UC Berkeley-UCSF Joint Medical Program
Presented by:Malia Paik-Nicely, MS3
CSU-Monterey Bay Mentorship Program
October 9, 2012
What do you want to be when you grow up?
Journey to Medical School
UCSF School of Medicine Research Paths
Traditional MD curriculum, MPH option between year 3 & 4 or following year 4
Medical Student Scientist Training Program, MSTP (MD/PhD)
Program in Medical Education for the Urban Underserved (PRIME-US)
UC Berkeley-UCSF Joint Medical Program, Master of Science/MD program
UC Berkeley-UCSF Joint Medical Program Mission
UC Berkeley-UCSF Joint Medical Program Mission
Train physician-leaders in the human, sociocultural, and bioethical contexts of health and disease
Commitment to exemplary education in the pre-clerkship medical sciences
Focus on cross-disciplinary research in the humanities, social & behavioral sciences and public health
Innovation in the design of medical education
JMP Program DesignJMP Program DesignFive year program of study for MS/MD
First 3 years on the UC Berkeley campusPre-clerkship Medical Curriculum
Masters Thesis
Clinical Skills and Introduction to Patient Care Curriculum
Matriculation to UCSF campus for 2 clerkship years with completion of MD
What is Problem-Based Learning (PBL)?
PBL serves to teach content by presenting students with real life situations similar to those they may encounter as a physician. The objectives of PBL are as follow:
Learn how to develop differential diagnoses Enhance critical thinking skills Enhance verbal and communication skills Work collaboratively with other professional and
disciplines Enhance researching skills, interpreting data, and
knowing where to get the right information.
It’s not about getting the right or wrong answer, it’s about learning how to approach a problem.
Traditional Medical CurriculumMedical School
Year 1 Year 2 Year 3 Year 4
In the hospitalIn the classroom
college residency
Biochemistry
Physiology
Behavioral Sciences
Pathophysiology
Anatomy
NeuroscienesEmbryology
Genetics
Year 1
Year 2
Problem-Based Learning (PBL)
Case 39:Diabetes
Case 112:Breast CA
Biochemistry
Physiology
Behavioral Sciences
Pathophysiology
Anatomy
Neurosciences
Embryology
Genetics
Year 1 Year 3
Uni
t 6
Year 2
Ready to try a case?!
You are a pre-medical student shadowing a physician at the Natividad Family Health Clinic. Mr. García, a 42 year-old male, is brought to the clinic by his wife who is concerned about his health. Mr.García complains of chest pain that has been occurring for the past year. He describes the pain as a burning sensation that is exacerbated when eating, bending over, and lying down.
STOP and take a few minutes – What are some conditions that cause chest pain?
Note: Try to come up with as much as possible no matter how off the wall you may think it is. Think about all the organ systems. Remember, there are no wrong answers
STOP and take a few minutes – What are some conditions that cause chest pain?
Note: Try to come up with as much as possible no matter how off the wall you may think it is. Think about all the organ systems. Remember, there are no wrong answers
Organ SystemsCardiovascular – heart attack (blockage of blood
flow to heart muscle)
Pulmonary – pulmonary embolism (blockage of blood flow to lung), pneumothorax (collapsed lung), cancer
Gastrointestinal – heartburn (GERD), gallbladder, esophageal irritation
Genitourinary – kidney infection, pelvic inflammatory disease (in women)
Musculoskeletal – intercostal muscle strain
Psychosomatic – anxiety attack
The patient describes feeling well outside of the chest pain. He exercises regularly 3 times a week and has not changed his diet nor daily activities. He is not taking any medications, although he says his chest pain is relieved with the aid of Tums. He denies fevers, chills, nausea, vomiting, and body aches. The patient has no known preexisting illnesses. Mr. García smokes 2 packs per week and drinks alcohol occasionally. His diet consists of fast food and “whatever his wife feels like cooking.” His father died of a heart attack at the age 43 and his mother is currently living with high blood pressure. Mr. García has two younger sisters who are both in good health.
STOP and take a few minutes – What part of the physical examination would you want to focus on? What tests should be performed to narrow differential?
Note: Not required to be specific, just general tests such as chest X-ray. Is there anything else you would like to know before performing the tests?
STOP and take a few minutes – What part of the physical examination would you want to focus on? What tests should be performed to narrow differential?
Note: Not required to be specific, just general tests such as chest X-ray. Is there anything else you would like to know before performing the tests?
PHYSICAL EXAM AND LAB WORKUP
PE Vitals: T 98.6 HR 76 P 16 BP 106/72 RR 18 General: WDWN male no acute distress Skin: normal turgor ENT: normal ears, mouth and nose, sinuses normal, normal tonsils Lung: Clear to auscultation and palpation bilaterally. Normal and symmetric breath sounds CV: regular rate and rhythm, normal S1/S2 Abdominal: Tenderness in epigastric area, no rebound/guarding, +BS, no HSM
Labs/Imaging Creatine phosphokinase 50 (32 – 150 U/L)
(A marker for myocardial infarctions. Concerned when elevated) Troponin Complex 0.2 (<0.4 ng/mL)
(Typically ordered along with CK for suspected heart attack. Concerned when elevated)
EKG: Normal Upper endoscopy: reveals peptic (esophageal) strictures
So what do you think his diagnosis is?
So what do you think his diagnosis is?
GERD!
Learning Issues
What are some other questions you might have that would help you better diagnose and/or treat the patient (what about treatment)?
What about lifestyle changes for the patient?
Is there anything that should or should not have been done in the case?
Getting into Med School:Take-Home Tips
Standard Approach: Take coursework seriously
Study study study
Volunteer
Research
Community Outreach
How to Stand Out: Get involved!
Pursue your passion!
Enjoy life
Leadership and Communication Skills
Don’t blend in
Questions?
I hope you enjoyed this session and I wish you all the best as you proceed
on this journey to become great health care
professionals!
ResourcesMD Application: https://www.aamc.org/students/
Medical School Admission Requirements (MSAR): https://www.aamc.org/students/applying/requirements/msar/
DO Application: www.aacom.org/
https://csumbpremed.wikispaces.com/
Future Directions for UCSF Mentors
What information/resources could future UCSF students do to help you?
How can we make the most out of this project?