Health Systems Science in the Clinical Clerkship Years

Presented by Mamta Singh, MD, MS, FACP and Clifford Packer, MD, FACP on August 13, 2020 at 12:00 pm

As Medical Schools integrate Health Systems Science into the curriculum, one of the areas that remain a challenge is the clinical years. Traditional clinical care has very little flexibility to incorporate HSS if approached with a pure scheduling lens. However, there are ample opportunities in daily workplace learning to recognize how HSS impacts clinical decision making and ultimately clinical care. In this session, the facilitators will share how they have or plan to incorporate and evaluate HSS in the clinical clerkship and demonstrate how SOAP-V is a great example of integrating clinical reasoning and value based care thus integrating clinical and health systems science at the bedside.


  1. To explore the ways in which HSS can be integrated into clinical clerkships
  2. To identify the use of HSS within clerkship evaluations
  3. To recognize how SOAP-V integrates clinical reasoning and value based care at the bedside
  4. To describe the impact SOAP- V had on medical students in the clinical clerkship years
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Presenter Bios

Dr. Singh is Professor of Medicine and Assistant Dean of Health Systems Science at Case Western Reserve University School of Medicine. She is a faculty member in the Division of General Internal Medicine at the VA Northeast Ohio Healthcare System where she also serves as the Assistant Director of the National VA Quality Scholars program for the Cleveland site. Her academic interests include quality improvement and primary care redesign. As a general internist, educator, and researcher, she has spearheaded multiple innovative curricular projects that train future health care professionals to improve the health systems in which they provide care. As part of this work, she led one of seven interprofessional residency programs where learners from multiple disciplines provide care in a Patient Centered Medical Home model within the VA health system. Her academic interest in primary care redesign has led her work on systems thinking and context of care across the education continuum. In addition to the VA funding, she has successfully secured funding from Macy/Institute for Health Care Improvement (IHI), RWJ foundation, HRSA and the AMA’s ACE initiative.

Clifford D. Packer, MD, FACP is an internist and clinician-educator at the Louis Stokes Cleveland VA Medical Center, and Professor of Medicine at Case Western Reserve University School of Medicine. He is a long time medicine clerkship director and developed a case reporting curriculum with his students that has produced numerous published case reports and abstracts over the past ten years. He is the author of more than 40 peer-reviewed articles and two books, Writing Case Reports: A Practical Guide from Conception through Publication (Springer, 2017) with co-authors Gabrielle Berger and Somnath Mookherjee, and Presenting Your Case: A Concise Guide for Medical Students (Springer, 2019).