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School of Medicine >   Mission Statement >  Clinical Skills

V. Clinical Skills

Graduates are proficient in history taking and examination skills across a wide spectrum of patient care encounters. Graduates correctly select and proficiently perform routine clinical procedures, properly utilize ancillary services and accurately interpret results.

Criteria for Assessment/Sub-competencies
Educational Strategies
Evaluation Methodologies
Examination of the patient( Appendix I)    
The graduate will perform a comprehensive physical, functional, and mental status exams including: Role modeling, preceptorship, CD ROMs, simulated experiences, videotaping with feedback, demonstration, OSCE OSCE, case simulations, oral examinations, direct observation, videotaping, SPs
1. Comprehensive adult history   OSCE, observation of skills by resident,
USMLE Step 2b
2. Comprehensive child history   OSCE, observation of skills by resident,
USMLE Step 2b
3. Focused adult history   OSCE, observation of skills by preceptor,
clinical evaluation by attendings, USMLE
Step 2b
4. Focused child history   OSCE, observation of skills by resident,
USMLE Step 2b
5. General physical examination   OSCE, observation of skills by preceptor,
clinical evaluation by attendings, USMLE
Step 2b
6. Focused physical examination   OSCE, observation of skills by preceptor,
clinical evaluation by attendings, USMLE
Step 2b
7. General mental status examination   OSCE, observation of skills by preceptor,
Patient Work-up, USMLE Step 2b
8. General functional assessment   OSCE, patient work-up
9. Pediatric physical examination   OSCE, clinical evaluation by attending
10. Psychiatric examination   Adult psychiatric video exam, clinical exam
11. Emergency directed examination   OSCE, patient work-up
12. Trauma evaluation   Mock code performance, oral examination
Selection of diagnostic and therapeutic procedures    
The graduate will be able to determine the order of priority in which diagnostic procedures/tests should be requested in clinical situations. Demonstration, role modeling, simulated experiences, audio/video review, SPs, real life experiences, discussions, readings, lectures, programmed learning Chart stimulated recall, oral examination, OSCEs, triple jump case write ups, computer case simulations; patient workups
Listed Procedures    
Performance of routine clinical procedures    
The graduate will personally perform, and will be aware of the indications, complications, and limitations of routine clinical procedures including: Demonstration, role modeling, simulated experiences, audio/video review, SPs, real life experiences, discussions, readings, lectures, programmed learning Performance checklists, simulations, real life experience, procedure logs, student electronic portfolio, direct observation, 360 degree global ratings, oral/written exam, mid-clerkship formative evaluations
1. Venipuncture, including blood cultures   Observation of skills, procedure logs,
student electronic portfolio
2. Insertion of an intravenous catheter   Observation of skills, procedure logs,
student electronic portfolio
3. Arterial puncture   Observation of skills, procedure logs,
student electronic portfolio
4. Capillary blood sample   Observation of skills, procedure logs,
student electronic portfolio
5. Injections ( SQ, IM, IV)   Observation of skills, procedure logs,
student electronic portfolio
6. Insertion of a nasogastric tube   Observation of skills, procedure logs,
student electronic portfolio
7. Insertion of a Foley catheter   Observation of skills, procedure logs,
student electronic portfolio
8. Suturing of lacerations and suture removal   Observation of skills, procedure logs,
student electronic portfolio
9. Papanicolaou smear   Observation of skills, procedure logs,
student electronic portfolio
10. Sterile technique   Completion of OR orientation with
observed scrub procedure
11. Universal precautions   Observation of skills, procedure logs,
student electronic portfolio
12. PPD Placement   Observation of skills, procedure logs,
student electronic portfolio
13. ECG recording and interpretation   Observation of skills, procedure logs,
student electronic portfolio
Familiarity with complex or specialized clinical
procedures ( Appendix II)		    
The graduate will be aware of (observe/participate if possible) the indications, complications, and limitations of more complex or specialized clinical procedures including: Demonstration, role modeling, simulated experiences, audio/video review, SPs, Real life experiences, discussions, readings, lectures, programmed learning Performance checklists, simulations, real life experience, procedure logs, student electronic portfolio, direct observation, 360 degree global ratings, oral/written exam, mid-clerkship formative evaluations
1. Listed procedures   Observation of skills, procedure logs,
student electronic portfolio
Performance of basic lab and diagnostic tests    
The graduate will be competent to personally perform and will be aware of the indications and limitations of basic laboratory and diagnostic tests including: Demonstration, role modeling, simulated experiences, audio/video review, SPs, Real life experiences, discussions, readings, lectures, programmed learning Performance checklists, simulations, real
life experience, procedure logs, student electronic portfolio, direct observation, 360 degree global ratings, oral/written exam, mid-clerkship formative evaluations
1. Throat swab   Laboratory session, observation of skills
2. Gram Stain   Laboratory session and report
3. Vaginal smear -- wet prep   Observation of skills, procedure logs
4. KOH prep   Observation of skills, procedure logs
5. EKG   Observation of skills, procedure logs, case presentation and write-up, NBME and written exams in IM, ACLS practical exam
6. Stool occult blood   Observation of skills, procedure logs,
patient work-up
7. Urinalysis   Observation of skills, procedure logs, patient work-up, laboratory session and report
8. Finger stick glucose testing   Observation of skills, procedure logs
9. PPD testing   Observation of skills, procedure logs
Interpretation of diagnostic test data    
The graduate will be able to interpret raw data as well as written reports of commonly performed diagnostic tests such as Problem-based learning, case-based discussions, real life experiences, programmed learning OSCE stations, real life experiences,
computer-based case simulations
1. Peripheral blood smear   Laboratory exercises, USMLE Step I
2. Blood chemistry   Patient work-ups, clinical case evaluations, problem-solving exercises, NBME, USMLE
3. Urine chemistry   Patient work-ups, clinical case evaluations, problem-solving exercises, NBME, USMLE
4. Culture reports   Patient work-ups, clinical case evaluations, problem-solving exercises, NBME, USMLE
5. Drug antibiotic tests   Patient work-ups, clinical case evaluations, NBME, USMLE
6. Arterial blood gases   Patient work-ups, clinical case evaluations, problem-solving exercises, NBME, USMLE
7. Coagulation studies   Laboratory exercises, patient work-ups, clinical case presentation, USMLE, NBME
8. CSF studies   Patient work-ups, clinical case presentations, USMLE, NBME in Neuro
9. Endocrinologic studies   Patient work-ups, clinical case presentations, USMLE, NBME
10. Chest Xray   OSCE, observation of skills, clinical case evaluations, IM NBME, radiology exam
11. KUB film   OSCE, observation of skills, clinical case presentations
12. CT head for mass effect/acute bleed   OSCE, observation of skills, clinical case presentations, neuro NBME, computerized radiology clerkship exam
Familiarity with more complex or specialized lab and
diagnostic tests ( Appendix III)		    
The graduate will be aware of the indications, complications, and limitations of frequently used lab and diagnostic tests as well as be able to interpret the actual material data (such as images on a microscope slide or on X-ray film) and written reports of the tests including: Didactics, videotapes, simulations, real life experiences, CDROMs, programmed learning Performance checklists, simulations, real life experience, procedure logs, student electronic portfolio, direct observation, 360 degree global ratings, oral/written exam, mid-clerkship formative evaluations
Listed procedures/tests    
Emergency Care    
The graduate will be able to recognize patients with immediate life threatening conditions ( cardiac, pulmonary, pyschiatric, neurologic) regardless of etiology BLS/ACLS courses, simulations BLS/ACLS written and practical exams, simulated mock codes; oral examination;
written EM clerkship exam
The graduate will be able to perform basic skills of BLS and ACLS    
The graduate will be able to perform the following emergency procedures Demonstration, role modeling, simulated experiences, audio/video review, SPs, Real life experiences, discussions, readings, lectures,
programmed learning		 Performance checklists, simulations, real life experience, procedure logs, student electronic portfolio, direct observation, 360 degree global ratings, oral/written exam, mid-clerkship formative evaluations
Temporary C spine immobilization    
Control of gross external hemorrhage    
Apply temporary splint    
Case Documentation/Presentation Skills    
The graduate will be able to appropriately document the history, physical examination, differential diagnosis, and management plan Real life experiences, chart review, case write ups Patient progress reports, case write-ups,
OSCEs
The graduate will demonstrate the ability to summarize the clinical picture for presentation during rounds Demonstration, Videotape with feedback Case presentations; clinical Evaluation by attending and resident
 

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Last Modified on 04/30/2008