INDE 297: Reflections, Research & Advances in Patient Care

Course Directors: Poonam Hosamani, MDLars Osterberg, MD, MPH; Audrey Shafer, MD

The curriculum for Reflections, Research, and Advances in Patient Care (RRAP) is designed to provide structured time independent of clinical clerkship duties, in order to promote both reflection on and reinforcement for learning in the clinical environment. Reflections, Research, and Advances in Patient Care is structured as a two-year curriculum to span the clinical years. Sessions occur every 8 weeks, on the third Friday of even-numbered clerkship periods (see dates below), and incorporate the curricular components outlined below.


  1. —Develop skills that promote professional identity formation through mentoring, social interactions and self-reflection on experiences in clerkships. 
  2. —Reinforce the study of behavioral, cultural, ethical, social and socioeconomic topics with an increased emphasis on the patient experience.
  3. Introduce advances in medical discoveries, emphasizing their application in clinical practice (translational medicine), with focus on the perspective of patients.
  4. Examine broader career paths through the sharing of experiences. 

Part One: Doctoring with Care Sessions

Session Time: 9:30am - 12:00pm

Doctoring with CARE sessions consist of small group debriefing/discussions, in which students on their clerkship rotations have the opportunity to discuss and reflect on critical experiences in a safe environment. Key objectives include the development of lifelong reflective practice skills and coping strategies essential to maintaining humanism and professionalism.

Facilitated by Educators for CARE faculty, these sessions are a continuing avenue to guide students’ development of four core values of the medical profession: Compassion, Advocacy, Responsibility, and Empathy.

For questions, please contact Bahij Austin (

Part Two: What Would You Do? Residency Panel

Session Time: 11:20am - 12:30pm

WWYD is a case-based, resident-led course meant to focus on challenging scenarios that may be encountered in clinical practice. These sessions will address cases from different specialties that may bring up ethical or diagnostic dilemmas. The cases may also address approaches to social scenarios that may arise in the inpatient or outpatient setting.  We hope that through guided discussions, students can come away with a perspective on how to address challenging scenarios.

Session Objectives:

  • Generate a differential diagnosis through case-based discussion of challenging clinical scenarios.
  • Formulate a management plan of cases identified from their rotations.
  • Apply evidence based literature to guide management on cases
  • Perform near-peer teaching and learning in safe educational environment

Part Three: Advances & Perspectives In Medicine Lunch Seminar Series

Session Time: 12:30pm - 2:00pm

—Designed for clerkship students, APM explores advances in biomedical sciences and medical practice, faculty career pathways, reflections on doctoring, and the broader context of medicine in society.  Some sessions include patient perspectives through concurrent patient presentations.

—Student involvement is encouraged, particularly for speaker recommendations, lively Q&A, and student leadership of individual sessions

For questions, please contact Celina Ng (

Completion Requirements

Attendance and participation in INDE 297 is required for all medical students enrolled in clerkships at Stanford affiliated sites (SHC, LPCH, VAMC, Kaiser Santa Clara and Valley Medical Center). Please note that this applies to students enrolled in required, selective and elective clerkships.

Absence requests should be submitted to the course directors well in advance of the scheduled course date and students are required to adhere to the School of Medicine Absence Policy and Expectations as set forth by Section 3.25 of the MD Program Handbook and Policy Manual. 


2017-18 RRAP Dates

  • August 18, 2017             
  • October 13, 2017
  • December 8, 2017    
  • February 23, 2018
  • April 20, 2018    
  • June 15, 2018
  • August 17, 2018