Foundations of Clinical Medicine

Time: Longitudinal 18 month curriculum with 4-hour, bi-weekly in-hospital tutorials

Audience: First-year and second-year medical students

Teaching Method: Clinical Precepting, coaching on rounds and with patient interactions

Description: During these bi-weekly tutorials, I work with the students at the bedside, teaching them physical exam skills and modeling patient-centered care and professionalism. Students gain extensive experience interviewing and examining patients, building differentials, presenting bedside oral case presentations and practicing clinical reasoning. After every college morning I send our group summaries of learning points from our sessions, clinical pearls, as well as drawn diagrams to help the visual learners of the group (can click the image below to expand). The curriculum also included afternoon clinical skills workshops. Workshop sessions often include standardized patients and involved observing students interview the patient, review studies and build their differential diagnosis. Sessions taught thus far include, acute dyspnea, syncope and teaching motivational interviewing.

Reflections: This experience has been an exceptional learning opportunity for me. Teaching students that are so early in their medical career has challenged me to keep clinical teaching points simple and target to their level of clinical knowledge. I also saw my role as a near-peer to model professionalism and patient-centered care. Early learners also ask the best questions, which pushed me to think critically about things that seem common-place on the wards.