Course Descriptions (Year 3)
Course Descriptions (Year 3)
This practical course starts with a three-day, ACLS-equivalent training that will prepare students for their upcoming clerkships in internal medicine and pediatrics. The second part of the course comprises four sessions that focus on advanced life support, including an ACLS megacode scenario. Finally, three days are devoted to trauma lectures and drills that take place during the surgery clerkship.
Internal Medicine Clerkship
The internal medicine clerkship helps students increase medical knowledge, master clinical skills and think like a clinician. Throughout the eight-week program, students learn how to develop a patient’s narrative through interview history-taking, physical examination, and interpretation of laboratory tests and X-rays. Students are then guided in the development of a differential diagnosis and treatment plan. These tools are taught through participation in ward rounds, submission and presentation of patient evaluations, and participation in discussions and seminars.
The pediatrics clerkship is a seven-week rotation that includes five weeks in the general pediatric ward, one week in a community pediatric clinic, and one week in the day hospital unit and neonatology department. In addition, students are on call in the pediatric emergency room once per week. By the end of this clerkship, students will have the necessary skills to take a full history, perform a physical examination, perform an accurate urinalysis and stool sample examination, and interpret basic laboratory results. Students submit reports for each patient and present diagnoses and patient plans at the daily seminar.
The purpose of this clerkship is to provide students with a hands-on introduction to the approach, knowledge and clinical skills of surgical issues. Students rotate through surgical wards, operating rooms and ambulatory surgery clinics, gaining exposure to surgical pathology, proctology, breast surgery, trauma surgery and otolaryngology. Skills are honed in the admissions process for surgical patients using POR, presenting cases both verbally and in writing, and participating in surgical discussions including differential diagnosis and basic knowledge in trauma, emergency surgery and elective surgery. Teaching methods include formal lectures, bedside teaching rounds and seminars, and overnight call.
The neurology clerkship familiarizes students with neurological conditions and the approach to neurological problem-solving. Students acquire the skills needed to complete a thorough history and neurological examination, analyze and identify neurological symptoms, differentiate between normal and abnormal findings, and localize neurological lesions leading to a differential diagnosis. Students will develop an understanding of the importance of imaging exams and electrophysiological tests in diagnosis, therapy and management.
Obstetrics and Gynecology Clerkship
The clerkship begins with one week of introductory lectures to acquaint students with the clinical and pathological aspects of Ob-Gyn. The remainder of the rotation consists of clinical work, including case discussions and seminars. Clinical requirements include the gynecological and obstetric interview and physical examination, management of a delivery, identification of normal pathologies of pregnancy, and understanding issues relating to infertility. Each student is required to manage a number of deliveries.
Family Medicine Clerkship
The family medicine clerkship is a four-week clinical rotation in which students have their first ambulatory, community-focused primary care experience. Students join a family physician and assist in caring for their patients. Teaching is one-on-one and emphasizes an understanding of the doctor-patient relationship and the importance of “patient-centeredness.” In addition to hands-on clinical time, students participate in small group and seminar formats about common clinical problems in primary care.
This clerkship allows students to apply their theoretical knowledge from the preclinical Neuro-Psychiatry System course to clinical situations. The interview serves as the clinical examination in psychiatry, and this is an opportunity to hone interpersonal communication skills. The clerkship also addresses the social, ethical, moral and emotional issues that arise when psychiatric disorders are involved, which are quite distinct from those in other fields of medicine. In addition, students diagnose major and prevalent types of psychopathology and formulate short- and long-term treatment plans. The clerkship comprises the morning report, morning ward rounds, afternoon class and evening ER duty. Class activities include clinical discussion, work with simulated patients, role-playing and training in practical tools.
Cross-Cultural Medicine Workshop
Through the Cross-Cultural Medicine Workshop, students further develop the skills and tools needed to deal effectively with cross-cultural scenarios and diverse populations. This one-and-a-half-day workshop was conceived by MSIH students and is coordinated by Dr. Agneta Golan (head of the Neonatal Intensive Care Unit at Soroka University Medical Center) and facilitated by several senior faculty members. The central focuses include identifying and internalizing personal biases and attitudes toward other cultures, understanding patients’ perceptions of their illness, interacting with patients on medical care, and promoting health against the backdrop of varying cultures. The second and third parts of the workshop are taught using objective, structured clinical techniques in small groups.