Student note - MPPC



Student Note- Endocrine/ Reproductive Disorders Welcome to the end of the first year of the LSI curriculum, Endocrine/ Reproductive Disorders. You will continue to collaborate and work with the practice team expanding upon the skills you have learned in longitudinal group and foundational sciences, including interviewing skills and physical exam techniques. In this block you will attend 3 sessions at the practice. Each time you appear in the office for a session, you should arrive on time, professionally attired, and interact as a medical professional with everyone in the office. At the beginning of each session you should briefly meet with your preceptor and set 2-3 objectives for the session and select patients from the schedule or staff to assist with meeting objectives.During the Endo/ Repro block, you will be completing the objectives from the Cardiopulmonary Disorders block, as well as some not completed in MSK. These are listed below as well as in the PxDx menu of Vitals. ALL OF THESE CLINICAL EXPOSURES SHOULD BE LOGGED BY YOU INTO PxDx in Vitals. In addition we would like your PRECEPTOR TO DIRECTLY OBSERVE YOU obtaining a chief complaint/ HPI and past medical history including medications and allergies. This is recorded in Vitals in real time, or you can email the DOC form to your preceptor. You should seek feedback from your preceptor about your performance including areas of excellence and areas for improvement. Endocrine and Reproductive Disorders- March-April: 3 sessionsBy May 10, 2021Respectfully communicate with patients, staff, and other team members. Practice interviewing patients and obtain CC and HPIPractice documenting a patient’s HPI (does not need to be in the EHR)Practice taking a past medical historyPractice hip, shoulder, knee or back/spine PEPractice cardiopulmonary focused ROS as appropriate for chief complaintPractice cardiac PEPractice pulmonary PEReview Individualized Learning Plan (ILP) with preceptorDirect observation of obtaining chief complaint and history of present illness, WITH feedback (DOC in VITALS)Direct observation of obtaining past medical history including medication and allergies, with feedback (DOC in VITALS)By April 26, 2021, students need to identify a patient from their practice with one of the following. This is part of their Longitudinal Group empaneling discussion. Complaints of:Abnormal vaginal bleedingBreast-related complaintsFatigueGenital complaints (e.g., discharge, lesions, pain)Pregnancy-related concerns/complicationsSexual dysfunctionUnintentional weight gainAdrenal disorderDiabetes mellitusLow testosteroneOsteoporosisPolycystic ovarian syndromeThyroid disorderDifficulty adhering to a medication regimen High-risk sexual behaviorIntimate partner violencePatient empaneling connects the Foundational Science, Longitudinal Practice, and Longitudinal Group components of the curriculum, and through this experience students are able to:Apply classroom knowledge and clinical skills to the care of patients with varied symptoms, diagnoses, and sociodemographic and behavioral health issues.Demonstrate effective communication of patient cases to health care team members, including attending physicians and pare and contrast presentation, assessment, and management of patients in diverse health care settings.Practice population management by following a cohort of patients over time to see how their problems interface with the health care system.An example of a student discussion about empaneled patients facilitated by Dr. Dan Clinchot, the Vice Dean of Education in the College of Medicine, can be found at the following link: . ................
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