ME536M.11

Urgent Care Ambulatory Medicine

Sites: MTAH
Director(s): Peter Clardy, Anne McCaffrey
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month in August, September, January, February, and June.
Location: MTAH - Mount Auburn Hospital (11)
Open to Exclerks: No (HMS only)
Description: The course is designed to introduce the student to the evaluation and treatment of patients with common ambulatory urgent care problems in a hospital clinic environment, specifically in the Walk-In Center at Mount Auburn Hospital. About thirty to forty patients a day present on their own initiative, are sent from primary care offices, and are triaged from the Emergency Department. The focus of the course is on the appropriate evaluation and management of the spectrum of common outpatient problems (e.g., cough, sore throat, rash, red eye, orthopedic disorders, etc.). Students see patients under the supervision of an attending physician preceptor, performing a history and examination, and then formulating a differential diagnosis and diagnostic and treatment strategy.
Incorporation of Basic Science Content and Evidence-Based Medicine:
The student will present each patient to an attending physician preceptor, and in the ensuing interaction both the basic science and the evidence-based medicine pertinent to the patient's problem will be discussed, both used to formulate an appropriate differential diagnosis and diagnostic and treatment strategy.
Grade Criteria:
Honors with Distinction: The student consistently demonstrates exemplary skills in all aspects of patient care, including, but not limited to, history taking, physical examination, diagnosis, understanding of basic mechanisms, patient interaction, and record keeping. Honors: The student frequently demonstrates above average skills in most aspects of patient care, including, but not limited to, history taking, physical examination, diagnosis, understanding of basic mechanisms, patient interaction, and record keeping. Satisfactory: The student demonstrates average skills in the required aspects of patient care, including, but not limited to, history taking, physical examination, diagnosis, understanding of basic mechanisms, patient interaction, and record keeping. Unsatisfactory: The student does not demonstrate average skills in the required aspects of patient care, including, but not limited to, history taking, physical examination, diagnosis, understanding of basic mechanisms, patient interaction, and record keeping.