2012-13CLINICAL ROTATIONS MANUAL

KYCOM

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KYCOM CORE ROTATION SITES....................................................................................................................................................................... 2 CLASS OF 2014 CLINICAL ROTATION PROGRAM ......................................................................................................................................... 3

CORE ROTATION REQUIREMENTS ........................................................................................................................................................ 4SELECTIVE ROTATION REQUIREMENTS .............................................................................................................................................. 4GENERAL TIMELINE ................................................................................................................................................................................. 4ELECTIVE ROTATIONS .............................................................................................................................................................................. 4COMLEX-USA POLICY.............................................................................................................................................................................. 4OBJECTIVES ................................................................................................................................................................................................ 6

STUDENT ELIGIBILITY FOR CLINICAL ROTATIONS ................................................................................................................................... 7DRUG SCREEN POLICY ............................................................................................................................................................................ 7CRIMINAL BACKGROUND CHECK POLICY ......................................................................................................................................... 7IMMUNIZATIONS ....................................................................................................................................................................................... 7ACADEMICS ................................................................................................................................................................................................ 8

STUDENT RESPONSIBILITIES ........................................................................................................................................................................... 8REPORT FOR ROTATION ........................................................................................................................................................................... 8ATTENDANCE ............................................................................................................................................................................................. 8ABSENCE ..................................................................................................................................................................................................... 8SUBMISSION OF EVALUATIONS AND STUDENT LOGS .................................................................................................................... 9PERSONAL INSURANCE ........................................................................................................................................................................... 9HOUSING ..................................................................................................................................................................................................... 9PROFESSIONALISM ................................................................................................................................................................................... 9

APPROVED ABSENCE AND LEAVE POLICIES ............................................................................................................................................. 13PERSONAL ILLNESS ................................................................................................................................................................................ 13TEMPORARY ABSENCE .......................................................................................................................................................................... 13EXTENDED LEAVE .................................................................................................................................................................................. 13MATERNITY LEAVE................................................................................................................................................................................. 13ATTENDANCE AT PROFESSIONAL CONFERENCES.......................................................................................................................... 14LEAVE FOR INTERVIEW POLICY.......................................................................................................................................................... 14VACATIONS AND HOLIDAYS ................................................................................................................................................................. 14

GENERAL ROTATIONS INFORMATION ......................................................................................................................................................... 14STUDENT LIABILITY INSURANCE ...................................................................................................................................................... 15STUDENT EVALUATION ......................................................................................................................................................................... 15CHALLENGE OF GRADES ...................................................................................................................................................................... 15REMEDIATION POLICY .......................................................................................................................................................................... 15BLOOD BORNE PATHOGEN EXPOSURE AND POST-EXPOSURE PROPHYLAXIS ....................................................................... 16PREPARATION FOR RESIDENCY .......................................................................................................................................................... 17SCHEDULING OF CORE CLINICAL ROTATIONS ................................................................................................................................ 18SCHEDULING OF ELECTIVE CLINICAL ROTATIONS ....................................................................................................................... 18SCHEDULING OF SELECTIVE CLINICAL ROTATIONS ..................................................................................................................... 18SUGGESTED SELECTIVE ROTATIONS ................................................................................................................................................. 19CHANGES IN CORE CLINICAL ROTATIONS ....................................................................................................................................... 19CHANGES IN ELECTIVE CLINICAL ROTATIONS ............................................................................................................................... 19

THE CLINICAL COMPETENCY PROGRAM ................................................................................................................................................... 19WRITTEN CLINICAL CASE PRESENTATION ...................................................................................................................................... 19CLINICAL JOURNAL CLUB .................................................................................................................................................................... 20END OF SERVICE EXAMINATION MODULES .................................................................................................................................... 21CE CENTRAL ON-LINE PROGRAM ...................................................................................................................................................... 21THE CLINICAL CAPSTONE COURSE .................................................................................................................................................. 22

GUIDELINES FOR PRECEPTORS ..................................................................................................................................................................... 26PRECEPTOR EDUCATIONAL RESPONSIBILITIES ............................................................................................................................. 26INSTRUCTIONAL OBJECTIVES FOR PRECEPTORS .......................................................................................................................... 26ATTENDING PHYSICIAN RESPONSIBILITIES .................................................................................................................................... 27

STUDENT RECORD KEEPING.......................................................................................................................................................................... 27GRADUATION REQUIREMENTS ..................................................................................................................................................................... 28CORE CURRICULUM OBJECTIVES ................................................................................................................................................................ 31SELECTIVE CURRICULUM OBJECTIVES...................................................................................................................................................... 61REQUEST FORMS, CASE LOG AND EVALUATION FORMS ....................................................................................................................... 77

Table of ConTenTs

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KYCoM CoRe RoTaTIons sITesKENTUCKY CORE SITES

Pikeville Core Site• PikevilleMedicalCenter,Pikeville,Kentucky• HighlandsRegionalMedicalCenter,Prestonsburg,Kentucky• St.Joseph’sHospital,Martin,Kentucky• PaulB.HallMedicalCenter,Paintsville,Kentucky• McDowellARHHospital,McDowell,Kentucky• WilliamsonARHHospital,SouthWilliamson,Kentucky• WilliamsonMemorialHospital,Williamson,WestVirginia

Ashland Core Site• OurLadyofBellefonteMedicalCenter,Ashland,Kentucky• ThreeRiversMedicalCenter,Louisa,Kentucky• VeteransAffairsMedicalCenter,Huntington,WestVirginia

Hazard Core Site• HazardARHRegionalMedicalCenter,Hazard,Kentucky• HarlanARHHospital,Harlan,Kentucky• KentuckyRiverMedicalCenter,Jackson,Kentucky• WhitesburgARHHospital,Whitesburg,Kentucky

Henderson Core Site• MethodistHospital,Henderson,Kentucky

Lincoln Trail Core Site• TwinLakesRegionalMedicalCenter,Leitchfield,Kentucky• HardinMemorialHospital,Elizabethtown,Kentucky• TaylorRegionalHospital,Campbellsville,Kentucky

Morehead Core Site• MeadowviewRegionalMedicalCenter,Maysville,Kentucky• St.ClaireRegionalMedicalCenter,Morehead,Kentucky

Northern Kentucky Core Site• SaintElizabethHealthcare,Covington,Ft.Thomas,Florence,andEdgewood,Kentucky

Purchase Core Site• CrittendenHealthSystems,Marion,Kentucky• JacksonPurchaseMedicalCenter,Mayfield,Kentucky• LivingstonHospital,Salem,Kentucky• LourdesHospital,Paducah,Kentucky• MarshallCountyHospital,Benton,Kentucky• Murray-CallowayCountyHospital,Murray,Kentucky• ParkwayRegionalHospital,Fulton,Kentucky• TriggCountyHospital,Cadiz,Kentucky• WesternBaptistHospital,Paducah,Kentucky

Somerset Core Site• LakeCumberlandRegionalHospital,Somerset,Kentucky• RussellCountyHospital,RussellSprings,Kentucky• BaptistRegionalMedicalCenter,Corbin,Kentucky

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South Williamson Core Site• WilliamsonARHHospital,SouthWilliamson,Kentucky

OTHER REGIONAL CORE SITES

Alabama Core Site ThissiteisprimarilyintendedforAlabamaresidents.OutofstateresidentsrequireAMECapprovalbeforerotationsiteassignmentissecured.

• AlabamaMedicalEducationalConsortium(AMEC)• CooperGreenHospital,Birmingham,Alabama• FlowersHospital,Dothan,Alabama• SouthernAlabamaMedicalCenter,Dothan,Alabama

Arkansas Core Site• UniversityofArkansasforMedicalSciences,PineBluff,Arkansas

Michigan Core Site• GardenCityHospital,GardenCity,Michigan• BayCityRegionalMedicalCenter,BayCityMichigan

Mississippi Core Site• MagnoliaRegionalHealthCenter,Corinth,Mississippi• MemorialHospitalatGulfport,Gulfport,Mississippi• ForrestGeneralHospital,Hattiesburg,Mississippi• WesleyMedicalCenter,Hattiesburg,Mississippi• RushFoundationHospital,Meridian,Mississippi• RegencyHospitalCompany,Meridian,Mississippi

Ohio Core Site• GrandviewHospital,Dayton,Ohio• SouthernOhioMedicalCenter,Portsmouth,Ohio• O’BlenessMemorialHospital,Athens,Ohio• AdenaMedicalCenter,Chillicothe,Ohio• FairfieldMedicalCenter,Lancaster,Ohio• MariettaMemorialHospital,Marietta,Ohio

Pennsylvania Core Site• MemorialHospital,York,Pennsylvania

Tennessee Core Site• LakewayRegionalHospital,Morristown,Tennessee

Virginia Core Site• NortonCommunityHospital,Norton,Virginia

Class of 2014 ClInICal RoTaTIon PRoGRaMINTRODUCTIONThemissionofUniversityofPikeville-KentuckyCollegeofOsteopathicMedicine(KYCOM)includespreparationofourgraduatesforcompetencyintheworldofprimarycaremedicine.AsuccessfulKYCOMgraduatewill,aftercompletionoftheprogram,demonstratesufficientknowledge,skillsets,experience,values,andbehaviorsthatmeetestablishedprofessionalstandards,supportedbythebestavailablemedicalevidence,thatareinthebestinterestofthewell-beingandhealthofthepatient.Thematurationprocessfromclinicalyearsthreetofour,

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andultimatelysuccessfulgraduationisthesharedresponsibilityoftheindividualstudent,KYCOMandthehosthospitalsandphysiciansthatprovidetheclinicalexperiences.

Duringthethirdandfourthyears,atotalof21fourweekrotationblockshavebeenprovidedtocomplete80weeksofrotationrequirements,whichinclude:

1. 40weeksofrequiredCorerotations(10blocks)2. 24weeksofrequiredSelectiverotations(6blocks)3. 16weeksofElectiverotations(4blocks)4. 4weeksforCOMLEXLevel2preparation(1block)

Thescheduleincludestwoweeksattheendofthethirdyeardevotedtoclinicalskillsevaluationandamandatoryclassmeeting,andfourweeksofwinterholidaybreaks(twoweeksperyear,perKYCOMcalendar).

ELECTIVE ROTATIONS Sixteen(16)weeksofelectiverotationsarerequired.Thesemaybeselectedbythestudent,subjecttoapprovalbytheAssociateDeanforClinicalSciences.Thesemaybecompletedin2-weekor4-weekblocks(nomorethantworotationscanbeoftwoweeksduration).

GENERAL TIMELINEAllcore rotationsmustoccurduring the third-year atKYCOMCoreSites.Core rotation requirementswillbe completed either consecutively or in separate four-week intervals, depending upon core site schedulingconsiderations.Each studentwill have two4-weekblocksduring the3rdyear inwhich therewill not be ascheduledCorerotation.ThestudentshouldusetheseblockstocompleteSelectiveorElectiverotations.*Selective/elective rotations require completion of both Internal Medicine blocks, and at least one block of each of the following: Family Medicine, General Surgery, Pediatrics and Women’s Health.

COMLEX-USA POLICYGraduationrequirementsfromKYCOMincludesuccessfulcompletionofCOMLEX-USALevel1,COMLEX-USALevel2-CEandCOMLEX-USALevel2-PE.KYCOMrequiresCOMLEX-USALevel1tobetakenuponsuccessfulcompletionofyearsoneandtwoofosteopathicmedicaleducation.KYCOMrequiresCOMLEX-USALevel2-CEandCOMLEX-USALevel2-PEtobetakenaftersuccessfulcompletionofCOMLEX-USALevel1andyearsone,twoandthreeofosteopathicmedicaleducation.

FamilyMedicine(requiredandassigned) two 4-week blocksGeneralInternalMedicine(requiredandassigned) two 4-week blocksPediatrics–Neonate(requiredandassigned) two 4-week blocksGeneralSurgery(requiredandassigned) two 4-week blocksWomen’sHealth(requiredandassigned) one 4-week blockPsychiatry(requiredandassigned) one 4-week block

Rotation Length of Rotation

Core Rotation Requirements

Rotation Length of Rotation

EmergencyMedicine one 4-week blockOP&P(siteassigned) one 4-week blockInternalMedicinesubspecialty one 4-week blockSurgerysubspecialty one 4-week blockRuralMedicine(AHEC,siteassigned) one 4-week blockWomen’sHealth one 4-week block

Selective Rotation Requirements

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Allstudentsarelimitedtoamaximum of four attempts to pass each required COMLEX-USA examinationinordertomeetgraduationrequirements.Failure of four attempts on any COMLEX-USA examination will result in dismissal from KYCOM.

COMLEX-USALevel1Beforeentryintothethirdyearofosteopathicmedicaleducation,allstudentsmustsitforCOMLEX-USALevel1.NostudentmaybeginthethirdyearofstudyuntilCOMLEX-USALevel1istaken.Delay(s)fromthisscheduleprevent the startof the thirdyearof study,and requirepre-approval from thePromotionandMatriculationCommittee.WhenCOMLEX-USALevel1istaken,thestudentwillbepermittedtoenterthirdyearclinicalrotationsatthebeginningofthenextscheduledrotationperiod.

FailureoftheCOMLEX-USALevel1examinationwillresultinaplanofstudydeterminedbytheAssociateDeanforClinicalSciencesandtheAssociateDeanforBasicSciencestoassiststudentsinpreparingforaretakeoftheexamination.Thisplanmayincludea)counselingthestudentonhowtopreparefortherepeatexaminationwhilealsosatisfactorilymanagingtherequirementsoftheclinicalrotationorb)beingremovedfromclinicalrotationsinordertodevotefull-timepreparationfortheexamination.Ifthestudentisplacedonacademicleavefromclinicalrotations,theAssociateDeanforClinicalSciencesmayrecommend(a)anindependentstudyor(b)enrollmentinanapprovedboardpreparationreviewcourse,atstudent’scost.Followingaretakeoftheexaminationthestudentwillbepermittedtoreturntoclinicalrotationswhileawaitingresults.Whentheretakeresultsareobtainedthestudent’sstatus willbere-evaluatedandprogressofthestudent’sclinicalstudieswillbedetermined.

FailuretoachieveapassingscorebyDecember31ofthethirdyearwillresultinremovalfromclinicalrotationsandactionasabove.ThestudentwillbeallowedtoreturntoclinicalrotationsonlyafterapassingscorehasbeenreceivedbyKYCOM.TheAssociateDeanforClinicalScienceswilldeterminestudentplacementinaccordancewithschedulingandcurricularrequirements.

COMLEX-USALevel2-CEandLevel2-PEUponsuccessfulcompletionofCOMLEXUSALevel1,NBOMEwillnotify studentsof their eligibility toregisterforCOMLEX-USALevel2examinations.KYCOMstudentsmayregisterforCOMLEX-USALevel2-CEorLevel2-PEanytimebetweenthisnotificationandDecember1ofthefourthyearofstudy.AllstudentsarerequiredtotakeboththeLevel2-CEandLevel2-PEexaminationsbetweenthestartofthe4thyearandDecember1ofthefourthyearofstudy.ThestudenthastheoptiontotakeLevel2-CEorLevel2-PEinanyorder.FailuretotaketheexamspriortoDecember1ofthefourthyearwillresultinareferraltotheKYCOMPromotionandMatriculationCommitteeforconsiderationofdisciplinaryaction.

FailureoftheLevel2-CEorLevel2-PEmayresultintheremovalofthestudentfromclinicalrotationspendingreviewbytheAssociateDeanforClinicalSciences.Thiswillbedoneinordertodetermineaplanofstudyforaretakeoftheexamination.Thisplanmayresultina)thestudentbeingcounseledonhowtopreparefortheexaminationorb)beingremovedfromclinicalrotations.Ifthestudentisplacedonacademicleavefromclinicalrotation,theAssociateDeanforClinicalSciencesmayrecommend(a)anindependentstudyor(b)enrollmentinanapprovedboardpreparationreviewcourse,atstudent’scost.Followingaretakeoftheexamination,thestudentwillbepermittedtoreturntoclinicalrotationswhileawaitingresults.Whentheretakeresultsareobtained,thestudent’sstatuswillbere-evaluatedandprogressofthestudent’sclinicalstudieswillbedetermined.TheAssociate Dean for Clinical Sciences will determine student placement in accordance with scheduling andcurricularrequirements.

FailuretosuccessfullycompletetheCOMLEX-USAgraduationrequirementswithintwoyearsfromthestartofthestudent’sfourthyearofstudywillresultindismissalfromKYCOM.

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Sample Calendar

Fourth Year^ o^ o^ o^ oo

Winter Breako

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o

o

Graduation

Third YearCoreRotationCoreRotationCoreRotationCoreRotationCoreRotationWinter BreakCoreRotationCoreRotation

°°°°°^

ClinicalSkillsEvaluation

Start Date7/30/128/27/129/24/1210/22/1211/19/1212/17/1212/31/121/28/132/25/133/25/134/22/135/20/136/17/137/15/13

End Date8/24/129/21/1210/19/1211/18/1212/14/1212/28/121/25/132/22/133/22/134/19/135/17/136/14/137/12/137/26/13

End Date8/23/139/20/1310/18/1311/15/1312/13/1312/27/131/24/142/21/143/21/144/18/14

Start Date7/29/138/26/139/23/1310/21/1311/18/1312/16/1312/30/131/27/142/24/143/24/14

5/17/14

°CompletionofCoreRotationsor1selectiveor1electiverotation^BlockmaybeusedtoscheduleIndependentStudy/COMLEXLevel2-CEPreparation□ Blockmaybeusedtoscheduleelectiveorselectiverotation

OBJECTIVESTheclinicalyearsatKYCOMareatransitionfromtheacademicexperiencetotheworldofintegrative,experience-basedmedicine.In21months,KYCOMaimstoseethestudentsuccessfullyachievecomprehensionandmasteryofthe“SevenCoreCompetencies”asoutlinedbytheNationalBoardofOsteopathicMedicalExaminers,andevaluatedbybothKYCOM’sinterimevaluativetoolsandthesuccessfulcompletionofCOMLEXLevel2-CEand2-PEbeforegraduation.

EducationalandPerformanceGoalsinclude:

1. Comprehensionoftheosteopathicphilosophy,recognitionoftheneedforitsapplication,anddemonstrationofclinicalOMTskills.

2. Comprehensionoftheapplicabilityofbiomedical,clinical,epidemiologic,biomechanical,andthesocial/behavioralsciencestoclinicalsituations,anddemonstrationofapplicationtopatient-centeredcare.

3. Demonstrationofpatient-centeredcare.Toinclude:a. Effectivedatagatheringb. Developmentofeffectivephysician-patientrelationshipsc. Recognitionofage-relatedpreventivehealthissuesd. Sensitivitytoculturalinfluencese. Developmentoftreatmentplansthatarebothevidence-basedandpatientspecific.f. Developmentoftreatmentplanswithbothscientificbasisandintegrationwithosteopathic

philosophy.4. Demonstration of good communication and interpersonal skills that facilitate quality

physician-patient,physician-familyandphysician-healthprofessionalrelationships.5. Demonstrationofprofessionalbehavior.Toinclude:

a. Performanceofmedicallyethicalbehaviorb. Cognizanceoftheconceptofsocialaccountability

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c. Cognizanceoftheconceptofprofessionalduty.6. Ability to develop treatment plans that demonstrate the interpretation of epidemiologic

information,anditsapplicabilitytopatient-specificissues.7. ComprehensionoftheconceptsofSystems-BasedPractices(Caneffectivelyidentifyand

integratehealthcareresourcestoprovidecompletepatient-centeredcare.)

sTUDenT elIGIbIlITY foR ClInICal RoTaTIons1. DRUG SCREEN POLICYKYCOMrequiresaurinescreenfordrugsandalcoholimmediatelyaftermatriculationwithKYCOMandpriortothebeginningofthirdyearclinicalclerkships.Studentsareresponsiblefortheexpenseinvolvedwiththisevaluation.PositivefindingswillbereviewedbytheAssociateDeanforStudentAffairsand/ortheAssociateDeanforClinicalSciences.Furtherevaluationbyexternalprofessionalconsultantsmayberequired.Apositivetestresultmaybecomegroundsfordismissal.

Drug Testing on Demand –Anystudentmayberequired tosubmit todrugand/oralcoholtesting-basedonreasonablesuspicion.

2. CRIMINAL BACKGROUND CHECKKYCOMrequirescriminalbackgroundchecksforallstudentspriortomatriculatingtoKYCOMandpriortothebeginningofthirdyearclinicalrotations.Studentswillberesponsiblefortheexpensesinvolvedwiththisevaluation.ThemechanismforevaluationwillbedeterminedbytheAssociateDeansforStudentAffairsandClinicalSciences.InfractionsmaybereferredtothePromotionandMatriculationCommittee.

Mandatory Self-Reporting for Criminal BehaviorAllacceptedandcurrentlyenrolledmedicalstudentsarerequiredtopromptly(within10calendardays)reportanycriminalchargeseverfiledagainstthemtotheAssociateDeanforStudentAffairs.Criminalbehaviorincludesanyfelonyandmisdemeanorviolationsofthelaw,butexcludesminortrafficviolations,suchasparkingtickets.AnychargesthatwerepreviouslydisclosedontheAACOMASapplicationneednotbereportedagain.StudentviolationsofthelawwillbereviewedbytheAssociateDeanforStudentAffairsinthecontextoffutureimplicationsforlicensure,threattopatientsafety,andtheabilitytobeanappropriatememberoftheosteopathicmedicalprofession.Dependingonthenatureandseverityofthecriminaloffense,studentsuspensionordismissalispossible.

3. IMMUNIZATIONSKYCOM,inconjunctionwithrequirementsofallhospitalsaccreditedbytheJointCommissiononAccreditationofHealthcare(JCAHO)and/orHealthcareFacilitiesAccreditationProgram(HFAP),haverequiredthefollowingimmunizations:

a. TBtestingyearlyb. Chestradiography,everythreeyears,ifTBtestisconsideredpositivec. HepatitisBimmunizationestablishedbythreereporteddatesofimmunizationandby

documentedtestingofantibodytiterd. Tetanustoxoidimmunization,everytenyearse. RubellaandVaricellaimmunity,establishedbytworeporteddatesofvaccinationand

documentedantibodytiter.

ALLTBtestsmustbecurrentbyJune1ofeachyearofclinicalrotations.Acurrent,updateddocumentationofTBevaluationmustbedeliveredtotheSecretaryoftheDepartmentofFamilyMedicinepriortothatdate.FailuretoprovideacurrentTBevaluationwillpreventthestudentfromparticipatinginanyclinicalactivitiesforthefollowingyear,whichwillresultindelayand/orfailuretoachievegraduation.

ItisthepolicythatallHepatitisBdocumentationwillbecompletedonJune1ofthefirstyearofschool.This

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documentationmustbedeliveredtotheSecretaryoftheAssociateDeanforStudentAffairs.Failuretoprovideacompleteddocumentationwillpreventthestudentfromparticipatinginanyclinicalrotationsforthefollowingyear,whichwillresultindelayand/orfailuretoachievegraduation.

Documentationof anupdated tetanusvaccinationand rubellaantibody is requiredprior tomatriculation toKYCOM.ThismustbeonfileattheOfficeofTheAssociateDeanforStudentAffairs.

4. ACADEMICSa. Allpre-clinicalcourseswillhavebeencompletedwithgradesof“PASS,”“C”orhigher

beforeAugust1ofthethirdclinicalyearofstudy.b. COMLEXLevel1willhavebeentakenbeforeAugust1ofthethirdclinicalyearof

study.

sTUDenT ResPonsIbIlITIes1. REPORT FOR ROTATIONEachrotationbeginsonthefirstMondayofeachblockandendsonthelastFridayoftheblock.Itisthestudent’sresponsibilitytocontacttheclinicalpreceptoroneweekbeforethecommencementoftherotationtodeterminea“firstdaymeetingplaceandtime.”Failuretocontactthepreceptorand/orfailuretofindthepreceptorcanleadtofailureoftherotation.Itistheresponsibilityofeachstudenttobepresentonthecommencementofeachrotation.Onday“one”oftherotation,itistheresponsibilityofthestudenttosendcontactinformationtotheDirectorofClinicalRotationsforattendanceverificationpurposes.

Intheeventofanunavoidabletardinesstotherotation,itistheresponsibilityofthestudenttonotifytheSupervisingPhysicianandtheOfficeoftheAssociateDeanforClinicalSciencesatKYCOM.Ifanorientationisrequiredataclinicalrotationsite,itisimperativethatthestudentparticipateinthatorientationandfollowtheprotocolsestablishedbythatrotation.

2. ATTENDANCE Promptstudentattendanceisexpectedforthe28daysofeachrotationperiod.Attendanceismandatoryforallclinicalrotations.Amaximumofthree(3)daysforabsenceispermitted,ifapprovedbytheAssociateDeanforClinicalSciences,andmustberecordedonstudentlogsfortherotation.Absenceinexcessofthethree-daystandardwillresultinan“incomplete”fortherotation,untilsuchtimethattheactivityrequirementissatisfied.UnexcusedabsenceconstitutesreferraltothePromotionandMatriculationCommittee,andmayresultinfailureoftheclinicalrotation.

3. ABSENCEa. TheOfficeofClinicalSciencesmustbenotifiedprior to any absence,wheneverpossible.b. Ifabsencefromclinical rotation isnecessary,permissionmustbeobtainedfromthe

AssociateDeanforClinicalSciencesandtheSupervisingPhysician/Service.Only theSupervisingPhysicianandtheAssociateDeanforClinicalSciencesmaygranttimeoffduringaprescribedclinicalrotation.

c. Absenceoftheattendingphysicianorthestudent,fromthepracticeforaperiodgreaterthan one day, requires the student to notify the office for clinical sciences, of theinterruptionofactivity.AtthediscretionoftheAssociateDeanforClinicalScienceseitherareadingassignmentoralternatedutyassignmentwillbemade.

d. Reasonsforapprovedabsencemayincludeillness,conferenceattendanceorextendedleave.

e. AnyunexcusedabsencewillbereferredtothePromotionandMatriculationCommitteewitharecommendationoffailurefortheclinicalrotation.

f. ThestudentisnotpermittedtoleavethedesignatedclinicalrotationpriortothescheduleddeparturedatewithoutpriorapprovalofboththeAssociateDeanforClinicalSciences

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andtheattendingphysician.DeparturespriortothescheduleddeparturedatewithoutpriorconsentwillbeconsideredanunauthorizedabsenceandissubjecttoreferraltothePromotionandMatriculationCommitteeandpotentialfailureofthatclinicalrotation.

4. SUBMISSION OF STUDENT CASE LOGS AND ROTATION EVALUATIONAll studentsare required to submitacomplete, legibleCaseLog foreachclinical rotationwithinseven (7)calendardaysofthelastdayoftherotation.TheCaseLogconsistsofthestudent’sdailyactivities.e.g.patientcontact,proceduresperformed,readings,conferencesattended,etc.andissubmitted(accompaniedbypreceptorsignature)withinseven(7)calendardaysofthelastrotationday.Failuretosubmitlogswithinseven(7)calendardaysisconsidereda“Failure”andmaybereferredtothePromotionandMatriculationCommittee.ThestudentisrequiredtosubmitaLogSubmittalChecklistwitheachsetoflogstoindicatewhichlogsheetsthestudenthasreturnedtotheClinicalRotationsRecordsOfficer.

a. IllegibleCaseLogsareunacceptableandwillresultinagradeof“Failure”fortheclinicalrotation.

b. Allstudentsarerequiredtoincludetheirlevelofparticipationineachactivity.Levelofparticipation–(1)Observed,(2)Assisted,(3)ManagedUnderSupervision.

c. The teachingphysicianwill sign theLogSubmittalCheckliston the lastdayof theclinicalrotation.

d. ThestudentisrequiredtoevaluateeachrotationthroughtheRotationEvaluationFormandsubmitwitheachsetofCaseLogs.Thisevaluationwillreflectthestudent’sattitudeandobservationsregardingthequalityoftrainingreceivedoneachrotation.Thestudent’sgradewillbereportedas“Failure”untilthisformiscompletedandreturnedtotheOfficeoftheClinicalRotationsRecordsOfficer.

e. Intheeventoflatesubmittalofdelinquentlogmaterials,ifacceptabletotheAssociateDeanforClinicalSciences,therotationgradewillbeconvertedfroma“Failure”toanabsolutemaximumscoreof70%.

5. PERSONAL INSURANCEStudentsarerequiredtohavepersonalhospitalizationinsurancewhileonclinicalrotations.ProofofinsurancemustbeonfileintheofficeoftheAssociateDeanforStudentAffairs.Verificationofcurrenthealthinsurancemustbeprovidedbeforebeginningclinicalrotations.

6. HOUSINGAllhousingneedswhilethestudentshaverelocatedtotheindividualrotationsitesareatthestudent’sexpense.KYCOMisnotresponsibleforstudenthousing.

7. PROFESSIONALISMAsarepresentativeofbothKYCOMandtheosteopathicprofession,itisthestudent’sresponsibilitytomaintainprofessionaldeportmentatalltimes.

a. DRESS KYCOMstudentsareexpectedtodressprofessionallyatall timesandtobeattentivetopersonalhygieneandcleanliness.Itistherightofpatients,peersandhealthcarestafftoexpectasafe,non-offensive,non-infective,andnon-allergenicworkenvironment.Personalappearanceandhygienereflectconcernandrespectforbothstaffandpatientsafety.Itcontributestothedeliveryofqualityhealthcare,andsendsamessagetothepublicthatthehealthcarefacilitymaintainsapositive,respectfulandsafeenvironment.Uncleanandunkemptindividualsprovokediscomfort,andcreateabarriertohealthcareaccess.

KYCOMmaintainsa“NO TOLERANCE”policyfordiversionsfromthemandatoryguidelinesbelow:1. AtalltimesastudentmustbeclearlyidentifiedasaKYCOMstudent.2. ShortwhitelabcoatswithKYCOMidentificationareexpectedtobewornunlessspecifically

instructedotherwisebythehealthcarefacilityorpreceptorphysician.3. Scrubsuitsaretobewornintheoperatingroom,procedurerooms,duringcallhours,and

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atthediscretionofindividualpreceptorphysicianand/orhealthcarefacility.4. Clothing,atalltimes,mustbeneat,cleanandfreefromoffensiveodors.Clothingmustbe

professional,consistentwiththestandardsforaprofessionalenvironment,andnotattractundueattentionorserveasadistractiontoothers.Clothingthatcontainsunprofessionaloroffensivewritingorcaricaturesmaynotbeworn.Studentsshoulddressinanon-provocativemanner that demonstrates respect for patients, fellow students, and staff. It must alsobe appropriate to the typeofworkbeingperformedand take into account thepotentialexpectationsofpatients,stafforfellowstudents.

5. Open-toedandcasualshoes,suchassandalsandflip-flopsarenotconsideredprofessionalattire.

6. Jewelry,neckwear,scarvesandaccessoriescanbeworn,however,mustberemovedifeitherpreceptororhealthcarefacilityconsiderthemtointerferewithduty,orapotentialforinfectionandpossibleharmtopatients,stafforselfexists.

7. Tattoosandbodyartcanoftenbeperceivedasaffrontsorthreatstoreligionandfamily.Tattoosandbodyartshouldbecovered topreventpotential foroffensivereactionsfrompatients,peersorstaff.

8. KYCOMstudentsmustbephysicallyclean,wellgroomed,andtakestepstopreventand/oraddressproblemsofoffensivebodyodor.a. Avoidexcessiveuseoffragrances–scentedchemicalsposeathreatforallergicand/or

adversereactionsbypatients,peersandhealthcarestaff.b. Hairstyleandlength(includingmustachesandbeards)mustbeclean,neatandcontrolled.

Hairshouldnotinterferewithdutiesorposeathreat toinfectionforpatient,peerorhealthcarestaff.

b. SEXUAL HARASSMENTAny incident of suspected sexual harassment shall be reported immediately to the SupervisingPhysician,AssociateDeanforClinicalSciencesandtheAssociateDeanforStudentAffairs.AnystudentinvolvedinsexualharassmentshallbereferredtotheAssociateDeanforStudentAffairsforfurtheraction.

c. STUDENT/PATIENT RELATIONSHIPSThe relationshipbetweenanosteopathicmedical student andapatient shall alwaysbekeptonaprofessionalbasis.Astudentshallnotdateorbecomeintimatelyinvolvedwithapatientduetotheethical and legal considerations. Conduct in such an unprofessional manner shall be consideredimproperbehaviorandwillbegroundsfordisciplinaryaction,includingdismissalfromKYCOM.

d. KYCOM PHARMACEUTICAL AND INDUSTRY REPRESENTATIVE POLICYIntroductionKentuckyCollegeofOsteopathicMedicine(KYCOM)operatesasanot-for-profitosteopathicmedicaleducationalinstitutionengagedineducatingosteopathicmedicalstudentsandadvancingosteopathicmedicaleducation.KYCOMhasbeengrantedaccreditationbytheAmericanOsteopathicAssociation’sCommissiononOsteopathicCollegeAccreditation.Ourmissionincludespreparationofourgraduatesforcompetencyintheworldofprimarycaremedicine.AsuccessfulKYCOMgraduatewill,aftercompletionoftheeducationalprogram,demonstratesufficientknowledge,skillsets,experience,values,andbehaviorsthatmeetestablishedprofessionalstandards,supportedbythebestavailablemedicalevidence,thatareinthebestinterestofthewell-beingandhealthofthepatient.

Code of EthicsKYCOMisguidedbySection17oftheAmericanOsteopathicAssociationCodeofEthics1which

1 American Osteopathic Association Code of Ethics adopted July 2003. 2 Code on Pharmaceutical Company Interactions with Healthcare Professionals, originally adopted in July 2002, and amended in January 2009.

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specificallyrelatestotheinteractionofphysicianswithpharmaceuticalcompanies,andisclarifiedasfollows:1. The physicians’ responsibility is to provide appropriate care to patients. This includes

determiningthebestpharmaceuticalstotreattheircondition.Thisrequiresthatphysicianseducate themselvesas to theavailablealternativesand theirappropriatenessso theycandetermine themost appropriate treatment for an individual patient.Appropriate sourcesofinformationmayincludejournalarticles,continuingmedicaleducationprograms,andinteractionswithpharmaceuticalrepresentatives.

2.Itisethicalandinthebestinterestoftheirpatientsforosteopathicphysicianstomeetwithpharmaceuticalcompaniesandtheirrepresentativesforthepurposeofproducteducation,suchassideeffects,clinicaleffectivenessandongoingpharmaceuticalresearch.

3.Pharmaceuticalcompaniesmayoffergiftstophysiciansfromtimetotime.Thesegiftsshouldbeof limitedvalueandbeappropriate topatientcareor thepracticeofmedicine.Giftsunrelatedtopatientcareareinappropriate.Theuseofaproductorservice-basedsolelyonthereceiptofagiftshallbedeemedunethical.

4.Whenaphysicianprovidesservicestoapharmaceuticalcompany,itisappropriatetoreceivecompensation.However,itisimportantthatcompensationbeinproportiontotheservicesrendered.Compensationshouldnothavethesubstanceorappearanceofarelationshiptothephysician’suseoftheemployer’sproductsinpatientcare.

Pharmaceutical Research and Manufacturers of America (PhRMA)2 GuidelinesfromthePhRMAcode,developedvoluntarilybythepharmaceuticalindustry,andadheredtobyKYCOMinclude:1. A conference or meeting is any activity, held at an appropriate location, where (a) the

gatheringisprimarilydedicated,inbothtimeandeffort,topromotingobjectivescientificandeducationalactivitiesanddiscourse,and(b)themainincentiveforbringingattendeestogetheristofurthertheirknowledgeonthetopic(s)beingpresented.

2. Financialassistanceforscholarshipsorothereducationalfundstopermitmedicalstudents,residents,fellows,andotherhealthcareprofessionalsintrainingtoattendcarefullyselectededucationalconferencesmaybeofferedsolongastheselectionofindividualswhowillreceivethefundsismadebytheacademicortraininginstitution.“Carefullyselectededucationalconferences”aregenerallydefinedas themajoreducational,scientific,orpolicy-makingmeetingsofnational,regional,orspecialtymedicalassociations.

3. Any financial support provided by PhRMAcertified companies, should be given to theeducationalactivity(CME)providerwiththeintenttoreducetheoverallCMEregistrationfeeforallparticipants.

4. Nogrants,scholarships,subsidies,support,consultingcontracts,oreducationalorpracticerelated items shouldbeprovidedoroffered to ahealthcareprofessional in exchange forprescribingproductsorforacommitmenttocontinueprescribingproducts.Nothingshouldbeofferedorprovidedinamanneroronconditionsthatwouldinterferewiththeindependenceofahealthcareprofessional’sprescribingpractices.

5. Itisappropriateforcompanies,wherepermittedbylaw,toofferitemsdesignedprimarilyfortheeducationofpatientsorhealthcareprofessionalsiftheitemsarenotofsubstantialvalue($100.00orless)anddonothavevaluetohealthcareprofessionalsoutsideofhisorherprofessionalresponsibilities.

6. Anyhealthcareprofessionalthatservesaseitherpartofaprogramplanningcommitteeorasaprogramspeaker,andwhoalsoservesasacompanyspeakerand/orconsultant,isrequiredtodisclosetherelationshiptoall.

1 American Osteopathic Association Code of Ethics adopted July 2003. 2 Code on Pharmaceutical Company Interactions with Healthcare Professionals, originally adopted in July 2002, and amended in January 2009.

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Adjunct Clinical Faculty and Clinical Rotation SitesPharmaceuticalandindustryrepresentatives(PIreps)arenotreceivedontheKYCOMcampus,andmaintainnodirectexposuretotheosteopathicmedicalstudentseducatedthere.PIrepexposuretostudents,islimitedto“off-campus”healthcarefacilitieswhichincludephysicians’offices,hospitalclinicsandhospitals,and“pre-approved”attendanceatgraduatemedicaleducationprograms.KYCOMstudentsareprofessionallyboundbytheapplicablesectionsoftheAOACodeofEthics.

AllhospitalsitesarerequiredtomaintainaffiliationagreementswithKYCOM,arecredentialedbytheJointCommission(JCAHO)ortheAOA’sBureauofHealthcareFacilitiesAccreditation,andaredulylicensedwithintheirjurisdiction.Alladjunctclinicalprofessorsarerequiredtore-credentialwithKYCOMeveryfiveyears,areactivelylicensedintheirrespectivejurisdictions,andcarryregionallyacceptablemalpracticeinsurance.Allclinicaleducationsites:1. Provideandmaintainanenvironmentconducivetotheeducationandtrainingofosteopathic

medicalstudents.2. Assisttheosteopathicmedicalstudentsinobtainingexperienceinpatientcarebyallowing

saidstudentstoshareresponsibilityforpatientcarewithqualifiedstaffphysicians.3. Provideandmaintainanenvironmentwhichencouragescriticaldialoguebetweenthemedical

staffphysiciansandsaidstudentsthroughclinicalrotations,roundsandconferences.

Professional Student Behavior as defined by KYCOM includes:1. Performanceofmedicallyethicalbehavior,i.e.allactionsareinthebestinterestofpatients.2. Cognizanceoftheconceptofsocialaccountabilitytopreceptor,hostsiteand/orpeers.3. Cognizanceoftheconceptofprofessionaldutytosupervisingfacultyandtheirpatients.

SummaryThepharmaceuticalandpharmaceuticalresearchindustryisarecognizedmemberofthehealthcareteamthatisvoluntarilyboundbyasetofguidelines.KYCOMsupportstheguidelines,andwillfollowthemwithinthedefinitionsoftheschool’smission,andthoseprofessionaldutiesasoutlinedwithinpublicationsof theAmericanOsteopathicAssociationandallpublishedschoolcataloguesand/ormanuals.

e. ISSUES DEEMED REPORTABLE1. Itisthestudent’sresponsibilitytonotifythepreceptorand/orsupervisoryhousestaffofany

criticalissue(s)thataffectthestudentdoctorand/orhis/herpatient(s)duringtherotation.2. Ifnecessary,itisthestudent’sresponsibilitytonotifytheregionalcoordinatorand/orKYCOM

ofanycriticalissue(s)thataffecthim/herduringtherotation.

f. FINANCIAL COMPENSATIONAKYCOMosteopathicmedicalstudentengagedinaclinicalrotationwithinthehospital,officeoranypatientcaresettingisthereasbothanobserverandregisteredstudent.Astudentisneitheranemployeeorentitledtoanyfinancialcompensationormeansofcompensatoryreward.Anystudentthat enters a financial and/or compensatory relationship within the rotation site has violated theprofessionalagreementsbetweenKYCOMandthecoresite.

g. MOBILE TELEPHONES AND HANDHELD DEVICESKYCOM students are welcomed guests at clinical rotation sites. They are given the courtesy toparticipateasamemberofthestaff,however,asguests,shouldbemindfulthatmechanicalsounds,attention toelectronicmessagesanduseofkeyboardswithin theconfinesofexamination rooms,operatingrooms,procedureroomsandatbedsidecanbothbeperceived(bypatientsandstaff)asalackofinterest,andpotentiallydistractpreceptorphysiciansandhealthcarestafffromthedeliveryofsafehealthcare.ThefollowingguidelinesfortheuseofmobiledevicesaremandatedbyKYCOM:1. Nohandhelddeviceistobecarriedintooperatingorprocedurerooms.

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2. Uponentryintoahospitaloroutpatientfacility,allringersaretobesetfor“QUIET”or“VIBRATE,”andalarmsdisabled.

3. Ringersandalarmsforhandhelddevicesmustbedisabledorsetto“QUIET”or“VIBRATE”atallconferences.

4. Handheld devices may be used on patient rounds, and within patient rooms ONLY ifpermissionisobtainedfromthepreceptorphysicianandthepatient.

5. Handhelddevicesmaybeusedatnurses’stations,theintensivecareunit(s),andwithintheemergencydepartment,withpreceptorphysicianandnursingapprovalONLY.

6. Handhelddevicesmaybeusedwithintheconfinesofon-callroomsandhospitalcafeterias.

h. STUDENT IN “GOOD STANDING” DESIGNATIONKYCOMdefinesastudentin“GoodStanding”asanindividualwhohasconformedtoestablishedpolicyguidelines,passedallrequiredmilestoneexaminationstodate,satisfiedallcourserequirementstodate,andhasmaintainedallrecordsandsupportingdocumentsasrequiredbythestudenthandbook.

aPPRoVeD absenCe anD leaVe PolICIesPERSONAL ILLNESSItisparamountthatthewell-beingofthestudentisconsideredinanyillness.Ifastudentisabsentformorethanonedayduringarotation,theOfficeoftheAssociateDeanforClinicalSciencesofKYCOMmustbenotifiedandthestudentmustbeseenbyaphysicianfordocumentationandforthewell-beingofthestudent.Thestudentshouldnothesitatewhatsoevertoreportanillnessasthewelfareofthestudentandhis/herpatientcontactsisofprimeimportance.

TEMPORARY ABSENCE A“shortperiodoftime”mayberequestedtoattendtopersonalbusiness.Itisdefinedasashortperiodoftimeawayfromtheservicerotationactivitiesthatmaybeneededfromtimetotimetoallowthestudenttoattendtopersonalbusiness(e.g.banking,childcare,etc.).A“shortperiodoftime”shouldbeconstruedaslessthanoneday.Permissionofthesupervisingphysicianand/orofficeofclinicalrotationsisrequired.Nodurationorfrequencyrestrictionsaredefined;however,itisintendedthatthestudentprovideclearreasonforthetemporaryabsence.

EXTENDED LEAVEExamplesincludematernityleave,familyleave,etc.RequestsshouldbedirectedtotheAssociateDeanforStudentAffairs.TheAssociateDeanforClinicalSciencesshouldbecopiedonallcorrespondence.

Aleaveofabsencemaybegrantedfromthecollegeforoneofthefollowingfive(5)reasons:1. Amedicalemergency2. Afinancialemergency3. Afamilyemergency4. Pursuitofanacademicendeavorotherthantherequiredclinicalcoursework5. Conferenceattendance.

Extendedleaveofabsencecanbegrantedonlytostudentsin good standing,asdefinedinStudentResponsibilities,section7.h.ofthismanual.

Studentsthatrequiretimeawayfromrotations,thatwouldjeopardizetheattendancerequirement,mayrequestindividualconsiderationfromtheAssociateDeanforClinicalSciences.

MATERNITY LEAVEUncomplicatedpregnancydoesnotrequireaDean’sletter.Timeawayfromrotationsofuptosixty(60)daysmaybegranted.Additionaldayspriortoorpostdeliverywillneedadoctor’sletter.Inthosecases,anadditionaldoctor’sletterconcerningfitnesstoresumethedutiesofamedicalstudentwillbeneededtoreturntoclinicalrotations.Thedaysawayfromrotationswillneedtobemadeuppriortoreceiptofadiploma.

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ATTENDANCE AT PROFESSIONAL CONFERENCESKentuckyCollegeofOsteopathicMedicineiscommittedtoprovidingqualitymedicaleducationforourstudents.Thisexperienceincludesexcellenceinacademicandclinicalmedicine,researchandcommunityservice.Inordertomaximizethisprocess,it isfeltthatparticipationinprofessionalmeetingscangreatlyenhanceastudent’sprofessionalandpersonalgrowth.AttendanceofAOA-sponsorednationalmeetings,osteopathicdivisionalsocietymeetingsandAOA/osteopathicspecialtymeetingswillbeprovisionallyapproved.AllothermeetingsmusthaveanindividualrequestandbeapprovedbytheDeanofKentuckyCollegeofOsteopathicMedicine.

1. StudentsonclinicalrotationswishingtoattendaprovisionallyapprovedprofessionalmeetingwillsubmitastudenttravelrequesttotheAssociateDeanforClinicalSciencesatleast30dayspriortothemeetingindicatingthenameandlocationoftheprofessionalmeeting,sponsoringagency,anddatesofprospectiveabsence.

2. Onlyoneprofessionalconferencewillbeallowedperstudentperyearofclinicalrotations.AnydeviationfromthispolicymustbeapprovedbytheAssociateDeanforClinicalSciencesonanindividualbasis.

3. StudentsmustobtainpermissionfromboththeAssociateDeanforClinicalSciencesandthesupervisingpreceptorandbeingoodstanding,seeStudentResponsibilities7.h.,thismanual.

4. TherequestwillbeforwardedtotheDeanofKYCOMforapproval.5. Astudenttravelrequestwillbedeniedifthestudentisonprobation,hasunremediatedfailures,

hasafailinggradeatthetimeoftherequest,orattheDean’sdiscretion.6. Eachstudentwillberequiredtosubmitaone-pageorgreatertypedreportonthemeeting

andthevalueaddedtothestudent’seducation.ThiswillbeforwardedtotheOfficeoftheDeanwithinoneweekofreturn.

7. ParticipationofprofessionalmeetingsoutsideofnormalKYCOMcurriculumisconsideredaprivilegeandhonor.Studentsmustdocumentattendancetothesemeetings.

LEAVE FOR INTERVIEW POLICYThefollowingpolicyhasbeenadoptedregardingresidency/internshipinterviews:

1. Students will be required to submit an Interview Leave Request Form, signed by thepreceptor.

2. Amaximumofthree(3)daysforabsenceispermitted,ifapprovedbytheAssociateDeanforClinicalSciences,andmustberecordedonstudentlogsfortherotation.Absenceinexcessofthethree-daystandardwillresultinan“Incomplete”forthisrotation,untilsuchtimethattheactivityrequirementissatisfied.Studentsthatrequiretimeawayfromtherotation,thatwouldjeopardizetheattendancepolicy,mayrequestforindividualconsiderationfromtheAssociateDeanforClinicalSciences.

VACATIONS AND HOLIDAYSThewinterholidayeachyearandtheclassmeetingeachyeararetheonlyapprovedleavesfromclinicalrotations.ClinicalserviceattendanceduringreligiousornationalholidaysisatthediscretionoftheSupervisingPhysician,hospitalorclinicfacility.Therearenodesignatedreligiousand/ornationalholidaysapprovedbyKYCOMduringtheclinicalrotations.Novacationtimebeyondwhathasalreadybeendescribed,willbescheduledduringtheclinicalrotationperiod.

GeneRal RoTaTIons InfoRMaTIon Student responsibilities listed below are expected of all KYCOM students, and subject to individual hospital policies:

1. Studentswillwritedailynotesonpatientsduringrounds.2. Studentwillbepreparedtopresenttheirpatientsonrounds.3. Studentswillhaveallpatientchartsonroundsandhavepreparedamaintainedup-to-date

flow chart,withlabs,medications,andotherpertinentdata.4. Students will gather medical histories and conduct physical and osteopathic structural

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examinationsonallassignedpatients.5. Studentswillwritedischargenoteswhichincludephysicalexam,diagnosis,medicationslist,

andfollow-upappointments.6. Studentswillkeepalogonallpatientsseen.

STUDENT LIABILITY INSURANCEKYCOMstudentsarecoveredwithliabilityinsuranceandarecoveredonlyifthestudentisparticipatinginanofficiallyapprovedrotation.Thisappliestocorerotationsaswellasapprovedelectiveandselectivesites.Ifastudentisawareofapotentiallegalliabilitysituation,theAssociateDeanforClinicalSciencesmustbenotifiedimmediately.ProgressionofanylegalliabilityactionistobedetailedinwritingbythestudentandregularlysenttotheOfficeoftheAssociateDeanforClinicalSciences.

STUDENT EVALUATION (GRADE)1. Thestudentwillbeevaluatedforeachclinicalrotation.2. Itisthestudent’sresponsibilitytosubmita“KYCOM Student Assessment Form”tothe

preceptoronthefirstdayofrotation.3. Only one grade will be appliedper clinical rotation. The Associate Dean for Clinical

Sciences is responsible for the assignment of all clinical rotation grades. 4. Theevaluationisintendedtomeasurethestudentincomparisontoothersatthesamelevel

ofeducation.The“KYCOMStudentAssessmentForm”measures:a. MasteryofOsteopathicPhilosophyandApplicationofManipulativeMedicineb. MedicalKnowledgec. PatientCared. InterpersonalandCommunicationSkillse. Professionalismf. ApplicationofPractice-BasedLearningSkillsg. ApplicationofSystemsApproachtoMedicine

5. Specificdocumentationofafailinggradeshouldaccompanytheevaluation.6. Atthemidpointoftheclinicalrotation,astudent-preceptorconferencewilltakeplaceto

indicatethelevelofstudentperformance.Adiscussionastotheareasofstrengthandweaknessshouldbediscussedatthattime.

7. TheAssociateDeanforClinicalScienceswillreferafailinggradetothePromotionandMatriculationCommitteeforfurtheractionorremediation.

8. Failuretoreceivethe“KYCOMStudentAssessmentForm”withinseven(7)calendardaysofthelastrotationday,equals“Failure”oftherotation.Agradeof“Failure”willremainfortherotationuntilalldocumentationisreceivedandvalidated.Uponsuccessfulsubmissionofallrequiredlogdocuments,atthediscretionoftheAssociateDeanforClinicalSciences,therotationgradewillberaisedtoamaximumscoreof70%.

CHALLENGE OF GRADESAnychallengesorquestionsaretobedirectedtotheAssociateDeanforClinicalSciences.ThestudenthastherightforreviewofthechallengebythePromotionandMatriculationCommittee,iftheassociatedean’sresponserequiresfurtherclarification.

REMEDIATION POLICYAll clinical rotations must be successfully completed with a passing grade prior to graduation. Failure ofanyrequiredorelectiveclinicalrotationwillbereferredtothePromotionandMatriculationCommitteeforconsideration.Appealof any rotation failurewill follow the sameguidelinesof any failureas stated in theStudentHandbook.Incaseswhereapassinggradeisnotachieved,ifdeemedappropriatebythePromotionandMatriculationCommittee,thestudentwillbegiventheopportunitytorepeattherotation.Uponsuccessfulcompletionoftherepeatedrotation,amaximumgradeof70%willberecordedonthestudenttranscript.

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BLOOD BORNE PATHOGEN EXPOSURE AND POST-EXPOSURE PROPHYLAXIS1. GENERAL:TheBloodBornePathogen(BBP)policyincludesthree(3)components;

a.Education.b.Immediatepost-mishapevaluationofexposurerisk,asoutlinedbycurrentCenter

forDiseaseControlandPrevention(CDC&P)guidanceandrecommendations,occurs.c.Appropriatefollow-up.d.Thegoalsofthispolicyaretoinsuretheimmediatecleansingoftheexposuresite,reporting

oftheincidentand,whenindicated,immediateappropriatepost-exposureprophylactictreatmentbestartedusingCDC&Pguidelineswithintwohoursoftheexposureorless,andthatappropriatelaboratorywork-up,counselingandfollow-upbeprovided.Allcostsabovewhatispaidbythestudent’shealthinsurancearebornebyKYCOM.

2. EDUCATION:AllKYCOM1stand2ndyearstudentswillattenda2-hourblockofinstructiononHIVanda1-hourblockonUniversalPrecautionsannuallywhichwilladdressCDC&Pcurrent relevant universal exposure precautions, the post-exposure reporting process,prophylactictreatmentofBBPandothertransmitteddiseaseasindicated.

3. BBP/HIV EXPOSURE AllstudentswithmedicaleducationrelatedBBP/HIVexposurethroughanotherperson’s

bloodorbodyfluids–bysharpsinjuryorexposuretomucousmembranes/skin–willtakethefollowingstepsimmediately.a. PERFORMBASICFIRSTAID:IMMEDIATELYcleanthewoundandskinwithsoap

andrunningwater.Flushanymucousmembranesoreyeswithcopiousamountsofwaterornormalsalineforseveralminutes.Bloodshouldbeallowedtoflowfreelyfromthewound.Bloodshouldnotbesqueezedor“milked”fromthewound.

b. IMMEDIATELYNOTIFYyourPreceptororAttendingphysician.AnyKYCOMstudentswithmedicaleducationrelatedBBP/HIVexposurewillbeimmediatelyreleasedfromhis/herpreceptorship/rotationandgotothenearestaffiliatedhospitalEmergencyRoom(ER).Ifnoaffiliatedhospitalisinthearea,gotothenearesthospitalwithanER.

c. NOTIFYtheDean’sofficeoftheincident.d. ThegoalsofthestudentreportingtotheERforBBP/HIVexposureare:

i. TohelpthestudentassesswhethertheexposureisloworhighriskusingthemostcurrentCDC&Pguidelines.

ii. Startingpost-exposureprophylacticmedicationwithintwohours,iftheincidentisahighrisk.High-riskexposureistypicallydefinedassignificantbloodorbodilyfluidexposure,ofasourcepersonwithanyof thefollowing:knownHIVand/orsymptomsofAIDS,multiplebloodtransfusions1978-1985,IVdruguser,multiplesexualpartners,homosexualactivity.

iii. Counselingthestudentonmedicationsideeffectsandclarifyingthebenefit/riskratiooftheiruse.

iv. Checkbaselinelabs:HIVantibodytesting,completebloodcount,renalandhepaticchemistryprofile,andhepatitisevaluation.

e. TheAssociateDeanofClinicalAffairsshallbeapointofcontactforanyproblemthatmayarise.

f. Thestudentshallreportforfollow-uptothepreviouslyidentifiedphysicianwhoisthedesignatedsiteclinicalcontactforBBP/HIVexposure.ThisindividualwillbedesignatedbytheChiefofStafforDirectorofMedicalEducationateachofthecoreareasandbeidentifiedtothestudentpriortostartingpreceptorship/rotation.Thisphysicianshall,ataminimum,beresponsiblefor:i. InsuringHIVantibodytestingisdoneat12weeksandsixmonthsandresults

checked.ii. Writingprescriptionsforthefour-weekdrugregimenifneeded.iii. Repeatingcompletebloodcountandrenalandhepaticchemistryprofilesat

twoweeks.

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iv. Monitoringpotentialpancreatictoxicitybyorderingweeklycompletebloodcountsandchemistryprofiles.

PREPARATION FOR RESIDENCYTheGraduateMedicalEducationApplicationProcess-TheAssociateDeanforAcademicAffairsauthorstheMSPE(MedicalStudentPerformanceEvaluation).Thisdocumentisapeergroupevaluationwhichdetailsthestudentincomparisontotheentireclass.Eachstudentisrequiredtosubmitthefollowingthree(3)informationaldocumentsonorbeforeJune 30 of the third year of study tothe Office of Academic Affairs:

1. PreparationofaCurriculumVitae(CV) a.TheCVwillbe1-2pagesinlengthandfollowthefollowingformat:

i. CONTACT INFORMATION Name MailingAddress PermanentAddress Telephone CellPhone Email ii. PERSONAL INFORMATION DateofBirth PlaceofBirth Citizenship VisaStatus Gender MaritalStatus Spouse’sName NumberofChildren iii. EDUCATION Includedates,majors,anddetailsofdegrees,trainingandcertification HighSchool College/University Graduate/MedicalSchool Post-DoctoralTraining iv. EMPLOYMENT HISTORY Listinchronologicalorder,includepositiondetailsanddates WorkHistory AcademicPositions ResearchandTraining v. PROFESSIONAL QUALIFICATIONS CertificationsandAccreditations ComputerSkills vi. HONORS/AWARDS vii. PUBLICATIONS viii. PROFESSIONAL MEMBERSHIPS ix. INTERESTS/HOBBIES

b. PERSONALDATAInfourorfivesentences,mentioninformationthatmightbeincludedwithinanintroductory

paragraph: i. Whereyouarefrom ii. WhereyouwerepriortoKYCOM(otherschools,jobs) iii. WhyyoucametoKYCOM(medicalschool)

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iv. Anystrugglesorhardshipsyouencounteredduringmedicalschool a) Personalorfamilyissues b) Failuresofcourses,etc. v. Whatprogram(s)interestyou,andwillbeamongyourapplicationlist. vi. SubmitalistofPersonal Strengths: a) Academic b) Interpersonalskillssuchascommunicationwithpatients,staff,

etc. c) Perhapsyoustruggledintheclassroombuthaveexcelledinthe

clinicsetting d) Perhapscommentsfrompreceptorsaboutyou(notthewritten

onesfromyourevaluationssincetheywillalreadybeinyour letter)orcommentsfrompatients(“Iwouldlikeforyouto bemydoctoroneday”);againtherearemanypossibilities

Thepurposeforthesesubmittalsissothattheletterproduced,canbepersonalized,andemphasiscanbeplacedonthingsyoufeelareimportant.

SCHEDULING OF CORE CLINICAL ROTATIONSThecoresiteclinicalrotationsschedulewillbeestablishedthroughtheOfficeofClinicalSciencesandCoreSiteCoordinatorsorAreaHealthEducationCenters(AHEC),whereavailable.

SCHEDULING OF ELECTIVE CLINICAL ROTATIONS1. Sixteenweeksofelectiverotationsareatthediscretionoftheindividualstudentwiththe

approvaloftheAssociateDeanforClinicalSciences.GoodStanding,asdefinedinStudentResponsibilities,section7.h.ofthismanual,isrequiredtoapply.

2. Allelectiverotationsareinfourweekblocks,andwillbeginonthefirstMondayofthefirstweekandendonthelastFridayofthefourthweekwithnolessthanfive(5)dayspereachfullweek.Oneelectiverotationblockmaybedividedintotwo,two-weekblockswithapprovalfromtheAssociateDeanforClinicalSciences.

3. ElectiveClinicalRotationFormsareavailablefromtheDirectorofClinicalRotations.ElectiveRequestformsmustbecompletedandsubmittedtotheDirectorofClinicalRotationsat least 60 days priortotheanticipatedstartdateoftherotation.Electiverotationrequestsmaybedeniedifpaperworkcompletionrequirementsarenotmet.Sixteenweeksofelectiverotationsmustbecompletedtomeetgraduationrequirements.

4. Failuretosubmitanelectiverotationrequestintheallottedtimeandtoobtainelectiverotationapprovalwilljeopardizetheelective,andmaydisruptand/orlengthenastudent’sacademicschedule.

SCHEDULING OF SELECTIVE CLINICAL ROTATIONSTheobjectiveofselectiveclinicalrotationsistoprovideaframeworkfortheevaluationandmanagementofthepatientwithacuteand chronicpathophysiologythatrequirestheconsultationofthespecialtyphysician.Theosteopathicmedicalstudentisgiventheopportunitytoobserveandparticipateinthemanagementofmedicalandsurgicalcasesinthehospitalenvironment,andexperiencetheintricaciesofnecessarydiagnosticandtherapeuticplannedprocedures.Itissuggestedthatselectiverotationsareservedinthecoresite,tofacilitaterecognitionoftheroleplayedbythemedical/surgicalspecialistinthecareofhospitalizedpatients.Studentsthatwishtoserveselectiverotationsawayfromthecoresite,mustfollowthefollowingprocedure:

1. SelectiveClinicalRotationFormscanbeobtainedfromtheDirectorofClinicalRotations.2. AllrequestsmustbesubmittedtotheDirectorofClinicalRotationsat least 60 days prior

totheanticipatedstartdateoftherotation,andapprovedbytheAssociateDeanforClinicalSciences.StudentsmustbeinGoodStanding,asdefinedinStudentResponsibilities,section7.h.ofthismanual,inordertoapply.Selectiverotationrequestsmaybedeniedifrequestsaresubmittedwithoutsufficienttimetoprocessthem.

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SUGGESTED SELECTIVE ROTATIONSInadditiontorequiredselectiverotationsinEmergencyMedicine,OP&P,Women’sHealth,andRuralMedicine,studentsarerequiredto:

1. Serveonefour-weekClinicalMedicalselectiverotation.2. Serveonefour-weekClinicalSurgicalselectiverotation.3. Servefourfour-weekelectiverotations.

SeeMedicalSelectiveandSurgicalSelectivecoursedescriptionsforasuggestedlist.However,thecourseslistedarenot“all inclusive.”

CHANGES IN CORE CLINICAL ROTATIONChangesincoreclinicalrotationsareonlypermittedforcompellingreasons.WrittendocumentationastothereasonsforachangeshouldbedirectedtotheAssociateDeanforClinicalSciences.ThedecisionastotheabilitytochangescheduleswillbeatthediscretionoftheAssociateDeanforClinicalSciences.

CHANGES IN ELECTIVE CLINICAL ROTATIONSChanges inunconfirmedelective clinical rotationsmaybe allowedonlyonceper clinical rotation after theschedulehasbeenestablished.Rotationsmaynotbechangedlessthansixty(60)dayspriortothestartdate.AllchangesaresubmittedinwritingtotheAssociateDeanforClinicalSciencesastothechangesandthereasonsforthechange.ChangesinconfirmedelectiveswillnotbeallowedwithoutapprovaloftheAssociateDeanforClinicalSciences.AnydeviationfromthispolicywillresultinareferraltothePromotionandMatriculationCommitteeforfurtherconsideration.

THe ClInICal CoMPeTenCY PRoGRaMIntroduction:Competencyintheworldofevidence-basedmedicinerequiressolidclinicalskills,theabilitytoworkwithotherhealthcareprofessionals,broadmedicalknowledgeandfamiliaritywiththeinformationhighway.Theclinicalcompetencyprogramisanadjuncttotheclinicalrotationsrequirementandisdesignedtomeetthefollowingobjectives:

• Developmentofgoodcommunicationandinterpersonalskills• Demonstrateabilitytoidentifyandintegratehealthcareresources• Effectivelygatherandpresentdata• Expandbasicmedicalknowledge

TherearefiveprogramsthatconstituteThe Clinical Competency Program.Theyare:1. TheWrittenClinicalCasePresentation2. TheClinicalJournalClub3. The“EndofService”ExamModules4. CECentralON-LINEProgram5. TheClinicalCapstoneCourse

AllcomponentsoftheClinicalCompetencyProgramaregradedas“Pass/Fail.”However,theyarebasedonnumericallygradedformatsasdescribedbelow.

1. WRITTEN CLINICAL CASE PRESENTATIONAllthirdyearstudentsarerequiredtosubmitthree(3)writtenclinicalpresentations.Thesubmissionsrepresentclinicalcases,eithermanaged(undersupervision)orassistedbyyou,aspartofyourcoreclinicalrotations.Eachcasesubmitted,mustbeapprovedbythesupervisingpreceptor.Thecasesmaybetakenfromanycorerotation,however,maynotexceedtwo(2)permedical-surgicaldiscipline.Case#1willbeduenolaterthanthelastdayofthethirdclinicalrotation,Case#2willbeduenolaterthanthelastdayofthesixthclinicalrotation,andCase#3willbeduenolaterthanthelastdayoftheninthclinicalrotation.

a. Thewrittenpresentationshouldbenolongerthan3pages,andappearinstandardmedicalformatasoutlinedbelow:i. Patientidentification(Ex.75y.o.Asianmale)

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ii. ChiefComplaintiii. HistoryofChiefComplaintiv. PastMedicalHistoryv. PastSurgicalHistoryvi. FamilyHistoryvii.SocialHistoryviii.GynecologicHistoryifFemaleix. MedicationsListx. ListofAllergies/AdverseReactionsxi. ReviewofSystemsxii.PhysicalExaminationxiii.Laboratory/RadiologyReportsxiv.Assessment(DifferentialDiagnosis)xv.Outcome

b. Allpresentationsshouldincludeaoneortwoparagraphdiscussionofakeypointthatwaslearnedfromthecase.

c. Gradingisnumericalandpointdeductionsaredefinedasbelow:

70-79 points = Average Passing Range 80-89 points = Good Performance 90-100 points = Excellent Performance

• AnyResubmittedPresentationearnsamaximumgradeof70points.• Toreceivecreditforthesubmittalaminimumgradeof70pointsmustbeachieved.

b. CLINICAL JOURNAL CLUB Thethirdyearosteopathicmedicalstudentispartneredwithpeersandfourthyearcolleaguestoreviewcurrenttopicsinthemedicalliterature.ArticleswillbechosenfromthecollectedworksandstudyguidespreparedbyPrescribers’Letter.

Objectivesa. Topromoteprofessionalreadinghabits.b. Toencouragecriticalevaluationofpublishedmedicalinformation.c. Tobroadenmedicalknowledge.d. Tosupportcollegialityamongprofessionals.

FormatAllthirdandfourthyearstudentsarerequiredtoattendonejournalclubperacademicyear.AllmeetingswillbescheduledforoneTuesdayeveningperfour-weekrotationperiod,at6:30p.m.easterntime.Studentswillconnecttotheprogramfromtheirpersonalcomputers,andwillhavetheabilitytoconversewitheachother,eitherviaheadsetortelephoneconnection.MeetingassignmentswillbeissuedbytheAssociateDeanforClinicalSciencesasfollows:

a. JournalClubdateassignmentswillbesentbyUniversityofPikeville(UPIKE)emailtoallclassmembersnolaterthanthefirstdayofrotations.

HIPAAidentifierswerenotremovedpriortopresentationTypographicalerrors

UnacceptableabbreviationsusedSubjectiveinformationincompleteObjectiveinformationincomplete

Summationandrelevantdiscussionomitted

30pointsdeduction1point/errordeduction1point/errordeduction

1point/omissiondeduction1point/omissiondeduction

10pointsdeduction

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b. NotificationofassignedjournalarticleswillbereleasedviaUPIKEemailnolaterthanoneweekbeforetheassigneddate.

c. Attheconclusionofeachjournalclubsession,thefacilitatorwillassignthreequestionstobeansweredviaemailbythefollowingmorning.Allanswersshouldbenolongerthanthreesentencesinlength.

Student Responsibilitiesa. Readandoutlinetheassignedjournalarticleinadvanceofthemeeting.b. ReadandanswerthePrescribers’Letterpreparedstudyquestionsinadvanceofthemeeting.c. Bepreparedtobecalleduponduringtheonlinemeetingtodiscussthearticlecontent,related

theory/clinicalpracticeorstudyquestionmaterial.d. Submissionofcompletedfacilitatorquestionsbefore12:00NoonETonthedayfollowing

themeeting.Attendance

a. Studentsareexpectedtoattendthejournalclubmeetingonthedateassigned.AllattendanceisverifiedbyPrescribers’Letter.

b. IfabsencesarereportedtotheAssociateDeanforClinicalSciencespriortoairtime,amake-updateoralternateassignmentwillbegiven.

c. FailuretonotifytheAssociateDeanforClinicalSciencesaboutunavoidableabsencefromjournal club requiresawrittenexplanation.Remediationwillbeat thediscretionof theAssociateDeanforClinicalSciences.

GradingThegradewillbebasedonsuccessfulcompletionofthethreestudyquestionsassignedonthemeetingnight,andverifiedattendance.Studyquestionssubmittedbyabsenteeswillnotbeaccepted.Thequestionresponseswillbeduethemorningafterthesession,andshouldbee-mailedtotheprogramfacilitator.Allgradesarenumerical,andbasedonthefollowing:

• Toreceivecredit,aminimumgradeof70pointsmustbeachieved.

3. END OF SERVICE EXAMINATION MODULESa. Completion of on-line examination modules in the areas of Family Medicine, Internal

Medicine, Surgery, Pediatrics, Women’s Health, Osteopathic Principles and Practices,andPsychiatryisamandatoryrequirementtoreceivefullcreditforeachthird-yearcorerotation discipline. The modules are prepared by the National Board of OsteopathicMedicalExaminersandentitled“ComprehensiveOsteopathicMedicalAchievementTest”(COMAT).Eachmoduleisdesignedtoassessmedicalknowledgeinthecoresubjectarea.ThemodulesalsoservetopreparetheosteopathicmedicalstudentfortheCOMLEXLevel2CEexamination,takenbyKYCOMstudentsaftercompletionofthethirdyearofstudy.

b. Examswillbecompletedduringthefourthweekoftherotation.c. Fortworotationdisciplines,e.g.surgery(CourseNos.740and741),examswillbecompleted

duringthefourthweekofthesecondrotation(Ex.CourseNo.741).d. Rotationgradesforeachdisciplinewillbeconsideredan“incomplete”untiltheexamresult

isreceivedbytheAssociateDeanforClinicalSciences.

4. CE CENTRAL ON-LINE PROGRAM KentuckyAHEC,inassociationwiththeUniversityofKentucky,hascreatedaneducationalseriesentitledCECentral.AsaKYCOMstudentyouarerequiredtologintowww.CECENTRAL.comduringeveryfour-weekrotationperiod,viewanytwo(2)clinicalprogramsofyourchoice,andsuccessfullycompleteatenquestionquiz

AttendanceVerified0of3questionsansweredcorrectly1of3questionsansweredcorrectly2of3questionsansweredcorrectly3of3questionsansweredcorrectly

60points0points10points25points40points

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(achieve70%).CECentralwillissuea“CertificateofCompletion”onlineafterthequizispassed.A limit of twocompletedprogramcertificatesmustbeearnedperclinicalrotationandsubmittedtotheAssociateDeanforClinicalSciencesnolaterthanthelastdayoftherotationperiod.No more than two(2)clinicalprogramscanbeviewedonthesameday,andno more than two(2)certificatescanbesubmittedatthesametimetoreceivecredit.Arequiredtotalofforty-two(42)clinicalprogramsmustbecompletedbetweenthefirstclinicalrotationofthethirdyearofstudyandthelastclinicalrotationofthefourthyearofstudy.

Grading is “Pass/Fail” and remediation is at the discretion of the Associate Dean for Clinical Sciences. A“Passing”gradeisachievedifforty-two(42)certificatesareearned(A“CertificateofCompletion”isearnedif≥70%ofstudyquestionsaresuccessfullycompleted.)

5. THE CLINICAL CAPSTONE COURSEIntroductionAtwo-weekperiodatthecompletionofthethird-yearofstudyisprovidedtopreparetheosteopathicmedicalstudent for thechallengesofboth the fourth-yearof studyand futuregraduatemedical education.Programsegmentsinclude:

a. FORMAL CLINICAL CASE PRESENTATION KYCOMbelievesthatstudentsmustdemonstratetheskillsnecessaryforthedeliveryof

aneffectivepeergrouppresentationofaclinicalcase.Topromotethislearningobjective,KYCOMhasinitiatedafourth-yearstudentclinicalpresentationtobepreparedbyeachstudentandpresentedatthesummermeeting–TheClinicalCapstoneProject,whichisscheduledfortheendofthethird-yearofstudy.Eachstudentisrequiredtopresentoneclinicalcaseonasubjectofpersonalclinicalinterest.Thecasemaybechosenfromanyofthethree(3)alreadysubmittedwrittenpresentations.Presentationsmustbeaminimumof15minutesandamaximumof30minutesinlength.Astudentisrequiredtosubmitatopicrequest,accompaniedbyanoutline,forpre-approvalbytheAssociateDeanforClinicalSciencesbyApril1ofthethird-yearofstudy.i. Thepresentationwillbedeliveredinaprofessionalmanner,inthefollowing

order: a) PatientIdentifier(--isa--y.o.“race,”“gender”) b) Subjectivepatientpresentation(PaintTheScene) c) Historyofchiefcomplaint d) PMH/PSH e) SocialandFamilyHistory f) ObstetricalandGynecologichistoryifapplicable g) MedicationList(includedosageandregimen) h) Allergies(includereaction) i) PhysicalExam(DescriptionofMajorRelatedFindings) j) LabsandImaging k) DifferentialDiagnosis l) PatientOutcome m) CaseDiscussionii. Criticallyevaluatedpresentationqualityareasinclude: a) HIPAAidentifiers–pointreductionsforfailuretoremovepriorto

presentation b) Typographicalerrors-correctionsnotmadeonslides c) Unacceptableabbreviationsused d) Subjectiveinformationincomplete e) Objectiveinformationincomplete f) Summationandrelevantdiscussionomittediii. Casesmaybepresentedinoneofthreeformats:

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a) Voiceoverpowerpointpresentation b) Recordedvideocampresentation c) LiverecordedpresentationatKYCOMiv. Gradingisnumericalandpointdeductionsaredefinedasbelow:

70-79 points = Average Passing Range 80-89 points = Good Performance 90-100 points = Excellent Performance

• Anypresentationreturnedforre-submittalearnsamaximumgradeof70points.• Toreceivecreditforthesubmittalaminimumgradeof70pointsmustbeachieved.

b. ELECTRONIC RESIDENCY APPLICATION SERVICE (ERAS)i. Aquestionandanswersessionwillbeheld.ii. Topicswillinclude: a) ThetimingoftheNationalResidentMatchingProgram–OGMEversus

ACGME. b) BenefitsofapplyingtotheOGMEonly c) BenefitsofapplyingtotheACGMEonly d) BenefitsofapplyingtobothOGMEandACGME e) TheScramblingProcess

c. OSHA SEMINARTopicstobediscussedinclude:i. Stepstotakeincaseofbloodbornediseasesexposureii. Evaluationofexposureriskiii. CDCrecommendationsforthemanagementofhealthcareprofessionalsexposed

toHBV,HCVandHIViv. Riskpreventionrecommendations

d. CLINICAL SKILLS TESTING PERFORMANCE EVALUATIONObjectives:i. Observethelevelofclinicalskillslearnedbytheosteopathicmedicalstudent-

in-training.ii. Evaluate the osteopathic medical student’s readiness toward professional

competency.iii. Evaluatetheosteopathicmedicalstudent’sreadinessforgraduationfrommedical

school.iv. To determine necessity and areas of concentration to achieve successful

professionalcompetency.v. ToaimforsuccessintheCOMLEXLevel2PerformanceEvaluation.

Description: Four(4),23-minutemoduleshavebeendevelopedtoportrayclinicalencounterscommonly

seen by the osteopathic physician in either the outpatient, primary care or emergencydepartmentsettings.Standardizedpatientshavebeentrainedtoportrayclinicalscenariosinastandardized fashion,appropriate to theclinical setting,andshouldbe interviewed,examinedandtreatedasyouwouldcarefora“real patient.”

HIPAAidentifierswerenotremovedpriortopresentationTypographicalerrorsnotcorrectedonslides

UnacceptableabbreviationsusedSubjectiveinformationincompleteObjectiveinformationincomplete

Summationandrelevantdiscussionomitted

30pointsdeduction1point/errordeduction1point/errordeduction

1point/omissiondeduction1point/omissiondeduction

10pointsdeduction

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Format: Theclasswillrandomlybedividedintogroupsoffourstudents,andscheduledtosequentially

rotatethroughfoursimulatedpatientencounters.Outsideeachpatientroom,achartwillbeplacedwithinformationalreadygatheredtosupportthechiefcomplaint(nurse’snotes,vitalsigns,labwork,X-Ray(s),ECG’s,etc.).Eachexaminationroomwillbeequippedwiththe necessary tools to perform all appropriate examinations. An announcement will bemadetobegintheencounter;thestudentwillhavefourteen14minutestoreviewthechartinformation, conduct a patient interview, perform a physical examination, perform anytreatmentmaneuvers,give(age/gender/race)appropriatehealthpromotioninformation,reviewfindingswiththepatient,andansweranypatientquestionsorconcerns.Atwominutewarningwillbeannouncedduringthefourteenminuteperiodtofacilitateencounterclosure.Attheconclusionofthefourteenminuteperiod,thestudentwillbeinstructedtoleavetheroom,andreporttothe“SOAP Note Writing Station.”Thestudentwillhavenine(9)minutestodocumentinformationgatheredduringthepatienthistoryandphysicalexamination,developa“most to least likely”differentialdiagnosis(atleastthreeisrecommended),andproposeatreatmentplan.Attheendofthenineminutes,anannouncementwillbemadetostopwritingandreporttothenextclinicalencounter.The23-minutemodulewillthenberepeatedforatotaloffour(4)clinicalencounters.Evaluation:

Thestudent’sclinicalperformancewillbegradedbyKYCOMcliniciansinthedepartmentsofFamilyMedicine,OsteopathicPrinciplesandPracticeandBasicMedicalSciences.Thestandardizedpatientshavebeentrainedtoprovideanevaluationofthestudent’shumanisticqualities (communication and listening skills, patient respect, etc.). Critically evaluatedqualityareasmayinclude,butarenotlimitedto,thefollowing.Anexampleofanevaluativetoolisshownasfollows:

Standardized Patient Evaluation (40 pts) Point Value

Student doctor is professionally attired and exercised good hygieneStudent doctor asks questions clearly and is easily understoodStudent doctor is a good listener and answers concerns clearlyStudent doctor showed respect and concern for me, the patientStudent doctor explained and prepared me, the patient, during every step of the encounterStudent doctor reviewed all examination informationStudent doctor reviewed the treatment plan Student doctor valued my, the patient’s, input in all aspects of the encounter

5 3 1 0

5 = excellent, 3 = good, 1 = pass, 0 = fail Total

Osteopathic Manipulation Component Evaluation (20 pts) Point Value

Performed regionally appropriate examinationExplained objective of treatment to the patientChose appropriate treatment modality/modalitiesTreatment techniqueTreatment duration

4 2 0

4 = excellent, 2 = passing, 0 = fail, N/A = no OMT indicated (Total Score Adjusted) Total

N/A

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Numerical Grading: 70-79 points = Average Passing Range 80-89 points = Good Performance 90-100 points = Excellent Performance

Eachstudentwillhave theopportunity tomeetwithamemberof theKYCOMfaculty toreviewperformanceandviewexcerptsof theclinicalencounters.Allmeetingswillbescheduledby theClinical Sciences Department. KYCOM faculty will offer recommendations and suggestions forpreparationandtimingfortheCOMLEXLevel2PE.

SuggestedReferencesLe,Tao,FirstAidfortheUSMLEStep2CS,3rdEd.,2010.Savarese,RobertG.,OMTReview,3rdEd.,2003.Nelson,KennethE.,SomaticDysfunctioninOsteopathicFamilyMedicine,2006.Kauffman,Mark,COMLEXLevel2PEReviewGuide,2011.Beers,Porter&Jones,TheMerckManual,18thEd.,2005.Seideletal,Mosby’sGuidetoPhysicalExamination,6thEd.,ElsevierHealthSciences,2006.GomellaandHaist,Clinician’sPocketReference,11thEd.,McGraw-HillCo.,2006.Reteguiz,J.,MasteringtheUSMLEStep2CS,3rdEd.,McGraw-Hill,2005.

e. COMPREHENSIVE OSTEOPATHIC MEDICAL SELF-ASSESSMENT EXAMINATION (COMSAE) FOR LEVEL 2.i. COMSAE is a self-assessment tool forosteopathic students. It is produced

by theNationalBoardofOsteopathicMedicalExaminers,anditsformatandstructurecloselyresemblethatofCOMLEXLevel2CE.

ii. All attendees are required to sit forCOMSAE to assess their readiness forCOMLEXLevel2CE.KYCOMwillconditionallyreimbursestudentsforthecostassociatedwiththeCOMSAE.

SOAP Note Evaluation (20 pts) Point Value

Student doctor collected chief complaint, HCC, PMH, PSH, FamHx, All, SHx, Gyn Hx (if applicable), med list dosage and regimen, and ROS Scope of physical examination consistent with patient encounterDocumented physical examination consistent with video-recorded examinationDifferential diagnosis logical and accuratePlan of care logical and problem(s) based

4 2 0

4 = excellent, 2 = passing, 0 = fail Total

Clinical Component Evaluation (20 pts) Point Value

Student Doctor (SD) elicited chief complaint from Standardized Patient (SP) and asked appropriate and directed open-ended questions, related to probable diagnosis(es).SD examined regions and body systems consistent with the chief complaint and “standard of care” for age and gender of patient.Examination technique consistent with current “standard of care”Examination duration consistent with the chief complaint and “standard of care”

5 3 0

5 = excellent, 3 = passing, 0 = fail Total

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a) StudentswillregisterfortheCOMSAEon-lineduringreal-timewithin theexaminationroom.

b) Studentswillbescheduledtositfortheexaminationinsmallgroups. c) Studentsmustbring theirownlaptopstotheexaminationroom. d) Theexaminationwillbeproctored. e) Allstudentswilltaketheexaminationintimedmodeaccordingtothe

timeframeprescribedbytheNationalBoardofOsteopathicMedical Examiners(NBOME).

f) Uponcompletionoftheexamination,thestudentwillreceive,real-time, ascorereport.Thescorereportshouldbesavedforsubmittaltothe AssociateDeanforClinicalSciences.

iii. All studentswhohave taken theCOMSAEwillbe scheduled tomeetwithamemberof thefaculty,whowillmakerecommendationsandpreparation/schedulingsuggestionsforCOMLEXLevel2CE.

a) TheCOMSAEscorereportmustbebroughttothescheduledmeeting forbothreviewandsubmittal.

b) Itisrecommendedthatthestudentbringanycurrentstudymaterialsto theconferenceforfacultyreview.

iv. Reimbursement. a) AllstudentsarerequiredtositfortheCOMSAEunderproctoredand

timedconditionsasdescribedintheparagraphsinsection4b1-6. b) Allstudentsarerequiredtoretainacopyofthescorereportasdescribed

insections4b6and4c1. c) Allstudentsarerequiredtosubmitacopyofthescorereportforboth

facultyreviewandsubmittaltotheAssociateDeanforStudentAffairs forreimbursement.

SuggestedReferencesTaoLe,FirstAidfortheUSMLEStep2CK,7thEd.,2009.Carl,Andreas,USMLEStep2MadeRidiculouslySimple,5thEd.,2011.Brochert,Adam,CrushStep2,2007.O’ConnellandBrochert,USMLEStep2Secrets,3rdEd.,2010.AyalaandSpellberg,BoardsandWards,4thEd.,Lippincott,Williams&Wilkins,2010.VanKleunen,StepUptoUSMLEStep2,2ndEd.,Lippincott,Williams&Wilkins,2008

GUIDelInes foR PReCePToRsPRECEPTOR EDUCATIONAL RESPONSIBILITIESPreceptorswillprovideinstruction,supervision,andevaluationoftheperformanceofstudents.Ifforanyreasonthepreceptordecidesastudent’sperformanceisunsatisfactory,he/sheshouldcontacttherotationsofficebeforetherotation’scompletion.Ifaproblemariseswithastudent’sperformance,theKYCOMDeanofClinicalScienceswilldecideontheappropriateactiontobetaken.Thepreceptorisencouragedtoconductamid-rotationmeetingwiththestudenttoprovidespecificfeedbackonthestudent’sperformance.Thisisespeciallyimportantifthestudentisnotmeetingexpectations.Thepreceptorwillevaluatetheperformanceofthestudentsinwritingimmediatelyfollowingcompletionoftherotation.PreceptorsareencouragedtodiscusstheevaluationwiththestudentbeforereturningittoKYCOM.Thestudentwillevaluatehis/herownperformance,theeducationalservices,andfacultyparticipationattherotationsite.Thisevaluationwillalsobesubmittedtotherotationsofficeduringtheweekfollowingrotation.CopiesofKYCOMevaluationinstrumentsareincludedattheendofthismanual.

INSTRUCTIONAL OBJECTIVES FOR PRECEPTORSThefollowingguidelinesareprovidedtoaidsupervisingphysiciansandstaffinmeetingtheobjectivesofthe

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curriculumforthestudents.Thepreceptorwill:1. Providedirectionandguidancetoenablethestudenttomastertheobjectiveslistedinthe

curriculumfortherotation.2. Demonstrateavailabilityforsupport,directionalguidanceandconsultationswiththestudents.3. Demonstrateawidevarietyofknowledgenecessaryfortheinstructionofthestudent.4. Effectivelyencouragequestionsandstimulateproblemsolving.5. Admitfreelyalackofknowledgewhenheorsheencountersasituationthatisnotafamiliar

medicalproblem.6. Displaythefollowingpersonaltraits:

a. attentivetotheneedsofthestudentsb. acalmandrelaxedmannerc. enthusiasmaboutthepracticeofmedicined. interestinpresentinginformationtostudents

7. Effectivelydefineandillustrateclinicalsignsandsymptoms.8. Helpthestudentsindevelopingskillsinclinicalproblem-solving.9. Displayamannerwhichexemplifiesthosecharacteristicsthatpromoteeffectivephysician/

patientcommunication.10. Displaytheappropriatepsychosocialinteractionsthatpromoteeffectivephysician/patient

communication.11. Providethestudentswitheducationalprogramsthatwillincreasetheirknowledge.

ATTENDING PHYSICIAN RESPONSIBILITIESThepreceptor/attendingphysicianpossessestheexperienceandtrainingto:

1. Reviewandco-signallwrittenmaterialsa. ProgressNotesb. HistoryandPhysicalExamsc. AdmitNotesandDischargeSummariesd. TreatmentOrders

2. ReviewStudentPerformancea. Conductamid-rotationevaluationsessiontodiscussthestudent’sprogressb. Completionandsubmittalofthe“KYCOMStudentAssessmentForm”atthecompletion

oftherotation3. AttendPatientRounds

a. Answercasespecificquestionsb. Emphasizeimportant“learning”pointsc. Directthestudent’scasemanagementactivities

4. ServeasaMentor5. SuggestReading

sTUDenT ReCoRD KeePInGLOGSAllstudentsarerequiredtomaintainadailylogoneverypatientseenduringambulatoryandhospitalcare.Allattendingphysiciansareentitledtoreviewthislogatanytime,andencouragedtoreviewthemattheendoftherotation.LogsandevaluationsaretobesubmittedtotheClinicalRotationsRecordsOfficerwithinseven(7)calendardaysfromthelastdayoftherotation.Agradeof“Failure”willremainfortherotationuntilalllogmaterialsarereceivedandvalidated.Uponsuccessfulsubmissionofalllogdocuments,atthediscretionoftheAssociateDeanforClinicalSciences,therotationgradewillberaisedtoamaximumof70%.

ThefollowingCaseLogcomponentsaremandatory:1. TheLogSubmittalChecklist–anyitemmarked“None”requirestheinitialsofthepreceptor.

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2. StudentAssessmentForm3. RotationEvaluationForm–utilizedforstudentevaluationoftheclinicalexperience.This

evaluationwillbeaccumulatedandreviewedforcredentialingandcurricularpurposesandmustaccompanyallCaseLogs.

Thefollowingentriesaresuggestedforeachofthefollowinglogareas:1. StudentLog–AmbulatoryClinicRotation–utilizedonallambulatoryclinicalrotations,

includingbutnotlimitedtorotationssuchasFamilyMedicine,GeneralInternalMedicine,andPediatrics.Thiswouldbeanoutpatientlogandwouldnotincludehospitalizedpatients.

2. StudentLog–HospitalCaseParticipation–notingthefollowing:a. Patientidentificationnumberorinitialsonly.ItisaHIPAAviolationtoidentify

patientsbyname.b. Admissiondatec. Diagnosis–ProvisionalorFinald. LevelofParticipatione. H&PPerformedf. AttendingPhysiciang. OMT

4. StudentLog–Surgery–utilizedduringthesurgicalcoreandelectiverotationsnotingthesurgicalprocedures,levelofparticipation,finaldiagnosis,andwhethertheprocedurewasperformedonaninpatientoroutpatientbasis.

5. StudentLog–Obstetrics–utilizedonallobstetricalcases.6. Student Log – Special Procedures – examples such as laceration repair, Pap smear,

Electrocardiography,Surgicalbiopsy,Cardiacstresstest,etc.7. Student Log – Educational Programs – listing of all clinical didactic lecture activities

includingJournalClub,Morbidity&MortalityReview,TumorBoard,Videoconferences,CountyMedicalSociety,etc.

8. StudentLog–ReadingProgram–notingthebreadthanddepthofthestudent’sprofessionalreadingexperienceduringtheclinicalrotation.Thiswouldalsoincludeanyreferencesforresearchperformedattherequestofthepreceptor.Thelogwouldlistthenamesofbooks,journals,orothereducationalmaterialcompletedduringthelogperiod.

NoCaseLogswillbeconsideredcompletewithouttheappropriatecompletedcomponentparts.Thesupervisingphysician/preceptor must sign the Log Submittal Checklist attesting the accuracy of the case log activitiesperformedandexperiencedduringtheclinicalrotation.

Forpurposesofcredentialing,gainingfuturepracticeprivilegesorcertification,studentsshouldpermanentlykeepsignedcopiesoftheirlogs.KYCOMwillnotkeepfilecopiesofsuchdocumentsformorethanoneyear,anditisthestudent’sresponsibilitytobeabletoproduceoriginaldocumentationofhis/hertraining.

GRaDUaTIon ReQUIReMenTs1. SuccessfulCompletionofCOMLEXlevel1,Level2-CE,andLevel2-PE2. CompletionoftheWrittenClinicalCasePresentation3. CompletionofCECentralon-lineprogram4. CompletionofCapstoneCourse5. CompletionofClinicalJournalClub6. Successfulcompletionofend-of-serviceexaminationmodulesinInternalMedicine,Family

Medicine,Pediatrics,GeneralSurgery,Women’sHealth,OsteopathicManipulativeMedicine,andPsychiatry.

7. SuccessfulCompletionofallclinicalrotationsandsubmittalofalldocumentationa. Submittalsofallclinicalrotationlogs

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b. StudentAssessmentForms8. Attendanceatallclassmeetings

a. Classmeetingatconclusionofthethird-yearofstudyb. Exitclassmeetingatconclusionoffourth-yearofstudyc. Attendanceatgraduationexercises

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CoRe CURRICUlUM objeCTIVes

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faMIlY MeDICIne ICourse DescriptionFamilyMedicineIisamandatory,four-week,third-yearcorerotationthatmaybeservedineitherthein-patientorout-patientsetting.Thethird-yearosteopathicmedicalstudentisprogressedfromtheclinicalcoursesintroducedduringthetwopre-clinicalyearstotheirapplicationinpatientcare.Ahospitalsettingispreferable,however,courseobjectivescanbeachievedinanofficesetting.Preventivecare,familyplanning,endoflifecare,acuteandchroniccareappliedacrossallagegroups,coordinationofmedicalservicesandtheoperationofaprofessionalpracticeareamongthemanyexperiencesgainedoverthefourweeks.

Course Objectives1. Toprovideaframeworkforcareofthegeneralmedicalpatient.

a. Todevelopandapplyinterviewingskillstothepatientencounter,asameanstobothsolidifyphysician-patientrelationshipsandproducepreliminarydifferentialdiagnosis.

b. Toutilizephysicalexaminationskillstoprogressfrompreliminarydifferentialdiagnosistoaprobabledifferentialdiagnosisandthedevelopmentofadiagnosticandtreatmentplan.

c. Toexperiencetheevolutionofadiagnosticplan,andtheestablishmentofaworkingdiagnosisanditsassociatedtreatmentplan.

d. Toidentifyandapplycoreosteopathicprinciplesandpracticestothecareofthegeneralmedicalpatient.

e. Toidentifyavailablesocialandmedicalresourcesandthefamilyphysician’sroleintheircoordinationtopatientcare,i.e.referraldecision-making.

f. Toviewtheroleofexperience-basedmedicinetomedicaldecision-making.2. Toprovideaframeworkforpreventivemedicalcaretoallagegroups.3. Toexposestudentstotheoperationofaprofessionaloffice:

a. Therolesofstaffandphysician(s)inthedeliveryofhealthcare.b. Theinfluencesofthirdpartyinsuranceandmedicaldecision-making.c. Careandrecordingofmedicalrecords.d. The roles of the “International Classification of Diseases” and “Current Procedural

Terminology”andtheirimpactonphysicianreimbursement.e. Theroleofthetelephone,andotherelectroniccommunicationtoolsinthedeliveryof

healthcare.f. AwarenessofphysicianresponsibilitiesunderHIPAAandOSHAregulations.

4. To provide knowledge of office procedures, their associated equipment, and laboratorysubmittalrequirements.a. Phlebotomyb. Woundrepairandsutureremovalc. Electrocardiographyd. Spirometrye. Audiometryf. Screeningexaminationsofthemaleandfemalebreastg. Theanal,rectalandprostateexaminationh. Thefemaleinternalexamination

5. Todevelopwrittenandoralcommunicationskills.a. Theproductionofawrittenand/ordictatedhistoryandphysical.b. Theproductionofawrittenand/ordictatedencounterprogressnote.c. Telephoneandin-personcommunicationwithothermedicalandhealthprofessionals

involvedincommon,withthecareofthegeneralmedicalpatient.

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Student DutiesThestudentparticipatesasbothamemberofthehospitalhousestaffandofficestaff.Responsibilitiesinclude:

1. Performanceofadmissionhistoriesandphysicals2. Completionofroundsonallin-patientsincluding:

a. ProductionofaprogressSOAPnoteineachassignedpatientchart.b. Investigationofalldiagnosticstudiesorderedforthepatient.c. Productionofanycasesummariesand/ordischargesummariesfortheadmittedpatient.d. PerformanceofOsteopathicManipulativeTreatmentunderthedirectionoftheattending

physician.3. Assistand/orperformofficeproceduresundersupervision.4. Officeset-upandperformanceofprocedures:

a. OsteopathicManipulativeTreatmentb. Preventivehealthscreensc. Minorsurgeryd. Preparationoflaboratoryspecimense. Drapingandgowning

HoursThisisafour-weekclinicalrotation.Dailyhoursaretoparallelthehoursoftheattendingphysician,however,thefollowingguidelinesaresuggested:

1. Aworkdaymaybeconsidereda12-hourduration.2. Aworkweekmaybeconsideredtypically72hoursduration.3. Themaximumcontinuousdurationofworkmaybe30hoursandshouldfollowaminimum

of12hoursoffduty.4. Twodaysoutofevery14daysmaybeprovidedasaweekendbreak.

LocationThephysician’sofficeandparticipatinghospital(s)withinthecoresite.

DressAtalltimes,KYCOMstudentswillactasarepresentativeoftheschool,andbeattentivetopersonalhygiene,cleanlinessandpersonaldemeanor.ShortwhitelabcoatswithKYCOMidentificationareexpectedtobewornunlessspecificallyinstructedbythehospitalorpreceptor.Scrubsuitsaretobewornintheoperatingroom,procedurerooms,duringcallhoursandatthediscretionofindividualphysiciansand/orinstitution/facility.Atalltimes,however,thestudentmustbeclearlyidentifiedasaKYCOMstudent.SeeStudentResponsibilitiessection7.a.ofthismanualforclarification.

AttendancePromptstudentattendanceisexpectedforthe28daysoftherotationperiod.Theactivitiesofeachdaymustberecordedonstudentlogsfortherotation.Amaximumofthree(3)daysforabsenceispermitted,ifapprovedbytheAssociateDeanforClinicalSciences,andmustberecordedonstudentlogsfortherotation.Absenceinexcessofthethree-daystandardwillresultinan“incomplete”forthisrotation,untilsuchtimethattheactivityrequirementissatisfied.

Absenceoftheattendingphysicianorthestudent,fromthepracticeforaperiodgreaterthanoneday,requiresthestudenttonotifytheofficeforclinicalsciences,oftheinterruptionofactivity.AtthediscretionoftheAssociateDeanforClinicalScienceseitherareadingassignmentoralternatedutyassignmentwillbemade.

Lectures and MeetingsItistheresponsibilityofthestudenttobefamiliarwiththehospital’sdidacticlectureschedule,andtodocumentattendancewithinthestudentlog.Didacticprogramsincludebutarenotlimitedto:MorningReport,JournalClub,Morbidity/MortalityConference,GrandRounds,andNoonConference.Absencefromanyoftheseevents

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requiresthesignatureofthepreceptor,andshouldbesentwiththestudentlogreportstoKYCOM.Itisexpectedthatthestudentwillattendaminimumof70%ofeachkindofevent.

GradingThe“KYCOMStudentAssessmentForm”forCORE(andOPP)rotations,whichiscompletedbytheattendingphysiciananddiscussedwiththestudentbeforemailing,comprises90%oftherotationgrade.TheCOMATexaminationscorecomprisesthebalanceofthegrade.Uponreceiptandreviewofallinformation,theAssociateDeanforClinicalSciencesevaluatesthematerial,andassignsanumericalgrade,aspertheClinicalRotationsManual,page15.Theevaluationisintendedtomeasurethestudentincomparisontoothersatthesamelevelofeducation.

Theevaluationisintendedtomeasurethestudentincomparisontoothersatthesamelevelofeducation.TheKYCOMStudentAssessmentFormmeasures:

1. MasteryofOsteopathicPhilosophyandApplicationofManipulativeMedicine2. MedicalKnowledge3. PatientCare4. InterpersonalandCommunicationSkills5. Professionalism6. ApplicationofPractice-BasedLearningSkills7. ApplicationofSystemsApproachtoMedicine

Challenge of GradesAnychallengesorquestionsaretobedirectedtotheAssociateDeanforClinicalSciences.ThestudenthastherightforreviewofthechallengebythePromotionandMatriculationCommittee,iftheassociatedean’sresponserequiresfurtherclarification.

RemediationIn caseswhere apassinggrade isnot achieved, if deemedappropriateby thePromotionandMatriculationCommittee,thestudentwillbegiventheopportunitytorepeattherotation.Uponsuccessfulcompletionoftherepeatedrotation,amaximumgradeof70%willberecordedonthestudenttranscript.

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faMIlY MeDICIne IICourse DescriptionFamilyMedicineIIisamandatory,thirdyear,upperlevel,fourweekcorerotation,thatmaybeservedpreferablyinanoffice-basedsetting,however,canbeaccomplishedinanin-patientsetting.Theosteopathicmedicalstudentis,underpreceptorsupervision,activelyengagedinboththecareandthemedicaldecision-makingforboththein-patientandout-patientpopulation.Duringthefourweeks,theosteopathicmedicalstudentwillevaluatepatients,developcomprehensivecareplansandexperiencetheresponsibilitiesassociatedwithphysicianactions.

Prerequisite: Family Medicine I

Course Objectives1. Todevelopefficientandcompleteevaluativeandmanagementskillsforthecareofthegeneral

medicalpatient.a. To conduct an age, gender and problem associated patient interview and physical

examination,whileincludingpreventivemedicalcareforallagegroups.b. Toformulateandtestpreliminarydifferentialdiagnosisduringthephysicalexamination.c. Todevelopadiagnosticandtreatmentplan.d. Toestablishaworkingdiagnosisandthechallengesassociatedwiththeimplementation

ofthetreatmentplan.e. Toapplycoreosteopathicprinciplesandpracticestothecareof thegeneralmedical

patient.f. To coordinate available social and medical resources as part of the comprehensive

treatmentplan.g. To,underpreceptorsupervision,takethefamilyphysician’sroleinreferraldecision-making.

i. Toviewtheroleofexperience-basedmedicinetomedicaldecision-making.ii. Toviewtheavailabilityofservicesanditsimpactonpatientcare.iii. Toviewtheeffectofoutsideinfluences,e.g.thirdpartyinsurance,onmedical

decision-making.2. Todevelopamodelfortheoperationofaprofessionaloffice:

a. Examinetherolesofstaffandphysician(s)inthedeliveryofhealthcare.Thismayinclude,withtheconsentofthepreceptor,attendanceatofficestaffmeetings.

b. Developanunderstandingoftheinfluencesthatthirdpartyinsuranceshaveonmedicaldecision-making.

c. Understandthelawsthatgovernthecareandrecordingofmedicalrecords.d. Gainaworkingknowledgeofthe“InternationalClassificationofDiseases”and“Current

ProceduralTerminology”andtheirimpactonphysicianreimbursement.e. Examinethetelephonesystem,andotherelectroniccommunicationtoolsinrelationto

thedeliveryofhealthcare.f. KnowtheHIPAAandOSHAregulationsinregardtotheoperationofaprofessional

medicalpractice.i. Confidentialityii. Hazardouswasteremovaliii. Emergencyprocedures

g. Todevelopaninventoryofnecessarypropertyandsuppliesforthedailyoperationofageneralmedicalpractice.

3. Tocontinuedevelopmentofwrittenandoralcommunicationskills.a. Theproductionofawrittenand/ordictatedhistoryandphysical.b. Theproductionofawrittenand/ordictatedencounterprogressnote.c. Telephoneandin-personcommunicationwithothermedicalandhealthprofessionals

involvedincommon,withthecareofthegeneralmedicalpatient.

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Student DutiesThestudentparticipatesasbothamemberofthehospitalhousestaffandofficestaff.Responsibilitiesinclude:

1. Performanceofadmissionhistoriesandphysicals2. Completionofroundsonallin-patientsincluding:

a. Productionofa“problem-based”progressSOAPnoteineachassignedpatientchart.b. Maintain“outofchart”treatmentplansoneachassignedpatientforpurposesofbedside

discussionandcomprehensivecareplanning.c. Investigationandinterpretationofalldiagnosticstudiesorderedforthepatient,andbe

preparedtodiscussfindingsforpurposesofcomprehensivecareplanning.d. Follow-upwithallconsultantsonassignedpatients,andbepreparedtodiscussfindings

forpurposesofcomprehensivecareplanning.e. Productionofanycasesummariesand/ordischargesummariesfortheadmittedpatient.f. PerformanceofOsteopathicManipulativeTreatmentunderthedirectionoftheattending

physician.g. Assistand/orperformofficeproceduresundersupervision.h. Officeset-upandperformanceofprocedures:

i. OsteopathicManipulativeTreatmentii. Preventivehealthscreensiii. Minorsurgeryiv. Preparationoflaboratoryspecimensv. Drapingandgowning

i. Attendandobserve,withpreceptorpermission,familymeetings.3. Completionofan“EndofService”examination(COMAT)administeredbytheNational

BoardofOsteopathicMedicalExaminers,duringthefourthweekoftherotation.

HoursThisisafourweekclinicalrotation.Dailyhoursaretoparallelthehoursoftheattendingphysician,however,thefollowingguidelinesaresuggested:

1. Aworkdaymaybeconsidereda12-hourduration.2. Aworkweekmaybeconsideredamaximumamountat72hoursduration.3. Themaximumcontinuousdurationofworkmaybe30hoursandshouldfollowaminimum

of12hoursoffduty.4. Twodaysoutofevery14daysmaybeprovidedasaweekendbreak.

LocationThephysician’sofficeandtheparticipatinghospital(s)withinthecoresite.

DressAtalltimes,KYCOMstudentswillactasarepresentativeoftheschool,andbeattentivetopersonalhygiene,cleanlinessandpersonaldemeanor.ShortwhitelabcoatswithKYCOMidentificationareexpectedtobewornunlessspecificallyinstructedbythehospitalorpreceptor.Scrubsuitsaretobewornintheoperatingroom,procedurerooms,duringcallhoursandatthediscretionofindividualphysiciansand/orinstitution/facility.Atalltimes,however,thestudentmustbeclearlyidentifiedasaKYCOMstudent.SeeStudentResponsibilitiessection7.a.ofthismanualforclarification.

AttendancePromptstudentattendanceisexpectedforthe28daysoftherotationperiod.Theactivitiesofeachdaymustberecordedonstudentlogsfortherotation.Amaximumofthree(3)daysforabsenceispermitted,ifapprovedbytheAssociateDeanforClinicalSciences,andmustberecordedonstudentlogsfortherotation.Absenceinexcessofthethird-daystandardwillresultinan“incomplete”forthisrotation,untilsuchtimethattheactivityrequirementissatisfied.

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Absenceoftheattendingphysician,orthestudent,fromthepracticeforaperiodgreaterthanoneday,requiresthestudenttonotifytheofficeforclinicalsciences,oftheinterruptionofactivity.AtthediscretionoftheAssociateDeanforClinicalScienceseitherareadingassignmentoralternatedutyassignmentwillbemade.

Lectures and MeetingsItistheresponsibilityofthestudenttobefamiliarwiththehospital’sdidacticlectureschedule,andtodocumentattendancewithinthestudentlog.Didacticprogramsincludebutarenotlimitedto:MorningReport,JournalClub,Morbidity/MortalityConference,GrandRounds,andNoonConference.Absencefromanyoftheseeventsrequiresthesignatureofthepreceptor,andshouldbesentwiththestudentlogreportstoKYCOM.Itisexpectedthatthestudentwillattendaminimumof70%ofeachkindofevent.

GradingThe“KYCOMStudentAssessmentForm”forCORE(andOPP)rotations,whichiscompletedbytheattendingphysician,anddiscussedwiththestudentbeforemailing,comprises90%oftherotationgrade.TheCOMATexaminationscorecomprisesthebalanceofthegrade.Uponreceiptandreviewofallinformation,theAssociateDeanforClinicalSciencesevaluatesthematerial,andassignsanumericalgrade,aspertheClinicalRotationsManual,page15.Theevaluationisintendedtomeasurethestudentincomparisontoothersatthesamelevelofeducation.

Theevaluationisintendedtomeasurethestudentincomparisontoothersatthesamelevelofeducation.TheKYCOMStudentAssessmentFormmeasures:

1. MasteryofOsteopathicPhilosophyandApplicationofManipulativeMedicine2. MedicalKnowledge3. PatientCare4. InterpersonalandCommunicationSkills5. Professionalism6. ApplicationofPractice-BasedLearningSkills7. ApplicationofSystemsApproachtoMedicine

Challenge of GradesAnychallengesorquestionsaretobedirectedtotheAssociateDeanforClinicalSciences.ThestudenthastherightforreviewofthechallengebythePromotionandMatriculationCommittee,iftheassociatedean’sresponserequiresfurtherclarification.

RemediationIn caseswhere apassinggrade isnot achieved, if deemedappropriateby thePromotionandMatriculationCommittee,thestudentwillbegiventheopportunitytorepeattherotation.Uponsuccessfulcompletionoftherepeatedrotation,amaximumgradeof70%willberecordedonthestudenttranscript.

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GeneRal InTeRnal MeDICIne ICourse DescriptionGeneralInternalMedicineIisamandatory,fourweek,hospital-based,third-yearcorerotation.ThethirdyearosteopathicmedicalstudentisprogressedfromCourseNo.607,secondyearIntroductoryInternalMedicine,andCourseNo.604,ClinicalApplicationsofOsteopathicMedicine,topracticalapplicationinthehospitalsetting.Thepathophysiologyofcardiovascular,cerebrovascular,pulmonary,renal,gastrointestinalandendocrinedisordersareamongthepatientpopulationseen.Asamemberoftheinternalmedicineteam,underthesupervisionofageneralinternist,theosteopathicmedicalstudentparticipatesintheadmission,in-hospitalcareanddischargeofthepatientsserved.

Course Objectives1. Todevelopageandgenderspecific,problem-orientedhistoryandphysicalexaminationskills.2. Tolearneffectivecommunicationskills.

a. Thefocusedpatientinterviewb. Peercasepresentationtechniquesc. Productionofcoherentadmission,progress,anddischargenotes

3. Tocorrelateinformationgainedfromthepatient’schiefcomplaint,medical,surgical,social,andfamilialhistorieswiththesignsandsymptomsseenonexaminationtodevelopdifferentialdiagnosesinorderoflikelihood.

4. Toappreciatetherolethatexperience-basedmedicineplaysinthemanagementofthemedicalpatient.

5. Toappreciatetheroleofviscero-somaticandsomato-visceralphysicalfindingsinboththediagnosisandtreatmentofthemedicalpatient.

6. Toappreciatetheneedforpreventivemedicalcareaspartofthetotaltreatmentregimenforthemedicalpatient.

7. Tolearntheprinciplesoftheproductionandimplementationofatotaltreatmentplan.8. Toexposestudentstotheoperationofahospital.

a. Thehospitallaboratoryb. Theradiologydepartmentc. Thenursingstaffandpatientcaremanagementd. Thephysical,occupational,speech,andrespiratorytherapyteamse. Thesocialservicesdepartmentf. ThestrictobservanceofHIPAAandOSHAregulationsg. Thecoordinationofpatientcare

9. Toprovidepracticalproceduralknowledge:a. Phlebotomyandarterialbloodgasesb. Insertionofnasogastrictubesc. Insertionofurinarycathetersd. Insertionofcentralvascularcatheterse. Electrocardiographyf. Therectalexaminationg. Cardiovascularresuscitationh. Lumbarspinalpuncturei. Cultureofblood,bodyfluidandsofttissues

Student DutiesThestudentparticipatesasamemberofthehospitalhousestaff

1. Performanceofadmissionhistoriesandphysicals2. Completionofroundsonallin-patients3. Performanceofafterhourscall

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4. Attendanceathospitalconferences5. Performanceofminorbedsideprocedures

HoursThisisafourweekclinicalrotation.Dailyhoursaretoparallelthehoursofthehousestaff,however,thefollowingguidelinesaresuggested:

1. Aworkdaymaybeconsideredof12-hoursduration.2. Aworkweekmaybeconsideredtypically72hoursduration.3. Themaximumcontinuousdurationofworkmaybe30hoursandshouldfollowaminimum

of12hoursoffduty.4. Twodaysoutofevery14daysmaybeprovidedasaweekendbreak.

Location Thephysician’sofficeandtheparticipatinghospital(s)withinthecoresite.

DressAtalltimes,KYCOMstudentswillactasarepresentativeoftheschool,andbeattentivetopersonalhygiene,cleanlinessandpersonaldemeanor.ShortwhitelabcoatswithKYCOMidentificationareexpectedtobewornunlessspecificallyinstructedbythehospitalorpreceptor.Scrubsuitsaretobewornintheoperatingroom,procedurerooms,duringcallhours,andatthediscretionofindividualphysiciansand/orinstitution/facility.Atalltimes,however,thestudentmustbeclearlyidentifiedasaKYCOMstudent.SeeStudentResponsibilitiessection7.a.ofthismanualforclarification.

AttendancePromptstudentattendanceisexpectedforthe28daysoftherotationperiod.Theactivitiesofeachdaymustberecordedonstudentlogsfortherotation.Amaximumofthree(3)daysforabsenceispermitted,ifapprovedbytheAssociateDeanforClinicalSciences,andmustberecordedonstudentlogsfortherotation.Absenceinexcessofthethree-daystandardwillresultinan“incomplete”forthisrotation,untilsuchtimethattheactivityrequirementissatisfied.

Absenceoftheattendingphysician,orthestudent,fromthepracticeforaperiodgreaterthanoneday,requiresthestudenttonotifytheofficeforclinicalsciences,oftheinterruptionofactivity.AtthediscretionoftheAssociateDeanforClinicalScienceseitherareadingassignmentoralternatedutyassignmentwillbemade.

Lectures and MeetingsItistheresponsibilityofthestudenttobefamiliarwiththehospital’sdidacticlectureschedule,andtodocumentattendanceinthestudentlog.Didacticprogramsincludebutarenotlimitedto:MorningReport,JournalClub,Morbidity/MortalityConference,GrandRounds,andNoonConference.Absencefromanyoftheseeventsrequiresthesignatureofthepreceptor,andshouldbesentwiththestudentlogreportstoKYCOM.Itisexpectedthatthestudentwillattendaminimumof70%ofeachkindofevent.

GradingThe“KYCOMStudentAssessmentForm”forCORE(andOPP)rotations,whichiscompletedbytheattendingphysician,anddiscussedwiththestudentbeforemailing,comprises90%oftherotationgrade.TheCOMATexaminationscorecomprisesthebalanceofthegrade.Uponreceiptandreviewofallinformation,theAssociateDeanforClinicalSciencesevaluatesthematerial,andassignsanumericalgrade,aspertheClinicalRotationsManual,page15.Theevaluationisintendedtomeasurethestudentincomparisontoothersatthesamelevelofeducation.

Theevaluationisintendedtomeasurethestudentincomparisontoothersatthesamelevelofeducation.TheKYCOMStudentAssessmentFormmeasures:

1. MasteryofOsteopathicPhilosophyandApplicationofManipulativeMedicine2. MedicalKnowledge3. PatientCare

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4. InterpersonalandCommunicationSkills5. Professionalism6. ApplicationofPractice-BasedLearningSkills7. ApplicationofSystemsApproachtoMedicine

Challenge of GradesAnychallengesorquestionsaretobedirectedtotheAssociateDeanforClinicalSciences.ThestudenthastherightforreviewofthechallengebythePromotionandMatriculationCommittee,iftheassociatedean’sresponserequiresfurtherclarification.

RemediationIn caseswhere apassinggrade isnot achieved, if deemedappropriateby thePromotionandMatriculationCommittee,thestudentwillbegiventheopportunitytorepeattherotation.Uponsuccessfulcompletionoftherepeatedrotation,amaximumgradeof70%willberecordedonthestudenttranscript.

41

GeneRal InTeRnal MeDICIne IICourse DescriptionGeneralInternalMedicineIIisamandatory,fourweek,hospital-based,corerotationthatmaybeservedduringthethirdyearofstudy.Theosteopathicmedicalstudent,underthesupervisionofageneralinternist,andhousestaff, is encouraged to incorporate evaluative skills, and evidence-based medical information, to develop acomprehensivetreatmentregimenbasedonlogicalmedicaldecision-making.

Pre-requisite: General Internal Medicine I

Course Objectives1. Toexperiencetheresponsibilitiesofaninternorresident.2. Toexperiencecasemanagementandthecoordinationofsystems-basedmedicalcare.

a. Theuseofsubspecialistsandothermedical/surgicaldisciplinesb. Theuseofsocialservicesandoutpatientprogramsc. Theuseofphysicaltherapyd. Theuseofin-housecareservices

3. Toproduceandimplementatotaltreatmentplan.4. Toexperienceprioritizationskills.5. Todevelopaproblemorientedapproachtopatientcare.6. Todevelopasenseofcost-effectivemedicalcare.

Student Duties1. Performanceofadmissionhistoriesandphysicals.2. Completionofroundsonallin-patients.3. Performanceofafterhourscall.4. Attendanceathospitalconferences.5. Performanceofbedsideprocedures.

a. Placementofcathetersb. Centralandperipherallineplacementc. Electrocardiographyd. Spirometrye. Sepsiswork-upandprocedures

6. Completionofan“EndofService”examination(COMAT)administeredbytheNationalBoardofOsteopathicMedicalExaminers,duringthefourthweekoftherotation.

HoursThisisafourweekclinicalrotation.Dailyhoursaretoparallelthehoursofthehousestaff,however,thefollowingguidelinesaresuggested:

1. Aworkdaymaybeconsideredof12-hoursduration.2. Aworkweekmaybeconsideredtypically72hoursduration.3. Themaximumcontinuousdurationofworkmaybe30hoursandshouldfollowaminimum

of12hoursoffduty.4. Twodaysoutofevery14daysmaybeprovidedasaweekendbreak.

LocationThephysician’sofficeandtheparticipatinghospital(s)withinthecoresite.

DressAtalltimes,KYCOMstudentswillactasarepresentativeoftheschool,andbeattentivetopersonalhygiene,cleanlinessandpersonaldemeanor.ShortwhitelabcoatswithKYCOMidentificationareexpectedtobewornunlessspecificallyinstructedbythehospitalorpreceptor.Scrubsuitsaretobewornintheoperatingroom,procedurerooms,duringcallhours,andatthediscretionofindividualphysiciansand/orinstitution/facility.At

42

alltimes,however,thestudentmustbeclearlyidentifiedasaKYCOMstudent.SeeStudentResponsibilitiessection7.a.ofthismanualforclarification.

AttendancePromptstudentattendanceisexpectedforthe28daysoftherotationperiod.Theactivitiesofeachdaymustberecordedonstudentlogsfortherotation.Amaximumofthree(3)daysforabsenceispermitted,ifapprovedbytheAssociateDeanforClinicalSciences,andmustberecordedonstudentlogsfortherotation.Absenceinexcessofthethree-daystandardwillresultinan“incomplete”forthisrotation,untilsuchtimethattheactivityrequirementissatisfied.

Absenceoftheattendingphysician,orthestudent,fromthepracticeforaperiodgreaterthanoneday,requiresthestudenttonotifytheofficeforclinicalsciences,oftheinterruptionofactivity.AtthediscretionoftheAssociateDeanforClinicalScienceseitherareadingassignmentoralternatedutyassignmentwillbemade.

Lectures and MeetingsItistheresponsibilityofthestudenttobefamiliarwiththehospital’sdidacticlectureschedule,andtodocumentattendanceinthestudentlog.Didacticprogramsincludebutarenotlimitedto:MorningReport,JournalClub,Morbidity/MortalityConference,GrandRounds,andNoonConference.Absencefromanyoftheseeventsrequiresthesignatureofthepreceptor,andshouldbesentwiththestudentlogreportstoKYCOM.Itisexpectedthatthestudentwillattendaminimumof70%ofeachkindofevent.

GradingThe“KYCOMStudentAssessmentForm”forCORE(andOPP)rotations,whichiscompletedbytheattendingphysician,anddiscussedwiththestudentbeforemailing,comprises90%oftherotationgrade.TheCOMATexaminationscorecomprisesthebalanceofthegrade.Uponreceiptandreviewofallinformation,theAssociateDeanforClinicalSciencesevaluatesthematerial,andassignsanumericalgrade,aspertheClinicalRotationsManual,page15.Theevaluationisintendedtomeasurethestudentincomparisontoothersatthesamelevelofeducation.

Theevaluationisintendedtomeasurethestudentincomparisontoothersatthesamelevelofeducation.TheKYCOMStudentAssessmentFormmeasures:

1. MasteryofOsteopathicPhilosophyandApplicationofManipulativeMedicine2. MedicalKnowledge3. PatientCare4. InterpersonalandCommunicationSkills5. Professionalism6. ApplicationofPractice-BasedLearningSkills7. ApplicationofSystemsApproachtoMedicine

Challenge of GradesAnychallengesorquestionsaretobedirectedtotheAssociateDeanforClinicalSciences.ThestudenthastherightforreviewofthechallengebythePromotionandMatriculationCommittee,iftheassociatedean’sresponserequiresfurtherclarification.

RemediationIn caseswhere apassinggrade isnot achieved, if deemedappropriateby thePromotionandMatriculationCommittee,thestudentwillbegiventheopportunitytorepeattherotation.Uponsuccessfulcompletionoftherepeatedrotation,amaximumgradeof70%willberecordedonthestudenttranscript.

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GeneRal sURGeRY ICourse DescriptionGeneralSurgeryIisamandatorythird-yearcorerotation.Thethird-yearosteopathicmedicalstudentisintroducedtotheevaluationandmanagementofthesurgicalpatient,inthehospitalsetting.

Course Objectives1. Toprovideaframeworkforcareofthesurgicalpatient.2. Toidentifyandapplycoreosteopathicconceptstothecareofthesurgicalpatient.3. Toexperiencethepathophysiologyrelevanttoaffectedorgansystems,andtheefficacyof

surgicalcare.4. Toexposestudentstoanevaluativeapproachtodiagnosisandmanagementofthesurgical

patientbyuseof:a. Physicalexaminationb. LaboratoryandDiagnosticTestingc. Evidence-basedmedicine

5. Toprovideknowledgeofcommonoperativeprocedures,andequipment.

Student DutiesThestudentparticipatesasamemberofthehousestaff,andresponsibilitiesinclude:

1. Performanceofadmissionhistoriesandphysicals.2. Completionofroundsonallin-patients(Toinclude):

a. ProductionofaprogressSOAPnoteineachassignedpatientchartb. Investigationofalldiagnosticstudiesorderedforthepatientc. Productionofanycasesummariesand/ordischargesummariesfortheadmittedpatientd. Performance of pre- and post-operative Osteopathic Manipulative Treatment at the

discretionoftheattendingsurgeon3. Assistantwithintheoperatingroomsuite.

a. Masteryofaseptictechniquewhichincludesgowning,gloving,transfers,andestablishmentofsterilefield.

b. Masteryofsurgicalknottying4. Essentialstudyandpreparationforeachplannedprocedureontheattendingsurgeon’ssurgical

schedule.

HoursThisisafourweekclinicalrotation.Dailyhoursaretoparallelthehoursoftheattendingphysician,however,thefollowingguidelinesaresuggested:

1. Aworkdaymaybeconsidereda12-hourduration.2. Aworkweekmaybeconsideredamaximumamountat72hoursduration.3. Themaximumcontinuousdurationofworkmaybe30hoursandshouldfollowaminimum

of12hoursoffduty.4. Twodaysoutofevery14daysmaybeprovidedasaweekendbreak.

LocationThephysician’sofficeandtheparticipatinghospital(s)withinthecoresite.

DressAtalltimes,KYCOMstudentswillactasarepresentativeoftheschool,andbeattentivetopersonalhygiene,cleanlinessandpersonaldemeanor.ShortwhitelabcoatswithKYCOMidentificationareexpectedtobewornunlessspecificallyinstructedbythehospitalorpreceptor.Scrubsuitsaretobewornintheoperatingroom,procedurerooms,duringcallhoursandatthediscretionofindividualphysiciansand/orinstitution/facility.Atalltimes,however,thestudentmustbeclearlyidentifiedasaKYCOMstudent.SeeStudentResponsibilitiessection7.a.ofthismanualforclarification.

44

AttendancePromptstudentattendanceisexpectedforthe28daysoftherotationperiod.Theactivitiesofeachdaymustberecordedonstudentlogsfortherotation.Amaximumofthree(3)daysforabsenceispermitted,ifapprovedbytheAssociateDeanforClinicalSciences,andmustberecordedonstudentlogsfortherotation.Absenceinexcessofthethree-daystandardwillresultinan“incomplete”forthisrotation,untilsuchtimethattheactivityrequirementissatisfied.

Absenceoftheattendingphysician,orthestudent,fromthepracticeforaperiodgreaterthanoneday,requiresthestudenttonotifytheofficeforclinicalsciences,oftheinterruptionofactivity.AtthediscretionoftheAssociateDeanforClinicalScienceseitherareadingassignmentoralternatedutyassignmentwillbemade.

Lectures and MeetingsItistheresponsibilityofthestudenttobefamiliarwiththehospital’sdidacticlectureschedule,andtodocumentattendancewithinthestudentlog.Didacticprogramsincludebutarenotlimitedto:MorningReport,JournalClub,Morbidity/MortalityConference,GrandRounds,andNoonConference.Absencefromanyoftheseeventsrequiresthesignatureofthepreceptor,andshouldbesentwiththestudentlogreportstoKYCOM.Itisexpectedthatthestudentwillattendaminimumof70%ofeachkindofevent.

GradingThe“KYCOMStudentAssessmentForm”forCORE(andOPP)rotations,whichiscompletedbytheattendingphysician,anddiscussedwiththestudentbeforemailing,comprises90%oftherotationgrade.TheCOMATexaminationscorecomprisesthebalanceofthegrade.Uponreceiptandreviewofallinformation,theAssociateDeanforClinicalSciencesevaluatesthematerial,andassignsanumericalgrade,aspertheClinicalRotationsManual,page15.Theevaluationisintendedtomeasurethestudentincomparisontoothersatthesamelevelofeducation.

Theevaluationisintendedtomeasurethestudentincomparisontoothersatthesamelevelofeducation.TheKYCOMStudentAssessmentFormmeasures:

1. MasteryofOsteopathicPhilosophyandApplicationofManipulativeMedicine2. MedicalKnowledge3. PatientCare4. InterpersonalandCommunicationSkills5. Professionalism6. ApplicationofPractice-BasedLearningSkills7. ApplicationofSystemsApproachtoMedicine

Challenge of GradesAnychallengesorquestionsaretobedirectedtotheAssociateDeanforClinicalSciences.ThestudenthastherightforreviewofthechallengebythePromotionandMatriculationCommittee,iftheassociatedean’sresponserequiresfurtherclarification.

RemediationIn caseswhere apassinggrade isnot achieved, if deemedappropriateby thePromotionandMatriculationCommittee,thestudentwillbegiventheopportunitytorepeattherotation.Uponsuccessfulcompletionoftherepeatedrotation,amaximumgradeof70%willberecordedonthestudenttranscript.

45

GeneRal sURGeRY IICourse DescriptionGeneralSurgeryIIisamandatoryhospital-based,fourweek,thirdyearcorerotation.Thethirdyearosteopathicmedicalstudentisengagedtoexercisediagnosticskillstoevaluatethesurgicalpatient,honesurgicalskillsasanassistantintheoperatingroomsuite,anddevelopanappreciationforevidence-basedsurgicalcarecriteria.

Prerequisite: General Surgery I

Course Objectives1. Toprovideaframeworkforcareofthesurgicalpatient,whichincludes:

a. PrinciplesofNutritionb. UseofOsteopathicManipulativeTreatmentc. Principlesofhydrationd. Infectiousdiseaseconsiderationse. Thrombosispreventionf. Airwaymanagementg. Physicalactivityguidelinesh. Applicationsofevidence-basedsurgicalcarecriteriai. Utilizationofdiagnosticimagingandthelaboratory

2. Toexperiencethepathophysiologyrelevanttoaffectedorgansystems,andtheefficacyofsurgicalcare.

3. Toprovideknowledgeandexperiencewiththeperformanceofbedsideprocedures,whichinclude:a. Placementofcentralvenouscathetersb. Placementofgastrointestinalcathetersc. Placementofurinarycathetersd. Removalofsuturesandcatheterse. Woundcaref. Ostomycare

4. Toprovideknowledgeandexperienceasanoperativeassistantwithalloperativeprocedures,andassociatedequipment.

Student DutiesThestudentparticipatesasamemberofthehousestaff,andresponsibilitiesinclude:

1. Performanceofadmissionhistoriesandphysicals2. Completionofroundsonallin-patients(Toinclude):

a. ProductionofaSOAPnoteineachassignedpatientchart.b. Investigationofalldiagnosticstudiesorderedforthepatient.c. Productionofanycasesummariesand/ordischargesummariesfortheadmittedpatient.d. Performance of pre- and post-operative Osteopathic Manipulative Treatment at the

discretionoftheattendingsurgeon.e. Performanceofbedsideproceduresasoutlinedabove.

3. Assistantwithintheoperatingroomsuitea. Thestudentmustbegowned,glovedandpositionedatbedside,withinthesterilefield

forallsurgicalprocedures.b. Thestudentmusthavereviewedthesurgicalprocedureapriori,andbepreparedtooutline

theoperativegoals,andanatomicallandmarks.c. Thestudentshouldbepreparedtoclosesurgicalwoundswithuseofacceptedknottying

techniques.4. Conductessentialstudyandpreparationforeachplannedprocedureontheattendingsurgeon’s

surgicalschedule.

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5. Completionofan“EndofService”examination(COMAT)administeredbytheNationalBoardofOsteopathicMedicalExaminers,duringthefourthweekoftherotation.

HoursThisisafourweekclinicalrotation.Dailyhoursaretoparallelthehoursoftheattendingphysician,however,thefollowingguidelinesaresuggested:

1. Aworkdaymaybeconsidereda12-hourduration.2. Aworkweekmaybeconsideredamaximumamountat72hoursduration.3. Themaximumcontinuousdurationofworkmaybe30hoursandshouldfollowaminimum

of12hoursoffduty.4. Twodaysoutofevery14daysmaybeprovidedasaweekendbreak.

LocationThephysician’sofficeandtheparticipatinghospital(s)withinthecoresite.

DressAtalltimes,KYCOMstudentswillactasarepresentativeoftheschool,andbeattentivetopersonalhygiene,cleanlinessandpersonaldemeanor.ShortwhitelabcoatswithKYCOMidentificationareexpectedtobewornunlessspecificallyinstructedbythehospitalorpreceptor.Scrubsuitsaretobewornintheoperatingroom,procedurerooms,duringcallhoursandatthediscretionofindividualphysiciansand/orinstitution/facility.Atalltimes,however,thestudentmustbeclearlyidentifiedasaKYCOMstudent.SeeStudentResponsibilitiessection7.a.ofthismanualforclarification.

AttendancePromptstudentattendanceisexpectedforthe28daysoftherotationperiod.Theactivitiesofeachdaymustberecordedonstudentlogsfortherotation.Amaximumofthree(3)daysforabsenceispermitted,ifapprovedbytheAssociateDeanforClinicalSciences,andmustberecordedonstudentlogsfortherotation.Absenceinexcessofthethree-daystandardwillresultinan“incomplete”forthisrotation,untilsuchtimethattheactivityrequirementissatisfied.

Absenceoftheattendingphysician,orthestudent,fromthepracticeforaperiodgreaterthanoneday,requiresthestudenttonotifytheofficeforclinicalsciences,oftheinterruptionofactivity.AtthediscretionoftheAssociateDeanforClinicalScienceseitherareadingassignmentoralternatedutyassignmentwillbemade.

Lectures and MeetingsItistheresponsibilityofthestudenttobefamiliarwiththehospital’sdidacticlectureschedule,andtodocumentattendancewithinthestudentlog.Didacticprogramsincludebutarenotlimitedto:MorningReport,JournalClub,Morbidity/MortalityConference,GrandRounds,andNoonConference.Absencefromanyoftheseeventsrequiresthesignatureofthepreceptor,andshouldbesentwiththestudentlogreportstoKYCOM.Itisexpectedthatthestudentwillattendaminimumof70%ofeachkindofevent.

GradingThe“KYCOMStudentAssessmentForm”forCORE(andOPP)rotations,whichiscompletedbytheattendingphysician,anddiscussedwiththestudentbeforemailing,comprises90%oftherotationgrade.TheCOMATexaminationscorecomprisesthebalanceofthegrade.Uponreceiptandreviewofallinformation,theAssociateDeanforClinicalSciencesevaluatesthematerial,andassignsanumericalgrade,aspertheClinicalRotationsManual,page15.Theevaluationisintendedtomeasurethestudentincomparisontoothersatthesamelevelofeducation.

Theevaluationisintendedtomeasurethestudentincomparisontoothersatthesamelevelofeducation.TheKYCOMStudentAssessmentFormmeasures:

1. MasteryofOsteopathicPhilosophyandApplicationofManipulativeMedicine2. MedicalKnowledge3. PatientCare

47

4. InterpersonalandCommunicationSkills5. Professionalism6. ApplicationofPractice-BasedLearningSkills7. ApplicationofSystemsApproachtoMedicine

Challenge of GradesAnychallengesorquestionsaretobedirectedtotheAssociateDeanforClinicalSciences.ThestudenthastherightforreviewofthechallengebythePromotionandMatriculationCommittee,iftheassociatedean’sresponserequiresfurtherclarification.

RemediationIn caseswhere apassinggrade isnot achieved, if deemedappropriateby thePromotionandMatriculationCommittee,thestudentwillbegiventheopportunitytorepeattherotation.Uponsuccessfulcompletionoftherepeatedrotation,amaximumgradeof70%willberecordedonthestudenttranscript.

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PeDIaTRICs ICourse DescriptionPediatricsIisamandatory,fourweek,third-yearcorerotation.Thethird-yearosteopathicmedicalstudentisprogressedfromthesecondyearintroductorypediatricscourse,toexperiencethecareofinfants,childrenandadolescentsintheout-patientpopulation.Commonchildhooddiseases,geneticanddevelopmentaldisorders,preventivehealthcare,physicalexaminationskills,anddiagnosisandmanagementstrategiesareamongtherotation’sexperiences.

Course Objectives1. Toprovideaframeworkforcareofthegeneralpediatricpatient.

a. Thepatient(parent)interview.b. Thephysicalexaminationc. TheutilizationoflaboratoryandDiagnosticTestingd. Theutilizationofevidence-basedmedicinefordiagnosisandtreatmente. Theutilizationofavailablesocialandmedicalresourcesforpediatricpatientcare,i.e.

referraldecision-making2. Toidentifyandapplycoreosteopathicprinciplesandpracticestothecareofthepediatric

patient.3. Toprovideaframeworkforpreventivemedicalcaretothepediatricpopulation.4. Toexposestudentstotheinfluencesofthirdpartyinsuranceonmedicaldecision-making.5. ToexposestudentstotheinfluencesofHIPAAandOSHAregulationsontheoperationofa

professionalpediatricpractice.6. Togainknowledgeofofficeprocedures,theirassociatedequipment,andlaboratorysubmittal

requirements.a. Phlebotomyb. Woundrepairandsutureremovalc. Spirometryd. Audiometrye. Cerumenremovalf. Culturecollection

7. Torecognizedevelopmentalmilestonesinthepediatricpopulation.8. Todevelopwrittenandoralcommunicationskills.

a. Theproductionofawrittenand/ordictatedhistoryandphysicalb. Theproductionofawrittenand/ordictatedencounterprogressnotec. Telephoneandin-personcommunicationwithothermedicalandhealthprofessionals

involvedincommon,withthecareofthegeneralpediatricpatient

Student Duties1. Performanceofadmissionhistoriesandphysicalsonin-patients.2. Completionofroundsonallin-patientsincluding:

a. Dailyexaminationandevaluationofclinicalstatusb. ProductionofaprogressSOAPnoteineachassignedpatientchartc. Investigationofalldiagnosticstudiesorderedforthepatientd. Productionofanycasesummariesand/ordischargesummariesfortheadmittedpatiente. PerformanceofOsteopathicManipulativeTreatmentunderthedirectionoftheattending

physician3. Completionof“afterhours”on-calldutyperpreceptororhospitalassignment.4. Assistand/orperformofficeproceduresundersupervision.5. Officeset-upandperformanceofprocedures:

a. OsteopathicManipulativeTreatment

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b. Preventivehealthscreensc. Minorsurgeryd. Preparationoflaboratoryspecimens

HoursThisisafourweekclinicalrotation.Dailyhoursaretoparallelthehoursoftheattendingphysician,however,thefollowingguidelinesaresuggested:

1. Aworkdaymaybeconsidereda12-hourduration.2. Aworkweekmaybeconsideredtypically72hoursduration.3. Themaximumcontinuousdurationofworkmaybe30hoursandshouldfollowaminimum

of12hoursoffduty.4. Twodaysoutofevery14daysmaybeprovidedasaweekendbreak.

LocationThephysician’sofficeandparticipatinghospital(s)withinthecoresite

DressAtalltimes,KYCOMstudentswillactasarepresentativeoftheschool,andbeattentivetopersonalhygiene,cleanlinessandpersonaldemeanor.ShortwhitelabcoatswithKYCOMidentificationareexpectedtobewornunlessspecificallyinstructedbythehospitalorpreceptor.Scrubsuitsaretobewornintheoperatingroom,procedurerooms,duringcallhoursandatthediscretionofindividualphysiciansand/orinstitution/facility.Atalltimes,however,thestudentmustbeclearlyidentifiedasaKYCOMstudent.SeeStudentResponsibilitiessection7.a.ofthismanualforclarification.

AttendancePromptstudentattendanceisexpectedforthe28daysoftherotationperiod.Theactivitiesofeachdaymustberecordedonstudentlogsfortherotation.Amaximumofthree(3)daysforabsenceispermitted,ifapprovedbytheAssociateDeanforClinicalSciences,andmustberecordedonstudentlogsfortherotation.Absenceinexcessofthethree-daystandardwillresultinan“incomplete”forthisrotation,untilsuchtimethattheactivityrequirementissatisfied.

Absenceoftheattendingphysicianorthestudent,fromthepracticeforaperiodgreaterthanoneday,requiresthestudenttonotifytheofficeforclinicalsciences,oftheinterruptionofactivity.AtthediscretionoftheAssociateDeanforClinicalScienceseitherareadingassignmentoralternatedutyassignmentwillbemade.

Lectures and MeetingsItistheresponsibilityofthestudenttobefamiliarwiththehospital’sdidacticlectureschedule,andtodocumentattendancewithinthestudentlog.Didacticprogramsincludebutarenotlimitedto:MorningReport,JournalClub,Morbidity/MortalityConference,GrandRounds,andNoonConference.Absencefromanyoftheseeventsrequiresthesignatureofthepreceptor,andshouldbesentwiththestudentlogreportstoKYCOM.Itisexpectedthatthestudentwillattendaminimumof70%ofeachkindofevent.

GradingThe“KYCOMStudentAssessmentForm”forCORE(andOPP)rotations,whichiscompletedbytheattendingphysician,anddiscussedwiththestudentbeforemailing,comprises90%oftherotationgrade.TheCOMATexaminationscorecomprisesthebalanceofthegrade.Uponreceiptandreviewofallinformation,theAssociateDeanforClinicalSciencesevaluatesthematerial,andassignsanumericalgrade,aspertheClinicalRotationsManual,page15.Theevaluationisintendedtomeasurethestudentincomparisontoothersatthesamelevelofeducation.

Theevaluationisintendedtomeasurethestudentincomparisontoothersatthesamelevelofeducation.TheKYCOMStudentAssessmentFormmeasures:

1. MasteryofOsteopathicPhilosophyandApplicationofManipulativeMedicine2. MedicalKnowledge

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3. PatientCare4. InterpersonalandCommunicationSkills5. Professionalism6. ApplicationofPractice-BasedLearningSkills7. ApplicationofSystemsApproachtoMedicine

Challenge of GradesAnychallengesorquestionsaretobedirectedtotheAssociateDeanforClinicalSciences.ThestudenthastherightforreviewofthechallengebythePromotionandMatriculationCommittee,iftheassociatedean’sresponserequiresfurtherclarification.

Remediation In caseswhere apassinggrade isnot achieved, if deemedappropriateby thePromotionandMatriculationCommittee,thestudentwillbegiventheopportunitytorepeattherotation.Uponsuccessfulcompletionoftherepeatedrotation,amaximumgradeof70%willberecordedonthestudenttranscript.

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PeDIaTRICs IICourse DescriptionPediatricsIIisamandatory,fourweek,upperlevel,thirdyearcorerotation,thatmaybeservedpreferablyinanin-patientsetting,however,canbeaccomplishedinanoffice-basedsetting.Theosteopathicmedicalstudentwillexplorediagnosisandmanagementstrategiesforthecareofinfants,childrenandadolescents.Duringthefourweeks,theosteopathicmedicalstudentwillevaluatepatients,developcareplansandexperiencethedailydecisionsthatpediatriciansmakefortheirpatients.

Pre-Requisite: Pediatrics I

Course Objectives1. Torecognizeandapplypreventivehealthcareforpatientsinallpediatricagegroups.

a. Immunizationb. Screensforgrowthanddevelopmentc. Scoliosisscreensd. LaboratoryandDiagnosticscreense. Theutilizationofevidence-basedmedicinefordiagnosisandtreatmentf. Theutilizationofavailablesocialandmedicalresourcesforpediatricpatientcare

2. Toidentifyandapplycoreosteopathicprinciplesandpracticestothecareofboththesickandwellpediatricpatient.

3. Torecognizeanddeveloptreatmentstrategiesfortheacutelyillpatient,including:a. Viralorbacterialillnessb. Theacuteabdomenc. Therespiratoryemergencyd. Seizuree. Traumaf. Hematologicdyscrasiasg. Anaphylaxisandallergicreactions

4. Toexposestudentstotheinfluencesofthirdpartyinsuranceonmedicaldecision-making.5. GainanawarenessofphysicianresponsibilitiesunderHIPAAandOSHAregulations.6. Togainexperiencewiththediagnostictoolsfortheevaluationofthesickpatient,including:

a. Lumbarspinaltap,thediagnosticwork-upandhandlingofspinalfluidsamplesb. Theinfectiouswork-upc. Culturecollectiond. TheENTexame. Urinarysamplingf. Phlebotomy

7. Toreinforcetheimportanceofeffectivewrittenandoralcommunicationskills.a. Theproductionofawrittenand/ordictatedhistoryandphysicalb. Theproductionofawrittenand/ordictatedencounterprogressnotec. Telephoneandin-personcommunicationwithothermedicalandhealthprofessionals

involvedincommon,withthecareofthegeneralpediatricpatient

Student Duties1. Performanceofadmissionhistoriesandphysicalsonin-patients.2. Completionofroundsonallin-patientsincluding:

a. Dailyexaminationandevaluationofclinicalstatusb. ProductionofaprogressSOAPnoteineachassignedpatientchartc. Investigationofalldiagnosticstudiesorderedforthepatientd. Developmentofcareregimens,underpreceptorsupervision,foreachpatientassignede. Productionofanycasesummariesand/ordischargesummariesfortheadmittedpatient

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f. PerformanceofOsteopathicManipulativeTreatmentunderthedirectionoftheattendingphysician

3. Completionof“afterhours”on-calldutyperpreceptororhospitalassignment.4. Assistand/orperformofficeproceduresundersupervision.5. Officeset-upandperformanceofproceduresincluding:

a. OsteopathicManipulativeTreatmentb. Preventivehealthscreensc. Minorsurgeryd. Preparationandcollectionoflaboratoryspecimens

6. Completionofan“EndofService”examination(COMAT)administeredbytheNationalBoardofOsteopathicMedicalExaminers,duringthefourthweekoftherotation.

HoursThisisafourweekclinicalrotation.Dailyhoursaretoparallelthehoursoftheattendingphysician,however,thefollowingguidelinesaresuggested:

1. Aworkdaymaybeconsidereda12-hourduration.2. Aworkweekmaybeconsideredtypically72hoursduration.3. Themaximumcontinuousdurationofworkmaybe30hoursandshouldfollowaminimum

of12hoursoffduty.4. Twodaysoutofevery14daysmaybeprovidedasaweekendbreak.

LocationThephysician’sofficeandparticipatinghospital(s)withinthecoresite

DressAtalltimes,KYCOMstudentswillactasarepresentativeoftheschool,andbeattentivetopersonalhygiene,cleanlinessandpersonaldemeanor.ShortwhitelabcoatswithKYCOMidentificationareexpectedtobewornunlessspecificallyinstructedbythehospitalorpreceptor.Scrubsuitsaretobewornintheoperatingroom,procedurerooms,duringcallhoursandatthediscretionofindividualphysiciansand/orinstitution/facility.Atalltimes,however,thestudentmustbeclearlyidentifiedasaKYCOMstudent.SeeStudentResponsibilitiessection7.a.ofthismanualforclarification.

AttendancePromptstudentattendanceisexpectedforthe28daysoftherotationperiod.Theactivitiesofeachdaymustberecordedonstudentlogsfortherotation.Amaximumofthree(3)daysforabsenceispermitted,ifapprovedbytheAssociateDeanforClinicalSciences,andmustberecordedonstudentlogsfortherotation.Absenceinexcessofthethree-daystandardwillresultinan“incomplete”forthisrotation,untilsuchtimethattheactivityrequirementissatisfied.

Absenceoftheattendingphysicianorthestudent,fromthepracticeforaperiodgreaterthanoneday,requiresthestudenttonotifytheofficeforclinicalsciences,oftheinterruptionofactivity.AtthediscretionoftheAssociateDeanforClinicalScienceseitherareadingassignmentoralternatedutyassignmentwillbemade.

Lectures and MeetingsItistheresponsibilityofthestudenttobefamiliarwiththehospital’sdidacticlectureschedule,andtodocumentattendancewithinthestudentlog.Didacticprogramsincludebutarenotlimitedto:MorningReport,JournalClub,Morbidity/MortalityConference,GrandRounds,andNoonConference.Absencefromanyoftheseeventsrequiresthesignatureofthepreceptor,andshouldbesentwiththestudentlogreportstoKYCOM.Itisexpectedthatthestudentwillattendaminimumof70%ofeachkindofevent.

GradingThe“KYCOMStudentAssessmentForm”forCORE(andOPP)rotations,whichiscompletedbytheattendingphysician,anddiscussedwiththestudentbeforemailing,comprises90%oftherotationgrade.TheCOMATexaminationscorecomprisesthebalanceofthegrade.Uponreceiptandreviewofallinformation,theAssociate

53

DeanforClinicalSciencesevaluatesthematerial,andassignsanumericalgrade,aspertheClinicalRotationsManual,page15.Theevaluationisintendedtomeasurethestudentincomparisontoothersatthesamelevelofeducation.

Theevaluationisintendedtomeasurethestudentincomparisontoothersatthesamelevelofeducation.TheKYCOMStudentAssessmentFormmeasures:

1. MasteryofOsteopathicPhilosophyandApplicationofManipulativeMedicine2. MedicalKnowledge3. PatientCare4. InterpersonalandCommunicationSkills5. Professionalism6. ApplicationofPractice-BasedLearningSkills7. ApplicationofSystemsApproachtoMedicine

Challenge of GradesAnychallengesorquestionsaretobedirectedtotheAssociateDeanforClinicalSciences.ThestudenthastherightforreviewofthechallengebythePromotionandMatriculationCommittee,iftheassociatedean’sresponserequiresfurtherclarification.

RemediationIn caseswhere apassinggrade isnot achieved, if deemedappropriateby thePromotionandMatriculationCommittee,thestudentwillbegiventheopportunitytorepeattherotation.Uponsuccessfulcompletionoftherepeatedrotation,amaximumgradeof70%willberecordedonthestudenttranscript.

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PsYCHIaTRYCourse DescriptionPsychiatryisamandatory,thirdyear,fourweekcorerotation,servedinanin-patientsetting.Theosteopathicmedicalstudentis,underpreceptorsupervision,activelyengagedintheevaluationandcareforthehospitalizedpsychiatricpatient.Duringthefourweeks,theosteopathicmedicalstudentwillinterviewandevaluatepatients,performanadmissionhistoryandphysicalonalladmittedpatients,anddevelopmulti-axialassessmentsonallpatientsseen.

Course Objectives1. Todevelopevaluativeandmanagementskillsforthecareofthepsychiatricpatient.

a. To conduct an age, gender and problem associated patient interview and physicalexamination

b. Toperformamentalstatusexaminationc. Tobecomeacquaintedwithapsychiatricdiagnosticandtreatmentpland. ToestablishaworkingdiagnosiswithreferencetoTheDiagnosticandStatisticalManual

IVe. Toapplycoreosteopathicprinciplesandpracticestothecareofthepsychiatricpatient.f. Toparticipatewithavailablesocialandmedicalresourcesaspartofthecomprehensive

treatmentplang. Toviewtheroleofevidence-basedmedicinetotreatmentdecision-makingh. Toviewtheavailabilityofservicesanditsimpactonpatientcarei. To view the effect of outside influences, e.g. third party insurance, on medical

decision-makingj. Toviewtheefficacyofpsychotherapeutictreatmentmodalities

i. Toincludetheroleofpsychopharmacology,andside-effectprofilesii. ToincludetreatmentofAxisIIIcomorbidstatesiii. Toincludeproceduralalternativestochemicaltherapies,e.g.cognitivetreatment

2. Todevelopanunderstandingfortheoperationofanin-patientpsychiatricunit.a. Examinetherolesofstaffandphysician(s)inthedeliveryofhealthcare.Thisincludes

withtheconsentofthepreceptor,attendanceatgroupandindividualtreatmentsessions.b. KnowtheHIPAAandOSHAregulationsinregardtotheoperationofapsychiatricunit.

i. Confidentialityii. Emergencyprocedures

c. Tounderstandthesecuritymeasuresrequiredforthesafeoperationofapsychiatryunit.3. Todevelopwrittenandoralcommunicationskills.

a. Theproductionofawrittenand/ordictatedhistoryandphysical.b. Theproductionofawrittenand/ordictatedencounterprogressnote.

Student DutiesThestudentparticipatesasamemberoftheunitstaff.Responsibilitiesinclude:

1. Performanceofadmissionhistoriesandphysicals2. Completionofroundsonallin-patientsincluding:

a. Productionofa“problem-based”progressSOAPnoteineachassignedpatientchart.b. Investigationandinterpretationofalldiagnosticstudiesorderedforthepatient,andbe

preparedtodiscussfindingsforpurposesofcomprehensivecareplanning.c. Productionofanycasesummariesand/ordischargesummariesfortheadmittedpatient.d. PerformanceofOsteopathicManipulativeTreatmentunderthedirectionoftheattending

physician.3. Attendanceatallpsychiatricunittreatmentsessionsforassignedpatients.4. Attendandobserve,withpreceptorpermission,familycareplanmeetings.

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5. Completionofan“EndofService”examination(COMAT)administeredbytheNationalBoardofOsteopathicMedicalExaminers,duringthefourthweekoftherotation.

HoursThisisafourweekclinicalrotation.Dailyhoursaretoparallelthehoursoftheattendingphysician,however,thefollowingguidelinesaresuggested:

1. Aworkdaymaybeconsidereda12-hourduration.2. Aworkweekmaybeconsideredtypically72hoursduration.3. Themaximumcontinuousdurationofworkmaybe30hoursandshouldfollowaminimum

of12hoursoffduty.4. Twodaysoutofevery14daysmaybeprovidedasaweekendbreak.

LocationThephysician’sofficeandparticipatinghospital(s)withinthecoresite.

DressAtalltimes,KYCOMstudentswillactasarepresentativeoftheschool,andbeattentivetopersonalhygiene,cleanlinessandpersonaldemeanor.ShortwhitelabcoatswithKYCOMidentificationareexpectedtobewornunlessspecificallyinstructedbythehospitalorpreceptor.Scrubsuitsaretobewornintheoperatingroom,procedurerooms,duringcallhoursandatthediscretionofindividualphysiciansand/orinstitution/facility.Atalltimes,however,thestudentmustbeclearlyidentifiedasaKYCOMstudent.SeeStudentResponsibilitiessection7.a.ofthismanualforclarification.

AttendancePromptstudentattendanceisexpectedforthe28daysoftherotationperiod.Theactivitiesofeachdaymustberecordedonstudentlogsfortherotation.Amaximumofthree(3)daysforabsenceispermitted,ifapprovedbytheAssociateDeanforClinicalSciences,andmustberecordedonstudentlogsfortherotation.Absenceinexcessofthethree-daystandardwillresultinan“incomplete”forthisrotation,untilsuchtimethattheactivityrequirementissatisfied.

Absenceoftheattendingphysicianorthestudent,fromthepracticeforaperiodgreaterthanoneday,requiresthestudenttonotifytheofficeforclinicalsciences,oftheinterruptionofactivity.AtthediscretionoftheAssociateDeanforClinicalScienceseitherareadingassignmentoralternatedutyassignmentwillbemade.

Lectures and MeetingsItistheresponsibilityofthestudenttobefamiliarwiththehospital’sdidacticlectureschedule,andtodocumentattendancewithinthestudentlog.Didacticprogramsincludebutarenotlimitedto:MorningReport,JournalClub,Morbidity/MortalityConference,GrandRounds,andNoonConference.Absencefromanyoftheseeventsrequiresthesignatureofthepreceptor,andshouldbesentwiththestudentlogreportstoKYCOM.Itisexpectedthatthestudentwillattendaminimumof70%ofeachkindofevent.

GradingThe“KYCOMStudentAssessmentForm”forCORE(andOPP)rotations,whichiscompletedbytheattendingphysician,anddiscussedwiththestudentbeforemailing,comprises90%oftherotationgrade.TheCOMATexaminationscorecomprisesthebalanceofthegrade.Uponreceiptandreviewofallinformation,theAssociateDeanforClinicalSciencesevaluatesthematerial,andassignsanumericalgrade,aspertheClinicalRotationsManual,page15.Theevaluationisintendedtomeasurethestudentincomparisontoothersatthesamelevelofeducation.

Theevaluationisintendedtomeasurethestudentincomparisontoothersatthesamelevelofeducation.TheKYCOMStudentAssessmentFormmeasures:

1. MasteryofOsteopathicPhilosophyandApplicationofManipulativeMedicine2. MedicalKnowledge3. PatientCare

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4. InterpersonalandCommunicationSkills5. Professionalism6. ApplicationofPractice-BasedLearningSkills7. ApplicationofSystemsApproachtoMedicine

Challenge of GradesAnychallengesorquestionsaretobedirectedtotheAssociateDeanforClinicalSciences.ThestudenthastherightforreviewofthechallengebythePromotionandMatriculationCommittee,iftheassociatedean’sresponserequiresfurtherclarification.

RemediationIn caseswhere apassinggrade isnot achieved, if deemedappropriateby thePromotionandMatriculationCommittee,thestudentwillbegiventheopportunitytorepeattherotation.Uponsuccessfulcompletionoftherepeatedrotation,amaximumgradeof70%willberecordedonthestudenttranscript.

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WoMen’s HealTHCourse DescriptionWomen’sHealthisamandatorythird-yearcorerotation.Thethird-yearosteopathicmedicalstudentisintroducedtotheevaluationandmanagementoftheadultfemalepatient.Theexperienceservesboththein-patientandout-patientpopulation.Preventivecare,familyplanning,malignancy,infectiousdiseases,urinary,ovariananduterinedisorders,endocrinedisorders,andtheobstetricalpatientareinclusivewithinthewomen’shealthprogram.

Course Objectives1. Toprovideaframeworkforcareoftheobstetricalpatient.2. Toprovideaframeworkforpreventivemedicalcareofthegynecologicpatient.3. Toidentifyandapplycoreosteopathicconceptstothecareofthefemalepatient.4. Toexperiencethepathophysiologyrelevanttodiseasesofthebreast,ovaries,urinarybladder,

anduterus,andtheirmedical/surgicalmanagement.5. Toexpose students toanevaluativeapproach todiagnosisandmanagementof theadult

femalepatientbyuseof:a. Physicalexaminationb. Thegynecologicandmedical/surgicalhistoryc. LaboratoryandDiagnosticTestingd. Experience-basedmedicine

6. Toprovideknowledgeofgynecologicandobstetricalofficeandoperativeprocedures,andtheirassociatedequipment.

Student DutiesThestudentparticipatesasbothamemberofthehospitalhousestaffandofficestaff.Responsibilitiesinclude:

1. Performanceofadmissionhistoriesandphysicals2. Completionofroundsonallin-patients(Toinclude):

a. ProductionofaprogressSOAPnoteineachassignedpatientchart.b. Investigationofalldiagnosticstudiesorderedforthepatient.c. Productionofanycasesummariesand/ordischargesummariesfortheadmittedpatient.d. PerformanceofOsteopathicManipulativeTreatmentatthediscretionoftheattending

physician.3. Assistantwithintheoffice,operatingroomsuiteandlaboranddelivery

a. Masteryofofficeset-upandperformanceofprocedures:i. Pelvicexaminationii. Breastexaminationiii. Biopsyiv. Preparationofpathologicspecimensv. Drapingandgowning

b. AssistwiththemanagementoftheObstetricalpatientduringlaboranddeliveryc. Assistwithdeliveries(vaginalandC-section),asappropriate.d. Assistwithallgynecologicsurgicalprocedures.

4. Essential studyandpreparation foreachplannedprocedureon theattendingphysician’sschedule.

5. Completionofan“EndofService”examination(COMAT)administeredbytheNationalBoardofOsteopathicMedicalExaminers,duringthefourthweekoftherotation.

HoursThisisafourweekclinicalrotation.Dailyhoursaretoparallelthehoursoftheattendingphysician,however,thefollowingguidelinesaresuggested:

1. Aworkdaymaybeconsidereda12-hourduration.2. Aworkweekmaybeconsideredtypically72hoursduration.

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3. Themaximumcontinuousdurationofworkmaybe30hoursandshouldfollowaminimumof12hoursoffduty.

4. Twodaysoutofevery14daysmaybeprovidedasaweekendbreak.

LocationThephysician’sofficeandparticipatinghospital(s)withinthecoresite

DressAtalltimes,KYCOMstudentswillactasarepresentativeoftheschool,andbeattentivetopersonalhygiene,cleanlinessandpersonaldemeanor.ShortwhitelabcoatswithKYCOMidentificationareexpectedtobewornunlessspecificallyinstructedbythehospitalorpreceptor.Scrubsuitsaretobewornintheoperatingroom,procedurerooms,duringcallhoursandatthediscretionofindividualphysiciansand/orinstitution/facility.Atalltimes,however,thestudentmustbeclearlyidentifiedasaKYCOMstudent.SeeStudentResponsibilitiessection7.a.ofthismanualforclarification.

AttendancePromptstudentattendanceisexpectedforthe28daysoftherotationperiod.Theactivitiesofeachdaymustberecordedonstudentlogsfortherotation.Amaximumofthree(3)daysforabsenceispermitted,ifapprovedbytheAssociateDeanforClinicalSciences,andmustberecordedonstudentlogsfortherotation.Absenceinexcessofthethree-daystandardwillresultinan“incomplete”forthisrotation,untilsuchtimethattheactivityrequirementissatisfied.

Absenceoftheattendingphysicianorthestudent,fromthepracticeforaperiodgreaterthanoneday,requiresthestudenttonotifytheofficeforclinicalsciences,oftheinterruptionofactivity.AtthediscretionoftheAssociateDeanforClinicalScienceseitherareadingassignmentoralternatedutyassignmentwillbemade.

Lectures and MeetingsItistheresponsibilityofthestudenttobefamiliarwiththehospital’sdidacticlectureschedule,andtodocumentattendancewithinthestudentlog.Didacticprogramsincludebutarenotlimitedto:MorningReport,JournalClub,Morbidity/MortalityConference,GrandRounds,andNoonConference.Absencefromanyoftheseeventsrequiresthesignatureofthepreceptor,andshouldbesentwiththestudentlogreportstoKYCOM.Itisexpectedthatthestudentwillattendaminimumof70%ofeachkindofevent.

GradingThe“KYCOMStudentAssessmentForm”forCORE(andOPP)rotations,whichiscompletedbytheattendingphysician,anddiscussedwiththestudentbeforemailing,comprises90%oftherotationgrade.TheCOMATexaminationscorecomprisesthebalanceofthegrade.Uponreceiptandreviewofallinformation,theAssociateDeanforClinicalSciencesevaluatesthematerial,andassignsanumericalgrade,aspertheClinicalRotationsManual,page15.Theevaluationisintendedtomeasurethestudentincomparisontoothersatthesamelevelofeducation.

Theevaluationisintendedtomeasurethestudentincomparisontoothersatthesamelevelofeducation.TheKYCOMStudentAssessmentFormmeasures:

1. MasteryofOsteopathicPhilosophyandApplicationofManipulativeMedicine2. MedicalKnowledge3. PatientCare4. InterpersonalandCommunicationSkills5. Professionalism6. ApplicationofPractice-BasedLearningSkills7. ApplicationofSystemsApproachtoMedicine

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Challenge of GradesAnychallengesorquestionsaretobedirectedtotheAssociateDeanforClinicalSciences.ThestudenthastherightforreviewofthechallengebythePromotionandMatriculationCommittee,iftheassociatedean’sresponserequiresfurtherclarification.

RemediationIn caseswhere apassinggrade isnot achieved, if deemedappropriateby thePromotionandMatriculationCommittee,thestudentwillbegiventheopportunitytorepeattherotation.Uponsuccessfulcompletionoftherepeatedrotation,amaximumgradeof70%willberecordedonthestudenttranscript.

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seleCTIVe CURRICUlUM objeCTIVes

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ClInICal osTeoPaTHIC MeDICIne seleCTIVeCourse DescriptionClinicalOsteopathicMedicineisamandatoryselectiverotation.Theprogramattemptstoanswerthequestionsof“WHEN,”“WHY,”“HOW,”“WHERE,”and“IF”toutilizeosteopathicmanipulativetechniquesaspartofthetreatmentplanforthemedical/surgicalpatient.Theappreciationoftheintercommunicationofthebodysystems,andtheinterpretationofTARTfindingsisincorporatedintothediagnosisandtreatmentofneural,muscular,joint,andvisceraldysfunction.Theosteopathicmedicalstudentisintroducedtotheevaluationandmanagementofmedical/surgicalpatientsinboththeout-patientandin-hospitalsetting.

Pre-Requisite Courses: General Internal Medicine I, General Internal Medicine II, Family Medicine I, General Surgery I, Pediatrics I, and Women’s Health

Course Objectives1. Tomasterexaminationskillsofboththeaxialandappendicularskeletonfordisorders,and/

orsomaticdysfunction.a. Displaysknowledgeofneurologicandmusculardiagnostictools.b. Displaysknowledgeoftheosteopathicstructuralexamination.

2. Torecognizephysicalchangesofsofttissuestructuresforsomato-somatic,somato-visceral,viscero-visceralandviscero-somaticreflexdysfunction.

3. Todisplayclinicalcompetencyintheuseofdirecttreatmentapproaches:a. HighVelocity,LowAmplitudetreatmentofarticularsomaticdysfunction.b. ApplicationofMuscleEnergytotreatmentofarticularsomaticdysfunction.c. Applicationofmyofascialreleasetorestrictedsofttissuestructures.

4. Todisplayclinicalcompetencyintheuseofindirecttreatmentapproaches:a. ApplicationofCounterstraintorestrictedsofttissuestructures.b. ApplicationofMyofascialReleasetorestrictedsofttissuestructures.c. Applicationof“BalanceandHold”techniquestotreatmentofarticularandfascialsomatic

dysfunction.d. Applicationof“BalancedMembranousTension”totreatmentofcranialandsacralsomatic

dysfunction.e. Applicationof“ProgressiveInhibitionofNeuromusculoskeletalStructures”torestricted

softtissuestructures.5. Todisplayclinicalcompetencywiththe“decision-making”processforproperutilization/

applicationofosteopathicmanipulativeprocedurestoclinicalproblems.a. Osteopathicapproachesasdiagnostictools.b. Osteopathictechniquesasprimaryand/orsecondarytreatmenttools.c. Osteopathicapproachesaspalliativetools.

Student Duties1. Thestudentparticipatesasamemberofthehousestaff,forallin-patientsandresponsibilities

include:a. Performanceofadmissionhistoriesandphysicals.b. Completionofroundsonallin-patients,including:

i. ProductionofaprogressSOAPnoteoneachassignedpatientchart.ii. Investigationofalldiagnosticstudiesorderedforthepatient.iii. Productionofanycasesummariesand/ordischargesummariesfortheadmitted

patient.iv. PerformanceofOsteopathicManipulativeTreatmentatthediscretionofthe

attendingphysician.c. Participationin“after-hours”callrotation.d. Attendanceathospitalconferences.

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2. Thestudentparticipatesintheout-patientsetting.Responsibilitiesinclude:a. PerformanceofphysicalexaminationstoincludeperformanceofOsteopathicStructural

Examination.b. PerformanceofOsteopathicManipulativeTreatmentundersupervision.c. Productionofprogress,SOAPnotesoneachassignedpatient.

3. Completionofan“EndofService”examination(COMAT)administeredbytheNationalBoardofOsteopathicMedicalExaminers,duringthefourthweekoftherotation.

Required Reading1. AnOsteopathicApproachtoDiagnosisandTreatment,DiGiovannaetal,3rdEd.2005.

• Ch.118:TheManipulativePrescription(pp667–673)• Ch.5:GeneralAnatomicConsiderations(pp24–36)• Ch.7:StructuralExaminationandDocumentation(pp53–63)• Ch.24&25:TheCervicalSpine(pp125–129)• Ch.35&36:TheThoracicSpine(pp175–189)• Ch.46&47:TheLumbarSpine(pp233–242)• Ch.57-60:ThePelvisandSacrum(pp285–322)• Ch.103&104:CranialOsteopathy(pp549–572)

2. FoundationsforOsteopathicMedicine,Wardetal,2ndEd.,2003.• Ch.6:AutonomicNervousSystem(pp90–116)*• Ch.8:Nociception,TheNeuroendocrineImmuneSystem,andOsteopathicMedicine (pp137-154)*

HoursThisisafourweekclinicalrotation.Dailyhoursaretoparallelthehoursoftheattendingphysician,however,thefollowingguidelinesaresuggested:

1. Aworkdaymaybeconsidereda12-hourduration.2. Aworkweekmaybeconsideredamaximumamountat72hoursduration.3. Themaximumcontinuousdurationofworkmaybe30hoursandshouldfollowaminimum

of12hoursoffduty.4. Twodaysoutofevery14daysmaybeprovidedasaweekendbreak.

LocationThephysician’sofficeandtheparticipatinghospital(s)withinthecoresite.

Dress Atalltimes,KYCOMstudentswillactasarepresentativeoftheschool,andbeattentivetopersonalhygiene,cleanlinessandpersonaldemeanor.ShortwhitelabcoatswithKYCOMidentificationareexpectedtobewornunlessspecificallyinstructedbythehospitalorpreceptor.Scrubsuitsaretobewornintheoperatingroom,procedurerooms,duringcallhoursandatthediscretionofindividualphysiciansand/orinstitution/facility.Atalltimes,however,thestudentmustbeclearlyidentifiedasaKYCOMstudent.SeeStudentResponsibilitiessection7.a.ofthismanualforclarification.

AttendancePromptstudentattendanceisexpectedforthe28daysoftherotationperiod.Theactivitiesofeachdaymustberecordedonstudentlogsfortherotation.Amaximumofthree(3)daysforabsenceispermitted,ifapprovedbytheAssociateDeanforClinicalSciences,andmustberecordedonstudentlogsfortherotation.Absenceinexcessofthethree-daystandardwillresultinan“incomplete”forthisrotation,untilsuchtimethattheactivityrequirementissatisfied.

Absenceoftheattendingphysician,orthestudent,fromthepracticeforaperiodgreaterthanoneday,requiresthestudenttonotifytheofficeforclinicalsciences,oftheinterruptionofactivity.AtthediscretionoftheAssociateDeanforClinicalScienceseitherareadingassignmentoralternatedutyassignmentwillbemade.

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Lectures and MeetingsItistheresponsibilityofthestudenttobefamiliarwiththehospital’sdidacticlectureschedule,andtodocumentattendancewithinthestudentlog.Didacticprogramsincludebutarenotlimitedto:MorningReport,JournalClub,Morbidity/MortalityConference,GrandRounds,andNoonConference.Absencefromanyoftheseeventsrequiresthesignatureofthepreceptor,andshouldbesentwiththestudentlogreportstoKYCOM.Itisexpectedthatthestudentwillattendaminimumof70%ofeachkindofevent.

GradingThe“KYCOMStudentAssessmentForm”forCORE(andOPP)rotations,whichiscompletedbytheattendingphysician,anddiscussedwiththestudentbeforemailing,comprises90%oftherotationgrade.TheCOMATexaminationscorecomprisesthebalanceofthegrade.Uponreceiptandreviewofallinformation,theAssociateDeanforClinicalSciencesevaluatesthematerial,andassignsanumericalgrade,aspertheClinicalRotationsManual,page15.Theevaluationisintendedtomeasurethestudentincomparisontoothersatthesamelevelofeducation.TheKYCOMStudentAssessmentFormmeasures:

1.MasteryofOsteopathicPhilosophyandApplicationofManipulativeMedicine2.MedicalKnowledge3.PatientCare4.InterpersonalandCommunicationSkills5.Professionalism6.ApplicationofPractice-BasedLearningSkills7.ApplicationofSystemsApproachtoMedicine

Challenge of GradesAnychallengesorquestionsaretobedirectedtotheAssociateDeanforClinicalSciences.ThestudenthastherightforreviewofthechallengebythePromotionandMatriculationCommittee,iftheassociatedean’sresponserequiresfurtherclarification.

RemediationIn caseswhere apassinggrade isnot achieved, if deemedappropriateby thePromotionandMatriculationCommittee,thestudentwillbegiventheopportunitytorepeattherotation.Uponsuccessfulcompletionoftherepeatedrotation,amaximumgradeof70%willberecordedonthestudenttranscript.

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eMeRGenCY MeDICIne seleCTIVeCourse DescriptionEmergencyMedicineisamandatory,fourweek,hospital-based,thirdorfourthyearselectiverotationthataffordsthemedicalstudenttheopportunitytolearninanEmergencyMedicinesetting.Theosteopathicmedicalstudent,underthesupervisionofanemergencymedicinespecialist,seestheessentialsofEmergencyMedicinethroughobservationandperformanceofclinicalprocedures,hands-onclinicalexperiencesanddirectinteractionwithfaculty,individualpatients,andfamilies.Integrationofclinicalskillsandevidence-basedmedicineisachievedwithemphasisondidacticdiscussions,anddevelopmentofclinicalskills.

Pre-requisites: General Internal Medicine I, General Internal Medicine II, Family Medicine I, General Surgery I, Pediatrics I, and Woman’s Health

Course Objectives1. To integrate osteopathic principles and practice concepts into the conventional care of

emergencypatients2. Toexperiencecasemanagementandthecoordinationofsystems-basedmedicalcare.

a. Theuseofsubspecialistsandothermedical/surgicaldisciplines.b. Theuseofsocialservicesandoutpatientprograms.c. Theuseofin-housecareservices.d. Torecognizethesocialandeconomicfactorsthataffectpatientcare.

3. Toemploytheknowledge,attitudes,andskillsnecessarytoprovidepreventive,episodic,orcontinuingcaretoindividualpatientsinanemergencymedicinesetting.

4. Toexperienceprioritizationskills.5. Tolearnassessmentskillsforclassificationofthetype,levelandurgencyofcareneededfor

theparticularpatientencounter.6. To integrate the utilization of appropriate health maintenance screening protocols into

emergencymedicinecare.7. Todemonstratetheabilitytoassessapatientanddifferentiatetheneedforurgentversus

non-urgentcare.8. Forstudentstoexperiencethepracticeofevidence-basedmedicine.

a. Toassess,apply,andassimilateinvestigativeknowledgetoimprovepatientcare.b. TorealizetheEmergencyMedicinephysician’sroleinthecommunityandsociety.c. Tociteandcommunicateinformationinanorganizedandsuccinctmanner

9.Forstudentstorespectandbesensitivetotheindividuality,values,goals,concerns,andrightsofallwithwhomtheyinteractinthehealthcaresetting.

10. Demonstrateunderstandingofethicalprinciplesofautonomy,beneficence,informedconsent,andconfidentiality.

11. Toaccomplishtheuseofeffectivewritten,andverballanguageskills.

Student Duties1. Performanceofbedsideassessmentandphysicalexamination

a. Productionofaproblems-basedprogressnote.b. Bepreparedtosuggestadiagnosticandtreatmentplanwithadifferentialdiagnosisbasis.

2.Performanceofbedsideprocedures.a.Placementofcathetersb.Electrocardiographyc.Suturingandsimplewoundcared.Assistwithcardiopulmonaryresuscitationundersupervisione.Phlebotomyf.PerformanceofOMTasdeemedappropriatebysupervisingphysiciang.Castingofsimplefracturesundersupervision

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3.Performanceofafterhourscall.4.Attendanceathospitalconferences.

HoursThisisafourweekclinicalrotation.Dailyhoursaretoparallelthehoursoftheattendingphysician,however,thefollowingguidelinesaresuggested:

1. Aworkdaymaybeconsidereda12-hourduration.2. Aworkweekmaybeconsideredtypically72hoursduration.3. Themaximumcontinuousdurationofworkmaybe30hoursandshouldfollowaminimum

of12hoursoffduty.4. Twodaysoutofevery14daysmaybeprovidedasaweekendbreak.

LocationThephysician’sofficeandparticipatinghospital(s)withinthecoresite.

DressAtalltimes,KYCOMstudentswillactasarepresentativeoftheschool,andbeattentivetopersonalhygiene,cleanlinessandpersonaldemeanor.ShortwhitelabcoatswithKYCOMidentificationareexpectedtobewornunlessspecificallyinstructedbythehospitalorpreceptor.Scrubsuitsaretobewornintheoperatingroom,procedurerooms,duringcallhoursandatthediscretionofindividualphysiciansand/orinstitution/facility.Atalltimes,however,thestudentmustbeclearlyidentifiedasaKYCOMstudent.SeeStudentResponsibilitiessection7.a.ofthismanualforclarification.

AttendancePromptstudentattendanceisexpectedforthe28daysoftherotationperiod.Theactivitiesofeachdaymustberecordedonstudentlogsfortherotation.Amaximumofthree(3)daysforabsenceispermitted,ifapprovedbytheAssociateDeanforClinicalSciences,andmustberecordedonstudentlogsfortherotation.Absenceinexcessofthethree-daystandardwillresultinan“incomplete”forthisrotation,untilsuchtimethattheactivityrequirementissatisfied.

Absenceoftheattendingphysicianorthestudent,fromthepracticeforaperiodgreaterthanoneday,requiresthestudenttonotifytheofficeforclinicalsciences,oftheinterruptionofactivity.AtthediscretionoftheAssociateDeanforClinicalScienceseitherareadingassignmentoralternatedutyassignmentwillbemade.

Lectures and MeetingsItistheresponsibilityofthestudenttobefamiliarwiththehospital’sdidacticlectureschedule,andtodocumentattendancewithinthestudentlog.Didacticprogramsincludebutarenotlimitedto:MorningReport,JournalClub,Morbidity/MortalityConference,GrandRounds,andNoonConference.Absencefromanyoftheseeventsrequiresthesignatureofthepreceptor,andshouldbesentwiththestudentlogreportstoKYCOM.Itisexpectedthatthestudentwillattendaminimumof70%ofeachkindofevent.

GradingThebasisfortherotationgradeisthe“KYCOMStudentAssessmentForm”forSelective/ElectiveRotations,whichiscompletedbytheattendingphysician,anddiscussedwiththestudentbeforemailing.Uponreceiptandreviewofallinformation,theAssociateDeanforClinicalSciencesevaluatesthematerial,andassignsanumericalgrade.Agradeof70%isconsideredpassing,aspertheClinicalRotationsManual,page15.

Theevaluationisintendedtomeasurethestudentincomparisontoothersatthesamelevelofeducation.TheKYCOMStudentAssessmentFormmeasures:

1. MasteryofOsteopathicPhilosophyandApplicationofManipulativeMedicine2. MedicalKnowledge3. PatientCare4. InterpersonalandCommunicationSkills5. Professionalism

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6. ApplicationofPractice-BasedLearningSkills7. ApplicationofSystemsApproachtoMedicine

Challenge of GradesAnychallengesorquestionsaretobedirectedtotheAssociateDeanforClinicalSciences.ThestudenthastherightforreviewofthechallengebythePromotionandMatriculationCommittee,iftheassociatedean’sresponserequiresfurtherclarification.

RemediationIn caseswhere apassinggrade isnot achieved, if deemedappropriateby thePromotionandMatriculationCommittee,thestudentwillbegiventheopportunitytorepeattherotation.Uponsuccessfulcompletionoftherepeatedrotation,amaximumgradeof70%willberecordedonthestudenttranscript.

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MeDICIne seleCTIVe GUIDelInesCourse DescriptionThemedicalselectiveisafour-weekclinicalrotationthatmaybeservedwithsubspecialistsfromthegeneralfieldsoffamilymedicine,internalmedicine,orpediatrics.Theosteopathicmedicalstudentisgiventheopportunitytoobserveandparticipateinthemanagementandcareofpatientsreferredforspecialtyconsultation.Theexperiencecanserveeitherthein-patientorout-patientpopulation.Suggestedareasofstudymayinclude:

CardiologyDermatologyEndocrinologyGastroenterologyHematology/OncologyInfectiousDiseasesNephrologyPulmonaryMedicineRadiology

Prerequisites: Completion of 40 weeks of required core rotations

Course Objectives1. Torecognizetheroleofthemedicalspecialistinthegeneralmanagementoftheadultor

pediatricpatient.2. Toprovideaframeworkforthe:

a. Criteriatobeconsidered,whenspecialtyconsultationiscontemplated.b. Evaluationandmanagementofadultorpediatricmedicaldisorders.

3. Toexperienceatypicalpathophysiologiesandtheirdiagnosticwork-up.4. Toutilizeevidence-basedmedicine.

Student DutiesThestudentparticipatesasbothamemberofthehospitalhousestaffandofficestaff.Responsibilitiesinclude:

1. Performanceofhistoriesandphysicals2. Completionofroundsonallin-patients(Toinclude):

a. ProductionofaprogressSOAPnoteineachassignedpatientchart.b. Investigationofalldiagnosticstudiesorderedforthepatient.c. Productionofanycasesummariesand/ordischargesummariesfortheadmittedpatient.d. PerformanceofOsteopathicManipulativeTreatmentatthediscretionoftheattending

physician.3. Assistantwithintheofficeand/orprocedureroomsuite4. Essential studyandpreparation foreachplannedprocedureon theattendingphysician’s

schedule.

HoursThisisafourweekclinicalrotation.Dailyhoursaretoparallelthehoursoftheattendingphysicianandhousestaff.However,thefollowingguidelinesaresuggested:

1. Aworkdaymaybeconsideredof12-hoursduration.2. Aworkweekmaybeconsideredtypically72hoursduration.3. Themaximumcontinuousdurationofworkmaybe30hoursandshouldfollowaminimum

of12hoursoffduty.4. Twodaysoutofevery14daysmaybeprovidedasaweekendbreak.

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LocationThephysicianoffice,diagnostictreatmentcenter,and/orparticipatinghospital(s).

DressAtalltimes,KYCOMstudentswillactasarepresentativeoftheschool,andbeattentivetopersonalhygiene,cleanlinessandpersonaldemeanor.ShortwhitelabcoatswithKYCOMidentificationareexpectedtobewornunlessspecificallyinstructedbythehospitalorpreceptor.Scrubsuitsaretobewornintheoperatingroom,procedurerooms,duringcallhoursandatthediscretionofindividualphysiciansand/orinstitution/facility.Atalltimes,however,thestudentmustbeclearlyidentifiedasaKYCOMstudent.SeeStudentResponsibilitiessection7.a.ofthismanualforclarification.

AttendancePromptstudentattendanceisexpectedforthe28daysoftherotationperiod.Theactivitiesofeachdaymustberecordedonstudentlogsfortherotation.Amaximumofthree(3)daysforabsenceispermitted,ifapprovedbytheAssociateDeanforClinicalSciences,andmustberecordedonstudentlogsfortherotation.Absenceinexcessofthethree-daystandardwillresultinan“incomplete”forthisrotation,untilsuchtimethattheactivityrequirementissatisfied.

Absenceoftheattendingphysician,orthestudent,fromthepracticeforaperiodgreaterthanoneday,requiresthestudenttonotifytheofficeforclinicalsciences,oftheinterruptionofactivity.AtthediscretionoftheAssociateDeanforClinicalScienceseitherareadingassignmentoralternatedutyassignmentwillbemade.

Lectures and MeetingsItistheresponsibilityofthestudenttobefamiliarwiththehospital’sdidacticlectureschedule,andtodocumentattendancewithinthestudentlog.Didacticprogramsincludebutarenotlimitedto:MorningReport,JournalClub,Morbidity/MortalityConference,GrandRounds,andNoonConference.Absencefromanyoftheseeventsrequiresthesignatureofthepreceptor,andshouldbesentwiththestudentlogreportstoKYCOM.Itisexpectedthatthestudentwillattendaminimumof70%ofeachkindofevent.

GradingThebasisfortherotationgradeisthe“KYCOMStudentAssessmentForm”forSelective/ElectiveRotations,whichiscompletedbytheattendingphysician,anddiscussedwiththestudentbeforemailing.Uponreceiptandreviewofallinformation,theAssociateDeanforClinicalSciencesevaluatesthematerial,andassignsanumericalgrade.Agradeof70%isconsideredpassing,aspertheClinicalRotationsManual,page15.

Theevaluationisintendedtomeasurethestudentincomparisontoothersatthesamelevelofeducation.TheKYCOMStudentAssessmentFormmeasures:

1. MasteryofOsteopathicPhilosophyandApplicationofManipulativeMedicine2. MedicalKnowledge3. PatientCare4. InterpersonalandCommunicationSkills5. Professionalism6. ApplicationofPractice-BasedLearningSkills7. ApplicationofSystemsApproachtoMedicine

Challenge of GradesAnychallengesorquestionsaretobedirectedtotheAssociateDeanforClinicalSciences.ThestudenthastherightforreviewofthechallengebythePromotionandMatriculationCommittee,iftheassociatedean’sresponserequiresfurtherclarification.

RemediationIn caseswhere apassinggrade isnot achieved, if deemedappropriateby thePromotionandMatriculationCommittee,thestudentwillbegiventheopportunitytorepeattherotation.Uponsuccessfulcompletionoftherepeatedrotation,amaximumgradeof70%willberecordedonthestudenttranscript.

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RURal MeDICIne seleCTIVeCourse DescriptionRuralMedicineisamandatoryfamilymedicineselectiverotation,andisfourweeksinduration.Itisanupperlevel third or fourth year course that may be served preferably in an office-based setting, however, can beaccomplishedinahospitalout-patientclinic.Theosteopathicmedicalstudentis,underpreceptorsupervision,activelyengagedinboththecareandthemedicaldecision-makingforthedeliveryofthehealthcareneedstotheout-patientpopulation.Duringthefourweeks,theosteopathicmedicalstudentwillevaluatepatients,developcomprehensivecareplansandexperiencetheresponsibilitiesandchallengesassociatedwithphysiciancareinamedicallyunderservedarea.

Prerequisites: Family Medicine I, Family Medicine II, General Internal Medicine I, Pediatrics I, General Surgery I, and Women’s Health

Course Objectives1. Toexperiencetheuniquechallengesofmedicalpracticeinamedicallyunderservedarea.2. Toapplytheknowledge,skillsets,experience,values,andbehaviorsseenpreviouslyinmore

structuredsettings,tomeettheneedsoftheregionserved.3. Toutilizepracticeskills,supportedbythebestavailablemedicalevidence,thatservethe

bestinterest,well-beingandhealthofthepatient.4. Todemonstratecompetencyinprimarycaremedicine.5. Todevelopefficientandcompleteevaluativeandmanagementskillsforthecareofthegeneral

medicalpatient.a. To conduct an age, gender and problem associated patient interview and physical

examinationandtoincludepreventivemedicalcareforallagegroups.b. Toestablishaworkingdiagnosisandseethechallengesassociatedwiththeimplementation

ofthetreatmentplan.c. Toapplycoreosteopathicprinciplesandpracticestothecareof thegeneralmedical

patient.d. To coordinate available social and medical resources as part of the comprehensive

treatmentplan.6. Todevelopanunderstandingoftheoperationofaruralhealthfacility.

a. Examinetherolesofstaffandphysician(s)inthedeliveryofhealthcare.b. Developanunderstandingoftheinfluencesthatthirdpartyinsuranceshaveonmedical

decision-making.c. Developaninventoryofnecessarypropertyandsuppliesforthedailyoperationofarural

medicalpractice.7. Tocontinuedevelopmentofwrittenandoralcommunicationskills.

a. Theproductionofawrittenand/ordictatedhistoryandphysical.b. Theproductionofawrittenand/ordictatedencounterprogressnote.c. Theproductionofelectronicmedicalrecords,whereappropriate.d. Telephoneandin-personcommunicationwithothermedicalandhealthprofessionals

involvedincommon,withthecareofthegeneralmedicalpatient.

Student DutiesStudentresponsibilitiesinclude:

1. Performanceofhistoriesandphysicals.2. Developtreatmentplansoneachassignedpatientforpurposesofcomprehensivecareplanning.3. Performproposedcareplans,anddevelopself-evaluativetoolstoassessefficacyofregimen.

a. Interpretationofalldiagnosticstudiesorderedfortreatedpatients.b. Follow-upwithallconsultantsonassignedpatients.c. Productionofanycasesummariesand/ordischargesummariesforassignedpatients.

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d. PerformanceofOsteopathicManipulativeTreatmentunderthedirectionoftheattendingphysician.

4. Assistand/orperformdutiesandproceduresundersupervision.a. Officeset-upandperformanceofprocedures:

i. OsteopathicManipulativeTreatmentii. Preventivehealthscreensiii. Minorsurgery

b. Attendandobservefamilymeetingswhenappropriate

HoursThisisafourweekclinicalrotation.Dailyhoursaretoparallelthehoursoftheattendingphysician,however,thefollowingguidelinesaresuggested:

1. Aworkdaymaybeconsidereda12-hourduration.2. Aworkweekmaybeconsideredamaximumamountat72hoursduration.3. Themaximumcontinuousdurationofworkmaybe30hoursandshouldfollowaminimum

of12hoursoffduty.4. Twodaysoutofevery14daysmaybeprovidedasaweekendbreak.

LocationThephysician’sofficeandtheparticipatinghospital(s)withinthecoresite.

DressAtalltimes,KYCOMstudentswillactasarepresentativeoftheschool,andbeattentivetopersonalhygiene,cleanlinessandpersonaldemeanor.ShortwhitelabcoatswithKYCOMidentificationareexpectedtobewornunlessspecificallyinstructedbythehospitalorpreceptor.Scrubsuitsaretobewornintheoperatingroom,procedurerooms,duringcallhoursandatthediscretionofindividualphysiciansand/orinstitution/facility.Atalltimes,however,thestudentmustbeclearlyidentifiedasaKYCOMstudent.SeeStudentResponsibilitiessection7.a.ofthismanualforclarification.

AttendancePromptstudentattendanceisexpectedforthe28daysoftherotationperiod.Theactivitiesofeachdaymustberecordedonstudentlogsfortherotation.Amaximumofthree(3)daysforabsenceispermitted,ifapprovedbytheAssociateDeanforClinicalSciences,andmustberecordedonstudentlogsfortherotation.Absenceinexcessofthethree-daystandardwillresultinan“incomplete”forthisrotation,untilsuchtimethattheactivityrequirementissatisfied.

Absenceoftheattendingphysician,orthestudent,fromthepracticeforaperiodgreaterthanoneday,requiresthestudenttonotifytheofficeforclinicalsciences,oftheinterruptionofactivity.AtthediscretionoftheAssociateDeanforClinicalScienceseitherareadingassignmentoralternatedutyassignmentwillbemade.

Lectures and MeetingsItistheresponsibilityofthestudenttobefamiliarwiththehospital’sdidacticlectureschedule,andtodocumentattendancewithinthestudentlog.Didacticprogramsincludebutarenotlimitedto:MorningReport,JournalClub,Morbidity/MortalityConference,GrandRounds,andNoonConference.Absencefromanyoftheseeventsrequiresthesignatureofthepreceptor,andshouldbesentwiththestudentlogreportstoKYCOM.Itisexpectedthatthestudentwillattendaminimumof70%ofeachkindofevent.

GradingThebasisfortherotationgradeisthe“KYCOMStudentAssessmentForm”forSelective/ElectiveRotations,whichiscompletedbytheattendingphysician,anddiscussedwiththestudentbeforemailing.Uponreceiptandreviewofallinformation,theAssociateDeanforClinicalSciencesevaluatesthematerial,andassignsanumericalgrade.Agradeof70%isconsideredpassing,aspertheClinicalRotationsManual,page15.

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Theevaluationisintendedtomeasurethestudentincomparisontoothersatthesamelevelofeducation.TheKYCOMStudentAssessmentFormmeasures:

1. MasteryofOsteopathicPhilosophyandApplicationofManipulativeMedicine2. MedicalKnowledge3. PatientCare4. InterpersonalandCommunicationSkills5. Professionalism6. ApplicationofPractice-BasedLearningSkills7. ApplicationofSystemsApproachtoMedicine

Challenge of GradesAnychallengesorquestionsaretobedirectedtotheAssociateDeanforClinicalSciences.ThestudenthastherightforreviewofthechallengebythePromotionandMatriculationCommittee,iftheassociatedean’sresponserequiresfurtherclarification.

RemediationIn caseswhere apassinggrade isnot achieved, if deemedappropriateby thePromotionandMatriculationCommittee,thestudentwillbegiventheopportunitytorepeattherotation.Uponsuccessfulcompletionoftherepeatedrotation,amaximumgradeof70%willberecordedonthestudenttranscript.

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sURGICal seleCTIVe GUIDelInesCourse DescriptionThesurgicalselectiverotationisafourweekprogram.Theosteopathicmedicalstudentisgiventheopportunitytoobserveandparticipateinthemanagementofanyselectedspecialtyareaassociatedwiththeadultand/orpediatricpatient.Theexperiencecanserveeitherthein-patientorout-patientpopulation.Suggestedareasofstudymayinclude:

GynecologicSurgeryOncologicSurgeryUrologyNeurosurgeryThoracicSurgeryColorectalSurgeryPathologyReconstructiveSurgeryOrthopaedicSurgeryEndocrinologicSurgery

Prerequisites: Completion of 40 weeks of Core Rotations, which include eight weeks of General Surgery.

Course Objectives1. Toprovideaframeworkfortheevaluationandmanagementofsurgicalpatientswithdiscipline

specificsurgicalrequirements.2. Toexperienceatypicalpathophysiologiesandtheirmedical/surgicalmanagement.3. Toutilizeevidence-basedpracticesforthetreatmentofthesurgicalpatient.4. Torecognizetheroleofthesurgicalspecialistinthemanagementofthereferredmedical

patient.5. Toexperiencethelatestprotocolsandproceduresinthecareofthesurgicalpatient.6. Toexpandpersonalskills,andpreviouslylearnedoperativesurgicaltechniques.

Student DutiesThestudentparticipatesasbothamemberofthehospitalhousestaffandofficestaff.Responsibilitiesinclude:

1. Performanceofhistoriesandphysicals.2. Completionofroundsonallin-patients(Toinclude):

a. ProductionofaprogressSOAPnoteineachassignedpatientchart.b. Investigationofalldiagnosticstudiesorderedforthepatient.c. Productionofanycasesummariesand/ordischargesummariesfortheadmittedpatient.d. PerformanceofOsteopathicManipulativeTreatmentatthediscretionoftheattending

physician.3. Assistantwithintheofficeand/oroperatingroomsuite.4. Essential studyandpreparation foreachplannedprocedureon theattendingphysician’s

schedule.

HoursThisisafour-weekclinicalrotation.Dailyhoursaretoparallelthehoursoftheattendingphysicianandhousestaff.However,thefollowingguidelinesaresuggested:

1. Aworkdaymaybeconsideredof12-hoursduration.2. Aworkweekmaybeconsideredtypically72hoursduration.3. Themaximumcontinuousdurationofworkmaybe30hoursandshouldfollowaminimum

of12hoursoffduty.

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4. Twodaysoutofevery14daysmaybeprovidedasaweekendbreak.

LocationThephysicianoffice,out-patientsurgicalcenterand/orparticipatinghospital(s).

DressAtalltimes,KYCOMstudentswillactasarepresentativeoftheschool,andbeattentivetopersonalhygiene,cleanlinessandpersonaldemeanor.ShortwhitelabcoatswithKYCOMidentificationareexpectedtobewornunlessspecificallyinstructedbythehospitalorpreceptor.Scrubsuitsaretobewornintheoperatingroom,procedurerooms,duringcallhoursandatthediscretionofindividualphysiciansand/orinstitution/facility.Atalltimes,however,thestudentmustbeclearlyidentifiedasaKYCOMstudent.SeeStudentResponsibilitiessection7.a.ofthismanualforclarification.

AttendancePromptstudentattendanceisexpectedforthe28daysoftherotationperiod.Theactivitiesofeachdaymustberecordedonstudentlogsfortherotation.Amaximumofthree(3)daysforabsenceispermitted,ifapprovedbytheAssociateDeanforClinicalSciences,andmustberecordedonstudentlogsfortherotation.Absenceinexcessofthethree-daystandardwillresultinan“incomplete”forthisrotation,untilsuchtimethattheactivityrequirementissatisfied.

Absenceoftheattendingphysician,orthestudent,fromthepracticeforaperiodgreaterthanoneday,requiresthestudenttonotifytheofficeforclinicalsciences,oftheinterruptionofactivity.AtthediscretionoftheAssociateDeanforClinicalScienceseitherareadingassignmentoralternatedutyassignmentwillbemade.

Lectures and MeetingsItistheresponsibilityofthestudenttobefamiliarwiththeparticipatinghospital’sdidacticlectureschedule,andtodocumentattendancewithinthestudentlog.Didacticprogramsincludebutarenotlimitedto:MorningReport,JournalClub,Morbidity/MortalityConference,GrandRounds,andNoonConference.Absencefromanyoftheseeventsrequiresthesignatureofthepreceptor,andshouldbesentwiththestudentlogreportstoKYCOM.Itisexpectedthatthestudentwillattendaminimumof70%ofeachkindofevent.

GradingThebasisfortherotationgradeisthe“KYCOMStudentAssessmentForm”forSelective/ElectiveRotations,whichiscompletedbytheattendingphysician,anddiscussedwiththestudentbeforemailing.Uponreceiptandreviewofallinformation,theAssociateDeanforClinicalSciencesevaluatesthematerial,andassignsanumericalgrade.Agradeof70%isconsideredpassing,aspertheClinicalRotationsManual,page15.

Theevaluationisintendedtomeasurethestudentincomparisontoothersatthesamelevelofeducation.TheKYCOMStudentAssessmentFormmeasures:

1. MasteryofOsteopathicPhilosophyandApplicationofManipulativeMedicine2. MedicalKnowledge3. PatientCare4. InterpersonalandCommunicationSkills5. Professionalism6. ApplicationofPractice-BasedLearningSkills7. ApplicationofSystemsApproachtoMedicine

Challenge of GradesAnychallenges,orquestionsaretobedirectedtotheAssociateDeanforClinicalSciences.ThestudenthastherightforreviewofthechallengebythePromotionandMatriculationCommittee,iftheassociatedean’sresponserequiresfurtherclarification.

RemediationIncaseswhereafinalgradeof“C”isnotachieved,ifdeemedappropriatebythePromotionandMatriculation

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WoMen’s HealTH seleCTIVeCourse DescriptionWomen’sHealthisaselectiverotation.Theosteopathicmedicalstudentisgiventheopportunitytoobserveandparticipateinthemanagementofanyselectedspecialtyareaassociatedwiththeadultfemalepatient.Theexperiencecanserveeitherthein-patientorout-patientpopulation.Suggestedareasofstudymayinclude:

GynecologicOncologyUrogynecologyReproductiveEndocrinologyMaternalFetalMedicine

Prerequisite: Women’s Health

Course Objectives1. Toprovideaframeworkfortheevaluationandmanagementofadultfemalepatientdisorders.2. Toexperienceatypicalpathophysiologiesandtheirmedical/surgicalmanagement.3. Toutilizeevidence-basedmedicine4. Torecognizetheroleofthegynecologicspecialistinthegeneralmanagementoftheadult

femalepatient.

Student DutiesThestudentparticipatesasbothamemberofthehospitalhousestaffandofficestaff.Responsibilitiesinclude:

1. Performanceofhistoriesandphysicals.2. Completionofroundsonallin-patients(Toinclude):

a. ProductionofaprogressSOAPnoteineachassignedpatientchart.b. Investigationofalldiagnosticstudiesorderedforthepatient.c. Productionofanycasesummariesand/ordischargesummariesfortheadmittedpatient.d. PerformanceofOsteopathicManipulativeTreatmentatthediscretionoftheattending

physician.3. Assistantwithintheofficeand/oroperatingroomsuite.4. Essentialstudyandpreparationforeachplannedprocedureon theattendingphysician’s

schedule.

HoursThisisafourweekclinicalrotation.Dailyhoursaretoparallelthehoursoftheattendingphysician.However,thefollowingguidelinesaresuggested:

1. Aworkdaymaybeconsidereda12-hourduration.2. Aworkweekmaybeconsideredtypically72hoursduration.3. Themaximumcontinuousdurationofworkmaybe30hoursandshouldfollowaminimum

of12hoursoffduty.4. Twodaysoutofevery14daysmaybeprovidedasaweekendbreak.

LocationThephysician’sofficeandparticipatinghospital(s)withinthecoresite.

DressAtalltimes,KYCOMstudentswillactasarepresentativeoftheschool,andbeattentivetopersonalhygiene,cleanlinessandpersonaldemeanor.ShortwhitelabcoatswithKYCOMidentificationareexpectedtobewornunlessspecificallyinstructedbythehospitalorpreceptor.Scrubsuitsaretobewornintheoperatingroom,procedurerooms,duringcallhoursandatthediscretionofindividualphysiciansand/orinstitution/facility.Atalltimes,however,thestudentmustbeclearlyidentifiedasaKYCOMstudent.SeeStudentResponsibilitiessection7.a.ofthismanualforclarification.

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AttendancePromptstudentattendanceisexpectedforthe28daysoftherotationperiod.Theactivitiesofeachdaymustberecordedonstudentlogsfortherotation.Amaximumofthree(3)daysforabsenceispermitted,ifapprovedbytheAssociateDeanforClinicalSciences,andmustberecordedonstudentlogsfortherotation.Absenceinexcessofthethree-daystandardwillresultinan“incomplete”forthisrotation,untilsuchtimethattheactivityrequirementissatisfied.

Absenceoftheattendingphysicianorthestudent,fromthepracticeforaperiodgreaterthanoneday,requiresthestudenttonotifytheofficeforclinicalsciences,oftheinterruptionofactivity.AtthediscretionoftheAssociateDeanforClinicalScienceseitherareadingassignmentoralternatedutyassignmentwillbemade.

Lectures and MeetingsItistheresponsibilityofthestudenttobefamiliarwiththehospital’sdidacticlectureschedule,andtodocumentattendancewithinthestudentlog.Didacticprogramsincludebutarenotlimitedto:MorningReport,JournalClub,Morbidity/MortalityConference,GrandRounds,andNoonConference.Absencefromanyoftheseeventsrequiresthesignatureofthepreceptor,andshouldbesentwiththestudentlogreportstoKYCOM.Itisexpectedthatthestudentwillattendaminimumof70%ofeachkindofevent.

GradingThebasisfortherotationgradeisthe“KYCOMStudentAssessmentForm”forSelective/ElectiveRotations,whichiscompletedbytheattendingphysician,anddiscussedwiththestudentbeforemailing.Uponreceiptandreviewofallinformation,theAssociateDeanforClinicalSciencesevaluatesthematerial,andassignsanumericalgrade.Agradeof70%isconsideredpassing,aspertheClinicalRotationsManual,page15.

Theevaluationisintendedtomeasurethestudentincomparisontoothersatthesamelevelofeducation.

TheKYCOMStudentAssessmentFormmeasures:1. MasteryofOsteopathicPhilosophyandApplicationofManipulativeMedicine2. MedicalKnowledge3. PatientCare4. InterpersonalandCommunicationSkills5. Professionalism6. ApplicationofPractice-BasedLearningSkills7. ApplicationofSystemsApproachtoMedicine

Challenge of GradesAnychallengesorquestionsaretobedirectedtotheAssociateDeanforClinicalSciences.ThestudenthastherightforreviewofthechallengebythePromotionandMatriculationCommittee,iftheassociatedean’sresponserequiresfurtherclarification.

RemediationIn caseswhere apassinggrade isnot achieved, if deemedappropriateby thePromotionandMatriculationCommittee,thestudentwillbegiventheopportunitytorepeattherotation.Uponsuccessfulcompletionoftherepeatedrotation,amaximumgradeof70%willberecordedonthestudenttranscript.

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ReQUesT foRMs, Case loGs anD eValUaTIon foRMs

78

79

U n i v e r s i t y o f P i k e v i l l e K e n t u c k y C o l l e g e o f O s t e o p a t h i c M e d i c i n e

Conference Attendance Request

StudentÕ s Name _________________________________ Class of 2014 Current Rotation ____________________________________________________ PreceptorÕ s Name ___________________________________________________ Rotation Begin Date ___________________ End Date ______________________ Conference _________________________________________________________ Location ___________________________________________________________ Departure Date _____________________ Return Date _____________________ (First date absent from rotation) (First date back to rotation)

StudentÕ s Signature_________________________________________________ PreceptorÕ s Signature _______________________________________________ KYCOM Approval _________________________________________________

Associate Dean for Clinical Sciences

Date:__________________________

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U N I V E R S I T Y O F P I K E V I L L E K E N T U C K Y C O L L E G E O F O S T E O P A T H I C M E D I C I N E

SELECTIVE REQUEST FORM Student Name_______________________________________________________Class of 2014 EMail Address _________________________________Phone # ________________________

Rotation Begin Date: _________________________ End Date: _________________________ Rotation Arranged by Site Coordinator? □ Yes " □ No If you answered Ò YesÓ to the previous question, you may omit the information below.

Preceptor: ____________________________________________________________________ Address: _____________________________________________________________________

Street City State Zip

Phone #: ________________________________ Fax #: _______________________________ Email address: ________________________________________________________________ Hospital preceptor affiliated with: _________________________________________________ Hospital Address: ______________________________________________________________

Street City State Zip

Phone #: ________________________________ Fax #: _______________________________

Office use only: Date Received _____________________ Mailed _______________________________ Faxed ___________________________ E-mailed _____________________________

Selective Rotation: PreceptorÕ s Specialty / Board Certification: □ Emergency Medicine ___________________________________ □ IM Subspecialty ___________________________________ □ Surgery Subspecialty ___________________________________ □ OP&P ___________________________________ □ Rural Medicine ___________________________________ □ WomenÕ s Health ___________________________________

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83

UNIVERSITY OF PIKEVILLE KENTUCKY COLLEGE OF OSTEOPATHIC MEDICINE

Elective Request Form

Student Name: __________________________________________ Class of 2014 EMail Address: __________________________ Phone # ___________________ Rotation Type: _____________________________________________________ Rotation Begin Date: ______________________ End Date: ____________________ Preceptor (If known): ________________________________________________ Address: __________________________________________________________ __________________________________________________________ Phone number: ______________________ Fax number: ____________________ Hospital preceptor affiliated with: _____________________________________________ Address: __________________________________________________________ ____________________________________________________________________ Contact/Coordinator Email address: ___________________________________ Contact phone number: __________________ Fax number: _________________

Below for KYCOM Office Use Only

_____ Approved _____ Not Approved ________________________________ Signature KYCOM Official ____ Medicine ____ Surgery

Office use only: Received _____________________________ Mailed ______________________________ Faxed _______________________________ E-mailed _____________________________

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Revised 08/2011

U n i v e r s i t y o f P i k e v i l l e K e n t u c k y C o l l e g e o f O s t e o p a t h i c M e d i c i n e

Interview Leave Request Form  Name  __________________________________________________  Class  of  2014    

Rotation___________________  Preceptor’s  Name_________________________  

First Interview

Residency  Program  ___________________________________________________  

Departure  Date  _____________________  Return  Date  _____________________                                                                                                                   (First  date  absent  from  rotation)                                                                                                                (First  date  back  to  rotation)  

Student’s  Signature________________________________  Date  ______________  

Preceptor’s  Signature  ______________________________  Date  ______________  

KYCOM  Approval  __________________________________  Date______________     Associate  Dean  for  Clinical  Sciences  

 Second Interview

Residency  Program  ___________________________________________________  

Departure  Date  _____________________  Return  Date  _____________________                                                                                                                   (First  date  absent  from  rotation)                                                                                                                (First  date  back  to  rotation)  

Student’s  Signature________________________________  Date  ______________  

Preceptor’s  Signature  ______________________________  Date  ______________  

KYCOM  Approval  __________________________________  Date______________     Associate  Dean  for  Clinical  Sciences  

 Third Interview

Residency  Program  ___________________________________________________  

Departure  Date  _____________________  Return  Date  _____________________                                                                                                                   (First  date  absent  from  rotation)                                                                                                                (First  date  back  to  rotation)  

Student’s  Signature________________________________  Date  ______________  

Preceptor’s  Signature  ______________________________  Date  ______________  

KYCOM  Approval  __________________________________  Date______________   Associate  Dean  for  Clinical  Sciences          

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87

1

PCSOM LOG SUBMITTAL CHECKLIST (One complete, legible set of logs must be provided for each rotation)

Clinical Rotation: ________________________ Student Doctor: ________________________________ Print Dates of Rotation: ___/___/___ -- ___/___/___ Preceptor Name: ________________________________ Print These forms are useless if illegible. Please type or print. A copy of all forms will be made available for you to download onto your computer to make this easier to do. Remember that if you continue to fill out the forms each day, they will be much more accurate and complete. The completed and signed forms must be returned to PCSOM no later than seven (7) days following the completion of the rotation. I CERTIFY THAT THE FOLLOWING IS AN ACCURATE LOG OF ACTIVITIES PERFORMED AND EXPERIENCED DURING THIS CLINICAL ROTATION. _______________________________ _______________________________

STUDENT SIGNATURE PRECEPTOR SIGNATURE

________/_______/_________ _______/_______/_________ DATE DATE

I HAVE ATTACHED THE FOLLOWING LOG SUBMITTAL FORMS:

Student Evaluation of the Rotation Yes □ None □

Preceptor Grade/Assessment Yes □ None □

Ambulatory Clinic Yes □ None □

Hospital Case Yes □ None □

Educational Programs Yes □ None □

Obstetrics Yes □ None □

Reading Program Yes □ None □

Special Procedures Yes □ None □

Surgery Logs Yes □ None □

KYCOM LOG SUBMITTAL CHECKLIST

KYCOM

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89

sTUDenT loG – aMbUlaToRY ClInIC RoTaTIons

Name: Date://

RotationLocation

Date ID SeenBefore? Diagnosis Procedure(s)

90

91

*LevelofParticipation(1) Observed, (2) Assisted, (3) Managed Under Supervision

sTUDenT loG – HosPITal Case PaRTICIPaTIonName: Date://

RotationLocation

ID DateAdmitted Diagnosis *Level of

Participation H & P AttendingPhysician OMTDate

Seen

92

93

sTUDenT loG – sURGeRY

Name: Date://

RotationLocation

*LevelofParticipation(1) Observed, (2) Assisted, (3) Managed Under Supervision

ID DateAdmitted

Admit.Diagnosis

SurgicalProcedure

*Level ofParticipation Final Diagnosis In/Out

PatientDateSeen

94

95

sTUDenT loG – obsTeTRICs

Name: Date://

RotationLocation

*LevelofParticipation(1) Observed, (2) Assisted, (3) Managed Under Supervision

ID Date Type Anesthetic(Pudendal, Epidural, Other)

*Level ofParticipation

ID Date *Level of Participation

ANESTHETIC

CIRCUMCISION

96

97

sTUDenT loG – sPeCIal PRoCeDURes

Name: Date://

RotationLocation

*LevelofParticipation(1) Observed, (2) Assisted, (3) Managed Under Supervision

ID Date Diagnosis Procedure Level ofParticipation

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99

sTUDenT loG – eDUCaTIonal PRoGRaMs

Name: Date://

RotationLocation

*LevelofParticipation(1) Observed, (2) Assisted, (3) Managed Under Supervision

Date Title/Topic Lecturer Level ofParticipation

(Meetings, CPCs, Workshops, Grand Rounds, Morning Reports)

*

100

101

sTUDenT loG – ReaDInG PRoGRaM

Name:

Date Journal/Text Topic/Subject

102

103

104

KYCOM Class of 2014 Student Assessment Form Ð Selective/Elective

(To be completed by PRECEPTOR) Student ____________________________________________ Rotation Dates: _____________________ Preceptor: _________________________________Primary Hospital: ____________________________

Instructions to preceptors: Clinical rotation grades are based on this Student Assessment Form as completed by you. Each of ten rotation objectives is scaled from a least desirable (5) to a most desirable (10). Students should be evaluated in comparison to other students seen at similar levels of medical education. Please send this completed form, by fax to (606) 218-5168 or mail to KYCOM, Clinical Rotations Records Officer, 147 Sycamore Street, Pikeville, KY 41501, within seven days after the completion of the rotation. Note: For verification purposes, our office may call you.

PRECEPTOR: Please complete the following or attach your business card. Print Name

Business Address

Business Telephone

City/State/Zip

Business Fax

_______________________________________________ □ D.O. □ M.D. __________________ PreceptorÕ s Signature Check One Date

Evaluation continues on next page.

D.O.s Ð Please complete the following for CME Credit. AOA Number Number of Hours

M.D.s Ð For accreditation purposes, enter the number of Contact Hours for possible CME Credit.

Please utilize this space for any comments, descriptions or supporting statements. All information is held strictly confidential.

Please Check Appropriate Discipline:

□ COM 804 Emergency Med. Selective □ COM 809 Rural Health Selective □ COM ______ WomenÕ s Health Selective □ COM ______ Medicine Selective □ COM ______ Surgery Selective □ COM ______ Elective #1_____________ □ COM ______ Elective #2___________ □ COM ______ Elective #3________ □ COM ______ Elective #4_____________

105

Student _____________________________________ KYCOM ID _________________ □ OMS III □ OMS IV

Ten (10) rated spheres are listed below. Each can earn up to 10 points. Seventy (70) points for the total of ten (10) spheres must be earned for the rotation grade to be considered passing.

1. Professionalism (Demeanor, Appearance, Reliability) 5.0 6.0 6.5 6.75 7.0 7.25 7.5 7.75 8.0 8.25 8.5 8.75 9.0 9.25 9.5 9.75 10.0 NA Major Concerns. ◄ Appropriate. Above average. Exemplary.

2a. Interpersonal Relationships - Health Care Team 3.0 3.25 3.5 3.75 4.0 4.25 4.5 4.75 5.0 NA Distant, strained,

dysfunctional cool or awkward.

◄ Forms constructive relationships. Constructive & professional. High quality, accepted as team

member.

2b. Interpersonal Relationships - Patients 3.0 3.25 3.5 3.75 4.0 4.25 4.5 4.75 5.0 NA

Distant, strained,

dysfunctional cool or awkward.

F Forms constructive relationships.

Constructive and professional.

High quality, accepted as team member.

3. Basic Medical Knowledge 5.0 6.0 6.5 6.75 7.0 7.25 7.5 7.75 8.0 8.25 8.5 8.75 9.0 9.25 9.5 9.75 10.0 NA

Generally fair or good. Major

deficiencies in important areas.

A Generally good for student level. Excellent depth in important areas. Outstanding.

4. Performance of History & Physical Examinations 5.0 6.0 6.5 6.75 7.0 7.25 7.5 7.75 8.0 8.25 8.5 8.75 9.0 9.25 9.5 9.75 10.0 NA

Often misses major,

important findings & relevant data.

I Usually elicits most relevant

data & identifies findings accurately.

Almost always elicits all relevant data & identifies

findings accurately.

Elicits data efficiently & in great depth; often discovers subtle

physical findings.

5. Diagnostic Test Selection & Interpretation 5.0 6.0 6.5 6.75 7.0 7.25 7.5 7.75 8.0 8.25 8.5 8.75 9.0 9.25 9.5 9.75 10.0 NA Frequently suggests or

interprets diagnostic tests inappropriately.

L Usually suggests & interprets diagnostic tests appropriately.

Almost always suggests & interprets diagnostic tests

appropriately.

Always reveals exceptional insights.

6. Treatment 5.0 6.0 6.5 6.75 7.0 7.25 7.5 7.75 8.0 8.25 8.5 8.75 9.0 9.25 9.5 9.75 10.0 NA

Demonstrates major

misunderstandings about treatment plans.

I Usually suggests appropriate treatment plans.

Almost always suggests appropriate treatment plans.

Exhibits exceptional insights in treatment plans.

7. Charting 5.0 6.0 6.5 6.75 7.0 7.25 7.5 7.75 8.0 8.25 8.5 8.75 9.0 9.25 9.5 9.75 10.0 NA

Notes are often formatted improperly, illegible,

inaccurate, or lists are not updated.

N Notes are usually formatted properly, legible & accurate,

lists are updated.

Notes are almost always well organized, concise &

demonstrate good synthesis.

Notes are always well organized, concise, and demonstrate excellent

synthesis.

8. Clinical Reasoning 5.0 6.0 6.5 6.75 7.0 7.25 7.5 7.75 8.0 8.25 8.5 8.75 9.0 9.25 9.5 9.75 10.0 NA

Frequently illogical or impractical. G Usually practical & logical. Almost always

practical & logical. Frequent astute insights.

9. Progression Through Rotation 5.0 6.0 6.5 6.75 7.0 7.25 7.5 7.75 8.0 8.25 8.5 8.75 9.0 9.25 9.5 9.75 10.0 NA

Minimal or inconsistent effort or gain. ◄ Showed good, consistent effort

or gain. Showed strong effort or gain. Made extraordinary effort or gain.

10. Osteopathic Manipulative Medicine Skills 5.0 6.0 6.5 6.75 7.0 7.25 7.5 7.75 8.0 8.25 8.5 8.75 9.0 9.25 9.5 9.75 10.0 NA Fails to perform structural

exam. Unsatisfactory OMT skills.

◄ Occasionally performs structural exam. Acceptable OMT skills.

Routinely performs structural exam. Above average OMT

skills.

Always performs structural exam. Excellent OMT skills.

__________________________________________________________________ __________________________ StudentÕ s Signature Date

Total __________ Grade_________ ____________________________________ ________________ Signature, Associate Dean for Clinical Sciences Date

106

Class of 2014 Student Assessment Form Numerical Grade Calculation

There are ten (10) spheres that evaluate for the seven core competencies. Nine of the 10 are graded from “5” (lowest score) to “10” (highest score). Sphere two (2) is divided into two subsets, with each graded from “3” (lowest score) to “5” (highest score). Each of the ten (10) spheres are completed by the preceptor physician, and the assigned rotation grade (that appears on the transcript) is calculated by the Associate Dean for Clinical Sciences. Each of spheres 1-10, can earn a maximum of 10 points. The preceptor physician is instructed that point values, < 7 (< 3.5 for each subset of sphere 2) are “FAILING”. The MAXIMUM total for ten (10) spheres is 100 pts.

Sample Calculation

Step 1: Spheres 1 through ten are totaled.

Step 2: The total from step 1 is divided by the maximum earned points, i.e. 100- [10 x NA], where NA = number of spheres checked non-applicable (NA).

Step 3: The calculated value from step 2 is multiplied by 100.

Step 4: The value from step 3 is the total grade earned for the clinical rotation.

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108

KYCOM Class of 2014Student Assessment Form - Core Rotations/OPP

(To be completed by PRECEPTOR)

Student ___________________________________________ Rotation Dates: ______________________________

Preceptor: _________________________________________Primary Hospital: ____________________________

Instructions to preceptors: Clinical rotation grades are based on this Student Assessment Form as completed by you. Each of nine rotation objectives is scaled from a least desirable (5) to a most desirable (10). Students should be evaluated in comparison to other students seen at similar levels of medical education. Please send thiscompleted form, by fax to (606) 218-5168 or mail to KYCOM, Clinical Rotations Records Officer, 147 Sycamore Street, Pikeville, KY 41501, within seven days after the completion of the rotation. Note: For verification purposes, our office may call you.

PRECEPTOR: Please complete the following or attach your business card. Print Name

Business Address Business Telephone

City/State/Zip Business Fax

_______________________________________________ □ D.O. □ M.D. __________________Preceptor’s Signature Check One Date

D.O.s – Please complete the following for CME Credit. AOA Number Number of Hours

M.D.s – For accreditation purposes, enter the number of Contact Hours for possible CME Credit.

Please utilize this space for any comments, descriptions or supporting statements. All information is held strictly confidential.

Please Check Appropriate Discipline:

□ COM 708 Family Medicine I □ COM 720 General Internal Medicine I □ COM 706 Pediatrics I □ COM 709 Family Medicine II □ COM 721 General Internal Medicine II □ COM 707 Pediatrics II□ COM 740 General Surgery I □ COM 741 General Surgery II □ COM 718 Psychiatry □ COM 705 Women’s Health □ COM 800 OPP Selective

109

Evaluation continues on next page.Student _____________________________________ KYCOM ID _________________ □ OMS III □ OMS IV

Ten (10) rated spheres are listed below. Each can earn up to 10 points. Seventy (70) points for the total of ten (10) spheres must be earned for the rotation grade to be considered passing.

1. Professionalism (Demeanor, Appearance, Reliability)5.0 6.0 6.5 6.75 7.0 7.25 7.5 7.75 8.0 8.25 8.5 8.75 9.0 9.25 9.5 9.75 10.0 NA

Major Concerns. ◄ Appropriate. Above average. Exemplary.

2a. Interpersonal Relationships - Health Care Team2.5 3.0 3.4 3.5 3.75 4.0 4.25 4.5 4.75 5.0 NA

Distant, strained, dysfunctional

cool or awkward.◄ Forms constructive

relationships. Constructive & professional. High quality, accepted as team member.

2b. Interpersonal Relationships - Patients2.5 3.0 3.4 3.5 3.75 4.0 4.25 4.5 4.75 5.0 NA

Distant, strained, dysfunctional

cool or awkward.F Forms constructive

relationships.Constructive and

professional.High quality, accepted as team

member.

3. Performance of History & Physical Examinations5.0 6.0 6.5 6.75 7.0 7.25 7.5 7.75 8.0 8.25 8.5 8.75 9.0 9.25 9.5 9.75 10.0 NA

Often misses major, important findings & relevant

data.A

Usually elicits most relevant data & identifies findings

accurately.

Almost always elicits all relevant data & identifies

findings accurately.

Elicits data efficiently & in great depth; often discovers subtle

physical findings.

4. Diagnostic Test Selection & Interpretation5.0 6.0 6.5 6.75 7.0 7.25 7.5 7.75 8.0 8.25 8.5 8.75 9.0 9.25 9.5 9.75 10.0 NA

Frequently suggests or interprets diagnostic tests

inappropriately.I Usually suggests & interprets

diagnostic tests appropriately.

Almost always suggests & interprets diagnostic tests

appropriately.

Always reveals exceptional insights.

5. Treatment5.0 6.0 6.5 6.75 7.0 7.25 7.5 7.75 8.0 8.25 8.5 8.75 9.0 9.25 9.5 9.75 10.0 NA

Demonstrates major misunderstandings about

treatment plans.L Usually suggests appropriate

treatment plans.Almost always suggests

appropriate treatment plans.Exhibits exceptional insights in

treatment plans.

6. Charting5.0 6.0 6.5 6.75 7.0 7.25 7.5 7.75 8.0 8.25 8.5 8.75 9.0 9.25 9.5 9.75 10.0 NA

Notes are often formattedimproperly, illegible,

inaccurate, or lists are not updated.

INotes are usually formatted properly, legible & accurate,

lists are updated.

Notes are almost always well organized, concise &

demonstrate good synthesis.

Notes are always well organized, concise, and demonstrate excellent

synthesis.

7. Clinical Reasoning5.0 6.0 6.5 6.75 7.0 7.25 7.5 7.75 8.0 8.25 8.5 8.75 9.0 9.25 9.5 9.75 10.0 NA

Frequently illogical or impractical. N Usually practical & logical. Almost always

practical & logical. Frequent astute insights.

8. Progression Through Rotation5.0 6.0 6.5 6.75 7.0 7.25 7.5 7.75 8.0 8.25 8.5 8.75 9.0 9.25 9.5 9.75 10.0 NAMinimal or inconsistent effort

or gain. G Showed good, consistent effort or gain. Showed strong effort or gain. Made extraordinary effort or gain.

9. Osteopathic Manipulative Medicine Skills5.0 6.0 6.5 6.75 7.0 7.25 7.5 7.75 8.0 8.25 8.5 8.75 9.0 9.25 9.5 9.75 10.0 NA

Fails to perform structuralexam. Unsatisfactory OMT

skills.◄ Occasionally performs structural

exam. Acceptable OMT skills.

Routinely performs structural exam. Above average OMT

skills.

Always performs structural exam. Excellent OMT skills.

10. Basic Medical Knowledge – COMAT Examination [Office Use Only]5.0 6.0 7.0 7.25 7.5 7.75 8.0 8.25 8.5 8.75 9.0 9.5 10.0 NA≤60 61-80 ◄ 80 81-84 85-88 89-92 93-96 97-99 100 101-

105 106-112 113-119 ≥120

__________________________________________________________________ __________________________Student’s Signature Date

Total __________ Grade_________ ____________________________________ ________________Signature, Associate Dean for Clinical Sciences Date

Revised 4/2012

110

Class of 2014 Student Assessment Form Numerical Grade Calculation

There are ten (10) spheres that evaluate for the seven core competencies. Nine of the 10 are graded from “5” (lowest score) to “10” (highest score). Sphere two (2) is divided into two subsets, with each graded from “3” (lowest score) to “5” (highest score). Each of the ten (10) spheres are completed by the preceptor physician, and the assigned rotation grade (that appears on the transcript) is calculated by the Associate Dean for Clinical Sciences. Each of spheres 1-10, can earn a maximum of 10 points. The preceptor physician is instructed that point values, < 7 (< 3.5 for each subset of sphere 2) are “FAILING”. The MAXIMUM total for ten (10) spheres is 100 pts.

Sample Calculation

Step 1: Spheres 1 through ten are totaled.

Step 2: The total from step 1 is divided by the maximum earned points, i.e. 100- [10 x NA], where NA = number of spheres checked non-applicable (NA).

Step 3: The calculated value from step 2 is multiplied by 100.

Step 4: The value from step 3 is the total grade earned for the clinical rotation.

111

112

113

114

KYCOM Rotation Assessment Form Ð Class of 2014 (To be completed by STUDENT)

Check Year: □ OMS III □ OMS IV Rotation Dates: _____________________ Preceptor: ________________________________________________ Core Site: __________________________

Please Circle Your Response:

1 Describe how well this rotation prepared you for the rotation subject. Excellent (1) Good (2) Fair (3) Poor (4) NA

2 Describe how receptive the attending physician(s) were to student questions.

Very Receptive (1)

Somewhat Receptive (2)

Somewhat Unreceptive (3)

Not Receptive (4) NA

3 Rate the quality of the didactic training. Excellent (1) Good (2) Fair (3) Poor (4) NA 4 Describe the extent to which you were allowed to

participate in and/or perform medical procedures. Excellent (1) Good (2) Fair (3) Poor (4) NA

5 Describe the variety of patients and problems (pathology, scope and volume) you observed during this rotation.

Excellent (1) Good (2) Fair (3) Poor (4) NA

6 Was osteopathic theory discussed on rounds and during presentations?

Daily (1)

Very Frequently (2)

Frequently (3)

Infrequently (4) NA

7 Were osteopathic techniques utilized on both office and hospital patients?

Daily (1)

Very Frequently (2)

Frequently (3)

Infrequently (4) NA

8 Describe the extent to which you had the opportunity to work with patients on a one-to-one basis.

Daily (1)

Very Frequently (2)

Frequently (3)

Infrequently (4) NA

9 Describe the extent which the attending physician(s)/preceptor(s) verbally quizzed you.

Excellent (1)

Good (2)

Fair (3)

Poor (4) NA

10 Describe the networking opportunities provided during the rotation. (e.g. introduction for future employment opportunities)

Excellent (1)

Good (2)

Fair (3)

Poor (4) NA

11 Describe how well you were received by office staff. Excellent (1) Good (2) Fair (3) Poor (4) NA 12 Was an instructional resource center (IRC) available

for your use? Yes (1) No (2) NA

Rate the following: IRC Staff Excellent (1) Good (2) Fair (3) Poor (4) NA Computers Excellent (1) Good (2) Fair (3) Poor (4) NA Printers Excellent (1) Good (2) Fair (3) Poor (4) NA Scanners Excellent (1) Good (2) Fair (3) Poor (4) NA Hours of Operation Excellent (1) Good (2) Fair (3) Poor (4) NA Inter-Library Access Excellent (1) Good (2) Fair (3) Poor (4) NA Instructional Software Excellent (1) Good (2) Fair (3) Poor (4) NA Simulation Equipment Excellent (1) Good (2) Fair (3) Poor (4) NA Accessibility Excellent (1) Good (2) Fair (3) Poor (4) NA Periodical Library Excellent (1) Good (2) Fair (3) Poor (4) NA Reference Library Excellent (1) Good (2) Fair (3) Poor (4) NA Internet Subscriptions Excellent (1) Good (2) Fair (3) Poor (4) NA

Please Check Appropriate Discipline: □ Family Medicine □ General Internal Medicine □ Pediatrics □ General Surgery □ WomenÕ s Health □ Psychiatry □ Selective ______________________________ □ Elective ______________________________

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13 How many times per day were rounds conducted? (Please enter a number.) _____________________times per day 14 How long did it take you to drive from your core site to this rotation? ____________hrs. ____________mins. 15 How many weekends did you work during this rotation? ________________________weekends 16 What were the daily hours for this rotation? _______________to _______________ 17 Were you provided meals on this rotation? Yes (1) No (2) NA 18 What reading/reference materials do you recommend that might benefit a student about to begin this rotation?

19 Please discuss any preparations or advance arrangements, if any, not covered by the AHEC or the Dept. of Family Medicine that must be made prior to requesting/beginning this rotation.

20 Please list the strengths of this rotation.

21 Please list the weaknesses of this rotation.

22 Additional Comments:

Revised 8/2009

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