School of Medicine >   Mission Statement >  Prevention, Diagnosis and Management

VI. Prevention, Diagnosis and Management

In collaboration with individuals, families, communities and the health care team, graduates help prevent, diagnose, and manage health problems. Graduates develop problem lists, formulate differential diagnoses, establish outcome goals and generate treatment plans. Graduates select and carry out additional investigations, choose and implement interventions with consultation and referral as needed. Graduates monitor clinical progress and adjust therapy and diagnosis accordingly.

Criteria for Assessment/Sub-competencies
Educational Strategies
Evaluation Methodologies
1. Prevention    
Integrates preventive interventions into the comprehensive health care of individuals    
  • Accesses epidemiological tools that are evidence-based in order to identify the most common causes of morbidity
    and mortality
Large group lecture; readings; computer assisted instruction; web-based databases; demonstration; independent learning assignments Check lists; OSCE, chart stimulated recall;
evidence based medicine review; portfolio;
  • Identifies screening, protective and behavioral modifications needed to promote health and prevent disease according to age, sex, genetic predispositions and ethnicity
Large group lecture; case-based exercise and
discussion; computer-assisted instruction; web-based databases; group or individual projects
Check lists; OSCE, chart stimulated recall;
evidence based medicine review; portfolio; standardized patients; 360 global ratings
  • Educates individuals and communities regarding health promotion and disease prevention
Role play exercises; simulated patient encounters; OSCE; preceptor supervised patient care Check lists; OSCE, chart stimulated recall; evidence based medicine review; portfolio; standardized patients; 360 global ratings
  • Analyzes and suggests modification of risk factors for disease
Role play exercises; simulated patient encounters; OSCE, preceptor supervised patient care Check lists; OSCE, chart stimulated recall; evidence based medicine review; portfolio; standardized patients; 360 global ratings
  • Outlines current guidelines for childhood and adult immunizations
Large group lecture; readings; web-based resources Check lists; OSCE, chart stimulated recall; evidence based medicine review; portfolio; standardized patients; 360 global ratings
2. Diagnosis    
Diagnoses common health problems of individuals and community Educational Strategies Evaluation Strategies
  • Interprets data from the history, physical exam and laboratory
Preceptor supervised patient care; case simulation; demonstration; computer assisted instruction; student led presentation; OSCE, standardized patient Check lists; OSCE, chart stimulated recall; evidence based medicine review; portfolio; standardized patients; 360 global ratings; patient record review
  • Based on data, formulates an appropriate differential diagnosis and problem list
Preceptor supervised patient care; case simulation; demonstration; computer assisted instruction; student led presentation; OSCE, standardized patient Check lists; OSCE, chart stimulated recall; evidence based medicine review; portfolio; standardized patients; 360 global ratings
  • Based on the differential diagnosis, problem list and patient reports, can select, carry out and interpret additional evidencebased investigations and seek consultations
Preceptor supervised patient care; case simulation; demonstration; computer assisted instruction; student led presentation; OSCE, standardized patient Check lists; OSCE, chart stimulated recall; evidence based medicine review; portfolio; standardized patients; 360 global ratings
  • Identifies the role of patient’s family, occupation and social environment as risk factors for future illness
Preceptor supervised patient care; case simulation; demonstration; computer assisted instruction; student led presentation; OSCE, standardized patient Check lists; OSCE, chart stimulated recall; evidence based medicine review; portfolio; standardized patients; 360 global ratings
  • Identifies patterns of potential and existing health problems in a community and can gather relevant data
Lecture; small group exercise; case simulation;
readings; student led presentation
Check lists; OSCE, evidence based medicine
review; portfolio; 360 global ratings
  • Identifies potential for epidemic, endemics and high risk health behaviors common in a community
Lecture; small group exercise; case simulation;
readings; student led presentation
Check lists; OSCE, evidence based medicine
review; portfolio; 360 global ratings
  • Gathers data about a community from multiple sources at a national, state and local level
Lecture; small group exercise; case simulation;
readings; student led presentation
Check lists; OSCE, evidence based review;
portfolio; 360 global ratings
    • Assesses patients’ understanding of their diagnoses
Preceptor supervised patient care; case
simulation; demonstration; computer assisted
instruction; student led presentation; OSCE,
standardized patient
Check lists; OSCE, chart stimulated recall;
evidence based medicine review; portfolio;
standardized patients; 360 global ratings
3. Management    
Manages common health problems of
individual patients and community
   
  • Chooses appropriate evidence-based management plans based on data from patient examination, expected course with and without treatment, risks and discomfort and probability of compliance
Preceptor supervised patient care; case simulation; demonstration; computer assisted instruction; student led presentation; OSCE, standardized patient Check lists; OSCE, chart stimulated recall;
evidence based medicine review; portfolio;
standardized patients; 360 global ratings
  • Selects specific treatments taking into account costs, benefits, scientific evidence, patient’s situation and preferences
Preceptor supervised patient care; case simulation; demonstration; computer assisted instruction; student led presentation; OSCE, standardized patient Check lists; OSCE, chart stimulated recall; evidence based medicine review; portfolio; standardized patients; 360 global ratings
  • Determines appropriate goals of treatment and demonstrated benefit to patient through evidence
Preceptor supervised patient care; case simulation; demonstration; computer assisted instruction; student led presentation; OSCE, standardized patient Check lists; OSCE, chart stimulated recall; evidence based medicine review; portfolio; standardized patients; 360 global ratings
  • Educates and involves patient and family in determining treatment goals
Preceptor supervised patient care; case simulation; demonstration; computer assisted instruction; student led presentation; OSCE, standardized patient Check lists; OSCE, chart stimulated recall; evidence based medicine review; portfolio; standardized patients; 360 global ratings
  • Obtains consultations and referrals from members of the health care team as appropriate to goals of management
Preceptor supervised patient care; case simulation; demonstration; computer assisted instruction; student led presentation; OSCE, standardized patient Check lists; OSCE, chart stimulated recall; evidence based medicine review; portfolio; standardized patients; 360 global ratings
  • Monitors patient progress and modifies patient management through an evidencebased approach through the course of
    illness
Preceptor supervised patient care; case simulation; demonstration; computer assisted instruction; student led presentation; OSCE, standardized patient Check lists; OSCE, chart stimulated recall; evidence based medicine review; portfolio; standardized patients; 360 global ratings
  • Revises and modifies diagnosis and treatment based on patient progress, new data, adverse effects of treatment, benefit and harm and evidence for alternative
    approaches
Preceptor supervised patient care; case simulation; demonstration; computer assisted instruction; student led presentation; OSCE, standardized patient Check lists; OSCE, chart stimulated recall; evidence based medicine review; portfolio; standardized patients; 360 global ratings
  • Describes ethical considerations in treatment, including pain management, extending life, withdrawal of treatment and
    ethical duties of the treating physician
Lecture; small group exercise; case simulation; readings; preceptor supervised patient care; demonstration; student led presentation; OSCE; standardized patient Check lists; OSCE, chart stimulated recall; evidence based medicine review; portfolio; standardized patients; 360 global ratings
  • Assess patients’ adherence and understanding of their treatment
Preceptor supervised patient care; case simulation; demonstration; computer assisted instruction; student led presentation; OSCE, standardized patient Check lists; OSCE, chart stimulated recall; evidence based medicine review; portfolio; standardized patients; 360 global ratings
  • Suggests approaches to managing health problems in a community and outline methods to implement, monitor and
    evaluate such interventions
Lecture; small group exercise; case simulation; readings; preceptor supervised patient care; demonstration; student led presentation; OSCE; standardized patient Check lists; OSCE, chart stimulated recall; evidence based medicine review; portfolio; standardized patients; 360 global ratings
  • Suggests actions to address environmental causes of illness
Lecture; small group exercise; case simulation; readings; preceptor supervised patient care; demonstration; student led presentation; OSCE; standardized patient Check lists; OSCE, chart stimulated recall; evidence based medicine review; portfolio; standardized patients; 360 global ratings
  • Recognizes and can explain the limits of scientific underpinnings guiding diagnosis, management and prevention
Lecture; small group exercise; case simulation; readings; preceptor supervised patient care; demonstration; student led presentation; OSCE; standardized patient Check lists; OSCE, chart stimulated recall; evidence based medicine review; portfolio; standardized patients; 360 global ratings
 


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Last Modified on 04/30/2008