3RD YEAR WOUND CARE ROTATION PMED 1713 ROTATION SYLLABUS MIDWESTERN UNIVERSITY Arizona School of Podiatric Medicine 4 CREDIT HOURS 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 2 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 Wound Care rotation is a one month training experience in an outpatient wound care center. Students will have an opportunity to treat wounds in a variety of somatic locations resulting from various etiologies including diabetes, pressure, arterial disease, and venous disease. Students will enhance their ability to utilize proper assessment techniques, distinguish among various types of ulcers, select and apply wound dressings and topical agents, and employ various techniques of debridement. 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 The overall goal of the experience is for the student to develop fundamental skills in the evaluation and management of patients presenting with ulcerations 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. 3 Note: All objectives are to be met under the direct supervision of a licensed Wound Care Specialist. 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 WOUND CARE OBJECTIVES 3.4.1 Demonstrate knowledge of various wound classification systems 3.4.2 Identify local and systemic factors that impede wound healing 3.4.3 Diagnose arterial ulcers on the basis of predisposing factors, anatomic location, patient assessment and wound characteristics 3.4.4 Diagnose neuropathic ulcers on the basis of predisposing factors, anatomic location, patient assessment and wound characteristics 3.4.5 Diagnose decubitus ulcers on the basis of predisposing factors, anatomic location, patient assessment and wound characteristics 3.4.6 Diagnose venous ulcers on the basis of predisposing factors, anatomic location, patient assessment and wound characteristics 3.4.7 Treat arterial ulcers on the basis of predisposing factors, anatomic location, patient assessment and wound characteristics 3.4.8 Treat neuropathic ulcers on the basis of predisposing factors, anatomic location, patient assessment and wound characteristics 3.4.9 Treat decubitus ulcers on the basis of predisposing factors, anatomic location, patient assessment and wound characteristics 3.4.10 Treat venous ulcers on the basis of predisposing factors, anatomic location, patient assessment and wound characteristics 4 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 5 evaluation. A student with an average grade of 70 or below will be interviewed 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 AZPOD WOUND CARE ROTATION EVALUATION YEAR 3 6 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 6 7 8 9 10 N/A 6 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. CODE WOUND CARE OBJECTIVES : 7 3.4.1 3.4.2 3.4.3 3.4.4 3.4.5 3.4.6 3.4.7 3.4.8 3.4.9 3.4.10 Student demonstrated knowledge of various wound classification systems. Student Identified local and systemic factors that impede wound healing Student was able to diagnose arterial ulcers on the basis of predisposing factors, anatomic location, patient assessment and wound characteristics. Student was able to diagnose neuropathic ulcers on the basis of predisposing factors, anatomic location, patient assessment and wound characteristics Student was able to diagnose decubitus ulcers on the basis of predisposing factors, anatomic location, patient assessment and wound characteristics Student was able to diagnose venous ulcers on the basis of predisposing factors, anatomic location, patient assessment and wound characteristics Student was able to treat arterial ulcers on the basis of predisposing factors, anatomic location, patient assessment and wound characteristics Student was able to treat neuropathic ulcers on the basis of predisposing factors, anatomic location, patient assessment and wound characteristics Student was able to treat decubitus ulcers on the basis of predisposing factors, anatomic location, patient assessment and wound characteristics Student was able to treat venous ulcers on the basis of predisposing factors, anatomic location, patient assessment and wound characteristics COMMENTS: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Has this evaluation been discussed with the student? _____Yes ____No Signature of Preceptor ________________________________Date______ Signature of Student __________________________________Date______ 8