INTRODUCTION TO PATIENT CARE II

CLEVELAND FOOT AND ANKLE INSTITUTE

SYLLABUS
CLI 201

2011 - 2012

DIRECTORY INFORMATION

Assistant Dean of Clinical Education:

Dr. Caldwell

Clinic Manager:

Stephanie Starks-Anderson

Department Secretary:

Amy Onesky
916-7484

RATIONALE
The Introduction to Patient Care II clinical rotation provides the second year student an opportunity to
directly observe patient care at the Cleveland Foot and Ankle Institute and assist in the performance of
history-taking and physical examinations.
ALL STUDENTS SHOULD REVIEW THE ONLINE MEDIASITE INTRODUCTION LOCATED ON
THE STUDENT INTRANET UNDER CLINICAL VIDEO FILES.

Relevance
The relevance of this rotation is for students to have the opportunity to become familiar and utilize
fundamental concepts of primary podiatric care. This includes developing skills in taking patient
histories and performing physical examinations, developing differential diagnoses, and patient
management.
Students are expected to exhibit knowledge gained from classroom courses. It is recommended
the student review any materials as necessary to benefit their rotation experience.

ATTENDANCE
Attendance is MANDATORY. A pass or fail grade will be given and be based on attendance. It
will also be based on the student exhibiting behavior in a professional manner while in clinic.

Tardiness Policy
You are expected to arrive for clinic at least 5 minutes prior to the start of clinic session. Sign-in
sheets will be posted 30 minutes prior to the start of clinic and removed at the start of clinic.
Consistent tardiness which is defined as more than 2 offenses for clinical sessions will result in a
professional deficiency under section of Reliability and Maturity. ANY STUDENT WHO
RECEIVES A PROFESSIONAL DEFICIENCY DURING THE ROTATION WILL FAIL THE
ROTATION AND WILL REMEDIATE THE ROTATION.
Request for an Excused Absence
A request for absence form needs to be completed for all planned absences. This form is available in
clinic. The student should complete a request for absence form with the intended date of absence
indicated and reason for the excuse. The rotation coordinator must approve all requests for
absences. If approved, a copy of the form will be kept in the student's file and a copy given to the
student. On the day that the student completes the clinical obligation, he or she should bring the copy of
the form. The attending physician will sign the absentee form the copy in order to verify the day has
been made up. After all the days are completed, the student should submit the form to the 2nd floor so
that it can be placed in the student's record. If an absence is not approved the student will be
expected to fulfill clinical obligation.

Examples of excused absences:

Illness
Family emergencies
Family wedding/wedding party participant
Court date
Examinations/interviews

Examples of non-approved requests for absences:

Vacation
Prior travel plans
Moving
Sickness
If a student is sick and requires an absence from clinic, the student must call the secretaries (Barb Strong
916-7482) prior to the start of clinic in order for the absence to be excused (on Saturdays, students must
call the attending physician at the Euclid Ave Clinic). If the student fails to notify the secretaries office
of the sickness then it will be considered as an unexcused absence. The rotation coordinator will
complete a request for absence form. After two consecutive days of sickness the student will need to
provide a doctors excuse for the additional sickness days. The student will make up any days missed
after returning to clinic. Make up dates must be approved and arranged with the rotation coordinator
upon returning to the clinic. The student will be given a copy of the request for absence form and will
follow procedures for verification of make up day as stated with an excused absence policy above.

Unexpected Emergencies
Unexpected emergencies are situations which may prevent the student to be in clinic on scheduled days
which were not planned excuses or may be tardy due to unforeseen circumstances. Unexpected
emergencies are not planned and will be only be considered in special circumstances which would
prevent the student to be in clinic on time such as flat tire, stalled car, or car accident, or extreme family
emergency. In this event the student must call the secretaries at OCPM. If the student fails to notify the
secretarys office of the situation then it will be considered as an unexcused absence. The rotation
coordinator will review the circumstances and will either approve the absence as an excused absence if it
is a legitimate unexpected emergency. The absence may be considered unexcused by the discretion of
the Rotation Coordinator if the situation is NOT of an emergency nature. If the absence is approved the
rotation coordinator will complete a Request for Absence form and will follow procedures for
verification of make up day as stated with an excused absence policy above. If the absence is not
approved then it will be equivalent to an unexcused absence.

Unexcused Absences
Any time a student misses a clinical session without prior approval or fails to notify the secretaries as in
the situations for sickness or unexpected emergencies is considered an unexcused absence. Any
unexcused absence will require a 3 day make up per unexcused absence. These days will be made
up on Saturday clinic days. The student will also receive a professional deficiency under section of
Reliability and Maturity for each unexcused absence. Unexcused absences will not be tolerated
and may result in cause for failure of the rotation especially if there is a pattern of unexcused
absences.
ANY STUDENT WHO RECEIVES 2 SUCH PROFESSIONAL DEFICIENCIES
DURING THE ROTATION WILL FAIL THE ROTATION AND WILL REMEDIATE THE
ROTATION. Remediation will be completed as directed by the Rotation Coordinator and
Department Chairperson.
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Clinic Attire:
Students are required to wear clinic attire as described in the Orientation Handbook/Student
Handbook. Men should wear ties and keep lab coats buttoned. Lab coats along with name tags are to
be worn during patient care sessions. Lab coats should be kept clean and pressed. SCRUBS MAY
NOT BE WORN. During non-clinic times students are expected adhere to the Dress Code Policy as
outlined in the Student Handbook.

INSTRUCTIONAL STRATEGY
During the course of patient care at the Cleveland Foot and Ankle Institute students will elicit and
perform a history and physical, develop differential diagnoses, and follow through with a regime for
patient management under the supervision of a residents and faculty members. Students will interact
with other students, staff, residents, and clinicians. It is important during the course of patient care that
the student understands the patients concerns, complaints, psychosocial status, past medical history, and
medications. The student should also understand differential diagnoses, diagnosis, treatment, and future
plans for the patient. Students will also develop skills with patient communication. The student should
use this opportunity as a guide to become professional and ethical podiatric physicians and should act
accordingly while following the guidelines outlined for Professional Traits in the Student Orientation
Manual.
Students will be evaluated by their attendance, professional traits and
performance. Students must submit a log of the patients encountered during the
rotation. Logs should be given to Jennifer Kenney on the last day that the student
is scheduled in clinic. Logs should contain:
Patient chart number (and initials of patient)
Date of service
Diagnosis
Treatment plan
This should be completed in the format on the next page and given to Amy Odesky at
the end of EACH SEMESTER.

Students are also expected to know medications which are utilized during the course of Patient Care and
pertinent to Primary Care Medicine.

HIPAA PRIVACY REGULATIONS

Students should always remember and respect patients right to privacy as outlined in the HIPAA
Notice of Privacy Practices for CFAI and also outlined in the Student Orientation Manual.

STUDENT EVALUATION

Outstanding Absences: Students are responsible for completing clinical sessions for absences or
penalties. Any student who does not complete make up days by the end of the junior year in clinic will
receive an incomplete for the rotation until the days are made up.

Assessment of Professional Traits: Each student will be evaluated on non-cognitive behaviors related
to Professional Traits throughout the entire month of the rotation. Professional traits for a physician are
essential in order to ethically manage patients. Students will be evaluated for their Professional Traits
according to the areas as described in the Junior Orientation Manual and Student Handbook for
Professional Trait behavior. Students will be evaluated in the following areas:
Areas of Assessment
Reliability and Responsibility
Maturity
Critique (Ability to accept and respond to criticism)
Communication skills
Honesty and Integrity
Respect for patients
No signs of chemical dependency or mood disorder
Follows procedures and policies
Students will be evaluated on their Professional Traits. Students will be evaluated by the attending
clinician. Beginning the second week of the rotation, students after participating with a patient care case
on the same day will submit an evaluation form to the attending clinician to complete for reviewing
skills in Guided Patient Care and Professional
Traits. The evaluation form will have the above noted areas for Professional Traits so the student will
be in evaluated in those areas related to the patient case. The attending clinician will evaluate the
student in the above noted areas for Professional Traits related to the patient case. The student will be
evaluated on a pass/fail basis. Students will be evaluated in each section with the following grading
scale:
Students will be evaluated on a daily basis by the attending clinicians in the department as to their
behaviors according to the Professional Traits Policy in the Junior
Orientation Manual and Student Handbook.
.
Guided Patient Care: All students have the opportunity to participate in Guided Patient Care on
assigned days. Students will be monitored by the attending physician and resident on an individual case
basis. Students will be monitored as to following directions related to patient care, clinical skills,
rapport with patients/staff/faculty, motivation, and compliance of clinic/department protocols. Students
should not hesitate to ask for assistance and should enhance their podiatric education. Students will gain
experience with each patient encounter throughout the month.

Grading Scale:
Pass
Fail

FINAL ROTATION GRADE

Passing Grade for the Rotation:
A satisfactory grade is received when a passing score is obtained.
Failing Grade for Rotation:
An unsatisfactory grade is received when student does not attend assigned clinical sessions or exhibits
unprofessional behavior.

Required Reading List

Effects of Hallux Limitus on Plantar Foot Pressure and Foot Kinematics During Walking BV
Gheluwe et al. Vol 96 No 5 September/October 2006 Journal of the American Podiatric Medical
Association
Scarf Osteotomy for Hallux Valgus Deformity: A Prospective Study with 8 Years of Clinical and
Radiologic Follow-up JJK De Vil et al, Vol 100 No 1 January/February 2010 Journal of the American
Podiatric Medical Association
Clinical Practice Guidelines by the Infectious Diseases Society of America for the Treatment of
Methicillin-Resistant Staphylococcus aureus Infections in Adults and Children Liu et al Clinical
Infectious Diseases 2011:52 (1 February)

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