patient centered medicine 1 aaron michelfelder, m.d. - pcm 1 course director amy blair, m.d. – pcm...
TRANSCRIPT
Patient Centered Medicine 1
Aaron Michelfelder, M.D. - PCM 1 Course Director Amy Blair, M.D. – PCM 1 Co-Course Director
James Winger, M.D. – PCM 1 Co-Course DirectorDiane Stancik – PCM 1 Course Manager
Katherine Walsh, M.D. – Overall PCM Co-Course DirectorPaul Hering, M.D. – Overall PCM Co-Course Director
Welcome PCM-1Small Group Facilitators/Advisors!!
Aaron Michelfelder, M.D.PCM 1 Course Director
Amy Blair, M.D.PCM 1 Co-Course Director
Ms. Diane StancikPCM 1 Course Manager
Katherine Walsh, M.D.Overall PCM Co-Course Director
James Winger, M.D.PCM 1 Co-Course Director
Paul Hering, M.D.Overall PCM Co-Course Director
Line Up for This Session
• Brief Intro to the Course
• Course Changes
• Mentor/Preceptor Programs
• Advisor Program
What is PCM 1 About?
http://www.meddean.luc.edu/lumen/index.html
PCM 1
• PCM 1 Website• http://www.meddean.luc.edu/lumen/
– Administration– General Information– Core Curriculum– Attendance Policy– Grading/Evaluation– Facilitators
• 6 Components to PCM 1– Lectures/Panels/Workshops– Small Groups (8-10 Students/Small Group)– Standardized Patient Exercises– Objective Structured Clinical Exams (OSCE)– Mentor/Clinical Skills Preceptor Programs– Written Exams
PCM-1 Organization
PCM-1 Organization
• Temporal Blocks: Bioethics, Clinical Skills I, Healthcare Systems and Delivery, Clinical Skills II, Behavior and Health Promotion
• Longitudinal Block: Personal and Professional Development
Patient Centered Medicine ISemester I Semester II
Core Curriculum
Ethics, Justice, & ProfessionalismCommunication SkillsInterviewing/History TakingBehavioral DevelopmentPhysician Well BeingUS Health Care System and Global Health
Evidence Based MedicinePrevention CounselingRisk Factor Screening Integrative MedicineCultural MedicineNutrition
Clinical Skills
ExperientialComponents Student, & Chaplain Mentor, and Physician Preceptor Programs
SP WorkshopsHPI/complete History
Difficult Topics
Standardized Patients
Combined Structure/FunctionPhysical Exam Skills
Real Patient Interviews
SP PracticeExercise
SP Exercise IComplete Medical
History
Head & NeckAbdomen
Thorax/Lungs
Musculoskeletal
PE OSCE I
PE OSCE II
Patient Interview I
Patient Interview II
SP Workshop Intimate Partner Violence
SP WorkshopChallenging Patient-Physician
Relationships
SP ExerciseCounseling
Heart
Harvey CardiacSimulator
SP ExerciseHypothesis-Driven History
• Newer This Year– General
• Year Two Neuroscience Course Dissolved• MCBG/ Behavioral Medicine More Content Early• Anatomy Starts 3 Weeks Earlier
– PCM-1• 4 Small Groups Removed And/or Compressed• Fewer and Updated Readings• Students/Facilitators encouraged to bring in topical media resources• Ethics Block Compressed and Revised• Behavioral Medicine Small Group Removed• Revised EBM/Biostats/Patient Safety Curriculum• Service Project & Reflection – Centralized• Added Social Determinants of Health Section• Removed Emotional Intelligence Section
• Newer This Year– Added SP Workshop– HPI Workshop modified to be Complete History Small
Group Workshop Over Two Sessions– Continued Electronic distribution of weekly small
groups– Facilitator corner on PCM-1 home page– Decreased Paper Use in the Course– Utilizing More Student/Facilitator Feedback
PCM-1
Medical History Skills Changes
James Winger, M.D.PCM 1 Co-Course Director
PCM-1
Clinical Skills Programs
Amy Blair, M.D.PCM 1 Co-Course Director
Clinical Skills Preceptor Program (CSkiP)
• Observe physician in practice setting
• Clinical reinforcement of concepts learned in courses
• Practice new skills learned in PCM-1
• Develop broader understanding of your own future direction
Student Mentor
• Observe on clinical rotations
• Opportunity for inter-medical school class communication
• Clinical reinforcement of concepts learned in courses and opportunity to practice PCM-1 skills
Program SEMESTER 1 Program SEMESTER 2 Clinical Skills
PhysicianPreceptor (Visit = 1 – 3 hrs)
Encounter #1 by
Nov. 30One Joint Reflection
Paper,Due for Sm.
Group Week of Dec.
3, 2012
BOTH Visits Need to be Completed and Logged
by December 7, 2012
ClinicalSkills
PhysicianPreceptor
Encounter #1 by
March 3 One Joint Reflection
Paper,Due for Sm.
Group Week of May
6, 2013
ALL 4 Visits Need
to be Completed and Logged by May 3,
2013
Encounter #2 by May
3Student Mentor(Visit = 1 – 3 hrs)
Encounter #1 by
Nov. 30
Student Mentor
Encounter #1 by
March 3Encounter #2 by May
3Chaplain Mentor
1 Chaplain encounter is required per year. Each encounter includes an orientation and debriefing session. 2 or 3 PCM-1 groups rotate through the program every month.
Service-Learning Project
One project write-up due by the end of the academic year. To be completed for the week of May 6, 2013
Patient Centered Medicine 1, AY 2012-13Requirements for the Clinical Skills Preceptor, Student Mentor and Chaplain Mentor Programs
Both Joint Reflection Papers must be submitted to your Small Group Facilitators.
Timeline
• M1-M3 Student Mentor Pizza Party is September 12
• Physician Preceptor Assignments to follow
Ground Rules
• Contact your mentor and preceptor early and often
• You can do more than the required number of visits!
• Contact me early with any concerns
• Incomplete mentor visits will prevent you from passing PCM-1
Service-Learning Project
• A structured learning experience that combines service in the community with preparation and reflection
• How is community service different now that you are a medical student?
Service-Learning Project
• August - October– Identify population or health need you would like to serve– Write a (2 page) summary of the particular disparity you will be
addressing, including facts that demonstrate the disparity and need (e.g. epidemiologic/public health data, census, figures from national or local organizations) – October 15
– Identify the community agency that you will work with or develop a unique project
– Decide on a community-identified concern
• October - March– Provide the service (“Experiential” or Activity Phase”)
• April – May– Reflection– Written Project and Presentation
» Total 4-6 pages (2 pg. summary disparity, 2 pg reflection)» Presentations during last small group of the year
Service-Learning Project
• The Center for Service and Global Health and University Ministry
• Student Organizations• The Department of Bioethics and
Preventive Medicine• Local, regional and national community
service agencies through which you already have experience or would like to establish a relationship
Guidelines for Reflection
“The four-year process of taking a disparate selection of college graduates and forming a cohesive professional identity frequently involves the abandonment of many preconceived notions about oneself, others and the medical profession in general. The purpose of the reflection process is not to generate a series of “touchy-feely” essays about your thoughts and emotions in given clinical situations. The goal of reflection in any context, is to encourage an approach of critical self-analysis as the experience and knowledge of medical school accumulates.”
• http://www.stritch.luc.edu/lumen/MedEd/IPM/IPM1/ReflectPaperInstruct.pdf
• This Week– Elect Small Group Representatives
Advisor Program
Keith Muccino, S.J., M.D.Assistant Dean for Clinical Simulation
Thank You Facilitators!!
Questions and Collective Wisdom Time