welcome to mini med
TRANSCRIPT
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WELCOME TO MINI MED !SPRING 2021
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OUTLINE
o Get to know each other!
o Program overview
o Schedule
o Honors Requirements
o Electives
o Introduction to Patient Centered Medicine
o The Patient Interview
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INTRODUCTIONS AND ATTENDANCE
• Preceptors introduce themselves
• Take attendance
• Take a moment to get to know each other…
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PROGRAM OVERVIEW: WHAT IS MINI MED?
• 6 week program
• Designed to introduce a wide range of medical topics to
students who are interested in medicine
• What to expect
• Homeroom presentations with medical students
• Lectures given by Rutgers faculty
• Electives available to enhance your experience
• Final Quiz - taken online
• Opens Wednesday March 3rd, 8pm
• Closes Wednesday March 10th, 8pm
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HOMEROOM PRESENTATIONS
January 27 – Intro to Mini-Med and Patient Centered Medicine
February 3 – The Nervous System and Mental Health
February 10 – Healthy Living and Cardiology
February 17 – Pharmacology and Public Health
February 24 – Medical Ethics
March 3 – Infectious Diseases and Vaccines
March 10 – Graduation
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RUTGERS FACULTY LECTURES
January 27 – Psychiatry and Addiction
February 3 – Introduction to Emergency Medicine
February 10 – Introduction to Cardiology
February 17 – Sexual Health and Risk Avoidance
February 24 – Diagnosis and Treatment of Genetic Disorders
March 3 – Endocrinology and Diabetes
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MINI MED HONORS DISTINCTION
Requirements
o Only ONE absence from Mini Med
o Participate in THREE electives
o Score within the top one-third on the Final Quiz Grades –
quiz is based on homeroom power pointso The homeroom power points will be posted online. The link is
here:
http://njms.rutgers.edu/community/public_education/minimed/schedule.cfm
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ELECTIVES
o Basic Life Support
o Surgical Knot Tying
o Bleeding Control
o Anatomy 101
o Technology in Medicine
o Mock Patient Interview
o … And many more!!!
See your acceptance email for more details on electives. In the
acceptance email, you will find the form to sign up for different electives!
To get credit for attending an elective, you must check in with the
Mini Med Preceptor at that elective session
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PATIENT CENTERED MEDICINE
Chances are that you’re here because you like science ...
But this is medicine! The patient always comes first!
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PATIENT CENTERED MEDICINE
⮚What do you think makes medicine different from science?
⮚What qualities make a good healthcare provider?
⮚How about good qualities for a doctor? Nurse? EMT?
⮚Are there qualities that apply to all?
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PATIENT CENTERED MEDICINE
• Patient Centered Medicine is characterized by a respectful and
compassionate relationship between doctors and patients
• Why is this important? Because respect and compassion build
trust
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PATIENT CENTERED MEDICINE
• Some of the questions we need to ask as doctors are quite personal. For
example:
• “Do you use any recreational drugs?”
• “Are you in a relationship with someone who physically or emotionally hurts you?”
• If patients do not trust their doctors, they might not answer these
questions truthfully. This can lead to sub-optimal medical care
• This can lead to mistakes in medical decision making, because doctors
are not getting “the full story” or ”the true story” from their patient
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PATIENT CENTERED MEDICINE
We must practice patient centered medicine if we
want to give our patients the best care
“You’re only half a physician if you’re just good at
your craft. Unless it’s coupled with patient-centered
care and humanism, it’s suboptimal care.”
-Dr. Arnold Gold
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THE PATIENT INTERVIEW
• In the coming weeks, you will cover a vast range of
medical topics such as cardiology, neurology, vaccines,
pharmacology and more...
• But to start, we’ll focus on How to Talk to a Patient!
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WHITE COAT SYNDROME
“With great power comes great responsibility”
Uncle Ben from Spiderman
• White Coat Syndrome - a common phenomenon where patients have higher
heart rate and blood pressure while visiting the doctor due to anxiety.
• You hold a lot of power as a healthcare provider.
• It’s important to take this into account when talking to patients! Make them as
comfortable as possible!
• What are some ways to combat White Coat Syndrome?
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THE PATIENT INTERVIEW
• The patient interview is a structured way of talking to your patient
and obtaining pertinent information from them
• A full patient interview contains many different sections, such as:
• Past Medical History
• Family History
• Risk Factors (smoking, alcohol, drugs, etc.)
• We are going to teach you the first two parts of the patient interview:
• Chief Complaint
• History of Present Illness
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CHIEF COMPLAINT & HISTORY OF PRESENT ILLNESS
• Chief Complaint - this is your patient’s main concern for the visit.
Put simply, it is the reason why they came in to see a doctor
• Start off the interview by asking a simple, open-ended question: “What brings
you in here today?”
• Allow the patient to explain in their own words what is wrong with them.
• History of Present Illness – a series of more specific questions
about the patient’s chief complaint
• We use a mnemonic to remember the questions to ask -
CLODIERRSSS
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• Characterize - how would you describe the pain?
• Location - can you point to the pain?
• Onset - when did this start?
• Duration - how long does the pain last?
• Intensity - rate the pain from 1 to 10
• Exacerbation - anything make it worse?
• Remission - anything make it better?
• Radiation - does the pain spread anywhere else?
• Setting - where were you or what were you doing when it started?
• Symptoms, other - any other related issues?
• Social impact - how is this issue affecting your life?
CLODIERRSSS
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• CLODIER2S3 is a structured method to conduct a patient history
interview.
• But remember! The goal is to keep humanism at the forefront of the
conversation. Keep the following qualities in mind.
• Empathy
• Understanding
• Compassion
• Humility
• Awareness
CLODIERRSSS
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In the “CLODIERRSSS” framework that we use to
conduct a patient interview, the letter “C” is for ______?
A) Cookie
B) Culture
C) Carbohydrate
D) Characterize
E) Color
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In the “CLODIERRSSS” framework that we use to
conduct a patient interview, the letter “C” is for ______?
A) Cookie
B) Culture
C) Carbohydrate
D) Characterize
E) Color
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You will have the chance to perform your own patient
interview on March 3rd to earn an elective credit
Pay close attention to the interview demo
PATIENT INTERVIEW
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Scenario:
• Patient is 45 years old
• Patient is visiting your office for the first time
• Complains of right elbow pain
PATIENT INTERVIEW DEMONSTRATION
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PATIENT INTERVIEW DEMONSTRATION
• What are your thoughts of the interview?
• Did you spot the CLODIERRSSS elements?
• What are some other good questions to ask this patient?
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PATIENT INTERVIEW LOGISTICS
Now that you’ve seen what the interview looks like…
• Students can volunteer to perform an interview as a doctor on March
3rd for an elective credit.
• Cap of 2 students per homeroom. There’s only so much time!
• Students must declare they want to do the interview during Mini Med
on February 24th.
• If there are more than 2 students interested, your homeroom teacher
will choose by random lottery.
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THANKS!
Questions?
Comments?
Concerns?
Mini Med Website – homeroom power points will be posted here
http://njms.rutgers.edu/community/public_education/minimed/schedule.
cfm