The Paul Foster School of Medicine, Texas Tech University Health Sciences Center, El Paso.

David J. Steele, PhD Senior Associate Dean for Medical Education

Paul L. Foster School of Medicine: Educational Program Goals

• Reduce distinction between “pre-clinical” and “clinical” education

• Introduce students to an approach to diagnostic reasoning from day 1

• Enhance learning through by creating “authentic” learning activities

• Achieve high level of integration

Curriculum Overview: Year 1

Curriculum Overview: Year 2

1. Anatomy 2. Behavioral Science 3. Biochemistry 4. Cell Biology/Histology 5. Embryology 6. Genetics 7. Immunology 8. Microbiology 9. Neuroscience 10. Nutrition 11. Pathology 12. Pharmacology 13. Physiology

Clinical Presentations Basic Science

1. Dysphagia

2. Vomiting/Nausea

3. Diarrhea

4. Constipation

5. Abdominal Distension

6. Abdominal Pain

7. Abdominal Mass

8. GI Bleeding

Learning Basic Science in a Clinical Context

Example: SPM Unit 03 – GI

System

Example Scheme: The Picture on the Box

Thinking about “Sore Throat”

• Hypothetical-Deductive Approach “versus”

• “Scheme Inductive”

Hypothetical-deductive approach

Sore Throat

Vir

al P

ha

ryn

git

is?

Str

ep

Th

roat?

Dip

the

ria

?

Mo

no

nu

cle

os

is?

Ab

sc

es

s?

Irri

tati

ve

Ph

ary

ng

itis

?

Ch

em

ical E

xp

osu

re?

Sin

us

itis

?

All

erg

ic P

ha

ryn

git

is?

To

ns

illiti

s?

Re

flu

x e

so

ph

ag

itis

?

Th

roa

t u

lce

r?

Lym

ph

om

a?

Ca

rcin

om

a?

Fo

reig

n b

od

y?

??

?

Sore Throat

Rhinorrhea

Rhinorrhea

Predominant

< 2wks Viral URTI

> 2wks Allergic/Vasomotor

/Sinusitis

Sore Throat

Predominant

< 2wks

Infection

Viral Bacterial

> 2wks

Other

Copyright - Paul L Foster School of Medicine

UNIT 1 – SORE THROAT RHINORRHEA

Medical Skills

• Teaches fundamental medical practice skills

– history taking,

– effective communication,

– physical examination,

– oral presentation,

– clinical procedures.

• Integration with SPM

– Clinical Presentation

Society Community and Individual Course

● Conceptual content

Seven threads:

Epidemiology

Biostatistics

Environmental & occupational health

Culture

Community

Family

Spanish

Masters Colloquium

Designed to highlight:

•Critical thinking

•Communication skills

•Humanism

•Medical ethics

•Professionalism

•Leadership

•Medical controversies

•Evidence appraisal

Advantages of Scheme Inductive Approach

• Structured on expert thinking

• Uses simple steps…

• Integrates clinical and basic science content

• Improves diagnostic accuracy

• Promotes high levels of learner motivation

Year 3 Integrated Block Curriculum

16 Weeks 16 Weeks 16 Weeks

Internal Medicine

general

selective (2 weeks)

Psychiatry

Obstetrics-Gynecology Pediatrics

Family Medicine Surgery

general (6 weeks) selective (4 weeks)

Integrated Teaching and Learning Experiences

Integrated Teaching and Learning Experiences

Integrated Teaching and Learning Experiences

Longitudinal Selective in Psychiatry

Maternal/Fetal/Neonate Experience

Longitudinal Selective in Family Medicine

Threads: Geriatrics, Basic Sciences, Ethics, Professionalism, EBM, Patient Safety, Pain Management, Chronic Illness Care, Palliative Care, Quality Improvement, Communication Skills, Diagnostic Imaging, Clinical Pathology, Clinical and Translational Research.

Year Four Curriculum

4

weeks

4

weeks

4

weeks

4

weeks

4

weeks

4

weeks

4

weeks 4

weeks

Graduation!

Threads: Geriatrics, Basic Sciences, Ethics, Professionalism, EBM, Patient Safety,

Pain Management, Chronic Illness Care, Palliative Care, Quality

Improvement, Communication Skills, Diagnostic Imaging, Clinical

Pathology, Clinical and Translational Research

Questions…