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Faculty & StaffClinical Competencies Training Problems Student Responsibilities Grading Criteria Clinical Performance Evaluation Student's Portfolio Learning Issues NBME Subject Examination Oral PresentationROME Requirements Hospital Rounds How to Study
The student's portfolio is a collection of materials submitted by the student which represents the student's clinical and learning activities during the clerkship. All students are required to submit one written learning issue, enter a completed patient data base via E*Value (PxDx/Case Logs), and complete the Student Management of Course Objectives through E*Value (Portfolio).
A list of the required patient encounters, corresponding text chapters in Symptoms to Diagnosis, and SIMPLE case numbers are here.
The purpose of the portfolio is to document the student's data collection and clinical reasoning process, to provide practice in essential written communication skills, and to facilitate the student's self-directed learning by formalizing the process of identification and discussion of learning issues.
Student Management of Course Objectives
1. Weekly Self-Reporting = 40 points
2. Milestones = 60 points
4. Learning Tasks = 70 points (35 required clinical encounters at 2 points each)
Grand Total = 170 possible points
*The portfolio is a representation of the student’s professionalism, clinical activities, and non-clinical learning activities during the clerkship. The portfolio is worth 170 points and will comprise 20% of the overall grade.
1.) Weekly Task Completion (40 points, 5 points for each week completed):
The student is expected to manage course objectives in a timely manner---specifically, by the end of each week (Monday-Sunday), the student is expected to have his or her E*Value patient encounter log data entered by 4 pm the Monday following the week’s end. (i.e. Week 1 data to be completed no later than 4pm, Monday, which is the start of week 2). Completion of this task within expected time frame allows the student to manage required patient encounters to ensure that all course objectives are met by the end of the eight week rotation. (see below, #4, for specific requirements, E*Value patient data must include required patient encounters for successful completion of clerkship)
2.) Milestones are non-clinical learning activities requiring students to attend, participate, prepare, and submit. (60 points):
- Clerkship Orientation - 5 points
- Diagnostic process/Introduction to Clinical Reasoning - 10 points
- Anemia & Back pain Case Discussions --- students are expected to arrive prepared to analyze a core case. - 5 points
- Ethics/Hospice Case Discussion ---students are expected to arrive prepared to analyze a core case. - 5 points
- Two presentations at Professor Rounds with an overall assessment on the OPCRS form of “5 Mostly on Target” or above. - 10 points each
- Mid-Clerkship feedback with Clerkship Director Week #5---student must complete Mid-Clerkship Self-Assessment in E*Value prior to this meeting. - 5 points
- Learning Issue, written report --- to be submitted and discussed with clerkship director at Mid-Clerkship session or at another agreeable time. - 10 points
3.) Learning Issues are intended to demonstrate the student’s ability to identify his/her knowledge gaps and use resources to answer and apply the identified question to a clinical scenario. The Campus clerkship director will review and discuss the written learning issue with the student.
4. Learning tasks are required patient encounters that all students must complete for successful fulfillment of the portfolio. High-priority "training problems" have been identified that help to define the core knowledge base of internal medicine. While patient encounters are preferred, there are situations when encountering the clinical problem is unlikely. (i.e. UND students tend to have limited exposure to patients with HIV). To be certain that third year clerks are able to complete their required encounters, simulated patients in the form of SIMPLE cases are linked with nearly all required clinical learning tasks. It is expected that the bulk of these encounters will be live patient encounters, not simulations. Simulations can, however, be completed in addition to clinical patient encounters if the student prefers. For successful completion of the clerkship, encounters must fulfill objective requirements (see IMED-07 and IMED-08 on Clinical Competencies page). Students are encouraged to complete all listed encounters (35 required encounters for completion, no additional points given). Failure to complete required encounters will result in a score of 0 and student must remediate this requirement.
- Complete each patient encounter---either with a clinical patient encounter + assigned chapter, or with a simulated patient encounter.
- Track your progress---the student is expected to manage his/her progress with meeting course objectives.
- Identify gaps---the student is expected to identify gaps in their completed encounters and either seek out patients to fulfill objective requirements, or complete the corresponding SIMPLE case.
- Include list of Healthy Patients, Patient with a symptom, sign, or other abnormal laboratory value, and Patient presenting with a known condition here.