Patient Centered Medicine 1 Aaron Michelfelder M D

Patient Centered Medicine 1 Aaron Michelfelder, M. D. - PCM 1 Course Director Amy Blair, M. D. – PCM 1 Co-Course Director James Winger, M. D. – PCM 1 Co-Course Director Diane Stancik – PCM 1 Course Manager Katherine Walsh, M. D. – Overall PCM Co-Course Director Paul Hering, M. D. – Overall PCM Co-Course Director

Welcome PCM-1 Small Group Facilitators/Advisors!! Aaron Michelfelder, M. D. PCM 1 Course Director Ms. Diane Stancik PCM 1 Course Manager Amy Blair, M. D. PCM 1 Co-Course Director Katherine Walsh, M. D. Overall PCM Co-Course Director James Winger, M. D. PCM 1 Co-Course Director Paul Hering, M. D. Overall PCM Co-Course Director

Line Up for This Session • • Brief Intro to the Course Changes Mentor/Preceptor Programs Advisor Program

What is PCM 1 About? http: //www. meddean. luc. edu/lumen/index. html

PCM 1 • PCM 1 Website • http: //www. meddean. luc. edu/lumen/ – Administration – General Information – Core Curriculum – Attendance Policy – Grading/Evaluation – Facilitators

• 6 Components to PCM 1 – Lectures/Panels/Workshops – Small Groups (8 -10 Students/Small Group) – Standardized Patient Exercises – Objective Structured Clinical Exams (OSCE) – Mentor/Clinical Skills Preceptor Programs – Written Exams

PCM-1 Organization Clinical Skills II Healthcare Systems Bioethics Personal and Professional Development Health Behavior and Promotion

PCM-1 Organization • Temporal Blocks: Bioethics, Clinical Skills I, Healthcare Systems and Delivery, Clinical Skills II, Behavior and Health Promotion • Longitudinal Block: Personal and Professional Development

Patient Centered Medicine I Core Curriculum Semester II Ethics, Justice, & Professionalism Communication Skills Interviewing/History Taking Behavioral Development Physician Well Being US Health Care System and Global Health Evidence Based Medicine Prevention Counseling Risk Factor Screening Integrative Medicine Cultural Medicine Nutrition SP Workshops Standardized HPI/complete History Patients Difficult Topics SP Practice Exercise Clinical Skills Combined Structure/Function Physical Exam Skills SP Exercise I Complete Medical History Head & Neck Abdomen Thorax/Lungs Musculoskeletal SP Workshop Intimate Partner Violence SP Workshop Challenging Patient-Physician Relationships SP Exercise Hypothesis-Driven History Heart Harvey Cardiac Simulator PE OSCE II PE OSCE I Patient Interview I Real Patient Interviews Experiential Components Student, & Chaplain Mentor, and Physician Preceptor Programs Patient Interview II SP Exercise Counseling

• Newer This Year – General • Year Two Neuroscience Course Dissolved • MCBG/ Behavioral Medicine More Content Early • Anatomy Starts 3 Weeks Earlier – PCM-1 • • • 4 Small Groups Removed And/or Compressed Fewer and Updated Readings Students/Facilitators encouraged to bring in topical media resources Ethics Block Compressed and Revised Behavioral Medicine Small Group Removed Revised EBM/Biostats/Patient Safety Curriculum Service Project & Reflection – Centralized Added Social Determinants of Health Section Removed Emotional Intelligence Section

• Newer This Year – Added SP Workshop – HPI Workshop modified to be Complete History Small Group Workshop Over Two Sessions – Continued Electronic distribution of weekly small groups – Facilitator corner on PCM-1 home page – Decreased Paper Use in the Course – Utilizing More Student/Facilitator Feedback

PCM-1 Medical History Skills Changes James Winger, M. D. PCM 1 Co-Course Director

PCM-1 Clinical Skills Programs Amy Blair, M. D. PCM 1 Co-Course Director

Clinical Skills Preceptor Program (CSki. P) • Observe physician in practice setting • Clinical reinforcement of concepts learned in courses • Practice new skills learned in PCM-1 • Develop broader understanding of your own future direction

Student Mentor • Observe on clinical rotations • Opportunity for inter-medical school class communication • Clinical reinforcement of concepts learned in courses and opportunity to practice PCM-1 skills

Patient Centered Medicine 1, AY 2012 -13 Requirements for the Clinical Skills Preceptor, Student Mentor and Chaplain Mentor Programs Program Clinical Skills Physician Preceptor (Visit = 1 – 3 hrs) Student Mentor (Visit = 1 – 3 hrs) Chaplain Mentor Service. Learning Project SEMESTER 1 Program SEMESTER 2 Encounter #1 by Nov. One Joint March 3 ALL 4 One Joint BOTH Visits Encounter 30 Visits Need Reflection Need to be #2 by May to be Paper, Completed Due for Sm. 3 Completed and Logged Group Encounter and Logged Week of Dec. by December Week of May #1 by by May 3, Encounter 7, 2012 3, 2012 6, 2013 March 3 2013 Student #1 by Nov. Mentor Encounter 30 #2 by May 3 1 Chaplain encounter is required per year. Each encounter includes an orientation and debriefing session. 2 or 3 PCM-1 groups rotate through the program every month. Clinical Skills Physician Preceptor One project write-up due by the end of the academic year. To be completed for the week of May 6, 2013 Both Joint Reflection Papers must be submitted to your Small Group Facilitators.

Timeline • M 1 -M 3 Student Mentor Pizza Party is September 12 • Physician Preceptor Assignments to follow

Ground Rules • Contact your mentor and preceptor early and often • You can do more than the required number of visits! • Contact me early with any concerns • Incomplete mentor visits will prevent you from passing PCM-1

Service-Learning Project • A structured learning experience that combines service in the community with preparation and reflection • How is community service different now that you are a medical student?

Service-Learning Project • August - October – Identify population or health need you would like to serve – Write a (2 page) summary of the particular disparity you will be addressing, including facts that demonstrate the disparity and need (e. g. epidemiologic/public health data, census, figures from national or local organizations) – October 15 – Identify the community agency that you will work with or develop a unique project – Decide on a community-identified concern • October - March – Provide the service (“Experiential” or Activity Phase”) • April – May – Reflection – Written Project and Presentation » Total 4 -6 pages (2 pg. summary disparity, 2 pg reflection) » Presentations during last small group of the year

Service-Learning Project • The Center for Service and Global Health and University Ministry • Student Organizations • The Department of Bioethics and Preventive Medicine • Local, regional and national community service agencies through which you already have experience or would like to establish a relationship

Service-Learning Project • Link: • Direct questions to: – ablair 1@lumc. edu – vmccarthy@lumc. edu

Guidelines for Reflection “The four-year process of taking a disparate selection of college graduates and forming a cohesive professional identity frequently involves the abandonment of many preconceived notions about oneself, others and the medical profession in general. The purpose of the reflection process is not to generate a series of “touchy-feely” essays about your thoughts and emotions in given clinical situations. The goal of reflection in any context, is to encourage an approach of critical self-analysis as the experience and knowledge of medical school accumulates. ” • http: //www. stritch. luc. edu/lumen/Med. Ed/IPM 1/Ref lect. Paper. Instruct. pdf

• This Week – Elect Small Group Representatives

Advisor Program Keith Muccino, S. J. , M. D. Assistant Dean for Clinical Simulation

Questions and Collective Wisdom Time Thank You Facilitators!!