Medical Education

Doctoring I & II

BIOL3640 Doctoring I introduces 1st year medical students to the knowledge, skills, attitudes, and behaviors of the competent, ethical, and humane physician. Doctoring I combines instruction and assessment in medical interviewing, physical examination, written documentation, oral presentation, and professional development using an educational paradigm that promotes patient-centered care, reflection, teamwork, and teacher-learner partnerships. Students are introduced to the entire medical interview including a complete social and sexual history. The basics of physical examination in the form of vital signs and a brief cardiopulmonary assessment are introduced. Students also start to build a foundation in oral presentation and written documentation skills, while exploring their professional identity formation through discussion of professional boundaries, empathy, and inclusive care. The course format includes small group sessions, lectures, clinical skills practice with standardized and real patients, self-study modules, reflective writing field notes, and patient case write-ups.

Assessment Methods Grade Composition
Small group Student Performance Evaluations (SPEs) - includes field notes, written case write-ups, small group attendance and participation Required
Mentor Student Performance Evaluation (SPE) - includes completion of all required sessions Required
Successful completion of all semester OSCEs Required

Objectives

  1. Gather a comprehensive and organized history, including a history of present illness, past medical history, family history, social history, sexual history, and review of systems (Doctoring CO.01)
  2. Complete a full patient encounter with both real and standardized patients (Doctoring CO.02)
  3. Recognize unique considerations when caring for older patients (Doctoring CO.05)
  4. Provide inclusive care for LGBTQIA patients (Doctoring CO.09)
  5. Measure and record accurate vital signs on adult patients (Doctoring CO.14)
  6. Give a basic oral presentation (Doctoring CO.17)
  7. Reflect upon experiences in healthcare through reflective field notes (Doctoring CO.20)
  8. Write a history and physical in the form of a case write-up (Doctoring CO.21)
  9. Reflect upon professional identity formation using aspects of wellness and self-care (Doctoring CO.29)
  10. Work collaboratively with other healthcare professionals, including nurses, non-physician providers, pharmacists, social workers, physical therapists and administrative staff around the care of patients (Doctoring CO.32)
  11. Demonstrate effective communication, lifelong learning, professionalism, and the ability to work collaboratively in small groups (SG CO.010)

BIOL3650 Doctoring II builds upon the foundations in Doctoring I (BIOL3640) and maximizes student learning through synchronization and integration of content with basic science content in IMS. Students continue to build their medical interviewing skills while learning more advanced physical exam skills such as the complete neurologic, HEENT, and musculoskeletal exams. In addition, students in Doctoring II are introduced to behavior change counseling and motivational interviewing for key clinical topics such as nutrition, smoking, alcohol and substance use, and sexual health. Students also begin to develop critical clinical reasoning skills through innovative small group modules that introduce students to common clinical scenarios.  The course format includes small group sessions, lectures, clinical skills practice with standardized and real patients, self-study modules, reflective writing field notes, and patient case write-ups.

Assessment Methods Grade Composition
Small group Student Performance Evaluations (SPEs) - includes field notes, written case write-ups, small group attendance and participation Required
Mentor Student Performance Evaluation (SPE) - includes completion of all required sessions Required
Successful completion of all semester OSCEs Required

Objectives

  1. Gather a comprehensive and organized history, including a history of present illness, past medical history, family history, social history, sexual history, and review of systems (Doctoring CO.01)
  2. Complete a full patient encounter with both real and standardized patients (Doctoring CO.02)
  3. Screen and counsel patients using principles of behavioral change for issues related to nutrition, smoking cessation, alcohol/substance use, and sexual health (Doctoring CO.03)
  4. Recognize unique considerations when caring for older patients (Doctoring CO.05)
  5. Recognize barriers to care for patients with disabilities (Doctoring CO.07)
  6. Discuss the proper use of interpreter services for various patient populations (Doctoring CO.13)
  7. Measure and record accurate vital signs on adult patients (Doctoring CO.14)
  8. Perform a neurologic, musculoskeletal and head, eye, ear, nose and throat exam on adult patients (Doctoring CO.16)
  9. Give a succinct oral presentation (Doctoring CO.18)
  10. Reflect upon experiences in healthcare through reflective field notes (Doctoring CO.20)
  11. Write a thorough history and physical in the form of a case write-up (Doctoring CO.22)
  12. Employ early clinical reasoning skills (Doctoring CO.27)
  13. Reflect upon professional identity formation using aspects of wellness and self-care (Doctoring CO.29)
  14. Recognize skills for providing trauma-informed care (Doctoring CO.30)
  15. Discuss the role the spiritual assessment in patient centered care (Doctoring CO.31)
  16. Work collaboratively with other healthcare professionals, including nurses, non-physician providers, pharmacists, social workers, physical therapists and administrative staff around the care of patients (Doctoring CO.32)
  17. Demonstrate effective communication, lifelong learning, professionalism, and the ability to work collaboratively in small groups (SG CO.010)