Curriculum: Third Year

By the end of the third year the student will be able to:

1. Communicate effectively with patients (EPA #1) and staff (EPA #9)
Form therapeutic and ethically sound relationships with patients, and respectful relationships with other health care workers (EPA #9)
Perform, document and present an accurate history and physical examination, both complete and problem-focused, including mental status examination. (EPA #1)
Perform basic clinical procedures (vital signs, phlebotomy, peripheral and central venous access, suturing, lumbar puncture, Foley catheter and nasogastric tube placement, surgical scrub technique, cast application and cardiopulmonary resuscitation.) (EPA #12)
Formulate and discuss a differential diagnosis using knowledge from basic and clinical sciences data from the history and physical examination and clinical reasoning skills. (EPA#2)
Develop an appropriate diagnostic and treatment plan (EPA #3)
Incorporate family community, cultural and ethical issues into the treatment plan and process of care (EPA #1)
Access, understand and discuss findings in the medical literature and apply these findings to patient care (EPA#7)
Acquired knowledge of common clinical conditions (EPA #2, #3)
Developed an understanding of clinical research through completion and discussion/presentation of a clinical research project (EPA #7)

EPA 1: Gather a history and perform a physical examination

EPA 2: Prioritize a differential diagnosis following a clinical encounter EPA 3: Recommend and interpret common diagnostic and screening tests

EPA 4: Enter and discuss orders and prescriptions

EPA 5: Document a clinical encounter in the patient record

EPA 6: Provide an oral presentation of a clinical encounter

EPA 7: Form clinical questions and retrieve evidence to advance patient care

EPA 8: Give or receive a patient handover to transition care responsibility

EPA 9: Collaborate as a member of an interprofessional team

EPA 10: Recognize a patient requiring urgent or emergent care and initiate evaluation and management

EPA 11: Obtain informed consent for tests and/or procedures

EPA 12: Perform general procedures of a physician

EPA 13: Identify system failures and contribute to a culture of safety and improvement

**Eight-week clerkships required in the following:

And a required eight-week Neurosciences block consisting of a two-week Neurology Clerkship followed by a six-week Psychiatry & Behavioral Sciences Clerkship.

Rural Opportunities in Medical Education (ROME)
20-28 weeks - Rural Experience in Primary Care
20-28 weeks – Required one-month rotations in Pediatrics, Internal Medicine and OB/GYN plus a two-month rotation in Neuroscience. Surgery location determined by availability of staff at rural location; ROME will inform the student of this decision.

Minot Integrated Longitudinal Experience (MILE) - A 44-week experience combining family medicine, internal medicine, obstetrics/gynecology, pediatrics, surgery, neurology, psychiatry and one 4 week rotation in rural family medicine.

July through mid-June (48 weeks)