Table 1 Example of a George Washington University School of Medicine MS1 cluster PDX session: chest pain

Pre-Session

1. Students read Chest Pain Cluster packet and review chapter 9 in Bates’ Guide to Physical Examination as needed (be prepared to answer questions about the items in this packet)

2. Students watch Chest Pain Cluster video on Blackboard

3. Students prepare any questions regarding the material to be covered

4:30-5:15pm

I. Introduction of Session

1. Introduce the session – MS4s & SPIs

2. Session-specific Socratic Min-Quiz – MS4s

3. Review of Cluster Algorithm – MS4s

4. Open the floor for questions – MS4s & SPIs

Clinical knowledge questions to be answered by MS4s; examination questions to be answered by SPI. SPI demonstrates on MS1 as needed.

5:15-5:45 pm

II. Peer and SPI Practice of the Chest Pain Cluster

Students practice the Chest Pain Cluster Maneuvers on each other and SPIs in their groups. Each MS1 will be an examiner and examinee at least once. MS4s and SPIs observe and correct technique as needed.

5:45-7:15 pm

III. Case Based Practice with SPIs, using Clinical Relevance cases:

In pairs, students will work through 3 Clinical Relevance cases together. The group will debrief with the PIs & SPI after each case.

7:15-7:30 pm

IV. Wrap Up and Reflection

PIs and SPIs answer further questions. The group should also answer the session’s reflection/discussion questions aloud.

7:30-8

SPI-MS4 Team Meeting

PIs and SPIs complete evaluation form on each student; share impressions of their co-teaching, identifying any changes they plan to make in their teaching collaboration for the next session