Introduction to Clinical Medicine I (SMD 512)

Total Contact Hours: 94.5 hours

Co-Course Directors: S. Bruce Binder, M.D., Ph.D., Associate Professor of Family Medicine and Pharmacology

Course Description: This year-long course meets one day each week and has a combination of lecture, small group, office preceptor, and standardized patient learning activities. Students learn the fundamentals of building a relationship with a patient, how to gather relevant information, and conduct a physical examination. In small group settings, students and faculty discuss the special challenges of caring for patients from diverse backgrounds, how to recognize one's own biases, and how to work effectively and ethically in difficult situations. At several points during the year, each student must demonstrate what he/she has learned by conducting a comprehensive interview and sections of the physical examination on standardized patients. In addition, each student will work with a primary care physician (pediatrics, family medicine, internal medicine) for a half-day each week for a portion of the year, learning about the complexities of providing comprehensive health care.

Course Learning Goals, Assessment, Practice, Teaching and Learning Activities, and their Integration with the Institutional Educational Objectives:

Institutional Objectives

Learning Goals

Assessment Activities (graded)

Practice/ Feedback Activities (non-graded)

Teaching and Learning Activities


C1, C2, C3

P1, P2, P3

Build an accurate and thorough patient history

Interview OSCE; Written exam

Volunteer interview; Interview small groups

Lecture/demonstration; Textbook readings


C1, C2, C3

P1, P2, P3

Perform specific physical examination skills (>120) as specified on competency sheets

Physical exam OSCE; Written exam

Physical exam small groups; Preceptors

Lecture/demonstration; Physical exam small groups; Preceptors; Textbook readings


C1, C2, C3

P1, P2, P3

Identify important differences in the approach to and examination of the neonate, the toddler, and the adolescent

Written Pediatric Quiz

Dayton Public Schools pediatrics experience

Lecture/demonstration; Dayton public Schools pediatrics experience; Textbook readings


C1, C2, C3

P1, P2, P3

Establish and build a professional relationship with a patient

Interview OSCE; physical exam OSCE

Volunteer interviews; Preceptors; Dayton Public Schools pediatrics experience

Lecture/demonstration; Interview small group; Physical exam skills small group; Textbook readings


C1, C2, C3

P1, P2, P3

Communicate effectively with patients while building an accurate and thorough patient history

Interview OSCE

Interview small groups; Volunteer interview; Interview OSCE

Lecture/demonstration; interview small groups; Textbook readings


P1, P2

Receive oral and written feedback from faculty, patients, and simulated patients in a respectful manner, and use that feedback to improve skills in succeeding encounters.


Volunteer interviews; Interview OSCE; Preceptors; Interviewing small groups; Physical exam small groups

“Helpful Feedback” session in Year 1 orientation

P1, P2

Perform an accurate self assessment of performance, strengths, weaknesses, and areas needing improvement, and reflect on those in written form.


Reflection papers; Volunteer interviews


P1, P2, P3

Demonstrate professional behavior during interactions with faculty, staff, course director – in a variety of settings.

Preceptor evaluations; Evaluated informally by course director through ongoing discussions with personnel mentioned and third year clerkship directors.

Volunteer interviews; Interviewing small groups; Physical exam small groups; Dayton Public Schools pediatrics experience; Preceptors

Lecture/demonstration; orientation materials

Institutional Educational Objectives

Category addressed Definition
1. Institutional Objectives What does our institution want our graduates to do?
2. Learning Goals If your students mastered the content of your course, what would they be able to do?
3. Assessment Activities (graded)
4. Practice/Feedback Activities (non-graded)
What will students need to do for them and others (peers, professors) to know whether they have achieved this specific learning goal?
5. Teaching and Learning Activities How will students get the information they need to learn?

Knowledge and Lifelong Learning

  • K1: The graduate will demonstrate knowledge of the basic medical sciences; clinical skills; and the ability to acquire, manage, and use current information for clinical decision-making and problem-solving in the care of individual patients, family members, populations, and systems of care delivery.
  • K2: The graduate will demonstrate knowledge of the ethical, social, economic, and cultural influences upon the health of and health care delivery to patients and patient populations, and will be able to propose realistic approaches to improving the health of an individual patient and for a patient population.
  • K3: The graduate will be able to identify the diverse factors that influence the health of the individual and the community; identify the socio-cultural, familial, psychological, economic, environmental, legal, political, and spiritual factors impacting health care and health care delivery; and be able to respond to these factors by planning and advocating the appropriate course of action at both the individual and the community level.

Interpersonal and Communication

  • C1: The graduate will demonstrate the ability to establish a professional relationship with a patient, build a comprehensive medical and social/personal history, conduct either a focused or comprehensive physical examination as indicated, construct a differential diagnosis, and recommend a course of treatment consistent with current standards of care.
  • C2: The graduate will demonstrate the ability to communicate (written and oral) clearly, professionally, and effectively with patients, their family members, health care team members, and peers.
  • C3: The graduate will demonstrate the capacity to listen to and respond appropriately to constructive feedback from peers and teachers, as well as give constructive feedback and evaluation to peers and faculty as requested.

Professionalism, Advocacy, and Personal Growth

  • P1: The graduate will be able to identify personal strengths and weaknesses in the care of patients and working with colleagues and allied health professionals, and, if indicated, demonstrate the ability to make changes in behavior that facilitate collaborative relationships.
  • P2: The graduate will demonstrate through the period of undergraduate medical education a pattern of responsible behaviors consistent with the highest ethical standards of the profession: honesty, confidentiality, reliability, dependability, civility, and punctuality.
  • P3: The graduate will demonstrate a commitment to leadership and the advancement of new knowledge.
Last edited on 01/28/2015.