Course Title: Professional Development Capstone

Course Number: MDE 7067

Credits: 2 (Combined credit with Clinical Skills Capstone)
Grading System: P/F

Period: 4
Start Date: April 2, 2018
End Date: April 26, 2018

Course Director: Ana Viamonte Ros, MD, MPH

Contact Number: 305.710.0831
Email: aviamont@fiu.edu
Office Hours: By Appointment Only

Course Coordinator: Janelle Fernandez, MS

Contact Number: 305.348.1459
Email: jamafern@fiu.edu
Office Hours: By Appointment Only

Participating Faculty
Name: Discipline: Email:
Karin Esposito, MD, PhD, FAPA Psychiatry karin.esposito@fiu.edu
Jason DiLorenzo Finance jason@dwqq.com
Vania E. Fernandez, MD Anesthesiology; Pain Management Fernandez@browardspine.com
Paul Gluck, MD Obstetrics/Gynecology pagluck@alum.mit.edu
David Graham, MD Radiology dgraham@fiu.edu
Deise Granado-Villar, MD Pediatrics deise.granado-villar@mch.com
Javier Hiriart Family Medicine javierhi@baptisthealth.net
Kailee Imperatore, MD Pathology Kailee.Imperatore@msmc.com
Yvonne Johnson, MD Emergency Medicine yvonnej@baptisthealth.net
Onelia Lage, MD Pediatrics olage@fiu.edu
Jody Lehman, Esq Law jlehman@fiu.edu
Carla Lupi, MD Obstetrics & Gynecology clupi@fiu.edu
Maria V. Lopez-Beecham, MD Obstetrics & Gynecology marialb@baptisthealth.net
Marisa Miles, MA Finance; Student Affairs mamiles@fiu.edu
Jorge Murillo, MD Internal Medicine jmurillo2406@gmail.com
Alexis Polles, MD Emergency Medicine/Psychiatry drpolles@flprn.org
Elizabeth Rockowitz, MS Information Technology erockowi@fiu.edu
Eneida Roldan, MD, MPH, MBA Pathology eoroldan@fiu.edu
Pablo Ros, Esq Law parblomros@gmail.com
A. Frederick Schild, MD Surgery afschild@fiu.edu
Ana Viamonte Ros, MD, MPH Radiology aviamont@fiu.edu
Tomas Villanueva, DO, MBA, FACPE Internal Medicine tomasv@baptisthealh.net
Adam Vega, CFP Finance Adam.vega@unitedcp.com
Heidi von Harscher, PhD, FICPP Psychology vonharsch@fiu.edu

2018_MDE 7067 Professional Development Capstone

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Table of Contents
1. COURSE DESCRIPTION, EXPLANATION, AND TEACHING PHILOSOPHY ............................................................................... 2
2. COURSE LOCATION: ............................................................................................................................................................ 2
3. COURSE LEVEL LEARNING OBJECTIVES ............................................................................................................................... 2
4. INSTRUCTIONAL METHODS ................................................................................................................................................. 3
5. TEXTBOOK, MATERIALS, READINGS, RESOURCES, TERMINOLOGY..................................................................................... 3
6. EVALUATION, ASSESSMENT, AND GRADING RUBRICS ....................................................................................................... 3
7. COURSE POLICIES ................................................................................................................................................................ 4
8. COURSE OUTLINE AND SCHEDULE ...................................................................................................................................... 5

1. COURSE DESCRIPTION, EXPLANATION, AND TEACHING PHILOSOPHY

The Capstone is explicitly designed to address anticipated expectations of Professionalism in the first few months of
residency and beyond. Additionally, the Capstone in Professional Development is intended to serve as a review of
relevant topics for Internship and the introduction of specific practical topics not otherwise covered in the curriculum.

The Capstone is divided into learning modules:

1. Achieving successful residency experience

2. Self and personal growth for life
3. Thriving in the business of medicine and personal business affairs
4. Practice Management

2. COURSE LOCATION:
Please refer to course schedule for daily room assignments.

3. COURSE LEVEL LEARNING OBJECTIVES

1. Commit to a culture of patient safety and quality, effectual communication, and teamsmanship.
2. Commit to be a champion for appropriate health information technology.
3. Understand your dual role as resident-Learner and Employee-with of the rights and obligations associated
with both.
4. Utilize skills across clinical settings, demonstrating knowledge of care in the acute, post-acute, palliative care
settings, clinics, and home.
5. Demonstrate knowledge of the working environment (hospital and resident hierarchy, medical education
office, union or non-union environment, condition for employment, medical staff bylaws, rotations, and
duty).
6. Discuss a patient’s right to obtain information about available treatments and the right to consent to or
refuse such treatments.
7. Recognize triggers for fatigue and stress and have a plan to avoid and combat these in real time.
8. Understand your role in compliant documentation and remuneration for services rendered.

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 9. Understand the need to manage your career through residency, including finances, legal liability, future
employment, licensing, and mentoring.
10. Acquire problem-solving negotiation techniques.

The course learning objectives correspond to the following educational program objectives:
5. Communicate effectively with patients, families, and health service providers, including situations involving
language barriers and effective use of professional interpreters.
14. Discuss the core financial, legal, and structural, policy, and regulatory aspects of the US health care system
and their impact on the delivery of health care.
15. Identify the personal skills and systems-level processes that support continuous quality improvement and
patient safety, and use standard precautions in the health care setting.
18. Apply professional behavior attitudes, humanism, self-awareness, emotions, values, and identity for the care
of patients, self, and others.
22. Interact effectively with other professionals to address health care needs of patients.

4. INSTRUCTIONAL METHODS
Each session in this capstone will be run as a self-contained workshop, consisting of brief interactive presentations and
in-class activities. Some of these sessions will be constituted by case studies, small group activities, etc. All class sessions
are mandatory. After each session, each student will answer questions related to the presentation.

5. TEXTBOOK, MATERIALS, READINGS, RESOURCES, TERMINOLOGY

There are no required or recommended textbooks or readings.

6. EVALUATION, ASSESSMENT, AND GRADING RUBRICS

The final grade in this course is Pass or Fail. A grade of “Pass” is defined as a number ranging from 75-100. A grade of
“Unsatisfactory” (i.e., “Fail”) will be assigned for unsatisfactory performance (<75). Remediation will be arranged per FIU
HW COM policies (see below). Students with unsatisfactory performance will be required to remediate per HWCOM
policies by April 27, 2018; upon successful completion of an assigned remediation, a grade of “F/P” will be reported.

STUDENTS MUST PASS EACH COMPONENT OF MDE 7067 PROFESSIONAL DEVELOPMENT AND CLINICAL SKILLS
CAPSTONE TO PASS THE COURSE. STUDENTS WHO FAIL ONE OR BOTH COMPONENTS OF THE COURSE ARE REQUIRED
TO REMEDIATE PER HWCOM POLICIES.

After-Session Questionnaire 6.25% each

(16 sessions)
Total: 100%
After-Session Questionnaire
After each presentation, each student will be required to submit a completed questionnaire based on the information
presented. There will be 16 sessions in this capstone. Therefore, each questionnaire will be 6.25% of the total grade. The
course director will review the questionnaire and award a pass/fail based on completion. Students who complete the
questionnaire entirely will receive a Pass for the activity and will receive the 6.25% credit for that session. Students who
do not complete the questionnaire entirely will receive a Fail for that activity and will not be awarded the 6.25% for that
session. Some questionnaires may include peer evaluation/grading in order to gauge group learning and processes
throughout the course. Students will submit each questionnaire on CanvasMed.

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7. COURSE POLICIES
In the event of a conflict between the policies in this syllabus and policies in the HWCOM Medical Student Handbook,
the HWCOM Medical Student Handbook shall control.

HWCOM Policies (per HWCOM Medical Student Handbook)

Students are responsible for reviewing and adhering to the grading, remediation, attendance, and excused absence
policies and all other policies outlined in the HWCOM Medical Student Handbook available here:
(http://medicine.fiu.edu/handbook/).

Expectations of Students
 Students are expected to attend all scheduled activities designated as mandatory in the course schedule on time
and ready to begin.
 An unexcused absence from any course meeting will automatically fail a student. Course remediation will be
arranged per HW COM policy (see “Remediation of Unsatisfactory Performance in a Course”).
 Students who are unable to make a class must notify the instructor via email prior to the start of class time.

Academic Integrity and Professionalism

Students are expected to abide by the FIU Code of Academic Integrity
(http://academic.fiu.edu/academicbudget/misconductweb/1acmisconductproc.htm), the HWCOM Code of Professional
Conduct for Student–Faculty Relationships (http://medicine.fiu.edu/handbook/), and all professionalism standards set
forth by HWCOM (http://medicine.fiu.edu/handbook/).

Attendance Policy
The course director expects all students to be present at mandatory activities, as these are learning experiences that
cannot be re-created outside of classroom environment. Mandatory activities are not recorded on Tegrity.

Students are not allowed to schedule any NeighborhoodHELP visits during this course.

For all emergencies, students should contact the Office of Student Affairs at 305.348.0644. All excused absence requests
should be submitted to the Office of Student Affairs at comosa@fiu.edu for initial review using the Excused Absence
Request Form. In general, requests for planned absences should be made at least 4 weeks in advance.

 Make-Up Policy. Students who miss any in-class mandatory activities and who have been granted an EXCUSED
ABSENCE are to contact the course director regarding the make-up assignment. Students are expected to complete
the make-up assignment within 7 business days of the date of the missed session. Only students who follow HWCOM
policies for requesting excused absences are allowed to submit make-up work.
 Unexcused Absences. Unexcused absences are considered unprofessional behavior, are reported to the Office of
Student Affairs, and are documented in student academic files as violations of professionalism. No opportunities for
make-up are provided for unexcused absences; students absent from mandatory sessions without prior excusal
forfeit all points for that day’s activity.

Remediation of Unsatisfactory Performance

Students who fail the course are expected to contact and meet with the course director. Only one remediation for a course is
permitted and the remediation assessment must be completed at the predetermined times for the course. The remediation
opportunity for a course failure is a comprehensive assessment at the end of the curriculum block containing the course. Successful
performance of the comprehensive remediation assessment will earn a grade of F/P.
 Students may be denied a remediation opportunity by the Medical Student Evaluation and Promotion Committee
(MSEPC).
 Only one remediation opportunity is allowed. A student failing a remediation must repeat the course (with permission of
the MSEPC) and earn a new grade.
 A student failing a course a second time will not be offered an opportunity to remediate.
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8. COURSE OUTLINE AND SCHEDULE
Date
Session-Specific
Location Time Topics
Learning Objectives
Attendance
 EBM Capstone Examination (Lupi)  None
8:00A-9:45A

9:45A-10:00A
Session 1 BREAK
Morning
Mon, April 2nd  Professionals Resource Network (Polles)  List three most common disorders that lead to professional impairment.
10:00A-11:00A  Identify resources for professionals who are struggling with impaired
AHC4 Room 101 conditions.

MANDATORY
 Board of Medicine (Lage)  Describe the relationship of Professionals Resource Network and the Florida
Board of Medicine.
11:00A-12:00P  Describe the current structure and function of the Board of Medicine.
 Discuss cases that highlight opportunities to improve patient care.
 Review Florida Statute 458.331

LUNCH BREAK | 12:00pm – 1:00pm

1:00P-1:30P
 Complete Dean’s Survey  None
Session 1
Afternoon
Mon, April 2nd  Residency Panel Discussions (Viamonte Ros, Schild,  Discuss expectations for Day 1 of residency program per specialty.
AHC4 Room 101 Johnson, Esposito, Lopez-Beecham, Elazab, Villanueva,  Identify resources available for each specialty.
1:30P-4:00P Graham, Hiriart, Granado-Villar)  Discuss common cases and issues faced by interns per specialty.
MANDATORY  Students will be divided into small groups per matched
specialty.

Session 2  Advocating patient safety (Gluck)  Discuss a number of estimates of the incidence of medical errors.
Morning 8:00A-9:30A  Differentiate between medical errors and adverse events.
Tues, April 3rd  List 4 basic causes for medical errors.

AHC4 Room 101 9:30A-9:45A BREAK

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  Death Certification (Imperatore)  Understand what a death certificate is, the role of the PCP regarding the death
MANDATORY certificate, and how to fill it out.
9:45A-10:15A  Understand the role of the ME and their jurisdiction.
 Differentiate between cause, manner, and mechanism of death.

 Blood Component Therapy (Imperatore)  Discuss how blood components are prepared, what they contain, what is
available, and indications for use.
10:15A-10:45A
 Recognize transfusion risks.

10:45A-11:00A BREAK

 Antimicrobial Stewardship (Murillo)  Describe antimicrobial resistance and how antibacterials work.
 Discuss why antimicrobial resistance is a concern.
11:00A-12:00P  Discuss mechanism of resistance to antibiotics and identify strategies to
contain resistance.

LUNCH BREAK | 12:00pm – 1:00pm

Session 2  Office of Financial Aid Exit Debt Management Program
Afternoon Presentation (Miles)  Acquire an understanding of the financial planning process (insurances, asset
Tues, April 3rd -A Strategic Approach to Managing Your Medical School protection, profit and loss statements, balance sheets, loans, mortgages, buy
Debt Financial Planning vs. rent).
1:00P-4:00P
AHC4 Room 101  Develop strategies to manage finances and utilize consultants (accountant,
lawyers, and financial planners).
MANDATORY  Identify financial instruments for investment (stock markets, bonds).

 Informed Consent (Lehman)  Discuss a patient’s right to obtain information about available treatments and
 Informed Consent for Research (Lehman) the right to consent to or refuse such treatments.
 Reporting Obligations (Lehman)  Recognize physician’s obligations associated with medical license.
 Discuss a physician’s reporting obligations.
Session 3  Medical Malpractice (Lehman)
Morning  Define Institute of Medicine patient safety terms.
 Advanced Directives (Lehman)
Wed, April 4th  Describe the interplay between medical systems and individuals that can lead
8:00A-12:00P  Privacy (Lehman) to medical errors.
AHC4 Room 101  Informed Consent Workshop (Lehman)  Distinguish a bad outcome from a medical error.
 Describe who should, when and how to disclose a medical error to a patient.
MANDATORY
 Describe how to respond to patient emotions in the event of adverse outcomes
with and without medical error.
 Demonstrate knowledge of medical and legal issues associated with medical
malpractice.

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 LUNCH BREAK | 12:00pm – 1:00pm
Session 3  Insurance, Health Care Systems, Systems Reimbursement  TBD
Afternoon 1:00P-3:00P (Lehman/Roldan)
Wed, April 4th

AHC4 Room 101

 Emotional Intelligence Survey  None
3:00P-4:00P
MANDATORY

 Stratification (Viamonte)  Provide tools for effective communication to best achieve patient’s goals for
end-of-life care

8:00A-9:00A
 Define end-of-life related terms (i.e., autonomy, capacity, surrogate, proxy,
advanced directives, withholding of care, qualitative futility)
 Explore how state laws shape the process of end-of-life care

9:00A-9:15A BREAK

Session 4  Burnout and Empathy in medical students transitioning to  Observe trends in their scores on burnout over the last three years.
Morning residency (von Harscher)  Understand the interplay of empathy and burnout.
Thurs, April 5th  Understanding the Need to Manage Personal Stress: Real-  Identify ways to increase resiliency when transitioning to residency.
Life Examples (von Harscher)
AHC4 Room 101 9:15A-10:15A  Develop techniques for managing stress.
 Identify the nature, causes, and responses to personal stress.
MANDATORY  Recognize the need to ask for help for self/others
 Recognize the need to balance priorities at work and away from work.

10:15A-10:30A BREAK

 Understanding Residency Evaluations (Esposito)  Understand the goals of evaluation in residency

10:30A-11:00A

 Graduation Questionnaire (GQ)  None

11:00A-12:00P

LUNCH BREAK | 12:00pm – 1:00pm

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 1:00P-1:55P
 Investment in Health Information Technology (Rockowitz)  Discuss implications of emerging health information technology.

1:55P-2:00P BREAK

 Pain Management/Drug Diversion (Fernandez)  Define the difference between acute and chronic pain.

Session 4
 Describe the basic mechanisms involved in the sensation of pain.
Afternoon  Evaluate a patient with a complaint of pain.
Thurs, April 5th 2:00P-3:00P  Understand how to prescribe pain medication.
 Describe multimodal pain management.
AHC4 Room 101
 Know when to consult a pain management specialist

MANDATORY
 Anti-medical fraud initiative/FBI presentation  Identify healthcare components that financially impact the nation’s economy.
 Identify numerous forms of illegal activity regarding health care Fraud and
Abuse.
3:00P-4:00P  Identify contributing factors and red flags regarding health care Fraud and
Abuse.
 Identify how to address health care fraud and abuse.
 Identify consequences for those involved in health care fraud and abuse.

Session 5  Negotiation (Ros)  Develop negotiation skills (salary, provider contracts).

Morning
Thurs, April 26th
8:00A-12:00P
AHC2 170

MANDATORY

LUNCH BREAK | 12:00pm – 1:00pm

Session 5  Negotiation (Ros)  Develop negotiation skills (salary, provider contracts).

Afternoon
Thurs, April 26th

AHC2 170 1:00P-4:00P

MANDATORY

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