Initial Clinical Experience II
Initial Clinical Experiences (ICE) II is an ambulatory clerkship during the second year of medical school in which students are paired with two discipline-specific, physician faculty preceptors. Building upon their experiences actively participating in patient care during ICE I, students work with preceptors in pediatrics and psychiatry. These clinical experiences complement our second-year integrated curricular classroom themes in immunology, microbiology, infectious diseases, neurology and psychiatry. Each student also participates in three “Flex” sessions during ICE II, selecting from: ER, house calls, eICU telemedicine, corporate medicine, anesthesia, endoscopy, and ambulance runs or working with a preceptor of their choice.
- 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 II
During ICE II
Course History, Communication and Clinical Reasoning Skills Physical Exam Procedures/Screens/Documentation IE/HMI 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 healthfinder.gov 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 HC 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 Mental Status Exam (P) Document an Interval History (P) Obtain an Interval History (P) Conduct a Neurologic Exam Document a Mental Status Exam (P) Generate a Differential Diagnosis (P) Document a Physical Exam Perform an Oral Patient Presentation (P) Screen for Domestic Violence Perform a Psychiatric Interview - 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.