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
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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
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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
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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
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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
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(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
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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,
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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.
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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.
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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.
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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
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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
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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.
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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
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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
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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
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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.
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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.
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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
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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
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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/
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March 19, 2016
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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
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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/
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March 19, 2016
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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.
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March 19, 2016
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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.
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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
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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
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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
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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
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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.
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