clinical rotations manual

CLINICAL ROTATIONS MANUAL

2021-2022

TABLE OF CONTENTS

KYCOM CORE ROTATION SITES. .

....................................................................................................................................

CLASS OF 2023 CLINICAL ROTATION

PROGRAM. .......................................................................................................

KYCOM ABSOLUTES. ..

..................................................................................................................................................... ..

INTRODUCTION ..

................................................................................................................................................................

ELECTIVE TIME. ..............................................................................................................................................................

COMLEX BOARD REVIEW GUIDELINES. ..................................................................................................................

INDEPENDENT STUDY – OST 799 AND OST 899. ......................................................................................................

SELECTIVE ROTATIONS. ..

........................................................................................................................................ ...

COMLEX-USA POLICY .............................................................................................................................................. ....

OBJECTIVES ................................................................................................................................................................ ....

STUDENT ELIGIBILITY FOR CLINICAL ROTATIONS. .................................................................................................

DRUG SCREEN POLICY. ......................................................................................................................................

CRIMINAL BACKGROUND CHECK POLICY. .............................................................................................. ...

IMMUNIZATIONS. ........................................................................................................................................... .....

ACADEMICS ..................................................................................................................................................... .....

ATTESTATION FORM. .................................................................................................................................... .....

STUDENT RESPONSIBILITIES ...................................................................................................................................... ....

REPORT FOR ROTATION ............................................................................................................................... ....

ATTENDANCE. ................................................................................................................................................. .....

SUBMISSION OF STUDENT CASE LOGS AND ROTATION EVALUATION .......................................... ....

MEDICAL INSURANCE. ........................................................................................................................................

HOUSING. ...............................................................................................................................................................

PROFESSIONALISM ........................................................................................................................................ .....

APPROVED ABSENCE AND LEAVE POLICIES. ......................................................................................................... ....

PERSONAL ILLNESS. ...................................................................................................................................... .....

TEMPORARY ABSENCE. ............................................................................................................................... .....

ATTENDANCE AT PROFESSIONAL CONFERENCES. ....................................................................................

INTERVIEW POLICY. ............................................................................................................................................

VACATIONS AND HOLIDAYS ...........................................................................................................................

EXTENDED LEAVE ....................................................................................................................................... ........

GENERAL ROTATIONS INFORMATION ..........................................................................................................................

STUDENT LIABILITY INSURANCE. ............................................................................................................ ......

STUDENT EVALUATION (GRADE). ............................................................................................................ .......

GRADE APPEALS. ..................................................................................................................................................

REMEDIATION POLICY ......................................................................................................................................

BLOOD BORNE PATHOGEN EXPOSURE AND POST-EXPOSURE PROPHYLAXIS ...................................

PREPARATION FOR RESIDENCY. .....................................................................................................................

SCHEDULING OF CORE CLINICAL ROTATIONS. ...........................................................................................

SCHEDULING OF ELECTIVE CLINICAL ROTATIONS. ........................................................................... .......

SCHEDULING OF SELECTIVE CLINICAL ROTATIONS ................................................................................

VISITNG STUDENT APPLICATION SYSTEM (VSAS) . ....................................................................................

CHANGES IN CORE CLINICAL ROTATIONS. ..................................................................................................

CHANGES IN ELECTIVE CLINICAL ROTATIONS ................................................................................... .......

THE CLINICAL COMPETENCY PROGRAM .....................................................................................................................

INTRODUCTION ..

.................................................................................................................................................

CLINICAL JOURNAL CLUB .................................................................................................................................

END OF SERVICE EXAMINATION MODULES COMAT ................................................................................

OPC V AND OPC VI ..............................................................................................................................................

EDUCATIONAL VIDEOS AND PROGRAMS. ............................................................................................. .......

CLINICAL CAPSTONE COURSE. ................................................................................................................. .......

AWARD OF HONORS. ................................................................................................................................... ........

GUIDELINES FOR PRECEPTORS ................................................................................................................................ .......

PRECEPTOR EDUCATIONAL RESPONSIBILITIES .................................................................................. .......

INSTRUCTIONAL OBJECTIVES FOR PRECEPTORS ............................................................................... ......

ATTENDING PHYSICIAN RESPONSIBILITIES ......................................................................................... ........

STUDENT RECORD KEEPING ..................................................................................................................................... .......

LOGS ................................................................................................................................................................ .......

GRADUATION REQUIREMENTS ................................................................................................................ ........

COURSE SYLLABI. .

........................................................................................................................................................... 40

CORE ROTATION CURRICULUM. .................................................................................................................................. 49

SELECTIVE ROTATION CURRICULUM .

...................................................................................................................... 69

ELECTIVE ROTATION CURRICULUM ........................................................................................................................ 80

REQUEST FOR

MS AND EVALUATION FORMS. ........................................................................................................ 110

ONLINE/VIRTUAL ROTATION CURRICULUM .......................................................................................................... 80

KYCOM CORE ROTATIONS SITES

Kentucky Core Sites

Pikeville Core Site

 Pikeville Medical Center, Pikeville, Kentucky

 Highlands ARH, Prestonsburg, Kentucky

 ARH Our Lady of the Way, Martin, Kentucky

 Paul B. Hall Medical Center, Paintsville, Kentucky

 McDowell ARH Hospital, McDowell, Kentucky

 Tug Valley ARH Hospital, South Williamson, Kentucky

Hazard Core Site

 Hazard ARH Regional Medical Center, Hazard, Kentucky

 Kentucky River Medical Center, Jackson, Kentucky

Henderson Core Site

 Deaconess Henderson Hospital, Henderson, Kentucky

Lexington Core Site

 Saint Joseph Health, Lexington, Kentucky

 Baptist Health Hospital, Lexington, Kentucky

Lincoln Trail Core Site

 Owensboro Health Twin Lakes Medical Center, Leitchfield, Kentucky

Louisville Core Site

 Norton Healthcare, Louisville, Kentucky

Northeast Kentucky Area Health Education Center Core Site

 Clark Regional Medical Center, Winchester, Kentucky

 King’s Daughters Medical Center, Ashland, Kentucky

 Meadowview Regional Medical Center, Maysville, Kentucky

 St. Claire Regional Medical Center, Morehead, Kentucky

 Saint Joseph Mount Sterling, Mount Sterling, Kentucky

 Three Rivers Medical Center, Louisa, Kentucky

Northern Kentucky Core Site

 Saint Elizabeth Healthcare, Covington, Ft. Thomas, Florence, and Edgewood, Kentucky

Owensboro Kentucky Core Site

 Owensboro Medical Health System, Owensboro, Kentucky

Prestonsburg Kentucky Core Site

 Highlands ARH Regional Medical Center, Prestonsburg, Kentucky

Somerset Core Site

 Lake Cumberland Regional Hospital, Somerset, Kentucky

South Central Kentucky Area Health Educations Center Core Site

 Graves Gilbert Clinic, Bowling Green, Kentucky

 TriStar Greenview Regional Hospital, Bowling Green, Kentucky

Southern Kentucky Area Health Education Center Core Site

 Russell County Hospital, Russell Springs, Kentucky

 Baptist Health, Corbin, Kentucky

 Baptist Health, Richmond, Kentucky

Whitesburg Core Site

 Harlan ARH, Harlan, Kentucky

 Whitesburg ARH, Whitesburg, Kentucky

Other Regional Core Sites

Indiana Core Site

 King’s Daughters Health, Madison, Indiana

 Reid Health, Richmond, Indiana

Michigan Core Site

 McLaren Bay Region Medical Center, Bay City Michigan

 McLaren Oakland Hospital, Pontiac, Michigan

Mississippi Core Site

 Rush Foundation Hospital, Meridian, Mississippi

 Regency Hospital Company, Meridian, Mississippi

Ohio Core Sites

 Adena Medical Center, Chillicothe, Ohio

 Mercy Health – St. Rita’s Medical Center, Lima, Ohio

Virginia Core Sites

 Norton Community Hospital, Norton, Virginia

 Lonesome Pine Hospital, Big Stone Gap, Virginia

Purchase Area Health Education Center Core Site

 Crittenden Health Systems, Marion, Kentucky

 Jackson Purchase Medical Center, Mayfield, Kentucky

 Livingston Hospital and Healthcare Services, Salem, Kentucky

 Lourdes Hospital, Paducah, Kentucky

 Marshall County Hospital, Benton, Kentucky

 Murray-Calloway County Hospital, Murray, Kentucky

 Baptist Health, Paducah, Kentucky

CLASS OF 2023 CLINICAL ROTATION PROGRAM

KYCOM ABSOLUTES

 This manual is required reading for all third and fourth-year students. Submittal of the

attestation form, located in the Request Forms, Case Logs and Evaluation Forms

section of this manual, is required before entry to clinical rotations. All items under

Student Eligibility for Clinical Rotations must be completed before entry to clinical

rotations.

 KYCOM requires all students to use and check the UPIKE email DAILY for

communication with the school and to maintain the UPIKE inbox at a level whereas it can

accept correspondence.

 All students are expected, unless excused by their attending physician, to attend

morning reports, M&M rounds, and all site scheduled didactics and workshops. These

didactic programs are part of your rotation and do not meet your requirement for

Clinical Competency #4. Attendance at Educational Programs.

 The Comprehensive Osteopathic Medical Self-Assessment Examination (COMSAE)

must be taken, and approval received, before any student may sit for either Level 1 or

Level 2 CE of the Comprehensive Osteopathic Medical Licensing Examination

(COMLEX-USA). See COMLEX-USA Policy.

 The COMLEX-USA Level 2 PE may not be taken before completion of the clinical

capstone course. See The Clinical Competency Program.

 The COMLEX-USA Level 2 CE may not be taken before successful completion of all

third-year core rotations. See The Clinical Competency Program.

 All log items must be completed and submitted electronically within nine (9) calendar days

from the last day of the rotation, or will be incomplete. If the completed logs are received

after nine, but within fourteen (14) days, the grade may be raised to a maximum of 70%

at the discretion of the Associate Dean for Clinical Affairs. After fourteen (14) days, if

the completed logs have not been received, a grade of 69% will be entered on the

transcript, resulting in a failing grade for this rotation. The last date that activity is

logged into E*Value will be considered the last date of the rotation and late logs will

be calculated using that date, regardless of any “scheduled date’ listed on VSLO

or the Rotation Request Form.

 Viewing of two educational videos per core rotation block is required, even when off

rotation for board study. (OPC V and OPV VI courses for third year students) These are

pass/fail courses during the Fall and Spring semesters of third year. A minimum

of 70% must be obtained on the total quizzes for each semester in order to pass the

course. If a failure is received for the Fall semester, the course will be remediated

during Winter Break. If a failure is received for the Spring semester, the course will

be remediated during the Capstone Course and you will be referred to the Promotion and

Matriculation Committee.

 Viewing of two educational videos, is required per fourth year selective clinical

rotation a maximum of two video receipts will be accepted (for credit) per rotation

month, and submitted as part of rotation log items. (See THE CLINICAL

COMPETENCY PROGRAM for further explanation.) During your third year, you are

required to participate in one Aquifer and/or iHuman case each block. Attendance at

one Journal Club meeting is required during your fourth year. Journal Club dates are

assigned. Substitution of assigned dates is the responsibility of the student. Changes

to the schedule must be reported to the Associate Dean for Clinical Affairs at least 24

hours before the Journal Club meeting. See Clinical Journal Club.

 KYCOM maintains a “No Tolerance Policy” for violations of the dress code. See,

Student Responsibilities - Dress.

 Denial for Conference and Rotation requests will be issued for submittals beyond the

required timeline. See, Attendance at Professional Conferences and, Scheduling of

Elective/Selective Clinical Rotations.

 Students on rotation during the “Make-up” block in April of 4

year will not receive

a diploma at the graduation ceremony. The diploma will be awarded to the student

once all rotation log documents are submitted and reviewed and all graduation

requirements listed, in Graduation Requirements, have been satisfied.

 All times indicated are Eastern Time.

Patient Care (Amended 10/8/2021)

University of Pikeville, Kentucky College of Osteopathic Medicine (KYCOM) students may only

be involved in patient care activities as part of an approved activity and under the supervision of an

assigned clinical faculty member/preceptor. KYCOM students are not legally or ethically

permitted to practice medicine or assume responsibility for patients. The student’s assigned

clinical site will determine the degree of student involvement in patient care activities and the

supervising clinical faculty/preceptor is ultimately responsible for the patient care. Students are

required to comply with all general and specific rules and medical ethics established by the clinical

rotation site at which they are placed.

Students are not permitted to provide any type of medical procedures, without the direct

supervision of an assigned clinical faculty member/preceptor. If a student receives approval, they

may take histories, perform physical examinations, and enter findings into the patient’s chart.

Students may not perform any medical treatment, procedures, or invasive examinations without

appropriate supervision of the faculty member/preceptor. Students are not permitted to write or

enter patient care orders independently and/or issue prescriptions, any such orders/prescriptions

must be reviewed and approved by the clinical faculty member/preceptor.

KYCOM students should accurately represent themselves as an “osteopathic medical student” or

“student doctor.” If any entries are made into patient medical records, student signatures should be

followed by “OMS-III” or “OMS-IV” written legibly or entered electronically. Students are not

permitted to introduce themselves as “Doctor” at any time, regardless of any previous degrees they

may hold. Students should never provide care beyond what is appropriate for their level of

training, even under supervision.

INTRODUCTION

The mission of University of Pikeville Kentucky College of Osteopathic Medicine (KYCOM)

includes preparation of our graduates for competency in the world of primary care medicine. A

successful KYCOM graduate will, after completion of the program, demonstrate sufficient

knowledge, skill sets, experience, values, and behaviors that meet established professional

standards, supported by the best available medical evidence, that are in the best interest of the well-

being and health of the patient. The maturation process from clinical years three to four, and

ultimately successful graduation is the shared responsibility of the individual student, KYCOM

and the host hospitals and physicians that provide the clinical experiences.

All hospital sites are required to maintain affiliation agreements with KYCOM, are credentialed

by the Joint Commission (JCAHO) or the Healthcare Facilities Accreditation Program (HFAP),

and are duly licensed within their jurisdiction. All adjunct clinical faculty are required to re-

credential with KYCOM every three years, are actively licensed in their respective jurisdictions,

maintain specialty board certification, and carry regionally acceptable malpractice insurance. All

clinical education sites:

1. Provide and maintain an environment conducive to the education and training of

osteopathic medical students.

2. Assist the osteopathic medical students in obtaining experience in patient care by

allowing students to share responsibility for patient care with qualified staff physicians.

3. Provide and maintain an environment which encourages critical dialogue between the

medical staff physicians and students through clinical rotations, rounds and conferences.

Professional Student Behavior as defined by KYCOM includes:

1. Performance of medically ethical behavior, i.e. all actions are in the best interest of

patients.

2. Cognizance of the concept of social accountability to preceptor, host site and/or peers.

3. Cognizance of the concept of professional duty to supervising faculty and their patients.

During the 3

and 4

years, a total of nineteen four-week rotation blocks have been provided to

complete 76 weeks of clinical requirements, which include:

1. 36 weeks of required Core rotations (9 blocks)

2. 16 weeks of required Selective rotations (4 blocks)

3. 24 weeks of Elective rotations (6 blocks)

4. Up to 8 weeks for COMLEX preparation (2 blocks) if needed.

Completing additional rotations, either for credit or not for credit, will not be approved and

could result in disciplinary action.

The schedule includes two weeks in the 3

year devoted to clinical skills evaluation and a

mandatory class meeting, and four weeks of winter holiday breaks (2 weeks per year, per KYCOM

calendar).

The Promotion and Matriculation Committee regularly reviews the academic progress of

students. Upon completion of each course, students receive notification of their grades and grade

reports are reviewed by the P & M Committee.

Core Rotation Requirements

Commission on Osteopathic College Accreditation (COCA), requires that students, during third

year, must have one in-patient rotation, one out-patient rotation, and one rotation having

interaction with residents. KYCOM will work with every student to make sure they satisfy these

requirements.

ELECTIVE TIME

Elective rotations are intended to fulfill the interests of the osteopathic medical student and

provide residency audition opportunities. Approval from the Associate Dean for Clinical

Affairs is required; however, both the location and the preceptor are chosen by the student.

Twenty-four (24) weeks of elective time are required during the clinical years. Elective time

must be utilized and logs must be submitted for audition/elective rotations.

Elective time may be utilized as follows:

1. Can be in an in-patient or out-patient setting, and chosen from any medical or surgical

subspecialty; however, must be served for a minimum of two weeks. See Course

Descriptions in Selective/Elective section of manual for suggested endeavors.

2. Clinical Research – maximum of eight (8) weeks – See OST 897 – Clinical Research

3. Electives may be completed in two-week or four-week blocks. (No more than two, four-

week time periods can be divided into four, two-week rotations per year.)

COMLEX BOARD REVIEW GUIDELINES

Description

The third-year osteopathic medical student may elect to utilize up to eight weeks to prepare for

COMLEX. The student is expected to perform independently and adhere to established study

protocols, and subject content. An approved form of the COMSAE is part of the study plan, and

is taken at the determined point within the scheduled study program and results submitted for

KYCOM review, BEFORE COMLEX IS TAKEN.

Location

The study program may be offered commercially, or completed privately within a private

residence, a library or within a study carrel. The program site may be remote from KYCOM or

on campus.

Length of rotation

two 4-week blocks

one 4-week block

Rotation

Family Medicine (Required and assigned)

General Internal Medicine (Required and assigned) General

Surgery (Required and assigned)

Osteopathic Principles and Practice (Required and assigned)

Pediatrics - Neonate (Required and assigned)

Psychiatry (Required and assigned)

Women’s Health (Required and assigned)

one 4-week block

INDEPENDENT STUDY – OST 799 AND OST 899

Course Description: This is an independent study course in which students will be provided a

detailed individualized study plan to prepare them for their COMLEX-USA Level 1, Level 2 CE

or Level 2 PE examination. The study plan will include required assessments to provide

benchmarks for preparedness, as well as usage of specified question banks and study resources.

This course will be four weeks in duration, but can be continued in four week increments as

approved by the course director as long as the student is preparing for their COMLEX-USA retake

examination. In addition, if the student’s board examination retake is not passed, this course may

be repeated if approved by the course director and the Promotions and Matriculation Committee

Course Goal: The primary goal of this course is to provide the student additional time and

structure to prepare for the COMLEX-USA examination.

Course Format: Students will have an individual study plan to follow with built-in assessments

and question bank goals to serve as benchmarks for preparedness to retake their COMLEX-USA

board examination.

Grades: Grades will be reported as Pass or Fail. Students following the assigned study plan and

taking the COMLEX-USA examination on their assigned date will Pass. Students who do not

follow the assigned study plan or who do not take their COMLEX on the assigned date will fail

this course. Failure of this course can be grounds for dismissal from KYCOM.

SELECTIVE ROTATIONS

Pre-Requisite Courses: General Internal Medicine I, Family Medicine I, General Surgery I and

Pediatrics are recommended for completion prior to the selective rotation experience. See

individual “OST” course descriptions for specific pre-requisite requirements.

Selective rotations are intended to transition the osteopathic medical student from active learner

to active medical decision maker and care planner. Four (4) selectives are required for a total of

sixteen (16) weeks within the two-year clinical schedule. Approval from the Associate Dean for

Clinical Affairs is required, however; both the location and the preceptor are chosen by the

student. See course descriptions for selectives in Medicine, Surgery, Rural Health and

Emergency Medicine for specific course details.

The rotation can be arranged as one four-week block or two, two-week blocks. A total of four

weeks must be devoted to each of the SELECTIVE categories, i.e. Medicine, Surgery, Rural

Health, and Emergency Medicine.

 No more than two, four-week time periods (selective or elective) can be divided into four

two-week rotations per year.

Selective Rotation Requirements

Length of rotation

one 4-week block

Rotation

Emergency Medicine

Medicine subspecialty

Rural Medicine

Surgical subspecialty

one 4-week block

COMLEX-USA Policy

Graduation requirements from KYCOM include successful completion of COMLEX-USA Level

1, Level 2 CE, and Level 2 PE. KYCOM requires Level 1 to be taken upon successful

completion of years one and two of osteopathic medical education. KYCOM requires Level 2

CE to be taken after successful completion of Level 1 and years one, two, and three of

osteopathic medical education, which includes successful completion of all core rotations. The

Capstone course must be completed before taking COMLEX Level 2 PE.

KYCOM will use student performance on their third year Comprehensive Osteopathic Medical

Achievement Tests (COMATs), performance on the COMSAE Phase 2, and performance on

KYCOM-purchased question banks and assessment tests, as indicators of readiness to pass the

COMLEX Level 2 CE exam. Students may be advised to take additional COMSAEs or practice

exams.

KYCOM will use student performance in their clinical Capstone course as an indicator of

readiness for the COMLEX Level 2 PE. Students will be required to remediate their Capstone

course if their performance is unsatisfactory.

All students are limited to a maximum of four attempts to pass each required COMLEX-USA

examination in order to meet graduation requirements. Failure of four attempts on any

COMLEX-USA examination will result in dismissal from KYCOM.

Level 1. Before entry into the third year of osteopathic medical education, all students must sit

for COMLEX-USA Level 1 on a date agreed upon by the Associate Dean for Academic

Affairs. Delays from this schedule will prevent the start of the third year of study and require

pre-approval from the P and M Committee. When the Level 1 exam is taken, the student will be

permitted to enter third year clinical rotations at the beginning of the next scheduled rotation

period.

Failure of the Level 1 examination will result in removal from third year clinical rotations at the

end of the current rotation. A plan of study will be developed by the student and approved by the

P and M Committee to assist students to prepare for a retake of the examination.

The student will be enrolled in course 799 and remain off rotations until the Level 1 examination

has been retaken. Failure to retake this examination in the period of time allotted by the P and M

Committee will result in a meeting with this Committee to determine disciplinary

consequences. Following the initial retake of the examination, the student will be permitted to

return to clinical rotations while awaiting results. However, after two or more failures, the

student will be removed from rotations until a passing score is received and a return to rotations

is approved by the P and M Committee.

The P and M Committee will determine the appropriate length of time to be devoted to studying

for a retake of the examination. Under no circumstances will a period of time greater than one

semester be granted to study for a retake of the examination. Failure to follow the study plan or

take the examination in the period of time allotted by the P and M Committee will result in a

disciplinary hearing.

Failure to achieve a passing score by December 31st of the third year will result in removal from

clinical rotations and review by the P and M Committee. The student will be allowed to return to

clinical rotations only after a passing score has been received by KYCOM. The Associate Dean

for Clinical Affairs will determine student placement in accordance with scheduling and

curricular requirements.

Level 2 CE and Level 2 PE.

KYCOM requires the Level 2 CE examinations be taken after

successful completion of Level 1 and years one, two, and three of osteopathic medical education,

which includes successful completion of all core rotations. COMLEX Level 2 PE may be taken

any time after successful completion of the Clinical Capstone Course. Upon successful

completion of COMLEX-USA Level 1, NBOME will notify students of their eligibility to

schedule their COMLEX-USA Level 2 examinations. All students are required to take both the

Level 2 CE and Level 2 PE examinations between the start of the fourth year and December 1st

of the fourth year of study. The student has the option to take Level 2 CE or Level 2 PE in any

order. Failure to take the exams prior to December 1st of the fourth year will result in a referral

to the KYCOM Promotion and Matriculation Committee for consideration of disciplinary

action.

Failure of the Level 2 CE examination will result in the removal of the student from clinical

rotations and being enrolled in course 899. A plan of study will be developed by the student and

approved by the P and M Committee to assist students to prepare for a retake of this

examination. Following the first retake of this examination, the student will be permitted to

return to clinical rotations while awaiting results. However, after two or more failures, the

student will be removed from rotations until a passing score is received and a return to rotations

is approved by the P and M Committee.

The P and M Committee will determine the appropriate length of time to be devoted to studying

for a retake of the examination. Under no circumstances will a period of time greater than one

semester be granted to study for a retake of the examination. Failure to take the examination in

the period of time allotted by the P and M Committee will result in a disciplinary hearing.

Failure of the Level 2 PE will require a mandatory remediation course be completed prior to a

retake of the examination. If a student fails the exam two or more times, this may result in the

removal of the student from clinical rotations pending review by the Associate Dean for Clinical

Affairs and a study plan to be developed by the P and M Committee. This plan may include (a)

the student being counseled on how to prepare for the examination or (b) being removed from

clinical rotations, and (c) matriculation into a review course at student expense.

Failure to successfully complete the COMLEX-USA graduation requirements within two years

from the start of the student’s fourth year of study will result in dismissal from KYCOM.

SAMPLE CALENDAR

Start Date End Date Third Year Start Date End Date Fourth Year

7/26/21 8/20/21

Core #1

6/27/22 7/22/22

Board Study,

Selective or Elective

8/23/21 9/17/21 Core #2 7/25/22 8/19/22 Selective or Elective

9/20/21 10/15/21 Core #3 8/22/22 9/16/22 Selective or Elective

10/18/21 11/12/21 Core #4 9/19/22 10/14/22 Selective or Elective

11/15/21 12/10/21 Core #5 10/17/22 11/11/22 Selective or Elective

12/13/21 12/24/21

Winter Break

11/14/22

12/9/22

Selective or Elective

12/27/21 1/22/22 Core #6 12/12/22 12/23/22

Winter Break

1/24/22 2/18/22 Core #7 12/26/22 1/20/23 Selective or Elective

2/21/22 3/18/22 Core #8 1/23/23 2/17/23 Selective or Elective

3/21/22 4/15/22 Core #9 2/20/23 3/17/23 Selective or Elective

4/18/22 5/13/22

Board Study,

Selective or Elective

3/20/23 4/14/23 Selective or Elective

5/16/22 5/27/22

Tentative Clinical Capstone Course

5/6/23 Graduation

5/30/22 6/24/22 Board Study

OBJECTIVES

The clinical years at KYCOM are a transition from the pre-clinical experience to the world of

integrative, experience based medicine. In twenty-one months, KYCOM aims to see the student

successfully achieve comprehension and skills, at the supervised level, of the “Seven Core

Competencies” as outlined by the National Board of Osteopathic Medical Examiners, and

evaluated by both KYCOMs internal evaluative tools and the successful completion of COMLEX

Level 2-CE and 2-PE before graduation.

Educational and Performance Goals include:

1. Comprehension of the osteopathic philosophy, recognition of the need for its application,

and demonstration of clinical OMT skills.

2. Comprehension of the applicability of biomedical, clinical, epidemiologic,

biomechanical, and the social/behavioral sciences to clinical situations, and

demonstration of application to patient-centered care.

3. Demonstration of patient-centered care. To include:

a. Effective data gathering

b. Development of effective physician-patient relationships

c. Recognition of age-related preventive health issues

d. Sensitivity to cultural influences

e. Development of treatment plans that are both evidence based and patient specific.

f. Development of treatment plans with both scientific basis and integration with

osteopathic philosophy.

4. Demonstration of good communication and interpersonal skills that facilitate quality

physician-patient, physician-family and physician-health professional relationships.

5. Demonstration of professional behavior. To include:

a. Performance of medically ethical behavior

b. Cognizance of the concept of social accountability

c. Cognizance of the concept of professional duty.

6. Ability to develop treatment plans that demonstrate the interpretation of epidemiologic

information, and its applicability to patient-specific issues.

7. Comprehension of the concepts of Systems-Based Practices (Can effectively identify and

integrate health care resources to provide complete patient centered care.)

Required Encounters:

Over the course of the third and fourth year clinical experience at KYCOM, all osteopathic

medical students must encounter and assess the following clinical conditions:

1. Ischemic heart disease/coronary artery disease

2. Cerebrovascular accident

3. Liver disease

4. Renal disease

5. Substance abuse

6. Mental health disorders such as anxiety/depression

7. Neuromuscular trauma

8. Hypertension

9. Diabetes Mellitus

10. Pregnancy

11. Otitis Media

12. Hypercholesterolemia

13. Abdominal pain

14. Asthma

15. Chronic Obstructive Pulmonary Disorder (COPD)

16. Well-child care

STUDENT ELIGIBILITY FOR CLINICAL ROTATIONS

1. DRUG SCREEN POLICY

KYCOM requires a urine screen for drugs immediately after matriculation with KYCOM, prior

to the beginning of third and fourth year clinical clerkships. Students are responsible for the

expense involved with this evaluation. Positive findings will be reviewed by the Assistant Dean

of Student Affairs for Graduate and Health Professions and/or the Associate Dean for Clinical

Affairs and be referred to the P&M Committee. Further evaluation by external professional

consultants may be required. A positive test result may become grounds for dismissal.

Drug Testing on Demand –

Any student may be required to submit to drug and/or alcohol

testing at any time based on reasonable suspicion.

2. CRIMINAL BACKGROUND CHECK

KYCOM requires criminal background checks for all students prior to matriculating to KYCOM

and prior to the beginning of third year clinical rotations. Students will be responsible for the

expenses involved with this evaluation. The mechanism for evaluation will be determined by the

Assistant Dean of Student Affairs for Graduate and Health Professions and/or the Associate

Dean for Clinical Affairs. Infractions may be referred to the Promotion and Matriculation

Committee.

Mandatory Self-Reporting for Criminal Behavior

All accepted and currently enrolled medical students are required to promptly (within 10

calendar days) report any criminal charges filed against them to the Assistant Dean for

Professional Student Affairs. Criminal behavior includes any felony and misdemeanor

violations of the law, but excludes minor traffic violations, such as parking tickets. Any

charges that were previously disclosed on the AACOMAS application need not be reported

again. Student violations of the law will be reviewed by the Assistant Dean for Professional

Student Affairs in the context of future implications for licensure, threat to patient safety, and

the ability to be an appropriate member of the osteopathic medical profession. Depending on

the nature and severity of the criminal offense, student suspension or dismissal is possible.

3. IMMUNIZATIONS

KYCOM, in conjunction with requirements of all hospitals accredited by the Joint Commission

on Accreditation of Healthcare (JCAHO) and/or Healthcare Facilities Accreditation Program

(HFAP), have required the following immunizations:

a. TB testing yearly

i. Chest radiography, every three years, if TB test is considered positive

ii. If previously received the BCG vaccination, the Interferon Gold or T-Spot blood

test is required

b. Tdap immunization once during adulthood, followed by the Tetanus toxoid

immunization, every ten years

c. Measles, Mumps, Rubella, and Varicella immunity, established by documented

immunizations

d. Hepatitis B immunity, established by documented immunizations and antibody titer

e. Influenza immunization yearly

f. COVID-19 immunizations may be required by individual facilities/sites.

UPIKE/KYCOM does not currently require the COVID-19 vaccination; however, many of

KYCOM’s clinical partners do require proof of immunization to train at their facility. Students are

guests in these clinical facilities/sites and KYCOM has no control over the policies they set in

place. A clinical partner may provide a pathway to request a reasonable accommodation based on a

medical necessity or a sincerely held religious belief.

ALL TB tests must be current by June 1 of each year of clinical rotations. A current, updated

documentation of TB evaluation must be uploaded into E*Value prior to that date. Failure to

provide a current TB evaluation will prevent the student from participating in any clinical

activities for the following year, which will result in delay and/or failure to achieve graduation.

ALL Influenza vaccinations must be current by October 1 of each year of clinical rotations. A

current, updated documentation of Influenza vaccine must be uploaded into E*Value prior to that

date. Failure to provide proof of current vaccine will prevent the student from participating in any

clinical activities, which will result in delay and/or failure to achieve graduation.

 It is policy that all Measles, Mumps, Rubella, Varicella and Hepatitis B immunity

documentation will be completed on June 1 of the first year of school. This documentation

must be uploaded into E*Value. Failure to provide a completed documentation will prevent

the student from participating in any clinical activites, which will result in delay and/or failure

to achieve graduation.

 Immunizations must be administered within the CDC recommended time frame, or you could

be required to repeat the series.

Documentation of an updated tetanus vaccination is required prior to matriculation to KYCOM.

This must be on file in E*Value.

4. ACADEMICS

a. All pre-clinical courses will have been completed before entry into the 3

clinical year

rotation schedule.

b. COMLEX Level 1 must be taken before entry into the 3

clinical year rotation schedule.

5. ATTESTATION FORM

Submittal of the signed and dated form which attests that the clinical rotations manual has both

been completely read and understood is a mandatory requirement before entry into the third year

of osteopathic medical study. This must be uploaded to eValue prior to starting clinical activities.

STUDENT RESPONSIBILITIES

KYCOM maintains a “NO TOLERANCE” policy for diversions from the mandatory guidelines

below:

1. REPORT FOR ROTATION

Each rotation begins on the first Monday of each block and ends on the last Friday of the block.

It is the student’s responsibility to contact the clinical preceptor one week before the

commencement of the rotation to determine a “first day meeting place and time.” Failure to contact

the preceptor and/or failure to find the preceptor can lead to failure of the rotation. It is the

responsibility of each student to be present on the commencement of each rotation. One week

prior to the start date of each rotation, it is the responsibility of the student to send contact

information to the Director of Clinical Rotations for scheduling in E*Value and to ensure that a

COMAT exam is scheduled.

In the event of an unavoidable tardiness to the rotation, it is the responsibility of the student to

notify the Supervising Physician and the Office of the Associate Dean for Clinical Affairs at

KYCOM. If an orientation is required at a clinical rotation site, it is imperative that the student

participate in that orientation and follow the protocols established by that rotation.

2. ATTENDANCE

Prompt student attendance is expected for a minimum of 20 days each four-week rotation period

and 10 days each two-week rotation period. The expectation is that students work Monday through

Friday with weekends off. However, the work day will vary by rotation. If the preceptor works

weekends, the student is expected to work weekends also. Attendance is mandatory for all clinical

rotations. On occasion, a student may need to miss days from a clinical rotation. A maximum of

three (3) days for excused absence is permitted, only if prior approval is given by the KYCOM

Clinical Affairs Department, and must be recorded on student logs for the rotation. Absence in

excess of the 3-day standard will result in an “incomplete” for the rotation, until such time that the

activity requirement is satisfied. If a pattern of missing three days for each rotation is noted

by KYCOM staff, it will be referred to the Promotions and Matriculation Committee.

Unexcused absence constitutes referral to the Promotions and Matriculation Committee, and may

result in failure of the clinical rotation. An example of an unexcused absence includes, but is

not limited to, taking a study day for the COMAT exam.

3. SUBMISSION OF STUDENT CASE LOGS AND ROTATION EVALUATION

All students are required to submit a complete electronic case log for each clinical rotation within

nine (9) calendar days of the last day of the rotation. The Case Log consists of the student’s daily

activities. e.g. all patient contact, all procedures performed, all readings (assigned and unassigned),

conferences attended, etc. and is submitted within nine (9) calendar days of the last rotation day.

Logs not submitted within nine (9) calendar days are considered late and an incomplete grade will

be entered for this rotation and may result in a referral to the Promotions & Matriculation

Committee. If the completed logs are received after nine (9) but within fourteen (14) days, the

incomplete grade may be raised to a maximum of 70% at the discretion of the Associate Dean

for Clinical Affairs. After fourteen (14) days, if the completed logs have not been received, a

grade of 69% will be entered on the transcript for this rotation.

a. All students are required to include their level of participation in each activity. Level of

participation – (1) Observed, (2) Assisted, (3) Managed Under Supervision.

b. The student is required to evaluate each rotation electronically. This evaluation will

reflect the student’s attitude and observations regarding the quality of training received on

each rotation.

c. In the event of late submittal of log materials (within fourteen (14) days), if acceptable to

the Associate Dean for Clinical Affairs, the rotation grade will be converted from an

incomplete to an absolute maximum score of 70%. If the late log materials are not

received within fourteen (14) days, students will receive a 69% (Failure) for the rotation.

d. Clinical rotation failures are reviewed by the P and M Committee. Failure of more than

two clinical rotations is grounds for dismissal.

4. MEDICAL INSURANCE

Students must maintain personal health insurance throughout their enrollment and present

documentation of health insurance coverage as instructed by the KYCOM Office of

Professional Affairs prior to the start of each academic year. KYCOM students are responsible

for the costs of their health insurance.

5. HOUSING

All housing needs while the students have relocated to the individual rotation sites are at the

student’s expense. Neither KYCOM nor the individual rotation site is responsible for student

housing.

6. PROFESSIONALISM

As a representative of both KYCOM and the osteopathic profession, it is the student’s

responsibility to maintain professional deportment at all times.

a. DRESS

KYCOM students are expected to dress professionally at all times and to be attentive to

personal hygiene and cleanliness. It is the right of patients, peers and healthcare staff to

expect a safe, non-offensive, non-infective, and non-allergenic environment. Personal

appearance and hygiene reflect concern and respect for both staff and patient safety. It

contributes to the delivery of quality health care, and sends a message to the public that

the healthcare facility maintains a positive, respectful and safe environment. Unclean

and unkempt individuals provoke discomfort, and create a barrier to healthcare access.

KYCOM maintains a “NO TOLERANCE” policy for diversions from the mandatory

guidelines below:

1. At all times a student must be clearly identified as a KYCOM student.

2. Short white lab coats with KYCOM identification are expected to be worn unless

specifically instructed otherwise by the healthcare facility or preceptor physician.

3. Scrub suits are to be worn in the operating room, procedure rooms, during call

hours, and at the discretion of individual preceptor physician and/or healthcare

facility.

4. Clothing, at all times, must be neat, clean and free from offensive odors. Clothing

must be professional, consistent with the standards for a professional

environment, and not attract undue attention or serve as a distraction to others.

Clothing that contains unprofessional or offensive writing or caricatures may not

be worn. Students should dress in a non-provocative manner that demonstrates

respect for patients, fellow students, and staff. It must also be appropriate to the

type of work being performed and take into account the potential expectations of

patients, staff or fellow students.

5. Open-toed and casual shoes, such as sandals and flip-flops are not considered

professional attire.

6. Jewelry, neckwear, scarves and accessories can be worn; however, must be

removed if either preceptor or healthcare facility consider them to interfere with

duty, or a potential for infection and possible harm to patients, staff or self exists.

7. Tattoos and body art can often be perceived as affronts or threats to religion and

family. Tattoos and body art should be covered to prevent potential for offensive

reactions from patients, peers or staff.

8. KYCOM students must be physically clean, well groomed, and take steps to

prevent and/or address problems of offensive body odor.

a. Avoid excessive use of fragrances – scented chemicals pose a threat for

allergic and/or adverse reactions by patients, peers and healthcare staff.

b. Hairstyle and length (including mustaches and beards) must be clean, neat

and controlled. Hair should not interfere with duties or pose a threat to

infection for patient, peer or healthcare staff.

b. SEXUAL HARASSMENT

Any incident of suspected sexual harassment must be reported immediately to the

Supervising Physician, Associate Dean for Clinical Affairs and the Assistant Dean of

Student Affairs for Graduate and Health Professions. Any student involved in sexual

harassment will be referred to the Assistant Dean of Student Affairs for Graduate

and Health Professions and the University Title IX Coordinator for further action.

c. STUDENT/PATIENT/PHYSICIAN RELATIONSHIPS

The relationship between an osteopathic medical student and a patient must always be kept

on a professional basis. A student shall not date or become intimately involved with a

patient due to the ethical and legal considerations. Conduct in such an unprofessional

manner shall be considered improper behavior and will be grounds for disciplinary action,

including dismissal from KYCOM. KYCOM directs that no member of its faculty

establish or maintain a therapeutic relationship with any KYCOM student. A therapeutic

relationship exists when a physician/patient relationship is established between a

KYCOM employee and a KYCOM student. In the event a therapeutic relationship is

established or in any way is maintained by and between a KYCOM employee and a

KYCOM student, the employee must identify and recuse themselves from any academic

assessment or promotion of the student with whom the employee has the therapeutic

relationship. KYCOM also requires that all clinical preceptors complete an attestation

that they do not maintain a physician/patient relationship with the student being evaluated.

d. KYCOM PHARMACEUTICAL AND INDUSTRY REPRESENTATIVE POLICY

Introduction

Kentucky College of Osteopathic Medicine (KYCOM) operates as a not-for-profit

osteopathic medical educational institution engaged in educating osteopathic medical

students and advancing osteopathic medical education. KYCOM has been granted

accreditation by the American Osteopathic Association’s Commission on Osteopathic

College Accreditation. Our mission includes preparation of our graduates for competency

in the world of primary care medicine. A successful KYCOM graduate will, after

completion of the educational program, demonstrate sufficient knowledge, skill sets,

experience, values, and behaviors that meet established professional standards, supported

by the best available medical evidence, that are in the best interest of the well-being and

health of the patient.

Code of Ethics

KYCOM is guided by Section 17 of the American Osteopathic Association Code of

Ethics

which specifically relates to the interaction of physicians with pharmaceutical

companies, and is clarified as follows:

1. The physicians’ responsibility is to provide appropriate care to patients. This

includes determining the best pharmaceuticals to treat their condition. This

requires that physicians educate themselves as to the available alternatives and

their appropriateness so they can determine the most appropriate treatment for an

individual patient. Appropriate sources of information may include journal

articles, continuing medical education programs, and interactions with

pharmaceutical representatives.

2. It is ethical for osteopathic physicians to meet with pharmaceutical companies and

their representatives for the purpose of product education, such as, side effects,

clinical effectiveness and ongoing pharmaceutical research.

American Osteopathic Association Code of Ethics adopted July 2003, updated July 2016.

3. Pharmaceutical companies may offer gifts to physicians from time to

time. These gifts should be appropriate to patient care or the practice

of medicine. Gifts unrelated to patient care are generally inappropriate.

The use of a product or service based solely on the receipt of a gift

shall be deemed unethical.

When a physician provides services to a pharmaceutical company, it is

appropriate to receive compensation. However, it is important that compensation

be in proportion to the services rendered. Compensation should not have the

substance or appearance of a relationship to the physician’s use of the employer’s

products in patient care.

Pharmaceutical Research and Manufacturers of America (PhRMA)

Guidelines from the PhRMA code, developed voluntarily by the pharmaceutical industry,

and adhered to by KYCOM include:

1. A conference or meeting is any activity, held at an appropriate location, where (a)

the gathering is primarily dedicated, in both time and effort, to promoting

objective scientific and educational activities and discourse, and (b) the main

incentive for bringing attendees together is to further their knowledge on the

topic(s) being presented.

2. Financial assistance for scholarships or other educational funds to permit medical

students, residents, fellows, and other healthcare professionals in training to

attend carefully selected educational conferences may be offered so long as the

selection of individuals who will receive the funds is made by the academic or

training institution. “Carefully selected educational conferences” are generally

defined as the major educational, scientific, or policy-making meetings of

national, regional, or specialty medical associations.

3. Any financial support provided by PhRMA certified companies, should be given

to the educational activity (CME) provider with the intent to reduce the overall

CME registration fee for all participants.

4. No grants, scholarships, subsidies, support, consulting contracts, or educational or

practice related items should be provided or offered to a healthcare professional in

exchange for prescribing products or for a commitment to continue prescribing

products. Nothing should be offered or provided in a manner or on conditions that

would interfere with the independence of a healthcare professional’s prescribing

practices.

5. It is appropriate for companies, where permitted by law, to offer items designed

primarily for the education of patients or healthcare professionals if the items are

not of substantial value ($100.00 or less) and do not have value to healthcare

professionals outside of his or her professional responsibilities.

6. Any healthcare professional that serves as either part of a program planning

committee or as a program speaker, and who also serves as a company speaker

and/or consultant, is required to disclose the relationship to all.

Adjunct Clinical Faculty and Clinical Rotation Sites

Pharmaceutical and industry representatives (PI reps) are not received on the KYCOM

campus, and maintain no direct exposure to the osteopathic medical students educated

there. PI rep exposure to students, is limited to “off-campus” health care facilities which

Code on Pharmaceutical Company Interactions with Healthcare Professionals, originally adopted in July 2002, and

amended in January 2009.

include physicians’ offices, hospital clinics and hospitals, and “pre-approved” attendance

at graduate medical education programs. KYCOM students are professionally bound by

the applicable sections of the AOA Code of Ethics.

Summary

The pharmaceutical and pharmaceutical research industry is a recognized member of the

healthcare team that is voluntarily bound by a set of guidelines. KYCOM supports the

guidelines, and will follow them within the definitions of the school’s mission, and those

professional duties as outlined within publications of the American Osteopathic

Association and all published school catalogues and/or manuals.

e. ISSUES DEEMED REPORTABLE

1. It is the student’s responsibility to notify the preceptor and/or supervisory house

staff of any critical issue(s) that affect the student doctor and/or his/her patient(s)

during the rotation.

2. If necessary, it is the student’s responsibility to notify the regional coordinator

and/or KYCOM of any critical issue(s) that affect him/her during the rotation.

f. FINANCIAL COMPENSATION

A KYCOM osteopathic medical student engaged in a clinical rotation within the hospital,

office or any patient care setting is there as both an observer and registered student. A

student is neither an employee or entitled to any financial compensation or means of

compensatory reward. Any student that enters a financial and/or compensatory relationship

within the rotation site has violated the professional agreements between KYCOM and the

core site.

g. MOBILE TELEPHONES AND HANDHELD DEVICES

KYCOM students are welcomed guests at clinical rotation sites. They are given the

courtesy to participate as a member of the staff; however, as guests, should be mindful

that mechanical sounds, attention to electronic messages and use of keyboards within the

confines of examination rooms, operating rooms, procedure rooms and at bedside can

both be perceived (by patients and staff) as a lack of interest, and potentially distract

preceptor physicians and healthcare staff from the delivery of safe healthcare. The

following guidelines for the use of mobile devices are mandated by KYCOM:

1. Handheld devices are not to be used to take photographs of patients, patient’s

records, or to store patient’s confidential information.

2. No handheld device is to be carried into operating or procedure rooms.

3. Upon entry into a hospital or outpatient facility, all ringers are to be set for

“QUIET” or “VIBRATE”, and alarms disabled.

4. Ringers and alarms for handheld devices must be disabled or set to “QUIET” or

“VIBRATE” at all conferences.

5. Handheld devices may be used on patient rounds, and within patient rooms ONLY

if permission is obtained from the preceptor physician and the patient.

6. Handheld devices may be used at nurses’ stations, the intensive care unit(s), and

within the emergency department, with preceptor physician and nursing approval

ONLY.

7. Handheld devices may be used within the confines of on-call rooms and hospital

cafeterias.

h. SOCIAL MEDIA EXPECTATIONS

KYCOM students are expected to adhere to standards of professionalism and abide by

applicable laws, policies, and rules that govern privacy and the dissemination of protected

information (e.g.,HIPAA). When using social media and other internet sites that involve

postings, comments, and images, students are expected to refrain from posting protected

information, disparaging others, or otherwise conducting themselves in a way that could

reasonable be perceived as unethical or unprofessional. Care should be taken when

expressing opinions. When expressing opinions, particularly opinions about medical or

health care issues, students should clearly state that their viewpoints are their own and do

not necessarily represent the views of KYCOM or others. Further, cyber stalking and

similarly inappropriate online activity can be viewed as forms of harassment. KYCOM

students should be mindful of the fact that social media and other internet sites are never

completely secure; what is posted can be seen by many, including prospective residency

programs and future employers.

Social media conduct that is contrary to this policy may result in disciplinary action (up to

and including dismissal from KYCOM and in some instances, legal action, if postings

violate applicable laws).

i. STUDENT IN “GOOD STANDING” DESIGNATION

KYCOM defines a student in “Good Standing” as an individual who has conformed to

established policy guidelines, passed, or is in the process of passing, all required

milestone examinations to date, satisfied all course requirements to date, and has

maintained all records and supporting documents, including immunizations as required

by the student handbook.

APPROVED ABSENCE AND LEAVE POLICIES

Absence of the attending physician or the student, from rotation for a period greater than one

day, requires the student to notify the office for Clinical Affairs, of the interruption of activity.

Only the Supervising Physician and the Associate Dean for Clinical Affairs may grant time off

during a prescribed clinical rotation. At the discretion of the Associate Dean for Clinical Affairs

either a reading assignment or alternate duty assignment will be made.

Reasons for approved absence may include illness, pre-approved conference attendance or

extended leave.

Any unexcused absence will be referred to the Promotions and Matriculation Committee with a

recommendation of failure for the clinical rotation.

The student is not permitted to leave the designated clinical rotation prior to the scheduled

departure date without prior approval of both the Associate Dean for Clinical Affairs and the

attending physician. Departures prior to the scheduled departure date without prior consent will

be considered an unauthorized absence and is subject to referral to the Promotions and

Matriculation Committee and potential failure of that clinical rotation.

a. PERSONAL ILLNESS

It is paramount that the well-being of the student is considered in any illness. If a student

is absent for more than one day during a rotation, the Office of the Associate Dean for

Clinical Affairs of KYCOM must be notified and the student must be seen by a physician

for documentation and for the well-being of the student. The student should not hesitate

whatsoever to report an illness as the welfare of the student and his/her patient contacts is

of prime importance.

b. TEMPORARY ABSENCE

A “short period of time” is defined as less than one day and may be requested to attend to

personal business (e.g. banking, child care, etc.). Permission of the supervising physician

and/or office of clinical rotations is required. No duration or frequency restrictions are

defined; however, it is intended that the student provide clear reason for the temporary

absence.

c. ATTENDANCE AT PROFESSIONAL CONFERENCES

Kentucky College of Osteopathic Medicine is committed to providing quality medical

education for our students. This experience includes excellence in academic and clinical

medicine, research and community service. In order to maximize this process, it is felt

that participation in professional meetings can greatly enhance a student’s professional

and personal growth. Attendance of AOA-sponsored national meetings, osteopathic

divisional society meetings and AOA/osteopathic specialty meetings will be provisionally

approved. All other meetings must have an individual request and be approved by the

Associate Dean for Clinical Affairs.

1. Students on clinical rotations wishing to attend a provisionally approved

professional meeting will submit a student travel request to the Associate Dean for

Clinical Affairs at least 30 days prior to the meeting indicating the name and

location of the professional meeting, sponsoring agency, and dates of prospective

absence.

2. Only one professional conference will be allowed per student per year of clinical

rotations. Any deviation from this policy must be approved by the Associate

Dean for Clinical Affairs on an individual basis.

3. Students must obtain permission from both the Associate Dean for Clinical

Affairs and the supervising preceptor and be in good standing, see Student

Responsibilities section of this manual.

4. A student travel request will be denied if the student is not in good standing or at

the discretion of the Associate Dean for Clinical Affairs.

5. Each student will be required to submit a one-page report on the meeting, and the

value added to the student’s education, in E*Value. Participation of professional

meetings outside of normal KYCOM curriculum is considered a privilege and

honor. Students must document meeting attendance in their eValue daily logs.

d. INTERVIEW POLICY

The following policy has been adopted regarding residency/internship interviews:

1. Students will be required to submit an Interview Request Form, signed by the

preceptor.

2. A maximum of three (3) days for absence is permitted, if approved by the Associate

Dean for Clinical Affairs, and must be recorded on student logs for the rotation.

Absence in excess of the 3-day standard will result in an “Incomplete” for this

rotation, until such time that the activity requirement is satisfied. Students that require

time away from the rotation, that would jeopardize the attendance policy, may request

for individual consideration from the Associate Dean for Clinical Affairs.

e. VACATIONS AND HOLIDAYS

Two winter breaks and the clinical capstone course are the only pre-approved leaves from

clinical rotations. Clinical service attendance during religious or national holidays is at

the discretion of the Supervising Physician, hospital or clinic facility. There are no

designated religious and/or national holidays approved by KYCOM during the

clinical rotations. Additional vacation time beyond what has already been described, can

be requested and scheduled during the clinical rotation period, and requires a submitted

request, sixty (60) days in advance of the event.

f. EXTENDED LEAVE

Direct written requests for extended leave to the Assistant Dean for Professional Student

Affairs. The Associate Dean for Clinical Affairs should be copied on all correspondence.

A leave of absence may be granted for one of the following reasons:

1. Health

2. Personal / Family

3. Financial Hardship

4. Pursuit of a graduate degree at this or another college or university

Extended leave of absence, for a maximum period of one year, may be granted by the

KYCOM Dean. Following an extended leave of absence, a student must submit a written

request to return to KYCOM to the KYCOM Dean.

Students that require time away from rotations, that would jeopardize the attendance

requirement, may request individual consideration from the Associate Dean for Clinical

Affairs.

GENERAL ROTATIONS INFORMATION

Student responsibilities listed below are expected of all KYCOM students, and subject to

individual hospital policies:

1. Students will write daily notes on all patients during rounds.

2. Student will be prepared to present their patients on rounds.

3. Students will have all patient charts on rounds and have prepared a maintained up to date

flow chart, with labs, medications, and other pertinent data.

4. Students will gather medical histories and conduct physical and osteopathic structural

examinations on all assigned patients.

5. Students will write discharge notes which include physical exam, diagnosis, medications

list, and follow-up appointments.

6. Students will keep a log in E*Value on all patients seen.

STUDENT LIABILITY INSURANCE

KYCOM students are covered with liability insurance and are covered only if the student is

participating in an officially approved rotation. This applies to core rotations as well as approved

elective and selective sites. If a student is aware of a potential legal liability situation, the Associate

Dean for Clinical Affairs must be notified immediately. Progression of any legal liability action

is to be detailed in writing by the student and regularly sent to the Office of the Associate Dean

for Clinical Affairs.

STUDENT EVALUATION (GRADE)

1. The student will be evaluated for each clinical rotation.

2. Only one grade will be applied per clinical rotation. The Associate Dean for Clinical

Affairs is responsible for the verification of all clinical rotation grades.

3. The evaluation is intended to measure the student in comparison to others at the same

level of education.

4. The “KYCOM Student Assessment Form” for in-person clinical rotations measures:

a. Mastery of Osteopathic Philosophy and Application of Manipulative Medicine

b. Medical Knowledge

c. Patient Care

d. Interpersonal and Communication Skills

e. Professionalism

f. Application of Practice Based Learning Skills

g. Application of Systems Approach to Medicine

5. The “KYCOM Student Assessment Form” for non in-person clinical experiences

measures;

a. Completion of all assigned readings

b. Completion of all quizzes

c. Completion of all assigned iHuman cases

d. Completion of all assigned Aquifer cases

e. Completion of at least 3 unique/original board type questions for each assigned

reading, with documentation

f. Any acts of plagiarism

g. Any acts of unprofessional behavior

6. Specific documentation of a failing grade should accompany the evaluation.

7. At the midpoint of the clinical rotation, a student-preceptor conference should take place

to indicate the level of student performance. A discussion as to the areas of strength and

weakness should be discussed at that time.

8. The Associate Dean for Clinical Affairs will refer a failing grade to the Promotions and

Matriculation Committee for further action or remediation.

9. Clinical grades may be reported as numeric scores or Pass/Fail as outlined in the course

syllabus.

GRADE APPEALS

A student who seeks to appeal a particular rotation grade must file a written request with

supporting documents for grade review within one month of the rotation grade being recorded.

The Associate Dean for Clinical Affairs will inform the student in writing of their decision to

either uphold or change the rotation grade. If the Associate Dean for Clinical Affairs denies the

grade appeal, the student may appeal to the P&M Committee for a final appeal of the grade.

The recommendation of the Committee will be forwarded to the Dean for a final decision on the

student’s grade. The decision of the Dean will be sent in writing to the student, P&M

Committee, Associate Dean for Clinical Affairs, and the Office of Academic Affairs.

REMEDIATION POLICY

All clinical rotations must be successfully completed with a passing grade prior to graduation.

Failure of any required or elective clinical rotation will be referred to the Promotions and

Matriculation Committee for consideration. Appeal of any rotation failure will follow the same

guidelines of any failure as stated in the Student Handbook. In cases where a passing grade is not

achieved, if deemed appropriate by the Promotions & Matriculation Committee, the student will

be given the opportunity to repeat the rotation. Upon successful completion of the repeated

rotation, a maximum grade of 70% will be recorded on the student transcript.

EMERGENCY PREPAREDNESS PLAN:

The University of Pikeville, which includes KYCOM, has undertaken an extensive risk analysis

and has approved protocols for a variety of potential disasters and emergencies. However,

because every emergency and/or disaster, whether natural or manmade, is unique and one or

even several plans cannot cover all scenarios; KYCOM students, faculty and staff are instructed

to follow these directions.

1. Any disaster or emergency announcement/instructions involving the University of

Pikeville or Pikeville community will be transmitted to all UPIKE individuals, including

KYCOM students, through the Alertus emergency notification system and via UPIKE

email. Responses to on campus emergencies come from the University President or his/

her designee.

2. In the event of an emergency or disaster at any KYCOM affiliated clinical site, the

student should refer to and follow the local emergency preparedness disaster plan and

instructions for that healthcare facility or site.

BLOOD BORNE PATHOGEN EXPOSURE AND POST-EXPOSURE PROPHYLAXIS

1. GENERAL: The goals of this policy are to insure the immediate cleansing of the

exposure site, reporting of the incident and, when indicated, immediate appropriate post-

exposure prophylactic treatment be started using CDC&P guidelines within two hours of

the exposure or less, and that appropriate laboratory work-up, counseling and follow-up

be provided. All costs above what is paid by the student's health insurance are borne by

KYCOM. The Blood Borne Pathogen (BBP) policy includes three (3) components;

a. Education.

b. Immediate post-mishap evaluation of exposure risk, as outlined by current Center

for Disease Control and Prevention (CDC&P) guidance and recommendations.

c. Appropriate follow-up.

2. EDUCATION: All KYCOM 2nd year students will attend a 2-hour block of instruction

on HIV and a 1-hour block on Universal Precautions annually which will address

CDC&P current relevant universal exposure precautions, the post-exposure reporting

process, prophylactic treatment of BBP and other transmitted disease as indicated.

3. BBP/HIV EXPOSURE

All students with medical education related BBP/HIV exposure through another person’s

blood or body fluids – by sharps injury or exposure to mucous membranes/skin – will

take the following steps immediately.

a. PERFORM BASIC FIRST AID: IMMEDIATELY clean the wound and skin with

soap and running water. Flush any mucous membranes or eyes with copious

amounts of water or normal saline for several minutes. Blood should be allowed to

flow freely from the wound. Blood should not be squeezed or “milked” from the

wound.

b. IMMEDIATELY NOTIFY your Preceptor or Attending physician. Any KYCOM

students with medical education related BBP/HIV exposure will be immediately

released from his/her preceptorship/rotation and go to the nearest affiliated

hospital Emergency Room (ER). If no affiliated hospital is in the area, go to the

nearest hospital with an ER.

c. NOTIFY the Office of Clinical Affairs of the incident.

d. The goals of the student reporting to the ER for BBP/HIV exposure are:

i. To help the student assess whether the exposure is low or high risk using

the most current CDC&P guidelines.

ii. Starting post-exposure prophylactic medication within two hours, if the

incident is a high risk. High-risk exposure is typically defined as

significant blood or bodily fluid exposure, of a source person with any of

the following: known HIV and/or symptoms of AIDS, multiple blood

transfusions 1978-1985, IV drug user, multiple sexual partners,

homosexual activity.

iii. Counseling the student on medication side effects and clarifying the

benefit/risk ratio of their use.

iv. Check baseline labs: HIV antibody testing, complete blood count, renal

and hepatic chemistry profile, and hepatitis evaluation.

e. The Associate Dean for Clinical Affairs shall be a point of contact for any

problem that may arise.

f. The student shall report for follow-up to the previously identified physician who is

the designated site clinical contact for BBP/HIV exposure. This individual will be

designated by the Chief of Staff or Director of Medical Education at each of the

core areas and be identified to the student prior to starting

preceptorship/rotation. This physician shall, at a minimum, be responsible for:

i. Insuring HIV antibody testing is done at 12 weeks and 6 months and

results checked.

ii. Writing prescriptions for the four-week drug regimen if needed.

iii. Repeating complete blood count and renal and hepatic chemistry profiles

at the discretion of treating physician.

1. Three (3) bullet points of your most noteworthy accomplishments. Each bullet should be

no longer than 2 sentences long and can be in any of the following areas:

a) Academic Achievements

b) Community Service

c) Research/Scholarly Activity

d) Leadership Activities

e) Awards, and/or Fellowships

Bullets are to be written in the third person (i.e. he, she, NOT I ) in a Word Document

naming it “your last name, first initial” (i.e. Doe, J.doc) and send it to Cathy Derry at

[email protected] before June 30th.

2. You will be sent a survey via email to complete and return via email. The survey will be

used to determine your recommendation. Recommendations are based on:

a) Academic Performance

b) Leadership Activities

c) Extracurricular Activities

Upon completion of the survey, save it as a Word document, naming it “your last name,

first initial survey” (i.e., Doe, J Survey.doc), and send it to Cathy Derry at

[email protected] before June 30th.

3. Your Core Rotation Grades and Comments. Please check your grades via Webadvisor

on a monthly basis to ensure your preceptors are submitting your grades in a timely

basis. You will also want to encourage your preceptors to provide comments on your

performance via E*Value. Your core rotations grades will be presented in graphs

comparing your performance to the class average and accompanied by the coordinating

comments from your preceptors.

If time allows, you will be provided an unsigned copy of your letter to review for

accuracy. You will have 3 business days to submit any corrections that are needed

before the letter is signed and finalized.

All letters will be uploaded prior to the deadline for Medical Student Performance

Evaluations.

PREPARATION FOR RESIDENCY

The Graduate Medical Education Application Process - The Associate Dean for Academic

Affairs authors the MSPE (Medical Student Performance Evaluation). This document is a peer

group evaluation which details the student in comparison to the entire class. In order to assist in

the preparation of the letter, the Office of Academic Affairs will need the following before June

30th of the third year of study:

SCHEDULING OF CORE CLINICAL ROTATIONS

The core site clinical rotations schedule will be established through the Office of Clinical Affairs

and Core Site Coordinators or Area Health Education Centers (AHEC), where available.

SCHEDULING OF ELECTIVE CLINICAL ROTATIONS

1. Twenty-four weeks of elective rotations are at the discretion of the individual student with

the approval of the Associate Dean for Clinical Affairs. Good Standing, as defined in

Student Responsibilities section of this manual, is required to apply.

2. All elective rotations are in four week blocks, and will begin on the first Monday of the first

week and end on the last Friday of the fourth week with no less than five (5) days per each

full week. Two elective rotation blocks may be divided into two, two-week blocks with

approval from the Associate Dean for Clinical Affairs.

3. Elective Clinical Rotation Forms are available from the Director of Clinical Rotations.

Elective Request forms must be completed and submitted to the Director of Clinical

Rotations at least 60 days prior to the anticipated start date of the rotation. Elective rotation

requests may be denied if paperwork completion requirements are not met. Twenty weeks of

elective rotations must be completed to meet graduation requirements.

4. Failure to submit an elective rotation request in the allotted time and to obtain elective

rotation approval, will jeopardize the elective, and may disrupt and/or lengthen a student’s

academic schedule.

5. Some sites require payment for completed elective rotations, which will be paid by the

student. Check with site coordinator before scheduling.

SCHEDULING OF SELECTIVE CLINICAL ROTATIONS

Selective rotations must include Emergency Medicine, Rural Medicine, Surgical Subspecialty

and Medicine Subspecialty. See the course descriptions

of these rotations for more detailed

information.

The objective of selective clinical rotations is to provide a framework for the evaluation and

management of the patient with acute and chronic pathophysiology that requires the consultation

of the specialty physician. The osteopathic medical student is given the opportunity to observe and

participate in the management of medical cases in the hospital environment, and experience the

intricacies of necessary diagnostic and therapeutic planned procedures. It is suggested that

lective rotations are served in the core site, to facilitate recognition of the role played by the

medical specialist in the care of hospitalized patients. Students must follow the following

procedure:

1. Submit a Selective Request Form to the Director of Clinical Rotations.

2. All requests must be submitted to the Director of Clinical Rotations at least 60 days

prior to

the anticipated start date of the rotation, and approved by the Associate Dean for

Clinical Affairs. Students must be in Good Standing, as defined in Student

Responsibilities section of this manual in order to apply. Selective rotation requests may

be denied if requests are submitted without sufficient time to process them.

VISITING STUDENT LEARNING OPPORTUNITIES (VSLO)

VSLO® is an electronic application service designed to streamline the application process for

senior selective/elective rotations at U.S. hospitals and medical centers that are members of the

Council of Teaching Hospitals and Health Systems (COTH). The service requires only one

application for all participating institutions, effectively

reducing paperwork, miscommunication,

and time.

KYCOM is a member of the Visiting Student Learning Opportunities (VSLO). KYCOM

students may apply for multiple rotations using the VSLO website. During February of the third

year of study, you will receive instructions on how to gain access to the VSLO website, via

UPIKE e-mail. Most programs begin accepting applications by May 1

of the third year of

study. When given access, you will need to complete your profile information and upload a

photograph. Students can upload all information, EXCEPT the transcript. The transcript will be

uploaded into your file by the UPIKE registrar’s office once your application has been

submitted. Credentialing documents, e.g. immunization records, letter of good standing or

criminal background check can be uploaded by the Clinical Affairs Office. However, KYCOM

cannot upload any document until the application is submitted by the student. Due to the

ongoing COVID-19 pandemic, all students should be aware that VSLO applications and

procedures may be modified throughout the year.

CHANGES IN CORE CLINICAL ROTATION

Changes in core clinical rotations are only permitted for compelling reasons. Written

documentation as to the reasons for a change should be directed to the Associate Dean for

Clinical Affairs. The decision as to the ability to change schedules will be at the discretion of the

Associate Dean for Clinical Affairs.

CHANGES IN ELECTIVE CLINICAL ROTATIONS

Changes in unconfirmed elective clinical rotations may be allowed only once per clinical rotation

after the schedule has been established. Rotations may not be changed less than sixty (60) days

prior to the start date. All changes are submitted in writing to the Associate Dean for Clinical

Affairs as to the changes and the reasons for the change. Changes in confirmed electives will

not be allowed without approval of the Associate Dean for Clinical Affairs. Any deviation from

this policy will result in a referral to the Promotions and Matriculation Committee for

further consideration.

THE CLINICAL COMPETENCY PROGRAM

Introduction

Competency in the world of evidence based medicine requires solid clinical skills, the ability to

work with other healthcare professionals, broad medical knowledge and familiarity with the

information highway. The clinical competency program is an adjunct to the clinical rotations

requirement and is designed to meet the following objectives:

 Development of good communication and interpersonal skills

 Demonstrate ability to identify and integrate health care resources

 Effectively gather and present data

 Expand basic medical knowledge

There are five programs that constitute The Clinical Competency Program. They are:

1. The iHuman and/or Aquifer Supplemental Cases, 3

year and Clinical Journal Club, 4

year

2. The “End of Service” (COMAT) Exam Modules and COMSAE Exam

3. OPC V and OPC VI

4. Viewing of Educational Videos – During 4

year unless approved otherwise.

5. The Clinical Capstone Course

All components of the Clinical Competency Program are graded as “Pass/Fail”. However, they

are based on numerically graded formats as described below. “Fail” is defined as any numerical

score < 70 points.

1A. iHUMAN / AQUIFER SUPPLEMENTAL CASES - 3rd Year

iHuman and/or Aquifer Cases are assigned to the 3

year osteopathic medical student

each block by the Clinical Affairs Department as an additional educational tool.

Objectives

a. To broaden medical knowledge

b. To allow osteopathic medical students to obtain a step by step approach on

how to perform a history and physical examination on a simulated patient.

c. To allow the osteopathic medical student to practice valuable skills such as

formulating a differential diagnosis, assessment, and plan for each patient.

d. To provide the osteopathic medical student with valuable feedback regarding

their performance on their simulated case experiences.

Format

All 3

year students are required to complete all assigned cases each block.

iHuman and/or Aquifer assignments will be sent to the website by the Department

of Clinical Affairs and students will have access to them on the first day of each

clinical rotation.

Student Responsibilities

Complete the case each block, as assigned.

Grading

The grade will be based on adequate time spent on and the completion of the

assigned cases. Participation is Pass/Fail.

1B. CLINICAL JOURNAL CLUB - 4th Year

Articles will be chosen by KYCOM faculty. The 4th year osteopathic medical student

is partnered with peers and 4th year colleagues to review current topics in the medical

literature.

Objectives

a. To promote professional reading habits.

b. To encourage critical evaluation of published medical information.

c. To broaden medical knowledge.

d. To support collegiality among professionals

Format

All 4

year students are required to attend one journal club. Students will connect

to the program from their personal computers. Meeting assignments will be

issued by the Associate Dean for Clinical Affairs as follows:

a. Journal Club date assignments will be sent by University of Pikeville

(UPIKE) e-mail to all class members no later than the first day of rotations.

Substitution of assigned dates is the responsibility of the student. Changes to

the schedule must be reported to the Associate Dean for Clinical Affairs at

least 24 hours before the planned Journal Club meeting.

b. Notification of assigned journal articles will be released via Upike e-mail no

later than one week before the assigned date.

At the conclusion of each journal club session, the facilitator will assign five

questions to be answered via e-mail by noon eastern the following day.

c. Failure to pass or complete questions by noon eastern the following day will

restult in the failure of Journal Club and student must repeat.

Student Responsibilities

a. Read and outline the assigned journal article in advance of the meeting.

b. Be prepared to be called upon during the online meeting to discuss the article

content, related theory/clinical practice or study question material.

c. Submission of completed facilitator questions before 12:00 Noon ET on the

day following the meeting.

Attendance

a. Students are expected to attend the journal club meeting on the date assigned.

All attendance is verified by Go To Webinar.

b. If absences are reported to the Associate Dean for Clinical Affairs, prior to

airtime, a make-up date or alternate assignment will be given.

c. Failure to notify the Associate Dean for Clinical Affairs about unavoidable

absence from journal club requires a written explanation. Remediation will

be at the discretion of the Associate Dean for Clinical Affairs.

Grading

The grade will be based on successful completion of the five quiz questions, and

verified attendance. Study questions submitted by absentees or submitted

beyond the deadline will not be accepted. The question responses will be due

the morning after the session, and should be e-mailed to the program facilitator.

2. END OF SERVICE EXAMINATION MODULES - COMAT

a. Completion of on-line examination modules in the areas of Family Medicine,

Emergency Medicine, Internal Medicine, Surgery, Pediatrics, Women’s

Health, Osteopathic Principles & Practices, and Psychiatry is a mandatory

requirement to receive full credit for each of the above rotation disciplines.

The modules are prepared by the National Board of Osteopathic Medical

Examiners and entitled “Comprehensive Osteopathic Medical Achievement

Test” (COMAT). Each module is designed to assess medical knowledge in

the core subject area. The modules also serve to prepare the osteopathic

medical student for the COMLEX Level 2CE examination, taken by

KYCOM students after completion of the third year of study.

b. Exams will be completed during the fourth week of the rotation.

c. For two rotation disciplines, e.g. family medicine exams will be completed

during the fourth week of both rotations (Rotation grades for each discipline

will be considered an “incomplete” until the exam result is received by the

Associate Dean for Clinical Affairs.

d. The exam will account for 50% of the rotation grade.

Class of 2023 COMAT Grading Chart

100

<74

75-79

80-81

82-84

85-87

88-92

93-97

98-102

103-106

107-109

≥110

3. OPC V AND OPC VI

OST 703 AND OST 704 Course Description:

OPC V and VI are designated for (1) one

credit hour each. These third-year courses are a continuation of the OPC I-IV course(s)

and will serve to further expand and develop the world of osteopathic patient care

through a multifaceted approach. These

courses will be a standard didactic program for

third year students. Students will be required to complete 2 video modules per 4-week

block. These must be completed during each block, even if the student is off

rotation for board study. All modules will be presented on the Panopto Video Center.

Sessions will work in conjunction with the scheduled third year rotations.

Grading Policy: Students must complete a post-exam. Each post-exam will be

worth 5 points. There will be 5 post-exam questions per module.

OPC V Post-Exam (5 points) 50 Points

Total Possible Points for the Course:

50 Points

Course Passage = 70% or 35 of the total points available

OPC VI Post-Exam (5 points)

50 Points

Total Possible Points for the Course:

50 Points

Course Passage = 70% or 35 of the total points available

Remediation Policy: Students who do not achieve 70% or better in the course have

failed the OPC course. According to the KYCOM Student Handbook, all failures

are reviewed by the Promotion & Matriculation Committee and a decision is made

whether or not a student is allowed to remediate failed courses. If the Promotion &

Matriculation Committee decides a student is allowed remediate OPC, the student

will revisit and pass the modules failed. Remediation will be required during winter

break for OPC V and during the clinical capstone course for OPC VI.

4. EDUCATIONAL VIDEOS AND PROGRAMS

Each student is required to view or attend a minimum of ten (10) clinical programs (your

choice) during fourth year. The program(s), viewed and/or attended, must have the

capacity to issue a certificate of successful completion. A limit of two completed program

certificates must be earned per clinical rotation period, and submitted via e-mail to your

clinical clerkship coordinator. No more than two (2) clinical programs can be viewed on

the same day, and no more than two (2) certificates can be submitted at the same time to

receive credit.

Grading is “Pass/Fail” and remediation is at the discretion of the Associate Dean

for Clinical Affairs. Logs are considered INCOMPLETE without submittal of the

two (2) required certificates.

KYCOM allows the student to opt to attend AOA/AMA credentialed Continuing

Medical Education Programs (CMEs) held at the student’s host hospital or

medical center, on campus in Pikeville, on-line with UPIKE or at another COCA

accredited osteopathic medical school, or on-line or in-person at one of the two

other Kentucky medical schools. These do not include scheduled didactic

education meetings such as Morning Report, Tumor Board, rotation assignments,

UpToDate, or Clinical Key, etc. Alternative educational resources include:

• Annual KYCOM Pediatrics Symposium attendance – Equivalent to two (2)

certificates

• Annual KYCOM Alumni CME attendance – Equivalent to two (2)

certificates

• On-line viewing of A-OPTIC monthly Grand Rounds – Equivalent to one

(1) certificate. (www.A-OPTIC.org)

• On-line viewing of University of Kentucky CE CENTRAL video series –

Equivalent to one (1) certificate, regardless of the credit hours received per

certificate. (www.CECENTRAL.com)

5. THE CLINICAL CAPSTONE COURSE - TENTATIVE SCHEDULE

Introduction

A two-week period is provided on KYCOM campus to prepare the osteopathic medical

student for the challenges of both the 4

year of study and COMLEX Level 2

Performance Evaluation. Housing is provided. The student is responsible for their own

bedding, towels, toiletry items and meals. Program segments include:

a. WELCOME

i. Update contact information

ii. Complete order forms for graduation regalia

iii. Update financial aid information

iv. Introduction to the Clinical Skills Testing Performance Evaluation

b. PREPARATION FOR RESIDENCY - An on-line recorded program will be

available for off-campus viewing, for each of the following topics.

a) Electronic Residency Application Service (ERAS)

b) Medical Student Performance Evaluation – refer to General Rotations

Information: “Preparation for Residency” for submittal information

deadlines and content.

c. CLINICAL SKILLS TESTING PERFORMANCE EVALUATION

d. DRUG SCREEN

e. PROFESSIONALISM

f. MENTAL HEALTH

g. TITLE IX

Objectives

a. To strengthen the level of competency in clinical skills possessed by the

osteopathic medical student-in-training.

b. To determine necessary areas of concentration to achieve successful

professional competency.

c. To evaluate the osteopathic medical student’s readiness toward professional

competency.

d. To evaluate the osteopathic medical student’s readiness for graduation from

medical school.

e. To aim for success in the COMLEX Level 2 Performance Evaluation

Description

Modules have been developed to portray clinical encounters commonly seen by the

osteopathic physician in either the outpatient, primary care or emergency department

settings. Standardized patients have been trained to portray clinical scenarios in a

standardized fashion, appropriate to the clinical setting, and should be interviewed,

examined and treated as you would care for a “real patient”.

Format

The class will randomly be divided into groups, and scheduled to sequentially rotate

through simulated patient encounters. The student will review the chart information,

conduct a patient interview, perform a physical examination, perform any treatment

maneuvers, give (age/gender/race) appropriate health promotion information, review

findings with the patient, and answer any patient questions or concerns. At the end of

each encounter, the student will leave the room, and report to the “SOAP Note

Writing Station”. All SOAP notes (for proper credit) must be generated and stored on

the assigned computer. The student will document information gathered during the

patient history and physical examination, develop a “most to least likely” differential

diagnosis (at least three is recommended) and propose a treatment plan.

Evaluation

The student’s clinical performance will be graded by KYCOM clinicians in the

departments of Family Medicine, Osteopathic Principles and Practice and Bio

Medical Sciences. The standardized patients have been trained to provide an

evaluation of the student’s humanistic qualities (communication and listening skills,

patient respect, etc.).

Remediation

Students who are unsuccessful during the capstone course must attend a remediation

session on campus at KYCOM prior to taking the COMLEX Level 2 PE. The date of

the remediation will be determined by the Associate Dean for Clinical Affairs.

Suggested References

Le, Tao, First Aid for the USMLE Step 2 CS, latest edition

Savarese, Robert G., OMT Review, latest edition

Nelson, Kenneth E., Somatic Dysfunction in Osteopathic Family Medicine, latest

edition

Porter, Robert, The Merck Manual, 20th Ed., 2011.

Seidel’s Guide to Physical Examination, 9

Ed.

Gomella and Haist, Clinician’s Pocket Reference, 11

Ed., McGraw-Hill Co., latest

edition

Award of Honors

For the KYCOM Class of 2015 and subsequent KYCOM classes, class ranks are no longer

reported on student transcripts. Beginning with the 2021-2022 academic year, KYCOM will

recognize superior student achievement with the designation of Honors for any course or

clinical rotation in which the students achieves a 90% or greater final grade on core rotations.

The award of Honors recognizes superior student achievement and will be reported on the

student transcript. In order to be eligible for Honors, students must be in good academic

standing with no course or COMLEX board exam failures earned during the term or year under

consideration.

Further, students cannot be on a partial or decelerated schedule or repeating a course previously

taken to be considered for Honors designation.

GUIDELINES FOR PRECEPTORS

PRECEPTOR EDUCATIONAL RESPONSIBILITIES

Preceptors will provide instruction, supervision, and evaluation of the performance of students. If

for any reason the preceptor decides a student’s performance is unsatisfactory, he/she should

contact the rotations office before the rotation’s completion. If a problem arises with a student’s

performance, the KYCOM Associate Dean for Clinical Affairs will decide on the appropriate

action to be taken. The preceptor is encouraged to conduct a mid-rotation meeting with the student

to provide specific feedback on the student’s performance. This is especially important if the

student is not meeting expectations. The preceptor will evaluate the performance of the students

in writing immediately following completion of the rotation. Preceptors are encouraged to discuss

the evaluation with the student before returning it to KYCOM. The student will evaluate his/her

own performance, the educational services, and faculty participation at the rotation site. This

evaluation will also be submitted to the rotations office during the week following rotation. Copies

of KYCOM evaluation instruments are included at the end of this manual.

INSTRUCTIONAL OBJECTIVES FOR PRECEPTORS

The following guidelines are provided to aid supervising physicians and staff in meeting the

objectives of the curriculum for the students. The preceptor will:

1. Provide direction and guidance to enable the student to master the objectives listed in the

curriculum for the rotation.

2. Demonstrate availability for support, directional guidance and consultations with the

students.

3. Demonstrate a wide variety of knowledge necessary for the instruction of the student.

4. Effectively encourage questions and stimulate problem solving.

5. Admit freely a lack of knowledge when he or she encounters a situation that is not a

familiar medical problem.

6. Display the following personal traits:

a. attentive to the needs of the students

b. a calm and relaxed manner

c. enthusiasm about the practice of medicine

d. interest in presenting information to students

7. Effectively define and illustrate clinical signs and symptoms.

8. Help the students in developing skills in clinical problem solving.

9. Display a manner which exemplifies those characteristics that promote effective

physician/patient communication.

10. Display the appropriate psychosocial interactions that promote effective physician/patient

communication.

11. Provide the students with educational programs that will increase their knowledge.

ATTENDING PHYSICIAN RESPONSIBILITIES

The preceptor/attending physician possesses the experience and training to:

1. Review and co-sign all written materials

a. Progress Notes

b. History and Physical Exams

c. Admit Notes and Discharge Summaries

d. Treatment Orders

2. Review Student Performance

a. Conduct a mid-rotation evaluation session to discuss the student’s progress

b. Completion and Submittal of the “KYCOM Student Assessment Form” at the

completion of the rotation.

3. Attend Patient Rounds

a. Answer case specific questions

b. Emphasize important “learning” points

c. Direct the student’s case management activities

4. Serve as a Mentor

5. Suggest Reading

STUDENT RECORD KEEPING

LOGS

All students are required to maintain an accurate electronic log of every patient seen each day

during ambulatory and hospital care. All attending physicians are entitled to review this log at

any time, and encouraged to review them at the end of the rotation. Logs and evaluations are to

be completed within fourteen (14) calendar days from the last day of the rotation. After 14

days, if logs are not completed, the maximum rotation score will be 70% and the student will

be referred to the P&M Committee for further action.

The following Case Log components are mandatory:

1. Student Assessment Form

2. Rotation Evaluation Form –

utilized for student evaluation of the clinical experience.

This evaluation will be accumulated and reviewed for credentialing and curricular

purposes and must accompany all Case Logs.

The following entries are suggested for each of the following log areas:

1. Student Log – Ambulatory Clinic Rotation – utilized on all ambulatory clinical rotations,

including but not limited to rotations such as Family Medicine, General Internal

Medicine, and Pediatrics. This would be an outpatient log and would not include

hospitalized patients.

2. Student Log – Hospital Case Participation – noting the following:

a. Patient identification number or initials only. It is a HIPAA violation to identify

patients by name.

b. Admission date

c. Diagnosis –

Provisional or Final

d. Level of Participation

e. H&P Performed

f. Attending Physician

g. OMT

4. Student Log – Surgery – utilized during the surgical core and elective rotations noting the

surgical procedures, level of participation, final diagnosis, and whether the procedure was

performed on an inpatient or outpatient basis.

5. Student Log – Obstetrics – utilized on all obstetrical cases.

6. Student Log – Special Procedures – examples such as laceration repair, Pap smear,

Electrocardiography, Surgical biopsy, Cardiac stress test, etc.

7. Student Log – Educational Programs – listing of all clinical didactic lecture activities

including Journal Club, Morbidity & Mortality Review, Tumor Board, Videoconferences,

County Medical Society, etc.

8. Student Log – Reading Program – noting the breadth and depth of the student’s

professional reading experience during the clinical rotation. This would also include any

references for research performed at the request of the preceptor. The log would list the

names of books, journals, or other educational material completed during the log period.

No Case Logs will be considered complete without the appropriate completed component parts.

For purposes of credentialing, gaining future practice privileges or certification, students should

permanently keep signed copies of their logs. This can be done by exporting the log documents

from E*Value to Microsoft Excel. KYCOM will not keep file copies of such documents for more

than one year, and it is the student’s responsibility to be able to produce original documentation

of his/her training.

GRADUATION REQUIREMENTS

1. Successful Completion of COMLEX level 1, Level 2-CE, and Level 2-PE

2. Completion of Educational Programs

3. Completion of Capstone Course

4. Completion of Clinical Journal Club and iHuman and/or Aquifer modules

5. Successful completion of end-of-service examination modules in Internal Medicine,

Family Medicine, Pediatrics, General Surgery, Women’s Health, Osteopathic

Manipulative Medicine, Psychiatry and Emergency Medicine.

6. Successful completion of OPC V and OPC VI.

7. Successful Completion of all clinical rotations and submittal of all documentation

a. Submittals of all clinical rotation logs

b. Student Assessment Forms

c. Documentation of required encounters

8. Attendance at all class meetings

a. Class meeting at conclusion of the 3

year of study

b. Exit class meeting at conclusion of 4

year of study

c. Attendance at graduation exercises

COURSE SYLLABI

OST 799 INDEPENDENT STUDY I

Faculty: Dr. Joshua Crum (Course Director)

Office: Coal Building 611

Hours: By appointment

E-mail: [email protected]

Texts: N/A

Supplemental Texts: N/A

Hours: 4.0 credit hours

Every four-credit course as outlined in this policy, and the appropriate grade will be part of the

student’s permanent KYCOM transcript. However, credits earned in this course will NOT take

the place of any clinical rotation requirements as outlined in the Student Handbook and Clinical

Rotations Manual. The credit hours earned in this course will not be calculated into the student’s

grade point average.

Course Description: This is an independent study course in which students will be provided a

detailed individualized study plan to prepare them for their COMLEX-USA Level 1 examination.

The study plan will include required assessments to provide benchmarks for preparedness, as well

as usage of specified question banks and study resources.

This course will be four weeks in duration, but can be continued in four week increments as

approved by the course director as long as the student is preparing for their COMLEX-USA retake

examination. In addition, if necessary, this course may be repeated approved by the course director

and the Promotions and Matriculation Committee if the student’s board examination retake is not

passed.

Course Goal: The primary goal of this course is to provide the student additional time and

structure to prepare for the COMLEX-USA Level 1 examination.

Course Attendance: N/A.

Course Format: Students will have an individual study plan to follow with built-in assessments

and question bank goals to serve as benchmarks for preparedness to retake their COMLEX-USA

board examination.

Grades: Grades will be reported as Pass or Fail. Students following the assigned study plan and

taking the COMLEX-USA Level 1 examination on their assigned date will Pass. Students who

do not follow the assigned study plan or who do not take their COMLEX Level 1 on the assigned

date will fail this course. Failure of this course can be grounds for dismissal from KYCOM.

Examination Policy: There are no examinations in this course other than the assigned assessment

tests.

Challenge of Examination Questions: N/A

Remediation Policy: According to the KYCOM Student Handbook, all failures are reviewed by

the Promotion & Matriculation Committee and a decision is made whether or not a student is

allowed to remediate failed courses. The Promotion & Matriculation Committee could

recommend dismissal or decide a student may remediate Independent Study 1. Should remediation

be recommended the student will meet with Dr. Crum to develop a new study plan and set new

dates for assessments and the COMLEX-USA Level 1 examination. The format for remediation

will be at the discretion of Dr. Crum but may require the student to purchase/attend a third-party

preparatory course.

OST 899 INDEPENDENT STUDY II

Faculty: Dr. Joshua Crum (Course Director)

Office: Coal Building 611

Hours: Anytime or by appointment

E-mail: [email protected]

Texts: N/A

Supplemental Texts: N/A

Hours: 4.0 credit hour

Every four-credit course as outlined in this policy, and the appropriate grade will be part of the

student’s permanent KYCOM transcript. However, credits earned in this course will NOT take

the place of any clinical rotation requirements as outlined in the Student Handbook and Clinical

Rotations Manual. The credit hours earned in this course will not be calculated into the student’s

grade point average.

Course Description: This is an independent study course in which students will be provided a

detailed individualized study plan to follow to prepare them for their COMLEX-USA Level 2CE

or Level 2 PE examination. The study plan will include required assessments to provide

benchmarks for preparedness, as well as usage of specified question banks and study resources.

Course Goal: The primary goal of this course is to provide the student additional time and

structure to prepare for the COMLEX-USA Level 2CE or Level 2PE examination.

Course Attendance: N/A.

Course Format: Students will have an individual study plan to follow with built-in assessments

and question bank goals to serve as benchmarks for preparedness to retake their COMLEX-USA

board examination.

Grades: Grades will be reported as Pass or Fail. Students following the assigned study plan and

taking the COMLEX-USA Level 2CE or Level 2 PE examination on their assigned date will Pass.

Students who do not follow the assigned study plan or who do not take their COMLEX Level 2CE

or Level 2 PE on the assigned date will fail this course. Failure of this course can be grounds for

dismissal from KYCOM.

Examination Policy: There are no examinations in this course other than the assigned assessment

tests.

Challenge of Examination Questions: N/A

Remediation Policy: According to the KYCOM Student Handbook, all failures are reviewed by

the Promotion & Matriculation Committee and a decision is made whether or not a student is

allowed to remediate failed courses. The Promotion & Matriculation Committee could

recommend dismissal or decide a student may remediate Independent Study Level II. Should

remediation be recommended the student will meet with Dr. Crum to develop a new study plan

and set new dates for assessments and the COMLEX-USA Level 2CE or Level 2 PE examination.

The format for remediation will be at the discretion of Dr. Crum but may require the student to

purchase/attend a third-party preparatory course.

OSTEOPATHIC PATIENT CARE (OPC) V

Faculty: Joshua Crum, D.O., Course Director

Laura Griffin, D.O., et al.

Course Hours: OPC V is designated for (1) one credit hour. Training modules are scheduled to be

recorded and made available via Panopto Video System and/or the AOPTIC website. Please

refer to the lecture schedule on CANVAS for instructions on how to access videos and the days

and times as to when these training modules will be made available. The course extends from the

first day of clinical rotation, 3

year, until the last day of the fifth clinical rotation, 3

year.

Course Description: This third-year course is a continuation of the OPC I-IV course(s) and will

serve to further expand and develop the world of osteopathic patient care through a multifaceted

approach. The course will be a standard didactic program for third year students. This course

will consist of recorded modules and online exercises (via Panopto Video Center and/or the

AOPTIC website in addition to pre-video and post-video exams on CANVAS). Essential

components of the course will include reinforcement of principles of medical issues incurred

after graduation including but not limited to, osteopathic manipulative treatment, physicians’

relationship with patients and social dilemmas in medicine, pain management, physician

payment systems, substance abuse, landmark trials and Good Samaritan laws.

Course Goals:

1. To integrate Osteopathic Principles and Practices throughout the third year clinical clerkship

experience.

2. To standardize the clinical curriculum and to further develop an appreciation of the:

a. Ethical issues relevant to practicing medicine.

b. Patient’s role in his/her healthcare.

c. The key issues in relationships between physicians and patients.

d. Professionalism needed in healthcare profession

e. The potential impact of working with patients and others with different moral,

cultural, and religious views etc.

f. Domestic violence and Abuse, Substance abuse and Disorders, Right to Die, Pain

management, Global issues in Medicine, billing systems and laws affecting the

healthcare profession.

3. To further develop medical decision making skills.

4. To hone diagnostic and treatment/management skills.

5. To hone effective physician-patient communication skills.

6. To further develop and maintain a good physician and patient relationship and continue to

master the art of osteopathic manipulative treatment.

Course Format:

Students will be required to complete 2 video modules per rotation. This course will consist of 5

rotations (August -December) and 10 modules. All modules will be presented on the Panopto

Video Center and/or AOPTIC websites. After viewing each module, students will take a post-

exam on CANVAS. Sessions will work in conjunction with the scheduled third year rotations, and

designed to meet the course objectives noted above. These videos must be completed during

each block, even if you are off rotations for board study.

Grading Policy: Students will complete a post-exam worth 5 points (5 questions).

10 Post-Exams (5 points each) 50 Points

Total Possible Points for the Course: 50 Points

Course Passage = 70% or 35 of the total points available

Examination Policy: The examination policy for UP-KYCOM will be followed for all block

exams (if applicable).

Remediation Policy: Students who do not achieve 70% or (35) cumulative points or better in

the course have failed the OPC V course. According to the KYCOM Student Handbook, all

failures are reviewed by the Promotion & Matriculation Committee and a decision is made

whether or not a student is allowed to remediate failed courses. If the Promotion &

Matriculation Committee decides a student is allowed remediate OPC V, the student will revisit

and pass the modules failed. Remediation will be required during Winter Break of third year.

OSTEOPATHIC PATIENT CARE (OPC) VI

Faculty: Joshua Crum, D.O., Course Director

(606) 218-5428

Laura Griffin, D.O., et al.

Course Hours: OPC VI is designated for (1) one credit hour(s). Training modules are scheduled to

be recorded and made available via Panopto Video System and/or the AOPTIC website. Please

refer to the lecture schedule on CANVAS for instructions on how to access videos and the days

and times as to when these training modules will be made available. The course extends from the

first day of the sixth clinical rotation, 3

year, through the last day of the eleventh clinical rotation,

year.

Course Description: This third-year course is a continuation of the OPC I-V course(s) and will

serve to further expand and develop the world of osteopathic patient care through a multifaceted

approach. The course will be a standard didactic program for third year students. This course

will consist of recorded modules and online exercises (via Panopto Video Center and/or the

AOPTIC website with post-video exams on CANVAS). Essential components of the course will

include reinforcement of principles of medical issues incurred after graduation including but not

limited to, osteopathic manipulative treatment, physicians’ relationship with patients and social

dilemmas in medicine, pain management, physician payment systems, substance abuse,

landmark trials and Good Samaritan laws.

Course Goals:

1. To integrate Osteopathic Principles and Practices throughout the third-year clinical clerkship

experience.

2. To standardize the clinical curriculum and to further develop an appreciation of the:

a. Ethical issues relevant to practicing medicine.

b. Patient’s role in his/her healthcare.

c. The key issues in relationships between physicians and patients.

d. Professionalism needed in healthcare profession

e. The potential impact of working with patients and others with different moral,

cultural, and religious views etc.

f. Domestic violence and Abuse, Substance abuse and Disorders, Right to Die, Pain

management, Global issues in Medicine, billing systems and laws affecting the

healthcare profession.

3. To further develop medical decision-making skills.

4. To hone diagnostic and treatment/management skills.

5. To hone effective physician-patient communication skills.

6. To further develop and maintain a good physician and patient relationship and continue to

master the art of osteopathic manipulative treatment.

Students will be required to complete 2 videos per 4-week block. All modules will be presented

on the Panopto Video Center and/or AOPTIC websites. Sessions will work in conjunction with the

scheduled third year rotations, and designed to meet the course objectives noted above. All students

must complete the sessions even if rotations are suspended for board study due to a board failure.

Grading Policy: Each post-exam will be worth 5 points. There will be 5 post-exam questions

per module.

Post-Exam (5 points) 50 Points

Total Possible Points for the Course: 50 Points

Course Passage = 70% or 35 of the total points available

Examination Policy: The examination policy for UP-KYCOM will be followed for all block

exams (if applicable).

Remediation Policy: Students who do not achieve 70% or (35) cumulative points or better in

the course have failed the OPC VI course. According to the KYCOM Student Handbook, all

failures are reviewed by the Promotion & Matriculation Committee and a decision is made

whether or not a student is allowed to remediate failed courses. If the Promotion &

Matriculation Committee decides a student is allowed remediate OPC VI, the student will revisit

and pass the modules failed. Remediation will be required in May, prior to the beginning of

fourth year.

Course Format:

CORE ROTATION CURRICULUM

The following applies to all core rotations:

Student Hours

Daily hours are to parallel the hours of the attending physician, however, the following

guidelines are suggested:

1. A work day may be considered 12 hours in duration.

2. A work week may be considered typically 72 hours, however, should not exceed 80 hours

in duration.

3. Maximum continuous duty should not exceed 24 hours and should be followed by a

minimum of 12 hours off duty.

4. Two days out of every 14 days should be provided as a weekend break.

5. Students are required to work a minimum of 40 hours per week.

Location

The physician’s office, outpatient clinic, and/or participating hospital(s) within the core site.

Dress

At all times, KYCOM students will act as a representative of the school, and be attentive to

personal hygiene, cleanliness and personal demeanor. Short white lab coats with KYCOM

identification are expected to be worn unless specifically instructed by the hospital or preceptor.

Scrub suits are to be worn in the operating room, procedure rooms, during call hours and at the

discretion of individual physicians and/or institution/facility. At all times, however, the student

must be clearly identified as a KYCOM student. See Student Responsibilities section of this

manual for clarification.

Attendance

Prompt student attendance is expected for a minimum of 20 days each four-week rotation period

and 10 days for each two-week rotation period. The expectation is that students work Monday

through Friday with weekends off. However, the work day will vary by rotation. If the preceptor

works weekends, the student is expected to work weekends also. The activities of each day must

be recorded on student logs for the rotation. A maximum of three (3) days for absence is

permitted, with prior approval by the associate dean for Clinical Affairs, and must be recorded

on student logs for the rotation. Absence in excess of the 3-day standard will result in an

“incomplete” for this rotation, until such time that the activity requirement is satisfied.

Absence of the attending physician or the student, from the practice for a period greater than one

day, requires the student to notify the office for Clinical Affairs, of the interruption of activity.

At the discretion of the associate dean for Clinical Affairs either a reading assignment or

alternate duty assignment will be made.

Lectures and Meetings

It is the responsibility of the student to be familiar with the hospital’s didactic lecture schedule,

and to document attendance within the student log. Didactic programs include but are not limited

to: Morning Report, Journal Club, Morbidity/Mortality Conference, Grand Rounds, and Noon

Conference. Absence from any of these events requires the signature of the preceptor, and should

be sent with the student log reports to KYCOM. It is expected that the student will attend a

minimum of 70% of each kind of event.

Grading

The KYCOM Student Assessment Form for CORE (and EM) rotations, which is completed by

the attending physician, comprises 50% of the rotation grade. The COMAT examination score

comprises the balance of the grade. Upon receipt and review of all information, the associate

dean for Clinical Affairs evaluates the material, and assigns a numerical grade, as per the

Clinical Rotations Manual, Student Evaluation (Grade). The evaluation is intended to measure

the student in comparison to others at the same level of education.

The KYCOM Student Assessment Form measures:

1. Mastery of Osteopathic Philosophy and Application of Manipulative Medicine

2. Medical Knowledge

3. Patient Care

4. Interpersonal and Communication Skills

5. Professionalism

6. Application of Practice Based Learning Skills

7. Application of Systems Approach to Medicine

Challenge of Grades

Any challenges or questions are to be directed to the Associate Dean for Clinical Affairs. The

student has the right for review of the challenge by the Promotions and Matriculation

Committee, if the associate dean’s response requires further clarification.

Remediation

In cases where a passing grade is not achieved, if deemed appropriate by the Promotions &

Matriculation Committee, the student will be given the opportunity to repeat the rotation. Upon

successful completion of the repeated rotation, a maximum grade of 70% will be recorded on

the student transcript.

OST 700: Clinical Osteopathic Medicine

Course Description

Clinical Osteopathic Medicine is a mandatory CORE rotation. The program attempts to answer

the questions of “WHEN”, “WHY”, “HOW”, “WHERE”, and “IF” to utilize osteopathic

manipulative techniques as part of the treatment plan for the medical/surgical patient. The

appreciation of the intercommunication of the body systems, and the interpretation of T A R T

findings is incorporated into the diagnosis and treatment of neural, muscular, joint, and visceral

dysfunction. The osteopathic medical student is introduced to the evaluation and management of

medical/surgical patients in both the out-patient and in-hospital setting.

Course Objectives

1. To master examination skills of both the axial and appendicular skeleton for disorders,

and/or somatic dysfunction.

a. Displays knowledge of neurologic and muscular diagnostic tools.

b. Displays knowledge of the osteopathic structural examination.

2. To recognize physical changes of soft tissue structures for somato-somatic, somato-

visceral, viscero-visceral and viscero-somatic reflex dysfunction.

3. To display clinical competency in the use of direct treatment approaches:

a. High Velocity, Low Amplitude treatment of articular somatic dysfunction.

b. Application of Muscle Energy to treatment of articular somatic dysfunction.

c. Application of myofascial release to restricted soft tissue structures.

4. To display clinical competency in the use of indirect treatment approaches:

a. Application of Counterstrain to restricted soft tissue structures.

b. Application of Myofascial Release to restricted soft tissue structures.

c. Application of “Balance and Hold” techniques to treatment of articular and fascial

somatic dysfunction.

d. Application of “Osteopathic Cranial Manipulative Medicine” to treatment of cranial

and sacral somatic dysfunction.

e. Application of “Progressive Inhibition of Neuromusculoskeletal Structures” to

restricted soft tissue structures.

5. To display clinical competency with the “decision making” process for proper

utilization/application of osteopathic manipulative procedures to clinical problems.

a. Osteopathic approaches as diagnostic tools.

b. Osteopathic techniques as primary and/or secondary treatment tools.

c. Osteopathic approaches as palliative tools.

Student Duties

1. The student participates in the out-patient setting. Responsibilities include:

a. Performance of physical examinations to include performance of Osteopathic

Structural Examination.

b. Performance of Osteopathic Manipulative Treatment under supervision.

c. Production of progress, SOAP notes on each assigned patient.

d. Participation in “after-hours” call rotation.

e. Attendance at hospital conferences.

2. Completion of an “End of Service” examination (COMAT) administered by the National

Board of Osteopathic Medical Examiners, during the fourth week of the rotation.

Related Reading

See CANVAS on the University of Pikeville website.

https://www.nbome.org/exams-assessments/comat/clinical-subjects/comat-principles/

See also the CORE ROTATION CURRICULUM cover page in this manual.

OST 708: Family Medicine I

Course Description

Family Medicine I is a mandatory, four-week, third-year core rotation that may be served in

either the in-patient or out-patient setting. The third-year osteopathic medical student is

progressed from the clinical courses introduced during the two pre-clinical years to their

application in patient care. A hospital setting is preferable, however, course objectives can be

achieved in an office setting. Preventive care, family planning, end of life care, acute and chronic

care applied across all age groups, coordination of medical services and the operation of a

professional practice are among the many experiences gained over the four weeks.

Course Objectives

1. To provide a framework for care of the general medical patient.

a. To develop and apply interviewing skills to the patient encounter, as a means to both

solidify physician-patient relationships and produce preliminary differential

diagnosis.

b. To utilize physical examination skills to progress from preliminary differential

diagnosis to a probable differential diagnosis and the development of a diagnostic and

treatment plan.

c. To experience the evolution of a diagnostic plan, and the establishment of a working

diagnosis and its associated treatment plan.

d. To identify and apply core osteopathic principles and practices to the care of the

general medical patient

e. To identify available social and medical resources and the family physician’s role in

their coordination to patient care, i.e. referral decision-making.

f. To view the role of experience based medicine to medical decision-making.

2. To provide a framework for preventive medical care to all age groups.

3. To expose students to the operation of a professional office:

a. The roles of staff and physician(s) in the delivery of healthcare.

b. The influences of third party insurance and medical decision-making.

c. Care and recording of medical records.

d. The roles of the “International Classification of Diseases” and “Current Procedural

Terminology” and their impact on physician reimbursement.

e. The role of the telephone, and other electronic communication tools in the delivery of

healthcare.

f. Awareness of physician responsibilities under HIPAA and OSHA regulations.

4. To provide knowledge of office procedures, their associated equipment, and laboratory

submittal requirements.

a. Phlebotomy

b. Wound repair and suture removal

c. Electrocardiography

d. Spirometry

e. Audiometry

f. Screening examinations of the male and female breast

g. The anal, rectal and prostate examination

h. The female internal examination

5. To develop written and oral communication skills.

a. The production of a written and/or dictated history and physical.

b. The production of a written and/or dictated encounter progress note.

c. Telephone and in-person communication with other medical and health professionals

involved in common, with the care of the general medical patient.

Student Duties

The student participates as both a member of the hospital house staff and office staff.

Responsibilities include:

1. Performance of admission histories and physicals

2. Completion of rounds on all in-patients including:

a. Production of a progress SOAP note in each assigned patient chart.

b. Investigation of all diagnostic studies ordered for the patient.

c. Production of any case summaries and/or discharge summaries for the admitted

patient.

d. Performance of Osteopathic Manipulative Treatment under the direction of the

attending physician.

3. Assist and/or perform office procedures under supervision.

4. Office set-up and performance of procedures:

a. Osteopathic Manipulative Treatment

b. Preventive health screens

c. Minor surgery

d. Preparation of laboratory specimens

e. Draping and gowning

5. Completion of an “End of Service” examination (COMAT) administered by the National

Board of Osteopathic Medical Examiners, during the fourth week of the rotation.

Related Reading

https://www.nbome.org/exams-assessments/comat/clinical-subjects/comat-family-medicine/

See also the CORE ROTATION CURRICULUM cover page in this manual.

OST 709: Family Medicine II

Course Description

Family Medicine II is a mandatory, third year, upper level, four-week core rotation, that may be

served in either the in-patient or out-patient setting. The osteopathic medical student is, under

preceptor supervision, actively engaged in both the care and the medical decision-making for

both the in-patient and out-patient population. During the four weeks, the osteopathic medical

student will evaluate patients, develop comprehensive care plans and experience the

responsibilities associated with physician actions.

Prerequisite: Family Medicine I

Course Objectives

1. To develop efficient and complete evaluative and management skills for the care of the

general medical patient.

a. To conduct an age, gender and problem associated patient interview and physical

examination, while including preventive medical care for all age groups.

b. To formulate and test preliminary differential diagnosis during the physical

examination.

c. To develop a diagnostic and treatment plan.

d. To establish a working diagnosis and the challenges associated with the

implementation of the treatment plan.

e. To apply core osteopathic principles and practices to the care of the general medical

patient.

f. To coordinate available social and medical resources as part of the comprehensive

treatment plan.

g. To, under preceptor supervision, take the family physician’s role in referral decision-

making.

i. To view the role of experience based medicine to medical decision-making.

ii. To view the availability of services and its impact on patient care.

iii. To view the effect of outside influences, e.g. third party insurance, on medical

decision-making.

2. To develop a model for the operation of a professional office:

a. Examine the roles of staff and physician(s) in the delivery of healthcare. This may

include, with the consent of the preceptor, attendance at office staff meetings.

b. Develop an understanding of the influences that third party insurances have on

medical decision-making.

c. Understand the laws that govern the care and recording of medical records.

d. Gain a working knowledge of the “International Classification of Diseases” and

“Current Procedural Terminology” and their impact on physician reimbursement.

e. Examine the telephone system, and other electronic communication tools in relation

to the delivery of healthcare.

f. Know the HIPAA and OSHA regulations in regard to the operation of a professional

medical practice.

i. Confidentiality

ii. Hazardous waste removal

iii. Emergency procedures

g. To develop an inventory of necessary property and supplies for the daily operation of

a general medical practice.

3. To continue development of written and oral communication skills.

a. The production of a written and/or dictated history and physical.

b. The production of a written and/or dictated encounter progress note.

Telephone and in-person communication with other medical and health professionals involved in

common, with the care of the general medical patient.

Student Duties

The student participates as both a member of the hospital house staff and office staff.

Responsibilities include:

1. Performance of admission histories and physicals

2. Completion of rounds on all in-patients including:

a. Production of a “problem-based” progress SOAP note in each assigned patient chart.

b. Maintain “out of chart” treatment plans on each assigned patient for purposes of

bedside discussion and comprehensive care planning.

c. Investigation and interpretation of all diagnostic studies ordered for the patient, and

be prepared to discuss findings for purposes of comprehensive care planning.

d. Follow-up with all consultants on assigned patients, and be prepared to discuss

findings for purposes of comprehensive care planning.

e. Production of any case summaries and/or discharge summaries for the admitted

patient.

f. Performance of Osteopathic Manipulative Treatment under the direction of the

attending physician.

g. Assist and/or perform office procedures under supervision.

h. Office set-up and performance of procedures:

i. Osteopathic Manipulative Treatment

ii. Preventive health screens

iii. Minor surgery

iv. Preparation of laboratory specimens

v. Draping and gowning

i. Attend and observe, with preceptor permission, family meetings.

3. Completion of an “End of Service” examination (COMAT) administered by the National

Board of Osteopathic Medical Examiners, during the fourth week of the rotation.

Related Reading

https://www.nbome.org/exams-assessments/comat/clinical-subjects/comat-family-medicine/

See also the CORE ROTATION CURRICULUM cover page in this manual.

OST 720: General Internal Medicine I

Course Description

General Internal Medicine I is a mandatory, four-week third year core rotation that may be

served in either the in-patient or out-patient setting. The third year osteopathic medical student is

progressed from Course No. 607, second year Introductory Internal Medicine, and Course No.

604, Clinical Applications of Osteopathic Medicine, to practical application in the hospital

setting. The pathophysiology of cardiovascular, cerebrovascular, pulmonary, renal,

gastrointestinal and endocrine disorders are among the patient population seen. As a member of a

multi-disciplinary internal medicine “teaching” service, under the supervision of hospitalists,

general internists, and medicine subspecialists, the osteopathic medical student participates in the

admission, in-hospital care and discharge of the patients served.

Course Objectives

1. To develop age and gender specific, problem oriented history and physical examination

skills.

2. To learn effective communication skills.

a. The focused patient interview

b. Peer case presentation techniques

c. Production of coherent admission, progress, and discharge notes

3. To correlate information gained from the patient’s chief complaint, medical, surgical,

social, and familial histories with the signs and symptoms seen on examination to

develop differential diagnoses in order of likelihood.

4. To appreciate the role that experience based medicine plays in the management of the

medical patient.

5. To appreciate the need for preventive medical care as part of the total treatment regimen

for the medical patient.

6. To learn the principles of the production and implementation of a total treatment plan.

7. To expose students to the operation of a hospital.

a. The hospital laboratory

b. The radiology department

c. The nursing staff and patient care management.

d. The physical, occupational, speech, and respiratory therapy teams.

e. The social services department

f. The strict observance of HIPAA and OSHA regulations.

g. The coordination of patient care.

8. To provide practical procedural knowledge:

a. Phlebotomy and arterial blood gases

b. Insertion of nasogastric tubes

c. Insertion of urinary catheters

d. Insertion of central vascular catheters

e. Electrocardiography

f. The rectal examination

g. Cardiovascular resuscitation

h. Lumbar spinal puncture

i. Culture of blood, body fluid and soft tissues

Student Duties

The student participates as a member of the hospital house staff.

1. Performance of admission histories and physicals for the patients of “teaching” attending

physicians

2. Completion of rounds on all in-patients of “teaching” attending physicians.

3. Performance of afterhours call.

4. Attendance at hospital conferences.

5. Performance, under supervision, of minor bedside procedures.

6. Completion of an “End of Service” examination (COMAT) administered by the National

Board of Osteopathic Medical Examiners, during the fourth week of the rotation.

Related Reading

 Gomella, Leonard and Steven Haist, Clinicians Pocket Reference, Latest Edition

o Ch. 2: Chartwork

o Ch. 15: Imaging Studies

o Ch. 19: Basic ECG Reading

 Thaler, Malcolm, The Only EKG Book You’ll Ever Need, 9th ed.

o Ch. 8: Putting It All Together – 11Step Method for EKG Reading

 Simon, Roger P., Greenberg, David A., and Michael Aminoff, Lange Clinical Neurology,

Latest Edition

o Ch. 1 Ch. 1 Neurologic History & Examination or Appendix: Clinical

Examination of Common Isolated Peripheral Nerve Disorders

 https://www.nbome.org/exams-assessments/comat/clinical-subjects/comat-internal-

medicine/

See also the CORE ROTATION CURRICULUM cover page in this manual.

OST 721: General Internal Medicine II

Course Description

General Internal Medicine II is a mandatory, four-week core rotation that may be served in either

the in-patient or out-patient setting. The osteopathic medical student, under the supervision of

either a general internist, or medical subspecialist and house staff, is encouraged to incorporate

evaluative skills, and evidence based medical information, to develop a comprehensive treatment

regimen based on logical medical decision-making.

Pre-requisite: General Internal Medicine I

Course Objectives

1. To experience the responsibilities of an intern or resident.

2. To experience case management and the coordination of systems based medical care.

a. The use of subspecialists and other medical/surgical disciplines.

b. The use of social services and outpatient programs

c. The use of physical therapy

d. The use of in-house care services.

3. To produce and implement a total treatment plan.

4. To experience prioritization skills.

5. To develop a problem oriented approach to patient care.

6. To develop a sense of cost-effective medical care.

Student Duties

1. Performance of admission histories and physicals

2. Completion of rounds on all in-patients.

3. Performance of after-hours call.

4. Attendance at hospital conferences.

5. Performance of bedside procedures.

a. Placement of catheters

b. Central and peripheral line placement

c. Electrocardiography

d. Spirometry

e. Sepsis work-up and procedures

6. Completion of an “End of Service” examination (COMAT) administered by the National

Board of Osteopathic Medical Examiners, during the fourth week of the rotation.

Related Reading

Lawrence, Peter F., Essentials of General Surgery and Surgical Specialties, 6th ed.

 Ch. 1: Perioperative Evaluation and Management of Surgical Patients

 Ch. 2: Fluids, Electrolytes and Acid Base Balance

 Ch. 3: Surgical Nutrition

 Ch. 7: Wounds and Wound Healing

 Ch. 8: Surgical Infections

Gomella, Leonard G., and Steven A. Haist, Clinician’s Pocket Reference, Latest Edition

 Ch. 2: Chartwork

 Ch. 16: Introduction to the Operating Room

Ch. 17: Suturing Techniques and Wound Care https://www.nbome.org/exams-

assessments/comat/clinical-subjects/comat-surgery/

See also the CORE ROTATION CURRICULUM cover page in this manual.

OST 706: Pediatrics

Course Description

Pediatrics is a mandatory, four-week, third year core rotation. The third year osteopathic medical

student is progressed from the second year introductory pediatrics course, to experience the care

of infants, children and adolescents in the out-patient population. Common childhood diseases,

genetic and developmental disorders, preventive health care, physical examination skills, and

diagnosis and management strategies are among the rotation’s experiences.

Course Objectives

1. To provide a framework for care of the general pediatric patient.

a. The patient (parent) interview.

b. The physical examination

c. The utilization of laboratory and Diagnostic Testing

d. The utilization of evidence based medicine for diagnosis and treatment

e. The utilization of available social and medical resources for pediatric patient care, i.e.

referral decision-making.

2. To identify and apply core osteopathic principles and practices to the care of the pediatric

patient.

3. To provide a framework for preventive medical care to the pediatric population.

4. To expose students to the influences of third party insurance on medical decision-making.

5. To expose students to the influences of HIPAA and OSHA regulations on the operation

of a professional pediatric practice.

6. To gain knowledge of office procedures, their associated equipment, and laboratory

submittal requirements.

a. Phlebotomy

b. Wound repair and suture removal

c. Spirometry

d. Audiometry

e. Cerumen removal

f. Culture collection

7. To recognize developmental milestones in the pediatric population.

8. To develop written and oral communication skills.

a. The production of a written and/or dictated history and physical.

b. The production of a written and/or dictated encounter progress note.

c. Telephone and in-person communication with other medical and health professionals

involved in common, with the care of the general pediatric patient.

Student Duties

1. Performance of admission histories and physicals on in-patients.

2. Completion of rounds on all in-patients including:

a. Daily examination and evaluation of clinical status

b. Production of a progress SOAP note in each assigned patient chart.

c. Investigation of all diagnostic studies ordered for the patient.

d. Production of any case summaries and/or discharge summaries for the admitted

patient.

e. Performance of Osteopathic Manipulative Treatment under the direction of the

attending physician.

3. Completion of “after hours” on-call duty per preceptor or hospital assignment.

4. Assist and/or perform office procedures under supervision.

5. Office set-up and performance of procedures:

a. Osteopathic Manipulative Treatment

b. Preventive health screens

c. Minor surgery

d. Preparation of laboratory specimens

6. Completion of an “End of Service” examination (COMAT) administered by the National

Board of Osteopathic Medical Examiners, during the fourth week of the rotation.

Related Reading

 Behrman, Kleigman and Jenson, Nelson Textbook of Pediatrics, Latest Edition

o Chapters 68-71: Fluid and Electrolyte Disorders

o Chapters 166-177: Allergic Disorders

o Chapters 195-330: Infectious Diseases

o Chapters 400-446: The Respiratory System

o Chapters 654-662: The Ear

 Marcdante, K and R. Kliegman, H. Jenson & R. Behrman, Nelson Essentials of

Pediatrics, Latest Edition

1. Ch. 67: Overview and Assessment of Adolescents

2. Ch. 68: Well-Adolescent Care

 https://www.nbome.org/exams-assessments/comat/clinical-subjects/comat-pediatrics/

See also the CORE ROTATION CURRICULUM cover page in this manual.

OST 718: Psychiatry

Course Description

Psychiatry is a mandatory, third year, four-week core rotation, that may be served in either the

in-patient or out-patient setting. The osteopathic medical student is, under preceptor supervision,

actively engaged in the evaluation and care for the psychiatric patient. During the four weeks, the

osteopathic medical student will interview and evaluate patients, perform an admission history

and physical on all admitted patients, and develop multi-axial assessments on all patients seen.

Course Objectives

1. To develop evaluative and management skills for the care of the psychiatric patient.

a. To conduct an age, gender and problem associated patient interview and physical

examination.

b. To perform a mental status examination

c. To become acquainted with a psychiatric diagnostic and treatment plan.

 Includes understanding of the DSM Multi-Axial Classification System

d. To establish a working diagnosis with reference to The Diagnostic and Statistical

Manual IV.

 Includes the medical work-up for the psychiatric patient

e. To apply core osteopathic principles and practices to the care of the psychiatric

patient.

f. To participate with available social and medical resources as part of the

comprehensive treatment plan.

g. To view the role of evidence based medicine to treatment decision-making.

h. To view the availability of services and its impact on patient care.

i. To view the effect of outside influences, e.g. third party insurance, on medical

decision-making.

j. To view the efficacy of psychotherapeutic treatment modalities, which include:

i. The mechanism of action for psychotherapeutic agents.

ii. The role of psychopharmacology, and side-effect profiles

iii. The treatment of Axis III comorbid states

iv. Awareness of procedural alternatives to chemical therapies, e.g. cognitive

treatment.

2. To gain an understanding for the operation of an in-patient psychiatric unit.

a. Examine the roles of staff and physician(s) in the delivery of healthcare. This includes

with the consent of the preceptor, attendance at group and individual treatment

sessions.

b. Know the HIPAA and OSHA regulations in regard to the operation of a psychiatric

unit.

i. Confidentiality

ii. Emergency procedures

c. The need for security measures required for the safe operation of a psychiatry

unit.

3. To develop written and oral communication skills.

a. The production of a written and/or dictated history and physical.

b. The production of a written and/or dictated encounter progress note.

Student Duties

The student participates as a member of the unit staff. Responsibilities include:

1. Performance of admission histories and physicals. To include:

a. A complete mental status examination

b. A global assessment of functioning

2. Completion of rounds on all in-patients including:

a. Production of a “problem-based” progress SOAP note in each assigned patient chart.

b. Investigation and interpretation of all diagnostic studies ordered for the patient, and

be prepared to discuss findings for purposes of comprehensive care planning.

c. Production of any case summaries and/or discharge summaries for the admitted

patient.

d. Performance of Osteopathic Manipulative Treatment under the direction of the

attending physician.

3. Attendance at all psychiatric unit treatment sessions for assigned patients.

4. Attend and observe, with preceptor permission, family care plan meetings.

5. Completion of an “End of Service” examination (COMAT) administered by the National

Board of Osteopathic Medical Examiners, during the fourth week of the rotation.

Related Reading

 Black, Donald and Andreasen, Nancy: Introductory Textbook of Psychiatry, Latest

Edition

o Ch. 1 – Diagnosis and Classification

o Ch. 2 – Interviewing and Assessment

o Ch. 4 – Neurodevelopmental (Child) Disorders

o Ch. 6 – Mood Disorders

o Ch. 7 – Anxiety Disorders

o Ch. 15 – Substance-Related and Addictive Disorders.

o Ch. 16 – Child Psychiatry.

o Ch. 21 – Psychopharmacology and Electroconvulsive Therapy

 https://www.nbome.org/exams-assessments/comat/clinical-subjects/comat-psychiatry/

See also the CORE ROTATION CURRICULUM cover page in this manual.

OST 705: Women’s Health

Course Description

Women’s Health is a mandatory third year core rotation. The third year osteopathic medical

student is introduced to the evaluation and management of the pregnant patient, preventive care

regimens, family planning, malignancy, diagnosis and treatment of infectious diseases, urinary,

ovarian and uterine disorders, and endocrine disorders. The experience serves primarily the in-

patient woman at her time of confinement, however, may include out-patient gynecologic care

The experience may be served within a multi-practitioner service, or on the service of one

obstetrician/gynecologist.

Course Objectives

1. To provide a framework for care of the obstetrical patient.

2. To provide a framework for preventive medical care of the gynecologic patient.

3. To identify and apply core osteopathic concepts to the care of the female patient.

4. To experience the pathophysiology relevant to diseases of the breast, ovaries, urinary

bladder, and uterus, and their medical/surgical management.

5. To expose students to an evaluative approach to diagnosis and management of the adult

female patient by use of:

a. Physical examination

b. The gynecologic and medical/surgical history

c. Laboratory and Diagnostic Testing

d. Experience based medicine

6. To provide knowledge of gynecologic and obstetrical office and operative procedures,

and their associated equipment.

Student Duties

The student participates as both a member of the. host hospital’s women’s health department

service. Responsibilities include:

1. Performance of admission histories and physicals

2. Completion of rounds on all in-patients (To include):

a. Production of a progress SOAP note in each assigned patient chart.

b. Investigation of all diagnostic studies ordered for the patient.

c. Production of any case summaries and/or discharge summaries for the admitted

patient.

d. Performance of Osteopathic Manipulative Treatment at the discretion of the attending

physician.

3. Assistant within the office, operating room suite and labor & delivery, and may include

some office duty.

a. Office procedures may include: Pelvic Examination

i. Breast Examination

ii. Biopsy

iii. Preparation of pathologic specimens

iv. Draping and gowning

b. Assist with the management of the Obstetrical patient during labor and delivery

c. Assist with deliveries (vaginal and C-section), as appropriate.

d. Assist with all gynecologic surgical procedures.

4. Essential study and preparation for each planned procedure on the attending physician’s

schedule.

5. Completion of an “End of Service” examination (COMAT) administered by the National

Board of Osteopathic Medical Examiners, during the fourth week of the rotation.

Related Reading

Beckmann, Charles et al, Obstetrics and Gynecology, Latest Edition

https://www.nbome.org/exams-assessments/comat/clinical-subjects/comat-obgyn/

See also the CORE ROTATION CURRICULUM cover page in this manual.

SELECTIVE ROTATION CURRICULUM

The following applies to all selective rotations:

Student Hours

Daily hours are to parallel the hours of the attending physician, however, the following

guidelines are suggested:

1. A work day may be considered 12 hours in duration.

2. A work week may be considered typically 72 hours, however, should not exceed 80 hours

in duration.

3. Maximum continuous duty should not exceed 24 hours and should be followed by a

minimum of 12 hours off duty.

4. Two days out of every 14 days should be provided as a weekend break.

Location

The physician’s office, outpatient clinic, approved hospital or medical center. See “Requisites”

specific to the Rural Medicine Selective.

Dress

At all times, KYCOM students will act as a representative of the school, and be attentive to

personal hygiene, cleanliness and personal demeanor. Short white lab coats with KYCOM

identification are expected to be worn unless specifically instructed by the hospital or preceptor.

Scrub suits are to be worn in the operating room, procedure rooms, during call hours and at the

discretion of individual physicians and/or institution/facility. At all times, however, the student

must be clearly identified as a KYCOM student. See Student Responsibilities section of this

manual for clarification.

Attendance

Prompt student attendance is expected for a minimum of 20 days for each four-week rotation

period and 10 days for each two-week rotation period. The expectation is that students work

Monday through Friday with weekends off. However, the work day will vary by rotation. If the

preceptor works weekends, the student is expected to work weekends also. The activities of each

day must be recorded on student logs for the rotation. A maximum of three (3) days for absence

is permitted, with prior approval by the associate dean for Clinical Affairs, and must be recorded

on student logs for the rotation. Absence in excess of the 3-day standard will result in an

“incomplete” for this rotation, until such time that the activity requirement is satisfied.

Absence of the attending physician or the student, from the practice for a period greater than one

day, requires the student to notify the office for Clinical Affairs, of the interruption of activity.

At the discretion of the associate dean for Clinical Affairs either a reading assignment or

alternate duty assignment will be made.

Lectures and Meetings

It is the responsibility of the student to be familiar with the hospital’s didactic lecture schedule,

and to document attendance within the student log. Didactic programs include but are not limited

to: Morning Report, Journal Club, Morbidity/Mortality Conference, Grand Rounds, and Noon

Conference. Absence from any of these events requires the signature of the preceptor, and should

be sent with the student log reports to KYCOM. It is expected that the student will attend a

minimum of 70% of each kind of event.

Grading

The KYCOM Student Assessment Form for CORE rotations, which is completed by the

attending physician, comprises 50% of the rotation grade. The COMAT examination score

comprises the balance of the grade. Upon receipt and review of all information, the associate

dean for Clinical Affairs evaluates the material, and assigns a numerical grade, as per the

Clinical Rotations Manual, Student Evaluation (Grade). The evaluation is intended to measure

the student in comparison to others at the same level of education.

The KYCOM Student Assessment Form measures:

1. Mastery of Osteopathic Philosophy and Application of Manipulative Medicine

2. Medical Knowledge

3. Patient Care

4. Interpersonal and Communication Skills

5. Professionalism

6. Application of Practice Based Learning Skills

7. Application of Systems Approach to Medicine

Challenge of Grades

Any challenges or questions are to be directed to the associate dean for Clinical Affairs. The

student has the right for review of the challenge by the Promotions and Matriculation

Committee, if the associate dean’s response requires further clarification.

Remediation

In cases where a passing grade is not achieved, if deemed appropriate by the Promotions &

Matriculation Committee, the student will be given the opportunity to repeat the rotation. Upon

successful completion of the repeated rotation, a maximum grade of 70% will be recorded on

the student transcript.

OST 804 Emergency Medicine Selective

Course Description

Emergency Medicine is a mandatory, four-week, hospital based, third or fourth year selective

rotation that affords the medical student the opportunity to learn in an Emergency Medicine

setting. The osteopathic medical student, under the supervision of an emergency medicine

specialist, sees the essentials of Emergency Medicine through observation and performance of

clinical procedures, hands on clinical experiences and direct interaction with faculty, individual

patients, and families. Integration of clinical skills and evidence-based medicine is achieved

with emphasis on didactic discussions, and development of clinical skills.

Pre-requisites: General Internal Medicine I, General Internal Medicine II, Family

Medicine I, General Surgery, Pediatrics, and Woman’s Health

Course Objectives

1. To integrate osteopathic principles and practice concepts into the conventional care of

emergency patients

2. To experience case management and the coordination of systems based medical care.

a. The use of subspecialists and other medical/surgical disciplines.

b. The use of social services and outpatient programs

c. The use of in-house care services.

d. To recognize the social and economic factors that affect patient care.

3. To employ the knowledge, attitudes, and skills necessary to provide preventive, episodic,

or continuing care to individual patients in an emergency medicine setting

4. To experience prioritization skills.

5. To learn assessment skills for classification of the type, level and urgency of care needed

for the particular patient encounter.

6. To integrate the utilization of appropriate health maintenance screening protocols into

emergency medicine care.

7. To demonstrate the ability to assess a patient and differentiate the need for urgent versus

non-urgent care.

8. For students to experience the practice of evidence-based medicine.

a. To assess, apply, and assimilate investigative knowledge to improve patient care.

b. To realize the Emergency Medicine physician’s role in the community and Society.

c. To cite and communicate information in an organized and succinct manner

9. For students to respect and be sensitive to the individuality, values, goals, concerns, and

rights of all with whom they interact in the healthcare setting.

10. Demonstrate understanding of ethical principles of autonomy, beneficence, informed

consent, and confidentiality.

11. To accomplish the use of effective written, and verbal language skills.

Student Duties

1. Performance of bedside assessment and physical examination

a. Production of a problems based progress note.

b. Be prepared to suggest a diagnostic and treatment plan with a differential diagnosis

basis.

2. Performance of bedside procedures.

a. Placement of catheters

b. Electrocardiography

c. Suturing and simple wound care

d. Assist with cardiopulmonary resuscitation under supervision.

e. Phlebotomy

f. Performance of OMT as deemed appropriate by supervising physician

g. Casting of simple fractures under supervision.

3. Performance of after-hours call.

4. Attendance at hospital conferences.

5. Completion of an “End of Service” examination (COMAT) administered by the National

Board of Osteopathic Medical Examiners, during the fourth week of the rotation.

Related Reading

 Case Files Emergency Medicine, Lange case files

 https://www.nbome.org/exams-assessments/comat/clinical-subjects/comat-emergency-

medicine/

Related Reading

https://www.nbome.org/exams-assessments/comat/clinical-subjects/comat-surgery/

See also the SELECTIVE ROTATION CURRICULUM cover page in this manual.

ELECTIVE ROTATION CURRICULUM

The following applies to all elective rotations:

Student Hours

Daily hours are to parallel the hours of the attending physician, however, the following

guidelines are suggested:

1. A work day may be considered 12 hours in duration.

2. A work week may be considered typically 72 hours, however, should not exceed

80 hours in duration.

3. Maximum continuous duty should not exceed 24 hours and should be followed

by a minimum of 12 hours off duty.

4. Two days out of every 14 days should be provided as a weekend break.

Location

The physician’s office and the participating locations where the preceptor provides care.

Dress

At all times, KYCOM students will act as a representative of the school, and be

attentive to personal hygiene, cleanliness and personal demeanor. Short white lab

coats with KYCOM identification are expected to be worn unless specifically

instructed by the hospital or preceptor. Scrub suits are to be worn in the operating

room, procedure rooms, during call hours and at the discretion of individual

physicians and/or institution/facility. At all times, however, the student must be

clearly identified as a KYCOM student. See Student Responsibilities section 8.a. of

this manual for clarification.

Attendance

1. Prompt student attendance is expected for the a minimum of 20 days each four-week

rotation period and 10 days each two-week rotation period. The expectation is that

students work Monday through Friday with weekends off. However, the work day will

vary by rotation. If the preceptor works weekends, the student is expected to work

weekends also. The activities of each day must be recorded on student logs for the

rotation. A maximum of three (3) days for absence is permitted, with prior approval by

the associate dean for Clinical Affairs, and must be recorded on student logs for the

rotation. Absence in excess of the 3-day standard will result in an “incomplete” for this

rotation, until such time that the activity requirement is satisfied.

2. Absence of the attending physician, or the student, from the practice for a period greater

than one day, requires the student to notify the office for Clinical Affairs, of the

interruption of activity. At the discretion of the associate dean for Clinical Affairs either a

reading assignment or alternate duty assignment will be made.

3. Lectures and Meetings

Grading

The basis for the rotation grade is the KYCOM Student Assessment Form for Selective/Elective

Rotations, which is completed by the attending physician. Upon receipt and review of all

information, the associate dean for clinical affairs evaluates the material, and assigns a numerical

grade. A grade of 70% is considered passing, as per the Clinical Rotations Manual. The

evaluation is intended to measure the student in comparison to others at the same level of

education.

The KYCOM Student Assessment Form measures:

1. Mastery of Osteopathic Philosophy and Application of Manipulative Medicine

2. Medical Knowledge

3. Patient Care

4. Interpersonal and Communication Skills

5. Professionalism

6. Application of Practice Based Learning Skills

7. Application of Systems Approach to Medicine

Challenge of Grades

Any challenges or questions are to be directed to the associate dean for Clinical Affairs. The

student has the right for review of the challenge by the Promotions and Matriculation

Committee, if the associate dean’s response requires further clarification.

Remediation

In cases where a passing grade is not achieved, if deemed appropriate by the Promotions &

Matriculation Committee, the student will be given the opportunity to repeat the rotation. Upon

successful completion of the repeated rotation, a maximum grade of 70% will be recorded on

the student transcript.

OST 808: Addiction Medicine

Course Description

Addiction Medicine is an elective, third or fourth year medical student, four-week rotation,

served primarily in an in-patient setting. The elective is intended for the osteopathic medical

student to experience the reality of the physician-patient relationship through an active and

observational clinical experience. The osteopathic medical student is, under preceptor

supervision, and actively engaged in the evaluation and care for both the hospitalized and

ambulatory patient. During the four weeks, the osteopathic medical student will interview and

evaluate patients, perform an admission history and physical on all admitted patients, and

develop assessments and care plans on all patients seen.

Course Objectives

1. To develop evaluative and management skills for the care of the patient with addiction,

through observation and interaction with physicians in a real world environment.

a. To conduct an age, gender and problem associated patient interview and physical

examination.

b. To perform a mental status examination

c. To demonstrate effective communication and interaction with patients and families

with a broad range of demographic, socioeconomic, ethnic, cultural, and religious

backgrounds and to develop effective skills in interviewing and data-gathering, and

demonstrate empathic attunement and boundary establishment. To allow the student

to experience the development of those important communication skills while

interacting with physicians, support staff, and patients.

d. To conduct a comprehensive diagnostic assessment and treatment formulation, and

view the role of evidence based medicine to treatment decision-making.

e. To apply core osteopathic principles and practices to the care of the patient with

addiction.

f. To participate with available social and medical resources as part of the

comprehensive treatment plan.

g. To view the availability of support services and its impact on patient care.

h. To view the effect of outside influences, e.g. third party insurance, on medical

decision-making.

i. To view routine detoxification protocols, both inpatient and outpatient, and smoking

cessation approaches.

j. To demonstrate knowledge about the variety of psychopharmacological,

psychotherapeutic, group, religious, and residential treatments.

k. To view the efficacy of psychotherapeutic treatment modalities, which include:

 The mechanism of action for psychotherapeutic agents.

 The role of psychopharmacology, and side-effect profiles.

 Maintenance drug therapies, which include naltrexone, buprenorphine,

methadone, disulfiram, acamprosate, and nicotine replacements.

l. To allow students to understand the construction of treatment plans.

2. To develop written and oral communication skills.

a. The production of a written and/or dictated history and physical.

b. The production of a written and/or dictated encounter progress note.

Related Reading

Black, Donald and Andreasen, Nancy: Introductory Textbook of Psychiatry, Latest Edition

 Ch. 2 – Interviewing and Assessment

 Ch. 15 – Substance-Releated and Addictive Disorders

 Ch. 21 – Psychopharmacology and Electroconvulsive Therapy

Principles of Addiction Medicine: The Essentials, https://go.openathens.net/redirector/upike.edu?

url=https%3A%2F%2Fclerkship.lwwhealthlibrary.com%2Fbook.aspx%3Fbookid%3D1276

Student Duties

The student participates as a member of the unit staff. Responsibilities include:

1. Performance of admission histories and physicals. To include:

a. A complete mental status examination

b. A global assessment of functioning

2. Completion of rounds on all in-patients including:

a. Production of a “problem-based” progress SOAP note in each assigned patient chart.

b. Investigation and interpretation of all diagnostic studies ordered for the patient, and

be prepared to discuss findings for purposes of comprehensive care planning.

c. Production of any case summaries and/or discharge summaries for the admitted

patient.

d. Performance of Osteopathic Manipulative Treatment under the direction of the

attending physician.

3. Attendance at all treatment sessions for assigned patients.

4. Attend and observe, with preceptor permission, family care plan meetings.

See also the ELECTIVE ROTATION CURRICULUM cover page in this manual.

OST 897: Research

Course Description

Prerequisites: All Core Rotations

Complete the Research Elective Form found in the back of your manual.

Attach a brief description of the project, detailing your study and what you wish to

accomplish. This should include an overview of the hypothesis, the methods that will be

employed, and the expected outcomes and analytic methods that will be used. Specific details

of the student role in the proposed project should be outlined. The osteopathic medical

student must present the goals, objectives and expectations of the rotation to the Associate

Dean of Clinical Affairs to obtain approval before the rotation will begin. The student must

present the research request form and outline for the project at least 30 days prior to the start

of the rotation.

Attach a statement asserting that the amount of time spent in the lab/etc. on your research

project will be greater than and or equal to 40 hours per week.

The research rotation length must be a minimum of 2 weeks but no more than 4 weeks. The

purpose of the research rotation is to allow the student an opportunity to engage in clinical or

bench research, to learn the principles of research, study, design and data analysis.

The principal teaching method of the research rotation will be participation in a structured

research activity with supervision and assistance provided by an experienced, approved

faculty or preceptor.

At the conclusion of the rotation a brief narrative of the research activities and outcome

results must be submitted to the Associate Dean of Clinical Affairs. Upon receipt, review,

and evaluation of all material and information, a Pass/Fail grade shall be assigned by the

Associate Dean of Clinical Affairs.

OST 896: International Rotation

Course Description

This international rotation is a four-week fourth year rotation that is completed in an outpatient

or inpatient setting. The osteopathic medical student is, under preceptor supervision, actively

engaged in both the care and the medical decision-making for the delivery of the healthcare

needs to the out-patient population. During the four weeks, the osteopathic medical student will

evaluate patients, develop comprehensive care plans and experience the responsibilities and

challenges associated with physician care in a medically underserved area. A maximum of eight

weeks may be completed on an international rotation. See the U.S. Department of State website

for travel advisory levels. Only Level 1 or Level 2 travel advisory areas will be approved.

Prerequisites: Family Medicine I, Family Medicine II, General Internal Medicine I,

General Surgery I, Pediatrics, and Women’s Health

Course Objectives

1. To experience the unique challenges of medical practice in a medically

underserved international area.

2. To apply the knowledge, skill sets, experience, values, and behaviors seen

previously in a more structured settings, to meet the needs of the region served.

3. Recognize cultural and regional influences that affect access to, implementation,

and effectiveness of medical care.

4. To utilize practice skills, supported by the best available medical evidence, that

serve the best interest, well-being and health of the patient.

5. To demonstrate competency in primary care medicine.

6. To develop efficient and complete evaluative and management skills for the care

of the general medical patient.

a. To conduct an age, gender and problem associated patient interview and physical

examination and to include preventive medical care for all age groups

b. To establish a working diagnosis and see the challenges associated with the

implementation of the treatment plan.

c. To apply core osteopathic principles and practices to the care of the general

medical patient.

d. To coordinate available social and medical resources as part of the comprehensive

treatment plan.

7. To develop an understanding of the operation of an international health facility.

a. Examine the roles of staff and physician(s) in the delivery of healthcare.

b. Develop an understanding of the influences that national health insurances and

mission organizations have on medical decision-making.

c. Develop an inventory of necessary property and supplies for the daily operation of

an international medical clinic.

8. To continue development of written and oral communication skills.

a. The production of a written and/or dictated history and physical.

b. The production of a written and/or dictated encounter progress note.

c. The production of electronic medical records, where appropriate.

d. Telephone and in-person communication with other medical and health

professionals involved in common, with the care of the general medical patient.

e. Recognize unique challenges to care when providing care in a non-native

language, using interpreters, and utilizing non-medical providers in medical

situations.

Student Hours

About 25% of rotation time (at discretion and approval by Associate Dean for

Clinical Affairs and clinical preceptor) may be spent in preparation for in country

experience including language familiarity, review of country/region specific medical

problems, review of public health policies for the country/region, and preparation of

a research project related to this international rotation.

Student Duties

Student responsibilities include:

1. Performance of histories and physicals

2. Develop treatment plans on each assigned patient for purposes of comprehensive

care planning.

3. Perform proposed care plans, and develop self-evaluative tools to assess efficacy

of regimen.

a. Interpretation of all diagnostic studies ordered for treated patients.

b. Follow-up with all consultants on assigned patients.

c. Production of any case summaries and/or discharge summaries for assigned

patients.

d. Performance of Osteopathic Manipulative Treatment under the direction of

the attending physician.

4. Assist and/or perform duties and procedures under supervision.

a. Office set-up and performance of procedures:

b. Osteopathic Manipulative Treatment

c. Preventive health screens

d. Minor surgery

e. Attend and observe family meetings when appropriate.

5. Complete a case presentation in written form

6. The presentation will be delivered in a professional manner, in the following order:

a. Patient Identifier (__ is a __ y.o. “race,” “gender”)

b. Subjective patient presentation (Paint The Scene)

c. History of chief complaint

d. PMH/PSH

e. Social and Family History

f. Obstetrical and Gynecologic history if applicable

g. Medication List (include dosage and regimen)

h. Allergies (include reaction)

i. Physical Exam (Description of Major Related Findings)

j. Labs and Imaging

k. Differential Diagnosis

l. Patient Outcome

m. Case Discussion – include unique aspects of the case relevant to presentation in

this international context.

See also the ELECTIVE ROTATION CURRICULUM cover page in this manual.

ONLINE/VIRTUAL ROTATION CURRICULUM

The following applies to all online/virtual rotations:

Student Hours

The student will be expected to devote at least 40 hours per week for online rotations.

Attendance

Prompt student attendance is expected for the a minimum of 20 days each four-week rotation

period and 10 days each two-week rotation period. The expectation is that students work

Monday through Friday with weekends off. The activities of each day must be recorded on

student logs for the rotation. A maximum of three (3) days for absence is permitted, with

prior approval by the Associate Dean for Clinical Affairs, and must be recorded on student

logs for the rotation. Absence in excess of the 3-day standard will result in an “incomplete”

for this rotation, until such time that the activity requirement is satisfied.

Grading

The basis for the rotation grade is reported as Pass/Fail.

Challenge of Grades

Any challenges or questions are to be directed to the Associate Dean for Clinical Affairs. The

student has the right for review of the challenge by the Promotions and Matriculation

Committee, if the Associate Dean’s response requires further clarification.

Remediation

In cases where a passing grade is not achieved, if deemed appropriate by the Promotions &

Matriculation Committee, the student will be given the opportunity to repeat the rotation. Upon

successful completion of the repeated rotation, a maximum grade of 70% will be recorded on

the student transcript.

OST 708: Family Medicine I Online

Course Description

Family Medicine I is a four-week, third-year core clinical experience. The third-year osteopathic

medical student is progressed from the clinical courses introduced during the two pre-clinical

years to their application in patient care. Preventive care, family planning, end of life care, acute

and chronic care, applied across all age groups, are among the many experiences gained over the

four weeks.

Course Objectives

1. To provide a framework for care of the general medical patient.

a. To develop and apply interviewing skills to the patient encounter, as a means to both

solidify physician-patient relationships and produce preliminary differential

diagnosis.

b. To utilize physical examination skills to progress from preliminary differential

diagnosis to a probable differential diagnosis and the development of a diagnostic and

treatment plan.

c. To experience the evolution of a diagnostic plan, and the establishment of a working

diagnosis and its associated treatment plan.

d. To identify and apply core osteopathic principles and practices to the care of the

general medical patient

e. To identify available social and medical resources and the family physician’s role in

their coordination to patient care, i.e. referral decision-making.

f. To view the role of experience based medicine to medical decision-making.

2. To provide a framework for preventive medical care to all age groups.

3. To expose students to the operation of a professional office:

a. The roles of staff and physician(s) in the delivery of healthcare.

b. The influences of third party insurance and medical decision-making.

c. Care and recording of medical records.

d. The roles of the “International Classification of Diseases” and “Current Procedural

Terminology” and their impact on physician reimbursement.

e. The role of the telephone, and other electronic communication tools in the delivery of

healthcare.

f. Awareness of physician responsibilities under HIPAA and OSHA regulations.

4. To provide knowledge of office procedures, their associated equipment, and laboratory

submittal requirements.

a. Phlebotomy

b. Wound repair and suture removal

c. Electrocardiography

d. Spirometry

e. Audiometry

f. Screening examinations of the male and female breast

g. The anal, rectal and prostate examination

h. The female internal examination

5. To develop written and oral communication skills.

a. The production of a written and/or dictated history and physical.

b. The production of a written and/or dictated encounter progress note.

Student Duties

 2 Aquifer and/or iHuman cases per day; estimated to take 4 hours

o Assigned by the website. Choose 38 cases from those provided.

 Assigned reading; 3 chapters / 3 hours per day

o Each reading assignment (chapter) requires 3 questions, with answers, be

submitted. Questions are to be unique/original board type questions with

documentation as to why your chosen answer is correct.

 COMAT / COMLEX Study; 1 hour per day

o https://www.nbome.org/exams-assessments/comat/clinical-subjects/comat-

family-medicine/

 E*Value Summaries

 COMAT Exam

Related Reading

THE WASHINGTON MANUAL® OF MEDICAL THERAPEUTICS, 36th Edition

https://bookshelf.vitalsource.com/#/books/9781496361363/cfi/6/2[;vnd.vst.idref=Bhat_Cover.xh

tml]!

See also

the ONLINE/VIRTUAL ROTATION CURRICULUM cover page in this manual.

OST 709: Family Medicine II Online

Course Description

Family Medicine II is a third year four-week core clinical experience During the four weeks, the

osteopathic medical student will evaluate patients, develop comprehensive care plans and

experience the responsibilities associated with physician actions.

Prerequisite: Family Medicine I

Course Objectives

1. To develop efficient and complete evaluative and management skills for the care of the

general medical patient.

a. To conduct an age, gender and problem associated patient interview and physical

examination, while including preventive medical care for all age groups.

b. To formulate and test preliminary differential diagnosis during the physical

examination.

c. To develop a diagnostic and treatment plan.

d. To establish a working diagnosis and the challenges associated with the

implementation of the treatment plan.

e. To apply core osteopathic principles and practices to the care of the general medical

patient.

f. To coordinate available social and medical resources as part of the comprehensive

treatment plan.

g. To, under preceptor supervision, take the family physician’s role in referral decision-

making.

iv. To view the role of experience based medicine to medical decision-making.

v. To view the availability of services and its impact on patient care.

vi. To view the effect of outside influences, e.g. third party insurance, on medical

decision-making.

2. To develop a model for the operation of a professional office:

a. Examine the roles of staff and physician(s) in the delivery of healthcare. This may

include, with the consent of the preceptor, attendance at office staff meetings.

b. Develop an understanding of the influences that third party insurances have on

medical decision-making.

c. Understand the laws that govern the care and recording of medical records.

d. Gain a working knowledge of the “International Classification of Diseases” and

“Current Procedural Terminology” and their impact on physician reimbursement.

e. Examine the telephone system, and other electronic communication tools in relation

to the delivery of healthcare.

f. Know the HIPAA and OSHA regulations in regard to the operation of a professional

medical practice.

iv. Confidentiality

v. Hazardous waste removal

vi. Emergency procedures

g. To develop an inventory of necessary property and supplies for the daily operation of

a general medical practice.

3. To continue development of written and oral communication skills.

a. The production of a written and/or dictated history and physical.

b. The production of a written and/or dictated encounter progress note.

Student Duties

 2 Aquifer and/or iHuman cases per day; estimated to take 4 hours

o Assigned by the website. Choose 38 cases from those provided.

 Assigned reading; 3 chapters / 3 hours per day

o Each reading assignment (chapter) requires 3 questions, with answers, be

submitted. Questions are to be unique/original board type questions with

documentation as to why your chosen answer is correct.

 COMAT / COMLEX Study; 1 hour per day

o https://www.nbome.org/exams-assessments/comat/clinical-subjects/comat-family-

medicine/

 E*Value Summaries

 COMAT Exam

Related Reading

Seidel’s Guide to Physical Examination, 9

Edition

https://bookshelf.vitalsource.com/#/books/9780323112406/cfi/6/2!/4/2@0:0

Textbook of Family Medicine, 9

Edition

https://www.clinicalkey.com/#!/browse/book/3-s2.0-C20130000850

Clinician's Pocket Reference, 11

Edition

htt

ps:/

ibg

uides.li

bra

.upike.edu/c.php?g=970657&p=7014938

See also

the ONLINE/VIRTUAL ROTATION CURRICULUM cover page in this manual.

OST 720: General Internal Medicine I Online

Course Description

General Internal Medicine I is four-week third year core clinical experience. The

pathophysiology of cardiovascular, cerebrovascular, pulmonary, renal, gastrointestinal and

endocrine disorders are among the patient population seen.

Course Objectives

1. To develop age and gender specific, problem oriented history and physical examination

skills.

2. To learn effective communication skills.

a. The focused patient interview

b. Peer case presentation techniques

c. Production of coherent admission, progress, and discharge notes

3. To correlate information gained from the patient’s chief complaint, medical, surgical,

social, and familial histories with the signs and symptoms seen on examination to

develop differential diagnoses in order of likelihood.

4. To appreciate the role that experience based medicine plays in the management of the

medical patient.

5. To appreciate the need for preventive medical care as part of the total treatment regimen

for the medical patient.

6. To learn the principles of the production and implementation of a total treatment plan.

7. To expose students to the operation of a hospital.

a. The hospital laboratory

b. The radiology department

c. The nursing staff and patient care management.

d. The physical, occupational, speech, and respiratory therapy teams.

e. The social services department

f. The strict observance of HIPAA and OSHA regulations.

g. The coordination of patient care.

8. To provide practical procedural knowledge:

a. Phlebotomy and arterial blood gases

b. Insertion of nasogastric tubes

c. Insertion of urinary catheters

d. Insertion of central vascular catheters

e. Electrocardiography

f. The rectal examination

g. Cardiovascular resuscitation

h. Lumbar spinal puncture

i. Culture of blood, body fluid and soft tissues

Student Duties

 2 Aquifer and/or iHuman cases per day; estimated to take 4 hours

o Assigned by the website. Choose 38 cases from those provided.

 Assigned reading; 3 chapters / 3 hours per day

o Each reading assignment (chapter) requires 3 questions, with answers, be

submitted. Questions are to be unique/original board type questions with

documentation as to why your chosen answer is correct.

 COMAT / COMLEX Study; 1 hour per day

o https://www.nbome.org/exams-assessments/comat/clinical-subjects/comat-

internal-medicine/

 E*Value Summaries

 COMAT Exam

Related Reading

Harrison's Principles of Internal Medicine, 20

Edition

https://bookshelf.vitalsource.com/#/books/9780071802161/cfi/6/2!/4/2@0:0

See also the CORE ROTATION CURRICULUM cover page in this manual.

OST 721: General Internal Medicine II Online

Course Description

General Internal Medicine II is a four-week core clinical experience. The osteopathic medical

student is encouraged to incorporate evaluative skills, and evidence based medical information,

to develop a comprehensive treatment regimen based on logical medical decision-making.

Pre-requisite: General Internal Medicine I

Course Objectives

1. To experience the responsibilities of an intern or resident.

2. To experience case management and the coordination of systems based medical care.

a. The use of subspecialists and other medical/surgical disciplines.

b. The use of social services and outpatient programs

c. The use of physical therapy

d. The use of in-house care services.

3. To produce and implement a total treatment plan.

4. To experience prioritization skills.

5. To develop a problem oriented approach to patient care.

6. To develop a sense of cost-effective medical care.

Student Duties

 2 Aquifer and/or iHuman cases per day; estimated to take 4 hours

o Assigned by the website. Choose 38 cases from those provided.

 Assigned reading; 3 chapters / 3 hours per day

o Each reading assignment (chapter) requires 3 questions, with answers, be

submitted. Questions are to be unique/original board type questions with

documentation as to why your chosen answer is correct.

 COMAT / COMLEX Study; 1 hour per day

o https://www.nbome.org/exams-assessments/comat/clinical-subjects/comat-

internal-medicine/

 E*Value Summaries

 COMAT Exam

Related Reading

Essentials of General Surgery & Surgical Specialties, 6

Edition

https://bookshelf.vitalsource.com/#/books/9781975107123/cfi/6/2!/4/[email protected]:0.00

Essentials of General Surgery, 5

Edition

https://bookshelf.vitalsource.com/#/books/9781469819181/cfi/6/2!/4/2@0:0

Clinician's Pocket Reference, 11

Edition

https://libguides.libra

ry.upike.edu/c.php?g=970657&p=7014938

See also

the ONLINE/VIRTUAL ROTATION CURRICULUM cover page in this manual.

OST 706: Pediatrics Online

Course Description

Pediatrics is a four-week, third year core clinical experience. The third year osteopathic medical

student is progressed from the second year introductory pediatrics course, to experience the care

of infants, children and adolescents. Common childhood diseases, genetic and developmental

disorders, preventive health care, and diagnosis and management strategies are among the

rotation’s experiences.

Course Objectives

1. To provide a framework for care of the general pediatric patient.

a. The patient (parent) interview.

b. The physical examination

c. The utilization of laboratory and Diagnostic Testing

d. The utilization of evidence based medicine for diagnosis and treatment

e. The utilization of available social and medical resources for pediatric patient care, i.e.

referral decision-making.

2. To identify and apply core osteopathic principles and practices to the care of the pediatric

patient.

3. To provide a framework for preventive medical care to the pediatric population.

4. To expose students to the influences of third party insurance on medical decision-making.

5. To expose students to the influences of HIPAA and OSHA regulations on the operation

of a professional pediatric practice.

6. To gain knowledge of laboratory submittal requirements.

a. Phlebotomy

b. Wound repair and suture removal

c. Spirometry

d. Audiometry

e. Cerumen removal

f. Culture collection

7. To recognize developmental milestones in the pediatric population.

8. To develop written and oral communication skills.

a. The production of a written and/or dictated history and physical.

b. The production of a written and/or dictated encounter progress note.

Student Duties

 2 Aquifer and/or iHuman cases per day; estimated to take 4 hours

o Assigned by the website. Choose 38 cases from those provided.

 Assigned reading; 3 chapters / 3 hours per day

o Each reading assignment (chapter) requires 3 questions, with answers, be

submitted. Questions are to be unique/original board type questions with

documentation as to why your chosen answer is correct.

 COMAT / COMLEX Study; 1 hour per day

o https://www.nbome.org/exams-assessments/comat/clinical-subjects/comat-

pediatrics/

 E*Value Summaries

 COMAT Exam

Related Reading

Nelson Essentials of Pediatrics, 7

Edition

https://bookshelf.vitalsource.com/#/books/978-1-4557-5980-4/cfi/6/2!/4/2@0:0.131

See also the ONLINE/VIRTUAL ROTATION CURRICULUM cover page in this manual.

OST 718: Psychiatry Online

Course Description

Psychiatry is a mandatory, third year, four-week core clinical experience. During the four weeks,

the osteopathic medical student will learn to interview and evaluate patients, perform an

admission history and physical on all admitted patients, and develop multi-axial assessments.

Course Objectives

1. To develop evaluative and management skills for the care of the psychiatric patient.

a. To conduct an age, gender and problem associated patient interview and physical

examination.

b. To perform a mental status examination

c. To become acquainted with a psychiatric diagnostic and treatment plan.

 Includes understanding of the DSM Multi-Axial Classification System

d. To establish a working diagnosis with reference to The Diagnostic and Statistical

Manual V.

 Includes the medical work-up for the psychiatric patient

e. To apply core osteopathic principles and practices to the care of the psychiatric

patient.

f. To participate with available social and medical resources as part of the

comprehensive treatment plan.

g. To view the role of evidence based medicine to treatment decision-making.

h. To view the availability of services and its impact on patient care.

i. To view the effect of outside influences, e.g. third party insurance, on medical

decision-making.

j. To view the efficacy of psychotherapeutic treatment modalities, which include:

i. The mechanism of action for psychotherapeutic agents.

ii. The role of psychopharmacology, and side-effect profiles

iii. The treatment of Axis III comorbid states

iv. Awareness of procedural alternatives to chemical therapies, e.g. cognitive

treatment.

2. To gain an understanding for the operation of an in-patient psychiatric unit.

a. Examine the roles of staff and physician(s) in the delivery of healthcare. This includes

with the consent of the preceptor, attendance at group and individual treatment

sessions.

b. Know the HIPAA and OSHA regulations in regard to the operation of a psychiatric

unit.

i. Confidentiality

ii. Emergency procedures

c. The need for security measures required for the safe operation of a psychiatry unit.

3. To develop written and oral communication skills.

a. The production of a written and/or dictated history and physical.

b. The production of a written and/or dictated encounter progress note.

Student Duties

 2 Aquifer and/or iHuman cases per day, if available on the website;

estimated to take 4 hours

100

o Assigned by the website. Choose 38 cases from those provided.

 Assigned videos from Symptom Media

o https://symptommedia.com

 Username: UPikeCOM

 Password: UPikeCOM415

 Assigned reading; 3 chapters / 3 hours per day

o Each reading assignment (chapter) requires 3 questions, with answers, be

submitted. Questions are to be unique/original board type questions with

documentation as to why your chosen answer is correct.

 COMAT / COMLEX Study; 1 hour per day

o https://www.nbome.org/exams-assessments/comat/clinical-subjects/comat-

psychiatry/

 E*Value Summaries

 COMAT Exam

Related Reading

KAPLAN & SADOCK’S Concise Textbook of Clinical Psychiatry, 4th ed. https://

go.openathens.net/redirector/upike.edu?url=https%3A%2F%2Fclerkship.lwwhealthlibrary.com

%2Fbook.aspx%3Fbookid%3D2067

See also the ONLINE/VIRTUAL ROTATION CURRICULUM cover page in this manual.

101

OST 705: Women’s Health Online

Course Description

Women’s Health is a mandatory third year core clinical experience. The third year osteopathic

medical student is introduced to the evaluation and management of the pregnant patient,

preventive care regimens, family planning, malignancy, diagnosis and treatment of infectious

diseases, urinary, ovarian and uterine disorders, and endocrine disorders.

Course Objectives

1. To provide a framework for care of the obstetrical patient.

2. To provide a framework for preventive medical care of the gynecologic patient.

3. To identify and apply core osteopathic concepts to the care of the female patient.

4. To experience the pathophysiology relevant to diseases of the breast, ovaries, urinary

bladder, and uterus, and their medical/surgical management.

5. To expose students to an evaluative approach to diagnosis and management of the adult

female patient by use of:

a. Physical examination

b. The gynecologic and medical/surgical history

c. Laboratory and Diagnostic Testing

d. Experience based medicine

6. To provide knowledge of gynecologic and obstetrical office and operative procedures,

and their associated equipment.

Student Duties

 2 Aquifer and/or iHuman cases per day; estimated to take 4 hours

o Assigned by the website. Choose 38 cases from those provided.

 Assigned reading; 3 chapters / 3 hours per day

o Each reading assignment (chapter) requires 3 questions, with answers, be

submitted. Questions are to be unique/original board type questions with

documentation as to why your chosen answer is correct.

 COMAT / COMLEX Study; 1 hour per day

o https://www.nbome.org/exams-assessments/comat/clinical-subjects/comat-obgyn/

 E*Value Summaries

 COMAT Exam

Related Reading

Obstetrics and Gynecology, 7th Edition

https://bookshelf.vitalsource.com/#/books/978-1-4698-3679-9/cfi/6/2!/4/2@0:0

See also the ONLINE/VIRTUAL ROTATION CURRICULUM cover page in this manual.

102

Surgery Selective Online Guidelines

Course Description

The surgery selective is a four-week clinical experience designed to aid the fourth year

osteopathic medical student in exercising diagnostic skills to evaluate the surgical patient and

develop an appreciation for evidence based surgical care criteria.

Course Objectives

1. To provide a framework for care of the surgical patient, which include:

a. Principles of Nutrition

b. Use of Osteopathic Manipulative Treatment

c. Principles of hydration

d. Infectious disease considerations

e. Thrombosis prevention

f. Airway management

g. Physical activity guidelines

h. Applications of evidence based surgical care criteria

i. Utilization of diagnostic imaging and the laboratory

2. To experience the pathophysiology relevant to affected organ systems, and the efficacy of

surgical care.

3. To provide knowledge and experience with the performance of bedside procedures, which

may include:

a. Placement of central venous catheters

b. Placement of gastrointestinal catheters

c. Placement of Urinary catheters

d. Removal of sutures and catheters

e. Wound care

f. Ostomy care

4. To provide knowledge and experience as an operative assistant with operative procedures, and

their associated equipment.

Student Duties

 2 Aquifer and/or iHuman cases per day; estimated to take 4 hours

 Assigned reading; 3 cases / 3 hours per day

o Each reading assignment (case) requires 3 questions, with answers, be submitted.

Questions are to be unique/original board type questions with documentation as to

why your chosen answer is correct.

 COMLEX Study; 1 hour per day

 E*Value Summaries

Related Reading

CASE FILES SURGERY, 5th Edition, ISBN 9781259585227

https://casefiles.mhmedical.com/CaseTOC.aspx?gbosContainerID=92&categoryID=40971

See also the ONLINE/VIRTUAL ROTATION CURRICULUM cover page in this manual.

103

Women’s Health Selective Online

Course Description

Women’s Health is a mandatory third year core clinical experience. The third year osteopathic

medical student is introduced to the evaluation and management of the pregnant patient,

preventive care regimens, family planning, malignancy, diagnosis and treatment of infectious

diseases, urinary, ovarian and uterine disorders, and endocrine disorders.

Course Objectives

1. To provide a framework for care of the obstetrical patient.

2. To provide a framework for preventive medical care of the gynecologic patient.

3. To identify and apply core osteopathic concepts to the care of the female patient.

4. To experience the pathophysiology relevant to diseases of the breast, ovaries, urinary

bladder, and uterus, and their medical/surgical management.

5. To expose students to an evaluative approach to diagnosis and management of the adult

female patient by use of:

e. Physical examination

f. The gynecologic and medical/surgical history

g. Laboratory and Diagnostic Testing

h. Experience based medicine

6. To provide knowledge of gynecologic and obstetrical office and operative procedures,

and their associated equipment.

Student Duties

 2 Aquifer and/or iHuman cases per day; estimated to take 4 hours

o Assigned by the website. Choose 38 cases from those provided.

 Assigned reading; 3 chapters / 3 hours per day

o Each reading assignment (chapter) requires 3 questions, with answers, be

submitted. Questions are to be unique/original board type questions with

documentation as to why your chosen answer is correct.

 COMAT / COMLEX Study; 1 hour per day

o https://www.nbome.org/exams-assessments/comat/clinical-subjects/comat-obgyn/

 E*Value Summaries

 COMAT Exam

Related Reading

Obstetrics and Gynecology, 7th Edition

https://bookshelf.vitalsource.com/#/books/978-1-4698-3679-9/cfi/6/2!/4/2@0:0

HARRISON'S™ PRINCIPLES OF INTERNAL MEDICINE, 20th Edition

https://bookshelf.vitalsource.com/#/books/9780071748902/cfi/6/2!/4/2@0:0.125

See also

the ONLINE/VIRTUAL

ROTATION CURRICULUM cover

page in this manual.

104

OST 865: Radiology Online

Course Description

Diagnostic Radiology is a four-week course to be completed online through Canvas. The

Radiology course can fulfill the medical selective requirement or can serve as elective time. This

online course will cover: general diagnostic radiology, pediatric radiology, vascular and

interventional radiology, nuclear radiology, neurological radiology, and breast imaging. This

course will serve to further expand and develop the world of radiology to the osteopathic medical

student. Suggested areas of study may include:

Computed Tomography of the Head, Neck, Abdomen & Axial Skeleton

Magnetic Resonance Imaging of Neural and Vascular Structures

Diagnostic Ultrasound of vascular structures, abdomen and pelvis

Screening or Diagnostic Mammography

Nuclear Radiology for Endocrine, Vascular and Skeletal Diagnosis

Course Objectives

To recognize the role of the radiologist in the general management of the adult

or pediatric patient.

To develop an understanding of the influences that third party insurances have on

decision-making, and the choice and/or necessity for medical/surgical imaging.

To experience the criteria to be considered, when radiology consultation is

contemplated.

To experience the information needed from the ordering physician for the

optimal interpretation of diagnostic studies ordered for medical/surgical

patients.

Student Duties

The student will be required to complete 1 video lecture from Dr. Joshua Crum and 1 quiz per

week with a summary to be completed at the end of the 4-week cycle. A total of 4 video lectures,

4 quizzes and 1 summary question must be successfully completed and passed in order to receive

full (4-hour) credit for course.

Grading Policy

Students must complete viewing the required lectures and 1 quiz per week. A written summary

will need to be completed at the end of the 4-week rotation cycle to summarize outcome results

of the course contents. The written summary should be submitted directly to Dr. Joshua Crum

via email. The summary should include but not limited to how this course was beneficial to each

student and how this course will help the student as they progress in their medical education.

Each (4) quiz will contain 5 questions each with (1) written summary question to be graded on a

case by case basis. These will be worth 20 points each.

105

Quizzes = 80%

Course Written Summary = 20%

Course Passage = 70%

Responsibilities may include:

Viewing Dr. Joshua Crum’s lecture modules (4 per month)

View lectures as assigned on www.learningradiology.com

Successfully complete 1 quiz per lecture (4 per month)

Complete essay to summarize course contents

Reading suggested material

Related Reading

Rosen's Emergency Medicine: Concepts and Clinical Practice, 9

Edition

https://www.clinicalkey.com/#!/browse/book/3-s2.0-C20141019850

Related Reading

Rosen's Emergency Medicine: Concepts and Clinical Practice, 9

Edition

https://www.clinicalkey.com/#!/browse/book/3-s2.0-C20141019850

See also the ONLINE/VIRTUAL ROTATION CURRICULUM cover page in this manual.

109

REQUEST FORMS AND EVALUATION FORMS

110

University of Pikeville

Kentucky College of Osteopathic Medicine

Conference Attendance Request

Student’s Name _________________________________ Class of 2023

Current Rotation ____________________________________________________

Preceptor’s Name ___________________________________________________

Rotation Begin Date ___________________ End Date ______________________

Conference _________________________________________________________

Location ___________________________________________________________

Departure Date _____________________ Return Date _____________________

(First date absent from rotation) (First date back to rotation)

Student’s Signature_________________________________________________

Preceptor’s Signature _______________________________________________

Preceptor at time of absence

KYCOM Approval _________________________________________________

Associate Dean for Clinical Affairs

Date:__________________________

111

UNIVERSITY OF PIKEVILLE

KENTUCKY COLLEGE OF OSTEOPATHIC MEDICINE

SELECTIVE REQUEST FORM

Student Name_______________________________________________________Class of 2022

EMail Address ____________________________________Phone # _____________________

Rotation Begin Date: _________________________ End Date: _________________________

Did your Core Site Coordinator arrange this rotation? □ Yes □ No

Preceptor: ____________________________________________________________________

Address: _____________________________________________________________________

Street City State Zip

Phone #: _____________________________ Fax #: _________________________________

Email address: ________________________________________________________________

Hospital preceptor affiliated with: _________________________________________________

Hospital Address: _______________________________________________________________

Street City State Zip

Phone #: ________________________________ Fax #: _______________________________

Office use only:

Date Received _____________________ Mailed _______________________________

Faxed ___________________________ E-mailed _____________________________

Selective Rotation:

Preceptor’s Specialty / Board Certification:

□ Emergency Medicine

□ Medicine Subspecialty

□ Surgical Subspecialty

□ Rural Medicine

___________________________________

112

UNIVERSITY

OF PIKEVILLE

KENTUCKY COLLEGE OF OSTEOPATHIC MEDICINE

ELECTIVE REQUEST FORM

Student Name: _______________________________________________ Class of 2023

EMail Address: _______________________________ Phone # ___________________

Rotation Type: __________________________________________________________

Rotation Begin Date: _______________________ End Date: ________________________

Preceptor (If known): _____________________________________________________

Address: _______________________________________________________________

________________________________________________________________

Phone number: ______________________ Fax number: ________________________

Preceptor Email Address: __________________________________________________

Hospital preceptor affiliated with: __________________________________________________

Address: _______________________________________________________________

__________________________________________________________________________

Contact / Coordinator Email address:

_________________________________________ Contact phone number:

_____________________ Fax number: ____________________

Below for KYCOM Office Use Only

_____ Approved _____ Not Approved

____ Medicine ____ Surgery

Office use only:

Received _____________________________

Mailed ______________________________

Faxed _______________________________

E-mailed _____________________________

113

University of Pikeville

Kentucky College of Osteopathic Medicine

Interview Request Form

Name _______________________________________________________ Class of 2023

Rotation______________________ Preceptor’s Name____________________________

First Interview

Residency Program ________________________________________________________

Departure Date ________________________ Return Date ________________________

(First date absent from rotation) (First date back to rotation)

Student’s Signature___________________________________ Date ________________

Preceptor’s Signature _________________________________ Date ________________

KYCOM Approval ____________________________________ Date________________

Associate Dean for Clinical Affairs

Second Interview

Residency Program ________________________________________________________

Departure Date ________________________ Return Date ________________________

(First date absent from rotation) (First date back to rotation)

Student’s Signature___________________________________ Date ________________

Preceptor’s Signature _________________________________ Date ________________

KYCOM Approval ___________________________________ Date________________

Associate Dean for Clinical Affairs

Third Interview

Residency Program ________________________________________________________

Departure Date ________________________ Return Date ________________________

(First date absent from rotation) (First date back to rotation)

Student’s Signature___________________________________ Date ________________

Preceptor’s Signature _________________________________ Date ________________

KYCOM Approval ___________________________________ Date________________

Associate Dean for Clinical Affairs

114

KYCOM Class of 2023

Student Assessment Form

Core Rotations & Emergency Medicine

(To be completed by PRECEPTOR)

Student ____________________________________________ Rotation Dates: _____________________

Preceptor: _________________________________ Primary Hospital: ____________________________

Instructions to preceptors: Clinical rotation grades are based 50% on this form, as completed by you, and 50% their score on

the COMAT exam. Each of 9 rotation objectives is scaled from a least desirable (50) to a most desirable (100). Students should

be evaluated in comparison to other students seen at similar levels of medical education. Please fax this completed form to

(606) 218-5168 within 7 days after the completion of the rotation.

PRECEPTOR: Please complete the following or attach your business card.

Print Name

Street Address

Business, City/State/Zip

Business Telephone

Business Fax

At the time of this rotation, did you have a physician-patient relationship with this student. □ Yes □ No

_______________________________________________ □ D.O. □ M.D. __________________

Preceptor’s Signature Check One Date

Evaluation continues on next page.

Please Check Appropriate Discipline

□ OST 740 General Surgery

□ OST 700 OP&P

□ OST 706 Pediatrics

□ OST 718 Psychiatry

□ OST 708 Family Medicine I

□ OST 709 Family Medicine II

□ OST 705 Women’s Health

□ OST 720 General Internal Medicine I

□ OST 721 General Internal Medicine II

□ OST 804 Emergency Med Selective

D.O.s – Please complete the following for CME Credit.

AOA Number

M.D.s –For accreditation purposes, enter the number of Contact Hours for possible CME Credit.

Please utilize this space for any comments, descriptions or supporting statements. All information is held

confidential for internal purposes only.

List any comments you wish to include in the student’s MSPE/Dean’s Letter

Email Address

115

Student _______________________________________ KYCOM ID_________________________

Nine (9) rated spheres are listed below. Each can earn up to 100 points.

Professionalism (Demeanor, Appearance, Reliability)

100

Major Concerns.

◄

Appropriate.

Above average.

Exemplary.

Interpersonal Relationships - Health Care Team/Patients

100

Distant, strained,

dysfunctional

cool or awkward.

Forms constructive

relationships.

Constructive & professional.

High quality, accepted as team

member.

Performance of History & Physical Examinations

100

Often misses major,

important findings & relevant

data.

Usually elicits most relevant

data & identifies findings

accurately.

Almost always elicits all

relevant data & identifies

findings accurately.

Elicits data efficiently & in great

depth; often discovers subtle

physical findings.

Diagnostic Test Selection & Interpretation

100

Frequently suggests or

interprets diagnostic tests

inappropriately.

Usually suggests & interprets

diagnostic tests appropriately.

Almost always suggests &

interprets diagnostic tests

appropriately.

Always reveals exceptional

insights.

Treatment

100

Demonstrates major

misunderstandings about

treatment plans.

Usually suggests appropriate

treatment plans.

Almost always suggests

appropriate treatment plans.

Exhibits exceptional insights in

treatment plans.

Charting

100

Notes are often formatted

improperly, illegible,

inaccurate, or lists are not

updated.

Notes are usually formatted

properly, legible & accurate,

lists are updated.

Notes are almost always well

organized, concise &

demonstrate good synthesis.

Notes are always well organized,

concise, and demonstrate excellent

synthesis.

Clinical Reasoning

100

Frequently illogical or

impractical.

Usually practical & logical.

Almost always

practical & logical.

Frequent astute insights.

Progression Through Rotation

100

Minimal or inconsistent effort

or gain.

Showed good, consistent effort

or gain.

Showed strong effort or gain.

Made extraordinary effort or gain.

Osteopathic Manipulative Medicine Skills

100

Fails to perform structural

exam. Unsatisfactory OMT

skills.

◄

Occasionally performs structural

exam. Acceptable OMT skills.

Routinely performs structural

exam. Above average OMT

skills.

Always performs structural exam.

Excellent OMT skills.

__________________________________________________________________ __________________________

Student’s Signature Date

Total __________ Grade_________ ____________________________________ ________________

Signature, Associate Dean for Clinical Affairs Date

Revised 5/2020

116

KYCOM Class of 2023

Student Assessment Form – Selective/Elective

(To be completed by PRECEPTOR)

Student ____________________________________________ Rotation Dates: _____________________

Preceptor: __________________________________ Primary Hospital: ___________________________

Instructions to preceptors: Clinical rotation grades are based on this Student Assessment Form as completed by you. Each of 10

rotation objectives is scaled from a least desirable (50) to a most desirable (100). Students should be evaluated in comparison to

other students seen at similar levels of medical education. Please fax this completed form to (606) 218-5168 within7 days after the

completion of the rotation.

PRECEPTOR: Please complete the following or attach your business card.

Print Name

Street Address

Business City/State/Zip

Business Telephone

Business Fax

At the time of this rotation, did you have a physician-patient relationship with this student. □ Yes □ No

_______________________________________________ □ D.O. □ M.D. ______________________

Preceptor’s Signature Check One Date

Student ________________________________________________KYCOM ID ____________________

Evaluation continues on next page.

D.O.s – Please complete the following for CME Credit.

AOA Number

M.D.s –For accreditation purposes, enter the number of Contact Hours for possible CME Credit.

Please utilize this space for any comments, descriptions or supporting statements. All information is held

strictly confidential for internal purposes only.

Please Check Appropriate Discipline:

□ OST 809 Rural Health Selective

□ OST ______ Elective #1_____________ □ OST ______ Elective #2___________ □ OST ______ Elective #3_________

□ OST ______ Elective #4__________ □ OST ______ Elective #5___________ □ OST _____ Elective #6 __________

□ OST ______ Surgical Selective □ OST ______ Medicine Selective

List any comments you wish to include in the student’s MSPE / Dean’s Letter.

Email Address

117

Student _______________________________________ KYCOM ID_________________________

Ten (10) rated spheres are listed below. Each can earn up to 100 points.

Professionalism (Demeanor, Appearance, Reliability)

100

Major Concerns.

◄

Appropriate.

Above average.

Exemplary.

Interpersonal Relationships - Health Care Team/Patients

100

Distant, strained,

dysfunctional

cool or awkward.

Forms constructive

relationships.

Constructive & professional.

High quality, accepted as team

member.

Basic Medical Knowledge

100

Generally fair or good. Major

deficiencies in important

areas.

Generally good for student level.

Excellent depth in important

areas.

Outstanding.

Performance of History & Physical Examinations

100

Often misses major,

important findings & relevant

data.

Usually elicits most relevant

data & identifies findings

accurately.

Almost always elicits all

relevant data & identifies

findings accurately.

Elicits data efficiently & in great

depth; often discovers subtle

physical findings.

Diagnostic Test Selection & Interpretation

100

Frequently suggests or

interprets diagnostic tests

inappropriately.

Usually suggests & interprets

diagnostic tests appropriately.

Almost always suggests &

interprets diagnostic tests

appropriately.

Always reveals exceptional

insights.

Treatment

100

Demonstrates major

misunderstandings about

treatment plans.

Usually suggests appropriate

treatment plans.

Almost always suggests

appropriate treatment plans.

Exhibits exceptional insights in

treatment plans.

Charting

100

Notes are often formatted

improperly, illegible,

inaccurate, or lists are not

updated.

Notes are usually formatted

properly, legible & accurate,

lists are updated.

Notes are almost always well

organized, concise &

demonstrate good synthesis.

Notes are always well organized,

concise, and demonstrate excellent

synthesis.

Clinical Reasoning

100

Frequently illogical or

impractical.

Usually practical & logical.

Almost always

practical & logical.

Frequent astute insights.

Progression Through Rotation

100

Minimal or inconsistent effort

or gain.

◄

Showed good, consistent effort

or gain.

Showed strong effort or gain.

Made extraordinary effort or gain.

10.

Osteopathic Manipulative Medicine Skills

100

Fails to perform structural

exam. Unsatisfactory OMT

skills.

◄

Occasionally performs structural

exam. Acceptable OMT skills.

Routinely performs structural

exam. Above average OMT

skills.

Always performs structural exam.

Excellent OMT skills.

_______________________________________________________________ ____________________________

Student’s Signature Date

Total __________ Grade_________ ____________________________________ __________________

Signature, Associate Dean for Clinical Affairs Date

Revised 5/2020

118

KYCOM Rotation Assessment Form – Class of 2023

(To be completed by STUDENT)

Check Year: □ OMS III □ OMS IV Rotation Dates: _____________________

Preceptor: ________________________________________________ Core Site: __________________________

Please Circle Your Response:

Describe how well this rotation prepared you for the

rotation subject.

Excellent (1)

Good (2)

Fair (3)

Poor (4)

Describe how receptive the attending physician(s) were

to student questions.

Very

Receptive (1)

Somewhat

Receptive (2)

Somewhat

Unreceptive (3)

Not

Receptive (4)

Rate the quality of the didactic training.

Excellent (1)

Good (2)

Fair (3)

Poor (4)

Describe the extent to which you were allowed to

participate in and/or perform medical procedures.

Excellent (1)

Good (2)

Fair (3)

Poor (4)

Describe the variety of patients and problems

(pathology, scope and volume) you observed during

this rotation.

Excellent (1)

Good (2)

Fair (3)

Poor (4)

Was osteopathic theory discussed on rounds and during

presentations?

Daily

(1)

Very Frequently

(2)

Frequently

(3)

Infrequently

(4)

Were osteopathic techniques utilized on both office and

hospital patients?

Daily

(1)

Very Frequently

(2)

Frequently

(3)

Infrequently

(4)

Describe the extent to which you had the opportunity to

work with patients on a one-to-one basis.

Daily

(1)

Very Frequently

(2)

Frequently

(3)

Infrequently

(4)

Describe the extent which the attending

physician(s)/preceptor(s) verbally quizzed you.

Excellent

(1)

Good

(2)

Fair

(3)

Poor

(4)

Describe the networking opportunities provided during

the rotation. (e.g. introduction for future employment

opportunities)

Excellent

(1)

Good

(2)

Fair

(3)

Poor

(4)

Describe how well you were received by office staff.

Excellent (1)

Good (2)

Fair (3)

Poor (4)

How many times per day were rounds conducted? (Please enter a number.)

times per day

How long did it take you to drive from your core site to this rotation?

____________hrs. ____________mins.

How many weekends did you work during this rotation?

________________________weekends

What were the daily hours for this rotation?

Were you provided meals on this rotation?

Yes (1)

No (2)

What reading/reference materials do you recommend that might benefit a student about to begin this rotation?

Please discuss any preparations or advance arrangements, if any, not covered by the AHEC or the Dept. of Family Medicine that must

be made prior to requesting/beginning this rotation?

Please Check Appropriate Discipline:

□ Family Medicine □ General Internal Medicine □ Pediatrics

□ General Surgery □ Women’s Health □ Psychiatry

□ OP&P □ Selective _________________ □ Elective _________________

119

Please list the strengths of this rotation.

Please list the weaknesses of this rotation.

Additional Comments:

Was an instructional resource center (IRC) available for your use?

Yes (1)

No (2)

Rate the following:

IRC Staff

Excellent (1)

Good (2)

Fair (3)

Poor (4)

Computers

Excellent (1)

Good (2)

Fair (3)

Poor (4)

Printers

Excellent (1)

Good (2)

Fair (3)

Poor (4)

Scanners

Excellent (1)

Good (2)

Fair (3)

Poor (4)

Hours of Operation

Excellent (1)

Good (2)

Fair (3)

Poor (4)

Inter-Library Access

Excellent (1)

Good (2)

Fair (3)

Poor (4)

Instructional Software

Excellent (1)

Good (2)

Fair (3)

Poor (4)

Simulation Equipment

Excellent (1)

Good (2)

Fair (3)

Poor (4)

Accessibility

Excellent (1)

Good (2)

Fair (3)

Poor (4)

Periodical Library

Excellent (1)

Good (2)

Fair (3)

Poor (4)

Reference Library

Excellent (1)

Good (2)

Fair (3)

Poor (4)

Internet Subscriptions

Excellent (1)

Good (2)

Fair (3)

Poor (4)

Core Site Facilities Survey

Number of Students During the Rotation

WiFi Access

Yes (1)

No (2)

Call Room

Yes (1)

No (2)

Shower

Yes (1)

No (2)

Secured Storage Area

Yes (1)

No (2)

Student Study Space

Yes (1)

No (2)

Dining Room

Yes (1)

No (2)

Classroom with Video Conference Capability

Yes (1)

No (2)

Revised 5/2020

120

University of Pikeville

Kentucky College of Osteopathic Medicine

OST 897: Research Request Form

Student name ___________________________________________ Class of 2023

Student email ______________________________________________________

Research title _______________________________________________________

Preceptor name _____________________________________________________

Preceptor email _____________________________________________________

Research Begin Date ___________________ End Date ______________________

Location ___________________________________________________________

Student’s Signature_________________________________________________

Preceptor’s Signature _______________________________________________

KYCOM Approval _________________________________________________

Associate Dean for Clinical Affairs

Date:__________________________

121

122

READ RECEIPT

I attest that I have read the KYCOM Clinical Rotations Manual released for use by the

Class of 2023. I further acknowledge that I accept all of the rules and regulations within the

text, and am bound to follow them as written. I understand that submittal of this attestation

form is a requisite to begin the clinical rotation experience.

Date

Printed Name

Signature

123

124