PHASE III: ADVANCED CLINICAL PHASE
SUB-INTERNSHIPS
A four-week sub-internship in either medicine, pediatrics, obstetrics/gynecology, emergency medicine, urology, orthopaedics, anesthesiology or general surgery is required. Sub-internship course objectives and evaluation forms were standardized during the early part of curriculum reform. All objectives were linked to overall institutional objectives.
COURSE OBJECTIVES OF ALL SUB-INTERNSHIPS
Patient Care Objectives
Independently collect both focused and comprehensive, developmentally appropriate patient histories and perform a developmentally appropriate physical examination with formulation of a problem list, differential diagnosis and prioritized management plan
Develop a prioritized management plan with the health care team and describe a rationale for the clinical plan
Reassess patients continuously throughout the hospital course, and summarize interval patient information and rationale for ongoing clinical management or modifications in management , and recognize critical illness requiring immediate attention
Medical Knowledge Objectives
Demonstrate the ability to expand independently knowledge of established and evolving biomedical, clinical and cognate sciences, and, integrate and apply this knowledge to patient care within the patient, family and community context
Practice-Based Learning and Improvement Objectives
Demonstrate the ability to recognize personal limitations and use self-directed learning, evidence based medicine, and access appropriate resources to answer clinical questions
Interpersonal and Communication Skills Objectives
Communicate effectively with patients and families across a broad range of socioeconomic and cultural backgrounds, taking into account health literacy level
Communicate patient information accurately and efficiently to all health care team members in both oral and written formats, including hand-offs , rounds, conferences, and consultation requests
Professionalism Objectives
Demonstrate professionalism in behavior, attire, integrity, compassion, respect, altruism, responsibility, and cultural sensitivity when interacting with patients and their families as well as all members of the health care team
Systems-Based Practice Objective
Demonstrate appropriate and effective team work with supervisors and health care providers, including those from other disciplines to assess, coordinate and improve patient care
Recognize, address, and work to prevent errors and near-misses, and participate in the evaluation of personal or system errors and implementation of potential solutions
ELECTIVES
The LEARN curriculum offers students a greater opportunity to pursue electives in a wide variety of fields to meet the individualized needs of the students. Students are required to complete a minimum of 26 weeks of elective including 14 weeks of clinical electives. These electives can be taken intramurally or at external approved sites. Electives are approved after review by the Office of Undergraduate Medical Education and need to have goals aligned with the overall institutional learning objectives. All electives require course director approval and a standard student evaluation to be completed. New electives continue to be approved through a rigorous review process and final approval by the Curriculum Committee.
ADVANCED CLINICAL EXPERIENCE (ACE)
This is a required two-week course that includes the creation and implementation of an individualized learning plan. The course is offered in many specialties and the students choose the specialty in which they experience ACE.
COURSE OBJECTIVES OF THE ACE COURSE
Patient Care Objectives
Apply clinical problem solving skills to develop integrated therapeutic plans for the acute management of health problems
Demonstrate advanced clinical reasoning skills in patient care
Medical Knowledge Objectives
Demonstrate the ability to integrate knowledge of biomedical, clinical and cognate sciences
Practice-Based Learning and Improvement Objectives
Reflect on individual learning needs and develop a self -directed individualized learning plan
Interpersonal and Communication Skills Objectives
Communicate clearly and professionally, in both oral and written formats, to patients and other members of the health care team
Professionalism Objectives
Demonstrate professionalism in behavior, attire, integrity, compassion, respect, altruism, responsibility, and cultural sensitivity when interacting with patients and their families as well as all members of the health care team
TRANSITION TO RESIDENCY (TTR)
The Transition to Residency (TTR) course is a four-week course which is required for graduating fourth-year medical students. This course consists of a two-week General TTR and a two-week Specialty TTR. The course is offered between January-April of the fourth year and its purpose is to prepare medical students for the rigors of the internship year. This course was created to address previous student concerns about feeling inadequately prepared for residency training. The TTR course includes lectures, team-based learning sessions, small-group case discussions, procedure laboratories, and high fidelity simulation cases. Additionally, students are recertified in Basic Life Support and Advanced Cardiac Life Support. The topics are designed to be case-based, practical and highly interactive; they cover numerous useful topics including management of shock, communication across specialties, pediatric resuscitation, top 10 intern night calls and managing finances.
