POM100.23

Practice of Medicine (BWH)

Credits: 0 CREDITS (Preclerkship)
Director(s): Aaron Berkowitz, Rachel Blair, Sarah Grudberg, Katherine Johnston, Mary Montgomery, Alberto Puig, Fidencio Saldana, Sonja Solomon, Robert Stern, Judith Strymish, Anita Vanka
Location: BWH - Brigham and Women's Hospital (23)
Open to Exclerks: No (HMS only)
Description: The Practice of Medicine (POM) is a weekly longitudinal course that integrates the teaching of the foundational communication, physical exam, and clinical reasoning skills during the first year of medical school. This year-long clinical course, which takes place one day per week throughout the first year of medical school, is designed to be fully integrated with a concurrent sequence of foundational basic and social sciences courses that together prepare students for entering the clinical clerkships and the Principal Clinical Experience (PCE) in October of Year II. Students entering HMS are assigned to one of our affiliated hospitals (MGH, BWH, BIDMC or Cambridge Health Alliance) and receive their foundational clinical education in the POM at that site. In order to foster continuity in education and establish meaningful relationships and mentorship, students stay at the same hospital for their second year to complete the PCE. The POM offers students the opportunity to learn clinical medicine with a multifaceted approach focused on 1) interview & communication skills 2) physical exam, clinical reasoning and diagnostic skills 3) ambulatory care and inter-professional education and 4) professional development and reflection. Guided by expert faculty of core educators at each clinical site, students participate weekly in morning and afternoon sessions that alternate between inpatient and outpatient settings. During their time in the hospital sites, students work with a set of preceptors who help them navigate the curriculum and learn foundational communication and physical diagnosis skills. Students are also assigned to a primary care clinic where a preceptor guides them and helps them understand the fundamentals of clinical practice in the ambulatory setting and the roles and responsibilities of allied health professionals by active participation in inter-professional teams. There are specialized sessions on geriatrics, pediatrics, and delivering care in a cultural context and to patients with limited English proficiency, among other topics. This multifaceted approach delivers well-integrated clinical education while allowing students to establish meaningful, lasting relationships and mentorship with clinical teaching faculty at their assigned clinical sites. The structure allows students and faculty to establish continuity in education with opportunities for accountable assessment and for mentorship/advising/coaching. Our ultimate goal is to provide students with a core clinical education that is fully integrated across the basic, social, population and clinical sciences and that serves as the broad foundation for all their future learning.