approximately 15 Lab course work sessions per each semester course, some of the sessions are also utilized for small group case discussions.

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Course Schedule The following schedule should be used in conjunction with the istrative schedule Lab (Dr Pushparaj shetty/ Date Topics Instructor Ms Elizabeth Stephens)

Week:1

Introduction to ICM

Dr.Pushparaj

NA

Week:2

Ethics and Professionalism

Dr Pushparaj

Week:3

Introduction to History Taking

Dr Pushparaj

Week:4

Examination of Upper Limb

Dr Pushparaj

Week:5

Examination of Upper Limb

Dr Pushparaj

Week: 6

Examination of lower Limb

Dr Pushparaj

Week:7

Examination of lower Limb

Dr Pushparaj

Week:8

Deep Tendon reflexes

Dr Pushparaj

Week:9

Block examination

Dr Pushparaj

Case scenarios for group discussion group discussion and exercise group discussion and exercise Demonstration and exercise Demonstration and exercise Demonstration and exercise Demonstration and exercise Practical exam

Week:10

General survey and vital signs

Dr Pushparaj

Week: 11

Dr Pushparaj

Week:12

Clinical reasoning and assessment and plan Case scenarios

Demonstration and exercise Student exercise

Dr Pushparaj

Student exercise

Week:13

Case scenarios

Dr Pushparaj

Student exercise

Week:14

Revision

Dr Pushparaj

NA

Week:15

Block examination

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General Course Objectives The overall goal of the course is to obtain an understanding of the basics of History taking and examination of the different systems as relevant to the corresponding completion of the Anatomy chapters which includes the examination of of musculoskeletal system of upper limb and lower limb, examination of thorax, cardiovascular system, abdominal system, head and neck and cranial nerves.

At the conclusion of this course,:       

The student understands the ethics and professionalism involved in the practice of medicine. The student know the basics principles involved in clinical interviewing and the order of write up in the history taking. The student will demonstrate a thorough understanding of the examination of musculoskeletal system with respect to upper and lower limb. The student will be able to elicit the deep tendon reflexes in a patient and understands the underlying physiology and the clinical importance. The student will be able to record the vital signs of a patient. Prepares students to approach the practice of medicine from a sound scientific perspective. The student understands the basic principles of clinical reasoning , assessment and plan for a patient.

Course Materials Lecture power point presentation slides cover core learning materials. These should be supplemented by the Prescribed textbook : Bates' guide to Physical Examination and History Taking 11th edition

General Course Policies 

Attendance at all scheduled lecture sessions is mandatory. Sign in is required at small group activities.  Absences due to illness should be formally reported to the Course Director and Dean of Students, with appropriate ing documentation from the Local Physicians.  Absence due to any other reason should also be reported to Course Director and Dean of Students with appropriate ing documentation Dr.Pushparaj shetty

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Grading and AssesmentPolicies Related to Assessment · All written examinations are governed by WINDSOR Standardized Examination Policies and Procedures. Breakdown of Assessments The course has a total of 100 assessment points. The Block exams has 30 The final exam 50 points. The remaining 20 points are earned from the Lab work, small group sessions. Written examinations consist of multiple choice questions of the single best answer type. Table 2 provides an approximate breakdown of questions for final exam by topic, which includes material from lectures and small group sessions, according to the learning objectives provided.

Introduction of Clinical Medicine History taking

10%–15%

Musculoskeletal system examination of upper limb

10%–15%

Musculoskeletal system examination of lower limb

10%–15%

General survey and Vital signs recording

10%–15%

Deep tendon reflexes

10%–15%

Ethics and professionalism

10%–15%

Clinical reasoning and assessment and Analysis of clinical evidence

10%–15%

Grading Grade boundaries are approximately as follows: Letter Grade Overall Score A 85 → 100% B 75 → 85 % C 65 → 75 % D(fail) < 65 % Grade boundaries may be independently adjusted downwards at the discretion of the Course Director. In case the overall (total) class average falls below 80 percent, the grade boundaries will be lowered. Dr.Pushparaj shetty

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Small Group Assessments Small Group Assessments include required Online Activities and professional conduct during the Small Group Practical Sessions. In order to earn one point for each of the sessions, a student has to submit the Online Assessment (if required) for this session in time and prior to the deadline, and has to demonstrate professional competence in the team-oriented Small Group Practical Sessions. The criteria for professional conduct are explained in the Small Group Manual. Attendance and participation are required in order to get credit for the professional competence component.

Objective Structured Practical Examination (OSPE) There will be a practical examination which will test the clinical skills objectives that are included in the course syllabus for each of the Basic Science courses. This exam will be an Objective Structured Practical Examination (OSPE) with stations through which students will rotate. The OSPE is being run on a trial basis this term and the scores will not count towards any grades. However, a good score will be considered favorably for students who are on the borderline for Satisfactory Academic Progress (SAP) at the end of this term. Please note that participation in the OSPE is mandatory.

Student Responsibilities · Attend class and be on time · Check school website-www. Studywindsor.com daily · Check course site daily for announcements and updates · Submit assignments on time · Report illnesses to Course Director and Dean of Students office · Voice concerns about the course through class representatives · Ask for help early if you are struggling

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Course Syllabus and Objectives Ethics and Professionalism (bates pg 92-96)  Describe the principles of Medical Ethics and Understand the basis in medical practice .  Understand the importance of each of the these principles using case scenarios History taking and clinical interviewing (bates pg 4-19 & 56-85)  Describe and list out the structure of the patient history write up.  Understand the contents of each subheading and their clinical importance.  Describe understand the core competencies in clinical interviewing. Musculoskeletal Examination (bates pg 597-663)  List out the parts of the exercise involving the musculoskeletal system examination.  Describe each of this steps and their clinical importance 1. Upper limb  Describe the steps in examining the shoulder t.  Observe and demonstrate the examination of shoulder t.  Describe the steps in examining the elbow t.  Observe and demonstrate the examination of elbow t.  Describe the steps in examining the wrist t.  Observe and demonstrate the examination of wrist t.  Describe the steps in examining the hand.  Observe and demonstrate the examination of hand.  Describe the steps special tests in the upper limb.  Observe and demonstrate the special tests in the upper limb. 2. Lower limb          

Describe the steps in examining the hip t. Observe and demonstrate the examination of hip t. Describe the steps in examining the knee t. Observe and demonstrate the examination of knee t. Describe the steps in examining the ankle t. Observe and demonstrate the examination of ankle t. Describe the steps in examining the foot. Observe and demonstrate the examination of foot. Describe the steps special tests in the lower limb. Observe and demonstrate the special tests in the lower limb.

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General survey and recording of vital signs (bates pgs 105-131)  Describe and understand what constitutes the general survey.  List out various areas that is part of the general survey.  Describe and understand the basic principles of recording the vital signs.  Observe and demonstrate the method of recording and documenting the vital signs that includes the pulse, blood pressure, respiratory rate and temperature.

Deep Tendon Reflexes ( bates pgs 725-730)  Describe and understand the basic principles involving the anatomy and physiological basis for deep tendon reflexes.  Observe and demonstrate the deep tendon reflexes. (biceps reflex, triceps reflex, brachioradialis reflex, patellar reflex, Achilles tendon reflex) Clinical reasoning, assessment and Analysis of clinical evidence (bates pgs 25-49)  Understand the basic principles and steps underlying the clinical reasoning.  basic understanding of analysis of clinical evidence.

best of luck!!

Dr.Pushparaj shetty