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Objectives

  • Determine the patient’s chief complaint.
  • Elicit a chronological account of the patient’s problem.
  • Obtain and evaluate the significant aspects of the patient's prior medical history and experience.
  • Elicit a personal, social and family history from the patient, including marital status, occupation, habits, and behavioral consistencies.
  • Determine and record the physiologic and behavioral status of the patient.
  • Perform a systemic and complete examination of the head and neck area, chest, and extremities.
  • Apply all the steps listed above to access a patient with disabilities or a victim of domestic violence.
  • Have knowledge of anesthetics, analgesics, antibiotics, and commonly encountered drugs.
  • Learn the use of Lexi-Comp Online for evaluation of drugs.

1. Introduction

Medicine I is the first year of the three year Medicine Course. It is a very clinically-oriented course. Attendance is not mandatory, but the student is completely responsible for information provided during class and the information in the syllabus.

The art of patient examination and management can only be learned by constant listening, learning, interacting and applying the information appropriately -- in the preclinical setting now and in the clinical setting later. It cannot be gained solely by cramming. This is the time when you will develop the critical thinking skills which are so necessary for patient assessment.

2. Topics

The following topics will be discussed extensively during the course:

  1. Goals and objectives
  2. Course overview
  3. Introduction to patient examination
  4. History taking: overview and method
  5. Symptoms and signs associated with common medical conditions encountered and the pathophysiology associated with those disease states
  6. Cardiopulmonary assessment with demonstration
  7. Neurological assessment with demonstration
  8. Head and neck assessment with demonstration
  9. Extremities and abdomen assessment with demonstration
  10. Assessment of victims of violence, the disabled patient and the role of behavioral medicine in patient assessment
  11. Assessment of normal laboratory texts
  12. Medical physical examination overview and method
  13. Dental: History taking and intraoral examination by a General Dentist and an Oral Pathologist
  14. Prescription writing and endocarditis prophylaxis as recommended by the American Heart Association
  15. Using the Physician's Desk Reference (PDR) for evaluation of drugs
  16. Pharmacology: Anesthetics, analgesics and antibodies

3. Reading

Recommended reading should serve as a source of additional information. The recommended reading is:

  • A Guide to Physical Examination & History Taking; Barbara Bates. J.B. Lippincott Co., Publishers.
  • The Merck Manual of Diagnosis and Therapy; Robert Berkow, M.D., Editor-in-Chief. Published by Merck Research Laboratories.

3.1. Additional Suggested Reading

  • Bates B: A Guide to Physical Examination and History Taking
  • DeGowin E., DeGowin, R: Bedside Diagnostic Examination
  • Harrison: Principles of Internal Medicine
  • Kelley WN. (ed.): Textbook of Internal Medicine
  • Rose L, Kaye, D: Internal Medicine for Dentistry

4. Exams and Grading

From time to time during the course, you may be randomly examined on short test questions that will not be graded. This will help you in judging the style of clinically oriented questions that you should become familiar with. This in turn will help decide your best style of learning this material.

  • The Medicine Year 01 course is a two credit course.
  • There will be two exams, each contributing 50% towards the final grade.