BIOL3640 Doctoring I introduces pre-clerkship 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.

Objectives

1. Gather a comprehensive and organized history following a defined format
2. Measure and record accurate vital signs on adult patients
3. Develop an assessment following a defined format which includes pertinent history and physical exam findings
4. Document an organized patient note following a defined format
5. Present an organized oral presentation following a defined format
6. Describe basic ultrasound terminology and fundamental techniques
7. Demonstrate early ability to find key features within an electronic health record (EHR)
8. Demonstrate knowledge of the relevant components of a clinical scenario using foundational medical knowledge of physiology and pathophysiology
9. Demonstrate knowledge of the relevant components of a clinical scenario using foundational medical knowledge of the clinical presentation and diagnostic manifestation of disease
10. Demonstrate knowledge of the relevant components of a clinical scenario using foundational medical knowledge of pharmacology and therapeutic interventions
11. Demonstrates knowledge of social and structural determinants of health by participating in community-based service learning
12. Use feedback to improve clinical skills
13. Complete tasks, attend class, and submit assignments in a timely manner
14. Demonstrate honesty, compassion, and respect for peers, faculty, and patients
15. Identify personal and professional limits and barriers to achieving clinical skills competency
16. Describe the components of professionalism and professional identity formation
17. Work cooperatively in a small group setting
18. Demonstrate inclusive, patient-centered, and trauma-informed communication
19. Listen effectively using verbal and non-verbal communication skills
20. Communicate written and verbal information clearly in a variety of formats

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 case-based discussions. The course format includes small group sessions, lectures, clinical skills practice with standardized and real patients, reflective writing field notes, and patient case write-ups.

Objectives

1. Gather a comprehensive and organized history following a defined format with early application of clinical relevance
2. Perform selected physical exam components on adult patients
3. Develop an assessment and early differential diagnosis following a defined format which includes pertinent history and physical exam findings
4. Document an organized patient note following a defined format with early application of clinically relevant information
5. Present a comprehensive and organized oral presentation following a defined format with early application of clinically relevant information
6. Select the appropriate probe, obtain images, and describe indications for selected organ systems
7. Screen, counsel, and educate patients about selected health conditions and disease prevention using a defined format
8. Demonstrate early ability to find and use key features within an electronic health record (EHR)
9. Demonstrate knowledge of the relevant components of a clinical scenario using foundational medical knowledge of physiology and pathophysiology
10. Demonstrate knowledge of the relevant components of a clinical scenario using foundational medical knowledge of the clinical presentation and diagnostic manifestation of disease
11. Demonstrate knowledge of the relevant components of a clinical scenario using foundational medical knowledge of pharmacology and therapeutic interventions
12. Propose appropriate diagnostic and therapeutic components of a patient care plan using foundational medical knowledge
13. Use knowledge of the social and structural determinants of health to develop a patient care plan
14. Demonstrates knowledge of social and structural determinants of health by participating in community-based service learning
15. Use an evidence-based medicine approach to answer a clinical question
16. Use feedback to improve clinical skills
17. Complete tasks, attend class, and submit assignments in a timely manner
18. Demonstrate honesty, compassion, and respect for peers, faculty, and patients
19. Identify personal and professional limits and barriers to achieving clinical skills competency
20. Describe how experiences impact professionalism and professional identity formation using reflective writing
21. Work cooperatively in a small group setting
22. Demonstrate inclusive, patient-centered care and trauma-informed communication
23. Listen effectively using verbal and non-verbal communication skills
24. Communicate written and verbal information clearly in a variety of formats

BIOL3660 Doctoring III builds upon the foundational skills taught in the Doctoring 1 and II. Students develop more advanced physician-patient communication skills such as screening and counseling for intimate partner violence and navigating difficult conversations such as delivering serious news or end-of-life conversations. Students continue to master the complete physical examination including the genitourinary, gynecological, cardiopulmonary, and abdominal exams and also develop skills in a focused physical exam based on various clinical scenarios. A major component of Doctoring III is refining oral presentation and written documentation skills including prescription writing, with a focus on using clinical reasoning to tailor their clinical skills for each individual patient presentation. 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.

Objectives

1. Gather a focused and organized history following a defined format with early application of clinical relevance
2. Perform a focused physical exam on adult patients relevant to the clinical scenario
3. Develop an assessment and accurate differential diagnosis following a defined format using early diagnostic justification
4. Propose appropriate diagnostic and therapeutic components of a patient care plan
5. Document an organized patient note following a defined format with appropriate clinically relevant information
6. Present a focused and organized oral presentation following a defined format with appropriate clinically relevant clinical information
7. Select the appropriate probe, obtain images, and explain common pathologic findings for selected organ systems
8. Screen, counsel, and educate patients and families about selected health conditions and disease prevention using a defined format
9. Demonstrate ability to find and use key features within an electronic health record (EHR) and clinically relevant digital health resources
10. Demonstrate knowledge of the relevant components of a clinical scenario using foundational medical knowledge of physiology and pathophysiology
11. Demonstrate knowledge of the relevant components of a clinical scenario using foundational medical knowledge of the clinical presentation and diagnostic manifestation of disease
12. Demonstrate knowledge of the relevant components of a clinical scenario using foundational medical knowledge of pharmacology and therapeutic interventions
13. Propose appropriate diagnostic and therapeutic components of a patient care plan using foundational medical knowledge
14. Use knowledge of the social and structural determinants of health to develop a patient care plan
15. Demonstrates knowledge of social and structural determinants of health by participating in community-based service learning
16. Use an evidence-based medicine approach to answer a clinical question
17. Use feedback to improve clinical skills
18. Complete tasks, attend class, and submit assignments in a timely manner
19. Demonstrate honesty, compassion, and respect for peers, faculty, and patients
20. Identify personal and professional limits and barriers to achieving clinical skills competency
21. Describe how experiences impact professionalism and professional identity formation using reflective writing
22. Work cooperatively in a small group setting
23. Demonstrate inclusive, patient-centered, and trauma-informed communication
24. Listen effectively using verbal and non-verbal communication skills
25. Communicate written and verbal information clearly in a variety of formats