WELCOME TO MINI MED !SPRING 2021

OUTLINE

o Get to know each other!

o Program overview

o Schedule

o Honors Requirements

o Electives

o Introduction to Patient Centered Medicine

o The Patient Interview

INTRODUCTIONS AND ATTENDANCE

• Preceptors introduce themselves

• Take attendance

• Take a moment to get to know each other…

PROGRAM OVERVIEW: WHAT IS MINI MED?

• 6 week program

• Designed to introduce a wide range of medical topics to

students who are interested in medicine

• What to expect

• Homeroom presentations with medical students

• Lectures given by Rutgers faculty

• Electives available to enhance your experience

• Final Quiz - taken online

• Opens Wednesday March 3rd, 8pm

• Closes Wednesday March 10th, 8pm

HOMEROOM PRESENTATIONS

January 27 – Intro to Mini-Med and Patient Centered Medicine

February 3 – The Nervous System and Mental Health

February 10 – Healthy Living and Cardiology

February 17 – Pharmacology and Public Health

February 24 – Medical Ethics

March 3 – Infectious Diseases and Vaccines

March 10 – Graduation

RUTGERS FACULTY LECTURES

January 27 – Psychiatry and Addiction

February 3 – Introduction to Emergency Medicine

February 10 – Introduction to Cardiology

February 17 – Sexual Health and Risk Avoidance

February 24 – Diagnosis and Treatment of Genetic Disorders

March 3 – Endocrinology and Diabetes

MINI MED HONORS DISTINCTION

Requirements

o Only ONE absence from Mini Med

o Participate in THREE electives

o Score within the top one-third on the Final Quiz Grades –

quiz is based on homeroom power pointso The homeroom power points will be posted online. The link is

here:

http://njms.rutgers.edu/community/public_education/minimed/schedule.cfm

ELECTIVES

o Basic Life Support

o Surgical Knot Tying

o Bleeding Control

o Anatomy 101

o Technology in Medicine

o Mock Patient Interview

o … And many more!!!

See your acceptance email for more details on electives. In the

acceptance email, you will find the form to sign up for different electives!

To get credit for attending an elective, you must check in with the

Mini Med Preceptor at that elective session

PATIENT CENTERED MEDICINE

Chances are that you’re here because you like science ...

But this is medicine! The patient always comes first!

PATIENT CENTERED MEDICINE

⮚What do you think makes medicine different from science?

⮚What qualities make a good healthcare provider?

⮚How about good qualities for a doctor? Nurse? EMT?

⮚Are there qualities that apply to all?

PATIENT CENTERED MEDICINE

• Patient Centered Medicine is characterized by a respectful and

compassionate relationship between doctors and patients

• Why is this important? Because respect and compassion build

trust

PATIENT CENTERED MEDICINE

• Some of the questions we need to ask as doctors are quite personal. For

example:

• “Do you use any recreational drugs?”

• “Are you in a relationship with someone who physically or emotionally hurts you?”

• If patients do not trust their doctors, they might not answer these

questions truthfully. This can lead to sub-optimal medical care

• This can lead to mistakes in medical decision making, because doctors

are not getting “the full story” or ”the true story” from their patient

PATIENT CENTERED MEDICINE

We must practice patient centered medicine if we

want to give our patients the best care

“You’re only half a physician if you’re just good at

your craft. Unless it’s coupled with patient-centered

care and humanism, it’s suboptimal care.”

-Dr. Arnold Gold

THE PATIENT INTERVIEW

• In the coming weeks, you will cover a vast range of

medical topics such as cardiology, neurology, vaccines,

pharmacology and more...

• But to start, we’ll focus on How to Talk to a Patient!

WHITE COAT SYNDROME

“With great power comes great responsibility”

Uncle Ben from Spiderman

• White Coat Syndrome - a common phenomenon where patients have higher

heart rate and blood pressure while visiting the doctor due to anxiety.

• You hold a lot of power as a healthcare provider.

• It’s important to take this into account when talking to patients! Make them as

comfortable as possible!

• What are some ways to combat White Coat Syndrome?

THE PATIENT INTERVIEW

• The patient interview is a structured way of talking to your patient

and obtaining pertinent information from them

• A full patient interview contains many different sections, such as:

• Past Medical History

• Family History

• Risk Factors (smoking, alcohol, drugs, etc.)

• We are going to teach you the first two parts of the patient interview:

• Chief Complaint

• History of Present Illness

CHIEF COMPLAINT & HISTORY OF PRESENT ILLNESS

• Chief Complaint - this is your patient’s main concern for the visit.

Put simply, it is the reason why they came in to see a doctor

• Start off the interview by asking a simple, open-ended question: “What brings

you in here today?”

• Allow the patient to explain in their own words what is wrong with them.

• History of Present Illness – a series of more specific questions

about the patient’s chief complaint

• We use a mnemonic to remember the questions to ask -

CLODIERRSSS

• Characterize - how would you describe the pain?

• Location - can you point to the pain?

• Onset - when did this start?

• Duration - how long does the pain last?

• Intensity - rate the pain from 1 to 10

• Exacerbation - anything make it worse?

• Remission - anything make it better?

• Radiation - does the pain spread anywhere else?

• Setting - where were you or what were you doing when it started?

• Symptoms, other - any other related issues?

• Social impact - how is this issue affecting your life?

CLODIERRSSS

• CLODIER2S3 is a structured method to conduct a patient history

interview.

• But remember! The goal is to keep humanism at the forefront of the

conversation. Keep the following qualities in mind.

• Empathy

• Understanding

• Compassion

• Humility

• Awareness

CLODIERRSSS

In the “CLODIERRSSS” framework that we use to

conduct a patient interview, the letter “C” is for ______?

A) Cookie

B) Culture

C) Carbohydrate

D) Characterize

E) Color

In the “CLODIERRSSS” framework that we use to

conduct a patient interview, the letter “C” is for ______?

A) Cookie

B) Culture

C) Carbohydrate

D) Characterize

E) Color

You will have the chance to perform your own patient

interview on March 3rd to earn an elective credit

Pay close attention to the interview demo

PATIENT INTERVIEW

Scenario:

• Patient is 45 years old

• Patient is visiting your office for the first time

• Complains of right elbow pain

PATIENT INTERVIEW DEMONSTRATION

PATIENT INTERVIEW DEMONSTRATION

• What are your thoughts of the interview?

• Did you spot the CLODIERRSSS elements?

• What are some other good questions to ask this patient?

PATIENT INTERVIEW LOGISTICS

Now that you’ve seen what the interview looks like…

• Students can volunteer to perform an interview as a doctor on March

3rd for an elective credit.

• Cap of 2 students per homeroom. There’s only so much time!

• Students must declare they want to do the interview during Mini Med

on February 24th.

• If there are more than 2 students interested, your homeroom teacher

will choose by random lottery.

THANKS!

Questions?

Comments?

Concerns?

Mini Med Website – homeroom power points will be posted here

http://njms.rutgers.edu/community/public_education/minimed/schedule.

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