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MEDICAL STUDENT TRANSITION COURSE

MEDICAL STUDENT TRANSITION COURSE. Professionalism in the Clinical Environment ANTHONY A. MEYER, MD, PHD CHAIRMAN, DEPARTMENT OF SURGERY UNIVERSITY OF NORTH CAROLINA. Beginning Clinical Clerkships. Remarkable Opportunity New Challenge Unprecedented Responsibility

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MEDICAL STUDENT TRANSITION COURSE

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  1. MEDICAL STUDENT TRANSITION COURSE Professionalism in the Clinical Environment ANTHONY A. MEYER, MD, PHD CHAIRMAN, DEPARTMENT OF SURGERY UNIVERSITY OF NORTH CAROLINA

  2. Beginning Clinical Clerkships • Remarkable Opportunity • New Challenge • Unprecedented Responsibility • Start of Your Clinical Career

  3. Change In Focus • Up to now – Focus has been on the student • Clinical Care – Focus is on the patient • You are part of a team to help the patient – the patient is not here for you to learn

  4. Clinical Clerkship Service Rotations Each service is different • Patient mix and diseases • Number and level of residents • Number of faculty and clinical activity • Workload • Time schedule Service structure developed to meet patient needs and other requirements

  5. General Learning Goals for Clerkship • Acquisition of knowledge and skills • Integration of knowledge and skills • Application of knowledge and skills Additional Learning Goals • Patient Interaction (active participation in care and responsibility) • Staff Interaction (roles & respect) • Colleague, Resident and Faculty Interaction (collaboration & respect)

  6. Patient Interaction • Early on, you may be uncomfortable • Your patients will have varying comfort with students • A few patients may not want student involvement • Many patients are frightened, have pain, are in a new experience • Don’t personalize negative experiences • Try to put yourself in the patient’s situation • Ask yourself, what if it was my ________

  7. Resident Interaction • Closest to you in age, background and experience • You will learn much from them • More advanced than you, but still in training • Residents’ primary responsibilities are their education and patient care • If you have concerns, speak with the clerkship director

  8. Hospital Staff Interaction • Respect all people who participate directly and indirectly in the care of patients • You can learn a great deal from the hospital staff • Remember that competence, intelligence and contribution to patient care are not determined by academic degree • Realize that you have a common goal – providing the best possible patient care

  9. Faculty Interaction • All are interested in teaching but have different roles and styles • Varying other responsibilities • Different schedules of patient care • Different stages in their careers • Don’t hesitate to approach them • If you have concerns, speak to the clerkship director or department chair

  10. 3rd Year Medical StudentsResponsibilities & Roles • Different teams have different responsibilities for students • You start as the least experienced person on the team • Find out your responsibilities (some explained, some assumed) • Learn and perform your role before you start another • If it’s your responsibility, make sure it is accomplished • Accepting responsibility for patient care is one of the first steps to being a physician

  11. Feedbackto Medical Students • Variable in amount and form • Comes from Faculty, residents, peers, and staff • It is not always announced • It’s not always verbal • It is not always positive • Use it to improve, not just to feel good • Don’t hesitate to ask for feedback

  12. Traditions in Medicine • Traditions are present in all societies and professions • Contribute to professionalism and ethics • Often hard to understand • Respect traditions, but remember the patient is always most important • It is your activity and commitment over a career that will create new traditions

  13. Professionalism • Dedication to others • Commitment to excellence • Performance standards • Behavior standards • Respect for all • Confidentiality

  14. How should I Act? What should I do? • Treat patients like you want your family members treated • Show respect, courtesy and civility toward everyone • Observe and learn from others • Look and act like a physician • If you’re not sure, ask • Seek out opportunities to help • Enjoy what you are doing

  15. Important Things To Consider • Patient care and learning are not “like on the TV medical shows” • Medicine is a humbling profession • Be part of a patient care team • Allow yourself to feel • Act professionally • Learn from everything and everyone, even when not being taught

  16. Transition to Clerkship- SUMMARY - • Exciting • Challenging • Demanding • Period of incredible growth • Opportunity to be part of one the greatest professions

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