M4 Clerkship Information
Advanced Medical Therapeutics
Course Directors

Cary Engleberg, M.D.
Email: cengleb@umich.edu

Sandro Cinti, M.D.
Email: scinti@umich.edu

Course Description

Course objectives

By the end of the M4 Advanced Medical Therapeutics course, students will:

  1. have reviewed basic principles of pharmacology that are applicable to a breadth of medical practice (IO-3)
  2. be confident prescribing commonly used medications (IO,3,8,9)
  3. become familiar with commonly used drugs that they may not prescribe in their clinical specialty, but may be common in their patient population (i.e. cardiac agents and seizure medications) (IO,3,8,9)
  4. interpret and apply medical research that forms the basis for evidence-based prescribing (IO-4)

Learning Approach
This course will focus on learning processes and decision-making, rather than on rote memorization of facts. Emphasis will be at a more advanced level, that of clinical reasoning and problem solving. A central idea of this course is to learn from problem-based, open-ended experiences, much like learning experiences in the clinic or on the ward. Following that analogy, the proper amount of reading and study will be determined by students’ perception of his/her current knowledge and understanding knowledge gaps.

The course consists of three separate elements:

1. Weekly online learning modules
Modules consist of individual topic areas, presented as clinical cases and followed by a series of questions about clinical management. Responses to the questions will link to on-line materials that are germane to the problem (e.g., PowerPoint presentations, videos, or document files). Students are encouraged to think broadly about the clinical problems. If, for example, the case presents a problem involving drug dosing, make sure that you understand the principles of dosing for the particular class of drugs and for the particular disease state being treated. Students are also charged with assessing their knowledge base for a particular topic.

2. Online seminars
The online seminars reflect on controversies in the literature, interpretation of the literature, or physician relations with the pharmaceutical industry.

3. Independent Projects
Students prepare either 1) a brief powerpoint presentation that answers a question of interest concerning the use of a therapeutic agent by review of key literature, or 2) a case-based learning module on a topic of interest to themselves with links to appropriate supportive literature.