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Phase II Physical Exam


The second year medical students begin the year learning how to perform more complex and advanced physical exam skills. In small groups, ophthalmology faculty and residents teach students to perform the ophthalmologic exam with the indirect, coaxial and panoptic ophthalmoscopes, as well as the slit lamp. Likewise, in small groups, neurology faculty teach the students how to use a bag full of diagnostic equipment to elicit all components of the neurological exam.

Students are provided checklists, study guides, learning objectives and a reading assignment from Bates’ Guide to Physical Exam and History Taking for each session.

Sessions:

Normal Exam:

  • Ophthalmologic Exam
  • Neurological Exam

The students also complete the abnormal physical exam sessions. This is a continuation from the first year. The abnormal physical exam sessions are designed to demonstrate the abnormal physical exam findings associated with the disease and pathophysiology that the students are learning about in their didactic and small group sessions. Most of the sessions are taught is small groups, facilitated by attending faculty and residents. Most of these sessions are performed on real patients, and students are encouraged to use their clinical reasoning skills to perform an appropriate and focused exam.

Sessions:

Abnormal Exam:

  • Abdomen (Digestive and Endocrine)

In preparation for the preceptor experience and clinical clerkships, students learn how to perform breast and pelvic exams, including PAP smears on standardized physical exam teaching assistants(SPETAs). They also learn the urologic and prostate exams on SPETAs. Students are provided checklists, learning objectives and a reading assignment from Bates’ Guide to Physical Exam and History Taking for each session.

Sessions:

Normal Exam:

    • Breast and Pelvic Exam
    • Male genital and Rectal Exam

After learning all aspects of the adult exam, students than translate and adapt their skills to patients at both ends of the age spectrum. In small groups, students learn the toddler and child exams on real patient under the supervision of pediatric and family medicine faculty and residents. Geriatrician faculty demonstrate the unique components involved in the assessment of an elderly patient and students get the opportunity to practice these skills on real patients. Students are provided learning objectives and a reading assignment from Bates’ Guide to Physical Exam and History Taking for each session.

Sessions:

Normal and Abnormal Exams:

  • Pediatric Exam
  • Geriatric Adult Exam