Advanced Physical Examination

APE1 - January 6, 2022-May 12, 2022
APE2 - August 19, 2021-December 16, 2021

Course Director
Scott Herrle, MD
Associate Professor
Department of Medicine
herrles@upmc.edu

 

Course Co-Director, Pediatric Segment
Neema Shah, MD
Assistant Professor
Department of Pediatrics
neema.shah@chp.edu

 

Course Co-Director, Pediatric Segment
Andrew McCormick, MD
Associate Professor
Department of Pediatrics and Internal Medicine
mccormickaa@upmc.edu

Course Description

This course takes a hands-on approach to learning to take a patient history and perform a physical exam.

Course Goals:

  1. Become comfortable in the approach to the patient.
  2. Build on the skills learned in Introduction to Medical Interviewing to develop proper techniques for taking a complete medical history.
  3. Begin to understand abnormal history patterns and their pathophysiologic implications.
  4. Learn to record a history for the medical record.
  5. Build on the skills learned in Introduction to Physical Examination to perform an orderly and technically correct physical examination.
  6. Begin to appreciate abnormal physical findings and their pathophysiologic significance.
  7. Learn to record the physical examination for the medical record.
  8. Begin to analyze the data obtained in the history and the physical examination and to develop a problem list and differential diagnosis.

Students have three 4-week adult physical examination segments and one 4-week pediatrics physical examination segment.  Additionally, there are sessions devoted to complicated regional examinations including HEENT, ophthalmology, neurologic, psychiatric, cardiac, gynecologic, and male GU.

Educational Methods

  • Lectures
  • Demonstrations
  • Clinical skills development
  • Patient write-ups
  • Standardized patients
  • Preceptorship/hospital experience

Evaluation

Evaluation is based on reports from clinical preceptors, a successful completion of an observed full history and physical examination of a simulated (standardized) patient, successful completion of a multi-station standardized patient OSCE, participation in small group specialty sessions, and a written, multiple-choice exam.

Grading: Students are required to pass Advanced Physical Examination 1 to pass the Introduction to Patient Care Block, Section 2. Grading for the block is Satisfactory or Unsatisfactory.

Grading: Students are required to pass Advanced Physical Examination 2 to pass the Introduction to Patient Care Block, Section 3. Grading for the block is Satisfactory or Unsatisfactory.

Faculty Note

Course Director Scott Herrle, MD is a recipient of the William I. Cohen Award for Excellence in Clinical Skills Instruction in addition to the Kenneth E. Schuitt Award recognizing the Dean's Master Educators.  David Eibling, MD; Jason Rosenstock, MD; and Diemthuy Bui, MD are recipients of the Kenneth E. Schuit Master Educator Award.  Peggy Hasley, MD is a recipient of the Sheldon Adler Award for Innovation and the William I. Cohen Award for Excellence in Clinical Skills Instruction. Jody Glance, MD received the Clinical Educator of the Year Award. Ya'aqov Abrams, MD, FAAFP; Alicia Haupt, MD; and Course Director Andrew McCormick, MD are recipients of the Clerkship Preceptor of the Year Award. Joseph Yanta, MD is the recipient of the Outstanding Early Career Educator Award. In addition, Drs. Eibling and Rosenstock; Kathleen McIntyre-Seltman, MD; Diemthuy Bui, MD; Peggy Hasley, MD; Scott Herrle, MD; and Evan Waxman, MD, PhD, are members of the UPSOM Academy of Master Educators.