Learning Objectives

The Capstone course provides an opportunity to bring senior medical students together in preparation for the internship experience. The week-long Capstone Course provides an opportunity to refine or acquire skills that will be refined during internship. The UNC Core Competencies Document provides guidance for expectations for student learning.  While the course offers a variety of experiences, at the end of the Capstone Course in the 4th year, students are expected to:

• Identify personal goals for learning for the Capstone Course and track their performance for achieving individual goals, using large group, small group, asynchronous, online and other resources for learning.

• Recognize patients with immediately life-threatening cardiac, pulmonary, or neurological conditions, regardless of etiology, and institute appropriate initial therapy

• Identify the most frequent clinical, laboratory, roentgenologic, and pathologic manifestations of common conditions and select and interpret tests based on evidence-based and statistically sound principles

• Demonstrate competency in common clinical skills needed during internship, such as basic and advanced vascular and airway management skills, and specialty specific skills such as anatomical dissection of relevant organ systems.

• Demonstrate knowledge of the principles of pharmacology, therapeutics, and therapeutic decision-making, as well as prescription writing and core principles of ethical prescribing practices.

• Demonstrate knowledge of common medical issues and risks for health disparities in communities including:  LGBTQ, Recent Immigrants, Women, African American, Geriatric, Latino, Socio-economic

• Identify core values of professionalism, threats to medical professionalism and ethical behaviors

• Identify 1-2 strategies for lifelong learning skills and identify barriers to these that may occur during internship and residency

• Describe barriers and identify 1-2 strategies for improving patient safety and communication

• Integrate and perform the essential elements of a difficult communication encounter, particularly death notification and error disclosure

• Describe the role of professional societies, including the NCMB, NCMS and disability and Malpractice insurance, emotional and financial well-being for physicians

• Describe financial and organizational arrangements for the practice of medicine and potential for fraud, waste and abuse, as well as basic of medico-legal aspects of healthcare.

• Describe 1-2 aspects of healthcare from the perspective of the chronically ill patient.

• Identify the role of “teacher” for interns and 1-2 strategies to accomplish teaching in daily activities as an intern

• Recognize alcohol withdrawal symptoms and institute appropriate care.

• Have a basic understanding of how physicians present themselves to the Media

• Be able to discuss Death and Dying, obtain a DNR order and understand the process of organ donation

• Be proficient in hand-off and communication with other team-members.