Third year (M3)

Internal Medicine

1. Perform a comprehensive History and Physical examination to assess a patient's problems and to design a plan for diagnostic evaluation, therapeutic intervention, and patient education.
2. Master the core knowledge of basic Internal Medicine.
3. Communicate effectively on a daily basis with patients, peers, paramedical personnel, supervisory residents, and physicians in both verbal and written form.
4. Write comprehensive daily progress notes on patients.
5. Identify the indications and risks of commonly used medications and procedures.
6. Learn to perform and interpret basic electrocardiograms, use and instruct patients on use of inhalers, perform a urinalysis, and practice evidence-based medicine.
7. Be able to recognize, diagnose, and begin initial treatment for 26 high impact conditions (listed in the syllabus).
8. Diagnose and manage clinical problems independently.
9. Subscribe to and exhibit professional standards at all times and assume responsibility for his/her medical education.

Family Medicine

1. Differentiate the model of practice at University Hospital from that at a rural clinic. 
2. Perceive him/herself as a member of the medical profession. 
3. Assume responsibility for individual patients, with supervision. 
4. Realize a physician's role in community activities. 
5. Observe and understand the business management of a physician's practice. 
6. Become aware of the costs and funding sources for health care. 
7. Appreciate Family Medicine as a valid discipline in clinical medicine. 
8. Engage in learning activities with the preceptor and recognize the importance of continuing education. 
9. Realize and utilize the electronic resources available for distance learning and patient care.

Obstetrics and Gynecology

1. Know how to obtain a history on obstetric patients being evaluated or admitted and conduct a physical examination, with supervision.
2. Observe and participate in the phases of obstetric inpatient care for vaginal and C/S deliveries.
3. Write a summary operative note and postoperative orders for gynecology patients. 
4. Observe and understand the normal hospital course for patients following routine surgical procedures including common post-operative complications of gynecologic disorders. 
5. Participate with other services as a consultant regarding gynecology problems 
6. Define the types of hysterectomies and know their appropriate applications and risks
7. Observe and participate in normal, annual gynecological exams  
8. Observe and participate in new and return obstetric patient clinic visits.
9. Demonstrate knowledge of how to perform triage of an abnormal Pap smear. 
10. Recognize indications for vulvar biopsy and endometrial biopsy. 
11. Know how to counsel patients on choices of contraception and sterilization.
12. Understand the current issues related to risks and benefits of hormone replacement therapy. 
13. Observe and understand the types of prenatal diagnostics and the implications of test results for patient counseling.

Surgery

1. Develop a plan for self-directed learning to include preparation for lectures, clinic ward, ward rounds, and the OR. 
2. Formulate a differential diagnosis by synthesizing information from the history and physical examination and diagnostic material and develop a management plan using the principles of evidence based medicine.
3. Recommend procedures and treatments for patients incorporating considerations of cost, efficacy, and ethics. 
4. Participate in preoperative management of patients including:  consideration of patient’s developmental stage, preoperative evaluation, nutritional support, wound healing, coagulation disorders, fluid balance, and considering potential postoperative complications.
5. Recognize emergent surgical problems and develop a plan for appropriate triage, initial management, and referral.

Pediatrics

1. Acquire basic knowledge of growth and development (physical, physiologic and psychosocial) and its clinical application from birth through adolescence 
2. Develop communication skills that will facilitate the clinical interaction with children, adolescents and their families and thus ensure that complete, accurate data is obtained
3. Develop age appropriate history taking and physical examination skills for infants, children and adolescents
4. Acquire and demonstrate the knowledge necessary to provide appropriate nutritional and fluid support for infants, children and adolescents
5. Acquire the knowledge necessary for the diagnosis and initial management of common acute and chronic illnesses, as well as common emergencies in pediatrics  
6. Develop clinical problem-solving skills 
7. Understand the influence of family, community and society on the child in health and disease 
8. Create strategies and counsel patients and families for health promotion as well as disease and injury prevention.
9. Develop the attitudes and professional behaviors appropriate for clinical practice in providing care for patients and their caregivers.

Psychiatry

1. Develop a familiarity with common psychiatric illnesses (as identified with the DSM-IV TR) and with the clinical management of these illnesses. 
2. Conduct a comprehensive psychiatric evaluation utilizing a biopsychosocial approach and focusing on the specificities of the mental status exam.
3. Recognize the interpersonal skills related to the patient-doctor relationship and exhibit empathy for the mentally ill and their families