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INTRODUCTION TO CLINICAL MEDICINE

COURSE SYLLABUS AND SCHEDULE FOR

MD-1

Department of Introduction to Clinical Medicine,

WINDSOR UNIVERSITY
SCHOOL OF MEDICINE.

Dr.Pushparaj shetty
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Faculty
Dr Pushparaj Shetty
Ms Elizabeth S .Stephens Lab Instructor

For all initial contacts related to the course please use the following:

raj@windsor.edu

Office Hours
1-2pm

Course Information
Basic Information
Pre-requisite: Premed course in Basic Anatomy and Physiology
Academic Year: 2015
Academic Semester: summer
Course Title: Introduction to Clinical Medicine
Location of lectures: Lecture Hall no 1

Course Description
This is a 2 credit hour class taught over 15 weeks. The course is organized by body system in to
five semester course.

Introduction to Clinical Medicine (14 weeks) taught in MD-I and it includes

- Ethics and Professionalism,
- Introduction to History Taking,
- Musculoskeletal Examination,
- General survey
- Vital signs Recording ,
- Clinical Reasoning and assessment

Each instructional day has one large group traditional lecture activity, many of which will
include active learning Segments. There are approximately 15 Lab course work sessions per
each semester course, some of the sessions are also utilized for small group case discussions.

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Course Schedule
The following schedule should be used in conjunction with the administrative schedule
Date Topics Instructor Lab (Dr Pushparaj shetty/
Ms Elizabeth Stephens)
Week:1 Introduction to ICM Dr.Pushparaj NA

Week:2 Ethics and Professionalism Dr Pushparaj Case scenarios for group

discussion
Week:3 Introduction to History Taking Dr Pushparaj group discussion and
exercise
Week:4 Examination of Upper Limb Dr Pushparaj group discussion and
exercise
Week:5 Examination of Upper Limb Dr Pushparaj Demonstration and
exercise
Week: 6 Examination of lower Limb Dr Pushparaj Demonstration and
exercise
Week:7 Examination of lower Limb Dr Pushparaj Demonstration and
exercise
Week:8 Deep Tendon reflexes Dr Pushparaj Demonstration and
exercise
Week:9 Block examination Dr Pushparaj Practical exam

Week:10 General survey and vital signs Dr Pushparaj Demonstration and

exercise
Week: 11 Clinical reasoning and assessment Dr Pushparaj Student exercise
and plan
Week:12 Case scenarios Dr Pushparaj Student exercise

Week:13 Case scenarios Dr Pushparaj Student exercise

Week:14 Revision Dr Pushparaj NA

Week:15 Block examination NA

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General Course Objectives

The overall goal of the course is to obtain an understanding of the basics of History taking and
examination of the different systems as relevant to the corresponding completion of the
Anatomy chapters which includes the examination of of musculoskeletal system of upper limb
and lower limb, examination of thorax, cardiovascular system, abdominal system, head and
neck and cranial nerves.

At the conclusion of this course,:

The student understands the ethics and professionalism involved in the practice of
medicine.
The student know the basics principles involved in clinical interviewing and the order
of write up in the history taking.
The student will demonstrate a thorough understanding of the examination of
musculoskeletal system with respect to upper and lower limb.
The student will be able to elicit the deep tendon reflexes in a patient and understands
the underlying physiology and the clinical importance.
The student will be able to record the vital signs of a patient.
Prepares students to approach the practice of medicine from a sound scientific perspective.
The student understands the basic principles of clinical reasoning , assessment and plan
for a patient.

Course Materials
Lecture power point presentation slides cover core learning materials. These should be
supplemented by the Prescribed textbook :
Bates' guide to Physical Examination and History Taking 11th edition

General Course Policies

Attendance at all scheduled lecture sessions is mandatory. Sign in is required at small
group activities.
Absences due to illness should be formally reported to the Course Director and
Dean of Students, with appropriate
Supporting documentation from the Local Physicians.
Absence due to any other reason should also be reported to Course Director and Dean
of Students with appropriate
Supporting documentation

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Grading and Assesment-

Policies Related to Assessment
All written examinations are governed by WINDSOR Standardized Examination Policies and
Procedures.
Breakdown of Assessments
The course has a total of 100 assessment points.
The Block exams has 30
The final exam 50 points.
The remaining 20 points are earned from the Lab work, small group sessions.
Written examinations consist of multiple choice questions of
the single best answer type.
Table 2 provides an approximate breakdown of questions for final exam by topic, which
includes material from lectures and small group sessions, according to the learning objectives
provided.

Introduction of Clinical Medicine

History taking 10%15%
Musculoskeletal system examination of upper limb 10%15%

Musculoskeletal system examination of lower limb 10%15%

General survey and Vital signs recording 10%15%
Deep tendon reflexes 10%15%
Ethics and professionalism 10%15%
Clinical reasoning and assessment and Analysis of clinical evidence 10%15%

Grading
Grade boundaries are approximately as follows:
Letter Grade Overall Score
A 85 100%
B 75 85 %
C 65 75 %
D(fail) < 65 %
Grade boundaries may be independently adjusted downwards at the discretion of the Course
Director. In case the overall (total) class average falls below 80 percent, the grade boundaries
will be lowered.

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Small Group Assessments

Small Group Assessments include required Online Activities and professional conduct during
the Small Group Practical Sessions.

In order to earn one point for each of the sessions, a student has to submit the Online
Assessment (if required) for this session in time and prior to the deadline, and has to
demonstrate professional competence in the team-oriented Small Group Practical Sessions. The
criteria for professional conduct are explained in the Small Group Manual.

Attendance and participation are required in order to get credit for the professional
competence component.

Objective Structured Practical Examination (OSPE)

There will be a practical examination which will test the clinical skills objectives that are
included in the course syllabus for each of the Basic Science courses. This exam will be an
Objective Structured Practical Examination (OSPE) with stations through which students will
rotate.

The OSPE is being run on a trial basis this term and the scores will not count towards any
grades. However, a good score will be considered favorably for students who are on the
borderline for Satisfactory Academic Progress (SAP) at the end of this term. Please note that
participation in the OSPE is mandatory.

Student Responsibilities
Attend class and be on time
Check school website-www. Studywindsor.com daily
Check course site daily for announcements and updates
Submit assignments on time
Report illnesses to Course Director and Dean of Students office
Voice concerns about the course through class representatives
Ask for help early if you are struggling

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Course Syllabus and Objectives

Ethics and Professionalism (bates pg 92-96)
Describe the principles of Medical Ethics and Understand the basis in medical practice .
Understand the importance of each of the these principles using case scenarios

History taking and clinical interviewing (bates pg 4-19 & 56-85)

Describe and list out the structure of the patient history write up.
Understand the contents of each subheading and their clinical importance.
Describe understand the core competencies in clinical interviewing.

Musculoskeletal Examination (bates pg 597-663)

List out the parts of the exercise involving the musculoskeletal system examination.
Describe each of this steps and their clinical importance

1. Upper limb
Describe the steps in examining the shoulder joint.
Observe and demonstrate the examination of shoulder joint.
Describe the steps in examining the elbow joint.
Observe and demonstrate the examination of elbow joint.
Describe the steps in examining the wrist joint.
Observe and demonstrate the examination of wrist joint.
Describe the steps in examining the hand.
Observe and demonstrate the examination of hand.
Describe the steps special tests in the upper limb.
Observe and demonstrate the special tests in the upper limb.

2. Lower limb

Describe the steps in examining the hip joint.

Observe and demonstrate the examination of hip joint.
Describe the steps in examining the knee joint.
Observe and demonstrate the examination of knee joint.
Describe the steps in examining the ankle joint.
Observe and demonstrate the examination of ankle joint.
Describe the steps in examining the foot.
Observe and demonstrate the examination of foot.
Describe the steps special tests in the lower limb.
Observe and demonstrate the special tests in the lower limb.

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General survey and recording of vital signs (bates pgs 105-131)

Describe and understand what constitutes the general survey.
List out various areas that is part of the general survey.
Describe and understand the basic principles of recording the vital signs.
Observe and demonstrate the method of recording and documenting the vital signs
that includes the pulse, blood pressure, respiratory rate and temperature.

Deep Tendon Reflexes ( bates pgs 725-730)

Describe and understand the basic principles involving the anatomy and physiological
basis for deep tendon reflexes.
Observe and demonstrate the deep tendon reflexes. (biceps reflex, triceps reflex,
brachioradialis reflex, patellar reflex, Achilles tendon reflex)

Clinical reasoning, assessment and Analysis of clinical evidence (bates pgs 25-49)
Understand the basic principles and steps underlying the clinical reasoning.
basic understanding of analysis of clinical evidence.

best of luck!!

Dr.Pushparaj shetty