The practice of medicine is undergoing major changes. Many of these changes are part of a transformation that will alter the way health care is organized and delivered in the future. The Penn State curriculum is designed to reinforce the enduring tenets of the practice of medicine and address the broad and changing healthcare needs of society. The curriculum is learner-centered and has been developed to prepare our students for work in a more integrated healthcare system.
The Committee on Undergraduate Medical Education composed of faculty and students, meets regularly to evaluate and modify the curriculum to keep pace with new knowledge and changes in healthcare delivery.
Phase 1 Course Descriptions
Profession of Medicine
This course is designed to help you make the transition to medical education and training and to begin to build some of the skills necessary for success in medical school and a career in medicine. The transition to medical school is a very important time in the life of every doctor. No longer are you in college or Masters programs, striving for high grades as an end in and of themselves, or as a ticket to gaining admission to medical school. These first weeks mark that time when you join the collegial ranks of the profession, and medical school represents the first step of on-the-job training. Profession of Medicine continues throughout your medical school curriculum as you transition into clinical rotations and prepare for residency.
Foundations of Patient Centered Care
This course, which spans the first 19 months of medical school training at Penn State College of Medicine, is administered within students' respective Society and is integrated with other first and second year courses. The course consists of three components: Communication/Clinical Interviewing, Physical Examination, and Integration, Application & Advancement teaching sessions.
Humanities and Health Thread
The purpose of this thread is to foster the development of humanistic, curious health care professionals who practice collaborative inquiry and self-reflection. We strive to broaden learners' conception of what is necessary for the practice of good medicine across disciplines and over time. The 18 month Health and Humanities thread is comprised of five blocks (modules? Courses?): 1) Medical Humanities, which takes up topics such as empathy, suffering and resilience, and the cultures of medicine and medical education; 2) The Mind-Body Connection, which explores topics such as placebos, learned helplessness, behavior change, and groupthink; 3) Critical Thinking, which takes up topics such as metacognition, cognitive errors and biases, intuitive versus analytic thinking, and medical decision-making in the face of uncertainty; 4) Medical Ethics and Professionalism, which provides students with a framework for decision making in the face of common ethical challenges and addresses issues involving autonomy, informed consent, advance care planning, medical mistakes and truth-telling; and 5) Communication, which focuses on exploring assumptions and biases that impact communication and communicating in dyads, teams, and larger systems. Embedded into the entire first year of the curriculum is the experiential Patients as Teachers Project, where students, in pairs, make home visits with patients and their families to learn about the lived experience of illness.
Science of Health Systems Curriculum
This 17-month longitudinal course will span the full medical school experience with the main focus in Phases 1 and 2. In this new health systems component, students will experience a new Science of Health Systems Curriculum, where they will learn the foundations of health systems, health care delivery, financing, insurance, population and public health, socio-ecological medicine, quality, safety, value, and teamwork and leadership. Additionally, students will serve as patient navigators within the health system. Both the curriculum and patient navigator will allow students to develop the knowledge, skills and attitudes to function effectively amid the complexities of an evolving health system.
Primary Care Preceptorship
The Primary Care Preceptorship provides an opportunity for first-year medical students to participate in an organized educational experience with physicians Board Certified in the specialties of Family Medicine, Internal Medicine, and/or Pediatrics. This course is scheduled for one week and requires each student to complete 40 hours within the ambulatory care setting of his/her designated preceptor. All clinical training sites are reviewed to ensure the learning environment can provide students with the opportunity to achieve defined learning objectives and the physicians who teach are up-to-date on Board Certifications. The course offers a clinical experience early in the students' medical education and exposure to the fundamentals of patient care within the emerging models of health care in the 21st century. Students are offered clinical training experiences within the setting of the Commonwealth of PA, participating practices nationally and an international track in affiliation with Global Brigades.
Clinical Learning and Competencies
Problem-based learning (PBL) classes of 7-10 students develop critical-thinking skills necessary for clinical reasoning and problem solving. Using group dynamics, PBL promotes communication, professionalism and teamwork. Students learn to research and present evidence-based articles and use SNAPPS as a technique for clinical case presentations. PBL classes are incorporated into all organ-system courses and are facilitated by a faculty member.
Human Gross Anatomy
Our goal is to provide the preclinical foundation for medicine with respect to human structure, and to correlate this knowledge to application of patient care through integration with both pathobiology of disease and physical diagnosis. The course meets in two-week blocks prior to and is integrated with organ-based courses. In addition, the course focuses on promoting team work, professional decorum and interaction, respect and compassion for others, honesty, integrity, self-reliance, patient care skills and a sense of humor.
Scientific Principles of Medicine
This course provides a wide-range of scientific knowledge that underlies medical practice. Relevant material for SPM is drawn from biochemistry, histology, genetics, cell biology, molecular biology, microbiology, infectious disease, and cancer biology. Fundamental concepts of pharmacology are introduced. The course includes active-learning components such as a simulation lab exercise and large and small-group instruction.
This course has 3 major components. The first is dedicated to orthopedics, the second to rheumatology, and the third to dermatology. The course integrates dermatology, immunology, family medicine (sports medicine), internal medicine (rheumatology), orthopedics, pathology, and pediatrics (rheumatology). The subject matter is linked as joint disease connects orthopedics and rheumatology and, immunology connects rheumatology and dermatology. The lecture content and problem-based learning cases will help to illustrate the "connectedness" of this block of material.
The goal of the hematology course is to provide students with an introduction to the pathophysiology, clinical manifestations, and the principles of treatment of diseases of the blood and blood-forming organs.
Cardiology is the students' first intensive exposure to integrative physiology. Cardiology requires mastery of cardiovascular physiology, embryology, histology, pathology, and pharmacology, as well as the clinical science underlying cardiovascular disease. Broad disease categories to be studied include hypertension, atherosclerosis, peripheral and coronary artery disease, valve disease, congenital heart disease, arrhythmias and heart failure. Lectures and problem-based learning cases are augmented by hands-on EKG sessions, training in the techniques of cardiac physical examination, workshops in hypertension management, and the diagnosis and management of lipid disorders. Principles of physiology and pharmacology are reinforced in a simulation laboratory exercise. Cardiovascular disease remains a leading killer of Americans, knowledge gained here will be useful throughout your entire medical career.
Students are introduced to the basic anatomy, histology, physiology and immunology of the respiratory track. In addition, therapy for various respiratory track problems related to mechanical dysfunctions, inflammatory and infectious processes and others will be taught. The course includes methods of diagnoses, including basic interpretation of chest X-rays and CT scans, and testing function of the respiratory system. A ventilation simulation laboratory and a lung sounds simulation session help achieve course objectives.
The course provides an introduction to the physiology, anatomy, pharmacology, microbiology, and pathology of the kidneys and urinary tract. Topics include the relationship between structure and function of urinary system; fluid, electrolyte and acid/base homeostasis in health and disease; etiology and manifestations of common diseases of the kidneys; and cellular processes that mediate the actions of pharmacological agents active in the urinary system.
Gastrointestinal Pathophysiology and Nutrition
This course provides exposure to the foundational basic science and advanced concepts necessary to understand the approaches used to diagnose, treat and manage disorders of nutrition, the oropharynx, esophagus, stomach, small and large bowel, pancreas, biliary system and liver. Foundational material will include integrative physiology of these organs. The students will develop the ability to differentially diagnose, describe treatments, and review management of nutritional disorders and support as well as diseases of the GI organs and liver. The pathogenesis, pathology, differential diagnosis, clinical course, and complications of GI and liver diseases will be covered along with aspects of clinical management, especially the pharmacology of drugs used to treat them. The course will augment large-group classroom learning opportunities with problem-based learning, wet laboratory and simulation laboratory experiences.
Neural & Behavioral Science
NBS incorporates basic neuroanatomy, neurophysiology, neurology, neuropathology, neuropharmacology, anesthesia, ophthalmology, radiology, behavioral science, and psychiatry. The goal is for students to understand the structure of the human nervous system, the biological mechanisms that underlie the functions of the nervous system, the neural basis of behavior, and the diagnosis, pathology and treatment of diseases that affect the nervous system by incorporating these topics with clinical relevance. The course also includes pathology wet labs and Neurology Day where students interact in small groups with 14 patients who have various neurological disorders.
The goal of this course is to learn about the general principles, physiology actions, causes and consequences of insufficiency or excess chemical messengers that function as hormones. These principles are then incorporated into the anatomy, histology & physiology of the female and male reproductive system, including pregnancy. Basic disease processes and therapeutics, including pharmacology, are also covered.
PROFESSION OF MEDICINE II:
This course will focus on advanced clinical skills essential for third year students. Building on materials covered in years 1 and 2, the knowledge and skill sets presented in this course will serve as a foundation for future learning. Mastery of these skills will enable the students to function effectively in the clinical environment and maximize their learning. It is expected that teaching in these areas will be expanded and the skills reinforced in subsequent clerkships.
CLINICALLY INTEGRATED MEDICAL SCIENCES:
This course will focus on building an integrated sciences approach into 3rd year medical students' clinical training. Mastery of the processes covered by the course will enhance students' ability to think critically about complex, clinical problems through the respective lenses of biomedical sciences, systems and social sciences. This course incorporates a humanities stripe dedicated to student reflection on clinical experiences while providing a supportive environment for sharing difficulties and insights.
Phase 3 - "Discovery"
Phase 4 - "Residency Prep"
PROFESSION OF MEDICINE III:
This course will focus on a review of core clinical skills and strengthen "survival skills" to combat the stresses of internship, while providing advanced instruction in communication and information regarding time management and balancing personal and professional goals.