UMHS PRECLERKSHIPSEMESTER

PATRICE THIBODEAU, MD

DIRECTOR OF 5TH SEMESTER, MAINE CAMPUS

RACHAEL ROBERTS

ADMINISTRATIVE MANAGER, IT SUPPORT SPECIALIST

MICM 1010: Introduction to Clinical Medicine IIMICM 1020: Biological Basis of Clinical Medicine

St Kitts

& Nevis

South Portland,

Maine, USA

WELCOME TO MAINE

UMHS MAINE CAMPUS – FACILITIESC

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UMHS MAINE CAMPUS – FACULTY & STAFF

Donna Thompson, MDAssociate Clinical Dean

Carol PlaceOffice Manager,

Assistant Registrar

Rachael RobertsAdministrative Manager,

IT Support Specialist

Vicki Stevens, NEMT-PPreceptorship Coordinator,

CSL & ACLS Instructor

Garry Stevens, RNClinical Skills Lab Director

Julie RiceAdministrative

Assistant

Jackie WinantICM2

Coordinator

Patrice Thibodeau, MDDirector of Introduction to Clinical Medicine II

Mia TaylorClinical Director of Affiliations

Elizabeth KaneProgram Assistant

Jane Baxter, RNClinical Skills Lab Instructor

MAINE PRE-CLINICAL SEMESTER COURSES MICM 1010 & MICM 1020

General Semester Overview

• Week 1: Registration Day (Tuesday), Orientation Day (Wednesday), Kaplan Diagnostic Exam (Thursday), Lectures begin on Friday

• Weeks 2-9: Introduction to Clinical Medicine II [MICM 1010]

• Week 10: Introduction to Clinical Medicine II Final Exams

• Weeks 10-15: Biological Basis of Clinical Medicine course [MICM 1020]aka Kaplan Live Review

• Week 16: Study Break & Kaplan 8-hr USMLE Step 1 Simulated Exam aka Kaplan Qualifier Exam

MICM 1020: BIOLOGICAL BASIS OF CLINICAL MEDICINE

Kaplan Live Review with visiting Kaplan Medical facultyGenerally 8AM to 5PM, 5-6 days a week for 5 weeks followed by a study break

• Topics covered Pathology, Pharmacology, Physiology, Biochemistry, Microbiology, Immunology, Genetics, Test-taking strategies

• Kaplan Lecture Notes books, videos & Qbanksupplied during 1st week in Maine

• 8-hour Kaplan Qualifying Exam at the end of Kaplan Live Review:Comprehensive Basic Sciences Exam55% is required to pass 5th Semester & to be certified for the USMLE Step 1

INTRODUCTION TO CLINICAL MEDICINE II

Learning Objectives

• Become familiar with the clinical presentations of medical illnesses while keeping in mind the fundamentals taught during Basic Sciences

• Hone communication skills

• Learn importance of appropriate professional behavior and appearance and its significance for good patient outcomes

• Practice efficient, focused history taking and physical exam skills

INTRODUCTION TO CLINICAL MEDICINE II [MICM 1010]

Learning Objectives

• Practice the art of clinical reasoning to develop differential diagnoses based on symptoms and signs

• Develop a plan of care which incorporates proper use of diagnostic tools (labs and radiographic investigations) and referrals and appropriate treatment plans

• Deliver concise case presentations

• Document the office visit using a focused SOAP note format

• Practice commonly used medical procedures

UMHS MAINE CAMPUS – SMALL GROUPS & VIRTUAL CLINIC INSTRUCTORS

Michael LacombeHarvard Medical School

Strong Memorial Hospital

Internal Medicine, Cardiology

Sandra HarrisBoston University Montfiore

Hospital U PENN

Infectious Disease

Bruce KenneyKirksville College of

Osteopathic Medicine

Osteopathic Hospital of ME

Family Practice

Marly BiermannBaystate Med Ctr.

Louisiana State Univ.

Pediatrics

David BurkeSt. George’s University

St. Vincent’s Hospital

Neurology

Margaret SheppJefferson Medical College

University of Penn and Tufts

Internal Med, Hematology

Terisita “Tess” MaguireUniv. of the Visayas-Philippines

Cebu City Medical Center

Maimonides Medical Center

Infectious Disease

Marcia MatuskaUniv. of Cincinnati

SUNY and

Univ. of Oklahoma

Dermatology

Richard KappelmannSantiago Univ. of Tech. SOM

Yale

Internal Medicine

Shannon DeschenesUniversity of New England

Central Maine Med. Ctr.

Family Medicine

Darleen MillerRoss Univ. SOM

St John's Medical Center

Internal Medicine,

Gerontology

William “Skip” Schirmer

Georgetown University

MMC, Portland Maine

Family Practice, Geriatrics

Nancy GoodwinRoss University SOM

Akron General Medical Ctr.

Internal Medicine

Shapir RosenbergUMHS (‘14)

Univ. of Maryland (‘19)

Psychiatry

Chris CantoUniv. of New Eng. College

of Osteopathic Medicine

St. Michael’s Medical Center

Emergency Medicine

Michael Boulanger

Tufts University SOM

Albany Med Ctr

Internal Medicine,

Geriatric Medicine

UMHS MAINE CAMPUS –VIRTUAL CLINIC STANDARDIZED PATIENTS

NancyStephanie Lydia Jessica “Jess” Erin Misty Deborah “Deb” Dennis

Gail

Charles “Charlie”

Patsy Megan Sarah DanAllison Michelle ElvisKathleen

Jay JeffSamantha “Sam” Suzanne Brad Greg Annette Robert “Bob” John

A WEEK IN THE LIFE OF A MAINE-CAMPUS UMHS STUDENT

INTRODUCING THE WEEKLY SCHEDULE

INTRODUCTION TO CLINICAL MEDICINE IITuesday• Virtual Clinic/OSCE [2-hours]

• > 100 cases representing all organ systems (see samples and BVC)• Interview & perform PE on Standardized Patients• Develop skills and confidence in the “Art of Doctoring” & Presenting• Receive one-on-one feedback from Faculty & Standardized Patients, with

written evaluations available for review (see forms)• Videotaped extra practice sessions available

• Proctored SOAP Note Writing [30-minutes]

• Case write-up immediately following Virtual Clinic (see template)• Reviewed/critiqued by Small Groups leader

https://www.youtube.com/watch?v=q6kVE-oNetE

VIDEO of a mock Virtual Clinic:

INTRODUCTION TO CLINICAL MEDICINE IIMonday• Organ System and Clinical Pathology Lecture [8:30-

1pm]

• Clinically oriented lectures & case discussions • Foundation of each week • Organ-systems covered: Pulmonary, Cardiovascular & Peripheral

Vascular, Gastrointestinal, Neurology, Musculoskeletal & Rheumatologic, Endocrine, Renal-Repro, Hematology & Oncology

• Small Groups [2-4:30 hours]

• 8-10 students in each group• Virtual Clinic Feedback and Prep • PE refresher• “Beyond Virtual Clinic” review • SOAP Notes review• Share clinical preceptor experiences

• Physical Exam Open Lab [5-6:30 hours]

• Refine & practice Physical Exam techniques• “Round-Robin”-style setting

INTRODUCTION TO CLINICAL MEDICINE II

Tuesday & Wednesday PM• Clinical Skills Lab [2-hours, on Tues or Wed pm]

• 13 procedures presented• Arterial Puncture, Breast Exam, 12-Lead

EKG, Adult Endotracheal Intubation, Intramuscular & Subcutaneous Injections, Intravenous Access, Peak Flow, Female Genitourinary Exam, Testicular & Prostate Exam, PPD Skin Testing, Venipuncture, Vital Signs & Orthostatic Vital Signs, Lumbar Puncture (Sample in file)

• Procedure checkouts, Procedure notes, written assignments, OSHA/HIPAA certification

INTRODUCTION TO CLINICAL MEDICINE II

Wednesday AM

• Clinical Therapeutics Lectures [2-hours each]

• Clinically-oriented lectures & discussions• EKG reading, Vaccines & Travel Medicine, Behavioral

Science, Pediatrics, Obstetrics, Dermatology, General Surgery, Geriatrics, Palliative Care

INTRODUCTION TO CLINICAL MEDICINE IIThursday/Friday- Off-Campus Preceptorship [full-day] [~ 30 preceptors]

• 30-hr observership during the 10-week ICM2 course – students spend full-days shadowing healthcare providers at local hospitals, clinics or doctors’ offices

• Specialties include • Addiction Medicine• Family Medicine• Hematology/Oncology• Hospitalist Service• Internal Medicine• Neurology• Pain Management• Pediatrics• Plastics Surgery• Radiation Oncology• Physical Medicine and Rehabilitation

• Daily Journal of patient interactions

UMHS is proud to partner with:

INTRODUCTION TO CLINICAL MEDICINE II

Thursday (for those students not in preceptorship)• CPR Training, ACLS Training, Clinical Skills Lab Checkouts • ICM2 and USMLE self-study

Friday (for those not in preceptorship)• Clinical Therapeutics Lectures (Ethics, Addiction medicine,

Ophthalmology)• CPR Course, ACLS Course, Clinical Skills Checkouts • ICM2 and USMLE self-study

INTRODUCTION TO CLINICAL MEDICINE II

Saturday & Sunday• CPR and Open Procedural Lab• ICM2 and USMLE self-study• REST & RECREATION!!!

Hiking Mt. Katahdin

X-country skiingMoose viewingAutumn leaf peeping

Winter bikingSolitude in the snowSerenity on the sea

Serious Study

CHALLENGES

• Division of students’ attention –Should I study for ICM II or Step 1?

• Advice – integrative study plan approach

QUESTIONS?

Patrice Thibodeau – pthibodeau@umhs-sk.net

Rachael Roberts – rroberts@umhs-sk.net

UMHS – Maine Campus24 Atlantic Place ❖ South Portland, Maine USAPhone: (207) 253-5656 ❖ Fax: (207) 541-3667

Office Hours: 8:30AM to 5:00PM, Monday – Friday