3RD YEAR OUTPATIENT
MEDICINE ROTATION
PMED 1706
ROTATION SYLLABUS
MIDWESTERN UNIVERSITY
Arizona School of Podiatric Medicine
4.0 CREDIT HOURS
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TABLE OF CONTENTS
I. AZPod Liaisons
II. Rotation Description
III. Prerequisites
IV. Rotation Goals
V. Rotation Educational Objectives
VI. Schedule
VII. Policies and Procedures
VIII. Health and Safety
IX. Evaluation Policy
X. Required Textbooks/Reading
XI. Podiatry Program Mission and Vision Statements
XII. Rotation Evaluation Sample Form
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I.
AZPOD LIAISONS
Clinical Director: Dr. Denise Freeman
Phone: 623-572-3452
Email: dfreem@midwestern.edu
Clinical Education Coordinator: Randi Carlson
Phone: 623-582-3447
Email: rcarls@midwestern.edu
II.
ROTATION DESCRIPTION
The Outpatient Medicine rotation is a four week training experience at an
outpatient primary care clinic. The overall goal of the experience is for the
student to develop fundamental skills in evaluating and managing patients
with common, general medical complaints. The experience is organized to
enhance the student’s ability to thoroughly assess a primary care patient
through appropriate history taking, physical examination, ordering and
interpreting of labs, and the use of imaging. It is expected that the student
will enhance his/her ability to formulate a differential diagnosis and
treatment plan appropriate to the medical pathologies encountered.
III. PREREQUISITES
The first two years of didactic curriculum plus the third year didactic
curriculum must be completed successfully prior to beginning this rotation.
IV. ROTATION GOALS
To help the student develop the fundamental skills needed to evaluate and
manage patients with common, general medical complaints.
V. ROTATION OBJECTIVES
The rotation objectives are provided to assist students in their clinical
learning experiences. In addition to specified objectives, students must take
a fundamental interest in their own education by asking appropriate
questions, following patients, putting in extra time, and reading about
encountered clinical problems.
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Note: All objectives are to be met under the direct supervision of a licensed
Physician.
General Objectives
1. Demonstrate compassionate treatment of patients, and respect for their
privacy and dignity.
2. Demonstrate sensitivity and responsiveness to patient’s culture, age,
gender, and disabilities.
3. Demonstrate a commitment to ethical principles pertaining to informed
consent & confidentiality.
4. Demonstrate the ability to recognize their knowledge and skill limitations.
5. Demonstrate a commitment to improve one’s knowledge and ability.
6. Demonstrate caring/respectful behaviors with patients, physicians and
staff.
7. Gather essential and accurate information about their patients.
8. Present cases in a concise, clear and organized manner.
9. Make informed decisions based on patient information and up-to-date
scientific evidence.
10. Follow protocol for cleanliness/universal precautions.
11. Complete assignments e.g., research, presentations, journal club etc.
Rotation-Specific Educational Objectives:
CODE OUTPATIENT MEDICINE OBJECTIVES:
3.3.1 Conduct a comprehensive assessment including: eliciting a comprehensive or
3.3.2
3.3.3
3.3.4
3.3.5
3.3.6
3.3.7
3.3.8
3.3.9
3.3.10
3.3.11
3.3.12
3.3.13
focused history, performing an appropriate physical exam and determine the
severity of the patient’s problem.
Identify diagnostic tests appropriate to the assessment and select cost effective
techniques
Interpret pertinent laboratory data.
Demonstrate knowledge of the management principles of diabetes.
Properly diagnose and manage diabetes and pre-diabetes
Recognize common cardiac diseases (e.g., CHF, angina, and dysrhythmia).
Recognize the most common abnormal EKG patterns.
Recognize common pulmonary diseases (e.g., COPD and asthma).
Recognize common coagulation disorders and understand the appropriate
usage of lytic or anticoagulant therapy.
Demonstrate appropriate local treatment of infectious processes.
Demonstrate appropriate usage of antibiotics, so as to limit resistance.
Appropriately diagnose hypertension and understand primary treatment
approaches.
Recognize GERD and understand confirmatory testing and treatment.
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VI. SCHEDULE
The day to day schedule is dependent upon the attending preceptor, and/or
supervisor. Students are required to contact the rotation site/preceptor one
week in advance to verify the department’s schedule.
VII. POLICIES and PROCEDURES – Refer to Clinical Handbook
1.
2.
3.
4.
5.
6.
7.
General Requirements.
Student Rotation Changes
Failure of a Rotation
Attendance
Communication with the Podiatric Program
Charting and Prescriptive Activities
Professionalism
VIII. HEALTH AND SAFETY – Refer to Clinical Handbook
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Incident Reporting
Safety
Supervision
Clinical Background Checks
Rotation Requirements
Immunizations
Student Health Insurance
Basic Life Support/Advanced Life Support
Student Identification Badge
Curriculum Vitae
Code of Ethics
IX. EVALUATION POLICY
The Arizona School of Podiatric Medicine is the final authority in determining
whether a student has met the requirements to satisfactorily pass a rotation.
In order to receive a passing grade, the following MUST be completed by the
deadline as stated in the Clinical Handbook.
1. Preceptor’s Evaluation of Student
2. Student’s Evaluation of Rotation/Site
3. Student Case Logs
A passing grade from the assigned preceptor in each rotation is required
for passage of the rotation. An average grade of 80 or greater is required
for successful completion in the General Objectives portion of the student
evaluation. A student with an average grade of 70 or below will be interviewed
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by the Clinical Director to determine why the grade was given. Additionally, an
average grade of 80 or greater is required for successful completion of the
Specific Rotation Objectives portion of the student evaluation. After consulting
with the student and the clinician who gave the failing grade, the Clinical Director
will render a decision with respect to additional time in the clinic for remediation.
Students are encouraged to review their evaluations with the attending.
CBE EVALUATION
Students will be required to participate in four CBE modules during the third year
and one multiple-choice format written exam. The hands-on assessment will
gauge the progression of clinical skills and knowledge. These exams are used to
monitor the student’s progress throughout their third year clinical training.
Participation in all CBE related activities is mandatory.
Please refer to the Competency-Based Examination Handbook for more
information regarding the CBE.
X. REQUIRED TEXTBOOK/READING
1.
Reading materials and assignments will be given at the discretion of the
rotation preceptors and directors.
XI. AZPOD MISSION STATEMENT
As a leader in podiatric medical education, our mission is to ensure excellence
in an environment that nurtures diversity, professionalism, dedication and
creativity. Our vision is to be the standard of excellence by which podiatric
medical education will be measured through:
1.
2.
3.
4.
5.
Innovative curriculum
Cutting edge research
Compassionate patient care
Contemporary graduate and continuing medical education
Service to community
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AZPOD OUTPATIENT MEDICINE ROTATION EVALUATION
YEAR 3
Student Name __________________________________________________________
Rotation Dates __________________________________________________________
Evaluator’s Name _______________________________________________________
Please use the flowing grading scale:
6-Unsatisfactory
7-Unsatisfactory but Improving
8-Competent Performance
9-Competent and Progressing
10-Outstanding Performance
N/A-Not Applicable/Not Performed\
At the end of this rotation the student, under the supervision of a resident or attending, will be
able to:
GENERAL OBJECTIVES
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7
8
9
10
N/A
1. Demonstrate compassionate treatment of patients, and
respect for their privacy and dignity.
2. Demonstrate sensitivity and responsiveness to patient’s
culture, age, gender, and disabilities.
3. Demonstrate a commitment to ethical principles pertaining to
informed consent & confidentiality.
4. Demonstrate the ability to recognize their knowledge and skill
limitations.
5. Demonstrate a commitment to improve one’s knowledge and
ability.
6. Demonstrate caring/respectful behaviors with patients,
physicians and staff.
7. Gather essential and accurate information about their
patients.
8. Present cases in a concise, clear and organized manner.
9. Make informed decisions based on patient information and
up-to-date scientific evidence.
10. Follow protocol for cleanliness/universal precautions.
11. Complete assignments e.g., research, presentations, journal
club etc.
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CODE
3.3.1
3.3.2
3.3.3
3.3.4
3.3.5
3.3.6
3.3.7
3.3.8
3.3.9
3.3.10
3.3.11
3.3.12
3.3.13
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OUTPATIENT MEDICINE OBJECTIVES
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8
9
10
N/A
Student was able to conduct a comprehensive
assessment including: eliciting a comprehensive or
focused history, performing an appropriate physical
exam and determine the severity of the patient’s
problem.
Student identified diagnostic tests appropriate to the
assessment and select cost effective techniques.
Student was able to interpret pertinent laboratory data.
Student demonstrated knowledge of the management
principles of diabetes.
Student was able to properly diagnose and manage
diabetes and pre-diabetes.
Student recognized common cardiac diseases (e.g.,
CHF, angina, and dysrhythmia).
Student was able to recognize the most common
abnormal EKG patterns.
Student was able to recognize common pulmonary
diseases (e.g., COPD and asthma).
Student was able to recognize common coagulation
disorders and understand the appropriate usage of lytic
or anticoagulant therapy.
Student demonstrated appropriate local treatment of
infectious processes.
Student demonstrated appropriate usage of antibiotics,
so as to limit resistance.
Student was able to appropriately diagnose hypertension
and understand primary treatment approaches.
Student was able to recognize GERD and understand
confirmatory testing and treatment.
COMMENTS:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Has this evaluation been discussed with the student?
_____Yes
____No
Signature of Preceptor ______________________________________Date _______
Signature of Student ________________________________________Date________
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