Internal Medicine

  • Master Clinician Program

    Becoming a Master Clinician

    We are committed to a culture that encourages the development and internalization of the attributes, applied knowledge, judgment and behaviors of the master clinician into one's concept of self.

    • The personal development of a new "professional" self identity
    • Creation of a new understanding of self and the world
    • Occurs in stages
    • Results from meaningful professional experiences, dialog and reflection

    Stage 1: Early Entry

    • Reflex responses derived from previous non-professional life
    • Rules of the profession not clearly understood
    • Immature learner "I am smart and can beat anyone at the game"
    • Surprise and angst at adverse reactions to "usual behaviors"

    Stage 2: Reward/Punishment

    • It's all about ME
    • Figuring out the "rules of the game"
    • What's on the test?
    • Cram and forget, get high grades
    • Motivation is the "system's reward/punishment"
    • Satisfaction comes from the external rewards

    Stage 3: Team Membership

    • Can hold multiple points of view
    • Relationships are critical
    • Begin to integrate and apply knowledge
    • The "Profession" is a relationship
    • Motivation is the "Medicine team does it this way"
    • Satisfaction is from successful team and individual relationships

    Stage 4: Physician Self

    • Integrated the Profession (values, thinking, etc) into a knew self identity
    • Professional behaviors become habitual
    • Can break away from the rules and the team when appropriate
    • Leads the team
    • Knowledge is put into effective action
    • Can be flexible and self-critical
    • Motivation "I know the right thing to do"
    • Satisfaction is internally derived (self-actualization)

    Stage 5: Mentor

    • It's all about the others
    • Holds a "big picture" perspective
    • Teaches the "rules" of doctoring
    • Guides the team
    • Art and Science of Medicine are one
    • Nurtures the transformation to physician
    • Motivation is to see others succeed
    • Satisfaction derives from the accomplishments of others