4.12: INDE 297: Reflection and Contextual Medicine

This information represents section 4.12 of the MD Program Handbook and Policy Manual and is related to the required curriculum for current Stanford students. Please refer to Section 4 of the MD Program Handbook and Policy Manual for additional information.

The curriculum for Reflections and Contextual Medicine (RCM) is designed to provide structured time independent of clinical clerkship duties, in order to promote both reflection on and reinforcement for learning in the clinical environment. RCM is structured as a two-year curriculum to span the clinical years. Sessions occur every 6 weeks, on the second Friday of even-numbered clerkship periods (see dates below), and incorporate the curricular components outlined below.

Date

Activity

Period 2 (July 31, 2020)

11:00 am – 12:00 pm: Doctoring  with Care via Zoom

Students return to clerkship after

Period 4 (September 11, 2020)

11:00 am – 12:00 pm: Doctoring  with Care via Zoom

12:00 – 1:00 pm: MedReST/Contextual Medicine (optional)

Students have afternoon off for wellness

Period 6 (October 23, 2020)

11:00 am – 12:00 pm: Doctoring  with Care via Zoom

Students return to clerkship after

Period 8 (December 4, 2020)

11:00 am – 12:00 pm: Doctoring  with Care via Zoom

12:00 – 1:00 pm: MedReST/Contextual Medicine (optional)

Students have afternoon off for wellness

Period 10 (February 5, 2021)

11:00 am – 12:00 pm: Doctoring  with Care via Zoom

Students return to clerkship after

Period 12 (March 19, 2021)

11:00 am – 12:00 pm: Doctoring  with Care via Zoom

12:00 – 1:00 pm: MedReST/Contextual Medicine (optional)

Students have afternoon off for wellness

Period 14 (April 30, 2021)

11:00 am – 12:00 pm: Doctoring  with Care via Zoom

Students return to clerkship after

Period 16 (June 11, 2021)

11:00 am – 12:00 pm: Doctoring  with Care via Zoom

12:00 – 1:00 pm: MedReST/Contextual Medicine (optional)

Students have afternoon off for wellness

Attendance and participation in INDE 297: Reflection and Contextual Medicine is required for all medical students enrolled in clerkships at Stanford affiliated sites (SHC, LPCH, VAMC, Kaiser Santa Clara and Valley Medical Center). Please note that this applies to students enrolled in required, selective, and elective clerkships.

To receive the 4-units of credit for INDE 297, students must attend all sessions throughout the day as specified and any absences should be communicated in advance.The attendance expectations for INDE 297 align with those outlined in Section 3.25: School of Medicine Absence Policy and Expectations. If a student anticipates missing a required session, they  must communicate and receive approval from the course director in advance of the session. In cases involving illness and unexpected emergencies, students should notify the course director and/or coordinator as soon as possible. Students are responsible for the content and work associated with all missed sessions. Students enrolled in Selective II Clerkships (Sub-internships) may choose to participate in clinical duties but are expected to communicate their absence in advance.

The School of Medicine Registrar’s Office will enroll students in good standing for INDE 297, four units, during the last quarter of clinical rotations before graduation.

Students should enroll in INDE 297 through Axess in their last quarter of enrollment prior to graduation.

 

end Section 4.12; updated August 2020

Course Directors: Poonam Hosamani, MDLars Osterberg, MD, MPH; Audrey Shafer, MD

Sessions occur every 6 weeks, on the second Friday of even-numbered clerkship periods (see dates below), and incorporate the curricular components outlined below.

Goals:

  1. —Develop skills that promote professional identity formation through mentoring, social interactions and self-reflection on experiences in clerkships. 
  2. —Reinforce the study of behavioral, cultural, ethical, social and socioeconomic topics with an increased emphasis on the patient experience.
  3. Introduce advances in medical discoveries, emphasizing their application in clinical practice (translational medicine), with focus on the perspective of patients.
  4. Examine broader career paths through the sharing of experiences.

Part One: Doctoring with Care Sessions

Session Time: 9:30am - 12:00pm

Doctoring with CARE sessions consist of small group debriefing/discussions, in which students on their clerkship rotations have the opportunity to discuss and reflect on critical experiences in a safe environment. Key objectives include the development of lifelong reflective practice skills and coping strategies essential to maintaining humanism and professionalism.

Facilitated by Educators for CARE faculty, these sessions are a continuing avenue to guide students’ development of four core values of the medical profession: Compassion, Advocacy, Responsibility, and Empathy.

For questions, please contact Bahij Austin (bahij@stanford.edu)

Part Two: What Would You Do? Residency Panel

Session Time: 11:20am - 12:30pm

WWYD is a case-based, resident-led course meant to focus on challenging scenarios that may be encountered in clinical practice. These sessions will address cases from different specialties that may bring up ethical or diagnostic dilemmas. The cases may also address approaches to social scenarios that may arise in the inpatient or outpatient setting.  We hope that through guided discussions, students can come away with a perspective on how to address challenging scenarios.

Session Objectives:

  • Generate a differential diagnosis through case-based discussion of challenging clinical scenarios.
  • Formulate a management plan of cases identified from their rotations.
  • Apply evidence based literature to guide management on cases
  • Perform near-peer teaching and learning in safe educational environment

Part Three: Advances & Perspectives In Medicine Lunch Seminar Series

Session Time: 12:30pm - 2:00pm

—Designed for clerkship students, APM explores advances in biomedical sciences and medical practice, faculty career pathways, reflections on doctoring, and the broader context of medicine in society.  Some sessions include patient perspectives through concurrent patient presentations.

—Student involvement is encouraged, particularly for speaker recommendations, lively Q&A, and student leadership of individual sessions

For questions, please contact Celina Ng (celinang@stanford.edu

Completion Requirements

Attendance and participation in INDE 297 is required for all medical students enrolled in clerkships at Stanford affiliated sites (SHC, LPCH, VAMC, Kaiser Santa Clara and Valley Medical Center). Please note that this applies to students enrolled in required, selective and elective clerkships.

Absence requests should be submitted to the course directors well in advance of the scheduled course date and students are required to adhere to the School of Medicine Absence Policy and Expectations as set forth by Section 3.25 of the MD Program Handbook and Policy Manual. 

 

2020-21 RCM Dates

  • July 31, 2020    
  • September 11, 2020
  • October 23, 2020
  • December 4, 2020
  • February 5, 2021
  • March 19, 2021    
  • April 30, 2021
  • June 11, 2021
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