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Academic Year 2017-2018 Approved by Curriculum Committee on 4-25-17

General Block / Course Information

Block / Course Code: MEDP 801 Credit Hours: 3 Prerequisites: None Strongly Recommended: None Dates of Block / Course: July 10, 2017 - July 21, 2017 Course website: http://comphx.one45.com

Block / Course Director(s)

Block/Course Director(s) Name: Elaine Niggemann, M.D. Block/Course Director(s) contact information: Email: elainen@email.arizona.edu

Telephone: 602-827-2311

Office Hours and Location: M-F By appointment HSEB B561 Co-Block/Course Director(s) Name: Glen Fogerty, PhD Co-Block/Course Director(s) contact information: Email: fogerty@email.arizona.edu

Telephone: 602-827-2201 Office Hours and Location: By appointment HSEB C545

Coordinator / Staff contact

Coordinator/staff contact name: John Gage Phone: 602-827-2217 Email: jgage@email.arizona.edu Office Location: HSEB 5th Floor B-529 Tutoring services are available to students. More information and contacts for specific block/course tutors can be found at: http://phoenixmed.arizona.edu/students/student-affairs/student-development

Course Description

Introduction to Medicine is a two-week Block for incoming first-year medical students at the University of Arizona College of Medicine – Phoenix (COM-PHX). Designed to introduce students to

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the profession of Medicine and to the College of Medicine – Phoenix, the block ends with the White Coat Ceremony.

Principal Mission

The Introduction to Medicine Block is designed to introduce new medical students to the profession of Medicine and to the College of Medicine – Phoenix. A critical objective of Introduction to Medicine is to introduce students to the culture of Medicine and the importance of Medicine as a calling as well as its impact on patients and families. During this Block, the students receive their initial instruction in basic science, course and theme areas and become acquainted with each other through social events and team-building exercises. They begin student learning development activities that orient students to the technology tools, resources, and learning and assessment methods. They are experientially introduced to both the academic and personal support systems. The Introduction to Medicine Block culminates with the White Coat Ceremony and reading of the Class of 2021 oath.

Mandatory Dates of Attendance (* indicates professional dress required)

Attendance is mandatory at all sessions due to the unique nature of the Introduction to Medicine Block, its interactive sessions, and the opportunity to begin building relationships with classmates. Dress code policy: http://phoenixmed.arizona.edu/about-us/policies/academic-affairs/dress-code A session requiring student attendance may be added or rescheduled for good cause (emergent timely content, speaker illness, venue problems, weather, etc.). Where possible, students will be given a minimum of 72 hours notice of the required date of attendance. The policy and procedure for mandatory dates can be found here: http://phoenixmed.arizona.edu/about-us/policies/academic-affairs/attendance-policy

Professional Dress* is required for:

July 10, 2017 or July 11, 2017 as designated for Badge Photo (Professional Dress)

July 11, 12, or 13, 2017: Deans’ Lunch Panel: date as assigned (Professional Dress)

July 13, 2017 or July 14, 2017 for Doctoring Interviewing Session as assigned (Professional Dress)

July 18, 2017: Patient Panel (Professional Dress)

July 19 or 20, 2017: Clerkship Experience as assigned (Professional Dress)

July 19, 2017: White Coat Rehearsal (Professional Dress)

July 21, 2017: White Coat Ceremony (Professional Dress) Professional Dress* (specific to the Introduction to Medicine Block)

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Men must wear appropriate slacks and a dress shirt. Cargo pants and jeans are not acceptable. Ties are required.

Women must wear acceptable professional dresses, skirts or slacks. Length of the skirt should be modest in order to facilitate clinical activities which involve leaning over. Necklines should also be non-revealing. Jewelry should not invade patient space during an exam (no long-necklaces, long earrings etc.).

Block/Course Learning Objectives:

Educational program objectives are a subset of more broadly defined physician competencies, which represent general domains of performance for which the profession and the public hold physicians accountable. Educational Program Objectives can be accessed by following the link: http://phoenixmed.arizona.edu/students/curriculum/educational-program-objectives Block/Course Objectives:

1. Discuss interview techniques, diagnostic procedures, reason deductively and collaborate to arrive at provisional diagnoses during a simulated patient care exercise.

2. Document simulated patient data and communicate them effectively and collaboratively with

the team.

3. Demonstrate awareness of ethical and social issues and assess information in educational resources during a simulated patient exercise.

4. Show integrity in all interactions with peers and professional colleagues.

5. Describe pathophysiology and genomics of breast cancer and explain how this disease

impacts the lives of patients and their families and recognize how physicians influence this impact.

6. Identify and apply techniques used to give/receive effective feedback.

7. Recognize and discuss how the Educational Program Objectives (EPOs) drive the teaching

and assessment within the COM-PHX curriculum.

8. Recognize the importance of self-directed active learning and how to assess individual learning needs as relevant approaches to learning the science of medicine.

9. Identify resources available to learn the science and practice of medicine.

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10. Describe medicine as a profession that is guided by sound basic science knowledge, evidence based medicine, and professionalism.

11. Recognize how the various programs and diversity within the COM-PHX support progressive

academic and clinical experiences including opportunities for service learning, rural and global health experiences and awareness of diverse cultures.

12. Recognize Medicine as a profession and its potential impact on the lives of patients, families

and self.

13. Describe the criteria by which medical students are assessed and how this process influences one’s own professional development.

14. Describe how disease impacts the lives of patients and their families and how physicians

influence this impact.

Readings

Textbook(s): RECOMMENDED Strayers, DS, and Rubin, Emanual: Rubins’ Pathology: Clinicopathologic Foundations of Medicine; 7th edition. Wolters Kluver Cost $105.34 Texts/resources suggested by students: none Other: None

Other expected Classroom / Experience Preparations

Please note: All faculty are encouraged to provide a key reference for every session. Such a reference is one that faculty deem to be the most appropriate in covering the required depth and breadth of the session presented. The academic coordinator and library staff have been advised regarding all readings and will strive to make these reading available electronically. Since session presenters distill a large amount of available material to a manageable set of session objectives, it is crucial that students access these readings for complete coverage of the material presented in class.

Student Responsibilities

On a daily basis, all students should consult the One45 homepage for the most current announcements, schedule and location of classes, and learning materials. As might be expected,

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last minute changes in scheduling, etc. are sometimes necessary, and this type of information will be shared with all students via the One45 homepage. In addition, important information may also be shared with students and faculty via e-mail, using the University e-mail system. Therefore, daily surveillance of student e-mail accounts is strongly suggested. Students will be held responsible for all material presented by lectures and laboratories in accordance with the College of Medicine-Phoenix. Students are also responsible for all announcements or schedule changes that are made in class and disseminated by e-mail and/or One45.

Assessment

Students will be assessed on medical knowledge and behavioral competencies during the block. Medical Knowledge will be assessed on exams using USMLE style multiple choice questions. Exam duration correlates to the number of questions on each exam. 90 seconds are allotted for each question in Year 1. Students will be able to view their block/course grade by accessing the Student Portal on or after August 4, 2017. The last day of the block/course is the day of the last assessment date or the last day of class, whichever occurs later. Exam Dates: Exam 1: Thursday July 20, 2017 at 4:00 p.m. through Sunday July 23, 2017 11:59 p.m. The Exam will cover specified material from July 10, 2017 through July 20, 2017. Testable sessions will be specified in the Curriculum Management System. Students requesting a change in an exam date must log on to: extranet.phoenix.medicine.arizona.edu/testdate and complete the required information at least 7 days prior to the scheduled test date. You will be notified of the outcome of the request within three business days. Dates/Times of Post Exam Reviews: Exam 1 Review dates/times: Tuesday July 25, 2017 1:00-3:00 Wednesday July 26, 2017 1:00-3:00 Exam Question Challenge Process: Students will have the opportunity to challenge Preclerkship block exam questions during the post exam review times. Any challenges to exam questions must be submitted during the review time frame via the Exam Question Challenge Form or by making an appointment with the Block Director before Wednesday July 26, 2017 at 3:00pm. Students may also review the exam by making an appointment with Student Affairs.

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Questions may only be challenged during the review period. During a review students will have access to all exam questions, answers, explanations and an individualized exam key. Students must ensure that challenges are clearly articulated, including a description of the specific problem(s) identified in a question and a justification of why additional answers should be considered. The Block Director will read and respond to all challenges via a single email to the entire class. The Block Director will clearly indicate if the challenge does or does not have merit and if any scoring adjustments will be made. A successful challenge will only result in additional credit being given and no question will be thrown out. For more information please refer to the policy: http://phoenixmed.arizona.edu/about-us/policies/academic-affairs/exam-question-challenge CBI Assessment: CBI Assessment for Introduction to Medicine will be carried over into MBLD (Molecular Basis of Life and Disease) Block Students will also be assessed in CBI by faculty facilitators in the following professional behavioral competencies: MS1

Professionalism

Interpersonal and Communication Skills

Medical Knowledge In addition, the Block Director may also assess students in the above mentioned competency areas. Appropriate professional behaviors are expected of medical students throughout all stages of the COM-PHX curriculum and are gauged by the following developmental levels of progress.

Level 1 (not meeting expectations)

Level 2 (meeting expectations)

Level 3 (exceeding expectations) Examples of these developmental levels of behavior can be found in the Assessment and Evaluation section of the COM-PHX website: http://phoenixmed.arizona.edu/students/assessment. Note: Behavioral competency assessments are not part of the overall block grade, but are developmentally assessed in each block/course. Further, students wishing to appeal a Level 1 competency grade may do so; the policy and procedures governing such appeals can be found here: http://phoenixmed.arizona.edu/about-us/policies/academic-affairs/level-1-competency-appeal-policy. To pass a block or course the following criteria must be met:

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Completion of Block Examination within the designated time frame and required attendance or equivalent makeup assignment of missed session. If this is not achieved by the end of the block, a retake examination will be offered. See policy for more information: http://phoenixmed.arizona.edu/preclerkship-block-grading-policy. If a student fails to take the exam within the required time frame, the student will be notified by July 26, 2017 to allow time to review the failed material in preparation for taking the retake exam on Monday July 31, 2017. There will be necessary faculty coverage for review of content related retake exam. For specific details regarding block failure refer to: http://phoenixmed.arizona.edu/about-us/policies/academic-affairs/block-failure

Block Failure/Remediation:

Any student failing a single block may elect to remediate during Fall Break. T h e student will meet with the Associate Dean for Student Affairs, the Block Director, the Student Development Office, and others deemed appropriate to determine as accurately as possible why the course was failed (e.g., test taking skills, volume or nature of the material, etc.). The remediation plan will comply with all aspects of the College of Medicine-Phoenix Remediation Policy and is outlined below. Director: Dr. Elaine Niggemann Location: College of Medicine - Phoenix Duration: One academic week during Fall Break 2017 (September 25, 2017 – September 29, 2017) Curriculum: Every medical knowledge component of the failed block/course, including theme content, must be included in the remediation plan. All block/course material must be assessed at end of the remediation period regardless of how the student managed this material during the regular course. Please see the Remediation Policy for complete details on remediation: http://phoenixmed.arizona.edu/about-us/policies/academic-affairs/remediation-preclerkship-courses The block/course director will, on a case-by-case basis, determine if some material covered in the original failed block/course (e.g., BioPac laboratories, patient panels, etc.) can be reviewable by remediation-eligible students without replication of the actual experience. The remediation plan will consist of one exam that will occur on the following dates: Friday September 29, 2017 at 0900. (Last day of Fall Break)

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Exams will consist of USMLE style multiple choice questions, not to exceed the total number of questions in the original course exams. The student must take the exam in order to pass the Block.

Absences

College of Medicine-Phoenix faculty and administration understand that absences from blocks/course sessions may not always be preventable. Please refer to the College of Medicine-Phoenix Attendance Policy for additional information: http://phoenixmed.arizona.edu/about-us/policies/academic-affairs/attendance-policy Students seeking an excused absence from an attendance-required session must request the absence 24 hours in advance using the following on-line form: http://extranet.phoenix.medicine.arizona.edu/comphx/index.php. Not all absences will necessarily be excused and unexcused absences will negatively impact students’ competency scores for that block/course. Students are still responsible for the material they missed. Students missing mandatory sessions (excused or not) will be expected to complete a short assignment provided by the block/course director with or without input from the session leader encompassing the topic of the missed material. In the event of an extended absence, the maximum amount of time that a student can miss and complete a posted grade of “incomplete” for this block will be two weeks.

Course Evaluation by Students

Blocks: Students will be required to complete the following evaluations in each block:

All assigned session evaluations

Either a mid or end of block evaluation, as randomly assigned For session evaluations, students will be randomly assigned no more than 15% of the total number of sessions for each block. Students will be randomly assigned to complete either a mid or end of block evaluation, but not both. Courses:

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Students will be required to complete a mid and end of course evaluation in all courses. In Capstones, students will additionally complete site-specific evaluations at the end of each Capstone experience. This system is designed so that all teaching faculty are provided feedback and student survey fatigue is minimized. Students will also have the opportunity to evaluate any session at any time as an optional and additional source of professional feedback: http://comphx.one45.com For more information, refer to the Course and Faculty Evaluation by Student Policy at: http://phoenixmed.arizona.edu/about-us/policies/academic-affairs/course-and-faculty-evaluation

Student Code of Conduct

Medical students are required to follow the policies and codes of conduct governing all students at the University of Arizona. Such policies include but are limited to the Arizona Board of Regents Student Code of Conduct (ABOR policy 5-308) which can be found at: http://deanofstudents.arizona.edu/studentcodeofconduct. In addition medical students are also bound by the College of Medicine Code of Conduct and Procedures for the honor Code Committee which can be found at: http://phoenixmed.arizona.edu/about-us/policies/academic-affairs/honor-code Because the COM-PHX requires medical students to abide by the professional standards required of physicians under Arizona law students must also abide by A.R.S 32-1401, et.seq which can be accessed at: http://www.azleg.gov/ArizonaRevisedStatutes.asp?Title=32

Policy and Procedure for Student Mistreatment

The policy and procedure for student mistreatment can be found here: http://phoenixmed.arizona.edu/about-us/policies/academic-affairs/student-mistreatment The Professional Conduct Comment Form provides a process for faculty, residents, fellows, medical students, and staff to comment upon either exemplary professional behavior OR lapses in professional behavior demonstrated by faculty, residents, fellows, medical students, or staff in the learning environment at the University of Arizona College of Medicine - Phoenix, through the mechanism outlined below.

Student Use of University Sponsored Educational Material

All University sponsored educational material, including but not limited to, lesson plans, lecture notes, PowerPoint slides, podcasts, digital videos, exams, etc. are under copyright protection.

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http://phoenixmed.arizona.edu/about-us/policies/academic-affairs/student-use-university-sponsored-educational-material Use of Class Materials The materials used in and provided for this class, are made available solely for your personal use and your current class cohort. These materials, including, but not limited to, exams, quizzes, assignments, case base instruction materials and notes or summaries that reproduce these lectures or materials, are copyright protected works. Any unauthorized reproduction or distribution of the class materials without the express written consent of the instructor is prohibited, may be a violation of the copyright, and may result in disciplinary actions being taken against you. Additionally, the sharing of class materials without the specific, express approval of the instructor may be a violation of the Honor Code, University and College policies, and an act of academic dishonesty, which could result in further disciplinary action. This includes, among other things, uploading class materials to public websites or internet sites without privacy settings for the purpose of sharing those materials with other current or future students. Faculty will inform students about specific cases (e.g., development of case based instruction presentations using Google Docs) where materials shall intentionally be shared electronically by faculty and students (within a graduation class cohort) to fulfill collaborative work needs.

Inclusivity Statement

The College of Medicine - Phoenix supports an inclusive learning environment where diversity and individual differences are understood, respected, appreciated, and recognized as a source of strength. We expect that students, faculty, administrators and staff within COM - P will respect differences and demonstrate diligence in understanding how other peoples' perspectives, behaviors, and worldviews may be different from their own.

Students with Disabilities

Please see policy on Students with Disabilities: http://phoenixmed.arizona.edu/about-us/policies/academic-affairs/students-disabilities. It is the University’s goal that learning experiences be as accessible as possible. If you anticipate or experience physical or academic barriers based on disability or pregnancy, please let me know immediately so that we can discuss options. You are also welcome to contact Disability Resources (520-621-3268) to establish reasonable accommodations. Please be aware that the accessible table and chairs in rooms should remain available for students who find that standard classroom seating is not usable. If you have any questions, please contact the Director of Student Development, Stephanie Smith

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(602-827-2342, slsmith1@email.arizona.edu).

Faculty Contact List

Name Office Phone E-mail

Dr. M. Moe Bell HSEB B509 602-827-2606 moeb1015@email.arizona.edu

Dr. David Beyda HSEB B563 602-827-2108 dbeyda@email.arizona.edu

Dr. David Bickford Library 602-827-2407 dbickford@email.arizona.edu

Dr. Stephanie Briney HSEB B575 602-827-2398 sbriney@email.arizona.edu

Kimberly Brussow, MS, CGC Dignity Health 602-406-8222 Kimberly.brussow@dignityhealth.org

Sharon Bushart Bldg. 3, 3002B 602-827-2255 sbushart@email.arizona.edu

Kristin Cardoza HSEB B534 602-827-2401 cardozak@email.arizona.edu

Kathleen Carlson HSEB Library 602-827-2340 kncarlso@email.arizona.edu

Dr. Jonathan Cartsonis HSEB B571 602-827-2406 jcartsonis@email.arizona.edu

Rosemarie Cristofolo Offsite 480-862-4963 rosemarie@christofoloschermer.com

Dr. Lee Anne Denny HSEB B573 520-626-9271 ladenny@email.arizona.edu

Dr. William Dolan HSEB C538 602-827-2123 wdolan@email.arizona.edu

Dr. Glen Fogerty HSEB C545 602-827-2201 fogerty@email.arizona.edu

Dr. Burt Feuerstein Off campus 602-827-2226 bfeuerstein@email.arizona.edu

Dr. David Guttman HSEB C544 602-827-2078 davidguttman@email.arizona.edu

Patty Hamilton AHSC 3004 602-827-2458 phamilton@email.arizona.edu

Dr. Jennifer Hartmark-Hill HSEB B569 602-827-2110 jhartmarkhill@email.arizona.edu

Dr. Craig Heise Bldg. 1, 1360 602-827-2066 wheise@email.arizona.edu

Gizella Jarrell HSEB, C538 602-827-2080 gjarrell@email.arizona.edu

Dr. Susan Kaib HSEB B581 602-827-9201 skaib@email.arizona.edu

Dr. Suwon Kim ABC 1-3001 602-343-8762 suwon@email.arizona.edu

Dr. Francisco Lucio UACOMPHX 3rd Floor 520-626-7692 flucio@email.arizona.edu

Dr. Maria Manriquez HSEB B579 602-827-2390 mmanriqu@email.arizona.edu

Dr. Farshad Fani Marvasti HSEB B345 602-827-8178 ffm@email.arizona.edu

Dr. Janet Maurer HSEB B514 602-827-2431 jmaurer@email.arizona.edu

Dr. Matt McEchron HSEB B548 602-827-2527 mcechron@email.arizona.edu

Dr. Maricela Moffitt HSEB B583 602-827-2121 moffittm@email.arizona.edu

Sonji Muhammad HSEB 5555 602-827-2621 sonjim@email.arizona.edu

Dr. Erin Nelson HSEB B532 602-827-2399 erinmnelson@email.arizona.edu

Dr. Elaine Niggemann HSEB B561 602-827-2311 elainen@email.arizona.edu

Dr. Cheryl O'Malley HSEB B556 602-827-2039 comalley@email.arizona.edu

Dr. Soumya Panchanathan HSEB B514 602-827-2010 spanchan@email.arizona.edu

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Dr. Lisa Shah-Patel HSEB C534 602-827-2308 lshahpatel@email.arizona.edu

Nicole Pitre HSEB B566 602-827-2449 npitre@email.arizona.edu

Scott Reikofski HSEB C535 602-827-2796 reikofski@email.arizona.edu

Beth Schermer OFFSITE 602-549-9847 schermer@email.arizona.edu

Dr. Miriam Sell HSEB B508 602-602-2075 miriamsell@email.arizona.edu

Jeremi Smith HSEB B552 602-827-2681 jeremismith@email.arizona.edu

Dr. Stephanie Smith HSEB C539 602-827-2342 slsmith1@email.arizona.edu

Dr. Paul Standley HSEB B558 602-827-2107 standley@email.arizona.edu

Dr. Eric Vansonnenberg HSEB B550 602-827-2226 evanson@email.arizona.edu

Except for changes that substantially affect assessment, this syllabus is a guide for the block/course and is subject to change with advanced notice.