Clinical Preceptorship I Syllabus PRCP 1122 Course Director Dr. Kenneth Olive, Executive Associate Dean Academic Affairs, Building 178 (VA) Stanton- Gerber Email: olivek@etsu.edu Telephone: 423-439-8005 Course Coordinator Dana Bailey, Office Manager Academic Affairs, Building 178 (VA) Stanton- Gerber Email: baileyd@etsu.edu Telephone: 423-439-8003 Fax: 423-439-8004; Cell/Text: 423-557-3016 Course Description: The Preceptorship is a clinical skills development course in which first-year students observe and interact with patients in a clinical setting under the supervision of a physician. Successful completion of Introduction to Physical Exam Skills is necessary prior to the preceptorship course. Under clinician supervision, students interact with patients, perform history and physical exam skills, present patients to their preceptors, perform some basic procedural skills, and engage in clinical problem solving. This course offers the student the opportunity for preceptorship in primary care, which consists of family medicine, internal medicine, and pediatrics. Course Format: During Preceptorship I, you will be emailed a preceptorship application form to complete and return to the course coordinator at a given date. This form will also be posted under the content tab of D2L. At this time, you can request a preceptor that is agreeable with the requirements for this course. The course coordinator will contact the preceptor and determine if this is the appropriate preceptorship for you. This may require contracting with a hospital or other health care entity and may take some time. Therefore, it is critical to get your requests in as early as possible. The course coordinator will serve as the contact person for both you and the community physician and office staff, providing appropriate information to each of you. If you do not have a specified physician, one will be assigned to you, while taking into account your practice and location preferences. Course Goals: The course goal is to expose students to primary care role models and to the clinical practice of medicine, to provide opportunities for students to apply clinical skills to actual patients, and to reinforce concepts from other first-year courses. Course Objective The student will elicit a basic health history on a patient seen in the office setting. The student will perform a problem focused physical examination on a patient in the office setting. QCOM Institutional Objective/Milestone 2.1.M1.A 2.1.M1.B 2.1.M1.D 2.1.M1.E 4.1.M1.C 2.2.M1.A 2.2.M1.B 2.7.M1.A The student will demonstrate appropriate use of basic diagnostic equipment, e.g. sphygomomanometer, stethoscope, otoscope. The student will present a focused history and physical to the preceptor. 2.2.M1.A 2.2.M1.B The student will write a SOAP note based on a patient encounter. 4.3.M1.A 4.3.M1.B The student will effectively present findings of focused history and physical examination in written format. The student will effectively present findings of focused history and physical examination in written format. The student will demonstrate appropriate professional behavior and dress throughout the preceptorship. 4.3.M1.A The student will identify the clinically important contextual issues related to family, social class, ethnicity, gender and sexual orientation. 4.2.M1.A 4.3.M2.B 3.1.M1.B 3.1.M1.C 3.1.M1.D 5.1.M1.A 5.2.M1.A 5.7.M1.A 5.6.M2.B. Educational Methods Clinical Experience; Ambulatory Preceptorship Assessment methods Clinical Documentation Review Clinical Experience; Ambulatory Preceptorship Clinical Experience; Ambulatory Preceptorship Clinical Documentation Review Clinical Experience; Ambulatory Preceptorship Clinical Experience; Ambulatory Preceptorship Clinical Experience; Ambulatory Preceptorship Clinical Experience; Ambulatory Preceptorship Clinical Experience; Ambulatory Preceptorship Oral Patient Presentation Clinical Experience; Ambulatory Preceptorship Oral Patient Presentation Clinical Performance Rating Clinical Documentation Review Oral Patient Presentation Clinical Documentation Review Clinical Performance Rating Professionalism: Call your preceptor in advance to introduce yourself and obtain specific instructions regarding location, office hours, and other specific information. Dress in a professional manner, wearing your white coat and nametag from Quillen College of Medicine Arrive on time for your preceptorship and call to notify the office if you are going to be late or if you are not going to be able to be at their office or specified location Communication Greet patients and introduce yourself as a medical student Demonstrate active listening for the patient’s perspective of the illness Elicit clinical information Hear and respond to the patient’s feelings and emotions by utilizing proper verbal and nonverbal communication Medical Knowledge, Examination Skills, and Patient Care: Demonstrate application of basic science principles to clinical practice Take vital signs Make general comments regarding appearance, state of illness, etc. Conduct examination of HEENT, neck, chest, heart, and abdomen; and demonstrate the beginning development of skills to perform a history and physical exam STUDENT PROCEDURES FOR SPECIAL SERVICES (ADA) It is the policy of ETSU to accommodate students with disabilities, pursuant to federal law, state law, and the University’s commitment to equal educational access. Any student with a disability who needs accommodations, for example arrangement for examinations or seating placement, should inform the instructor at the beginning of the course. Special Accommodations: All students seeking an accommodation for disabilities are to contact Ms. Linda Gibson, M.Ed., Director, ADA Coordinator for Disability Services at East Tennessee State University (423-439-8346). Faculty accommodation forms are provided to students through Disability Services in the D. P. Culp Center, Suite A. A letter from disability services is required before accommodations can be made. Tutoring: The Office of Student Affairs will make tutors available to any QCOM student. Contact Student Affairs at (423-439-2037). Counseling: Confidential academic and personal counseling are available through the Office of Academic Affairs (423-439-8002) and the Professional and Academic Resource Center – PARC (Mr. Phil Steffey, 423-232-2075 or pager 423-854-0342). Course Grading: Your performance in the preceptor course will be assessed by your preceptor. Your preceptorship experience will also be assessed through your patient log. You will be given an evaluation for your preceptor to complete on your performance. You are responsible for putting these evaluations in the D2L drop box. Additionally, you must complete an evaluation of your preceptor. This evaluation is located in D2L. You will be given further instructions for completing this evaluation at the end of the course. You must receive a passing evaluation from your preceptor, complete your patient log, and evaluate your preceptor to pass this course. Tips for a Successful Preceptor Course: Help direct your learning experience by communicating regularly with your preceptor about what you need to be learning. It is important to take responsibility for your own learning. Accept that your experience may differ considerably from your classmates’ experiences. Make a point to get to know the office staff, including the office manager, nurses, and other office support staff. You can learn from these individuals, as well as the physician. Tell patients that you are a medical student. Integrate into the usual work pattern of the practice; be a valuable team member. Make an effort to apply some of the basic science knowledge you are acquiring to the patients you encounter. Be a self-directed learner. Research patient related problems you encounter. Ask for help when needed from your preceptor and course coordinator.