Integration by ColllegialityPresentation Transcript
USFCOM Curriculum & Year II: Integration Through Collegiality USF College of Medicine Don E. Wheeler, MD Associate Professor Pathology and Cell Biology
1 st Year Curriculum at USF College of Medicine
1 st Year Curriculum
Professions of Medicine - This three-week course at the beginning of the medical school curriculum will introduce students to principles that will be used through the entire medical school education and beyond.
Basic scientists and clinicians present it in an integrated approach. Topical areas include:
The use of information resources: Library and Computer
An Introduction to Evidence Based Medicine
Effective Study Techniques
An Introduction to the Physical Examination
Cultural Diversity and Competency
Ethics and Professionalism
State of the Arts Presentations with Associated Basic Science Correlations
1 st Year Curriculum
Ethics and Humanities
Physical Diagnosis I
Imaging for Anatomy
Longitudinal Clinical Experience I
Introduction to Behavioral Medicine
3 rd year curriculum What if you bypassed the traditional department-based clerkships, but instead determined what the expected competencies and objectives students should achieve, and then designed the 3 rd year around that?
3 rd Year Curriculum
Primary Care and Special Populations
Integrated Internal Medicine-Pediatrics
Newborn and Maternal Health
Emergent and Urgent Care
Primary Care and Special Populations (16 weeks)
This interdisciplinary clerkship introduces students to the various specialties involved in primary care, and teaches the principles of ambulatory care in the primary care setting.
Core clinical work includes ½ day each week in a continuity clinic experience with a family physician, general internist, and general pediatrician (for a total of three sessions per week).
It also provides experiences with patient populations that might require special care or consideration, including
patients with disabilities,
gender specific diseases.
a men’s health clinic.
Contributing Departments: Family Medicine, Internal Medicine, Pediatrics and Ob/Gyn
Integrated Internal Medicine-Pediatrics (8 weeks)
Introduces students to the basic principles and practices of hospital-based internal medicine and pediatrics.
Students participate as a member of a hospital ward team, take overnight calls with their team, and are responsible for direct care of both adult and pediatric hospitalized patients.
Didactic essentials are taught in an integrated life-spectrum approach.
The clerkship has a special emphasis on
the practice of evidence-based medicine, and
the promotion of and evaluation of professionalism.
Contributing Departments: Internal Medicine and Pediatrics
Newborn and Maternal Health (4 weeks)
This interdisciplinary clerkship is designed to expose students to the unique maternal fetal unit within the context of obstetrics and newborn health.
Three weeks of this rotation focuses on the Women’s Health Care obstetrical component.
An emphasis is placed on achieving clinical skills and a fund of knowledge across the continuum of ante partum, labor and delivery, and post partum care.
The rotation is complimented by incorporating
a pediatric knowledge base of skills and efforts at the time of delivery,
newborn exam, and
relevant aspects of the newborn nursery and NICU.
Contributing Departments: Pediatrics and Ob/Gyn
Emergent and Urgent Care (4 weeks)
This clerkship is an introduction to Emergency Medicine, integrating clinical skills and evidence-based medicine through
performance of clinical procedures,
hands-on clinical experiences and
direct interaction with faculty, individual patients, and families.
will learn and practice on mannequins, simulators, and in a cadaver lab.
will learn patient management through the “team approach,” which involves EMTs, nurses, and physicians.
are expected to evaluate patients, address their presenting complaints, initiate workups, and provide definitive therapies.
This rotation will develop history-taking abilities, physical exam assessment, and diagnostic and management skills.
This clerkship emphasizes a caring, compassionate, and empathetic attitude in dealing with patients and their families.
Contributing Departments: Emergency Medicine
Neuropsychiatry (8 weeks)
This interdisciplinary clerkship includes the following experiences:
4 weeks on a general psychiatry adult inpatient service,
2 weeks on the psychiatry consultation liaison service, and
2 weeks general neurology.
The psychiatry portion is designed to provide the student with opportunities
to become comfortable interacting with patients with psychiatric illnesses and
to gain proficiency in obtaining a psychiatric history and performing a mental status examination.
The experiences for the neurology portion are designed
to help students recognize major neurological diseases,
be able to take a history regarding neurological symptoms, and
demonstrate proficiency with performing a neurological exam.
Contributing Departments: Neurology and Psychiatry
Surgical Care (8 weeks)
Surgical Care is an interdisciplinary clerkship with core experiences in general, subspecialty, and gynecologic surgery.
This clerkship provides the student with an opportunity to acquire the fundamental principles of surgery in addition to learning basic procedures.
There is an emphasis on
gaining knowledge of common surgical diseases,
performing common procedures,
developing communication skills and
Core clinical competencies include the
initial assessment of acutely ill patients,
observation and participation in a variety of surgical procedures, and
ward management of patients.
At the completion of the clerkship, students are expected to identify, understand, and management basic surgical problems in addition to being able to perform basic surgical procedures.
Contributing Departments: Surgery and Ob/Gyn
4 th Year Curriculum
Skin & Bones 4 weeks
Interdisciplinary Oncology 4 weeks
Critical Care 8 weeks
5 Required Electives
8 weeks unscheduled
Residency Interviews/USMLE Prep
Skin and Bones (4 weeks)
This innovative, interdisciplinary senior clerkship is designed to meet a nationwide curricular need for improved musculoskeletal education for graduating medical students.
Students develop a familiarity with the diagnosis and treatment of common musculoskeletal and dermatologic conditions as well as with indications for referral in more complex cases.
Clinical experiences include
primary care sports medicine,
Students also get hands-on workshops on
casting and splinting,
joint injections, and
physical examination skills.
Contributing Departments: Family Medicine, Internal Medicine, Dermatology, Orthopedics, Physical Therapy
Interdisciplinary Oncology (8 weeks)
An innovative, interdisciplinary senior clerkship in which the fundamental principles of oncology and the interdisciplinary approach to the care of cancer patients, from prevention, diagnosis, treatment, rehabilitation, and end-of-life care are taught.
Students will rotate in one of the clinical programs at the H. Lee Moffitt Cancer Center and will participate in a core curriculum consisting of student "mock" tumor boards, journal clubs, seminars, and evidence-based presentations.
They will be exposed to all cancer treatment modalities including
One unique experience is a role-playing exercise designed to teach students how to convey difficult news.