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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

  1. 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.
  2. 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.
  3. 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

  1. 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.
  2. 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.