SYLLABUS
College of Medicine
AY 2015-2016
Course title and number
IMED 884-00T Academic Medicine Clinic
Term (e.g., Fall 200X)
Offered Year Round – 4 weeks – 2 students
Report to Jaclin Barnes 4G14 - 4th Floor for Computer Training - Must
compete the Online VA Mandatory training and fax user agreement to Ms
Barnes prior to starting.
Meeting times and location
Course Description and Prerequisites
The Faculty will strive to:
1. To teach the general principles of primary care in a prepaid setting, with emphasis on
preventive medicine and outpatient diagnosis and therapy.
2. To teach out-patient management of some of the most common problems in adult
medicine.
3. To show the student the broad range of activity in an outpatient clinic, operating under
the managed care paradigm, so as to help the student with a career choice.
Instructor Information
Elective Director
Fong, Katherine
Name
254-563-8634
Telephone number
Email address
Office hours
Katherine.fong@va.gov
By appointment
Office location
Coordinator
Martha Chandler
Name
254-724-2607
Telephone number
mschandler@sw.org
Email address
By appointment
Office hours
6th floor, Brindley
Office location
Circle, rm 640
Learning Outcomes & Objectives
COM Competency Based Learning Objectives: http://medicine.tamhsc.edu/academicaffairs/curriculum/objectives/
Principles and Guidelines for Curriculum Development:
http://medicine.tamhsc.edu/policies/pdf/curriculum-principles-guidelines.pdf
Course Objective:
Date Created/Revised: _____ By: _____
COM Competency
Based Learning
Objectives
(CBLO):
Taught (T)
and/or
Evaluated (E):
Evaluation:
1. Preventative Medicine: The
student will be able to
determine what if any
immunizations and
prophylactic measures are
indicated for each patient
seen. The student will be
able to determine what if any
screening tests are indicated
for each patient seen.
2. The student will be able to
formulate an advanced plan,
for patients in the clinic:
hypertension; diabetes;
ischemic heart disease; heart
failure; chronic obstructive
lung disease; stroke and
peripheral vascular disease;
gastroesophagheal reflux and
acid-peptic disease;
osteoarthritis; psychiatric
illness; therapy with
warfarin. In doing so, the
student will have to be
familiar with the diagnostic
studies appropriate for each
Date Created/Revised: _____ By: _____
PC1: Obtain both
complete and
system-focused
medical histories
that include
psychosocial and
behavioral
determinants of
health
PC3: Develop
appropriate
differential
diagnoses by
integrating
collected clinical
information
PC5: Interpret the
results of
commonly used
laboratory and
radiologic studies
PC13: Perform
basic health risk
assessment and
formulate
appropriate
screening plans
PC15: Formulate
preventive,
curative,
rehabilitative, and
palliative
therapeutic
strategies for
common
disorders
PC1: Obtain both
complete and
system-focused
medical histories
that include
psychosocial and
behavioral
determinants of
health
Taught AND
Evaluated
Clinical
Performance
Rating/Checkli
st
Taught AND
Evaluated
Clinical
Performance
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st
Taught AND
Evaluated
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Performance
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Taught AND
Evaluated
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condition, also the drugs
used to treat each condition.
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
PC5: Interpret the
results of
commonly used
laboratory and
radiologic studies
PC7: Formulate
an initial
management plan
for critically ill
patients
PC9: Perform
technical
procedures
including:
venipuncture and
arterial puncture;
insertion of
intravenous,
central venous,
and urethral
catheters;
insertion of a
nasogastric tube;
lumbar puncture;
basic suturing;
and basic airway
management
PC14: Properly
utilize clinical,
laboratory,
radiologic, and
pathologic
examinations to
diagnose and
Date Created/Revised: _____ By: _____
Taught AND
Evaluated
Clinical
Performance
Rating/Checkli
st
Taught AND
Evaluated
Clinical
Performance
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st
Taught AND
Evaluated
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Performance
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st
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Evaluated
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Performance
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st
Taught AND
Evaluated
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Performance
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st
Taught AND
Evaluated
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Performance
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Taught AND
Evaluated
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Performance
Rating/Checkli
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3. Teaching- Fourth year
students learn and practice to
teach third year medical
students in the clinic.
4. Patient Education- Learn and
practice on teaching patients,
re- their diagnosis, diet,
meds, plans for further
management, etc.
Date Created/Revised: _____ By: _____
treat common
maladies
PBLI3:
Accomplish
learning and
improvement
goals with
appropriate selfdirected activities
PBLI4: Utilize
information
resources and
available data to
support life-long
learning
PROF6: Work
with other health
professionals in a
collaborative
fashion
PROF9:
Demonstrate an
understanding of
peer review and
the expectations
of professional
licensing boards,
including medical
jurisprudence
ICS1:
Demonstrate
effective listening
skills
ICS2: Discuss
diagnostic and
treatment options
in a manner
comprehensible
to the patient
ICS4: Educate
patients, patients'
family members,
peers, and other
members of the
health care team
at an appropriate
level using
appropriate
technologies
ICS3:
Communicate
effectively with
patients, patients'
family members,
peers, and other
members of the
health care team
Taught AND
Evaluated
Clinical
Performance
Rating/Checkli
st
Taught AND
Evaluated
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Performance
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st
Taught AND
Evaluated
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Performance
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Evaluated
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Performance
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Performance
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Evaluated
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Performance
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Evaluated
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Performance
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Taught AND
Evaluated
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Performance
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Taught AND
Evaluated
5. System based learning: The
student will be able to
identify various resources
that are available in the
system and how and when to
use those resources.
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ICS4: Educate
patients, patients'
family members,
peers, and other
members of the
health care team
at an appropriate
level using
appropriate
technologies
PC12: Educate
patients in
personalized
health
maintenance
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
SBP6: Utilize
information
technology in
providing medical
care for
individuals
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Evaluated
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Evaluated
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Textbook and/or Resource Material
Date Created/Revised: _____ By: _____
Clinical
Performance
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1. Computers with internet access are available.
2. The medical library of the Central Texas Veterans' Health Center is available to the
students 24 hours a day.
3. On line resources include up to date, Harrison’s online, MD Consult, Pub med,
Micromedex.
4. LRC in TAMU Education building.
5. Text books and MKSAP are available in the clinic
Grading Policies
GRADING SCALE
Satisfactory
70-100
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.
Attendance and Make-up Policies
The Department of Internal Medicine adheres to attendance policies and duty hours as set forth
in the College of Medicine Student Handbook, http://student-rules.tamu.edu/rule07 In the case of
personal illness, critical illness within your immediate family, family death, or other
circumstances where you will not be able to participate in required activities, you must contact
the Internal Medicine Medical Education Coordinator and contact the attending Faculty.
Students who miss more than 20% of a 4th year elective for any reason (2 weekdays during a
two-week rotation or 4 weekdays during a 4-week rotation), will require a remediation plan.
The Course Director will consider student attendance and remediation if the student is
requesting extended time off during interview season.
Course Topics, Calendar of Activities, Major Assignment Dates
1. Patient contact: The student will ordinarily see seven to eight patients each day. The
student will make a progress note and will write orders as indicated. Each patient will be
presented to a faculty member, who will also see the patient for the purpose of
confirming the findings and reviewing the assessment and plan. Orders must be
countersigned, as well as notes.
2. Didactic material: A discussion will be conducted each morning by the faculty. The
student will participate in any discussions of the topics
3. Independent study: The student will research topics of interest and present the findings
to the group at times designated by the faculty. These topics will consist of questions
which arise in the day-to-day routine of patient care. In addition to reading of textbooks,
research will include online literature search.
4. Attend medical Grand Rounds weekly at Central Texas Veterans Health center.
Date Created/Revised: _____ By: _____
5. Attend Tumor board weekly at Central Texas Veterans Health Center.
6. Attend any CPC from Department of Medicine that falls in the rotation.
7. Informatics: Participate in teaching the third year medical students how to critique an
article and how to develop clinical questions.
Americans with Disabilities Act (ADA)
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 Disability Services, in Cain Hall, Room B118, or call 845-1637. For
additional information visit http://disability.tamu.edu
Any student with a disability who needs accommodation should inform the instructor at the beginning of
the course.
Academic Integrity
For additional information please visit: http://aggiehonor.tamu.edu
“An Aggie does not lie, cheat, or steal, or tolerate those who do.”
College of Medicine
Professionalism and integrity Statement (Academic Honesty and Plagiarism)
All College of Medicine 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. For a full list of actions qualifying as academic dishonesty, please review the College of Medicine Student
Handbook at http://medicine.tamhsc.edu/student-affairs/docs/handbook.pdf.
According to the Aggie Honor System Office, plagiarism is defined as the appropriation of another person's ideas,
processes, results, or words without giving appropriate credit. Intentionally, knowingly, or carelessly presenting the work of
another as one’s own (i.e., without crediting the author or creator). Plagiarism and other academic misconduct definitions
can be viewed on the Aggie Honor System Office website;
http://aggiehonor.tamu.edu/RulesAndProcedures/HonorSystemRules.aspx#definitions.
E-mail Access and FERPA
The College of Medicine 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 TAMU’s Office of the Registrar at 979-845-1031.
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.
Date Created/Revised: _____ By: _____
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 Student
Handbook under the section titled 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.
These policies address student mistreatment involving College of Medicine employees, residents, affiliate staff, or
patients. Mistreatment may be reported through the College of Medicine telephone hotline, 1(855)-397-9835 or through
an online form at http://medicine.tamhsc.edu/current/student-mistreatment-form.html. For a full list of reporting avenues,
please refer to the Student Handbook under the Mistreatment Policy.
Exposure and Occupational Hazard
The Needle Stick Policy and Bloodborne Pathogen Exposure information for Medical Students may be accessed in the
Student Handbook at: http://medicine.tamhsc.edu/student-affairs/docs/handbook.pdf
Note: More information is available on the aforementioned topics to all students on the College of Medicine website.
Date Created/Revised: _____ By: _____