Foundations of Reasoning in Medicine (FRM)

The AAMC has prescribed active and self-directed learning as a means to integrate clinical reasoning into the pre-clinical program of study.  This is to allow the longitudinal continuality of curriculum throughout the four years of medical education. These sessions are intended to be patient focused with an “interactive, experience-based, and learner-centered” emphasis as the primary didactic method.

The active learning/case-based learning curriculum at Upstate will integrate with the new horizontally constructed anatomical units of year 1 and 2 in order to elucidate the clinical reasoning associated with each individual respective block. The designed cases and interactive sessions will be in a small group format to allow the students to work through representative clinical cases in order to model the clinical thought process and begin clinical reasoning skills in the pre-clinical curriculum.

Through this course, students will: (a) learn to identify, analyze, and synthesize information relevant to their learning needs, (b) assess the credibility of information sources, (c) share the information with their peers and small group faculty, (d) receive feedback on their information-seeking skills in the small groups. 

The FRM course will be integrated into each anatomical unit and will be P/F.

Examples of evaluative methods include:

  1. The Script Concordance Test
  2. Expository Diagnostic Justification
  3. EBM critical appraisal
  4. Simulated/Standardized Patient Encounter

The course will be structured into a 2 day a week (total 4 hours of contact time) format in which the first encounter is small group followed by a large group debriefing session. This pattern will repeat throughout the course as it is structured and integrated into the pre-clinical years.  Specific small group weeks will be dedicated to Evidence Based Medicine and Excellence in Care components.

Ethics, Law and Social Issues (ELSI) lays the foundations for medical students to acquire necessary understandings, commitments, and skills as they develop into physicians. Using focused lectures and a variety of case-based learning approaches, a multi-disciplinary faculty from throughout Upstate expert in population health, preventive medicine, bioethics, law humanities, and the social sciences will help students achieve excellence in fulfilling their professional responsibilities both to individual patients and the broader population.