UMHS PRECLINICAL Semester

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UMHS PRECLERKSHIPSEMESTERPATRICE THIBODEAU, MDDIRECTOR OF 5TH SEMESTER, MAINE CAMPUSRACHAEL ROBERTSADMINISTRATIVE MANAGER, IT SUPPORT SPECIALISTMICM 1010: Introduction to Clinical Medicine IIMICM 1020: Biological Basis of Clinical Medicine

South Portland,Maine, USASt Kitts& Nevis

WELCOME TO MAINE

Main ClassroomClinical Skills LabLearning Resource CenterUMHS MAINE CAMPUS – FACILITIESVirtual Clinic Room

UMHS MAINE CAMPUS – FACULTY & STAFFMia TaylorDonna Thompson, MDPatrice Thibodeau, MDClinical Director of AffiliationsAssociate Clinical DeanGarry Stevens, RNJane Baxter, RNDirector of Introduction to Clinical Medicine IIClinical Skills Lab DirectorClinical Skills Lab InstructorElizabeth KaneJulie RiceRachael RobertsCarol PlaceVicki Stevens, NEMT-PJackie istrative Manager,IT Support SpecialistOffice Manager,Assistant RegistrarPreceptorship Coordinator,CSL & ACLS InstructorICM2Coordinator

MAINE PRE-CLINICAL SEMESTER COURSESMICM 1010 & MICM 1020General 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 Examaka Kaplan Qualifier Exam

MICM 1020: BIOLOGICAL BASIS OF CLINICAL MEDICINEKaplan Live Review with visiting Kaplan Medical facultyGenerally 8AM to 5PM, 5-6 days a week for 5 weeks followed by a study break Topics coveredPathology, 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 IILearning Objectives Become familiar with the clinicalpresentations of medical illnesses whilekeeping in mind the fundamentals taughtduring Basic Sciences Hone communication skills Learn importance of appropriate professionalbehavior and appearance and its significancefor good patient outcomes Practice efficient, focused history taking andphysical exam skills

INTRODUCTION TO CLINICAL MEDICINE II [MICM 1010]Learning Objectives Practice the art of clinical reasoning todevelop differential diagnoses based onsymptoms and signs Develop a plan of care which incorporatesproper use of diagnostic tools (labs andradiographic investigations) and referrals andappropriate treatment plans Deliver concise case presentations Document the office visit using a focused SOAPnote format Practice commonly used medical procedures

UMHS MAINE CAMPUS – SMALL GROUPS & VIRTUAL CLINICINSTRUCTORSMarly BiermannBaystate Med Ctr.Louisiana State Univ.PediatricsDavid BurkeChris CantoShannon DeschenesNancy GoodwinSandra HarrisRichard KappelmannBruce KenneySt. George’s UniversitySt. Vincent’s HospitalNeurologyUniv. of New Eng. Collegeof Osteopathic MedicineSt. Michael’s Medical CenterUniversity of New EnglandCentral Maine Med. Ctr.Family MedicineRoss University SOMAkron General Medical Ctr.Internal MedicineBoston University MontfioreHospital U PENNInfectious DiseaseSantiago Univ. of Tech. SOMYaleInternal MedicineKirksville College ofOsteopathic MedicineOsteopathic Hospital of MEMichael LacombeHarvard Medical SchoolStrong Memorial HospitalInternal Medicine, CardiologyEmergency MedicineTerisita “Tess” MaguireMarcia MatuskaUniv. of the Visayas-Philippines Univ. of CincinnatiSUNY andCebu City Medical CenterUniv. of OklahomaMaimonides Medical CenterInfectious DiseaseDermatologyFamily PracticeDarleen MillerShapir RosenbergRoss Univ. SOMSt John's Medical CenterUMHS (‘14)Univ. of Maryland (‘19)Internal Medicine,GerontologyPsychiatryWilliam “Skip” Schirmer Margaret SheppMichael BoulangerGeorgetown UniversityMMC, Portland MaineFamily Practice, GeriatricsJefferson Medical CollegeUniversity of Penn and TuftsTufts University SOMAlbany Med CtrInternal Med, HematologyInternal Medicine,Geriatric Medicine

UMHS MAINE CAMPUS –VIRTUAL CLINIC STANDARDIZED PATIENTSStephanieLydiaJessica “Jess”NancyErinMistyDeborah “Deb”DennisCharles KathleenElvisBradGregAnnetteRobert “Bob”JohnJaySamantha “Sam”SuzanneJeff

A WEEK IN THE LIFE OF A MAINECAMPUS UMHS STUDENTINTRODUCING 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 PatientsDevelop skills and confidence in the “Art of Doctoring” & PresentingReceive one-on-one feedback from Faculty & Standardized Patients, withwritten 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 leaderVIDEO of a mock Virtual Clinic:https://www.youtube.com/watch?v q6kVE-oNetE

INTRODUCTION TO CLINICAL MEDICINE IIMonday Organ System and Clinical Pathology Lecture [8:301pm] Clinically oriented lectures & case discussions Foundation of each week Organ-systems covered: Pulmonary, Cardiovascular & PeripheralVascular, Gastrointestinal, Neurology, Musculoskeletal &Rheumatologic, Endocrine, Renal-Repro, Hematology & Oncology Small Groups [2-4:30 hours] 8-10 students in each groupVirtual Clinic Feedback and PrepPE refresher“Beyond Virtual Clinic” reviewSOAP Notes reviewShare clinical preceptor experiences Physical Exam Open Lab [5-6:30 hours] Refine & practice Physical Exam techniques “Round-Robin”-style setting

INTRODUCTION TO CLINICAL MEDICINE IITuesday & Wednesday PM Clinical Skills Lab [2-hours, on Tues or Wed pm] 13 procedures presented Arterial Puncture, Breast Exam, 12-LeadEKG, Adult Endotracheal Intubation,Intramuscular & Subcutaneous Injections,Intravenous Access, Peak Flow, FemaleGenitourinary Exam, Testicular & ProstateExam, PPD Skin Testing, Venipuncture,Vital Signs & Orthostatic Vital Signs,Lumbar Puncture (Sample in file) Procedure checkouts, Procedure notes,written assignments, OSHA/HIPAAcertification

INTRODUCTION TO CLINICAL MEDICINE IIWednesday AM Clinical Therapeutics Lectures [2-hours each] Clinically-oriented lectures & discussions EKG reading, Vaccines & Travel Medicine, BehavioralScience, Pediatrics, Obstetrics, Dermatology, GeneralSurgery, 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-daysshadowing 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 interactionsUMHS is proud topartner with:

INTRODUCTION TO CLINICAL MEDICINE IIThursday (for those students not in preceptorship) CPR Training, ACLS Training, Clinical Skills Lab Checkouts ICM2 and USMLE self-studyFriday (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 IIAutumn leaf peepingSerious StudyMoose viewingX-country skiingSaturday & Sunday CPR and Open Procedural Lab ICM2 and USMLE self-study REST & RECREATION!!!Serenity on the seaSolitude in the snowWinter bikingHiking Mt. Katahdin

CHALLENGES Division of students’ attention –Should I study forICM II or Step 1? Advice – integrative study plan approach

QUESTIONS?UMHS – Maine Campus24 Atlantic Place South Portland, Maine USAPhone: (207) 253-5656 Fax: (207) 541-3667Office Hours: 8:30AM to 5:00PM, Monday – FridayPatrice Thibodeau – pthibodeau@umhs-sk.netRachael Roberts – rroberts@umhs-sk.net

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 faculty Generally 8AM to 5

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