Block B: Family Medicine, Ob/Gyn, Pediatrics

Block B is subdivided into three 6-week units transected by two transition weeks (weeks 7 and 14) and finished off by one 3-week “selective” unit (weeks 22, 23, 24).

Block B Weekly Didactic Themes

The weekly didactics & themes are part of the UCR longitudinal learning program. Students will find that the Themes only coincide with their core subjects during the first 6 weeks. After that, the topics become random, and the subject matter may not correlate with what is being seen in the hospitals and clinics that week.

Week #	Core Didactic Themes that will appear in USMLE Step 2 and Shelf exams	Weekly PBL Case
1-OB rotation students only	Prenatal care, Fetal Development, Physiologic Adapt to pregnancy, Normal L&D, Post-partum	Pregnancy
1-Peds rotation students only	Congenital Syndromes, Jaundice, NB fever, Breast feeding, Prematurity, Group B Strep, Fetal Alcohol Syndrome	Newborn
2-OB only	Puberty, Infertility, first & third Trimester Bleed, Pre-eclampsia , contraception	Complications and Conception
2-Peds only	Congenital syndromes, Immunizations, Abnormal Growth, Nutritional Deficiencies, SIDS, ADD, Autism spectrum, Abuse and Injury	Developmental Disorders
3-OB only	Amenorrhea, Dysmenorrhea, Infertility, Endometriosis, Vaginal Bleed, Pelvic Mass	Menstrual Disorders
3-Peds only	Febrile Sz, Meningitis, FUO, Febrile exanthems, Organomegaly, TB, Hematuria, Hypotonia, Acute Pain	Pediatric Infections
4-OB only	Pre-natal care, Fetal Development, Physiologic Adapt to pregnancy, Normal L&D, Post-partum	Pregnancy
4-Peds only	Congenital Syndromes, Jaundice, NB fever, Breast feeding, Prematurity, Group B Strep, Fetal Alcohol Syndrome	Newborn
5-OB only	Puberty, Infertility, first & third Trimester Bleed, Pre-eclampsia , contraception	Complications and Conception
5-Peds only	Congenital syndromes, Rh Disease, Immunizations, Abnormal Growth, Nutritional Deficiencies, SIDS, ADD, Autism spectrum, Abuse and Injury	Developmental Disorders
6-OB only	Amenorrhea, Dysmenorrhea, Infertility, Endometriosis, Vaginal Bleed, Pelvic Mass	Menstrual Disorders
6-Peds only	Febrile Sz, Meningitis, FUO, Febrile exanthems, Organomegaly, TB, Hematuria, Hypotonia, Acute Pain	Pediatric Infections
Weeks 8-20 are for all students	Screening Exams, Cancer detection, Osteoporosis, HRT, Obesity, Hyperlipidemia, Menopause	Adult Well exam
9	DM 1, DM 2, LADA, pharmacology, Retinopathy, Nephropathy, Obesity	Diabetes
10	Fluid and Elect, Infect Disease, Biliary Disease, Hepatitis, Gastric Bypass, PUD, Nausea & Vomiting	Gastroenterology
11	BPH, CA Prostate, Stress Urinary Incontinence, UTI in children	Urology
12	STDs, HIV, Dermatology, Microscopy (wet mounts/KOH)	STDs, HIV, Rashes
13	Acute Depression, Chronic Depression, Suicide, Bipolar I & II, PMS/PMDD, Schizophrenia, Personality Disorders, Panic, Eating Disorders	Psychiatry
15	RA, SLE, Gout, Bursitis, JRA, Sickle Cell Anemia, Psoriasis, Overuse syndromes, OA	Rheumatology
16	Drug Abuse/Addiction, Tobacco cessation, Chronic Pain, Pharmacology, Seizures	Neurology and Chronic Pain
17	Pharmacology, Cardiomyopathy, Hypertension, SAH, Adrenal disease, Thyroid Disease	Endocrinology & More
18	Congenital heart Disease, Asthma, Allergy, Spirometry, Sinusitis, Bronchitis, Influenza, Pharyngitis, Otitis	Childhood Dyspnea
19	Stroke, TIA, Dysrhythmias, Menieres, Anemia, Fatigue	Neurology & More
20	Mental Status Exam, Alzheimers, Parkinsons Disease, Geriatrics, pharmacology	Neurology & Still More
21	OSCE + SHELF exams	Finals
22, 23,24	Selectives

Patient Types/Procedures by Discipline

All students are required to document patient encounters/ procedures using the New Innovations system.

Family Medicine

Discipline/ Patient Type	Setting	Level of Participation	Ancillary Reading
	O=outpatient I=inpatient S=simulation	O=observation P=participate with supervision I=independent with supervision	fmCases Modules (https://aquifer.org/) Notations are for fmCases unless specified otherwise. Perform the modules if the cases are not seen buy week #14.
Adult Well Care	O	I	fmCases #1,2
Diabetes	O	I	16
Hypertension	O	I	8
Sinusitis	O	I	13
Back Pain	O	I	10, 11
Tobacco dependence	O	I	28
URI, adult	O	I	21
Thyroid disease	O	I	CLIPP 9
Obesity, not in a child	O	I	fm#21, SIMPLE#16
Rash	O	I	Fm#16, CLIPP#32, SIMPLE #17

OB/Gynecology

Discipline/ Patient Type	Setting	Level of Participation	Ancillary Reading
	O=outpatient I=inpatient S=simulation	O=observation P=participate with supervision I=independent with supervision	APGO Modules: found at https://www.youtube.com/channel/UCB67eiHQzqqLUBHrDJzYdtQ Perform these if you have not seen the case by week #14.
Normal pregnancy incl peri-postpartum management	O/I	I	APGO # 9,10,11,13
Hypertension in pregnancy	O/I	P/I	APGO #18
Bleeding per vagina	O/I	P/I	23,27,45
Amenorrhea	O/I	I	43
Dysmenorrhea	O/I	I	15,38,39,46 (See pelvic pain below)
Menopause	O/I	I	APGO#47, SIMPLE#13
Pelvic Pain	O/I	I	15,38,39,46
Sexually transmitted infection	O/I	I	36
Abnormal pap smear	O/I	P/I	3, 52
Contraception management	O/I	I	33
Gynecologic malignancy	O/I	P/I	53, 54, 55
Urinary complaint	O/I	I	37
Procedures		I
Normal delivery	I	P
Pelvic examination w/ or w/o pap	O/I	P
Caesarian section assist	I	P

Pediatrics

Discipline/ Patient Type	Setting	Level of Participation	Ancillary Reading
	O=outpatient I=inpatient S=simulation	O=observation P=participate with supervision I=independent with supervision	CLIPP Modules (https://aquifer.org/) Notations are for CLIPP unless specified otherwise. Perform the modules if the cases are not seen buy week #14. *n/a = already assigned in the first 3 weeks of the rotation
Normal newborn	O/I	I	*n/a (module 1)
Newborn with murmur	O/I	I	18
Normal/Abnormal Growth and Development	O/I	I	*n/a (2,3,9)
Upper Respiratory Illness	O/I	I	CLIPP#12,(fmCASES#21)
Asthma	O/I	I	*n/a (13)
Nausea/Vomiting, pediatric	O/I	P/I	*n/a (15)
Diarrhea, pediatric	O/I		CLIPP #15
Obesity, childhood	O/I	I	4
Congenital disorders incl infection	O/I	I	29
Otitis media	O/I	I	18
Pharyngitis	O/I	I	fmCASES 23

Grading and Evaluations for OB/GYN and Pediatrics

Faculty evaluations (% of maximum points attainable) shall be multiplied by x 0.5 to allow the maximum score to reach 50% of the final grade.
The OSCE score (% of maximum points attainable) shall be multiplied x 0.3 to allow the maximum score to reach 30% of the final grade.
The shelf exam score (% of maximum points attainable) shall be multiplied by x 0.2 to allow the maximum score to reach 20% of the final grade.

The scores of the faculty evaluations, OSCE score, and Shelf exam score shall be summed. No site shall have a proportionate preponderance or paucity of the students who receive honors. An average of 20% of the class shall receive the grade of honors and an average of 30% who receive high pass each block. Grades are based upon the above parameters and the application of indices of professionalism and completion of weekly themes topics that are outside of the scope of the above numeric process, but which can eliminate honors (discussed elsewhere).

Grading and Evaluations for Family Medicine

Faculty evaluation will be multiplied by (100/maximum points attainable) x 0.625 to allow the maximum score to reach 62.5% of the final grade.
The final OSCE score shall be multiplied by (100/maximum points attainable) x 0.375 to allow the maximum score to reach 37.5% of the final grade.
- The scores of the faculty evaluations and the OSCE shall be summed. An average of 20% of the class shall receive the grade of honors and an average of 30% shall receive high pass each block. Grades are based upon the above parameters and the application of indices of professionalism and timely completion of weekly themes topics. No student who has failed any of the shelf exams for the entirety of the third year will be eligible for honors in either family or emergency medicine.

School of Medicine Undergraduate Medical Education