Starting in the Spring of 2010, School of Medicine students enrolled in basic clerkships are required to participate in Pre-Clerkship Education Exercises (PRECEDE) at the beginning and midpoints of each quarter. These exercises are intended to introduce students to fundamental skills and knowledge that they will utilize at their inpatient and outpatient sites.
In cooperation with the Johns Hopkins Simulation Center, several of the sessions contained in PRECEDE are hands-on based learning through the use of high and low fidelity simulations and standardized patients. Students have, in the past, given these particular sessions the highest feedback, as they feel the preparation and knowledge that they receive during this time is invaluable to their upcoming experience.
Specific to the Pediatrics PRECEDE curriculum, students spend three days at the start of the clerkship and two days at the midpoint of the clerkship involved in this program.
A few examples of Pediatrics PRECEDE sessions are:
- An afternoon devoted to neonatal care. Students participate in a series of “mini-sessions” regarding the topics of a hip exam, common images in neonatology, and common neonatal problems. They are then escorted to the nursery and given the opportunity to perform a newborn exam on a newborn patient under the instruction of a faculty preceptor.
- A session on gathering sensitive medical and social histories from adolescents in which standardized patients portray youth in the Simulation Center exam rooms.
- A session on otitis media in which students learn how to properly perform pneumatic otoscopy on a simulator and diagnose common problems of the ear.
- A simulation of respiratory distress in an infant.