MDED 116: On Doctoring - Year 1
Roshini Pinto-Powell, MD and Adam Weinstein, MD
On Doctoring is a two-year course that provides an understanding of the role of the physician in the clinical setting and in the community through longitudinal clinical and small group learning experiences in the first two years of medical school. During the first year, the course will focus on patient interviewing, physical diagnosis, physical exam, patient write-ups from student's clinical encounters, clinical reasoning, and developing the doctor-patient relationship. The second year builds on these skills with additional course work and a higher level of learning.
At the end of year one, students will have a basic level of proficiency in fulfilling the following objectives:
1. To demonstrate and conduct a streamlined patient interview.
2. To effectively apply the functions and structure of the medical interview in a focused manner.
3. To demonstrate the ability to be an active listener.
4. To report and record diagnosis information completely and accurately to manage a patient’s biomedical and psychosocial problems.
5. To apply patient-centered counseling skills to facilitate behavior change.
6. To organize and perform a normal physical exam.
7. To operate and execute the elements of the normal physical exam.
8. To apply empathy and confidentiality to issues of patient privacy.
9. To express comfort for the patient in performing the physical exam.
10. To perform a focused physical exam by applying the relevant patient history to the exam.
Oral Presentations and Clinical Write-ups
11. To design an adequate write-up of an outpatient history and physical.
12. To organize and present clinical data in a clear, concise manner.
13. To describe normal and abnormal physical findings in clinical write-ups.
14. To prepare and practice basic oral presentations.
15. To construct effective doctor-patient relationships.
16. To construct working relationships with other health care providers.
17. To implement professional and ethical conduct as a physician.
18. To evaluate how your own values and attitudes influence your relationships with patients.
Personal and Professional Issues
19. To demonstrate professional behavior in all aspects including preparation and active participation in all aspects of the course, intellectual honesty, as well as respect for patients, families, colleagues, and faculty.
20. To identify group dynamics and your role as a team member.
21. To prepare time for reflection on challenges (i.e. balancing personal and professional life, personal reactions to clinical work, and your identity as a physician).
22. To construct effective relationships, communication, and problem solving with other health care professionals.
Course Requirements to Move on to Year Two On Doctoring
By the end of the year each student should have:
1. Prepared for and attended all large and small group sessions. (Weekly 2 hour small group meetings with few large group sessions presenting interviewing skills and patient panels)
2. Prepared for and taken all quizzes before the relevant physical diagnosis small group.
3. Attended all preceptor visits.
4. Passed the Year One OSCEs.
5. Submitted the assigned case write-ups to facilitator (and optional to preceptor) by their due dates and met expectations overall.
6. Submitted the assigned Cadaver Story and Cultural Essay to his/her facilitator by due dates.
7. Taken a focused history of a standardized patient that is recorded and observed by the facilitator.
8. Demonstrated a physical exam in 30 minutes or less on a classmate.
9. Active participation and documentation of physical examination skills in the OASIS patient tracking system.
10. Met with his/her facilitator and preceptor to receive feedback and to make plans for improved performance for the second semester and second year.