This curriculum phase of study is defined as the 12-months of seven core clerkship courses, including Intersessions, Transition to Clerkships, and an ambulatory medicine course.
Family & Community Medicine: This is a six-week clerkship that encompasses the comprehensive and longitudinal care of patients with a special emphasis on care of individuals in the context of families and communities. This is primarily an outpatient rotation, working with preceptors throughout the state. This clerkship provides an opportunity for students to learn about the diagnosis and management of patients with acute common problems, as well as chronic disease. Students will be expected to learn a comprehensive approach to the patient with these diagnoses that entails consideration of etiology, incidence, pathophysiology, clinical presentation, course, prognosis, treatment, and the appropriate aspects of patient education, disease prevention, and health promotion.
Medicine: The Medicine clerkship is an eight-week experience including in-patient and ambulatory exposure. Students are expected to achieve a level of responsibility in the in-patient and ambulatory setting appropriate for a third-year student including: independent data gathering, critical assessment of the data, and communication of data to other health professionals.
Ambulatory Medicine: This four-week course offers medical students a broad perspective on ambulatory medicine. Students will see new and established patients in various outpatient Medicine clinics. Students have primary responsibility for evaluating the patient, formulating an assessment and implementing management under the close supervision of an attending internist.
Neurology: This four-week Neurology clerkship is designed to teach medical students the principles and skills needed to recognize and manage the neurological diseases that a general medical practitioner is most likely to encounter in practice. Implicit in this is the ability to recognize the problems of the nervous system that require specialty neurological consultation. Students will learn to perform a thorough neurologic history and examination by the completion of this rotation.
Obsterics & Gynecology: This six-week clerkship is an introductory experience in the provision of comprehensive medical care and counseling services to elderly, adult and adolescent female patients. The obstetrical conditions and gynecological problems commonly encountered by the physician provide the primary focus for this clerkship experience, but knowledge of serious or less common conditions is also available. Therefore, the basis for the clerkship is to introduce the clinical information thought to be fundamental in the education of all physicians.
Pediatrics: The six-week Pediatric clerkship is divided into two three-week blocks. Students spend three weeks on the inpatient service at Banner University Medical Center-Diamond Children’s [DCMC], and three weeks in an outpatient clinic, either at Banner University Medical Center (BUMC), BUMC Children’s Multispecialty Center (Wilmot Clinic), BUMC North Hills Clinic, BUMC Pantano Clinic, a private practice clinic site (dependent on-site availability), or a rural clinic site (dependent on-site availability). A newborn nursery experience will be part of the outpatient rotation and will occur at BUMC, no matter where the student is assigned for his/her outpatient rotation (with the exception of those at a rural site).
Psychiatry: In this six-week clerkship, the student will be able to demonstrate through oral or written communication with attending physicians or residents and staff through documentation in patient records, and in a manner judged by the attending physicians and staff as satisfactory, an understanding of:
- The purposes of the psychiatric interview.
- The purpose and form of the psychiatric workup.
- The major manifestations of psychosis, cognitive impairment, and differential diagnosis of the following psychiatric disorders: substance-related, schizophrenia, mood, anxiety, and personality disorders.
- The major groups of psychopharmalogic agents used in psychiatric care, including their indications, effects, side effects and contraindications, with particular reference to antipsychotics, anti-depressants, mood stabilizers, anti-anxiety agents, sedatives, and stimulants. Additionally, required is knowledge of the uses of electroconvulsive therapy.
- An understanding of the major psychosocial interventions and their indications, including the use of psychotherapy, group therapy, couples’ therapy, family and social case work.
- The legal and psychological principles of treating the violent, the suicidal, the incompetent, and the uncooperative patient.
- The major services available to the mentally ill and methods of referral to such services.
- Surgery: The goal of the eight-week surgery clerkship is to introduce the student to the principles of caring for the surgical patient. This goal is accomplished by allowing the student to participate in the care of patients in the various stages of evaluation and treatment by surgeons. These stages include but are not limited to the preoperative office or clinic visit, inpatient admission, operative procedure and inpatient/outpatient recovery. Through this exposure, the student will begin to understand the general process of the application of surgical therapy to patients in a wide variety of settings. Furthermore, by participating as a member of the surgical team, the student will observe the role of the surgeon as a member of the multidisciplinary team that provides care for the patient. The clerkship is structured upon the principle that learning is a process which can be accomplished only by active participation by the student. The role of the faculty and housestaff is to provide guidance, stimulation, support and example.
- Transition to Clerkships: This one-week course is delivered to students prior to entering their core clerkships. Medical students participate in a variety of educational experiences designed to prepare them to begin their clerkship curriculum. In addition to lectures on topics pertinent to patient care, students participate in simulations and performance exercises to learn and practice basic skills that will be required of them in the clerkship curriculum. Attendance at sessions and active participation is mandatory.
- Intersessions I, II, III: Intersessions is designed as an opportunity for the whole class to come together during the Clerkship year and learn the knowledge, skills and attitudes that are fundamental to the practice of good medical care. Topics the students will be exposed to include the following: patient safety and medical errors, quality of medical care, professionalism, ethics in medicine, medical legal issue, healthcare disparities, healthcare financing and resource use, wellness, and resilience. The students will also be able to learn some procedural skills, such as bedside ultrasound, as well as get early exposure to non-clerkship specialties such as diagnostic imaging and pathology. Intersessions also provide an opportunity for students to come together for collaborative and reflective time in their process of becoming a physician. Curricular formats and learning strategies vary to accommodate the variety of content and learning. They include simulation sessions, objective structured clinical examinations, lectures, and smaller group projects and assignments.