Introduction to Clinical Medicine 1

The OME is responsible for the second semester of the Introduction to Clinical Medicine 1 course.

In the second semester of Introduction to Clinical Medicine 1 (ICM-1) each first year student spends twelve sessions shadowing a clinician-mentor in the ambulatory setting. The experience is meant to introduce the student to the practice of medicine (broadly defined) and allows the student to practice targeted parts of the medical interview and physical exam.

The hands-on learning that these sessions provide is a wonderful complement to the basic science courses in which the student is immersed. For the student the focus of the semester should be on seeing the medical interview in action and observing aspects of the patient-doctor relationship. Limited skills such as interviewing for an HPI, taking a family history, checking vital signs, and holding an otoscope will also be covered.

In addition to the clinical sessions, students convene at the medical school once a month for didactic seminars. Topics range from how to take vital signs to enhancing awareness of cross-cultural issues to how to screen for domestic violence. After each didactic seminar the student will have a related assignment to be completed in their next two or three clinical sessions. Assignments range from “check and record a set of vital signs” to “take a history of present illness” to “interview a patient for substance use”. The mentor will need to help the student complete the assignment by arranging for the student to spend a little extra time with a patient each week or two. In some cases the mentor will choose to discuss with the student how s/he approaches a certain topic (for example, how to screen for domestic violence in the pediatric setting).