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Faculty Staff Students Residents & Fellows Patients Researchers Alumni Home Curriculum Clinical Skills Communications Skills Clinical Reasoning Palliative Care Physical Examination Point of Care Ultrasound

Clinical Skills

Course Director: Jaideep S. Talwalkar, MD

Organization

The Clinical Skills (CS) Course spans the first eighteen months of school for all medical students. Students begin to develop and refine their clinical skills, the essential elements of “doctoring” that physicians use during patient encounters. In CS, students learn to communicate with patients, families, and other members of the care team; examine patients; develop clinical reasoning skills; and understand the important role of a student-doctor in a patient’s care. Students are also introduced to point-of-care ultrasound. Throughout CS, emphasis is placed on taking a patient-centered approach to care. Students gain more experience with skills taught in CS through direct patient contact in Foundations of Patient Care. The Clinical Skills Program continues through the four-year curriculum with more advanced topics during the clerkship and elective years.

Pedagogy

Multiple teaching modalities are utilized in CS, but the bulk of the experiences are designed to be hands-on, offering students the opportunity to develop clinical skills with direct faculty observation and feedback, frequently with the use of simulated participants (SPs).

Assessment

Students receive formative feedback throughout the course from instructors, SPs, and peers. Students pass the course by attending all mandatory class sessions and performing a competent history and physical exam in a standardized assessment session at the UConn Clinical Skills Assessment Center.

Learning Objectives

Demonstrate how to conduct an encounter in a patient-centered manner using skills which enhance trust between student and patient. Show competency at taking a complete medical history, including skill in talking to patients about personal issues and psychosocial factors that could have impact on their health and experience of illness. Recognize that relationship-centered interviewing is an evidence-based technique linked to improved diagnosis and treatment outcomes. Reflect on the importance of cultural humility and developing skills that allow the student to communicate with individuals from different population groups. Apply principles of medical interviewing towards health maintenance, disease prevention, and patient counseling. Perform a complete physical examination with sensitivity to the needs of the patient. Demonstrate an understanding of the anatomic and physiologic basis behind physical exam maneuvers. Consider how likelihood ratios impact interpretation of physical exam findings. Recognize the importance of actively utilizing clinical reasoning during patient encounters to inform the performance of targeted histories and physical examinations. Utilize probabilities to create a differential diagnosis. Summarize a patient’s case in both written and oral formats, including history, physical, assessment, and plan. Give and receive reinforcing and constructive feedback to improve performance. Engage in the practice of self-reflection to develop one's own process of continuous learning. Engage in the practice of self-reflection and group debriefing to develop one's own healthy coping mechanisms and response to stress. Describe the major elements of palliative care and the role of the physician at the end of a patient’s life. Demonstrate professional behavior expected of a medical student, while developing a more complete understanding of physician professionalism.

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Communication Skills

Clinical Reasoning Palliative Care Physical Examination Point of Care Ultrasound

Clinical Skills Team

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Jaideep S. Talwalkar, MD

Clinical Skills Director

Professor of Internal Medicine (General Internal Medicine); Associate Dean for Education Technology and Innovation, Medical Education; Director of Clinical Skills, Office of Education; Associate Professor, Pediatrics; Editor, Yale Primary Care Pediatrics Curriculum, Pediatrics

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Tracy Yale

Manager of Clinical Skills Program

Manager, Clinical Skills Program Office of Curriculum; Manager, Clinical Education Programs

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Joseph Donroe, MD, MPH

Director of Physical Examination

Associate Professor of Medicine (General Medicine); Director of POCUS for Internal Medicine Residencies and Hospitalist Program, General Internal Medicine; Director of the YSM Physical Exam Course, Yale Medicine

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Matthew Ellman, MD

Director of End of Life Skills

Professor of Medicine (General Medicine); Director, Yale Internal Medicine Associates; Director, Medical Student Palliative and End-of-Life Care Education

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Susan Kashaf, MD, MPH

Co-Director of Communication Skills

Associate Professor of Medicine (General Medicine); Head of Advisory House, Palade House, Office of Student Affairs; Director of Communication Skills, Office of Curriculum

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Rachel Liu, BAO, MBBCh, FACEP, MD, FAIUM

Director of Point of Care Ultrasound

Professor of Emergency Medicine; Director, Point of Care Ultrasound Education, Office of Curriculum; Director, Advanced Training Period , Office of Curriculum; Vice Chair of Faculty Affairs, Emergency Medicine

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Andrés S Martin, MD, PhD, MPH

Director of Standardized Patient Program

Riva Ariella Ritvo Professor in the Child Study Center and Professor of Psychiatry; Medical Director, Children's Psychiatric Inpatient Service at Yale-New Haven Children's Hospital; Director, Standardized Patient Program, Teaching and Learning Center; Director of Medical Studies, Yale Child Study Center, Child Study Center

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Tara Sanft, MD

Associate Professor Adjunct; Chief, Patient Experience Officer; Medical Director, Survivorship Clinic

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Alina Tsyrulnik, MD

Associate Professor of Emergency Medicine; Associate Residency Program Director, Emergency Medicine; MD Director- Interprofessional Longitudinal Clinical Experience (ILCE), Yale School of Medicine

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Thilan Wijesekera, MD, MHS

Director of Clinical Reasoning

Assistant Professor; Director of Performance Improvement, Yale School of Medicine; Director of Clinical Reasoning, Yale School of Medicine; Associate, Educator Development in Teaching Clinical Reasoning, Teaching and Learning Center

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Barry J. Wu, MD, MACP

Director of Foundations of Patient Care

Professor of Medicine

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Benjamin David Gallagher, MD, FACP, AHSCP-CHS

Director of Biopsychosocial Approach to Health - Primary Care Psychiatry Clerkship

Associate Professor of Medicine (General Internal Medicine); Co-Director, Primary Care and Psychiatry Clerkship, Biopsychosocial Approach to Health (BAH) Clerkship

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