Phase 2
14 Months
Option 1: Clerkships
Eight-week clerkships required in the following:
Six-week clerkships required in the following:
Four-week clerkships required in the following:
Option 2: ROME
Rural Opportunities in Medical Education (ROME) is a 20-28 week interdisciplinary experience in a rural primary care setting, the remainder of the clerkships are completed at an urban home campus site.
Option 3: MILE
Minot Integrated Longitudinal Experience (MILE) is a 44-week experience combining family medicine, internal medicine, obstetrics/gynecology, pediatrics, surgery, neurology, psychiatry and one 4 week rotation in rural family medicine.
Additional Requirements For Phase 2 Students
- Clinical Epidemiology course
- Two 2-week electives
- Four week Step 1 Preparation Course
- End-of-year Clinical Skills Proficiency Review (CSPR) – mid-June
- Take and pass USMLE Step 1
By the end of the phase 2 the student will be able to:
- 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)
Entrustable Professional Activities (EPAs)
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