Doctoring Program University of Arizona College of Medicine- Phoenix Class 2022
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Doctoring Program
University of Arizona College of Medicine- Phoenix
Class 2022
Learning Objectives Understand Who is who, how to contact Course Syllabus Prerequisites for the course Principal mission Mandatory attendance, absence request
and make up session
Learning Objectives
Understand Safety-> fire exit Your responsibilities: Required equipment What to wear How to behave How to prepare for class
How you are assessed Requirements to pass Doctoring
Learning Objectives Understand How to read a Moffitt schedule Skill building sessions
Doctoring Program Staff
Assistant Course Director:Maria Castro, MDOffice: [email protected]
Assistant Course Director Adam Heath, MDOffice: [email protected]
Course Director:Marícela P. Moffitt, MD, MPH
Office: 602-827-2121Cell: 602-799-9629
Doctoring Program Staff
Center Manager: Elizabeth Williams, BSN, MPHOffice: [email protected]
Educator Training SpecialistChristiann ThijmOffice: [email protected]
Educator Training SpecialistAmy Page, MA EdOffice: [email protected]
Educator Training SpecialistMolly Kurtz, MA EdOffice: [email protected]
Doctoring Program Staff
Academic Coordinator: Michelle Corry, MAOffice: [email protected]
Administrative AssistantJorge Aquino-RodriguezOffice: [email protected]
SP schedulerMaranda WhiteyOffice: [email protected]
Learning Space SpecialistKeilani AkagiOffice: [email protected]
Doctoring Course Syllabus
Typing speed test will occur on Thursday or Friday
Principal Mission Prepare you to be a functional
member of the medical care team. Proficient in history taking using PCI/DCI Physical exams: efficient, technically
correct and problem focused Documentation skills and Oral
Presentation skills: concise, precise, valid and truthful.
Critical thinking skills: develop broad and focused differential diagnoses
ALL sessions are MANDATORY
Absence request
Absence request form on two45
Excused and unexcused absence All absences (excused and
unexcused) will require a makeup session, see course syllabus for dates
Unexcused the student is charged for the cost of the SP and/or faculty.
Scheduled typically during Capstone week on Thursday**
ALL sessions are MANDATORY
Trades Single session trades See syllabus for policy and procedure
details 30 days in advance Reason for trade must be approved
by me
Illness the day of classStudents should notify Dr. Moffitt AND Liz of any absences due to illness prior to the scheduled session by email, call or text message BEFORE 9 AM the day of class when possible and complete the online form.
GYN skills Occurs in February and March You will sign up for one session (2.5
hours session)
Fire escape exit
Windows
Canyon
Center for Clinical Skills and Assessment
Dress Professional Closed toe shoes Hair if long pulled back away from
face Clean white short coat
Doctoring Interviewing (Patient Centered) Active listening Emotion validation
Physical exam Correct technical skills
Critical thinking SOAP note documentation Oral presentation ROS recite->Med vernacular->nl PE recite-> OP
Doctoring Program Sessions with student are formative Expected to prepare for the sessions Open to learning and demonstration of
new skill Practice with faculty the skill/s in class
and with peers outside of class Demonstrate proficiency in the skill/s in
subsequent sessions Checklists are provide to student on one45
Doctoring Program MBLD Block Basic Interviewing Patient centered Physician centered Integration of both
Basic Physical Examination Introduced as elements then integrate into flow
Capstone: Fall Mini-OSCE History and head to toe exam in 30 minutes
Big Picture
Examination Flowwithout abdomen/skin Session 4
Patient sitting VS & Gen: HEENT:
o Head: Lymph nodeso Eyes:
o External structureso Visual acuityo EOM
o Ears: finger rub, TM(otoscope)
o Noseo Throato Eyes:
o Pupilso Fundus (panoptic)
Neck:o Carotids auscultation
and palpationo Thyroido Lymph nodes
Backo Spinal/CVA tenderness
Chest P/L/A:o Expansiono Auscultationo Percussion
Cardiac:o Palpationo Auscultations 4 area
o APTM
Patient supine
Cardiaco Auscultation
4 areas
Patient LLD
Cardiac Palpate PMI Auscultate
mitral area with Bell
Patient supine Pulses
o Femoralo LN
o DP/PT
• Extremitieso CCE
LN survey Epitrochlear Axillary
Sitting
Good Bye
Doctoring Program MSNS1 Block session1/3
1st session: focused NeuroMusculoSkeletal exam Following 2 sessions: focused Neuro-
musculoskeletal history and exam on Standardized Patient (SP) with Shoulder Pain Hip/knee Pain
Doctoring Program NS2 Block session 1/4
1st session: Complete screening Neuro exam Following sessions: focused neurological history
and exam on a Standardized Patient (SP) with Diplopia Tremor Headache
Doctoring Program CV Heme Block session 1
1st session: focused cardiovascular history and expanded CVH exam
Following 2 sessions: focused cardiopulmonary history and exam on SP with: Chest Pain Palpitations
Doctoring Program Pulmonary, Renal, Acid-Base Block 1st session: focused cardiopulmonary history and exam on SP with cough Following 2nd sessions: focused Renal
history and exam on SP with edema
Final Exam OSCE May 20, 21, 22, 23, 2019
How to prepare LO: Outlines the required preparation
for each session located on one45
Review all checklist Interview videos PE videos Vocabulary
Students are expected to come to the teaching clinic prepared to demonstrate the skill proposed for that session. Review videos of interview and or physical exam element
Session 1A July 24-25 MBLD Block
Preparation session LEARNING OBJECTIVES
List the essential core components of the PCI Articulate 6 reasons for integrating a PCI into
your skill set Demonstrate several core facilitating skills in a
peer role play & simulated patient interview Demonstrate steps 1-5 of the partial PCI/DCI
with limited ROS in a simulated patient interview with a standardized patient (SP) presenting with dysuria (see peer RP and FON checklist)
Tierney chapter 3 and 4
Session 1A July 24-25 MBLD Block
Preparation session LEARNING OBJECTIVES
Demonstrate mastery of the vocabulary words. (Vocabulary Quiz)
Demonstrate the correct recitation of the ROS in lay terms in 7 minutes or less from memory. please review ILM sent with onboarding materials. (ROS recite checklist)
Begin to appreciate how the medical history and exam is communicated in a SOAP note.
List the elements of a SMART goal (specific, measurable, attainable, realistic, timely). A SMART goal defines the how, when, where, with whom, how many times you are going to practice.
Complete SEV before deadline
Session 1A July 25-26 MBLD Block
Preparation session LEARNING OBJECTIVES
Textbook reading: Tierney/Hendersen:
The Patient History Evidence-Based Approach: Chapter 1-4 Dysuria: Chapter 40
Required preparation: Review interview video and checklist, memorize vocab, review textbook assigned reading
Optional reading: Words that harm, words that heal.
Arch Internal Med Vol 164, July 12, 2004 Required equipment:
Stethoscope, timer White coat professionally dressed
OPENING THE ENCOUNTER
• Introduces self and identifies role• Greets patient by name• Encourages patient narrative with open ended questions at
opening• Creates favorable first impression with professional attire, is
clean and well groomed
SP evaluation on communication: CIS
THIS IS NOT THE COMPLETE CHECKLISTPlease see One45
Checklist for the SP Encounter (FON) Introduction only
Introduction / setting the stage (10-20 seconds)Yes No Welcomed patientYes No Introduced self with first and last nameYes No Explained your roleYes No Addressed patient by first & last nameYes No Asked preference on how they wished
to be addressed and RESPECTED it
THIS IS NOT THE COMPLETE CHECKLISTPlease see One45
Faculty checklist for SP Encounter
Session 1B July 25-26 MBLD Block
Preparation session PHYSICAL EXAM
REQUIRED PREPARATION: Review all handouts and Checklist on One45 of syllabus. PRINT your
own copies and bring to class or upload on your tablet or laptop* Review:
Handouts for session on VS* Checklist items for VS*
Video: Review vimeo video of the vital signs performed by Dr. Moffitt
https://vimeo.com/71442429 Password: vitalsigns
Checklist for the PE element
THIS IS NOT THE COMPLETE CHECKLISTPlease see One45
Faculty checklist for PE checklist: VS
Self Evaluation (SEV) After Doctoring week scores are released Friday morning. You then needto access LS and complete your SEV
DEADLINE: noon the following week.
Course Learning Objectives Patient care: History, ROS, PE Medical Knowledge: DDx=assessment Communication and Interpersonal Skills
CIS SP assessment on communication skills
SOAP notes and Oral Presentations Professionalism Critical Analysis and Quality Improvement
SEV
Assessments Formative Patient care: History, ROS, PE Medical Knowledge: DDx=assessment Communication and Interpersonal Skills CIS SP assessment on communication skills
SOAP notes and Oral Presentations Professionalism Critical Analysis and Quality Improvement
SEV Summative
Behavioral Competencies vs. Application of skill Behavioral-> levels Application-> score
OSCE = Summative Attend all session Pass the final OSCE History taking ROS Physical exam SOAP Oral Presentation CIS Professionalism
Retake OSCE The date of the retake is scheduled
June 13, 2019. PLEASE do not make travel plans
since work on identified deficiencies will be scheduled before the retake date.
Skill building sessions EVERY Thursday Walk-in By appointment
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