Daniel Neides, MD Director, Basic Core I

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Basic Core I Cleveland Clinic

• Daniel Neides, MD - Director, Basic Core I
• Seema Baranwal, MD Discipline Leader IM
• Kendalle Cobb, MD Discipline Leader FM
• Matthew Walsh, MD Discipline Leader Surgery
• Gwendolyn Dove Administrative Assistant

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Basic Core ICleveland Clinic

• Program Goals

• To provide core experiences in Family Medicine,
  Internal Medicine, and Surgery
• To facilitate clinical mastery of core topics and
  skills in each of the three disciplines
• To provide outpatient experiences in Family
  Medicine, inpatient and outpatient experiences in
  Internal Medicine, and Inpatient (General,
  Pediatrics, or Colorectal) and Outpatient
  (sub-specialty) Surgery experiences
• To incorporate basic science and EBM in clinical
  didactics

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CC Basic Core I Master ScheduleWEEKS

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Basic Core ICleveland Clinic

• Family Medicine

• Clinical Settings - Cleveland Clinic Family
  Health Centers
• Supervision Students will work with a core
  group of preceptors (one on one) at their
  assigned FHC (3 weeks)
• Call No Family Medicine call

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Basic Core ICleveland Clinic

• Internal Medicine

• Clinical Settings
• Outpatient ( 3 weeks) Main Campus or the
  Cleveland Clinic Family Health Centers
• 1 week medical subspecialties (GI, ID, Renal,
  Rheum)
• 2 weeks General Internal Medicine
• Inpatient (5 weeks) Main Campus
• 3 weeks General Medicine
• 2 weeks of either Cardio, GI, or Gen Med

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Basic Core ICleveland Clinic

• Internal Medicine

• Clinical Settings
• Supervision
• Students will work one on one with a core group
  of preceptors either at main campus or the FHCs
  for the outpatient portion
• Students will be part of a team during the 5
  weeks of inpatient medicine (working with House
  Staff and Attending Staff) at Main Campus
• Call overnight call with the inpatient team
  (every 4th night during the 5 weeks)

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Basic Core ICleveland Clinic

• Surgery

• Surgery will occur during a 5 week block
• Week 1 will consist of ½ day outpatient surgery
  clinics in various sub-specialties (including
  Orthopedics, Breast, Vascular, ENT, Pediatric,
  and Urology)
• Weeks 2-5 will consist of inpatient surgery
  (General Surgery, Colorectal Surgery, or
  Pediatric Surgery)
• Patients evaluated in week 1 who require surgical
  intervention during weeks 2-5 should be followed
  longitudinally

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Basic Core ICleveland Clinic
Surgery

• Supervision students will work one on one with
  Attending Staff in the subspecialty clinics and
  with House Staff and Attending Staff on the
  inpatient service
• Call
• Students will take call every 4th night
  until 1100pm during the week and 6p-6a on
  weekends

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Basic Core ICleveland ClinicFriday Didactics

• Morning Report 700-900 am
• Two students will present at each morning report
  (surgery case from 7-8, FM/IM case from 8-9).
  The faculty member(s) will facilitate discussion
  of differential diagnosis
• Point/Counterpoint (weeks 4, 8, 12)
• Two students per team will research and debate
  opposing approaches to clinical problems. One
  student per team will obtain a basic science
  article on the topic while the other will gather
  information vaildating their side of the
  argument. The topics for debate will be
  predetermined (example Symptomatic carotid
  stenosis stent vs. surgical endarterectomy)

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Basic Core ICleveland ClinicFriday Didactics

• Clinical Rounds (2 hours/week)
• The students will be given brief clinical
  scenarios (surgical and medical a
  multi-disciplinary approach) and have to work
  through the history, physical exam, diagnostic
  work-up, assessment, and treatment plan for each
  case based on topics including
• Abdominal Pain
• Chest pain
• Hematuria
• Cough
• Rectal Bleeding
• Jaundice
• Thyroid/Parathyroid disease
• Diabetes

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Basic Core ICleveland ClinicAssessment

• Block Assessment Team
• Students will be assigned to one of three groups
  made up of faculty from FM, IM, and Surgery
• The BAT will meet with students individually
  Friday afternoon of weeks 4,8,12, and 16
• The BAT will oversee the students portfolio and
  ensure that the student is getting an adequate
  representation of each specialty and has quality
  data (patient logs and faculty assessments)
• The BAT will have the responsibility of
  determining that each student is meeting the
  goals and objectives of the Competencies (ex
  medical knowledge, communication skills,
  professionalism)

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Basic Core IContact Information

• Gwen Dove, Basic Core I Administrative Assistant
• doveg_at_ccf.org
• 216-445-7439
• Daniel Neides, MD
• Director, Basic Core I
• neidesd_at_ccf.org
• 440-519-6849
• Pager 25519