WEST CAMPUS MD3 Student Handbook Longitudinal Integrated Clerkship 2012-2013 Contents I. Important Dates/Contacts ..................................................................................... 5 Important Dates for 2012-2013 .............................................................................. 5 Holidays ................................................................................................................ 5 Shelf Exams........................................................................................................... 5 TCMC Important Numbers ..................................................................................... 5 Agencies ................................................................................................................ 7 II. Clerkship Overview ............................................................................................... 8 Six Core Disciplines ............................................................................................... 8 Instructional Methodology...................................................................................... 8 Clerkship Schedule ................................................................................................ 9 Sample Schedule ................................................................................................. 10 Student Responsibilities ...................................................................................... 10 Accessing Academic Support in the Regions ......................................................... 12 Evaluation Methods ............................................................................................. 12 Grading ............................................................................................................... 13 III. West Campus Faculty & Staff ............................................................................ 15 Core Educators .................................................................................................... 16 Educational Leadership ....................................................................................... 18 Clinical Faculty .................................................................................................... 20 Education Directors ............................................................................................. 27 Regional Education Coordinators ......................................................................... 27 Regional Clerkship Director ................................................................................. 27 Regional Education Specialist .............................................................................. 27 Clinical Preceptors ............................................................................................... 28 Assistant Director of Student Affairs .................................................................... 28 Faculty Instructors .............................................................................................. 28 TCMC Regional Campus Organizational Chart ..................................................... 28 IV. Policies & Procedures ........................................................................................ 30 Attendance Policy ................................................................................................ 30 The Commonwealth Medical College March 19, 2016 Page 2 Clinical Education Days (CED) ............................................................................. 30 Clerkship/Faculty Evaluation .............................................................................. 30 Work Hour Policy ................................................................................................. 31 Absences ............................................................................................................. 31 Educational Conference Time ............................................................................... 31 Core weeks .......................................................................................................... 32 Patient Encounter Log ......................................................................................... 32 Reading List ......................................................................................................... 42 Policy on Professional Dress for Medical Students ................................................ 42 Confidentiality ..................................................................................................... 43 Patient Care Responsibility .................................................................................. 43 Remediation Policy for Students Who Fail a Course or Clerkship .......................... 43 Social Justice Statement ...................................................................................... 43 Disability Support Services .................................................................................. 43 Code of Conduct and Professional Behavior ......................................................... 44 TCMC Learning Environment ............................................................................... 45 Student Academic and Professional Integrity Form ............................................... 46 Student Code of Academic and Professional Integrity Governing the TCMC MD Program ............................................................................................................... 47 All TCMC policies ................................................................................................. 49 V. Student Health Services ..................................................................................... 50 Hours of Operation: ............................................................................................. 50 Policy on the Provision of Sensitive Health Services to TCMC Students ................. 51 Health Records/Confidentiality ............................................................................ 51 Appointments ...................................................................................................... 51 Services ............................................................................................................... 51 Primary Care Physicians located in the West Campus: ......................................... 52 Emergency Care in Williamsport .......................................................................... 53 Services for Inpatient Support .............................................................................. 53 West Campus-Local Fitness Centers .................................................................... 53 The Commonwealth Medical College March 19, 2016 Page 3 Policy on Exposure to Infectious Environmental Hazards (Needlestick Policy) ....... 54 Agreement for Follow Up for Needlestick/Body Fluid Exposure............................. 55 Basic Life Support Training .................................................................................. 56 OSHA (Occupational Safety and Health Administration) Training ......................... 56 Patient Information Release (HIPAA) ..................................................................... 56 Mask fitting ......................................................................................................... 56 Accessing Personal Support in the Regions .......................................................... 56 Mental Health Services ........................................................................................ 57 VI. IT Services ......................................................................................................... 58 ITS Hotline........................................................................................................... 58 Support and Training........................................................................................... 58 Connectivity......................................................................................................... 58 Air Card / Alternative Internet Access .................................................................. 58 Email Encryption by ZixCorp ............................................................................... 59 The Commonwealth Medical College March 19, 2016 Page 4 I. Important Dates/Contacts Important Dates for 2012-2013 Regional Orientation June 19th -22nd First day of LIC June 25th Core Week #1 Oct 22nd- 26th Winter Break Dec 22nd-Jan 1st Clerkships resumes Jan 2nd Core Week #2 April 1st-5th OSCE’s June 17th-21st Last Day of Year 3 Clerkships June 21st Holidays Students are expected to be present at all scheduled rotations. If a rotation falls on a holiday, it is the responsibility of the student to discuss with the preceptor if the office is open that day. If the office is open, the student is to be there. If the office is closed, the student is off that day. Attendance is expected at all scheduled activities unless otherwise directed by the attending physician. Shelf Exams Family Medicine and Pediatrics May 15th, 2013 Surgery and Psychiatry May 30th, 2013 Medicine and Obstetrics/Gynecology June 14th, 2013 TCMC Important Numbers Associate Dean for Student Affairs 570- 687-9700 (on call after hours) Student Health Services 570- 955-1474 Social Justice and Diversity 570- 955-1313 Student Affairs 570- 504-9635 The Commonwealth Medical College March 19, 2016 Page 5 Technology 1-866-940-1931 (after hours) West Campus Office Address 700 High St.; 2nd floor Williamsport PA 17701 Office: (570) 327-6080 Fax: (570) 327-6084 Parking in West Campus Students will be able to park in a dedicated space in the hospital parking lots located off of Campbell street. West Campus Affiliates The Commonwealth Medical College partners with several hundred physicians that comprise the Williamsport clinical faculty and are affiliated with: Susquehanna Health 700 High St. Williamsport, PA 17701 570-321-1000 www.susquehannahealth.org Muncy Valley Hospital 215 East Water Street Muncy, PA 17756 570-546-8282 Jersey Shore Hospital 1020 Thompson Street Jersey Shore, PA 17740 570-398-0100 Susquehanna Community Health and Dental Clinic 471 Hepburn Street Williamsport, PA 17701 570-567-5400 Lock Haven Hospital 24 Cree Dr. Lock Haven, PA 17745 Phone: 570-893-5000 Evangelical Community Hospital One Hospital Drive Lewisburg, PA 17837 Phone: 570-522-2000 Important Phone Numbers for Williamsport Emergency (Fire, Ambulance, Police) 911 Williamsport Police 245 W 4th St., Williamsport, PA (570)-327-7540 Loyalsock Police 1951 Green Ave, Williamsport, PA 17701 Non-Emergency The Commonwealth Medical College March 19, 2016 Page 6 (570)-433-3166 Williamsport Fire 440 Walnut St., Williamsport, PA 17701 Agencies Susquehanna Health System (570)-327-1602 (570)-321-1000 700 High St, Williamsport, PA 17701 Central PA Poison Center 1-800-222-1222 Lycoming C. Shelter Care (570)-433-3193 Crossroads Counseling Inc. (570)-323-9401 Transportation: City Bus (570)-326-2500 The Commonwealth Medical College March 19, 2016 Page 7 II. Clerkship Overview TCMC was the first United States allopathic medical school to adopt the longitudinal integrated clerkship (LIC) model as the standard clinical experience for the entire medical school class in the third year. The longitudinal integrated clerkship model was first implemented in Australian and Canadian medical schools in response to the growing dissatisfaction with the challenges to clinical education for medical students produced by the current environment of medical care. Students on traditional inpatient block rotations simply are no longer exposed to the spectrum of illness needed to learn the full course of disease and may not meet patients outside of urban areas. Further, brief lengths of stay and the fragmentation of care across specialties and sites create obstacles. Major national organizations have called for changes in the third year of medical school to address these challenges. Six Core Disciplines LIC models have been demonstrated to produce students with an improved patientcentered attitude, and diminished ‘ethical erosion’ over the four years of medical school when compared to traditional clerkship models. As the core of the LIC, TCMC incorporates longitudinal ambulatory clerkships within each of the six core disciplines (Medicine, Surgery, Pediatrics, Psychiatry, OB/GYN and Family Medicine). Students in these clerkships follow panels of patients longitudinally with their faculty. Interspersed with these longitudinal ambulatory half-days are group and case based learning sessions and tutorials, “inpatient bursts”, inpatient rounds, ER experiences, and self-directed learning. Instructional Methodology The longitudinal integrated clerkship is organized around a simple principle – continuity of both preceptors and patient panels. Students spend their days much as a physician in office practice traditionally does – seeing ambulatory patients who are followed longitudinally, and following such patients into the inpatient setting when they are admitted. Students are paired with one faculty member in each discipline and develop a panel of patients to follow over the entire year. Students are expected to follow their continuity patients in the inpatient and outpatient settings and accompany them on all of their appointments in other specialty areas as well. In place of the traditional “doctor-centered” educational experience, this provides a truly “patient-centered” experience in which students follow their patients in whatever setting they may be. It is in keeping with the dictum of Abraham Flexner who advised students and faculty to “go where the patients are”. In addition to these ambulatory experiences, students participate in a series of “inpatient bursts” in Medicine, OB, The Commonwealth Medical College March 19, 2016 Page 8 and Surgery, in which they start on –call, admit three to four patients within that particular discipline, and follow them with the inpatient team over the course of the next three to five days. Patients are followed on their transition to the outpatient setting as well whenever possible. Clerkship Schedule Students log all clinical experiences in One 45. This is software used for scheduling, evaluating and curriculum mapping. The faculty and the regional team will review the students’ experiences first on a weekly basis then monthly. In addition to their clinical experiences, students participate in structured, small group learning experiences, tutorials, and self-directed learning centered on patients that they are following. The institution provides a subscription to the Simulated Internal Medicine Patient Learning Experiences (SIMPLE), the CLIPP course in Pediatrics and the FM CASES in Family Medicine. These virtual cases provide a centerpiece for a case based curriculum. For continuity in evaluation procedures, regional leadership teams meet frequently to assess students’ progress in the clerkship. In addition, students will experience Bursts, Emergency Room (ER) shifts, Rounds, Weekend Rounds and Self-Directed Learning (SDL) throughout the program. Bursts last 3-5 days depending on regional scheduling, and include two experiences in internal medicine, two experiences in surgery, one experience in anesthesiology, and two OB experiences during the year. Students complete sixteen emergency room shifts over the course of the LIC year. Students are responsible for checking the schedule for times. Students are expected to conduct rounds each weekday morning or evening and weekend rounds. Rounds are to be completed every morning for any hospitalized patients being followed. Weekend rounds are conducted if the student is not scheduled on a burst, on either Saturday or Sunday morning with any hospitalized patients being followed. Self-Directed Learning (SDL), or white space, occurs three one-half days per week. Time in the morning and in the evening after office hours is also considered whitespace. During SDL, students should attend appointments with patients, follow up with patient labs, call patients, prepare for conferences or tutorials, and complete reading and writing assignments, educational prescriptions or self-study. The Commonwealth Medical College March 19, 2016 Page 9 Sample Schedule Student Responsibilities The student is responsible for attending all clinical sessions and didactic learning experiences as part of the clerkships as well as completing self-directed learning experiences and activities. At times, the students may need to choose between two important clinical experiences which are taking place at the same time. For example, a student’s hospitalized patient has a clinical emergency at the same time that the student is expected to be in the office. The student is responsible for informing the supervising attending if there is such a conflict that affects the attendance at a usual clinical experience. The student is responsible for notifying both the Regional Education Specialist, RES, and the supervising attending if illness or a personal emergency prevents attendance. Attendance at didactics and conferences is mandatory. In addition the students are responsible for completing an e-portfolio (log) of clinical experiences during the year. Students are furnished with a listing of experiences that they must complete during the course of the year and are responsible for ensuring that these minimums are met. Students can work with faculty to close any gaps that may exist as the year progresses. The Commonwealth Medical College March 19, 2016 Page 10 There are no unexcused absences in the third-year. Students may take up to 7 personal days during the year and may miss no more than 2 Friday Clerkship Education Days or CED. Any student missing three or more CED sessions are referred to the Committee on Academic and Professional Standards (CAPS) REGARDLESS OF THE REASON FOR THE ABSENCE. Any student requiring more than 7 days off during the third year are advised to consult the TCMC Leave of Absence Policy. Students are advised to refer to the specific Longitudinal Integrated Clerkship (LIC) Syllabi on blackboard for more information. Whitespace Defined An LIC requires initiative on the part of medical students. While an LIC gives students the most true-to-life experience of patient care, it also demands a high degree of responsibility. Most students feel somewhat disoriented for the first few months; this is expected. Many students express confusion with the concept of whitespace and here are some guidelines to how to use this protected educational time. 1. Whitespace is not vacation or “free-time”. It is time in which you are to follow your patients who are hospitalized, having a procedure, or a consultation. It is time to make a home visit. It is time to make rounds on patients. The first use of whitespace is to follow your patients. 2. The second use of whitespace is to fulfill the requirements of the clerkship. It is a time to seek out encounters or procedures that are required. This does not need to be done all during the first two months. The LIC is not a race to complete encounter charts, but it is a method to learn the practice of medicine over time. In fact, students will experience better educational outcomes if required encounters are completed over time. 3. Whitespace CAN be used to pursue areas of interest, however, it is not just to be used observing procedures or being a “fly on the wall”. Students should seek out active learning opportunities whenever possible. 4. Whitespace CAN be used to read, study, or attend local educational sessions. This is probably the least effective use of time. While students must set up a reading and study schedule, this is better done during evenings and weekends. The Commonwealth Medical College March 19, 2016 Page 11 Accessing Academic Support in the Regions TCMC provides proactive support to students as they matriculate through the medical curriculum. Students who would like to enhance their clinical or professional skills may contact the regional leadership team (Regional Dean or Clerkship Director) for assistance. The Regional Educational Coordinators, Regional Clerkship Director and Regional Education Specialist are available to meet with students upon request. In addition, students may be referred to the Office of Academic Affairs by the Regional Clerkship Director through the Progress Monitoring Program. Clinical preceptors who are concerned about a student’s progress through a clerkship may refer a student for assistance with clinical skills, interviewing skills, or assessment and intervention techniques. Evaluation Methods Learner Evaluation Students should review each clerkship syllabus for grading requirements. In addition to the clerkship grades, narrative evaluations will be prepared by the Regional Education Coordinator and the Education Director for each clerkship and provided to the Office of the Registrar, the student’s advisor, and reviewed by the Committee on Academic and Professional Standards (CAPS). Because of the year long nature of the clerkships, students receive evaluations on their performance from their preceptors at 60 days into the year. These evaluations will NOT form part of the narrative, but rather serve as early feedback mechanisms to help students gauge their progress. At six months and at the end of the clerkship, lengthier, formal evaluations are done which are used to comprise the final course grade and course narrative. A sample Internal Medicine evaluation can be found in the Appendix. All other evaluations can be found on the Blackboard for each course. Students performance on all activities during the year – NBME examinations (CSSE, Subject (Shelf) practice examination, Subject (Shelf) examinations and pre-post testing will be shared with the appropriate disciplines and/or leadership to determine progress in the LIC experience (either as individuals and/or as a cohort). Faculty Evaluation In addition, students complete evaluations of faculty at 60 days, 6 months and at the end of the year. These will provide important information to the program leadership The Commonwealth Medical College March 19, 2016 Page 12 team on how our faculty is doing. Results will NOT be provided to the faculty until the final end of year clerkship grades are completed. Completing your faculty and program evaluations are NOT optional, i.e. they are required to receive your grade in the course. Grading All clerkship grades are determined by the discipline-specific grading committee. The Education Director and the Regional Education Coordinators from each region comprise the committee. The committee will review all of the materials that pertain to the specific clerkship and assign a specific grade. Clerkship grades may be Honors (H), Satisfactory (S), or Unsatisfactory (U). Honors will be given to those students performing in the top 15%. Grades will be determined in the following manner: Clinical Preceptor Evaluation – 40% Performance in Case Conferences, Tutorials, Reflection and Inpatient Bursts – 20% Performance on NBME “Shelf” Exam – 20% Performance on OSCE’s-20% (done during the call back weeks) A SATISFACTORY grade requires that students have a passing score on the NBME exam which is defined as a score greater than two standard deviations below the national mean for the prior year. It also requires a mean score of “4” or more on their faculty evaluation. Passing OSCE and TBL scores are also required. Students MUST complete all of their clinical encounters/procedures as outlined. Any student not meeting these requirements will receive the grade of UNSATISFACTORY. A clinical preceptor may recommend a student for the grade of INCOMPLETE based on his/her assessment of the student’s performance over the year. Students receiving a grade of UNSATISFACTORY or INCOMPLETE will be notified by the Education Director for the clerkship and the student will be referred to the Committee on Academic and Professional Standards (CAPS). For clerkships with inpatient burst experiences, the grading committee will solicit feedback from the faculty involved in the burst(s) and will take this into account when assigning a final clerkship grade. The grading committee may choose to contact clinical preceptors to discuss a student’s performance over the year. The committee may use this information to help in the assignment of a final clerkship grade. The individual clinical preceptor may recommend a student for honors, but only the The Commonwealth Medical College March 19, 2016 Page 13 grading committee may assign a grade of HONORS. An HONORS grade will be given to the top 15% of students in that discipline for that year. Students will be considered as a class and not by region for this distinction. The rationale for the top 15% of students receiving honors is to identify those students who have truly excelled in a specific discipline. The grading schema for clinical clerkships is included in the TCMC Medical Student Performance Evaluation (MSPE) letter sent to residency programs. The grading committee will also finalize the clerkship narrative which will be included in the MSPE. The Commonwealth Medical College March 19, 2016 Page 14 III. West Campus Faculty & Staff The West Campus covers Bradford, Tioga, Lycoming, Sullivan and Clinton counties and serves residents throughout north central Pennsylvania. Keith Shenberger, MD Associate Dean for Regional Campus Development West Campus Medical Center 700 High St. Williamsport, PA, 17701 570-327-6083 E-mail: kshenberger@tcmedc.org Jill M. Taggart Regional Education Specialist West Campus Medical Center 700 High St. Williamsport, PA, 17701 Office: 570-327-6080 E-mail: jtaggart@tcmedc.org Tammy Button Regional Office Manager West Campus Medical Center 700 High St. Williamsport, PA, 17701 Office: 570-327-6080 E-mail: tbutton@tcmedc.org Christine Wise Assistant Director of Student Affairs West Campus Medical Center 700 High St. Williamsport, PA, 17701 Office: 570-687-9714 Email: cwise@tcmedc.org The Commonwealth Medical College March 19, 2016 Page 15 Core Educators In addition, the following core team of educators manages clinical rotations throughout years three and four, when students are living full-time in each regional campus. Margrit Shoemaker, MD Regional Clerkship Director 1100 Grampian Boulevard Williamsport PA 17701 W-(570)320-7848 C- (570)419-0149 mshoemaker@tcmedc.org Robin Hampton, MD, PhD Regional Education Coordinator, Medicine 700 High St. Williamsport PA 17701 W-(570)321-2181 C-(570) 220-5943 rhampton@tcmedc.org Timothy Heilman, MD Regional Education Coordinator, Family Medicine 699 Rural Avenue Williamsport PA 17701 W-(570)321-2340 C(570)337-3856 theilmann@tcmedc.org Janice Schifferli, DO Regional Education Coordinator, OB/GYN 699 Rural Avenue Williamsport, PA 17701 570-321-2339 570-447-2628 Jschifferli@tcmedc.org The Commonwealth Medical College March 19, 2016 Page 16 Seth Weber, MD, JD Regional Education Coordinator, Medicine 700 High St. Williamsport, PA 17701 570-321-2850 Sweber01@tcmedc.org Teresa Bianco, MD Regional Education Coordinator, Psychiatry 1100 Grampian Boulevard S. Williamsport, PA 17728 570-320-7525 tbianco@tcmedc.org Susan Branton, MD Regional Education Coordinator, Surgery 834 Mosquito Valley Road S. Williamsport, PA 17702 570-326-8200 570-220-1394 sbranton@tcmedc.org ` Ralph Kaiser, MD Regional Education Coordinator, Pediatrics Community Health and Dental 471 Hepburn St. S. Williamsport, PA 17702 (570) 567-5416 rkaiser@tcmedc.org The Commonwealth Medical College March 19, 2016 Page 17 Educational Leadership The educational leadership is comprised of the following: Chris Adonizio, MD Education Director of Medicine Dr. Adonizio graduated from University of Scranton and Jefferson Medical College and completed an internal medicine residency at Lankenau Hospital, followed by a fellowship in hematology-oncology at Fox Chase Cancer Center, Philadelphia. Dr. Adonizio practices hematology-oncology in Scranton and is an active researcher in the Eastern Cooperative Oncology Group (ECOG). Mark Frattali, MD Education Director of Surgery Dr. Frattali practices otolaryngology and head and neck surgery in Scranton. He received a BS in speech pathology and an MS in audiology at Ithaca University, followed by an MD at Hahnemann University with surgical training at Albert Einstein Medical Center, Philadelphia and Thomas Jefferson University Hospital. He serves as chief of otolaryngology and head and neck surgery at Regional Hospital of Scranton. A.C. Patel, MD Education Director of Psychiatry Dr. Patel is medical director of Scranton Counseling Center and Community Medical Center Behavioral Health program. He has served as president of the Northeast Chapter of the Pennsylvania Psychiatric Society and has presented regionally and nationally on psychiatric disease and treatments. The Commonwealth Medical College March 19, 2016 Page 18 Jennifer Joyce, MD Education Director of Family Medicine Dr. Joyce joins TCMC from University of Kentucky School of Medicine where she served in multiple educational roles including director of the third year clerkship, director of pre-doctoral programs, and medical director for the Family Medicine Practice. She was named to America’s Top Family Doctors in 2009 and is the recipient of numerous teaching awards, including the Flexner Master Educator Award at University of Kentucky. Dr. Joyce leads educational programs and curriculum development. Brian Wilcox, MD, PhD Education Director of OB/GYN Dr. Wilcox received his medical degree from Albany Medical College where he was named to the Medical Honor Society Alpha Omega Alpha. He also received a PhD in physiology and cell biology from Cornell University. He completed his OB/GYN residency at MageeWomen’s Hospital in Pittsburgh where he won multiple teaching awards. Thomas Martin, MD Education Director of Pediatrics Dr. Martin has had a distinguished career in pediatrics which began at Geisinger Medical Center, where he served as chair for twenty years, directed the Pediatric Residency Program and helped found the Janet Weis Children’s Hospital. He is vice chairman of pediatrics at Williamsport Hospital and the director of the Pediatric Hospitalist and Level II Nursery Service. He has multiple publications in well known pediatrics journals and has been named to Marquis Who’s Who in America and Who’s Who in the World for the past three consecutive years. He has also been named in the “Guide to America’s Top Pediatricians” multiple times. The Commonwealth Medical College March 19, 2016 Page 19 Clinical Faculty Serving as continuity mentors, clinical educators, and clinical preceptors, Williamsport clinical faculty members work with medical students to facilitate primary care and inpatient and outpatient clinical experiences in years one and two. Last Name Adeel Agbemabiese Alamy Allerton First Name Waqas Charles Shaheer Jeffrey Suffix MD MD MD MD Ambrose David MD Anderson Baca Elizabeth Dino MD DO Bartlow William MD Belardi Belenko Bering Bhatt Bianco Blas III Bloiso Francis Michael Joseph Praful Teresa Alfredo Glenn MD MD MD MD MD MD MD Boll Borys Borys John David Susan DO MD MD Boyek Michael MD Branton Susan MD Bresticker Burke Burks Burns Buschman David Thomas John John Brian MD MD MD MD MD The Commonwealth Medical College March 19, 2016 Discipline Medicine Medicine Psychiatry Medicine Family Medicine Family Medicine Pediatrics Family Medicine Family Medicine Basic Science Medicine Pediatrics Psychiatry Medicine Surgery Family Medicine Basic Sciences Medicine Family Medicine Surgery Family Medicine Medicine Medicine Medicine Family Specialty Hospitalist Hematology/Oncology Psychiatry Oncology Family Medicine Family Medicine Pediatrics Family Medicine Family Medicine Pathology Cardiology Pediatrics Psychiatry Nephrology Urology Family Medicine Pathology Internal Medicine Family Medicine Breast Surgery/General Surgery Family Medicine Pulmonology Cardiology Gastroenterology Family Medicine Page 20 Callaghan Calvert Carey Castellan Ciccarelli Collins Connolly Croll Cundiff DeMay Deshmukh DiSimone Dolan Donato Dowell Jr. Dreher James Terri Patrick David Lee Leonard Thomas Scott Jeffrey Joseph Pramod Ronald Kendra Robert Richard Janice MD MD DO MD MD MD MD MD PA-C MD MD MD MD DO PH. D CNM Durrwachter Ecker Eggerton Kenneth Herbert Gary MD MD MFT Engel Esaa Esaa Essel Farrington Bethany Durriya Shabbir Adwoa Quinne PA-C MD MD MD MD Fausnaught Fisher Foresman Fullana-Jornet Galloway Todd Cedric Brian Maria Lisa MD MD MD MD MD Giordano Glunk Guy Daniel MD MD Gombosi Russell MD The Commonwealth Medical College March 19, 2016 Medicine Family Medicine Psychiatry Surgery Pediatrics Medicine OB/GYN Surgery Surgery Surgery Pediatrics Medicine Surgery Medicine OB/GYN Psychiatry OB/Gyn Family Medicine Surgery Psychiatry Family Medicine Surgery Medicine Medicine Psychiatry Family Medicine Medicine Surgery OB/Gyn Medicine Family Medicine Medicine Medicine and Pediatrics Family Medicine Psychiatry Orthopedic Surgery Pediatrics Internal Medicine OB/GYN Orthopedic Surgery General Surgery Orthopedic Surgery Pediatrics Cardiology Orthopedic Surgery Emergency Medicine OB/GYN Psychiatry OB/Gyn Family Medicine Plastic Surgery Psychiatry Family Medicine Ophthalmology Radiology Nuclear Medicine Psychiatry Family Medicine Hospitalist General Surgery OB/Gyn Occupational Health Family Medicine Internal Medicine Internal Medicine and Pediatrics Page 21 Goossens Greenage Jan Michael MD DO Gross Hampton Hartzell Michael Robin Scott MD MD MD Haussmann Heere Andrew Barbara MD MD Heilmann Timothy MD Medicine Psychiatry Family Medicine Medicine Surgery Family Medicine Medicine Family Medicine Family Medicine Family Medicine Medical Affairs Surgery OB/Gyn Medicine Medicine OB/Gyn Pediatrics Medicine Family Medicine Medicine Family Medicine Hemmendinger Barbara MSS Herrington Hess Hoffman Huggler Ippolito Javed Kaiser Kaiser Kakarala Pamela Donald Michael Angela Anthony Asif Patricia Ralph Renuka MD MD MD MD DO MD CNM MD MD Keenan Kelleher William Matthew MD MD Kent Sarah King Kinkead Stephanie Kevin Kirk Knapp Kolb Quinn Marian Aaron Kuhns Lamade Leathers Lessmann David Charles Donald Juan MD BSN RN CRNP Psychiatry MD Surgery Family MD Medicine M. Ed. Psychiatry MD Medicine Family MD Medicine MD OB/GYN MD Basic Sciences MD Surgery The Commonwealth Medical College March 19, 2016 Internal Medicine Psychiatry Family Medicine Infectious Disease Ophthalmology Family Medicine Internal Medicine Family Medicine Family Medicine Family Medicine Medical Affairs Orthopedic Surgery OB/Gyn Rheumatology Hospitalist OB/Gyn Pediatrics Internal Medicine Family Medicine Hospitalist Family Medicine Psychiatry Anesthesia Family Medicine Psychiatry Emergency Medicine Family Medicine OB/GYN Pathology General Surgery Page 22 Lewis Lightman Llinas Kathleen David Alfredo DO MD MD Lopatofsky Mahmood David Qasim MD MD Manchester Manuel Marabella Marceau Martin George Mervin Kathleen Michael Thomas MD MD MA MD MD Mattiace McCauley McLaughlin William William Heather MD MD CNM Meyers Miele Lee Carolyn MD CNM Miller Miller Moreau Bradley George Joan DO MD MD Mullarkey Myers Nagel Nardone Nasser Nesbitt Niditch Nissley Donna Linda David Donald Sal Alexander A. Scott J. Marlin MD MD MD MD MD MD MD MD Nix Ockenhouse Donato O'Hara Olinsky Onukogu Collier MD Family Medicine Surgery Surgery Family Medicine Pediatrics Family Medicine Pediatrics Psychiatry Psychiatry Pediatrics Family Medicine Medicine OB/Gyn Family Medicine OB/Gyn Family Medicine OB/Gyn Psychiatry Family Medicine Surgery Medicine Medicine Medicine Medicine Surgery Pediatrics Family Medicine Ingrid Mary Beth Stuart Ngozi MD DO MD MD Medicine Pediatrics Medicine OB/Gyn The Commonwealth Medical College March 19, 2016 Family Medicine Ophthalmology General Surgery Family Medicine Pediatrics Family Medicine Pediatrics Psychiatry Psychiatry Pediatrics Family Medicine Pulmonology OB/Gyn Family Medicine OB/Gyn Family Medicine OB/Gyn Psychiatry Family Medicine Breast Surgery Radiation Oncology Cardiology Anesthesia Palliative Care Urology Pediatrics Family Medicine Internal Medicine Pediatrics Neurology OB/Gyn Page 23 Osevala Osman Othmer Mark Jessica Johann DO DO MD Surgery Pediatrics Psychiatry Pagana Patel Patel William Rajesh Shailesh MD MD MD Peck William MD Piergallini Mary MD Pigos Pineda-Roman Purcell Rajjoub Recinto Redcay Kevin Mauricio Robert Jr. Rodwan Cynthia Julia MD MD MD MD MD DO Redka Rekhala Reynolds Rigal Robinson Rockoff Rose RuedaVasquez Sajja James Vijay-Kumar Lisa Rene Warren Steven James MD MD MSW MD MD MD MA Medicine Medicine Surgery Family Medicine Family Medicine Family Medicine Medicine Medicine Surgery Medicine OB/Gyn Family Medicine Psychiatry Psychiatry Surgery Medicine Surgery Psychiatry Eduardo Sai Sammons Schaefer Schauer Robin David Jason MD MD MSN RNC MD MD Schifferli Scopelliti Senula Shafique Shaw Shellenberger Janice Joseph Gerhard Mohammad Robert Megan DO MD MD MD PsyD PA-C The Commonwealth Medical College March 19, 2016 Cardiothoracic Surgery Pediatrics Psychiatry Internal Medicine and Pediatrics Internal Medicine Anesthesia Family Medicine Family Medicine Family Medicine Hematology/Oncology Gastroenterology Neurosurgery Internal Medicine OB/Gyn Family Medicine Psychiatry Psychiatry Pain Management Hematology/Oncology Urology Psychiatry Psychiatry Surgery Psychiatry Vascular Surgery Psychiatry Medicine Medicine Family Medicine Medicine Medicine Medicine Psychiatry OB/Gyn Psychiatry Gastroenterology Emergency Medicine Family Medicine Gastroenterology Emergency Medicine Cardiology Psychiatry OB/Gyn Page 24 Shenberger Shoemaker Spinney Stankiewicz Stapleton Stea Steinbacher Keith Margrit Carmen Russell Dwight Sam Bernard Stoetzel Stoltzfus Story Stryker Swatkowski Talabiska Terwilliger Thomas Melinda Elam Nancy Allan Kathryn David Jerry Ralph MD MD MD MD MD MD MD MHS PA-C MD MD MD CNM DO MD MD Timko Todhunter Trostle Tuffaha VanDort Carrie William Douglas Hani Martin MD MD MD MD MD Verzella Jeffrey MD Wagner Walgampaya Christopher Dakshina MD MD Wallace Thomas Warnick Weber Weber Molly Seth Stephen MD PA-C MPAS MD MD Wetzel Allen MD Wiegand Rosemary Wool Wright James Michael MD LSW, CADC MD The Commonwealth Medical College March 19, 2016 Medicine Medicine Medicine OB/Gyn Medicine Medicine Medicine Family Medicine Pediatrics Medicine Surgery OB/Gyn Medicine Pediatrics Surgery Family Medicine Surgery Surgery Surgery Medicine Family Medicine Family Medicine Medicine Family Medicine Rheumatology Endocrinology Internal Medicine OB/Gyn Cardiology Nephrology Hospitalist Medicine Medicine Medicine Family Medicine Family Medicine Rheumatology Hospitalist Infectious Disease Psychiatry Family Psychiatry Family Medicine Family Medicine Pediatrics Geriatrics Plastic Surgery OB/Gyn Gastroenterology Pediatrics Anesthesia Family Medicine General Surgery General Surgery Neurosurgery Infectious Disease Family Medicine Family Medicine Internal Medicine Family Medicine Family Medicine Family Medicine Page 25 Medicine Xavier Yadalla Yartz Geralda Sanchita Frank MD MD DO Yordy Steven MD Young Zimmerman David Amanda MD PA-C The Commonwealth Medical College March 19, 2016 Medicine OB/Gyn OB/Gyn Family Medicine Family Medicine Medicine Emergency Medicine OB/Gyn OB/Gyn Family Medicine Family Medicine Oncology Page 26 Faculty Roles and Responsibilities: Education Directors The Education Director (ED) is ultimately responsible for all content and activities associated with the clerkship, including establishing the educational goals for the clerkship, organizing clinical and didactic activities, and ensuring that these activities meet stated goals. The ED works in conjunction with Clinical Chairs, Regional Deans, Regional Clerkship Directors, Regional Education Coordinators, and Clinical Faculty to develop and deliver the educational content of the clerkship. In addition, the ED works to ensure comparability for the clerkship at all sites and has responsibility for ongoing review and revision of the clerkship experience. The ED serves as the chair of his/her respective grading committee and works with the Regional Education Coordinators in assigning student grades for the clerkship. Regional Education Coordinators The Regional Education Coordinator (REC) is responsible for the coordination of all local activities at his/her respective clinical regional campus, including the implementation of the curricular goals and ensuring that all activities are fulfilling these goals. The REC is responsible for the recruitment and evaluation of faculty in the region for the clerkship. The REC serves as a primary regional contact for students in a specific clerkship. All RECs serve as members of their respective grading committees. Regional Clerkship Director The Regional Clerkship Director (RCD) works with the Regional Dean and Education Directors to ensure that all clinical activities in the region are functioning in a coordinated fashion. This individual is responsible for working with Regional Education Coordinators across the disciplines to ensure that each student fulfills educational goals. The RCD serves as a primary contact for students assigned to a specific region. The RCD mentors and motivates students, monitors their progress, and assists students requiring remediation or counseling. The RCD has no role in assigning grades for any clerkship, but may intervene in global student performance issues such as in the domain of professionalism. Regional Education Specialist The Regional Education Specialist (RES) is the primary, initial point of contact for students to clarify scheduling issues, or address educational or logistical concerns. In The Commonwealth Medical College March 19, 2016 Page 27 addition, the RES will interface with the individual disciplines to help ensure that objectives are being met, and in addition, will act as an interface for Student Affairs functions. The RES, with the assistance of the Regional Campus Manager, will produce schedules for each student’s activities. Clinical Preceptors The faculty for the clerkship will work with the student on a daily basis to collaborate with the student in the care of the students’ patients. The faculty is the initial point of contact for the students, and is responsible for reporting any issues a student may be having with meeting the learning objectives to the Regional Clerkship Director. The faculty is responsible for ensuring a welcoming and supportive learning environment for the student, identifying gaps the students may have, and helping to direct the student towards resources for self-directed learning to fill these gaps. He/she is also responsible for setting the highest example of professionalism and lifelong learning for TCMC students. Assistant Director of Student Affairs The Assistant Director of Student Affairs will be managing the Regional Student Affairs Office and facilitate student transition to the regional campus. In addition, the Assistant Director of Student Affairs will assist in the coordination of student health services, advising services and student participation in the Electronic Residency Application Service (ERAS) and the National Resident Matching Program (NRMP). Faculty Instructors The faculty instructor for the clerkship will work with the student on a weekly (in person) and daily (through phone and email) basis to collaborate with the student in the care of the students’ patients. The faculty is the initial point of contact for the students, and is responsible for reporting any issues a student may be having with meeting the learning objectives to the Regional Clerkship Director. The faculty is responsible for ensuring a welcoming and supportive learning environment for the student, identifying gaps the students may have, and helping to direct the student towards resources for self-directed learning to fill these gaps. He/she is also responsible for setting the highest example of professionalism and life-long learning for TCMC students. TCMC Regional Campus Organizational Chart to follow on the next page. The Commonwealth Medical College March 19, 2016 Page 28 The Commonwealth Medical College March 19, 2016 Page 29 IV. Policies & Procedures Attendance Policy Students will be accountable and personably responsible for attending all clerkship activities. Attendance is MANDATORY for all clerkship related activities (as outlined in the previous pages), Portfolio assignments, and presentation delivered at the conclusion of the clerkship. Excused absence from scheduled learning activity requires prior notification and approval of the agency clerkship coordinator and the Regional Campus Dean and should be requested only for extenuating circumstances. Absences because of illness or family emergency will be addressed on an individual basis by the Regional Campus Dean or Clerkship Director. Unexcused absences from any clerkship activity will be reported to the Regional Campus Dean’s office where attendance records will be maintained for review and appropriate action. Attendance at all clinical and educational sessions is required. The only exception to this is if there are conflicting patient care learning opportunities; in this case the student must prioritize the conflict and report in to the affected faculty member. Punctuality is of extreme importance; appearing late to clinical experiences and/or conferences is not acceptable and will affect the students’ grade. Clinical Education Days (CED) On Friday afternoons from 1:00 to 4:30 PM students are REQUIRED to participate in a Clinical Education Day (CED). This is held at the regional campus and is sponsored by the Year 3 educational team. Please refer to the schedule posted on the portal. Attendance is MANDATORY. Students may have no more than 2 unexcused absences during the year. This is to maximize the learning experience for each student. Students missing any activity for any reason must report this to the appropriate faculty and their Regional Educational Specialist (REC). Any student having more than 2 unexcused absences during the year will be referred to the Committee on Academic and Professional Standards (CAPS) by his/her Regional Clerkship Director. Clerkship/Faculty Evaluation Thoughtful student feedback is vital to assuring a high quality curriculum and educational experience. All students will be given an opportunity to provide constructive feedback to the clerkship coordinators, Regional Campus Dean(s), and The Commonwealth Medical College March 19, 2016 Page 30 Clerkship Director(s) for the Internal Medicine clerkship. Numerical ratings by all students will be solicited at the end of the course through the Office of Evaluation & Assessment using the student feedback evaluation form specifically designed for the TCMC Internal Medicine Clerkship. Work Hour Policy TCMC agrees with the AMA-MSS statement on medical student work hours, and believes that periods of rest optimize learning. In keeping with the ACGME work hour restrictions for residents, TCMC’s policy is as follows: TCMC does not permit students to work greater than 80 hours in a week. Call periods are limited to 24 hours. Call is limited to no more than once every three nights. Duty free periods between on-call should be at least 8 hours long. Students should have at least 24 consecutive hours free of all assigned duty every seven days. The on-duty time medical students spend delivering patient care services of marginal or no educational value should be minimized. Students will submit a monthly “hours on duty” form to their Regional Educational Specialist. Absences There are no unexcused absences during the 3rd year. Students may take up to 7 days in excused absence time (if a student is ill, he or she must obtain a written clearance from a health-care provider to return to clinical duties). All absences must be reported to the Regional Educational Specialist and it is the student’s responsibility to inform clinical preceptors of this time and to use whitespace as make-up time. Any student failing to notify his/her clinical preceptor AND Regional Educational Specialist of an absence will be considered in breach of professionalism, and will be referred to his/her Regional Clerkship Director and ultimately to the Committee for Professional and Academic Standards (CAPS). Any other time off requested during the third year is covered by the College’s Leave of Absence Policy. Educational Conference Time TCMC encourages 3rd and 4th year students to attend and participate in educational conferences of medical and scientific organizations and societies. Attendance at these meetings should follow the guidelines listed below: 1. Students may be absent from 3rd or 4th year clinical/educational responsibilities for a maximum of 3 days during each academic year. The Commonwealth Medical College March 19, 2016 Page 31 2. Any absence greater than 3 days will be used against the student’s 1 week of personal time. 3. Students must apply to the Office of Academic Affairs, in writing, 30 days prior to the meeting. This is required even if the student is not seeking funds to attend the meeting. 4. The Education Director for the discipline must approve of the absence. 5. Students must inform all preceptors and arrange for any makeup time at the discretion of the preceptor. 6. Students must prepare a brief (10-15 minute) oral presentation and present at the next Friday Didactic session reviewing important topics learned at the meeting/conference. If the student is presenting data at the conference, it is desirable that the oral presentation focus on feedback received or new ideas learned regarding the research. 7. The TCMC Office of Academic Affairs has limited funds to defray the costs of attending such meetings. Priority is given to students presenting data or coauthoring presentations. See the policy on Scholarships to Attend Professional meetings. Core weeks Attendance at ALL activities during core weeks is MANDATORY. Any student with an unexcused absence will be referred to the Committee for Academic and Professional Standards (CAPS). Students with excused absences are REQUIRED to make-up any material missed during their absence. The core weeks for the 2012-2013 academic year are: Monday, October 22, 2012 to Friday, October 26 Monday, April 1, 2013 to Friday, April 5, 2013 Monday, June 17, 2013 to Friday, June 21, 2013 Patient Encounter Log There are many patients with many diagnoses that an internist will see in a busy practice. One of the rewards of practice in Internal Medicine and its subspecialties is that the physician can follow these adult patients for years. During your clerkship you, with the help of your preceptor, will identify 10-15 patients as “continuity patients” that are seen frequently in the ambulatory setting and that you will follow closely. Because this is a Longitudinal Integrated Clerkship in which you work and learn simultaneously in the six core disciplines. The following patient encounter types and procedure requirements may be filled at any time during your year-long experience in any clinical setting. The Commonwealth Medical College March 19, 2016 Page 32 Logging encounters is MANDATORY. Student logs are reviewed at 2 weeks, 1 month, 2 months, 3 months, 6 months, 9 months, and 12 months during the Longitudinal Integrated Clerkship. Students MUST have all requirements completed in one of the six core disciplines (IM—Internal Medicine, FM—Family Medicine, PED—Pediatrics, SURG—Surgery, OB—Obstetrics and Gynecology, PSY—Psychiatry) or in an ALT— alternative learning environment such as the simulation center, during educational sessions, on-line modules, or other learning methods. Experiences occurring in the Emergency setting are to be logged under the core discipline that is most appropriate. The following table outlines the requirements for all six disciplines. ALL encounters must be logged into the One45 system. The table below is a master list of all encounters. The first column is the specific encounter, the second column is the MINIMAL number of encounters required (remember ALL encounters MUST be logged). Students must participate in at least this number of encounters to pass the clerkship. The next column designated “L” means that these encounters are “logged only” unlike certain procedures and encounter types which require “L/F”, “logging and feedback”. Students must choose (from a drop-down menu in One 45) one of the following seven clerkships or alternative educational experiences appropriate to the encounter. Just as busy clinicians must finish patient records to be in compliance with standards of practice, M3 students are expected to be in compliance with logging. It is recommended that students log encounters at least daily to maintain their record. Students who fail to log encounters or who fall behind in logging will be referred to their Regional Clerkship Director (RCD) who may ultimately decide to make a referral to the Committee on Academic and Professional Standards for a breach of professionalism. Longitudinal Integrated Clerkship Requirements REQUIRED PATIENT TYPES Abdominal Aortic Aneurysm Abdominal Pain Abnormal labor Abnormal Pap Smear Abnormal uterine bleeding Abrasion Acute injury -- in a child Acute Kidney Injury Adenexal mass/cyst The Commonwealth Medical College March 19, 2016 1 3 1 2 2 1 1 1 1 lo g L L L L L L L L L I M F M PE D SUR G O B PS Y AL T Page 33 Alloimmunization during pregnancy Amenorrhea Anemia Anorectal disease Anxiety disorder Appendicitis -- acute Arrythmia Asthma -- in a child Autism screening Back pain -- acute Behavioral disorder Biliary disease Bipolar disorder Bleeding Disorder Bowel incontinence Bowel obstruction Breast Mass Breast Pain CABG -- patient management Cancer Diagnosis Cerumen impaction Chest pain Child sexual abuse Chromosomal abnormality Chronic back pain Chronic Kidney Disease Colorectal cancer Colposcopy -- observe Congestive Heart Failure Conjunctivitis Contraception counseling COPD Cough evaluation Dehydration -- in a child Delirium Dementia Dental disease Dental review -- in a child Depression -- follow-up Depression -- geriatric patient The Commonwealth Medical College March 19, 2016 1 1 2 1 1 1 3 2 2 2 1 4 2 1 2 2 3 1 2 1 1 3 1 1 3 1 2 1 5 1 2 2 3 1 2 3 3 2 2 1 L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L Page 34 Depression -- initial diagnosis Developmental delay Diabetes Diabetes -- initial diagnosis Diabetes and pregnancy Diabetes mellitus -- in a child Diabetic foot ulcer Diarrhea Diet/Exercise counseling Digestive Malignancy Diverticular disease Dizziness Dysmenorrhea Dyspnea Evaluation Ear pain -- in a child Eating disorder Ectopic Pregnancy Edema -- lower extremity Electrolyte abnormality -- in a child Endometriosis Eye problem Failure to thrive -- in a child Fall risk evaluation Family and Social Support Discussion Fatigue Fetal Death Fetal Growth Abnormalities Fever Evaluation -- in a child Fever Evaluation -- in an adult Fibroids First Trimester Bleeding Fracture or dislocation Gastroenteritis -- in a child GERD GERD -- surgical evaluation Geriatric patient in community Geriatric patient in long-term The Commonwealth Medical College March 19, 2016 2 1 2 3 1 1 1 3 2 2 1 3 1 3 2 1 1 3 L L L L L L L L L L L L L L L L L L 1 1 2 1 2 L L L L L 2 3 1 1 3 L L L L L 3 1 1 3 2 3 1 L L L L L L L 1 L 1 L Page 35 care Gestational Trophoblastic disease GI bleed -- upper Grief Growth abnormality -- in a child Gynecologic Malignancies Headache -- in a child Headache -- in an adult Hearing screening -- in a child Hernia HIV/AIDS Hospice patient Hyperlipidemia Hyperlipidemia -- initial diagnosis Hypertension Hypertension -- initial diagnosis Immunizations Infection, peripartum Infertility patient Injury prevention -- in a child Intimate Partner Violence Screening Ischemic heart disease Kidney stones Labor, normal Lacerations Lactation Consult, observation Lead Exposure -- in a child Leg pain -- in a child Liver Disease Lung Mass Menopause/Perimenopause Multifetal gestation Multiple chronic illnesses Neck mass evaluation Neck pain -- acute The Commonwealth Medical College March 19, 2016 1 L 2 L 1 L 1 1 2 3 2 3 1 3 1 L L L L L L L L L 3 L 1 L 3 1 0 1 1 2 L 5 2 1 3 1 L L L L L 1 2 1 1 1 2 1 3 1 2 L L L L L L L L L L L L L L Page 36 New diagnosis -- adult patients Nutrition Obesity -- in a child Obesity -- in an adult Obstructive uropathy Osteoarthritis Osteoporosis Panic disorder Pelvic floor dysfunction/prolapse Pelvic pain, acute Pelvic pain, chronic Peripheral vascular disease Pneumonia Pospartum depression Postmenopausal bleeding Postpartum care -- routine Postpartum hemorrhage Postterm Pregnancy Preconception care Pre-eclampsia/eclampsia Pregnancy -- advanced maternal age Pregnancy -- First trimester care Pregnancy -- Second trimester care Pregnancy -- Third Trimester care Pregnancy termination Premature infant Premature rupture of membranes (PROM) Premenstrual Syndrome/PMDD Preterm labor (PTL) Prostate disease -- surgical evaluation Psychosis, acute Rash -- in a child Rash -- in an adult The Commonwealth Medical College March 19, 2016 3 2 2 3 1 1 2 1 L L L L L L L L 1 2 2 1 1 1 1 3 1 1 1 1 L L L L L L L L L L L L 2 L 2 L 2 L 2 L 1 L 2 L 1 L 1 L 1 L 1 2 2 3 L L L L Page 37 Rheumatoid Arthritis Salivary gland malignancy Schizophrenia Seizure Disorder Seizure disorder -- in a child Severely disabled child Sexual Assault Sexually Transmitted Infection Sore throat -- in a child Spontaneous abortion Sterlization counseling Stroke, acute Substance use/dependence Suicide attempt, acute Teen Pregnancy Third trimester bleeding Thyroid disorder Thyroid disorder -- in a child Traumatic injury -management Tuberculosis screening Upper respiratory tract infection Urinalysis interpretation Urinary incontinence -female Urinary incontinence -- male Urinary tract infection Vaginal discharge Vertigo Vision screening -- in a child Vomiting Vulvar disease OTHER ENCOUNTERS 1 1 2 1 1 1 1 L L L L L L L 3 2 1 2 1 2 1 1 1 1 1 L L L L L L L L L L L 1 L 2 L 2 L 3 L 1 2 1 3 1 2 3 1 L L L L L L L L This table is a summary of encounters/procedures that require faculty feedback. ALL of these encounters are to be logged into One45 and MUST be entered into the Preceptor Feedback Book which you will receive. Students will only receive credit for encounters that are either done under the direction of a faculty member or done The Commonwealth Medical College March 19, 2016 Page 38 under direct observation (the first two columns are for student recordkeeping. EACH encounter/procedure must have a check in either the “done with direction” or “does while observed” column and then certified with the supervising faculty initials in the last column. Certifying faculty may include preceptors, advanced practitioners, residents, nurses, or technicians (depending on the procedure). If an encounter does not have a faculty initial next to it, it will not be counted for credit. ALL encounters/procedures MUST be completed and certified by a faculty member to pass the clerkship. Logging is MANDATORY. Student logs are reviewed at 2 weeks, 1 month, 2 months, 3 months, 6 months, 9 months, and 12 months during the Longitudinal Integrated Clerkship. . It is recommended that students log encounters at least daily to maintain their record. Students who fail to log encounters or who fall behind in logging will be referred to their Regional Clerkship Director (RCD) who may ultimately decide to make a referral to the Committee on Academic and Professional Standards for a breach of professionalism. REQUIRED ENCOUNTERS/PROCE DURES -- feedback Annual, well woman exam -- gynecology Arterial Blood Gas Sampling Breast examination Cervical Culture Cesarean Section Observation Delivery Note Disability Evaluation EKG Interpretation Fern and Nitrazine test Foley catheter insert -female Foley catheter insert -male Follow-up Acute obs onl y understand/ex plain done w/direct ion does while observ ed Facul ty Initia ls L/ 6 F L/ 2 F L/ 1 F L/ 1 F L/ 1 F L/ 3 F L/ 2 F L/ 5 F L/ 1 F L/ 1 F L/ 1 F 1 L/ The Commonwealth Medical College March 19, 2016 Page 39 Problem adult/pediatric patient Follow-up Chronic Care -- adult patients Gynecology Operative Note Gynecology Preoperative Note Gyneology Postoperative Progress Note History and Physical -Gynecology (complete) History and Physical -Obstetrics (complete) History and Physical -Psychiatry (complete) History and Physical Inpatient -- Adult (complete) History and Physical Inpatient -- Peds (complete) History and Physicial -Adult Outpatient (focused) History and Physicial -Surgical Eval (complete) Home Visit Hospital discharge -- of a child Hospital discharge -- of an adult Hysterectomy Observation IV catheter (peripheral) insertion Labor -- cervical check for dilation Laparoscopic Gynecologic Surgery Observation Nasogastric tube 0 F 1 L/ 5 F L/ 2 F L/ 1 F 2 6 6 3 L/ F L/ F L/ F L/ F L/ 6 F L/ 6 F 1 L/ 0 F L/ 6 F L/ 2 F L/ 1 F L/ 5 F L/ 1 F L/ 6 F L/ 1 F L/ 1 F 2 L/ The Commonwealth Medical College March 19, 2016 Page 40 placement Nutrition Evaluation (surgery patient) Operative Vaginal Delivery Observation Pelvic examination (speculum and bimanual) Phlebotomy (diagnostic, peripheral) Postpartum note -operative delivery Postpartum note -vaginal delivery Rectal Examination School physical Screening -- breast cancer Screening -- cervical cancer Screening -- colon cancer Screening -- intimate partner violence Screening -- prostate Skin excision Sports physical Suturing (simple) Suturing of vagina/perineal lac post vag delivery Tubal ligation -observe Vaginal delivery with supervision Vaginitis exam with KOH and wet prep Well adult visit -- F L/ 1 F L/ 1 F L/ 6 F L/ 6 F L/ 1 F L/ 1 F L/ 3 F L/ 2 F L/ 6 F L/ 3 F L/ 3 F L/ 3 F L/ 3 F L/ 3 F L/ 3 F L/ 3 F L/ 3 F L/ 3 F L/ 3 F L/ 3 F 3 L/ The Commonwealth Medical College March 19, 2016 Page 41 female Well adult visit -- male Well child visit -- 10-20 years Well child visit -- 1-4 years Well child visit -- 5-10 years Well child visit -- birth to 1 year OTHER PROCEDURES 3 3 3 3 3 F L/ F L/ F L/ F L/ F L/ F L/ F Reading List There is an integrated reading list as part of the Clinical Education Day schedule on the portal. There are assignments directly related to the material covered that day as well as a list to round out the reading list for the year. Policy on Professional Dress for Medical Students Dress Code Attire should not detract from the educational atmosphere. Students are expected to dress professionally to show respect to yourself and others. This includes patient encounters in the hospital or clinic. Neat, clean and professional attire and a name tag are minimal requirements. Avoid dress or attire that could be potentially offensive to the public, your peers, patients, and faculty. General Standards: TCMC ID badges are worn at all times. Good personal hygiene is to be maintained at all times. This includes regular bathing, use of deodorants/antiperspirants, and regular dental hygiene. Scrubs may not be worn in ambulatory settings. They should only be worn in the Emergency Room and Operating Room. Years 3-4: During the last two years, the following attire is required by the Commonwealth Medical College. Check with your course or clinical supervisors to learn of any other dress code requirements when you begin each rotation. The Commonwealth Medical College March 19, 2016 Page 42 Confidentiality Students are required to maintain standards of confidentiality in accordance with HIPAA. Patient Care Responsibility In order to enhance educational outcomes, it is important that students ‘take ownership’ of their patients. This means that students should feel that their contributions as a member of the health care team are meaningful and important. Students should communicate frequently with their faculty preceptors and the patients they are following; students should of course not be making medical decisions independently without guidance and approval of faculty, but at this same time should see themselves as important contributors and completely engaged as a member of the team. This will necessitate regular communication with the office and physician; preferred modes of communication should be established at the outset of the year. Students should adhere to important ethical guidelines on the care of patients, including boundary setting and the avoidance of inappropriate relationships with patients. Remediation Policy for Students Who Fail a Course or Clerkship If a student fails a clerkship, that student will be contacted by the appropriate Education Director prior to the posting of grades to be informed of the need to remediate. The Education Director will refer the student to the Senior Associate Dean for Academic Affairs, the Committee for Academic and Professional Standards (CAPS), and the Center for Learning Excellence (CLE). The Education Director will notify the student in writing of these referrals. The Education Director will determine the appropriate remediation and set the timeline for this remediation. Social Justice Statement The Commonwealth Medical College is committed to social justice. The course director concurs with that commitment and expects to foster a nurturing learning environment based upon open communication, mutual respect, and nondiscrimination. Our College does not discriminate on the basis of race, sex, age, disability, veteran status, religion, sexual orientation, color or national origin. Any suggestions as to how to further such a positive and open environment in this class will be appreciated and given serious consideration. Disability Support Services If you are a person with a disability and anticipate needing any type of accommodation in order to participate in this class, please advise the course director and The Director of the Center for Learning Excellence prior to the commencement of The Commonwealth Medical College March 19, 2016 Page 43 the course. The Center for Learning Excellence coordinates all disability services and requires three days notification in order to proctor and provide all testing accommodations. Failure to notify the course director and Center for Learning Excellence 1 week before an exam that you will need accommodation for your disability implies acceptance of conditions for that examination. Code of Conduct and Professional Behavior All activities in this course are conducted under The Commonwealth Medical College Student Code of Academic and Professional Integrity for the MD Degree Program. You signed and received a copy of this Student Code when you enrolled at The Commonwealth Medical College. The full policy is in the Student Bulletin. The college, which includes the faculty and staff, expect students to behave appropriately and to fulfill their academic and professional responsibilities. The Commonwealth Medical College March 19, 2016 Page 44 TCMC Learning Environment TCMC and our clinical partners are committed to providing you with a positive learning environment in both your non-clinical and clinical years. You should witness and experience high standards of professional conduct by those with whom you interact during your learning experiences. On a yearly basis we expect you to complete the Learning Environment Survey to provide us with feedback on your experiences. However, we want to give you an opportunity to give us on-going focused feedback as positive and or negative experiences occur. We in turn, want to pass this feedback on to those involved but only if you think it is appropriate. For positive experiences, we would like to recognize the individual(s) . For negative experiences, we can address them individually as appropriate. Even if you don’t feel comfortable with us addressing the issue, we want your feedback and want you to feel comfortable telling us about negative experiences. Students who come forward in good faith and report both positive and negative experiences on the part of a faculty, resident, staff member, or peer may do so without fear of retaliation and with the assurance of confidentiality if they so desire. Please help TCMC maintain a great learning environment. Please check which type of behavior you would like to bring to our attention: Positive Influence Negative Influence Please describe your experience in detail below: Person or group: Specific behavior you observed: How did this affect the learning environment to you? Action requested: Recognition: Other: Nothing: Name (Optional):___________________________________________ Date:____________________________________________________ Please submit your form to your Regional Campus Office or Sharon Bednarz 525 Pine St. Scranton, PA 18509 sbednarz@tcmedc.org Fax: 570-504-9663 Phone #: 570-504-9635 The Commonwealth Medical College March 19, 2016 Page 45 Student Academic and Professional Integrity Form The practice of the art and science of medicine must be based on reverence for life, compassion and respect for the patient, competence and integrity. Hence, The Commonwealth Medical College expects all TCMC students to exhibit compassion; to be considerate and respectful towards patients, their families, instructors, staff, residents and each other; to grow in knowledge and clinical skill; and to act honorably at all times. We would like you to give us on-going focused feedback as positive and or negative experiences occur with our students. TCMC takes violations of Academic and Professional Integrity seriously. If you are involved or witness an infraction please use this form to report the incident immediately. This form will be reviewed by the Senior Associate Dean for Academic Affairs and recommendations for further action will be determined on a case by case basis. Date of Occurrence:____________________________________________________ Name(s) of TCMC Student(s) involved:_________________________________ Please check which type of behavior you would like to bring to our attention: Positive Behavior Inappropriate or Unprofessional Behavior Please describe your experience in detail below: Person or group: Specific behavior you observed: If you witnessed inappropriate or unprofessional behavior, please explain how the behavior violated the policy which is included on the back of this form? Name (Required):______________________Position: _________________________ Signature:___________________________________________________________ Date:______________________________________________________________ Please submit your form to the Office of Academic Affairs: Dr. Maurice Clifton, Senior Associate Dean for Academic Affairs 525 Pine St. Scranton, PA 18509 mclifton@tcmedc.org Fax: 570-504-9660 Phone #: 570-504-7294 The Commonwealth Medical College March 19, 2016 Page 46 Student Code of Academic and Professional Integrity Governing the TCMC MD Program This code applies to students enrolled in the MD degree program at TCMC. This Student Code of Academic and Professional Integrity for the MD Degree Program incorporates the Policy on Academic and Professional Standards Governing the MD Degree Program at The Commonwealth Medical College and governs student behavior in lectures, examinations, laboratories, recitation sessions, clinics, all other academic settings of the College and all other settings which reflect upon the integrity and suitability of the student to practice medicine. Successful progression through the curriculum and graduation with the MD degree are contingent upon the student's compliance with this code. Evaluation of student performance under this code follows the procedures established in the Policy on Academic Standards Governing the MD Degree Program at The Commonwealth Medical College. The practice of the art and science of medicine must be based on reverence for life, compassion and respect for the patient, competence and integrity. Hence, the College expects its students to exhibit compassion; to be considerate and respectful towards patients, their families, instructors, staff and each other; to grow in knowledge and clinical skill; and to act honorably at all times. Specifically, the College requires students to adhere to these basic rules of academic and professional integrity: I shall dedicate myself to excellence in patient care. I, therefore, shall be conscientious in carrying out my assigned duties, follow the guidance of my instructors and accept responsibility for my actions. I shall safeguard a patient's privacy. I, therefore, shall not access or disclose confidential information about a person without authorization. I shall be considerate and respectful towards patients, their families, instructors, staff and my fellow students. I, therefore, shall treat my patients with greatest consideration and respect their dignity. I shall be courteous and civil in my dealings with others within the College. I shall respect rules of behavior, professional comportment and appearance set forth The Commonwealth Medical College March 19, 2016 Page 47 by the College or the faculty. I shall render evaluations of courses and instructors in an objective and civil manner. I shall be professional in all forms of communication. I shall act honorably and with integrity in my pursuit of the MD degree. I, therefore, shall be truthful about my actions as a student of medicine and accept responsibility for them. I shall reject academic dishonesty and not falsely claim competence or knowledge. I pledge to refrain from all acts of academic dishonesty. In particular, I shall not plagiarize and not submit as my own any material taken from other sources without acknowledgement or permission. I shall not cheat in connection with any examinations, academic assignments and activities and clinical duties. I especially pledge that: I shall not communicate with others, except proctors, during an examination; I shall not obtain unauthorized help from another person during an examination or graded academic assignment; I shall not give help to another student during an examination or graded academic assignment; I shall not take an examination in place of another student; I shall not gain access to unauthorized material in connection with an examination; I shall not make use of unauthorized material in connection with an examination; I shall not obtain impermissible advance knowledge of the contents of examination; I shall not alter a scored examination or answer sheet and then resubmit it in order to effect a change of a grade or evaluation; I shall not allow another student to submit my work for grading or credit; I shall not falsify instructional or clinical laboratory results; I shall not falsify clinical work-ups and records. I shall not engage in forgery, misrepresentation and fraud. I especially pledge that: I shall not furnish false statements as a witness for any College disciplinary investigation or appeal; The Commonwealth Medical College March 19, 2016 Page 48 I shall not forge or alter educational records or submit such records to the staff and faculty of the College for fraudulent purposes; I shall not misrepresent educational achievements; I shall not misuse College records with intent to defraud; I shall not falsify research results; I shall not misrepresent authorship on scholarly work and publications. I shall act honorably and with integrity at all times. I, therefore, shall not engage in behavior or conduct that demonstrates a lack of personal qualities necessary for the practice of medicine or that may adversely reflect upon the medical profession or the College. I shall support this code of academic and professional integrity. I, therefore, shall report to the Senior Associate Dean for Academic Affairs all violations of this code that I witness. I shall also bring to the Associate Dean all serious concerns about the treatment of patients that I cannot resolve with my supervisors. I recognize that violating any part of this code could result in sanctions or even dismissal. All TCMC policies For a complete list of TCMC policies and please visit http://my.tcmedc.net/webapps/portal/frameset.jsp The Commonwealth Medical College March 19, 2016 Page 49 V. Student Health Services Student Health Services 406 N. Washington Ave. Scranton, PA 18503 P: (570)955-1472 F:(570)955-1475 Contact: Kellen Kraky Coordinator Student Health Services krakyk@thewrightcenter.org Hours of Operation: Monday: 8:30AM-5:00PM Tuesday: 1:00PM-5:00PM Wednesday: 8:30AM-12:00PM; 1:00PM-5:00PM Thursday: 10:00AM-12:00PM; 1:00PM-5:00PM Friday: 8:30AM-1:00PM; 2:00PM-5:00PM 24-hour on-call for urgent issues For third and fourth year students that are residing in their regional campus, Student Health Services has developed a health care delivery system to include care givers in their respective regional campuses to provide medical care for students and their families when and if the need arises. The services available are identical to those services listed below for students in years 1 & 2. The contracted physicians have agreed to accept TCMC student(s) and their families as new patients into their practice and provide them with medical care as appropriate. Furthermore, they have agreed to ensure our Medical Director and staff are aware of the services and appointments that occur in the regional campuses and share the same EHR. The establishment of care does assure that the provisions of services are private and confidential. As a result, providers who are faculty members have been excluded from the provision of these services to ensure that they have no involvement in the academic evaluation or promotion of students. Students also have the option of choosing their own primary care physician within their regional campus. Students in years 3 &4 will continue to have access to on-call coverage 24/7 @ (570)687-9690. In addition a TCMC Cabinet Member is "on call" after hours and on weekends and holidays @ (570)687-9700. The Commonwealth Medical College March 19, 2016 Page 50 Mission Statement TCMC Student Health Service (SHS) aims to support the educational experience of students and to minimize health related barriers to learning by providing high quality health services and health education. Our mission also includes guiding students toward a personal commitment to wellness and self-care that will lay the foundation for a healthy life, assisting them in becoming self-directed and well-informed, active consumers of health care as well as “model” patients in the community. Policy on the Provision of Sensitive Health Services to TCMC Students TCMC understands that many health and psychological/psychiatric issues confronting TCMC students may be of a sensitive nature and that a professionalpatient relationship between TCMC faculty and students would be inconsistent with a teacher-student relationship. Should a TCMC faculty member provide health services of a sensitive nature to a TCMC student, the faculty member will have no involvement in the academic evaluation or promotion of the student receiving those services. Health Records/Confidentiality Student records are kept strictly confidential. Information cannot be released to anyone (family, faculty, or administration) without the written consent of the student. Note: Certain public health diseases must be reported to the Department of Health by law. Appointments All appointments will be scheduled according to your individual needs. To schedule an appointment with one of the providers at Student Health Services please call (570)955-1474. For access to on-call coverage after hours call 570-955-1474 to be connected with the answering service that will get you in touch with the on call physician if needed. In addition, The Associate Dean of Student Affairs will be "on call" after hours and on weekends and holidays. If you are in need of assistance call: (570)687-9700. Furthermore, students will have Emergency Room access in all Regions for after hours and emergency care. Services provided include: Primary care, including preventive care and evaluation/management of acute and chronic medical problems The Commonwealth Medical College March 19, 2016 Page 51 Preventive care includes health education, periodic health assessments and physical exams, gynecological or testicular exams, and contraceptive counseling Evaluation and management of acute complaints (such as infections, pain, minor injuries)· Laboratory and other diagnostic tests when indicated Ordering medications, laboratory, radiological, diagnostic and therapeutic studies and other therapies as needed Perform EKS’s blood sugars, ABI’s and spirometry when indicated Mole removal, knee aspirations as well other therapeutic injections when indicated Confidential HIV/STD testing and follow-up 24 hour on- call with a medical provider for advice regarding urgent issues Referral as needed to 24 hour emergency care at local emergency departments Information and referral to area primary care and specialist physicians and other health care providers Travel health advice for off-site electives Administration of vaccines with appropriate referrals from a physician Referral when indicated to specialist Personalized wellness assessment and coaching Coordination and supervision of care for hospitalized students Access to consultation for work related exposures to infectious environmental hazards Referral to behavioral health services, including crisis intervention and/or referral for substance use issues or addiction Self-care cold and wound center – Non decongestants or over the counter medications. Currently, we have several primary care physicians within each region to accommodate our students. See below: Primary Care Physicians located in the West Campus: Todd Fausnaught, MD2131 West Fourth St.Williamsport, Pa 17701570-3219009 Guy Giordano, MD1201 Grampian Blvd.Williamsport, PA 17701570-326-8500 Sarah Kent, MD1201 Grampian Blvd.Williamsport, PA 17701570-326-8502 For assistance in making appointments or receiving medical orders from any of these physicians please call student health at (570) 955-1474 or email krakyk@thewrightcenter.org. Students can make an appointment by calling any of the three primary care offices. All appointments will be scheduled according to the individual needs of The Commonwealth Medical College March 19, 2016 Page 52 the students. Students will also have access to on-call coverage 24/7 by calling 570-687-9690. Emergency Care in Williamsport Susquehanna Health 700 High St. Williamsport, PA 17701 Services for Inpatient Support Should a student be in need of inpatient hospitalization services and chooses to seek those services outside of our regional affiliates, they may contact the Associate Dean for Student Affairs, Dr. Linda Berardi-Demo who, maintaining strict confidentiality, will assist them in arranging placement at a facility outside our regional providers. Furthermore, the Associate Dean for Student Affairs, Dr. Linda Berardi-Demo is "on call" after hours and on weekends and holidays @ 570-687-9700. West Campus-Local Fitness Centers YMCA 320 Elmira Street, Williamsport, PA (570) 323-7134 Planet Fitness Fitness Factory 1020 Commerce Park, Suite 2A (Located in the Water Tower Square Complex next to Comcast) Williamsport, PA Phone: 570.567.7579 330 Hughes St; Williamsport (570) 322-2348 The Commonwealth Medical College March 19, 2016 Monthly Student Rate: $25 Yearly Student Rate: $300 Other rates available Monthly student rate: $19.99 Other memberships available Monthy student rate: $25 Per Semester: $150 Yearly $300 Page 53 Policy on Exposure to Infectious Environmental Hazards (Needlestick Policy) The student will notify the supervising faculty member if an exposure to an infectious environmental hazard occurs. If the exposure occurs on a clinical campus, the employee health office (or emergency room during off hours) will be notified. Additionally, the TCMC will maintain a “Dean on Call” schedule and the TCMC Dean on Call will be notified by the student to assist in assuring the appropriate care is provided. For injuries occurring in ambulatory sites students will go to the nearest emergency room or to the TCMC Student Health Service in each Region. The source patient’s blood will be tested for HIV and hepatitis B and C. The student will have the appropriate tests obtained and prophylactic treatment provided at the above locations. These costs will be absorbed by TCMC. All students who have been evaluated or treated for exposure will be followed in the employee health service of the hospital (for inpatient exposures) or Student Health Service. Regardless of the site for evaluation and care, all paperwork and laboratory reports will be faxed to the Student Health Service. The Student Health Service physician will review this information and communicate with the exposed student and clinical site as applicable to ensure that appropriate follow up is received. An appointment schedule will be developed for subsequent follow up. Six week, three month and twelve month visits will be scheduled for the students at the Student Health Service. The student will be asked to sign the “Agreement for Follow Up for Needlestick/Body Fluid Exposure” form indicating their understanding of the recommendation to comply with the schedule, especially if graduation or departure from TCMC occurs before the final twelve month assessment. All costs for testing, immunization, prophylactic medications and follow up care as a result of exposure will be covered by TCMC for the first month. Insurance will be billed thereafter. The Commonwealth Medical College March 19, 2016 Page 54 Agreement for Follow Up for Needlestick/Body Fluid Exposure I have read and fully understand the TCMC Policy on Exposure to Infectious Environmental Hazards. I agree to the recommendation to comply with the schedule, especially if graduation or departure from TCMC occurs before the final twelve month assessment. _________________________ Student Name (Please Print) _________________________ Student Signature I have read and fully understand the TCMC Policy on Exposure to Infectious Environmental Hazards. However, I decline to the recommendation to comply with the schedule, especially if graduation or departure from TCMC occurs before the final twelve month assessment. _________________________ Student Name (Please Print) The Commonwealth Medical College March 19, 2016 _________________________ Student Signature Page 55 Basic Life Support Training All TCMC students will undergo Basic Life Support Training. Students will have the ability to recognize several life-threatening emergencies, provide CPR, use an AED, and relieve choking in a safe, timely and effective manner. CPR certifications will be offered yearly and on an as needed basis. OSHA (Occupational Safety and Health Administration) Training Students will be given an overview and supporting materials on basic infection control and procedures to follow after an exposure during orientation. All TCMC students will complete annual OSHA training and education on-line regarding needle stick/sharps/body fluid procedures and the prevention of the transmission of blood borne pathogens. Additionally, before their first clinical experience students will receive detailed instruction and information pertaining to the prevention and pathophysiology of infectious diseases that students may face in a clinical care setting. Patient Information Release (HIPAA) The Commonwealth Medical College is committed to providing patients with the highest quality of care and to following all of the various rules, regulations and standards designed to protect patient rights. In that regard, TCMC is committed to protecting patient rights under the Health Insurance Portability and Accountability Act (HIPAA). This act guarantees a patient’s right to maintain health insurance upon changing jobs, their right to have their health information protected from unnecessary use or disclosure without authorization, their right to access their records and their right to have their health information kept in a safe and secure manner while being maintained or while being used or transmitted electronically from one location to another. All MD students will be required to be certified years one and three and MBS students in year one. Mask fitting All students will have available mask fit training during May Orientation. This is often a training requested several times during your 3rd year. Accessing Personal Support in the Regions The Assistant Director of Student Affairs meets with all students during the first month of their third year to monitor their adjustment to the clinical curriculum and provides information and referral to a host of academic and personal support services that are available to them. This individual continues to meet with students at The Commonwealth Medical College March 19, 2016 Page 56 various intervals during the 3rd and 4th year to assist them with professional development, including career planning activities and residency application. In addition, the Assistant Director of Student Affairs is available to meet with students for support with short terms stressors. For assistance with ongoing personal concerns, services are available to students through community licensed professionals. These services, while easily accessible, are offered off site to insure the comfort and confidentiality of students. The professionals providing the service are not associated with The Commonwealth Medical College and will not be in a position to evaluate the academic performance and promotion of students. A partial list of community counseling resources is listed below. For a complete list of community agencies and providers please refer to your health insurance provider listing or local telephone directory. Mental Health Services Behavioral Health Center 1100 Grampion Avenue Williamsport, PA 17701/570-320-7525 Catholic Social Services of Lycoming Co 2110 Linn Street Williamsport, PA 17701/570-322-4220 Barbara Hemmendinger, LCSW, ACSW 699 Rural Avenue, Floor Sl-1 Williamsport, PA/570-321-2345 Diakon Family Services 435 W 4th Street Williamsport, PA 17701/570-322-7873 The Commonwealth Medical College March 19, 2016 Page 57 VI. IT Services ITS Hotline: 570-504-9671 Support and Training ITS staff will begin a rotating support schedule at the Wilkes-Barre and West Campuses. Command Center services will be available: South Campus Friday 8:00 a.m. – 5:00 p.m. West Campus Friday 10:00 a.m. – 3:00 p.m. Additionally, Academic Services will hold training sessions on various topics once a month at each regional campus. The training may be held during the following times: South Campus 1st Tuesday of the month 11:00 a.m. – 8:00 p.m. West Campus 3rd Wednesday of the month 3:00 p.m. – 8:00 p.m. Connectivity Students will continue to access their courses and our suite of academic tools via the portal. Wireless access to the secure TCMC network is available at all regional campuses. Air Card / Alternative Internet Access When not on the TCMC network, students may access the internet using free WiFi where it is available, or by purchasing a personal dataplan for an aircard or MiFi hotspot. Student laptops came equipped with a Dell Wireless 5530 HSPA Mini-Card (aircard). To activate it, students will need the SSID from their simcard, which can be found in the laptop battery compartment. This aircard can only be activated through AT&T. Students may also wish to consider purchasing a MiFi hotspot such as the Verizon MiFi™ 2200 Intelligent Mobile Hotspot or the AT&T Mobile Hotspot MiFi® 2372. These devices are easy to transport and reasonably priced. Many SmartPhones also The Commonwealth Medical College March 19, 2016 Page 58 allow tethering. For more information about that option, students should contact their SmartPhone provider. Email Encryption by ZixCorp The Zix email gateway will intercept outgoing email which may contain protected health information (PHI), and send the intended recipient a message inviting them to retrieve that message from a secure site. This addition makes our email environment HIPAA compliant. The Zix appliance scans the subject line, message body and attachments, and can encrypt, route, block or brand outgoing email based on TCMC policies. The functionality will be seamless to TCMC users and other Zix subscribers. Note: Zix only works when sending from a TCMC account. The Commonwealth Medical College March 19, 2016 Page 59