2019 - 2020 STUDENT CLINICAL HANDBOOK Table of Contents Table of Contents .................................................................................. 1 Mission and Core Values ..................................................................... 2 Purpose of the Clinical Handbook ..................................................... 3 Progression of Clinical Education ................................................ 3 Clinical Clerkships ........................................................................... 4 Clerkship Designations ................................................................... 4 Patient Contact Designations ....................................................... 5 Clinical Clerkship Overview: ........................................................... 7 Grading Criteria for Clinical Clerkships .................................... 10 Attendance, Code of Conduct, and Professionalism ............. 13 General Medical Center Procedures ......................................... 16 Clinical Education Paperwork .................................................... 17 Acknowledgement and Agreement: ............................................... 18 Clinical Fast Facts .............................................................................. 19 Glossary .......................................................................................... 19 Eligibility for Clinical Training ..................................................... 19 Attendance Policy: ........................................................................ 19 Breaks ............................................................................................. 19 Posts ............................................................................................... 19 Extended Sites .............................................................................. 19 Elective Off-Sites ........................................................................... 19 Frequently Asked Questions ............................................................ 21 Clinical Learning Outcome #2 .................................................... 22 Student Clerkship Feedback Form ................................................. 27 1 • The Physician is a Teacher – docere Mission and Core Values The physician's major role is to educate, empower, and motivate patients to take responsibility for their own health. Vision Creating a healthy cooperative relationship with the patient has a strong therapeutic value. A world that embraces the healing power of nature. • Prevention is the best cure – Praevenire Naturopathic physicians are preventive medicine specialists. Mission Statement Physicians assess patient risk factors and heredity susceptibility and intervene appropriately to reduce risk and SCNM is a school of medicine and health sciences grounded in prevent illness. Prevention of disease is best accomplished naturopathic principles. Dedicated to the ideal that everyone through education and a lifestyle that supports health. deserves high quality health care, we engage students in • Wellness - Salus rigorous innovative academic programs, discover and expand Establish or re-establish health and well-being. knowledge, and empower individuals and communities to achieve optimal health Therapeutic Order • Re-establish the basis for health Core Values • Remove obstacles to cure by establishing a healthy regimen SCNM embraces the following values: • Stimulate the healing power of nature • Use various systems of health such as botanicals, homeopathy, Chinese medicine, Ayurvedic medicine, nutrition, and mind-body medicine • Tonify weakened systems • Use modalities to strengthen the immune system, decrease toxicity, normalize inflammatory function, optimize metabolic function, balance regulatory systems, enhance regeneration, and harmonize life force • Correct structural integrity • Use therapeutic exercise, spinal manipulation, and massage, cranial-sacral to return to optimal structural condition • Prescribe specific natural substances for pathology • Use vitamins, minerals, and herbs to return to and promote health • Prescribe pharmacotherapy for pathology Naturopathic Principles • Use pharmaceutical drugs to return to and promote health These seven principles guide the therapeutic methods and • Prescribe surgery, pharmacotherapy modalities of naturopathic medicine: • Use aggressive therapies to attempt to maintain health • First Do No Harm - primum non nocere Taken from “A Hierarchy of Healing: The Therapeutic Order” Naturopathic medicine uses therapies that are safe and Pamela Snider, ND; Jared Zeff, ND, Lac; and Stephen Myers, ND, effective. BMed, PhD. • The Healing Power of Nature - vis naturae medicatrix The human body possesses the inherent ability to restore Components of Patient Centered health. The physician's role is to facilitate this process with the aid of natural, nontoxic therapies. Care • Discover and Treat the Cause, Not Just the Effect - tolle • Exploring the disease and the patient’s illness experience causam • Understanding the whole person Physicians seek and treat the underlying cause of a disease. • Finding common ground with the patient regarding Symptoms are viewed as expressions of the body's natural management/treatment options attempt to heal. The origin of disease is removed or treated • Incorporating prevention and health promotion so the patient can recover. • Enhancing the doctor-patient relationship • Treat the Whole Person - tolle totum • Being realistic The multiple factors in health and disease are considered while treating the whole person. Physicians provide flexible Adapted from: Huang, WY. Fam Med 2002;34(9):644-5 treatment programs to meet individual health care needs. 2 o Focus on overall health and disease prevention: Purpose of the Clinical Prevention Handbook o Establish optimum health and balance: Wellness • The student will demonstrate competency in clinical The Clinical Handbook is applicable to SCNM students currently knowledge. enrolled in the clinical curriculum. Its purpose is to outline o Dynamic and homeostatic balance policies and procedures for students during their clinical o Etiology of common conditions experience at Southwest College of Naturopathic Medicine. The o Pathogenesis and pathophysiology of common Clinical Handbook provides expectations regarding conduct and conditions provides guidelines for performance as student’s progress o Treatments for common problems through their clinical education at SCNM Medical Center, the • The student will demonstrate competency in clinical skills. Neil Riordan Center for Regenerative Medicine, extended, or o Medical knowledge as applied to clinical problem elective clinical sites. Students are responsible for adhering to solving all the information contained in the Clinical Handbook. Policies o Medical knowledge as applied to history taking and procedures contained in this handbook are subject to o Physical examination change and supersede any previous editions. Students are also o Practical procedures responsible for the policies and procedures for each site where o Laboratory and imaging they are participating in a clerkship. o Screening in relation to patient’s age and risk factors Differential diagnosis and final diagnosis Please note that for purposes of this handbook quarters are o Prognosis and management referred to by the 4-year program of study. A student following o Prescribing the 5-year program of study will need to adjust the information o Charting to the appropriate quarter for their program. o • The student will demonstrate communication skills o Communication with patients, relatives, and significant Progression of Clinical others o Communication with diverse populations and groups Education o Communication with naturopathic colleagues and other The Clinical Education Program was developed for students to health care professionals achieve a basic level of competence as an entry-level o Communication with community resources and naturopathic physician upon graduation. relations • The student will show evidence of professionalism. o Professional behavior and appearance SCNM Clinical Program Outcomes o Ethical principles and standards • The student will demonstrate application of the principles of o Legal responsibilities naturopathic medicine. o Self-care • The student will demonstrate competency in clinical o Self-learning knowledge. For further descriptions, see SCNM Clinical Competencies form • The student will demonstrate competency in clinical skills. in the Appendix. • The student will demonstrate communication skills • The student will show evidence of professionalism. Overview of Clinical Training SCNM Clinical Competencies Graduation Requirements • The student will demonstrate application of the principles of *110 clinical credits (1210 contact hours) consisting of: naturopathic medicine. • 11 clerkships (44 credits) during the 3rd year o Utilize therapies that are safe and effective: First Do No • 2 Break clerkships (2 credits each) anytime during the 3rd or Harm 4th year o Use the body’s inherent ability to heal itself: The Healing • 15 clerkships (60 credits) during the 4th year Power of Nature Two credits (22 contact hours) of Clinical Posts consisting of: o Evaluate health problems to treat the underlying cause: Treat the Cause • Laboratory post (1 credit ) o Provide individualized care to treat the whole person: • Medicinary and IV post (1 credit) Treat the Whole Person 500 patient contacts designated as: o Educate patients