> For the complete documentation index, see [llms.txt](https://ismms-md-program.gitbook.io/module-information-sheet-mis/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://ismms-md-program.gitbook.io/module-information-sheet-mis/phase-1-semester-3/practice-of-medicine-3.md). # Practice of Medicine 3 ### Module Description This longitudinal module builds on foundational doctoring skills by advancing students’ competence in clinical reasoning, communication, physical examination, and patient-centered care. The module is structured around complex inpatient and outpatient cases and prepares students for the clinical demands of clerkships. Through small group sessions that emphasize learner-driven discussion and collaborative problem-solving, students will work through medically complex cases and refine their approach to diagnosis and management. Standardized patient encounters, simulated electronic health record use, and written and oral communication exercises provide opportunities to navigate real-world clinical challenges, including longitudinal outpatient care, acute inpatient decision-making, and situations that require empathetic, ethically sensitive communication. The module lays the groundwork for future clinical practice, preparing students for their subsequent clinical rotations and fostering a lifelong commitment to excellence in medicine. *** ### **Module Goals** * To apply clinical reasoning frameworks to complex inpatient and outpatient scenarios * To demonstrate effective communication in challenging clinical encounters, including the delivery of serious news and responding to patient emotions * To recognize ethical challenges in patient care * To navigate the electronic health record to obtain information for making diagnostic and management decisions * To participate in simulated inpatient team rounds and outpatient longitudinal care * To integrate evidence-based medicine into diagnostic and management decision-making, including the use of artificial intelligence tools * To perform genitourinary, gynecologic and fundoscopy exams, and interpret basic point-of-care ultrasound *** ### **Learning Objectives** By the end of this module, students will: | **Module Learning Objective** | **Medical Education Program Objective** | | --------------------------------------------------------------------------------------------------------------------------------------- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | | Apply clinical reasoning to complex inpatient and outpatient cases using frameworks such as illness scripts and problem representations |

Patient Care:

1. Gather essential and accurate information about patients and their conditions through history-taking, physical examination, and the use of laboratory data, imaging, and other tests.

2. Interpret laboratory data, imaging studies, and other tests required for the area of practice 

3. Make informed decisions about diagnostic and therapeutic interventions

Knowledge for Practice:

8. Apply knowledge of the biomedical sciences to care for patients

9. Apply established and emerging principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based health care 

| | Formulate diagnostic and therapeutic plans for inpatient and outpatient cases using clinical guidelines and evidence |

Patient Care:

3.  Make informed decisions about diagnostic and therapeutic interventions

Knowledge for Practice:

9. Apply established and emerging principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based health care

Practice-Based Learning and Improvement

13. Locate, appraise, and assimilate evidence from scientific studies related to patients’ health problems

| | Communicate with patients in emotionally charged situations, including responding to strong emotions and delivering serious news |

Knowledge for Practice:

11. Apply principles of social-behavioral sciences to the delivery of healthcare

Professionalism:

16. Exhibit the behaviors of honesty, integrity, and respect in interactions with peers, staff, faculty, and patients

Interpersonal and Communication Skills:

19. Communicate effectively with patients, families, and caregivers across a broad range of socioeconomic and cultural backgrounds.

| |

Engage patients and caregivers in shared decision-making and patient education

|

Patient Care:

5. Counsel and educate patients and their families so that they can participate in their care and enable shared decision making

Knowledge for Practice:

11. Apply principles of social-behavioral sciences to the delivery of healthcare

Interpersonal and Communication Skills:

19. Communicate effectively with patients, families, and caregivers across a broad range of socioeconomic and cultural backgrounds

| | Identify and analyze ethical issues related to patient care |

Professionalism:

15. Demonstrate ethical principles in the care of patients

Professionalism:

16. Exhibit the behaviors of honesty, integrity, and respect in interactions with peers, staff, faculty, and patients

| | Conduct triadic interviews using the electronic health record as a shared tool during simulated outpatient encounters |

Interpersonal and Communication Skills:

19. Communicate effectively with patients, families, and caregivers across a broad range of socioeconomic and cultural backgrounds

20. Communicate effectively with colleagues within one's profession or specialty, other health professionals, and health related agencies 

21. Maintain comprehensive, timely medical records

| | Navigate a simulated electronic health record to extract, interpret, and document clinical information |

Interpersonal and Communication Skills:

20. Communicate effectively with colleagues within one's profession or specialty, other health professionals, and health related agencies 

21. Maintain comprehensive, timely medical records 

| | Participate in inpatient rounding simulations by presenting and documenting patients’ clinical progress |

Patient Care

1. Gather essential and accurate information about patients and their conditions through history-taking, physical examination, and the use of laboratory data, imaging, and other tests

2. Interpret laboratory data, imaging studies, and other tests required for the area of practice 

3. Make informed decisions about diagnostic and therapeutic interventions

Knowledge for Practice:

9. Apply established and emerging principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based health care

Interpersonal and Communication Skills:

20. Communicate effectively with colleagues within one's profession or specialty, other health professionals, and health related agencies 

21. Maintain comprehensive, timely medical records

| | Demonstrate introductory competence in genitourinary, gynecologic, and fundoscopy exams, and point-of-care ultrasound techniques |

Patient Care:

1. Gather essential and accurate information about patients and their conditions through history-taking, physical examination, and the use of laboratory data, imaging, and other tests

4. Perform medical, diagnostic, and surgical procedures considered essential for the area of practice

| | Demonstrate the professional attributes required for effective patient-physician and interprofessional relationships |

Professionalism:

16. Exhibit the behaviors of honesty, integrity, and respect in interactions with peers, staff, faculty, and patients. 

Personal and Professional Development:

17. Evaluate one’s personal, professional and educational needs through reflection and utilize resources to meet those needs

18. Employ strategies for seeking, receiving, acting upon, and delivering feedback

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