ME720.11

Longitudinal Urgent Care Ambulatory Medicine

Sites: Mount Auburn Hospital Walk in Center
Director(s): Peter Clardy, Anne McCaffrey
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Longitudinal rotation Sept. - May
Location: MTAH - Mount Auburn Hospital (11)
Open to Exclerks: No (HMS only)
Description: The longitudinal 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. It is designed to allow ongoing clinical exposure to students in HMS MD-MBA program during their non-clinical training. 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 from 5:00 to 8:00 p.m. under the supervision of an attending physician preceptor, performing a history and examination, and then formulating a differential diagnosis and diagnostic and treatment strategy. Abut thirty to forty patients a day present on their own initiative, are sent from primary care offices, and are triaged from the Emergency Department. This course requires a longitudinal commitment by participating students to attend a minimum of 18 sessions over the course of the academic year between September and May, with an expectation that students complete two sessions every calendar month. Students will also work with preceptors on a final presentation related to their clinical experiences over the year.
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. High honors will be given to those students who exhibit an exceptional enthusiasm for patient care and their own education. This grade required preparation of a case report or project for publication, outstanding final oral presentation, thorough and thoughtful daily preparedness, and obvious determination to maximize the educational value of the rotation. 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. Honors will be given to those students who participate enthusiastically in clinical care and show a strong commitment to their own education. This grade requires an excellent oral presentation, daily preparedness, and clear evidence of self-directed learning. 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. Satisfactory will be given to those students who meet the requirement of participation in the minimum number of clinical shifts over the course of the rotation, with little evidence of self-directed exploration or learning. 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. Unsatisfactory will be given to those students who fail to meet the requirement of participation in the minimum number of clinical shifts over the course of the rotation, and show no evidence of self-directed exploration or learning.