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First 100 Weeks

Educaton FOW

FTB

Fueling the Body (FTB) integrates how the body acquires essential nutrients, the structures that are involved in the processing of the nutrients for proper digestion and absorption, as well as the metabolic mechanisms that enable the cells to utilize these nutrients.

The course unfolds through a series of PEARLS cases that illustrate how cells in the body are fueled. The course highlights the micronutrients (vitamins and minerals) and macronutrients (carbohydrates, proteins, and lipids) as requirements for energy metabolism. Normal nutrition and extremes of nutrition (malnutrition and obesity) are explored through their impact on the individual patient and on population health in general.

Study of the normal physiology of these organ systems and their roles in digestion and absorption of nutrients is integrated with exploration of the mechanisms by which diseases disrupt gastrointestinal function. Structure laboratory experience includes the anatomy and dissection of the abdomen and its inter-related structures, accompanied by a more detailed clinical analysis of the abdomen through CT and bedside ultrasound medical imaging and the underlying pathologic processes represented. Biopsychosocial and clinical aspects of metabolic and gastrointestinal health and disease complement the students’ learning of normal and abnormal metabolism.

During ICE, students continue interacting with patients in Medicine and Ob/Gyn ambulatory practices and in addition have surgical ICE experiences


  • Course Goals

    Fueling the Body : Course Goals

    1. Understand the basic concepts and principles of fuel metabolism in humans at the cellular, organ and total body level. 
    2. Understand lipid, glucose, and protein metabolic pathways in different tissues in both the fed, fasted and starved states.
    3. Understand the basic guidelines of nutrition and their relevance in disease etiology, management and prevention.
    4. Predict consequences of metabolic dysregulations and understand the use of pharmacological intervention in treatment and/or management of metabolic diseases. 
    5. Understand how the anatomy and physiology of the gastrointestinal tract relate to digestion, storage and absorption of foodstuff and excretion of waste products.
    6. Understand the endocrine and exocrine functions of the pancreas.
    7. Understand how inflammation, obstruction, and neoplasm can impact the normal function of the digestive organs.
    8. Understand the central role played by the liver and biliary system and how impaired liver function adversely impacts homeostasis.
    9. Apply principles of gross anatomy, histology, and pathology to solve clinical problems related to the gastrointestinal system.
    10. Correlate pathology on a cellular level with gross organ pathology for major diseases of the gastrointestinal system and relate this back to normal histology and gross anatomy.
    11. Understand the role of imaging modalities in the diagnosis of disease related to the gastrointestinal system and interpret fundamental imaging studies of these systems.
    12. Understand development of the gastrointestinal system and relate specific defects in developmental processes to congenital pathologies.
    13. Approach patient encounters with professionalism and respect for the patient, caregivers, and the medical team.
    14. Use communication skills to build rapport with patients and assess a patient's condition.
    15. Perform a hypothesis-driven physical examination on a patient who has diabetes.
    16. Understand the rationale behind the advanced abdominal exam as it pertains to various intraabdominal pathophysiology.
    17. Perform technically valid ultrasound examinations of the gastrointestinal system.
    18. Generate a reasonable differential diagnosis organized by system, pathophysiology, and epidemiology based on a patient's history.
    19. Document and present a patient's history of present illness.
    20. Understand the Zucker School of Medicine's drivers and their relationship to patient care: the continuum of care, decision making with uncertainty, social context and responsibility, quality and effectiveness, and scientific discovery.
    21. Prepare, present and facilitate discussion of higher order questions.
    22. Perform a detailed and concise self and group assessment of performance.
    23. Understand how to work as a productive member of a group.
  • Clinical Learning Objectives

    Clinical Learning Objectives : Fueling the Body

    Runs from January-March of MS1  year

    A: Assist               P: Perform

    History, Communication and Clinical Reasoning Skills Physical Exam Procedures/Screens/Documentation
    Obtain a Complete History with Agenda Setting (P) Conduct a Core Physical Exam (P) Document a History of Present Illness (HPI) (P)
    Obtain a History of Present Illness (HPI) (P) Conduct a Focused Exam for a Patient with Diabetes Document an Interval History (P)
    Obtain an Interval History (P) Conduct an Abdominal Exam (Advanced) Observe a Delivery (NSVD/C-Section)
    Obtain a Sexual History (P) Administer a Depression Screen PHQ-2/9
    Generate a Differential Diagnosis (P) Complete a Healthcare Proxy
    Obtain a Nutrition Assessment and Provide Feedback on any Dietary Recommendations Observe a Surgical Procedure
    Observe/Conduct a Pre-Operative Assessment Administer an Audit Screen (SBIRT)
    Observe/Conduct a Post-Operative Assessment Identify a Screening Test for a Patient to your Preceptor using healthfinder.gov
    Provide Counseling to a Patient with Diabetes
    Demonstrate the use of a BMI Calculator for an Adult Patient
  • Assessment Methods
    Assessment Methods

    Students are assessed in a variety of ways to generate a grade in the courses completed in the First 100 Weeks. A faculty member or a resident who is responsible for supervising the student will be expected to complete one or more assessment forms. The questions/anchors can be found on the First 100 Weeks assessment page.


Typical Week of Study