Transcript Slide 1

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 Director
Diane Stancik – PCM 1 Course Manager
Katherine Walsh, M.D. – Overall PCM Co-Course Director
Paul Hering, M.D. – Overall PCM Co-Course Director
Welcome PCM-1Small Group
Facilitators/Advisors!!
Aaron Michelfelder, M.D.
PCM 1 Course Director
Ms. Diane Stancik
PCM 1 Course Manager
Amy Blair, M.D.
PCM 1 Co-Course Director
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
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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 I
Core
Curriculum
Semester I
Semester II
Ethics, Justice, & Professionalism
Communication Skills
Interviewing/History Taking
Behavioral Development
Physician Well Being
US Health Care System and Global Health
Evidence Based Medicine
Prevention Counseling
Risk Factor Screening
Integrative Medicine
Cultural Medicine
Nutrition
SP Workshops
Standardized
HPI/complete History
Patients
Difficult Topics
SP Practice
Exercise
Clinical
Skills
Combined
Structure/Function
Physical Exam Skills
SP Exercise I
Complete Medical
History
Head & Neck
Abdomen
Thorax/Lungs
Musculoskeletal
SP Workshop
Intimate Partner Violence
SP Workshop
Challenging Patient-Physician
Relationships
SP Exercise
Hypothesis-Driven History
Heart
Harvey Cardiac
Simulator
PE OSCE II
PE OSCE I
Patient Interview I
Real Patient Interviews
Experiential
Components
Student, & Chaplain Mentor, and Physician Preceptor Programs
Patient Interview II
SP Exercise
Counseling
• Newer This Year
– General
• Year Two Neuroscience Course Dissolved
• MCBG/ Behavioral Medicine More Content Early
• Anatomy Starts 3 Weeks Earlier
– PCM-1
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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
Patient Centered Medicine 1, AY 2012-13
Requirements for the Clinical Skills Preceptor,
Student Mentor and Chaplain Mentor Programs
Program
Clinical
Skills
Physician
Preceptor
(Visit =
1 – 3 hrs)
Student
Mentor
(Visit =
1 – 3 hrs)
Chaplain
Mentor
ServiceLearning
Project
SEMESTER 1
Program
SEMESTER 2
Encounter
Encounter
#1 by
#1 by
BOTH Visits
March 3
ALL 4
One Joint
One Joint
Nov. 30
Need to be
Encounter
Visits Need
Reflection
Reflection
Completed
#2 by May
to be
Paper,
Paper,
Due for Sm.
Due for Sm.
and Logged
3
Completed
Group
Group
by
Encounter
and Logged
Week of Dec. December 7,
Week
of
May
#1 by
by May 3,
Encounter
3, 2012
6, 2013
2012
March 3
2013
Student
#1 by
Mentor
Encounter
Nov. 30
#2 by May
3
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.
Clinical
Skills
Physician
Preceptor
One project write-up due by the end of the academic year. To be completed for the week of
May 6, 2013
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
Service-Learning Project
• Link:
• Direct questions to:
– [email protected]
– [email protected]
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/Refl
ectPaperInstruct.pdf
• This Week
– Elect Small Group Representatives
Advisor Program
Keith Muccino, S.J., M.D.
Assistant Dean for Clinical Simulation
Questions and Collective Wisdom
Time
Thank You Facilitators!!