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First 100 Weeks

Educaton FOW


Interacting with the Environment (IE) presents how the human organism, whose immune system co-evolved with its microbial partners, maintains homeostasis.

Normal immune function is contrasted to immune dysfunction including immune deficiencies, hypersensitivity, and autoimmunity. The dynamics of immune modulation are investigated by evaluating the pharmacology of immunosuppressive and anti-inflammatory medications. The clinical applications of immunology are further extended during an introduction to rheumatology, which is paired with the study of the musculoskeletal system. Structure lab provides the venue for detailed anatomical study of the limbs, and is aligned with sessions on the musculoskeletal examination and bedside ultrasound.

The clinical applications of immunology are further extended during an introduction to rheumatology, which is paired with the study of the musculoskeletal system. Students are introduced to the core principles of dermatology crossing between dermatopathology and clinical diagnosis. Complementing the science, students are introduced to their community Pediatric preceptor, and are guided through how to communicate, examine and evaluate pediatric patients, aligning with their experiences in ICE.

  • Course Goals

    Interacting with the Environment: Course Goals

    1. Understand the development of the immune system in healthy hosts throughout the human life span including the dynamic interrelationship between the human host and microbial agents.
    2. Understand the biological mechanisms that constitute the cellular, molecular, and functional properties of the immune system, cause immunopathologies, and the scientific basis of appropriate treatment modalities.
    3. Understand how current knowledge of immunologic mechanisms of disease, results in design of therapies, and how filling gaps in knowledge could contribute to advances in treatment of immunological diseases in the future.
    4. Demonstrate competence in methods used to identify and assess immunologic and rheumatologic.
    5. Understand the immunological and musculoskeletal principles involved in the pathogenesis, pathophysiology, and clinical manifestations of common rheumatologic diseases.
    6. Understand how the pharmacological treatment of common rheumatologic diseases related to the underlying pathophysiology.
    7. Demonstrate the ability to perform a screening and focused musculoskeletal examination.
    8. Demonstrate an understanding of the gross anatomy, histology, and pathology of the musculoskeletal system and be able to apply this knowledge to clinical scenarios including traumatic, infectious, dermatological, and rheumatological disease.
    9. Understand the role of imaging modalities in the diagnosis of infectious diseases, traumatic, rheumatologic, and other diseases of the musculoskeletal system, and interpret imaging studies of this system.
    10. Develop advanced understanding of curricular drivers in relation to population and individual patients.
    11. Develop advanced communication skills necessary to effectively develop longitudinal and therapeutic relationships with more challenging patients and health care teams.
    12. Develop diagnostic clinical reasoning skills by examining how a clinician approaches a patient's chief complaint.
    13. Continue to experience meaningful patient encounters in the context of community-based clinical practices with focus on Pediatrics.
  • Clinical Learning Objectives
    Clinical Learning Objectives: Interacting with the Environment
    Runs from September to December
    A: Assist               P: Perform

    History, Communication and Clinical Reasoning Skills Procedures/Screens/Documentation Physical Exam
    Obtain a Complete History with Agenda Setting (P) Conduct a Pediatric Physical Exam (P) Document a History of Present Illness (HPI) (P)
    Obtain a History of Present Illness (HPI) (P) Conduct a Musculoskeletal Exam Document an Interval History (P)
    Obtain an Interval History (P) Administer a HEEADSSS Screen + CRAFFT
    Obtain a Sexual History (P) Document a Pediatric Physical Exam
    Generate a Differential Diagnosis (P) Identify a Screening Test for a Patient to your Preceptor using
    Educate a Patient on a New Rx (P) Use CDC Guidelines to Determine Recommended Vaccines for a Patient
    Obtain a Pediatric Developmental History
    Obtain a Nutrition Assessment and Provide Feedback on any Dietary Recommendations
    Provide Pediatric Anticipatory Guidance
    Demonstrate the use of a BMI Calculator for a Child
  • 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