Objectives for Biomechanics II Course

4th YEAR CLINICAL ROTATIONS

Podiatric Clerkships

PMED 1805 A, B, C, D

ROTATION SYLLABUS

MIDWESTERN UNIVERSITY

Arizona School of Podiatric Medicine

4 one month rotations

16 CREDIT HOURS TABLE OF CONTENTS

I. AZPod Liaisons

II. Rotation Description

III. Prerequisites

IV. Rotation Goals

V. Rotation Educational Objectives

VI. Schedule

VII. Policies and Procedures

VIII. Health and Safety

IX. Evaluation Policy

X. Required Textbooks/Reading

XI. Recommended Textbook/Reading

XII. Podiatry Program Mission and Vision Statements

XIII. Rotation Evaluation Sample Form

PMED 1805 Clerkship Elective – Medicine or Surgery 2 I. AZPod LIAISONS

Clinical Director: Dr. Denise Freeman Phone: 623-572-3452 Email: [email protected]

Clinical Education Coordinator: Randi Carlson Phone: 623-582-3447 Email: [email protected]

II. ROTATION DESCRIPTION The rotation consists of four 4-week training experiences at established podiatric medical student training programs involving both an ambulatory and a hospital based component. Students apply for the privilege of training at these hospitals located in the Southwest and across the United States. The overall goal of the experience is for the student to improve the skills of evaluation and management of patients with podiatric medical, biomechanical, and surgical disorders. In addition, students will enhance skills in documentation, history taking, interpretation of diagnostic tests and physical examination techniques.

III. PREREQUISITES The first three years of didactic curriculum must be completed successfully, as well as fully completing the 3rd year clinical educational program (including all preceptor evaluations, student rotation evaluations and activity logs being submitted fully) prior to beginning this rotation.

In addition to completing and submitting paperwork from the clinical rotations, students will be required to have taken and meet competency levels of the third year Competency-Based Exam.

IV. ROTATION GOALS

1. To improve skills in the evaluation and management of patients with podiatric medical, biomechanical, and surgical disorders. 2. To enhance student skills in documentation. 3. To enhance student skills in history taking, interpretation of diagnostic tests, and physical ex techniques.

V. ROTATION OBJECTIVES

The rotation objectives are provided to assist students in their clinical learning experiences. In addition to specified objectives, students must take a fundamental interest in their own education by asking appropriate questions, following patients, putting in extra time, and reading about encountered clinical problems.

PMED 1805 Clerkship Elective – Medicine or Surgery 3 General Objectives 1. Demonstrate compassionate treatment of patients, and respect for their privacy and dignity. 2. Demonstrate sensitivity and responsiveness to patient’s culture, age, gender, and disabilities. 3. Demonstrate a commitment to ethical principles pertaining to informed consent & confidentiality. 4. Demonstrate the ability to recognize their knowledge and skill limitations. 5. Demonstrate a commitment to improve one’s knowledge and ability. 6. Demonstrate caring/respectful behaviors with patients, physicians and staff. 7. Gather essential and accurate information about their patients. 8. Present cases in a concise, clear and organized manner. 9. Make informed decisions based on patient information and up-to-date scientific evidence. 10.Follow protocol for cleanliness/universal precautions. 11.Complete assignments e.g., research, presentations, journal club etc.

Educational Objectives

CODE PODIATRIC CLERKSHIP OBJECTIVES: 4.7.1 Perform a podiatric history and physical exam. 4.7.2 Perform a general physical examination for the purposes of screening a patient to undergo outpatient podiatric surgery, or to augment findings from a podiatric physical examination. 4.7.3 Order and interpret appropriate laboratory, imaging and other diagnostic testing based upon a patient’s chief complaint, presenting problem and the results of the physical examination. 4.7.4 Formulate an appropriate differential diagnosis and treatment plan based upon a patient’s chief complaint, presenting problem and the results of the physical examination. 4.7.5 Perform treatment techniques, (medical, orthopedic or surgical), based upon the results of the physical examination, including referral of a patient when necessary. 4.7.6 Assess a patient’s treatment plan and revise when necessary. 4.7.7 Develop a differential diagnosis and initial treatment plan for patients presenting with arterial conditions. 4.7.8 Develop a differential diagnosis and initial treatment plan for patients with venous and lymphatic conditions. 4.7.9 Develop a differential diagnosis and initial treatment plan for patients presenting with skin conditions, lesions and infections. 4.7.10 Develop a differential diagnosis and initial treatment plan for patients presenting with nail deformities, conditions and infections. 4.7.11 Develop a differential diagnosis and initial treatment plan for patients presenting with digital and forefoot pathomechanics, deformities and conditions. 4.7.12 Develop a differential diagnosis and initial treatment plan for patients presenting with midfoot pathomechanics, deformities and conditions. 4.7.13 Develop a differential diagnosis and initial treatment plan for patients presenting with rearfoot and leg pathomechanics, deformities and conditions. 4.7.14 Develop a differential diagnosis and initial treatment plan for patients

PMED 1805 Clerkship Elective – Medicine or Surgery 4 presenting with heel pain. 4.7.15 Develop a differential diagnosis and initial treatment plan for patients presenting with Charcot and joint pathology. 4.7.16 Develop a differential diagnosis and initial treatment plan for patients presenting with common nerve conditions and disorders. 4.7.17 Develop a differential diagnosis and initial treatment plan for patients presenting with neuromuscular and neurological disorders. 4.7.18 Develop a differential diagnosis and initial treatment plan for patients presenting with cysts and other soft tissue masses. 4.7.19 Develop a differential diagnosis and initial treatment plan patients presenting with osseous masses and deformities. 4.7.20 Develop a differential diagnosis and initial treatment plan for patients presenting with diabetic foot infections. 4.7.21 Develop a differential diagnosis and initial treatment plan for patients presenting with gout and other arthritides. 4.7.22 Develop a differential diagnosis and initial treatment plan for patients presenting with trauma to the foot and ankle

VI. SCHEDULE The schedule is dependent upon the attending preceptor, and/or supervisor. Students are required to contact the rotation site/preceptor one week in advance to verify the department’s schedule.

VII. POLICIES and PROCEDURES – Refer to Clinical Handbook 1. General Requirements. 2. Student Rotation Changes 3. Failure of a Rotation 4. Attendance 5. Communication with the Podiatric Program 6. Charting and Prescriptive Activities 7. Professionalism

VIII. HEALTH AND SAFETY – Refer to Clinical Handbook 1. Incident Reporting 2. Safety 3. Clinical Background Checks 4. Rotation Requirements 5. Immunizations 6. Student Health Insurance 7. Supervision 8. Code of Ethics

PMED 1805 Clerkship Elective – Medicine or Surgery 5 IX. EVALUATION POLICY The Arizona School of Podiatric Medicine is the final authority in determining whether a student has met the requirements to satisfactorily pass a rotation. For each rotation the following MUST be completed by the deadline as stated in the Clinical Handbook: 1. Preceptor’s Evaluation of Student 1. Student’s Evaluation of Rotation/Site 2. Student Case Logs

A passing grade from the assigned preceptor in each rotation is required for passage of the rotation. An average grade of 80 or greater is required for successful completion in the General Objectives portion of the student evaluation. A student with an average grade of 70 or below will be interviewed by the Clinical Director to determine why the grade was given. Additionally, an average grade of 80 or greater is required for successful completion of the Specific Rotation Objectives portion of the student evaluation. After consulting with the student and the clinician who gave the failing grade, the Clinical Director will render a decision with respect to additional time in the clinic for remediation. Students are encouraged to review their evaluations with the attending.

In addition to completing and submitting paperwork for the clinical rotations, the students will be required to participate in one high stakes CBE during the spring quarter of their fourth year (see Calendar for specific dates). The hands-on assessment will gauge the progression of clinical skills and knowledge. Students must display a minimum competency level before being allowed to graduate.

X. REQUIRED TEXTBOOK/READING 1. Reading materials and assignments will be given at the discretion of the rotation preceptors and directors.

XI. AZPOD MISSION STATEMENT As a leader in podiatric medical education, our mission is to ensure excellence in an environment that nurtures diversity, professionalism, dedication and creativity. Our vision is to be the standard of excellence by which podiatric medical education will be measured through:

1. Innovative curriculum 2. Cutting edge research 3. Compassionate patient care 4. Contemporary graduate and continuing medical education 5. Service to community

PMED 1805 Clerkship Elective – Medicine or Surgery 6 AZPOD PODIATRIC CLERKSHIP ROTATION EVALUATION YEAR 4 Student Name ______Rotation Dates ______Evaluator’s Name ______

Please use the flowing grading scale: 6-Unsatisfactory 7-Unsatisfactory but Improving 8-Competent Performance 9-Competent and Progressing 10-Outstanding Performance N/A-Not Applicable/Not Performed

At the end of this rotation the student, under the supervision of a preceptor, will be able to:

GENERAL OBJECTIVES 6 7 8 9 10 N/A 1. Demonstrate compassionate treatment of patients, and respect for their privacy and dignity. 2. Demonstrate sensitivity and responsiveness to patient’s culture, age, gender, and disabilities. 3. Demonstrate a commitment to ethical principles pertaining to informed consent & confidentiality. 4. Demonstrate the ability to recognize their knowledge and skill limitations. 5. Demonstrate a commitment to improve one’s knowledge and ability. 6. Demonstrate caring/respectful behaviors with patients, physicians and staff. 7. Gather essential and accurate information about their patients. 8. Present cases in a concise, clear and organized manner. 9. Make informed decisions based on patient information and up-to-date scientific evidence. 10. Follow protocol for cleanliness/universal precautions. 11. Complete assignments e.g., research, presentations, journal club etc.

PMED 1805 Clerkship Elective – Medicine or Surgery 7 CODE PODIATRIC CLERKSHIP: 6 7 8 9 10 N/A 4.7.1 Student performed a podiatric history and physical exam. 4.7.2 Student performed a general physical examination for the purposes of screening a patient to undergo out-patient podiatric surgery, or to augment findings from a podiatric physical examination. 4.7.3 Student was able to order and interpret appropriate laboratory, imaging and other diagnostic testing based upon a patient’s chief complaint, presenting problem and the results of the physical examination. 4.7.4 Student was able to formulate an appropriate differential diagnosis and treatment plan based upon a patient’s chief complaint, presenting problem and the results of the physical examination. 4.7.5 Student performed treatment techniques, (medical, orthopedic or surgical), based upon the results of the physical examination, including referral of a patient when necessary. 4.7.6 Student was able to assess a patient’s treatment plan and revise when necessary. 4.7.7 Student was able to develop a differential diagnosis and initial treatment plan for patients presenting with arterial conditions. 4.7.8 Student was able to develop a differential diagnosis and initial treatment plan for patients with venous and lymphatic conditions. 4.7.9 Student was able to develop a differential diagnosis and initial treatment plan for patients presenting with skin conditions, lesions and infections. 4.7.10 Student was able to develop a differential diagnosis and initial treatment plan for patients presenting with nail deformities, conditions and infections. 4.7.11 Student was able to develop a differential diagnosis and initial treatment plan for patients presenting with digital and forefoot pathomechanics, deformities and conditions. 4.7.12 Student was able to develop a differential diagnosis and initial treatment plan for patients presenting with midfoot pathomechanics, deformities and conditions. 4.7.13 Student was able to develop a differential diagnosis and initial treatment plan for patients presenting with rearfoot and leg pathomechanics, deformities and conditions.

PMED 1805 Clerkship Elective – Medicine or Surgery 8 4.7.14 Student was able to develop a differential diagnosis and initial treatment plan for patients presenting with heel pain. 4.7.15 Student was able to develop a differential diagnosis and initial treatment plan for patients presenting with Charcot and joint pathology. 4.7.16 Develop a differential diagnosis and initial treatment plan for patients presenting with common nerve conditions and disorders. 4.7.17 Student was able to develop a differential diagnosis and initial treatment plan for patients presenting with neuromuscular and neurological disorders. 4.7.18 Student was able to develop a differential diagnosis and initial treatment plan for patients presenting with cysts and other soft tissue masses. 4.7.19 Student was able to develop a differential diagnosis and initial treatment plan patients presenting with osseous masses and deformities. 4.7.20 Student was able to develop a differential diagnosis and initial treatment plan for patients presenting with diabetic foot infections. 4.7.21 Student was able to develop a differential diagnosis and initial treatment plan for patients presenting with gout and other arthritides. 4.7.22 Student was able to develop a differential diagnosis and initial treatment plan for patients presenting with trauma to the foot and ankle

COMMENTS: ______Has this evaluation been discussed with the student? _____Yes ____No

Signature of Student ______Date______

PMED 1805 Clerkship Elective – Medicine or Surgery 9