SYLLABUS College of Medicine AY 2015-2016

SYLLABUS

College of Medicine

AY 2015-2016

Course title and number

Term

MFCM 820 OOT: Indigent Health Care

All Year - 2 Week rotations

Course Goals

The Faculty will strive to:



Expose senior medical student to the scope of health issues of the homeless and indigent.



Students will gain insight to the mechanics and complexities of operating and organizing a primary care clinic. They will also interact with a variety of medical services including the Department of

Health, Child/Adult Protective Services, and Mental Health and Mental Retardation.

Course Director and Coordinator

Name

Email

Phone

Course Director

R. Marc Via, MD mvia@sw.org

Office: 254-771-7707

Pager: 254-724-7508, #2804

Course Administrator

John Manning, MD jmanning@sw.org

Office: 254-771-7707

Pager: 254-724-7508,

#2896

Office location

Scott & White Santa Fe Clinic

1402 W. Ave H (Century Square Building)

Temple, TX 76504

Office hours By appointment By appointment

Learning Objectives and Evaluation Method

Course Coordinator

Jennifer Little jlittle@sw.org

Office: 254-771-7707

Fax: 254-771-8493

By appointment

Course Objective:

1. Demonstrate and cultivate interview and examination skills.

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COM Competency

Based Learning

Objectives

(CBLO):

MK3:

Demonstrate an understanding of how healthy lifestyles, psychosocial factors, and behavioral factors influence heath

MK4: Apply evidenced-based methods to clinical problem solving

PC1: Obtain both complete and system-focused medical histories that include

Taught (T) and/or

Evaluated (E):

Taught AND

Evaluated

Taught AND

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Taught AND

Evaluated

Evaluation:

Clinical

Performance

Rating/Checklist

Clinical

Performance


Clinical

Performance


Date Created/Revised: 5/13/2015 By: JL









2. Develop a differential diagnosis and treatment strategies for common problems of the homeless. psychosocial and behavioral determinants of health

PC2: Perform both complete and systemfocused physical examinations

PC3: Develop appropriate differential diagnoses by integrating collected clinical information

PC4: Develop contextual and individualized diagnostic and treatment plans based upon collected clinical information

PC13: Perform basic health risk assessment and formulate appropriate screening plans

ICS1:

Demonstrate effective listening skills

PC3: Develop appropriate differential diagnoses by integrating collected clinical information


ICS2: Discuss diagnostic and treatment options in a manner comprehensible to the patient

PROF3: Act in the patient's best interest and serve

Taught AND

Evaluated

Taught AND

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Taught AND

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Taught AND

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Taught AND

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Clinical

Performance


Clinical

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Clinical

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3. Learn to work with limited resources and construct creative ways to overcome limitations.

Date Created/Revised: 5/13/2015 By: JL as a patient advocate

SBP1: Apply knowledge of health care systems to improve and optimize patient care

SBP2: Advocate for continuous quality improvement in patient care and patient safety

SBP3:

Demonstrate an understanding of cost containment principles and their application in the delivery of health care

SBP5: Recognize various approaches to the organization, financing, and delivery of health care

CC1:

Demonstrate an understanding of the manner in which diverse cultures and belief systems perceive health and illness and respond to various symptoms, diseases, and treatments.

CC2: Recognize and appropriately address gender and cultural biases in themselves, in others, and in the process of health care delivery.

MK3:

Demonstrate an understanding of how healthy lifestyles, psychosocial

Taught AND

Evaluated

Taught AND

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Taught AND

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Taught AND

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Taught AND

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4. Develop follow up plans in a transient population.



5. Create appropriate letters of notification for reportable disease.

Date Created/Revised: 5/13/2015 By: JL factors, and behavioral factors influence heath

MK4: Apply evidenced-based methods to clinical problem solving

PC12: Educate patients in personalized health maintenance

PC13: Perform basic health risk assessment and formulate appropriate screening plans

SBP6: Utilize information technology in providing medical care for individuals

PBLI4: Utilize information resources and available data to support life-long learning


PC7: Formulate an initial management plan for critically ill patients

PC8:

Demonstrate an understanding of the principles involved in the care of patients across the spectrum of the human life cycle

MK5:

Demonstrate an understanding of the epidemiology of common diseases within a

Taught AND

Evaluated

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6. Recognize social issues that demand quick attention.



7. Maintain a professional and respectful relationship with the patients.




Date Created/Revised: 5/13/2015 By: JL population and the approaches which are useful in reducing their incidence and prevalence

CC1:

Demonstrate an understanding of the manner in which diverse cultures and belief systems perceive health and illness and respond to various symptoms, diseases, and treatments.

PROF8:

Recognize potential conflicts of interest and demonstrate awareness of appropriate courses of action

PROF11:

Respond to conflicts in a professional manner

PROF12: Project a professional image in demeanor and personal appearance

PROF1:

Demonstrate an understanding of legal and ethical principles governing the physician-patient relationship

PROF2: Display honesty, integrity and ethical behavior

PROF5: Respect the privacy of patients

PROF8:

Recognize potential conflicts of interest and demonstrate

Taught AND

Evaluated

Taught AND

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Taught AND

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Taught AND

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Taught AND

Evaluated

Taught AND

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Taught AND

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Clinical

Performance


Clinical

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Clinical

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Clinical

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Clinical

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Clinical

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Clinical

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Clinical

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8. Learn how to set up, organize, and manage an outpatient medical clinic. awareness of appropriate courses of action

PROF11:

Respond to conflicts in a professional manner

PROF12: Project a professional image in demeanor and personal appearance

MK3:

Demonstrate an understanding of how healthy lifestyles, psychosocial factors, and behavioral factors influence heath

MK5:

Demonstrate an understanding of the epidemiology of common diseases within a population and the approaches which are useful in reducing their incidence and prevalence

PC15: Formulate preventive, curative, rehabilitative, and palliative therapeutic strategies for common disorders

ICS5: Maintain accurate medical records

PROF2: Display honesty, integrity and ethical behavior

PROF4: Treat patients and patients' family members respectfully and compassionately, regardless of age, disability, gender,

Taught AND

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Taught AND

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Taught AND

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9. Identify educational health prevention topics and strategies for the homeless. race, ethnicity, culture, religion, sexual preference, and socioeconomic status

PROF10:

Demonstrate knowledge of responsibilities to patients, peers, and other members of the health care team

SBP1: Apply knowledge of health care systems to improve and optimize patient care

PBLI2:

Incorporate formative feedback into personal performance

SBP3:

Demonstrate an understanding of cost containment principles and their application in the delivery of health care

SBP4:

Demonstrate an understanding of the legal and regulatory frameworks governing the practice of medicine which affect payment, reimbursement, referrals and incentives

SBP5: Recognize various approaches to the organization, financing, and delivery of health care

MK3:

Demonstrate an understanding of how healthy lifestyles,

Taught AND

Evaluated

Taught AND

Evaluated

Taught AND

Evaluated

Taught AND

Evaluated

Taught AND

Evaluated

Taught AND

Evaluated

Taught AND

Evaluated


Clinical

Performance


Clinical

Performance


Clinical

Performance


Clinical

Performance


Clinical

Performance


Clinical

Performance


Clinical

Performance




psychosocial factors, and behavioral factors influence heath

MK5:

Demonstrate an understanding of the epidemiology of common diseases within a population and the approaches which are useful in reducing their incidence and prevalence

PC12: Educate patients in personalized health maintenance

ICS4: Educate

Taught AND

Evaluated

Taught AND

Evaluated

Clinical

Performance


Clinical

Performance



patients, patients' family members, peers, and other members of the health care team at an appropriate level using appropriate technologies

Taught AND

Evaluated

Clinical

Performance


Attendance Policy



TAMHSC – COM student handbook states: Students who miss more than 20% of a 4th year elective for any reason (2 weekdays during a two-week rotation or 4 weekdays for 4 week rotation) will require a remediation plan.



Students must contact the elective coordinator prior to any anticipated absences; e.g., interviews, appointments, vacation. Students must contact both the elective coordinator and staff physician for unanticipated absences; e.g., tardiness and illness. Failure to communicate absences through the correct channels will require remediation of all/part of the rotation by the student.

Learning Materials and Activities

 Work a total of 80 hours (4 hours/week) at Martha’s Health Clinic for a total of at least 20 weeks or works a total of 40 hours (4 hours/week) for a total of at least 10 weeks. The weeks do not need to be consecutive.



Attend Student Board or Executive meetings.

 Create a written report about your educational experience at Martha’s Heath Clinic.



Participate in the daily mechanics of running the clinic.



Interaction with area health agencies.



Provide patient education.



Students will read about illnesses encountered.



Make an education display/poster for the patients of Martha Health clinic directed toward preventive medicine and specific health concerns for the homeless.



Provide information to patients about social services available to them.



Perform necessary laboratory work.


Textbooks (Required and Recommended Resources)



Richard D. Haines Medical Library at Scott & White



Social Work Services/P.A.L.A.D.I.N at Scott & White



Local health agencies





Attending physicians

Clinic academic files

Grading and Remediation Policies

70-100

GRADING SCALE

Satisfactory

Unsatisfactory 69 and below

Should the course director determine remediation is required, the remediation plan will be at the discretion of the course director and on a case by case basis depending on the issues involved. Remediation plans could entail some (or all) of the following examples: Additional clinical shifts, research papers, presentations, article reviews, exams, directed reading, web-based modules, etc. If the student performance results in a failure of the elective, it will be recommended that the elective be taken again in its entirety.

Course Schedule (may include in Appendices if available)

 Work a total of 80 hours (4 hours/week) at Martha’s Health Clinic for a total of at least 20 weeks or works a total of 40 hours (4 hours/week) for a total of at least 10 weeks. The weeks do not need to be consecutive.

Patient Encounter Logs: N/A

Important Legal Information and Policies a. TAMHSC E-mail Access and FERPA

TAMHSC is communicating all official information to students through the students’ TAMHSC e-mail accounts. Please check the account frequently during the semester for updates.

This course is supported with web-based and/or e-mail activities. In order to take advantage of these additional resources and participate fully in the course, you have been assigned an e-mail address by the

Texas A&M Health Science Center. This e-mail address is for internal use only, so that faculty may communicate with you and the entire class. By registering for this course, you are agreeing to allow your classmates to have access to this e-mail address. Should you have any questions, please contact the

Office of the Registrar at 888-523-2905.

The Family Educational Rights and Privacy Act of 1974 (FERPA), which the HSC complies fully, is intended to protect the privacy of education records, to establish the rights of students to inspect and review their education records and to provide guidelines for the correction of inaccurate or misleading data through informal and formal hearings. Students also have the right to file complaints with the Family Educational

Rights and Privacy Act Office of the Department of Education in Washington, D.C., concerning alleged failures by the HSC to comply with the act. b. Students with Disabilities

The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Disability Services Office at 979-845-1637 or visit the website http://disability.tamu.edu/ . Any student with a disability who needs accommodation should inform the instructor at the beginning of the course.


c. Professionalism and integrity Statement (Academic Honesty and Plagiarism)

All TAMHSC students are required to comply with the student code of conduct and the academic integrity and honesty standards published in each component’s Student Handbook. Disciplinary action will be taken in accordance with the policies of each component. Students found guilty of Academic Dishonesty will receive an “F”/Unsatisfactory in the course.

As commonly defined, plagiarism consists of presenting as one's own the ideas, words, writings, etc., which belong to another. In accordance with this definition, you are committing plagiarism if you copy the work of another person and turn it in as your own work, even if you should have the permission of that person.

Plagiarism is one of the worst academic violations, for the plagiarist destroys the trust among colleagues without which academic communication cannot be safely conducted. d. Mistreatment of Students

The College of Medicine is committed to providing a positive learning environment in which students can meet their academic goals based on mutual respect in the teacher/learner relationship. Both parties must be sensitive to the needs of others and differences in gender, race, sexual orientation, religion, age or disability. As outlined in the Standards of Conduct in the Teacher-Learner Relationship, belittlement, intimidation and humiliation are unacceptable for effective learning and undermine self-esteem. Breaches involving student mistreatment may result in a faculty or staff member being sanctioned or the loss of faculty and/or staff appointment. The College of Medicine internal policy for dealing with claims of student mistreatment or unprofessional behavior is described here. This policy addresses student mistreatment involving College of Medicine employees. However, we realize that a student may experience mistreatment from residents, affiliate staff, or patients. These instances will be discussed in Section V of the document.

Please access the policy at http://medicine.tamhsc.edu/dean/policies/student-policies/mistreatment-ofstudents.html

for more information regarding reporting, resolution of claims, appeals, and responsibilities.

To report mistreatment via College of Medicine telephone hotline, dial 1(855)-397-9835. To report via web page, click http://medicine.tamhsc.edu/dean/policies/student-policies/form.html

e. Exposure and Occupational Hazard

The Needle Stick Policy for Medical Students may be accessed at: http://medicine.tamhsc.edu/dean/policies/student-policies/needle-stick-policy.html

Note: More information is available on the aforementioned topics to all students in the online course catalog and or on the College of Medicine website.

College of Medicine Competency Based Learning Objectives

College of Medicine Competency Based Learning Objectives can be found under the Office of Academic

Affairs website: http://medicine.tamhsc.edu/academic-affairs/curriculum/objectives/

Principles and Guidelines for Curriculum Development

Principles and Guidelines for Curriculum Development can be found under the Office of The Dean website: http://medicine.tamhsc.edu/dean/policies/pdf/curriculum-principles-guidelines.pdf

Academic Integrity

“An Aggie does not lie, cheat, or steal, or tolerate those who do.”



SYLLABUS College of Medicine AY 2015-2016

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