BSOM HSS M3 Year Curriculum

Course	Activity	Description	HSS Topic	Instructional/Assessment Method	IHI Module
M3 Orientation	TeamSTEPPS, Communication, and Transitions of Care	Students participate in a modified version of the TeamSTEPPS program to develop and apply team skills.	• Patient safety • Communication • Transitions of care	• Large group discussion • Role playing	PS 104
Surgery	RCA Analysis	During the surgery clerkship, students participate in a simulated root cause analysis.	• Patient Safety • Systems Thinking	• Small group discussion	PS 201
Surgery	Weekly Case Conference	Weekly morbidity and mortality conference where we discuss complications that happened to the surgical patients, opportunities for improvement, classify complications and identify errors. This is followed by an educational presentation that relates to each case presented; we do a total of three cases. This is done in a supportive non punitive environment with goals of education and improvement.	• Patient Safety • Systems Thinking • Communication	• Case Conference • Small group discussion • Didactic
OB/GYN	Patient safety: fishbones	While on the OB/GYN clerkship, students participate in fish bone analysis of a health system process failure.	• Patient safety • Communication • Systems thinking	• Small group discussion • Independent exercise
OB/GYN	Patient safety: checklists	While on OB/GYN clerkship, students understand, experience and participate in a structured time-out process during surgical cases.	• Communication • Patient Safety • Teamwork	• Small group discussion as debrief	PS 101-103
OB/GYN	Simulation Day Safety Stations	Two patient safety stations incorporated into the OB/GYN Simulation Day. The first focuses on patient positioning in the OR and the second is focused on preventing fire in the operating room.	• Patient Safety	• Independent learning • Small group discussion
Pediatrics	I-PASS: Transitions of Care	Within the pediatrics clerkship, students participate in a didactic session, simulate a standardized hand-off process, and then receive formative feedback on an observed hand-off	• Communication • Patient Safety	• Small group exercise • Direct observation
Pediatrics	Clinic Flex Week Experience	While on the Pediatric Clerkship, all students participate in a week-long experience with a focus of better understanding systems based care through interprofessional experiences (dental medicine, Greene County Health Department, nurse educators (GCHD, ADHD), and a long-term pediatric care facility experience).	• Healthcare Structure and Process • Interprofessional Teamwork	• Direct observation • Small group discussion
Psychiatry	Biopsychosocial Formulation Matrix	During the Psychiatry Clerkship, students are required to complete two biopsychosocial formulation matrixes that identify factors that are protective and those that predispose, precipitate, and perpetuate their patient’s mental illness.	• Social determinants of health • Systems thinking	• Small group discussion • Biopsychosocial formulation matrix
Family Medicine	Family Medicine Population Health Activity	While on the Family Medicine clerkship, learners will participate in a role play activity where they will become a participant in the health care system and understand the complex nature of patient care from a patient, physician, political, and professional standpoint.	• Population Health • Health Care Structures and Processes	• Flipped classroom didactic • Experiential activity
Internal Medicine	Continuity of Care Project	Students provide discharge instructions and follow-up on a patient discharged from the hospital to discuss the transition of care to an outpatient setting and the impact of social determinants of health.	• Social determinants of health • Transitions of care	• Independent exercise • Direct observation
Radiology	Radiology Safety	As a component of the radiology course, students must calculate the radiation exposure for a pediatric patient and describe its effect on the child’s lifetime cancer risk	• Patient safety	• Experiential activity • Written assignment
Emergency Medicine	Simulation Cases	Students participate in simulation cases with various team roles	• Teamwork • Communication	• Group Debrief
Emergency Medicine	EHR Training	Students are instructed on the Emergency Medicine platform of the EHR to include discharge planning	• Clinical Informatics	• Didactic