Learners and clients


Wayne State Medical Students

  • Clinical Skills Segment 1

    COURSE DESCRIPTION:

    In this course, learners will demonstrate mastery of foundational knowledge and basic clinical skills in history-taking, patient examination, note writing, oral case presentation, clinical reasoning and performance of procedures required to participate in clinical service-learning activities. Students will continue to develop advanced skills in patient interviewing and physical examination emphasizing Trauma Informed Care and a patient-centered, empathic and compassionate approach, incorporating the patient’s perspective and socioeconomic background, and protection of patient privacy required to participate in early clinical experiences. Students will refine basic clinical reasoning skills.

    COURSE OBJECTIVES:

    1. Build rapport with standardized patients through responsive communication and empathy.
    2. Gather a comprehensive history, including chief complaint, history of present illness, past histories, and review of systems.
    3. Complete all Core 30 physical exam maneuvers while using a Trauma Informed approach to maintain patient comfort and modesty.
    4. Document a comprehensive and concise patient note, including chronologic history of present illness (HPI), past histories, physical exam, summary statement, problem list, and differential diagnoses.
    5. Deliver a comprehensive and concise oral presentation, including chronologic HPI, past histories, review of systems (ROS), physical exam, summary statement, problem list, and differential diagnoses.

    COURSE GOAL:

    The primary goal of the Clinical Skills Course 1 series is to prepare you to enter an outpatient clinic as a novice reporter, able to obtain a complete basic patient history, perform the Core 30 physical exam maneuvers, report findings verbally and in writing, and use clinical reasoning principles to begin to guide decision making. These skills will be developed in a stepwise fashion, while integrating your growing knowledge of basic and social sciences. The course will also help you develop effective communication.

  • Clinical Skills Segment 2

    COURSE DESCRIPTION
    Designed to develop and demonstrate foundational knowledge and basic clinical skills in history-taking,
    patient examination, oral case presentation, clinical reasoning and performance of procedures required
    to participate in clinical service-learning activities. Students who are competent in these foundational
    skills will then proceed to develop advanced skills in patient interviewing and physical examination
    emphasizing a patient-centered empathic and compassionate approach incorporating the patient’s
    perspective, socioeconomic background and cultural intelligence, and protection of patient privacy
    required to participate in early clinical experiences.

    COURSE OBJECTIVES
    At the completion of this course, when presented with a communicative patient, the Clinical
    Skills Course 2 student will be able to:

    1. Demonstrate a clear ability to elicit a focused history complete with the chronology of the chief complaint, past medical history, social history, family history and review of systems.
    2. Demonstrate a focused physical exam.
    3. Correlate the significance of symptoms and physical findings with the pathophysiology of disease processes.
    4. Provide a succinct oral presentation.
    5. Define a problem list consistent with your level of training, generate a basic differential diagnosis for the main problem and suggest diagnostic and therapeutic strategies.
    6. Interpret commonly encountered tests including lab studies, ECGs, x-ray, CT, and ultrasound.
    7. Perform common clinical procedures.
    8. Recognize symptoms and signs of common medical problems.
    9. Document a focused history and physical note, consultation note, progress note and procedure note.

    COURSE OVERVIEW

    This course will help students apply and add to the skills they learned in Clinical Skills Course 1, P4 and
    Basic Sciences to optimize interactions with patients and faculty in the clinical arena.
    This is a process that requires a humanistic approach to the patient as well as the development of
    technical skills.

    To enable students to develop these new skills, we provide an environment where they can learn, make
    mistakes and ask questions. We will do this through a number of activities this year. After the self-study
    session for each unit, students will have the opportunity to practice history taking, physical exam, medical
    decision making, procedures, note writing and oral presentation for each of the organ system/regional
    units with standardized patients, faculty, residents and senior medical students in the Kado Family
    Clinical Skills Center (CSC) here at the School of Medicine.

    At the end of the course students will complete a summative assessment. During this evaluation session students
    will be observed while taking a focused history from and perform a focused physical examination on a
    standardized patient in addition to writing a note and presenting the case. Each student will also complete a Clinical Skills written examination in the computer testing center.

  • Clinical Skills Segment 3

    During the 3rd segment:

    • Kado Faculty and staff support the development and implementation of the Year 3 Orientation
    • We also provide Gynecological Teaching Sessions to several external clients
  • Clinical Skills Segment 4

    During the 4th Segment:

    Students return to Kado to demonstrate their teaching skills while providing feedback for oral case presentations, leading case discussions, and procedural skills.

  • Clinical Skills External Programs

    We provide simulation / SP expertise to a variety of professional health programs including:

    Physician Assistant Students

    • Skills sessions and Problem Oriented Physical Exams (POPEs)
    • Comprehensive skills examinations
    • Year II OSCEs

    Pharmacy Students

    • Physical exam and communications skills practice
    • Practical Exams

    Residents/Fellows 

    • OSCEs to assess ACGME competencies, including communication and interpersonal skills, professionalism, and systems-based practice. High Fidelity Simulation.

    Nursing Programs

    • OB/GYN practice

    FULL LIST OF CLIENTS:

    INTERNAL:

    • Wayne State University School of Medicine
    • Wayne State University Genetics Counseling Program
    • Wayne State University Physician Assistant Studies
    • Wayne State University Pharmacy Program
    • Wayne State University Graduate Medical Education Sole-Sponsored Programs

    EXTERNAL:

    • Beaumont Hospital
    • Children's Hospital of Michigan
    • DMC – Harper Hospital
    • DMC – Sinai Grace Hospital
    • Henry Ford Hospital
    • Southeast Michigan Center for Medical Education
    • St. John Hospital and Medical Center
    • St. John Providence Hospital
    • St. Joseph Mercy Ann Arbor
    • St. Joseph Mercy Oakland
    • University of Detroit Mercy School of Dentistry
  • Kado Clinical Skills Center Clients & Available Services

    SERVICES:

    • We offer highly customized services to clients and stakeholders. During development, we aim to clearly identify training and assessment needs. We work closely with client faculty to design and implement comprehensive teaching and testing in a variety of clinical areas.

    DELIVERABLES:

    • Video records of learner performance, available streaming online or in hard-copy.
    • Learner performance reports, individual learner and/or customized aggregate/cohort reports.

    If you are interested in developing programming at the Kado Clinical Skills Center, please contact the Director of Operations,  Conrad Hunt, crhunt@med.wayne.edu