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Programs
Medical School Year 3
Overview
The William Maul Measey Institute for Clinical Simulation and Patient Safety (ICS) is an integral component of many of Temple University School of Medicine clerkship programs. Several of the clerkships conduct their orientation at the ICS. These programs provide students with valuable information, procedural skills practice, and an opportunity to further develop their physical exam and critical thinking skills prior to the students working in a patient environment. Year 3 clerkships include Medicine, Pediatrics, Surgery and Neurology.
Medicine Clerkship:
During their medicine clerkship, students are actively engaged in multiple patient simulation sessions. The scenarios have been designed to augment the core-didactic resident conferences and provide a safe learning environment for initial diagnostic reasoning and therapeutic patient management. The scenarios include patients with a chief complaint of shortness of breath or chest pain.
Objectives for the scenarios include:
- Focused patient history
- Physical exam
- Differential diagnosis
- Ordering and evaluation of diagnostic tests
- Implementation of appropriate patient management
Pediatric Clerkship:
The pediatric clerkship orientation program includes several skills stations and an introduction to the features of SimBaby™. Students also participate in a pediatric patient simulation experience later in their clerkship.
Pediatric orientation includes:
- Introduction to SimBaby™
- Location and identification of common pediatric heart sounds and murmurs
- Ortolani and Barlow maneuvers: Procedural instruction, performance and the meaning of a positive maneuver
- Injections
- Indications, insertion, risks and complications of IO (Interosseous) lines
The Pediatric Simulation Program includes:
- Communication with infant/child's primary care provider
- Physical exam
- Promotion of advocacy for patient and parent
Surgical Clerkship:
All third year medical students participate in a two-day surgical skills orientation prior to their Surgical Clerkship. This course introduces the student to the needs of the surgical patient and surgical procedures.
- Day 1: Orientation session
- Day 2: Skills laboratory providing an introduction to basic bedside and operating room procedures including knot tying, suturing, intravascular access, catheter placement and laparoscopic camera navigation.
Neurology Clerkship:
During their third year, neurology clerkship students take part in a lumbar puncture program. The focus of the program is to provide each medical student with an opportunity to perform the lumbar puncture procedure.
Lumbar puncture objectives include:
- Patient communication, explanation of the test/post LP instructions
- Position, prep and drape of the patient
- Procedural kit preparation
- Lidocaine infusion
- Insertion of the needle and obtaining CSF
End of Third Year OSCE:
Components of the OSCE include ten SP encounters in wide range of system involvements, acuities and patient ages. A detailed assessment of skills is provided and all student are required to pass this OSCE in order to graduate. This OSCE also provides preparatory experience for the USMLE Step 2CS exam.