The University of Tennessee Health Science Center
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OTHER ROTATIONSIDE2-4010/F PREPARATION FOR RESIDENCY SKILLS THROUGH SIMULATION - KNOXVILLE Course Coordinator: Paul J. Huffstutter MD Location: UT Graduate School of Medicine Medical Simulation Center _ Max. Class size: 10 Note: Offered in Blocks 4 This is a face to face clinical rotation offered in the spring semester Patient Care- This program is committed to the teaching, practice, and achieving proficiency in a set of standardized technical tasks and procedural skills designed for senior medical undergraduates utilizing simulation in their preparation for residency. The skills will be taught to a "mastery level" with a certificate of completion for each skill. The environment will be the UT Center for Advanced Medical Simulation at UT College of Medicine, Knoxville Campus. Upon completion of the course, learners are expected to: 1. Demonstrate a working knowledge of sterile technique 2. Identify commonly used surgical instruments. 3. Demonstrate proficiency in basic suturing and knot tying. 4. Explain basic wound care. 5. Demonstrate the ability to place urethral and nasogastric catheters. 6. Perform a thoracentesis and insert a thoracostomy 7. Demonstrate mastery of central line placement using ultrasound guidance 8. Demonstrate basic resuscitative principles. 9. Establish control of airway. 10. Demonstrate basic endoscopic skills to include bronchoscopy, endoscopy and colonoscopy. 11. Successfully investigate medical topics through library research. 12. Demonstrate proficiency in transition of care handoffs. 13. Complete Observed Structured Clinical Exams (OSCE) for communication skills and history and physical completion. 14. Demonstrate a basic working knowledge of health team principles. Medical Knowledge: Medical students must demonstrate a basic fund of knowledge in order to master these tasks and skills. Students are expected to: 1. Describe/ demonstrate the steps involved in each skill/ task. 2. List the indications, contraindications and risks for each task. 3. Identify the process for successful library utilization and research 4. Summarize a format and technique for "handoffs". 5. Demonstrate proper technique for communicating medical information. 6. Demonstrate skills for taking a medical history and performing a physical. 7. Discuss the composition and characteristics of effective medical teams. Practice Based Improvement: This course is designed to train learners in the practice of evidence-based medicine using simulation. Each task/ skill will be exhibited with time allotted for dedicated practice followed by assessment of each skill. At completion of the course learners will be able to:
2. Participate in self-assessment activities related to each skill. 3. Recognize personal strengths and limitations. 4. Assess the value of this course.
1. Demonstrate the ability to communicate effectively with staff, patients and colleagues. 2. Demonstrate effective communication skills in a simulated medical environment involving standardized patients. 3. Demonstrate the ability to accurately document findings in simulated patient encounters using standardized patients. 4. Guide communication skills within a medical team.
Center. 2. Treat all Staff and colleagues with respect and courtesy. 3. Complete all skills with honesty and accuracy. 4. Assist Staff and colleagues in completing their goals for this curriculum. Systems Based Practice: Learners must show evidence of a working knowledge of healthcare systems including their role in the patient's overall healthcare plan. Students will be able to:
Direct supervision will be provided for all skills instruction and most of the learner's dedicated practice time. Staff will be present for all assessments and available throughout the 4 week course. Each task/ skill will be preceded by a short didactic lecture and expert video/ demonstration of the task/ skill. Short lectures (30-45) minutes will precede the library research, team training and hand- off exercises. OSCE's will be conducted for communication skills and history and physical exams. IDE2-4040/F CAPSTONE COURSE – Knoxville Course Directors: Dr. Eddie Moore Course Coordinator: Missy Maples (MMaples@mc.utmck.edu 865-305-9618) Maximum-15 Minimum-5 Grading-P/F Note: OFFERED IN BLOCK 2 ONLY This is a face-to-face clinical rotation offered in Block 2 and awards 7 credit hours. The Course includes: Back to Basics.edu- more opportunities to review basic science concepts in the framework of clinical cases; Business of Medicine- TBL’s using the HealthCare Handbook written by medical students Askin and Moore. Faculty will discuss topics such as health care reform, insurance, and regulatory agencies; EBM-Improve your skills in searching the literature to answer clinical questions; Intern school-Focus on skills to prepare students for life as a house officer, including radiology review, ECG review, what to do on call, line placement and intubation skills, and other skills important for internship and residency; legal issues in medicine; Teaching-Academy- learn teaching and learning techniques for residency and beyond. NEU2-4010/F CLINICAL NEUROLOGY-KNOX Course Coordinator: Dr Steven P. Rider Location: University of Tennessee Medical Center (Knoxville) Max. Class Size: 1 Student (REQUIRES ADVANCE APPROVAL) Advanced registration - Students must call Knoxville Student Affairs at least 3 months prior to registering. This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours. This elective will provide students with an opportunity to gain experience in the assessment, diagnosis, and management of patients with neurological problems. Students will participate in the care of inpatients, including the consultation service, and ambulatory patients in the private office and clinic setting. Exposure to EMG and other neuro-diagnostic procedures will be available. Monthly conferences are held. PSY2-3010/F JI ANY –SENIOR CLERKSHIP IN ADULT PSYCHIATRY - KNOXVILLE Course Coordinators: Dr. Paul Miller and Dr. Brent Coyle Location: Knoxville/Maryville: Blount Memorial Hospital, Department of Psychiatry Size: 1
Not available on the scheduler. Available only through prior arrangement by course director, and only during certain months of the year! Patient Care Assume care of psychiatric patients that is commensurate with the level of training of a beginning Intern Medical Knowledge Consolidate and apply knowledge (differential dx and treatment of mental disorders), acquired during the M-2 Integrated Psychopathology/Psychopharmacology Course, and the M-3 Clerkship Practice Based Improvement Refine skills in case work-up, presentation, and in recommending management options Interprofessional and Communications Skills Work as an integral member of the team Professionalism Establish rapport with patients, families, and colleagues while also observing appropriate professional boundaries and etiquette Systems Based Practice Learn about the Mental Health system, as well as community resources The student will have responsibility for 4-6 patients per week depending on census. Students will do the initial workup and present their findings to their Attendings and/or residents. Students will take ownership of their patients, but maintain close supervision. Daily team meetings; other teaching conferences, as available on each site. The residents are taking call only from home; students will not be assigned to night call. However, students are welcome to join faculty and on-site staff for emergency triage and evaluation activities, if available. Weekend duties (rounds) will be determined by the individual sites.
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