Essentials of Clinical Medicine 1-2

BMS 666: Essentials of Clinical Medicine 1:  2 Credit Hours
BMS 667: Essentials of Clinical Medicine 2:  2 Credit Hours

Placement in the Curriculum:    Year One
Duration:    August-May

Synopsis:    The overall objective of this course is to prepare students for entry into clinical environments through the development of the fundamental knowledge, skills and attitudes required of medical professionals. In the Essentials of Clinical Medicine (ECM) 1, students learn the basic steps in gathering data and establishing rapport while interviewing a patient. Students will begin to familiarize themselves with the role of the doctor and the doctor-patient relationship, learn to talk with patients, apply basic science knowledge to chronic disease, learn about general care with a generalist physician-preceptor, and acquire initial competency in informatics. In ECM 2, students continue the acquisition of fundamental skills used in taking histories, interpreting and presenting patient data, and relating to patients and other health professionals in the context of the changing social, cultural, legal, political, economic and personal contexts which affect the delivery of health care. An introduction to ethical and legal issues relevant to the care of patients is provided.

Competencies:    In the process of completing this course, students acquire the following competencies:
●    Gather data and establish rapport with patients.
●    Recognize and describe common reactions of patients to doctors and doctors to patients.
●    Identify common sociocultural, gender, and aging issues which commonly arise in interviews.
●    Interpret trends within the changing health care environment that influence clinical practice and future developments.
●    While acquiring skills to interview and talk to patients, students become acquainted with the impact of chronic disease, the meaning of illness in the context of patient, family and community; the role of culture, community resources and agencies in the work of primary care providers.

Key Words:    Patient-doctor relationship, psychology of illness, socialization of doctors, undergraduate primary care education, ambulatory care education, continuity of care.

Assessment:    Small group participation grade; written assignments; research papers; standardized patient examination of interviewing skills; attendance at 6 sessions with primary care preceptor; professional behavior checklist from primary care preceptor.

Students in ECM are evaluated using the grading system in effect for clinical clerkships.

Instructional Features:    Lectures, small group discussions, special topics. The Introduction to Primary Care (IPC) program that is part of this course places students with preceptors throughout the Chicago area and focuses on continuity of care in family practice, medicine, and pediatrics. Other features include early exposure to clinical medicine through on-site observation, training and practice.