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Parnassus Integrated Student Clinical Experiences

university of california, san francisco. school of medicine. Parnassus Integrated Student Clinical Experiences. university of california, san francisco. Key Guiding Principles Clinical Core. school of medicine. Continuity with patients/populations Relevant core curriculum

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Parnassus Integrated Student Clinical Experiences

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  1. university of california, san francisco school of medicine Parnassus Integrated Student Clinical Experiences

  2. university of california, san francisco Key Guiding Principles Clinical Core school of medicine • Continuity with patients/populations • Relevant core curriculum • Continuity of site / learning about health care systems • Authentic roles in patient care • Continuity with faculty; Mentoring • Continuity with student cohort • Experience with “undiagnosed” patients

  3. university of california, san francisco Longitudinal Integrated Clerkships school of medicine Defined as those having the central element of clinical education where medical students: 1) participate in the comprehensive care of patients over time. 2) have continuous learning relationships with these patients’ clinicians. 3) meet, through these experiences, the majority of the year’s core clinical competencies across multiple disciplines simultaneously.

  4. university of california, san francisco PISCES Overview school of medicine • One-year integrated longitudinal clerkship (third year) at Parnassus, Mount Zion and UCSF Faculty Practice at Lakeshore. • Pilot with 8 students launched in April 2007 • PISCES will expand for 2008 to 16 students who will be chosen by lottery.

  5. Anesthesiology Family and Community Medicine Internal Medicine Neurology Obstetrics and Gynecology Ophthalmology Orthopedic Surgery Otolaryngology Pediatrics Psychiatry Surgery Urology PISCES addresses competencies and state licensure requirements for:

  6. university of california, san francisco school of medicine • Core Elements • Longitudinal Preceptor clinics • Emergency room, operating room, and call sessions • Patient cohort • Inpatient immersion • Longitudinal curriculum • Advising/mentoring program • Comprehensive student assessment • Program assessment

  7. Sample Student Schedule Week 1

  8. Sample Student Schedule Week 2

  9. university of california, san francisco Patient Cohort school of medicine • Students acquire their own cohort of patients (50-75) via acute care sessions, call and preceptorships • Students follow their patients wherever they go • A pager system notifies students when their patients come to emergency room, labor and delivery, hospital admissions, operating room and clinics • Patients selected to target core competencies for each discipline and for continuity

  10. university of california, san francisco school of medicine • Mini-inpatient immersion • Obstetrics 1 week • Internal Medicine 3-4 weeks • Surgery 2 weeks • Longitudinal curriculum (PISCES school) • ½ - 1 day per week interdisciplinary sessions including clinical skills sessions, student directed case report with group of 8 students • Reflection sessions • Stress rounds • Palliative care • Hospital systems sessions

  11. university of california, san francisco PISCES Advisor school of medicine • Preceptor who serves as oversight advisor for student during the PISCES program • Meets one student regularly during the year • Monitors longitudinal progress and reviews performance data • Provides and helps interpret feedback • Helps student develop learning plans • Ensures that the recommended number and type of patients are in the student cohort • Provides problem solving and support as the student progresses through the year • Advocates for student as necessary and appropriate • Periodically reviews learning portfolios

  12. university of california, san francisco Comprehensive Student Assessment school of medicine • Discipline specific (grades) • Preceptor observation and feedback • Structured observed clinical exams in hospital and clinic settings (e.g. observed neurologic examination, BSCO) • Clerkship or shelf exams similar to current clerkships • PISCES global evaluation • CPX (clinical practice exam) with whole class • Integrated shelf exams • Chart Review Exercise/Peer evaluation • Quality improvement project • PISCES paragraph in Dean’s letter describing PISCES and unique strengths of each student identified through this program.

  13. Vacation/Scheduling • Two week vacation • Student must submit several vacation preferences 6 weeks prior to start date because year schedule is set in advance. • Can not be during intersession or exam weeks. • Students must start PISCES at beginning of block 1.

  14. Anesthesia Mark Rollins, M.D. Kristina Sullivan, M.D. Emergency Medicine John Stein, M.D. Guy Shochat, M.D. Family and Community Medicine Susan Runyan, M.D. Bill Shore, M.D. Internal Medicine Karen Hauer, M.D. Cindy Lai, M.D. Lindsay Mazotti, M.D. Heather Nye, M.D. Maria Wamsley, M.D. Neurology Ann Poncelet, M.D. Heidi Kirsch, M.D. Obstetrics and Gynecology Patricia Robertson, M.D. Pediatrics Tim Kelly, M.D. Psychiatry Lowell Tong, M.D. Surgery John Maa, M.D. Surgical Subspecialties Joan O’Brien, M.D. Program Coordinator Tracey Jones PISCES Development Team

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