Patient Centered Medicine 1

Aaron Michelfelder, M.D. - PCM 1 Course Director Amy Blair, M.D. – PCM 1 Co-Course Director

James Winger, M.D. – PCM 1 Co-Course DirectorDiane Stancik – PCM 1 Course Manager

Katherine Walsh, M.D. – Overall PCM Co-Course DirectorPaul Hering, M.D. – Overall PCM Co-Course Director

Welcome PCM-1Small Group Facilitators/Advisors!!

Aaron Michelfelder, M.D.PCM 1 Course Director

Amy Blair, M.D.PCM 1 Co-Course Director

Ms. Diane StancikPCM 1 Course Manager

Katherine Walsh, M.D.Overall PCM Co-Course Director

James Winger, M.D.PCM 1 Co-Course Director

Paul Hering, M.D.Overall PCM Co-Course Director

Line Up for This Session

• Brief Intro to the Course

• Course Changes

• Mentor/Preceptor Programs

• Advisor Program

What is PCM 1 About?

http://www.meddean.luc.edu/lumen/index.html

PCM 1

• PCM 1 Website• http://www.meddean.luc.edu/lumen/

– Administration– General Information– Core Curriculum– Attendance Policy– Grading/Evaluation– Facilitators

• 6 Components to PCM 1– Lectures/Panels/Workshops– Small Groups (8-10 Students/Small Group)– Standardized Patient Exercises– Objective Structured Clinical Exams (OSCE)– Mentor/Clinical Skills Preceptor Programs– Written Exams

PCM-1 Organization

PCM-1 Organization

• Temporal Blocks: Bioethics, Clinical Skills I, Healthcare Systems and Delivery, Clinical Skills II, Behavior and Health Promotion

• Longitudinal Block: Personal and Professional Development

Patient Centered Medicine ISemester I Semester II

Core Curriculum

Ethics, Justice, & ProfessionalismCommunication SkillsInterviewing/History TakingBehavioral DevelopmentPhysician Well BeingUS Health Care System and Global Health

Evidence Based MedicinePrevention CounselingRisk Factor Screening Integrative MedicineCultural MedicineNutrition

Clinical Skills

ExperientialComponents Student, & Chaplain Mentor, and Physician Preceptor Programs

SP WorkshopsHPI/complete History

Difficult Topics

Standardized Patients

Combined Structure/FunctionPhysical Exam Skills

Real Patient Interviews

SP PracticeExercise

SP Exercise IComplete Medical

History

Head & NeckAbdomen

Thorax/Lungs

Musculoskeletal

PE OSCE I

PE OSCE II

Patient Interview I

Patient Interview II

SP Workshop Intimate Partner Violence

SP WorkshopChallenging Patient-Physician

Relationships

SP ExerciseCounseling

Heart

Harvey CardiacSimulator

SP ExerciseHypothesis-Driven History

• Newer This Year– General

• Year Two Neuroscience Course Dissolved• MCBG/ Behavioral Medicine More Content Early• Anatomy Starts 3 Weeks Earlier

– PCM-1• 4 Small Groups Removed And/or Compressed• Fewer and Updated Readings• Students/Facilitators encouraged to bring in topical media resources• Ethics Block Compressed and Revised• Behavioral Medicine Small Group Removed• Revised EBM/Biostats/Patient Safety Curriculum• Service Project & Reflection – Centralized• Added Social Determinants of Health Section• Removed Emotional Intelligence Section

• Newer This Year– Added SP Workshop– HPI Workshop modified to be Complete History Small

Group Workshop Over Two Sessions– Continued Electronic distribution of weekly small

groups– Facilitator corner on PCM-1 home page– Decreased Paper Use in the Course– Utilizing More Student/Facilitator Feedback

PCM-1

Medical History Skills Changes

James Winger, M.D.PCM 1 Co-Course Director

PCM-1

Clinical Skills Programs

Amy Blair, M.D.PCM 1 Co-Course Director

Clinical Skills Preceptor Program (CSkiP)

• Observe physician in practice setting

• Clinical reinforcement of concepts learned in courses

• Practice new skills learned in PCM-1

• Develop broader understanding of your own future direction

Student Mentor

• Observe on clinical rotations

• Opportunity for inter-medical school class communication

• Clinical reinforcement of concepts learned in courses and opportunity to practice PCM-1 skills

Program SEMESTER 1 Program SEMESTER 2 Clinical Skills

PhysicianPreceptor (Visit = 1 – 3 hrs)

Encounter #1 by

Nov. 30One Joint Reflection

Paper,Due for Sm.

Group Week of Dec.

3, 2012

BOTH Visits Need to be Completed and Logged

by December 7, 2012

ClinicalSkills

PhysicianPreceptor

Encounter #1 by

March 3 One Joint Reflection

Paper,Due for Sm.

Group Week of May

6, 2013

ALL 4 Visits Need

to be Completed and Logged by May 3,

2013

Encounter #2 by May

3Student Mentor(Visit = 1 – 3 hrs)

Encounter #1 by

Nov. 30

Student Mentor

Encounter #1 by

March 3Encounter #2 by May

3Chaplain Mentor

1 Chaplain encounter is required per year. Each encounter includes an orientation and debriefing session. 2 or 3 PCM-1 groups rotate through the program every month.

Service-Learning Project

One project write-up due by the end of the academic year. To be completed for the week of May 6, 2013

Patient Centered Medicine 1, AY 2012-13Requirements for the Clinical Skills Preceptor, Student Mentor and Chaplain Mentor Programs

Both Joint Reflection Papers must be submitted to your Small Group Facilitators.

Timeline

• M1-M3 Student Mentor Pizza Party is September 12

• Physician Preceptor Assignments to follow

Ground Rules

• Contact your mentor and preceptor early and often

• You can do more than the required number of visits!

• Contact me early with any concerns

• Incomplete mentor visits will prevent you from passing PCM-1

Service-Learning Project

• A structured learning experience that combines service in the community with preparation and reflection

• How is community service different now that you are a medical student?

Service-Learning Project

• August - October– Identify population or health need you would like to serve– Write a (2 page) summary of the particular disparity you will be

addressing, including facts that demonstrate the disparity and need (e.g. epidemiologic/public health data, census, figures from national or local organizations) – October 15

– Identify the community agency that you will work with or develop a unique project

– Decide on a community-identified concern 

• October - March– Provide the service (“Experiential” or Activity Phase”)

• April – May– Reflection– Written Project and Presentation

» Total 4-6 pages (2 pg. summary disparity, 2 pg reflection)» Presentations during last small group of the year  

Service-Learning Project

• The Center for Service and Global Health and University Ministry

• Student Organizations• The Department of Bioethics and

Preventive Medicine• Local, regional and national community

service agencies through which you already have experience or would like to establish a relationship

Service-Learning Project

• Link:

• Direct questions to:– ablair1@lumc.edu– vmccarthy@lumc.edu

Guidelines for Reflection

“The four-year process of taking a disparate selection of college graduates and forming a cohesive professional identity frequently involves the abandonment of many preconceived notions about oneself, others and the medical profession in general. The purpose of the reflection process is not to generate a series of “touchy-feely” essays about your thoughts and emotions in given clinical situations. The goal of reflection in any context, is to encourage an approach of critical self-analysis as the experience and knowledge of medical school accumulates.”

• http://www.stritch.luc.edu/lumen/MedEd/IPM/IPM1/ReflectPaperInstruct.pdf

• This Week– Elect Small Group Representatives

Advisor Program

Keith Muccino, S.J., M.D.Assistant Dean for Clinical Simulation

Thank You Facilitators!!

Questions and Collective Wisdom Time