Acute care

  • Hypotension: Evaluate a patient with hypotension
  • Cardiac arrest: Evaluate a patient with cardiac arrest
  • Myocardial infarction: Evaluate a patient with myocardial infarction
  • Atrial fibrillation: Evaluate a patient with atrial fibrillation
  • Sepsis: Evaluate a patient with sepsis
  • Pneumonia: Evaluate a patient with pneumonia
  • Heart failure: Evaluate a patient with heart failure
  • Respiratory distress: Evaluate a patient with acute respiratory distress requiring non-invasive ventilation (CPAP or BPAP) or intubation
  • GI bleed: Evaluate a patient with a GI bleed
  • Liver disease: Evaluate a patient with liver disease
  • Hyperglycemia: Evaluate a patient with severe hyperglycemia requiring acute management with insulin
  • Stroke/TIA: Evaluate a patient with acute stroke/TIA
  • Acute headache: Evaluate a patient with acute headache
  • Seizure: Evaluate a patient with seizure
  • Altered mental status: Evaluate a patient with altered mental status
  • Syncope: Evaluate a patient with syncope
  • Suicidal ideation: Evaluate a patient with suicidal ideation
  • Behavioral: Evaluate a patient with acute behavioral disturbance (psychosis, mania, panic)
  • AKI: Evaluate a patient with AKI
  • Sodium imbalance: Evaluate a patient with sodium imbalance
  • Hyperkalemia: Evaluate a patient with hyperkalemia
  • Medication reaction: Evaluate a patient with a severe adverse reaction to a medication
  • Hospitalization problems: Evaluate a patient at risk for a negative outcome from hospitalization

Care Across the Life Cycle

  • Prenatal care: Assist in providing office based prenatal care
  • First trimester bleeding: Observe the evaluation of a patient with first trimester bleeding
  • Normal spontaneous vaginal delivery: Assist a normal labor and spontaneous vaginal delivery
  • Cesarean delivery: Assist with a cesarean delivery
  • Post-partum depression screening: Perform a screen for post-partum depression
  • Neonatal jaundice: Assist the evaluation of a newborn with jaundice
  • Well child care-infant: Assist an infant well-child exam (age 0: 12 months)
  • Well child care-preschool: Assist a young well-child exam (age 15: 60 months)
  • Well child care-adolescent: Assist an adolescent well-child exam
  • Child with chronic medical problem: Assist the evaluation of a child with a chronic medical problem (e.g. asthma, diabetes, epilepsy, cystic fibrosis, genetic syndrome)
  • Pediatric cough/wheeze: Assist the evaluation of a child with cough or wheeze
  • Pediatric ear pain/otitis media: Assist the evaluation of a child with ear pain or otitis media
  • Pediatric fever: Assist the evaluation of a child with fever
  • Pediatric gastrointestinal complaint: Assist the evaluation of a child with an active GI problem (e.g. vomiting, diarrhea, abdominal pain)
  • Pediatric atypical growth or development: Observe the evaluation of a child with abnormal growth or development
  • Pediatric rash: Observe the evaluation of a child with rash
  • Menstrual abnormalities: Assist the evaluation of a patient with menstrual abnormalities
  • Sexually transmitted infection: Assist the evaluation of a patient with a sexually transmitted disease
  • Breast exam: Perform a manual breast exam
  • Bimanual pelvic exam: Perform a bimanual pelvic exam
  • Speculum exam: Perform a speculum exam
  • Pap smear: Perform a Pap smear
  • Cervical dysplasia: Assist the evaluation of a patient with cervical dysplasia
  • Cervical cultures: Perform cervical cultures
  • Menopause: Assist the evaluation of patient with menopause
  • Hysterectomy: Assist with a hysterectomy
  • Laparoscopic abdominal/pelvic surgery: Assist with a laparoscopic abdominal/pelvic surgical case
  • Geriatrics evaluation: Observe a comprehensive geriatrics evaluation
  • Breaking bad news: Observe breaking bad news to a patient

Chronic and Preventive Care

  • HEENT exam: Perform an HEENT examination of a patient
  • Shoulder exam: Perform a musculoskeletal shoulder examination of a patient
  • Plan of care: Communicate the plan of care with a patient
  • Chronic mental illness: Assist in the evaluation, management and disposition of a patient with chronic mental illness (severe mood disorder, schizophrenia or schizoaffective disorder) by interacting with a member of the patient’s outpatient mental health system
  • Patient evaluation: Evaluate at least two patients (may be done in conjunction with one of the experiences listed above)
  • Writing a prescription: Write a medication prescription accurately and safely in a clinical setting
  • SBIRTs and motivational interviews: Perform at least 1 SBIRT and 1 Motivational Interview with a patient in clinic
  • Dermatologic exam: Obtain a focused history and exam and formulate a prioritized differential diagnosis for a patient presenting with a dermatologic concern
  • MSK/rheumatological history: Obtain a focused MSK/rheumatological history in a clinical setting
  • Substance use: Incorporate screening for substance use disorders as a routine part of clinical practice using evidence based screening tools
  • Patient preferences: Incorporate patient preferences when discussing prevention guidelines
  • Religion and spirituality: Address aspects of a patient’s religion or spirituality that impact his or her health and healthcare in a clinical setting
  • Metabolic disorder counseling: Counsel patients on behavioral strategies and recommend appropriate treatment to minimize morbidity due to different types of metabolic disorders
  • Mental health counseling: Counsel patients on behavioral strategies and recommend appropriate treatment to minimize morbidity due to different types of mental health disorders
  • Interpreter use: Assess a patient for the need of an interpreter
  • HealthLink: Use HealthLink (or other clinical decision support) during patient care. Demonstrate the integration of information technology into the process of clinical care, especially clinical decision-making
  • Patient instructions: Demonstrate the ability to generate thorough and understandable patient instructions in the after-visit summary
  • X-rays: Demonstrate a systematic approach for interpreting skeletal X-rays
  • Diagnostic tests: Order common diagnostic tests for core clinical conditions in clinical settings

Surgical and Procedural Care

  • Abdominal pain: Participate in the care of a patient with abdominal pain
  • Colorectal or anal disease: Participate in the care of a patient with colorectal or anal disease
  • Hepatobiliary disease: Participate in the care of a patient with hepatobiliary disease
  • Consent: Observe at least one instance of informed consent, paying particular attention to communication skills, potential for bias, and physician/patient power imbalance during the interaction
  • Gown and glove: Gown and glove in sterile environment
  • Suture skills: Suture and tie knots
  • Trauma: Participate in the care of a trauma patient
  • Multi-D conference: Observe or participate in multidisciplinary conference (e.g., tumor board, multi-D cancer management conferences, vascular anomaly working group, multi-D discharge planning)
  • IV catheter: Place an intravenous catheter (must be performed no less than three times)
  • Airway management: Manage a patient airway, including mask ventilation and either laryngeal mask airway (LMA) or endotracheal tube placement (must be performed no less than three times)
  • Multiple exams: From the following list, all students are expected to participate in the care of at least four patients with one or more of the following:
    • Ear pain
    • Throat pain
    • Neck mass
    • Joint disease
    • Back or neck pain
    • Spinal disease
    • Peripheral arterial disease
    • Venous disease
    • Cardiac disease
    • Lung disease
    • Skin and/or soft tissue disease
    • Breast disease
    • Benign genitourinary disease or injury
    • Malignant genitourinary disease or injury
    • Eye disease
    • Intracranial mass