Introduction to Clinical Medicine I (ICM 1) – SMD 512

Total Contact Hours:

94.5 hours

Co-Course Directors:

S. Bruce Binder, M.D., Ph.D., Associate Professor of Family Medicine and Pharmacology

Course Description:

This year-long course meets one day each week and has a combination of lecture, small group, office preceptor, and standardized patient learning activities. Students learn the fundamentals of building a relationship with a patient, how to gather relevant information, and conduct a physical examination. In small group settings, students and faculty discuss the special challenges of caring for patients from diverse backgrounds, how to recognize one's own biases, and how to work effectively and ethically in difficult situations. At several points during the year, each student must demonstrate what he/she has learned by conducting a comprehensive interview and sections of the physical examination on standardized patients. In addition, each student will work with a primary care physician (pediatrics, family medicine, internal medicine) for a half-day each week for a portion of the year, learning about the complexities of providing comprehensive health care.

Course Learning Goals, Assessment, Practice, and Teaching and Learning Activities, and their Integration with the Institutional Educational Objectives:

What does our institution want our graduates to do?

If your students mastered the content of your course, what would they be able to do?

What will students need to do for them and others (peers, professors) to know whether they have achieved this specific learning goal?

How will students get the information they need to learn?

Institutional Objectives

Learning Goals

Activities (graded)

Feedback Activities (non-graded)

Teaching and Learning Activities


C1, C2, C3

P1, P2, P3

Build an accurate and thorough patient history

Interview OSCE; Written exam

Volunteer interview; Interview small groups

Lecture/demonstration; Textbook readings


C1, C2, C3

P1, P2, P3

Perform specific physical examination skills (>120) as specified on competency sheets

Physical exam OSCE; Written exam

Physical exam small groups; Preceptors

Lecture/demonstration; Physical exam small groups; Preceptors; Textbook readings


C1, C2, C3

P1, P2, P3

Identify important differences in the approach to and examination of the neonate, the toddler, and the adolescent

Written Pediatric Quiz

Dayton Public Schools pediatrics experience

Lecture/demonstration; Dayton public Schools pediatrics experience; Textbook readings


C1, C2, C3

P1, P2, P3

Establish and build a professional relationship with a patient

Interview OSCE; physical exam OSCE

Volunteer interviews; Preceptors; Dayton Public Schools pediatrics experience

Lecture/demonstration; Interview small group; Physical exam skills small group; Textbook readings


C1, C2, C3

P1, P2, P3

Communicate effectively with patients while building an accurate and thorough patient history

Interview OSCE

Interview small groups; Volunteer interview; Interview OSCE

Lecture/demonstration; interview small groups; Textbook readings


P1, P2

Receive oral and written feedback from faculty, patients, and simulated patients in a respectful manner, and use that feedback to improve skills in succeeding encounters.


Volunteer interviews; Interview OSCE; Preceptors; Interviewing small groups; Physical exam small groups

“Helpful Feedback” session in Year 1 orientation

P1, P2

Perform an accurate self assessment of performance, strengths, weaknesses, and areas needing improvement, and reflect on those in written form.


Reflection papers; Volunteer interviews


P1, P2, P3

Demonstrate professional behavior during interactions with faculty, staff, course director – in a variety of settings.

Preceptor evaluations; Evaluated informally by course director through ongoing discussions with personnel mentioned and third year clerkship directors.

Volunteer interviews; Interviewing small groups; Physical exam small groups; Dayton Public Schools pediatrics experience; Preceptors

Lecture/demonstration; orientation materials