274140 Becoming a Doctor

Lecturer: Dr. Robert Glueck

Academic Credits: 1

Method of Teaching: Lectures

2 hours per week

Course Abstract:

This seminar-based course is designed to provide undergraduates an introduction to the thought processes, tools and experiences of modern medical practice. Class will be held weekly and will include didactic presentations, problem-based learning derived from clinical cases and exposure to patient care at Rambam Medical Center. The course will be led by Robert M. Glueck, M.D., F.A.C.C., and a Harvard-trained clinical cardiologist with 29 years of USA practice experience.

Sessions:

Lesson 1          Didactic Presentation: “It was the best of times, it was the worst of times – The trajectory of modern medicine:” Highlights of some of the areas of spectacular progress in medicine over the last 50 years, illustrated by “then and now” case presentations. In addition, the presentation will review some the signal problems faced by medicine today: access, cost, and “deprofessionalization.” Discussion of the students’ role in devising solutions.

Clinical Activity: The environments of medicine – introduction to the Emergency Room, Coronary Care Unit, and Internal Medicine wards at Rambam Health Care Campus.

Lesson 2          Didactic Presentation: “The Physician’s Art: the Patient Narrative:” Overview of elements of the patient interview with introduction to the history of the present illness, past medical, social and family history and differential diagnosis (Assessment and Plan).

Clinical Activity: Observation and participation in patient interviews, Internal Medicine Ward, Rambam Health Care Campus.

Lesson 3          Didactic Presentation: “The Physician’s Art: the Physical Examination:” Outline and description of the elements of a general physical examination with emphasis on cardiac auscultation.

Clinical Activity: Students auscultate their colleagues’ hearts under supervision of clinical mentor and then observe complete patient physical examination, Internal Medicine Ward, Rambam Health Care Campus.

Lesson 4          Didactic Presentation: “The Vision of Medicine: State-of-the-Art Imaging:” Overview of imaging technology, representative chest X-rays, CT scans and echocardiograms.

Clinical Activity: Review of patient examinations, Departments of Radiology and Cardiology, Rambam Health Care Campus.

Lesson 5          Didactic/Clinical Presentation: “As I Lay Dying: Patient Perspectives on Death:” Narratives presented by survivors of life-threatening illnesses: their experiences with mortality and the medical system, followed by student discussion.

Lesson 6          Didactic: “The Heart of the Matter: Cardiovascular Disease:” Overview of coronary heart disease: incidence, pathophysiology, consequences, treatments.

Clinical Activity: Cardiac patient interview, physical examination, and review of heart catheterization/intervention, Coronary Care Unit and Department of Cardiology, Rambam Health Care Campus.

Lesson 7          Didactic/Clinical Presentation: “Oh, the Places You’ll Go!: Career Perspectives in Medicine:” Presentations by several senior physicians/researchers on their own career paths in medicine, opportunities for the future and roundtable discussion.

Lesson 8          Didactic: “Die Another Day: Life-Threatening Medical Emergencies:” Case presentations including septic shock, sudden cardiac death, and overwhelming trauma.

Clinical Activity: Case review followed by patient examination, Intensive Care Unit, Rambam Health Care Campus.

Lesson 9          Didactic/Clinical: “The Doctor is…You!:” Student-led case presentations on previously assigned clinical topics integrating techniques and subject matter learned in the course; course review, closure.