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Office of Student Affairs 
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Clinical Skills Training by DescriptionMedical Interviewing — this skill is by practicing with standardized patients and with real patients in tutorials. The Robert Smith model emphasizing patient-centered interviewing is utilized. Students have two sessions in first year in which they practice interviewing with a standardized patient and one session in second year. In third year, students attend specific workshops practicing how to break difficult news and how to counsel for behavioral change. All sessions are directed by Dr. Auguste Fortin and a group of skilled interview faculty Physical Exam — Students learn introduction to physical exam in a series of eight workshops in which they practice parts of the physical exam on each other under the observation of a skilled faculty member and in tutorials with their clinical tutor. They then are allowed to practice physical exam on patients at the end of first year. Special sessions are conducted in 2nd year in which students practice breast, pelvic, rectal and male genital examination utilizing urologic and gynecologic teaching assistants who serve as patient-teachers. Sessions are directed by Dr. Cheryl Walters and a group of skilled physical exam faculty. End of Life Care Skills - Students are introduced to end of life care skills in the first year during which time they observe an interview, usually with a physician who is facing a terminal illness. In second year, students visit Hospice or go to home visits with a Hospice caring nurse to visit a patient with a terminal illness. In third year, the students are required to complete an exercise in which they personally interview a patient with terminal illness and address a series of questions related to their physical, psychosocial and spiritual needs. This interview is then written up and presented in a small workshop with a group of dedicated faculty. The Palliative and End of Life Care program is directed by Dr. Matthew Ellman and a small group of dedicated faculty. Learn more about the Interdisciplinary Palliative Care Educational Program... Write up skills — In second year, students participate in an introduction to write up workshop. They then start practicing writing up patients seen in their tutorial sessions. Write up experience is further developed in 3rd year on the clerkships Presentation Skills - In second year, students participate in an introduction to presentation workshop in which the elements of a presentation are discussed. The students then have a chance to practice presentation on the case used for the write up. They continue to practice presentation in their tutorials and later in clerkships. Psychosocial Skills — The importance of recognizing psychosocial elements in every case is emphasized with the student's discussion on the first day of school based on the book “The Spirit Catches You and You Fall Down.” Students are required to interview a family member before coming to medical school in which the emphasis is on the psychosocial questions relating to the family member's experience of their disease. Students discuss each other's essays in a workshop in the beginning of first year. Psychosocial factors are emphasized in all subsequent workshops. The tenets at the foundation of the psychosocial model of disease and illness have been created by Dr Paul Kirwin. Observation skills — introduction to observation skills is a workshop conducted by Dr. Irwin Braverman in the British Art Museum in New Haven. Pediatric Skills — are developed in first and second years. The students participate in workshops assessing a newborn and interviewing a hospitalized child. In addition, students have two pediatric tutorials in the second year. These sessions are directed by Drs. Eve Colson, Carol Weitzman and Karen Santucci. Geriatric Skills —students visit a nursing home in small groups in first year and in second year. During these sessions, a physical and cognitive assessment of geriatric patients is practiced under the observation of geriatric faculty. These workshops prepare students for assessment and treatment of elderly patients in their clinical clerkships. These sessions are directed by Dr. Margaret Drikamer and geriatric faculty experts. Family Violence - three group workshops are conducted in 2nd year. Using video clips and case discussion, family violence, child abuse and elder abuse are discussed. The emphasis is on recognition of these problems and utilization of the correct language to address these issues with patients. 
Home url: http://info.med.yale.edu/education/
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