Capstones Curriculum. Clinical Experiences During Medical School Basic Science Years

Transcription

1 Capstones Curriculum Clinical Experiences During Medical School Basic Science Years

2 Capstones Objectives 1. Integrate clinical experiences into the basic science organ system blocks 2. Understand clinically relevant applications of the basic science of each basic science block content 3. Experience participation in an interprofessional team 4. Demonstrate and practice communication and professionalism 5. Understand issues from the patient, the patient's family and the physician related to interacting with the health-care delivery system...

3 Capstones Objectives, continued 6. Understand various venues and organizations available for patient diagnosis, assessment, support and treatment 7. Discuss ethical dilemmas faced by clinicians 8. Reflect on the physical, emotional, mental and spiritual aspects of illness facing patients and their families 9. Reflect on the student's physical, emotional, mental and spiritual reactions to patient illness

4 Capstones Description Centered in Phoenix community clinical practices Multiple ½ day shadowing experiences over the course of one week Occurs approximately every 6 weeks, at the end of most integrated basic science curriculum blocks Capstone experiences offer medical students clinical application of and reflection on learning from the preceding block's curriculum Experiences also allow exposure to areas not directly taught in the Basic Science Block, such as forensic pathology/laboratory medicine.

5 Example 1 st -2 nd Year Curricular Diagram* *Note: Capstone weeks are highlighted in yellow.

6 Example Capstones Experiences Capstone following MOLECULAR BASIS OF LIFE AND DISEASE Block 1. Allergy & Immunology offices 2. Medical Examiner s Office 3. Medical Geneticist & Genetic Counselors 4. Laboratory Sciences Microbiology, DNA Diagnostics Capstone following NEUROLOGICAL SCIENCES Block 1. Banner Alzheimer's Institute 2. Southwest Autism Research and Resource Center 3. Neurology Rehabilitation Facility 4. Neurologist offices Capstone following CARDIOVASCULAR, PULMONARY, RENAL 1. Arizona Heart Institute 2. Arizona Kidney Disease & Hypertension Center 3. Tuberculosis Clinic 4. Pulmonologist offices Capstone following MUSCULOSKELETAL Block 1. Orthopedic Surgery offices 2. Rheumatologists offices 3. Physical Therapy clinics

7 Expectations of Medical Students 1. Professionalism 2. Good Communication & Interpersonal Skills 3. Enthusiasm for and interest in learning medical knowledge 4. Enthusiasm and interest for details of good patient care 5. Enthusiasm for and interest in learning about practice-based learning and improvement issues 6. Enthusiasm for and interest in learning about system-based practice

8 The 6 ACGME Physician Competencies 1. Professionalism, as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population 2. Interpersonal and Communication Skills that result in effective information exchange and teaming with patients, their families, and other health professionals 3. Patient Care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health 4. Medical Knowledge about established and evolving biomedical, clinical, and cognate (e.g. epidemiological and social-behavioral) sciences and the application of this knowledge to patient care 5. Practice-Based Learning and Improvement that involves investigation and evaluation of their own patient care, appraisal and assimilation of scientific evidence, and improvements in patient care 6. Systems-Based Practice, as manifested by actions that demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide care that is of optimal value

9 Examples of Competency in 1 st & 2 nd Year Medical Students 1. Professionalism Always arrives early or on time Treats patients/families and all members of the clinical team with respect and sensitivity Dresses professionally and appropriate to practice setting Shows appreciation for learning opportunities 2. Communication Skills Effectively communicates learning goals Effectively communicates role/limitations to patients Timely communication of schedule/changes

10 Capstones Assessment 1. Professionalism 2. Communication Skills 3. Patient Care* 4. Medical Knowledge* 5. Practice-Based Learning & Improvement* 6. Systems-Based Practice* * Preceptors are encouraged to engage students in discussions regarding the above areas, but 1st & 2 nd year medical students are limited in their knowledge of the above, and should be assessed more on interest/enthusiasm for learning during discussions on these topics with Preceptors.

11 Expectations of Preceptors Show enthusiasm for teaching Be prepared Share information with office partners/staff to promote positive learning environment Ensure buy-in of all your staff and partners to having medical students rotate at practice site Ask questions of Capstone Director and Coordinator as needed

12 Completion of Capstone Experience Preceptors will be sent a brief evaluation survey ed at the end of each medical student encounter Feedback from students will be sent to Preceptors Preceptors will be given recognition certificates at the end of each year Preceptors may be eligible for adjunct faculty appointment, depending on the amount of time spent with medical students each year

13 Other Benefits of Being a Capstones Preceptor: Fun, enthusiastic interactions with medical students! Enjoy teaching in the convenience of your office! Demonstrate your commitment to education to your patients, staff and colleagues!

14 Thank you for supporting Medical Education in Phoenix! For further information/questions: Jennifer Hartmark-Hill, MD Lisa Yanez Capstones Director Capstones Coordinator