Foundations of Clinical Medicine Daniel Wolpaw MD, Kathy ColeKelly MS, MSW, Susan Padrino MD, Ted Pa

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Foundations of Clinical Medicine Daniel Wolpaw
MD, Kathy Cole-Kelly MS, MSW, Susan Padrino MD,
Ted Parran MD, Mimi Singh MD, MS, Dyna
Bolar-Speights, Denise Carter-OGorman LISW,
Deidre Gruning, Pete Spanos, Marsha Starks
Implementation FCM in WR2
Mission and Goals
Design Outline

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Seminars Introduce Concepts Debrief Experiences
FCM Mission Foundations of Clinical Medicine
seeks to develop, through its programs, a broad
range of clinical and professional capabilities
in first and second year medical students that
will ensure our students mastery of clinical
skills during the remainder of their medical
school, residency training and careers as
physicians. FCM will develop this skill set
through patient care experiences, skills training
programs, self-directed learning, and small group
teaching. The combined FCM programs will
function as the first clinical clerkship at Case
School of Medicine, and will strive to foster a
learning environment that acknowledges medical
students as physicians-in-training, and treats
them as junior colleagues. FCM Program
Goal Facilitate the transformation from student
to doctor, focusing on the doctor/patient
relationship, the role of physicians in systems
and in society, professionalism and leadership,
and the mastery of clinical skills.
Skills Development Include Communication in
Medicine Physical Diagnosis Teach skills
Reinforce concepts
Patent Based Experience Include RAMP
CPCP Practice skills Reinforce concepts
Patient-Based Programs RAMP and Preceptorships
Mastering Clinical Skills Communications and
Physical Diagnosis
FCM Seminars

• Communication in Medicine - Interviewing
• Year 1 2
• Introduction to the patient interview
• Educating patients about chronic disease
• Counseling for behavior change
• Giving difficult news
• Presenting a diagnosis of depression or
  anxiety for a somatic complaint
• Year 3 Advanced Clinical Skills
• Shared and Informed Decision Making
• Dealing with the Angry Patient
• Dealing with Domestic Violence
• Talking with Family members
• Giving Bad News
• Physical Diagnosis Physical Examination
  Instruction
• Year 1 2
• PD1 Introduction to physical exam skills
• PD2 Reinforce regional exams on patients
• PD3 Observed complete H P

• RAMP Goals
• Provide guided observation in a variety of
  clinical settings by spending one afternoon in
  each rotation
• Provide an emotionally and intellectually safe
  exposure to patients
• Introduce the language of health care delivery
• Familiarize students to doctor-patient and health
  care team relationships
• Enhance observation and reflection skills
• RAMP Learning Objectives
• Refine observation and reflection skills
• Describe a clinical experience including setting,
  list medical professionals and their
  participation in the patient interaction
• Identify students own response or reaction to
  the clinical experience

Labor Delivery Obstetrical Care
The Foundations of Clinical Medicine Seminars is
an integrated course for Yr I, II III students.
Students and faculty facilitators meet weekly
during Yr I II in large and small group
formats. In Yr III students come from their
clerkships and meet with their same group to
discuss these topics as they apply to the
clerkship. The course covers broad topics
important to the current practice of medicine in
our society, including Civic Professionalism
Leadership Quality Improvement
Medicine and the Law Medical
Error/Patient Safety Physician-Patient
Relationship Health Systems/Access
Bioethics Health Disparities
Physician Self-Care/Impairment Population
Health  End of Life Issues
Primary Care
Mental Health
RAMP 2007
End Of Life Care
HouseCalls/ Geriatric Care

On-line Curriculum
Emergency Medicine

• The Community Patient Care Preceptorship is a
  program in which students spend one half day a
  week in a community physicians practice.
• The program is designed to give students the
  opportunity to develop and reinforce their
  medical interviewing, physical exam and
  presentation (written and oral) skills with
  ongoing mentorship from a preceptor and with the
  use of an innovative online curriculum.
• The Clinical Component
• This intense, integrated, longitudinal clinical
  experience provides an environment for students
• To gain clinical experience in the ambulatory
  setting with focus on medical interviewing,
  physical exam and communication skills
• To develop longitudinal relationships with a
  preceptor, patients and other office members who
  will help students formulate their role in the
  outpatient or ambulatory health care setting
• The Online Component
• While students experiences will differ according
  to their preceptors practice, the online
  curriculum enables all students
• To master key concepts regardless of discipline -
  (how to write prescriptions, how to write a SOAP
  note, understanding insurance choices, use of
  educational resources on the web, etc)
• To practice skills relevant and complementary to
  their clinical experiences
• To learn key quality improvement concepts with
  the use of an online personal improvement project
  module