Phase 3 Capstone (Non-Clinical Elective)

M80 InterDis 849

The Phase 3 Capstone course is highly structured. To provide students with the absolute best experience possible, students are REQUIRED to attend all sessions. Most sessions will be scheduled from 8 am - 5pm. Some sessions may be scheduled after 5 pm when necessary. The course calendar will be made available 4 weeks before the start of each block.

By the end of this four-week course, students will be able to demonstrate improved cognitive and clinical skills needed to enter the internship year of graduate medical training. Coursework will be divided between self-study, didactic, small group discussions, hands-on skills practice, and simulation. Parts of the course will be tailored to specialty interests.

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Lee, Adeyanju, Kranker, O'Nan

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Location: Barnes-Jewish Hospital
Elective contacts: Electives Office, wusmelectives@wustl.edu; Julie Woodhouse, woodhouj@wustl.edu
Rotation length: 4 weeks only

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The Business of Medicine (Non-Clinical Elective)

M80 InterDis 851

This two-week interactive course enhances medical students' Healthcare System Literacy, i.e. their understanding of how the healthcare system is structured, financed, operated, and regulated. They will learn how clinical decisions and options are tied to market forces, business structures, and health policy. From clinical practice management issues up to 'big picture' views of healthcare, the course modules help prepare students for the challenges they will face in their own practices as well as for leadership roles in improving patient care on a large scale. The course will be a blend of case-method sessions, targeted mini-lectures, expert panels, and field trips, all designed to invite student participation and engagement with representatives from a broad spectrum of the healthcare industry.

Course Objectives: The primary purpose of this course is to equip future physicians with a functional awareness of the market forces influencing patient care and to prepare them for an active role in healthcare delivery improvement.

By the end of the course, students should be able to:
- understand the Healthcare System, outlining key institutions, corporations, and individual players.
- analyze the basic 'nuts & bolts' of operating a medical practice across the most prevalent models of practice organization, e.g. how physicians get paid, key cost drivers, and pros/cons of different models.
- connect physicians' clinical decisions to a hospital's financial bottom line.
- see healthcare insurance issues and reform from the patient perspective.
- follow how emerging science and technology innovations progress from the bench to the bedside.
- recognize how a medical degree can be utilized across a variety of career paths.
- prepare for common personal finance challenges and milestones facing young physicians.

Assessment: The following criteria will be applied to the final credit determination:
- Participation during class discussion. Students are expected to have read cases and/or pre-reading in order to take advantage of the expert speakers and case protagonists in attendance.
- Assigned question formation and 'warm calls.' Students will be assigned specific modules for which they are expected to prepare questions for the speaker and other modules where they will have a greater likelihood on being called upon to participate in the discussion.
- Self-assessment - at the end of the course, students will submit a piece describing personal takeaways and key learnings.
- Course evaluation - student must complete a final survey on the course, rating specific modules and speakers.
- Attendance - given the importance of class interaction, absences are excused only at the organizers' discretion.

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Moon

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Location: Farrell Learning and Teaching Center
Elective Contact: Daniel Moon, MD, MS, MBA, moond@wustl.edu
Rotation length: 2 weeks only
Enrollment limit: 36

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Humanities in Medicine: Reflecting about Professional Identity (Non-Clinical Elective)

M80 InterDis 858

This elective provides a creative space for using many types of activities (narrative writing, poetry, drawing, video, graphic design, etc., as well as activities for which studios are available at the Craft Alliance) to reflect on the professional identity of physicians. The elective offers faculty and/or WUSM alumni as reflective partners, as well as collaborations with student groups or community organizations. If students would like to display their projects, they are welcome to participate in the Art to Heart Annual Art Show. Students will create independent proposals (as individuals or small groups) for a reflection project that involves the arts/humanities and relates to medicine/physicians' roles/professional identity, and make plans to complete a project to share online, at the Art to Heart art show, or in another way. Students can work on projects over time. The course will involve students reading individually the course outline, then drafting proposals for their projects, to include an outline of what they are going to do, the expected timeline, the resources/materials they might need and use, and what they hope to get out of this project (how this will help them grow individually as medical professionals). The course requirements are to produce some reflective product, in each student's choice of medium (visual art, writing, etc.) and to write a brief reflection narrative at the end of the session on their experience and inspiration for their work and how they have grown/changed in participating in this project.

Resources:1) We hope to provide studio time at the Craft Alliance for painting, ceramics, metal work, fiber (weaving, etc.), woodworking, etc., for individuals or small groups.2) The Art to Heart student group will offer students guidance and insight on their projects, hold one-on-one meetings or office hours for students to help brainstorm their projects and find resources for them.3) Students are invited to participate in monthly critique sessions, where students will meet to show each other their progress and give each other advice and thoughts on each other's project. This will encourage students to share ideas, give insight and viewpoints to each other, and provide space for reflective discussion and opportunities to brainstorm future collaborations.

Optional project ideas:

(Group)View a film about health/healthcare experience, engage in group discussion, and use film clip image printouts to create collages by individual students to create their own image reflection about their thoughts and emotions after viewing the film. Students will be provided colored pencils, crayons, colored papers, and pens to draw/color/write about their thoughts and emotions. This can also occur individually. This will kick-start their reflection, using art/humanities as media.
(Group) Create wristbands/ keychains using colorful threads/fabric yarns using suture tie techniques. Keep the products or sell them for fundraising.
(Group) Gather waste products from the hospital or the school to create artworks that reflect students' patient experiences or raise awareness of hospital waste.
(Group or Individual) A student who decides to translate their research into something visual (such as drawing/sculpture/print etc.) can use the media to display their research.
(Group or Individual) Paint a mural at Mural Mile during Paint Louis event on Labor Day weekend.

Med: WUSMEC

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Wallace, Hanson

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Elective contact: Quinn Koboldt, koboldt@wustl.edu
Rotation length: 2 or 4 weeks
Enrollment limit per block: 5

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Mind Body Stress Reduction (Non-Clinical Elective)

M80 InterDis 863

Mind-Body Stress Reduction is a program that uses intensive training in mindfulness meditation to teach people how to:
- Reduce stress and anxiety
- Increase focus & concentration
- Manage health problems
- Live more fully productive lives

Mind-Body Stress Reduction utilizes both formal and informal mindfulness meditation practices. Mindfulness can be described as non-judgmental, non-striving, moment-by-moment attention. It is often called present-centered awareness, a state of consciousness that has been shown to have health benefits for the autonomic nervous system, to increase immune function, and to increase alpha and theta brain waves, which are present in deep states of relaxation.

Med: WUSMEC

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Moscoso

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Elective contact: Kayla Young, kaylay@wustl.edu
Rotation length: 4 weeks only
Enrollment limit: 30

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Care of the Homeless (Non-Clinical Elective)

M80 InterDis 864

The purpose of this elective is to educate students on the following areas: the causes of homelessness, the health care consequences of homelessness (including medical problems, barriers to care, distrust of health care providers), the safety net system in St. Louis, and how to provide primary care tailored to the needs of the homeless. The format of the elective will include individual readings (printed/online/CANVAS), The Pruitt-Igoe Myth, and other video resources available for free. Zoom conferences with other instructors or community resources may be arranged. Students may be asked to explore online resources for case studies or to make the class more interactive. At the conclusion, students will complete a reflection paper. At the end of the elective, the student will be able to:
* Assist homeless persons to access services in St. Louis.
* List and describe barriers to care for homeless persons.
* List and discuss some of the ways that providers can be more
accommodating to homeless patients.
*Formulate treatment plans that address food insecurity, lack of shelter, and other homeless patients' needs.
* Understand the special difficulties faced in managing COVID in the homeless population.

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Lutey

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Elective contact: Barbara Lutey, MD, luteyb@wustl.edu
Rotation length: 2 or 4 weeks
Enrollment limit per block: 10

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Medical Education Scholarship (Non-Clinical Elective)

M80 InterDis 875

This elective will introduce types of education scholarship; provide guidance for selecting a topic, writing a question, and developing project objectives; illustrate meaningful outcomes for evaluation of education scholarship projects; introduce qualitative and quantitative methods appropriate for education scholarship.

Students are encouraged but not required to take the Introduction to Medical Education elective prior to this elective. Enrolling for four weeks will provide time for more complete development of a proposal that could be used as the plan for a study or draft of an application to the IRB.

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Every Semester / History

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Hanson

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Elective contact: Quinn Koboldt, koboldt@wustl.edu
Rotation length: 2 or 4 weeks
Enrollment limit per block: 4

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Clinical Informatics (Non-Clinical Elective)

M80 InterDis 880

Clinical informatics is the application of information technology and human resources in transforming data, information, and knowledge into meaningful healthcare improvement. Physicians practicing in this discipline provide oversight in the effective use of information systems and the development of innovative clinical pathways for patient care. During this rotation, trainees will assist in the operations of clinical informatics teams at BJH, SLCH, and WUSM, including information system management (e.g. incident response and improvement requests), reporting (data analysis and visualization), and clinical decision support. Trainees will support teams related to their clinical interests and participate in strategic meetings. Additional training in the use of reporting tools in Epic will be provided.
Learning objectives:
*Utilize reporting tools to transform healthcare data into meaningful information and actionable knowledge.
*Champion the safe and effective use of healthcare information systems.
*Apply change management principles to improve clinical processes and workflows.

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Jackups

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Elective contact: Francesca Allhoff, f.allhoff@wustl.edu
Rotation length: 4 weeks only
Enrollment limit per block: 1

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