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PCM is a 3 year course designed for Loyola medical students to develop the skills needed to become balanced, competent, patient-centered physicians with life-long career satisfaction.
Patient Centered Medicine is based on the idea that the patient is at the center of the health care team, and each member of the team has an important role to play in promoting the patient’s health and happiness.
The health care team is only a small part of the patient’s life.
Physicians are one part of a large network of providers for each patient.
Each member of the health care team must partner with all of the other members of the team as well as the patient for the desired outcome of health and happiness.
From the very first day of medical school, medical students are an important part of that health care team. PCM will help students define their own roles as learners and providers on this team. Therefore, this course has the expectation that each student will work to his or her capacity at all times.
PCM requires the integration and synthesis of work learned in this and other courses as well as experiences outside of the classroom. The expectation is that every student has the goal of becoming the best physician (s)he can become, and will actively work toward that goal in all PCM and SSOM activities. Students are not passive learners in PCM and are expected to take responsibility for their own education within the framework presented. This model is very different than the undergraduate model of didactic lecture and student regurgitation of knowledge.
Learning in PCM is based on lectures, panel discussions and significant hands-on small group and experiential activities. These activities may include mentor programs, shadowing programs, simulated patients- both virtual and actors, real patient encounters, reflection papers and discussions, reading books and journal articles, small group discussions and practice of skills learned, working with ancillary health providers, and many skills workshops.
Topics will range from taking a basic medical history, and performing a physical exam to understanding medical errors, patient safety issues, reading EKG’s and X-rays, understanding medical ethics and many more.
Overall, By the END of PCM 1, students are expected to:
1)
Demonstrate proficiency in taking a complete medical history, and
performing a basic screening physical examination
2)
Demonstrate proficiency in documenting the elements of patient care.
3)
Demonstrate an understanding of medical ethics and how to approach
ethical issues with patients, families and the health
care team
4)
Demonstrate effective interpersonal and communication skills in complex
interactions with patients and colleagues
5)
Form a respectful working alliance with a small group of peers and
faculty as a basis for future professional relationships
6)
Demonstrate a capacity for self-audit, reflection, and effective
participation in peer review
7)
Demonstrate an understanding of and use evidence-based medicine to care
for patients
8)
Demonstrate an understanding of health promotion and disease prevention
principles
9)
Demonstrate collaboration at all levels and recognize that collaboration
is the key to effective patient centered care.
10)
Demonstrate understanding of what constitutes professional behavior and
demonstrate professional behavior in all
PCM
activities.
11)
Demonstrate integration of all coursework and experiences to effectively
care for patients
12)
Demonstrate understanding of some skills necessary to support life-long
career satisfaction
SSOM Goal # 1: Medical Knowledge
1)
Students will demonstrate a basic understanding of the concepts of
patient centered care, medical ethics, communication and feedback skills, the
components of the medical history, normal learning and behavioral development,
normal child, psychological and sexual development, physician self-care
strategies, basic health risks, health promotion and disease prevention,
intimate partner violence, difficult patients and difficult topics, smoking
risks and cessation, prevention counseling, substance abuse, impaired physician,
sex history, integrative medicine, cultural medicine, nutrition, obesity,
patient safety, and the US health care system.
Measure: Written Exams, SP exercise, Small Group Performance
2)
Students will demonstrate understanding of normal anatomy of the head and
neck, thorax, abdomen, heart, lungs, and musculoskeletal system.
Measure: OSCE, Written Exams
3)
Students will demonstrate an understanding of and be able to use Evidence
Based Medicine in caring for their patients
Measure: Written Exams, Small Group Performance
SSOM Goal #2: Interpersonal and Communication Skills
1)
Students will demonstrate effective listening skills, and be able to
elicit information using effective non-verbal, explanatory and questioning
skills.
Measure: Standardized Patient Exercises, Small Group
Performance
2)
Students will demonstrate effective use of verbal and written language
with patients, peers and other members of the health care team.
Measure: Standardized Patient Exercises, Small Group
Performance
3)
Students will demonstrate collaborative work with peers, patients, the
health care team, and the community in which they are a part of.
Measure: Small Group Performance
4)
Students will demonstrate the use of information technology, and access
online medical information and effectively communicate these findings in the
small group.
Measure: Small Group Projects
5)
Facilitate the learning of peers, especially in the small group setting
Measure: Small Group Performance
6)
Deal effectively with difficult patients
Measure: Standardized Patient Workshops/ Small Group
Performance
SSOM Goal #3: Professionalism, Moral Reasoning, and Ethical Judgment
1)
Students are expected to behave professionally and represent Loyola well
at all times including dressing appropriately, projecting a respectful demeanor,
working in the spirit of collaboration, working to his or her ability, being
honest, meeting all expectations of responsibility (i.e.: turn in all
assignments on time, attend all components of PCM 1, come prepared to all
activities) at all times.
Measures: Standardized Patient Exercises, Small Group
Performance and Projects, PCM 1 Attendance, OSCEs
2)
Students will interact effectively with patients, the health care team,
families, and community members.
Measures: Standardized Patients, Small Group
3)
Students will demonstrate understanding of basic ethical concepts and
their application to patient care
Measure: Small Group Performance
4)
Students will recognize and effectively deal with unethical behavior of
others
Measure: Small Group Performance
SSOM Goal #4: Clinical Skills and Patient Care
1)
Students will gather and record essential and accurate information about
patients including the medical history and basic physical exam.
Measures: Standardized Patient Exercises, OSCEs, Small Group
Performance
SSOM Goal #5: Lifelong Learning, Problem Solving and Personal Growth
1)
Students will demonstrate an investigatory and analytic thinking approach
to course work such as when evaluating ethical situations, and evaluating
patients for health promotion and disease prevention
Measure: Small Group Performance
2)
Students will apply acquired knowledge effectively (i.e.: demonstrate
learning in the small groups, show continuous improvement in skills)
Measure: Small Group Performance
3)
Students will demonstrate a commitment to individual professional and
personal growth.
Measure: Mentor Programs Reflection Experience
4)
Students will demonstrate leadership and motivation by working to their
potential, and occasionally and appropriately by taking the lead in the small
group, and by always being prepared.
Measure: Small Group Performance
SSOM Goal #6: Social and Community Context of Health Care
1)
Students will demonstrate an appreciation for the importance of many
non-biologic factors that influence health, disease, disability and access to
care
Measure: Small Group Performance
| On line and on CD, a Loyola
University Chicago Stritch School of Medicine video series that includes the
following titles: Required for PCM 1
|
Diagnostic equipment and stethoscope will be provided by the PCM-1 course.
NOTE: You will be using your equipment with your mentors, in your standardized patient experiences, your small groups, your volunteer experiences, in the summer immersion trips and for the rest of your life as a practicing physician.
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dstanci@lumc.edu Last Updated: 07/28/09 Created: 06/05/2000 |
