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First 100 Weeks

Educaton FOW

Initial Clinical Experiences

Initial Clinical Experiences (ICE) I is an ambulatory clerkship during the first year of medical school in which students are paired with three discipline-specific, physician faculty preceptors. Building upon their EMT training and our early communications and physical diagnosis curriculum, students then spend one half-day per week in a preceptor’s office actively participating in patient care. Preceptors for ICE I are drawn from three core disciplines: general medicine (internal medicine or family medicine), surgery, and obstetrics & gynecology, coordinated temporally with the integrated curricular classroom themes. Students have continuity relationships with both preceptors and patients during ICE I and through these relationships, learning occurs. Each student also participates in two “Flex” sessions during ICE I, selecting from: ER, house calls, eICU telemedicine, corporate medicine, anesthesia, endoscopy, and ambulance runs or working with a preceptor of their choice.

Guiding Principles

Each individual student is paired with five discipline-specific, physician faculty preceptors in the following core disciplines: general medicine (internal medicine or family medicine), surgery, pediatrics, obstetrics-gynecology and psychiatry.

ICE ambulatory practices are all part of Northwell Health and students are assigned to one of the following sites: Long Island Jewish Valley Stream, Glen Cove Hospital, Huntington Hospital, Plainview Hospital, ProHealth, South Nassau Communities Hospital, and Southside Hospital.

  • Course Goals

    Course Goals
    In the ICE program, the student:

    • Experiences meaningful hands-on patient encounters in the context of community-based clinical practices.
    • Builds longitudinal relationships with patients, preceptors, peers and the interprofessional healthcare team.
    • Actively participates in first encounters with patients with as yet undifferentiated clinical conditions and others with chronic conditions that evolve over the first 100 weeks.
    • Integrates, both intellectually and practically, classroom work in the basic and social sciences with the care of individual patients and of populations.
    • Experiences the "system" in action through the eyes of patients.
  • Clinical Learning Objectives: ICE I
    During ICE I

    Course History, Communication and Clinical Reasoning Skills Physical Exam Procedures/Screens/Documentation
    BI Obtain a History of Present Illness (HPI) (P) Conduct a Pelvic Exam Identify a Screening Test for a Patient to your Preceptor using healthfinder.gov
    Obtain a Sexual History (P) Conduct a Breast Exam
    Generate a Differential Diagnosis (P) Conduct a Thyroid Exam
    Observe/Conduct a Pre-natal/Post-partum Assessment Conduct a Male Genitourinary Exam
    Observe Delivery of Emotionally Challenging News
    FTB 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 Adminster 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
    HOM 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 healthfinder.gov
    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. 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