Basic Core II Cleveland Clinic

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Basic Core II Cleveland Clinic

• Camille Sabella, MD
• Basic Core II Leader
• Pediatrics
• Camille Sabella, MD
• Skyler Kalady, MD
• Obstetrics/Gynecology
• Margaret McKenzie, MD
• Kirby Soles, MD
• Neurosciences
• Irene Katzan, MD
• Jennifer Kriegler MD
• Psychiatry
• Leo Pozuelo, MD
• Isabel Schuermeyer, MD

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Program Goals

• To provide core experiences in Neuroscience,
  Psychiatry, Pediatrics, and Obstetrics/Gynecology
• To facilitate clinical mastery of
  discipline-specific core topics and skills
• To provide broad inpatient and outpatient
  experiences in each of the four disciplines
• To provide basic science integration throughout
  the core experience

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Basic Core IIStructure
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Intro/start rotations 1st week
Pediatrics 5 weeks
Neuroscience 4 weeks
Psychiatry 4 weeks
Gyn 2 weeks
OB-longitudinal clinic-7wks 1/2 day per week
Didactics/ Review/Final Assessments/ Last week
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Neurosciences

• Clinical settings-CC
• Neurology inpatient consultation service
• Neurology primary hospital service
• Stroke Service
• Multidisciplinary Service
• Outpatient neuroscience subspecialty clinics-1
  week
• Movement Disorders Epilepsy (Adult/Pediatric)
• Headache Multiple Sclerosis
• Pediatric Neurology Neuromuscular
• Cerebrovascular Neurosurgical
• Sleep Neuro-oncology

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Neurosciences

• Supervision
• Attendings
• Supervise in-hospital services
• Supervise medical student teaching attending
  sessions twice/weekly
• Precept outpatient clinics
• Residents
• Supervise and mentor students on in-patient
  services
• Teach emergency management series
• Call
• Evening (short) call 2-3 times during inpatient
  experience

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Psychiatry

• Clinical Settings-CC
• Consultation liaison service
• Emergency department evaluations
• Supervision
• Attending supervision
• Consultation Liaison Fellow supervision
• Resident supervision
• Intra-departmental didactics Case presentations,
  Journal club
• Call
• 4 Evening (short) call during the experience

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Pediatrics

• Clinical Settings
• Outpatient experience in general pediatrics-2 wks
• Preventative and acutely ill patient evaluations
• Regional Medical Practice
• Inpatient ward experience-3 wks
• General and subspecialty pediatrics
• Main campus
• Neonatal nursery experience
• Community-based
• Hillcrest Hospital

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Pediatrics

• Supervision
• Attendings
• One-on-one preceptors on outpatient experiences
• Residents
• Continuous Resident supervision on inpatient
  service (team)
• Call
• 4 Evening (short) call when on inpatient service

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Obstetrics/Gynecology

• Clinical settings
• Longitudinal experience (ambulatory setting)
• Half-day per week for 7 weeks during
  Pediatrics/OB-Gyn sub-block with same OB/GYN
  faculty preceptor
• Each student will follow panel of mothers in each
  trimester of pregnancy
• Clinics same half days each week to assure
  continuity
• Students attend their patients labor and
  deliveries
• GYN inpatient surgical and ward experience-CC

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Obstetrics/Gynecology

• Supervision
• Attendings
• Lead inpatient services
• One-on-one preceptorship on ambulatory
  experiences
• Call
• OB3 12-hour weekend calls
• Gyn3 short calls (no overnight)

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Clinical/Basic Science Seminars

• Half-day per week
• Friday mornings 7AM-noon
• Case-based discussions on core topics
• Clinical Introduction to Neurology/Psychiatry and
  Pediatrics/OB-Gyn sub-blocks
• Multi-disciplinary topics incorporating basic
  science, ethics, and pharmacology
• For all students on the 16-week block
• Discipline-specific clinical topics during the
  sub-blocks
• Neurology/Psychiatry
• Pediatrics/OB-Gyn

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Clinical Introduction to Sub-blocks Weeks 1 and 8

• Neurosciences/Psychiatry
• Neuroanatomy and imaging
• Neurology exam
• Mental status exam
• Pediatrics/Ob-Gyn
• Maternal-fetal physiology and embryology
• Pediatric history, physical exam, growth and
  nutrition

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Clinical/Basic Science Seminars

• Multi-disciplinary topics
• Entire group of students
• With Basic science, pharmacology, and ethics
  threads
• Pharmacology for the ages
• Depression
• Stroke
• Peripartum and Neonatal Infections
• Obstetrical Complication

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Assessment

• Weekly assessment
• Observed portal diagnosis entry and assessment
• Every 4 week assessment
• Formative assessment review with discipline
  leader
• Week 16 assessment
• Summative assessment review with a member of the
  Discipline assessment team