OPP 701 Osteopathic Manipulative Medicine Core Rotation Syllabus Contact Information Clerkship Director Name Field Thomas Fotopoulos, DO OMM Office BHH 226 Phone 509-249-7781 Email [email protected] Support Staff Name Field Office Phone Email Amy Gaulke Clerkship Coordinator BHH 154 509-249-7753 [email protected] Louisa Beckstrand Clerkship Coordinator BHH 154 509-249-7843 [email protected] 1. PNWU-COM Institutional Core Competencies The PNWU-COM curriculum is competency-based in accordance with accreditation requirements. For a comprehensive list of the PNWU-COM Institutional Core Competencies, see the Student Catalog. http://www.pnwu.edu/students/catalogs/student-catalogs/ 2. Course Purpose/Goals The OMM Clerkship is designed to give the student exposure to the clinical practice of this specialty. This course will give the basic knowledge required for successful completion of the end of service COMAT examination, COMLEX Level 2 for this subject, and will give a foundational knowledge for future practice. 3. Course Description/Overview This rotation is scheduled with a preceptor who is an expert in this field. The student will experience the day to day activities of clinicians as he/she assists in the care of their patients. Exposure to patients in the clinic setting will give the student opportunity to practice interview and documentation skills. The student may be given the opportunity to participate in procedures as the preceptor determines his/her readiness. Updated 9/22/14 p. 2 Osteopathic Manipulative Medicine Core Rotation Syllabus 4. Course Learning Objectives The curriculum for this rotation is based on nationally recognized standards in Osteopathic Manipulative Medicine Clerkships both in osteopathic and allopathic arenas. Completion of this curriculum should prepare the student well for the COMAT, COMLEX and make him/her competitive for residency. Grades for this course are Pass/Fail. Successful completion of the rotation requires successful evaluation from the preceptor, passing of the COMAT examination at the end of the rotation (three attempts are permitted) and completion of logs. Students who have not completed the rotation satisfactorily will be referred to P&M committee for determination of remediation. Please see the appendix for the list of "must see" cases. For each of these cases, the student should have a working knowledge of the following: 1. Signs and symptoms of the condition 2. Differential diagnosis - what conditions may present in a similar fashion 3. Basic pathophysiology 4. Primary work up 5. Primary treatment Logs of the 16 “Must See” OMM cases will be documented in E*Value on PxDx. Logs may be satisfied by seeing a patient with the condition or procedure, completing a reading assignment on the condition, or doing an online module. While each log must have at least one requirement for a passing grade, logging the number of encounters actually participated in will better reflect the rotation experience. The logs may be collated in the portfolio to showcase work for residency interviews. To verify logs completed, a summary report can be run in PxDx to see which requirements have been met. 5. Course Format The rotation block is scheduled from Monday of the first day through Sunday of the last day. It is the expectation that the student will be available to assist the preceptor or designee whenever he/she is working. This may include evening and weekend call time as assigned by the preceptor and may be up to 80 hours per week. 6. Course Logistics The most successful students will practice the following behaviors: p. 3 Osteopathic Manipulative Medicine Core Rotation Syllabus First day 1. Share contact information with the preceptor and learn what expectations of communication are. 2. Ask about the regular schedule, on call expectations and notify the preceptor if there are any excused absence days (ie. COMLEX exams). 3. Find out where personal items may be placed and documentation can be done, as well as policies regarding student access to and documentation on medical records. 4. Greet and be courteous to clinic staff. Be careful of joking, off color humor or comments that could be misunderstood. 5. Clarify expectations for the use of electronic aids. 6. Ask if he/she should pre-round on hospital inpatients and clarify time and place for meeting daily. Daily 1. Be on time and prepared with what is needed. 2. Review patients for the next day for topics to read on. 3. Read or do modules on patients seen that day for reinforcement of learning. 4. Log every day. Two to three cases logged every day will help get through the "must see" cases without last minute cramming. 5. Be prepared to assist in any opportunities that present. 6. Be enthusiastic. No matter what his/her area of interest is, there are things the student will be exposed to that may not be seen again in his/her career. Weekly 1. Participate in weekly didactics. 2. Be prepared with interesting cases he/she has seen throughout the week - help teach classmates. 3. Return to his/her clinical responsibilities before/after didactics (this should not be a full day off!) 4. Review progress on logs and the growth of his/her understanding. Mid-Rotation The student should request feedback on how he/she is doing. Make adjustments based on that feedback. End of Rotation The student should ask for a final review of his/her performance. If the student has felt especially positive about the interactions, consider asking the preceptor if he/she would consider giving a strong letter of recommendation. 7. Student Roles and Responsibilities a. Student Professionalism p. 4 Osteopathic Manipulative Medicine Core Rotation Syllabus Professional behavior is expected at all times during this course. It is important that students learn to discuss topics of a sensitive nature in a caring and professional manner. For further clarification of student professionalism expectations, see the Student Catalog. http://www.pnwu.edu/students/catalogs/student-catalogs/ b. Honor Code Reminder The highest standards of academic honesty are required of all PNWU-COM students at all times. It is expected that no PNWU student will be dishonest in any way, or give the impression of dishonest behavior, nor will PNWU students tolerate dishonesty in others. c. Sexual Harassment Policy PNWU-COM has a zero tolerance policy for sexual harassment. Refer to the Student Catalog for a copy of the PNWU-COM sexual harassment policy. http://www.pnwu.edu/students/catalogs/student-catalogs/ 8. Learner Evaluation Formative Assessments Assessment Pass/Fail Regional Dean Reviews Preceptor Evaluation of Student Performance PxDx “Must See Cases” (complete within 7 days of the end of rotation for honors) 100% complete for pass Summative Assessments Assessment Pass/Fail Preceptor Evaluation of Student Performance COMAT Students will receive a grade of Pass or Fail for this course. Standard score of 86 or greater for pass p. 5 Osteopathic Manipulative Medicine Core Rotation Syllabus 9. Grading Policy: Combined formative and summative assessments will determine passing grade. Attendance, log completion, the COMAT, and attending physician/regional dean evaluations all contribute to grade assessment. Honors will be designated for the top 15% of students for each third year Core Discipline. The top 15% will be calculated from the student’s performance with equal weight given to both preceptor evaluation and COMAT score. Honors designation will be determined at the end of the third year for all Core disciplines. To qualify for honors, logs must have been completed within 7 days of the end of the rotation. 10. Evaluations Students are required to complete anonymous end of rotation course and faculty evaluations. 11. Course Textbooks Required Textbooks Title/ISBN Author/Publisher/Edition Somatic dysfunction in osteopathic family medicine Editor, Kenneth E. Nelson (2007). Philadelphia: ISBN: 1405104759 or 9781405104753 Lippincott Williams & Wilkins Suggested Textbooks Title/ISBN Atlas of Osteopathic Techniques. The Washington manual of medical therapeutics ISBN#9781608310036 Current Medical Diagnosis and Treatment, 53rd Ed. ISBN: 978-0071806336 Foundations for osteopathic medicine ISBN #9780781766715 Medical Dictionary (Dorland or Stedman) Harrison’s Principles of Internal Medicine, 18th Ed. ISBN: 978-0071748896 Merck Manual, 19th Ed. ISBN: 978-0911910193 Author/Publisher/Edition Nicholas, A., (2008). Atlas of Osteopathic Techniques. Lippincott. Cooper, D., H, Krainik, A., J., & Lubner, S., J. (2010), 33rd edition. Philadelphia: Lippincott Williams & Wilkins. Papadakis, Maxine, Stephen J. McPhee, and Michael W. Rabow. New York: McGraw-Hill, 2014. Available on AccessMedicine. Ward, R. (2011), 3rd edition. Philadelphia: Lippincott Williams & Wilkins. Longo, Dan, et.al. New York: McGraw-Hill, 2011. Available on AccessMedicine. Porter, Robert S. (editor). Whitehouse Station, New Jersey: Merck Sharp & Dohme Corp., 2011. p. 6 Osteopathic Manipulative Medicine Core Rotation Syllabus Available online at merckmanuals.com Merriam-Webster MEDLINE Plus Medical Dictionary (online version) URL: http://www.nlm.nih.gov/medlineplus/mplusdictionary.html COMLEX Level 2-PE Review Guide ISBN: 978-0763776541 Kauffman, Mark. Sudbury, Massachusetts: Jones and Bartlett Publishers, 2011. Available on ebrary The required and recommended textbooks will provide a reference for obtaining a working knowledge of this specialty. Resources are available on Moodle to help gain expertise. 12. Disclaimer This syllabus is based upon the current commitment of faculty and resources and is subject to change should those faculty and/or resources become unavailable. Students will be informed of any changes immediately. p. 7 Osteopathic Manipulative Medicine Core Rotation Syllabus Appendix – OMM CORE Must See Cases Condition Assess spinal curves Assessment of leg length discrepancy Demonstrate the use of ICDM and CPT codes for OMT Interpretation of laboratory or imaging results Perform and document a complete history and structural exam To at least one area of the body perform Counterstrain To at least one area of the body perform Cranial Technique To at least one area of the body perform FPR To at least one area of the body perform Functional Methods To at least one area of the body perform HVLA To at least one area of the body perform Muscle Energy To at least one area of the body perform Myofascial Release To at least one area of the body perform Soft Tissue To at least one area of the body perform Still Technique To at least one area of the body perform Visceral/Lymphatic Writing a SOAP note including OMM procedure Direct Patient Care Observation Reading/Module