UC College of Medicine Aims to Build a Better Doctor from Day 1

UC Health News

Ramon Reddick, MD, admitted to being a bit nervous considering it had been a while since he had assisted a patient. His fourth year of medical school was dedicated to finding a residency, and there was little time for clinical rotations.But it all came back to Reddick, a new internal medicine pediatrics resident at the University of Cincinnati (UC) Medical Center and the College of Medicine. He along with his colleagues spent a day in eight two-hour mini clinical sessions with standardized patients and physician preceptors in mock exam rooms in the College of Medicine’s Simulation Center. One hundred twenty residents were scored on their ability to render a differential diagnosis and nearly every other aspect of the patient encounter as part of the college’s Baseline Resident Assessment of Clinical Knowledge or BRACK. The program was piloted at UC in 2011 and designed to gather data on incoming residents’ knowledge to help inform patient care and safety on day one of clinical service.Traditionally, residents across the nation begin their clinical service during July.”A lot of us were apprehensive that we had forgotten most of the medical knowledge we obtained during medical school,” says Reddick. “This gave us a wake-up call and reminded us of areas which needed improvement while also boosting our confidence with the constructive feedback. After completing the assessment I was very reassured that I can successfully create differentials, read EKGs and thoroughly assess and treat patients. I thought the patient encounters were great.”During the BRACK orientation, the residents learn what types of cases they will review and what skills they are being tested on while scenarios of patient-doctor encounters are displayed and discussed in detail. This will help residents understand how their interactions should flow with mock patients and physician evaluators. The sessions are videotaped and reviewed by faculty and then shared …

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