Netter SOM Clerkship Handbook 9 PDF

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The Netter SOM Clerkship Handbook: A Guide for Faculty, Residents and Students 2020–2021

Version: 9.10.2020

Table of Contents 1. Welcome

6

2. Important Contacts

8 13

3. LMC Overview a. LMC Format

14

b. LMC Learning Modalities

15

4. COVID-19

17

5. Student Preparation & Orientation

19

6. LMC Dates

20

7. Student Responsibilities

21

a. Clinical Level of Responsibilities

24

b. 10 Ways to Excel in Your Clerkships

24

8. Faculty Responsibilities

26

9. Resident Responsibilities

30

10. Specialty-Specific LMC Components

33

a. Internal Medicine Block Information (Cluster A)

33

i. Sample Daily Schedule

33

ii. Goals & Learning Objectives

33

iii. Specialty-Specific Student Responsibilities

36

iv. Required Cases/Patient Experiences/Procedures

37

b. Surgery Block Information (Cluster A)

38

i. Sample Daily Schedule

38

ii. Goals & Learning Objectives

38

iii. Specialty-Specific Student Responsibilities

40

iv. Required Cases/Patient Experiences/Procedures

40

2

c. Primary Care Block Information (Cluster A)

42

i. Sample Daily Schedule

42

ii. Goals & Learning Objectives

42

iii. Specialty-Specific Student Responsibilities

44

iv. Required Cases/Patient Experiences/Procedures

44

v. Specialty-specific Graded Learning Components

45

d. Obstetrics & Gynecology Block Information (Cluster B)

46

i. Sample Daily Schedule

46

ii. Goals & Learning Objectives

47

iii. Specialty-Specific Student Responsibilities

48

iv. Required Cases/Patient Experiences/Procedures

48

v. Specialty-specific Graded Learning Components

49

e. Pediatrics Block Information (Cluster B)

50

i. Sample Daily Schedule

50

ii. Goals & Learning Objectives

50

iii. Specialty-Specific Student Responsibilities

52

iv. Required Cases/Patient Experiences/Procedures

53

f. Psychiatry Block Information (Cluster B)

57

i. Sample Daily Schedule

57

ii. Goals & Learning Objectives

57

iii. Specialty-Specific Student Responsibilities

58

iv. Required Cases/Patient Experiences/Procedures

58

v. Specialty-specific Graded Learning Components

61

11. Instructional Methods

62

a. Clinical Learning

62

b. Academic Half Days

62

c. Teaching Attending Sessions

62

3

d. Longitudinal Curriculum (Synchronous)

62

e. Required Self-Directed Learning

63

f. Added Self-Directed Specialty Learning Resources

63

g. Optional Online Modules (Asynchronous)

63

h. Flex Days

64

12. Individualized Learning Plan

65

13. Assessment, Feedback and Grading

66

a. Formative Assessment

66

Self-Assessment

66

i.

ii. Mid-Clerkship Feedback

66

iii. OSCEs

67

iv. SCOs

67

b. Summative Assessment i.

68

Clinical Performance Assessment

68

ii. NBME Examinations

68

iii. Teaching Attending Evaluation

69

iv. Other Graded Components for Selected Blocks

69

c. LMC Grading

70

d. Student Evaluation of Faculty and LMC

71

14. Faculty Resources for Assessment and Feedback

72

15. Student Well-being

74

16. Safe and Respectful Learning Environment

76

a. Tools for Creating a Respectful Learning Environment

76

b. Creating a Respectful and Comfortable Learning Environment – Guidance for Faculty c. Diversity and Inclusion

79

d. Student Mistreatment

81

81

4

17. Resources for Students

85

18. Netter School of Medicine Policies

87

a. Duty Hours

87

b. Code of Conduct

88

c. Student Policies

99

Appendices Appendix 1: Netter Educational Program Objectives

109

Appendix 2: LMC Assessment Forms

114

Appendix 3: Helpful Medical Apps and Other General Resources

141

Appendix 4: Faculty Development Resources

143

Appendix 5: Teaching Attending Guide

144

Appendix 6: Clinical Re-entry Policy and COVID-19 Essentials

149

Appendix 7: COVID-19 Exposure Form

162

5

1. Welcome to the Longitudinal Multi-Specialty Clerkship Dear Netter M3 Students, On behalf of the faculty at the Frank H. Netter MD School of Medicine, we welcome you to the new Longitudinal Multi-Specialty Clerkship (LMC) for third-year students. We encourage and welcome feedback and dialogue throughout the year so that we can continue to develop this clerkship into the best student experience possible. We are all available if you have any questions, concerns, difficulties, uncertainties, or positive comments you would like to share. Please note that the Clerkship Director is your central contact person for a given specialty, and the individual who is responsible for your educational experience in that specialty. The Clerkship Director organizes your clinical rotations and didactic sessions and is responsible for promoting a safe and stimulating learning environment by working closely with site directors and faculty. The Clerkship Director is also responsible for ensuring that you receive mid-clerkship feedback and for completing your end-of-clerkship summative evaluation form. Finally, the Clerkship Director uses your feedback on the clerkship experience as part of a continuous educational quality improvement process. The Integrated Block (IB) in each cluster is comprised of clinical sessions from each specialty in the given cluster. Please reach out to the relevant Clerkship leadership (clerkship director or clerkship administrator) for any questions related to specific sessions during the IB. This clerkship guide contains essential information about the clerkship for students as well as faculty and residents. Please read it carefully and feel free to contact any of us with any questions or concerns. Best wishes for great success in this clerkship. We look forward to working with you. Robert Brown, MD, Internal Medicine Clerkship Director Jay Draoua, MD, Psychiatry Clerkship Director Khuram R Ghumman, MD, Primary Care Clerkship Director Eitan Kilchevsky, MD, MBA, FAAP, Pediatrics Clerkship Director Stacy Spiro, MD, Obstetrics & Gynecology Clerkship Director Christine Van Cott, MD, Surgery Clerkship Director Lyuba Konopasek, MD, Senior Associate Dean for Education

6

Welcome Dear Faculty and Residents, Thank you for teaching and training our next generation of physicians. The time you dedicate to teaching, mentoring, assessing, and coaching our students is giving them their foundation for development as outstanding physicians and inspiring many to choose this specialty. This clerkship handbook contains essential information about the clerkship for students as well as faculty and residents. This guide explains your roles and responsibilities, and those of your medical students. Please read it carefully and feel free to contact any of us with any questions or concerns. With Thanks, Robert Brown, MD, Internal Medicine Clerkship Director Jay Draoua, MD, Psychiatry Clerkship Director Khuram R Ghumman, MD, Primary Care Clerkship Director Eitan Kilchevsky, MD, MBA, FAAP, Pediatrics Clerkship Director Stacy Spiro, MD, Obstetrics & Gynecology Clerkship Director Christine Van Cott, MD, Surgery Clerkship Director Lyuba Konopasek, MD, Senior Associate Dean for Education Lisa Coplit, MD Associate Dean for Faculty Development

7

2. Important Contacts Internal Medicine Clerkship Director: Robert Brown, MD Office Location: QU Netter Student Space/Hospitalist Suite at SVMC Clerkship Administrator: Susan A. Rand Office location: QU Netter Dean’s Suite St Vincent’s Medical Center

Tel: 475-210-5711 Cell:914-924-7363

Email: [email protected]

Tel: 203-582-7633

Email: [email protected]

Site Director: Robert Brown, MD Student Coordinator: Christina Teixeira Griffin Hospital

Tel: 475-210-5711 Cell:914-924-7363 Tel: 475-210-5442

Email: [email protected]

Site Director: Marya Chaisson, MD Student Coordinator: Linda Payne Waterbury Hospital

Tel: 203-732-7144

Email: [email protected]

Tel: 203-732-7144

Email: [email protected]

Site Director: Danise Schiliro, MD Student Coordinator: Roseanne Elliott St. Mary’s Hospital

Tel: 203-573-7597

Email: [email protected]

Tel: 203-573-7194

Email: [email protected]

Site Director: Carolina Borz-Baba, MD Student Coordinator: Leigh Aronin St. Francis Hospital

Tel: 203-709-6424

Email: [email protected] Email: [email protected]

M3 Site Director: John Osowski, MD M4 Site Director: Edgar Naut, MD Student Coordinator: Justa Alicea Stamford Hospital

Tel: 860-714-7124

Clerkship Site Director Revekka Babayev, MD

Tel: 203-324-7666 Cell: 203-961-3451

Tel: 203-709-6424

Tel: 860-714-7124 Tel: 860-714-7124

Email: [email protected]

Email: [email protected] Email: [email protected] Email: [email protected]

Email: [email protected]

8

Director, Office Medical Education Gui Van Moorsel Chair, Dept. Medicine Nicholas Fiebach, MD Admin Asst/Clerkship Coordinator Betty Wilson

Tel: 203-276-7523 Tel: 203-276-7485

Email: [email protected] Email: [email protected]

Tel: 203-276-7147

Email: [email protected]

Obstetrics & Gynecology Clerkship Director: Stacy Spiro, MD Office location: QU Netter Dean’s Suite (Wednesdays) Clerkship Administrator: Angela Scarduzio Office location: QU Netter Dean’s Suite St. Francis Hospital and Medical Center Site Director: Karyn Hansen Site Administrator: Staci Gallagher St. Vincent’s Medical Center Site Director: Dr. Stevan Marjanovic Site Administrator: Christina Teixeira Mercy Medical Center Site Director: Dr. Rebecca Brushwood Site Administrator: Carmen Martinez Bristol Hospital Site Director: Dr. Kamiksha Vemareddy Site Administrator: Ashley Alcott Griffin Hospital Site Director: Dr. Michael Kessler Site Administrator: Linda Payne Specialists in Women’s Healthcare Site Director: Dr. David Millerick Site Administrator: Robin Baldwin

Tel: 203-582-7520 Cell: 917-887-5596

Email: [email protected]

Tel: 203-582-6533 Cell: 203-577-9118

Email: [email protected]

Tel: 860-714-7945

Email: [email protected] Email: [email protected]

Tel: 860-714-4595

Tel: 203-808-2418

Email: [email protected]

Tel: 475-210-5442

Email: [email protected]

Tel: 203-858-7844 Tel: 413-748-9767

Email: [email protected] Email:[email protected]

Tel: 630-362-3235

Email: [email protected]

Tel: 860-585-3312

Email: [email protected]

Tel: 203-516-5303

Email: [email protected]

Tel: 203-732-7144

Email: [email protected]

Tel: 860-620-3868

Email: [email protected]

Tel: 203-754-2535

Email:[email protected]

9

Pediatrics Clerkship Director: Eitan Kilchevsky, MD Office location: QU Netter Dean’s Suite (Wednesdays) Clerkship Administrator: Casey LoRusso Office location: QU Netter Dean’s Suite Connecticut Children’s Medical Center Site Director: Melanie Rudnick, MD Administrative Coordinator: Brian Lesme Administrative Coordinator: Andrea Richardson Administrative Coordinator: Katherine Lopez Lead Preceptor: Christine Rader, MD St. Mary’s - Connecticut Children’s Medical Center Site Director: Marta Neubauer, MD Administrative Coordinator: Brian Lesme Administrative Coordinator: Andrea Richardson Lead Preceptor Rotating Schedule

Tel: 203-582-7713 (Only Wednesdays)

Email: [email protected]

Cell: 203-525-0471 Tel: 203-582-7713 Cell:203-525-0471

Email: [email protected]

Tel: 860-837-5347

Email: [email protected] Email: [email protected] Email: [email protected] Email: [email protected] Email: [email protected]

Tel: 860-558-3125 Tel: 860-545-8347 Tel: 860-545-9366 Tel: 860-545-9520

Tel: 860-837-5506

Email: [email protected]

Tel: 860-558-3125 Tel: 860-545-8347

Email: [email protected] Email: [email protected]

Tel: 860-837-5502

Primary Care Clerkship Director: Khuram R Ghumman, MD Office Location: East Granby Clerkship Administrator: Martha Santoemma Office Location: QU Netter MNH-207

Tel: 203-582-7873

Email: [email protected]

Cell:302-690-6848 Tel: 203-582-7634

Email: [email protected]

10

Psychiatry Tel: 203-221-8861 Cell: 914-393-8023

Email: [email protected]

Tel: 203-582-3889

Email: [email protected]

Tel: 203-221-8804

Email: [email protected]

Tel: 203-221-8847

Email: [email protected]

Clerkship Director Christine Van Cott, MD Office location: St. Vincent’s Medical Center, Bridgeport, CT Clerkship Administrator: Julia O’Connor Office location: QU Netter Dean’s Suite St. Francis Hospital Site Director: Edward White, MD Site Administrator: Kristine Meinert Waterbury Hospital Site Director: Scott Kurtzman, MD Site Administrator: Deborah Cipriano Griffin Hospital

Tel: 203-576-6141 (Clinical)

Email: [email protected]

Site Director Richard Salzano, MD Site Administrator Linda Payne Midstate Medical Center

Tel: 203-732-1352

Email: [email protected]

Tel: 203-732-7144

Email: [email protected]

Site Director Aziz Benbrahim, MD Site Administrator Valerie Castillo

Tel: 203-238-2691

Email: [email protected] Email: [email protected]

Clerkship Director: Jay Draoua, MD Office Location: St. Vincent’s Behavioral Health Services, Westport, CT Clerkship Administrator: Rita Pacheco Office Location: QU Netter MNH-302 Site Chair: Andre Newfield, MD Site Office Coordinator: Jamie Gilbert

Surgery Tel: 203-582-4503 (QU) Tel: 203-582-4503

Email: [email protected]

Tel: 860-805-9647

Email: [email protected] Email:

Tel: 860-714-4309

[email protected]

Tel: 203-573-6073 Tel: 203-573-6073

Tel: 203-238-2691

Email: [email protected] Email: [email protected]

11

Medical Education Senior Associate Dean for Education Lyuba Konopasek, MD Administrative Assistant: Marlene Stellato

Tel: 203-582-7459

Email: [email protected]

Tel: 203-582-7716

Email: [email protected]

Tel: 203-582-4859

Email: [email protected]

Tel: 203-582-6595

Email: [email protected]

Tel: 203-582-7647

Email: [email protected]

Tel: 203-582-6493

Email: [email protected]

Tel: 203-582-8803

Email: [email protected]

Student Affairs Associate Dean for Student Affairs Kim Pham, MD, MPH Director of Student Affairs Elissa Carroll Administrative Assistant: Laura Mourao

Faculty Development Associate Dean for Faculty Development Lisa Coplit, MD Program Coordinator: Katie Lyons

12

3. Longitudinal Multi-Specialty Clerkship (LMC) Overview Background The COVID-19 pandemic has resulted in significant changes in the clinical learning environment that have affected medical students’ clinical education. Beginning July 20, 2020, the third-year students of the Netter School will begin their re-entry into a changed clinical learning environment (CLE). There is a potential for some clinical capacity shortfalls due to fewer COVID-19 negative patient seeking care, social distancing expectations and a surge of learners returning to the clinical setting. There also is a potential for additional surges of COVID-19. To avoid a negative impact on the required clerkship rotations for third year students, facilitate the timely student re-entry into clinical settings and optimize medical student education in a CLE with some uncertainty, Quinnipiac University’s Frank H. Netter MD School of Medicine developed a novel Longitudinal Multi-Specialty Clerkship (LMC) for third-year students. The design of the LMC is compliant with Liaison Committee on Medical Education accreditation requirements and with Quinnipiac University/Netter School policies and procedures for safe student re-entry into the clinical setting. Components include adherence to a clinical re-entry protocols being developed by the three QU health science schools, an opt-in/opt-out policy, COVID-19 screening (Appendix 6), testing protocols and the post-exposure protocol (Appendix 7). Additionally, all students must complete the COVID-19 Essentials course on Blackboard prior to clinical entry. Students will also utilize a clinical re-entry dashboard and AMiON for scheduling. LMC Goals The LMC is designed to ensure a robust, flexible learning experience that ensures coverage of core content. It is organized in a flexible format that includes: 1. The option to adapt clinical learning in response to fluctuations in volume in clinical settings and the potential for future surges or a significant continuing volume of COVID-19 in the community; 2. Alternative learning experiences to reduce any detrimental impact of the pandemic and post-pandemic volume on student learning, integration and application of core content and acquisition of competencies; 3. A student- and relati...