the paul foster school of medicine, texas tech university ... · example: spm unit 03 ... –oral...
TRANSCRIPT
The Paul Foster School of Medicine, Texas Tech University Health Sciences Center, El Paso.
David J. Steele, PhD Senior Associate Dean for Medical Education
Paul L. Foster School of Medicine: Educational Program Goals
• Reduce distinction between “pre-clinical” and “clinical” education
• Introduce students to an approach to diagnostic reasoning from day 1
• Enhance learning through by creating “authentic” learning activities
• Achieve high level of integration
1. Anatomy 2. Behavioral Science 3. Biochemistry 4. Cell Biology/Histology 5. Embryology 6. Genetics 7. Immunology 8. Microbiology 9. Neuroscience 10. Nutrition 11. Pathology 12. Pharmacology 13. Physiology
Clinical Presentations Basic Science
1. Dysphagia
2. Vomiting/Nausea
3. Diarrhea
4. Constipation
5. Abdominal Distension
6. Abdominal Pain
7. Abdominal Mass
8. GI Bleeding
Learning Basic Science in a Clinical Context
Example: SPM Unit 03 – GI
System
Hypothetical-deductive approach
Sore Throat
Vir
al P
ha
ryn
git
is?
Str
ep
Th
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Dip
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Mo
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cle
os
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Ab
sc
es
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Irri
tati
ve
Ph
ary
ng
itis
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Ch
em
ical E
xp
osu
re?
Sin
us
itis
?
All
erg
ic P
ha
ryn
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To
ns
illiti
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Re
flu
x e
so
ph
ag
itis
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Th
roa
t u
lce
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Lym
ph
om
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Ca
rcin
om
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Fo
reig
n b
od
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??
?
Sore Throat
Rhinorrhea
Rhinorrhea
Predominant
< 2wks Viral URTI
> 2wks Allergic/Vasomotor
/Sinusitis
Sore Throat
Predominant
< 2wks
Infection
Viral Bacterial
> 2wks
Other
Copyright - Paul L Foster School of Medicine
UNIT 1 – SORE THROAT RHINORRHEA
Medical Skills
• Teaches fundamental medical practice skills
– history taking,
– effective communication,
– physical examination,
– oral presentation,
– clinical procedures.
• Integration with SPM
– Clinical Presentation
Society Community and Individual Course
● Conceptual content
Seven threads:
Epidemiology
Biostatistics
Environmental & occupational health
Culture
Community
Family
Spanish
Masters Colloquium
Designed to highlight:
•Critical thinking
•Communication skills
•Humanism
•Medical ethics
•Professionalism
•Leadership
•Medical controversies
•Evidence appraisal
Advantages of Scheme Inductive Approach
• Structured on expert thinking
• Uses simple steps…
• Integrates clinical and basic science content
• Improves diagnostic accuracy
• Promotes high levels of learner motivation
Year 3 Integrated Block Curriculum
16 Weeks 16 Weeks 16 Weeks
Internal Medicine
general
selective (2 weeks)
Psychiatry
Obstetrics-Gynecology Pediatrics
Family Medicine Surgery
general (6 weeks) selective (4 weeks)
Integrated Teaching and Learning Experiences
Integrated Teaching and Learning Experiences
Integrated Teaching and Learning Experiences
Longitudinal Selective in Psychiatry
Maternal/Fetal/Neonate Experience
Longitudinal Selective in Family Medicine
Threads: Geriatrics, Basic Sciences, Ethics, Professionalism, EBM, Patient Safety, Pain Management, Chronic Illness Care, Palliative Care, Quality Improvement, Communication Skills, Diagnostic Imaging, Clinical Pathology, Clinical and Translational Research.
Year Four Curriculum
4
weeks
4
weeks
4
weeks
4
weeks
4
weeks
4
weeks
4
weeks 4
weeks
Graduation!
Threads: Geriatrics, Basic Sciences, Ethics, Professionalism, EBM, Patient Safety,
Pain Management, Chronic Illness Care, Palliative Care, Quality
Improvement, Communication Skills, Diagnostic Imaging, Clinical
Pathology, Clinical and Translational Research