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First 100 Weeks

Educaton FOW


Continuity and Change: Homeostasis is a course organized around the interrelationships between the cardiac, pulmonary and renal systems from the cellular to the organismal level.

While each system is examined independently, the interaction among the three for the maintenance of homeostasis is an overarching concept.  The relationship of structure to function is one lens through which this is examined.  Structure lab approaches cardiac, pulmonary and renal anatomy and dissection in the context of pathologic processes such as hypertension, thrombosis, ischemia, and smoking.  Since vasculature is an important common ground for the function of each individual system in relationship to many others, vascular biology is an additional focal point in this course.  The molecular and cellular mechanisms supporting hemostasis and thrombosis are examined, as are their pathological consequences. Because the curricular content parallels the medicine practice so well, the integration between scientific and clinical learning is a true highlight of this course. Students continue their clinical experiences with their medicine and ob-gyn ICE preceptors.

  • Course Goals

    Continuity and Change: Homeostasis: Course Goals

    1. Understand the principles of cardiac physiology and electrophysiology and the mechanisms by which cardiac function is maintained in health and in disease.
    2. Understand the principles of renal physiology and the mechanisms by which the internal environment is preserved in health and disease.\
    3. Understand the principles of respiratory physiology and the mechanisms by which gas exchange is maintained in health and altered in disease.
    4. Understand the interrelationships among the three organ systems under normal and abnormal conditions.
    5. Describe pharmacological or other interventions to restore or approximate normal physiology when components of these three systems are altered or disrupted.
    6. Apply principles of gross anatomy, histology, and pathology to solve clinical problems related to the cardiovascular, pulmonary and renal systems.
    7. Correlate cellular with gross organ pathology for major diseases of the cardiovascular, pulmonary and renal systems, and relate to normal histology and gross anatomy.
    8. Understand the role of imaging in the diagnosis of disease related to the cardiovascular, pulmonary and renal systems, and interpret fundamental imaging studies of these systems.
    9. Understand development of the cardiovascular, renal and pulmonary systems, and relate specific defects in developmental processes to congenital pathologies.
    10.  Apply principles of clinical epidemiology and evidence-based medicine in approaching diagnosis and treatment of disease.
    11. Demonstrate emerging critical thinking skills in problem solving of common clinical problems in cardiac, renal and pulmonary disease.
    12. Recognize the influence of bio-psychosocial factors in the context of cardiac, renal and pulmonary disease.
  • Clinical Learning Objectives
    Clinical Learning Objectives: Homeostasis
    Runs from March to May
    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 Vascular Exam (Advanced) Document an Interval History (P)
    Obtain an Interval History (P) Conduct a Cardiac Exam (Advanced) Document a Physical Exam
    Obtain a Sexual History (P) Conduct a Pulmonary Exam (Advanced) Identify a Screening Test for a Patient to your Preceptor using
    Generate a Differential Diagnosis (P)
    Educate a Patient on a New Rx (P)
    Perform Medication Reconciliation and Adherence
    Obtain a Nutrition Assessment and Provide Feedback on any Dietary Recommendations
    Assist your preceptor in writing a Rx
    Discuss Smoking Cessation with a Patient
    Create a Brief Action Plan (BAP)
  • Assessment Methods

    Students are assessed in a variety of ways to generate a grade in the courses completed in the First 100 Weeks. As a faculty member or resident who is responsible for supervising a student, you 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