Third Year Core Clerkship: Family Medicine
The Family Medicine Clerkship is a required four-week rotation. Students are placed in a community or residency site and become an integral part of the health care team.
The clerkship emphasizes strengthening competencies in history taking, physical examination skills, problem differentiation, disease prevention and management, written and oral presentations. In applying these basic skills the student will develop an understanding of the concept of a medical home in patient care: comprehensive, patient-centered, longitudinal primary care.
Working one-on-one with family physicians, students will integrate knowledge of the basic sciences with the biopsychosocial factors that critically impact a patient’s experience of illness and health in the care of the patient.
The overall purpose of the third year Family Medicine Clerkship is to foster student knowledge of and familiarity with the family medicine method of health care delivery and the role of the family physician in both the local and medical communities. You will be introduced to the core concepts of Family Medicine, including the concept of the Patient Centered Medical Home (PCMH.)
The major vehicle for this education is exposure to practicing family physicians and their patients. The clerkship experience has been designed to assist each student in refining proficiencies necessary for life-long learning. Areas targeted for skill building are the core competencies laid out by the ACGME including patient care, medical knowledge, interpersonal and communication skills, system-based practice, practice-based learning and improvement, and professionalism.
Students must be able to provide care that is compassionate, appropriate, ethical, and effective for treating health problems and promoting health.
Students are expected to master the necessary body of knowledge within the basic, clinical, and cognate sciences to manage patients’ health. Moreover, graduates must demonstrate the skills that will enable them to utilize the concepts and knowledge that will be discovered throughout the years following medical school.
Interpersonal and Communication Skills
Students must demonstrate interpersonal and communication skills that result in effective information exchange and teaming with patients, patients’ families, and professional associates.
Students must demonstrate an awareness of and responsiveness to the larger context and systems of health care and the ability to call on system resources to provide care that is of optimal value.
Practice-Based Learning and Improvement
Students must be able to study, reflect, and evaluate patient care practices, appraise and assimilate scientific evidence, and understand their learning needs. He/she must be committed to lifelong learning.
Students must demonstrate a commitment to professional service, adherence to ethical principles, and sensitivity to diverse patient populations.
Student Learning Objectives
- Understand the nature of the patient-physician relationship and its impact upon the management of the patient’s illness.
- Assess the patient and family as a whole including biopsychosocial, spiritual, and health beliefs.
- Apply problem solving skills to the ambulatory patients with undifferentiated symptoms.
- Develop long term treatment plans for patients with chronic illnesses.
- Understand patient problems in a community context and the role of community resources.
- Synthesize, present, and record clinical data in an organized, on time, and accurate fashion.
- Utilize evidenced based learning and point-of-care learning in a time efficient manner.
- Critically evaluate evidenced based guidelines and understand when and when they don’t apply.
- Understand office-based health care team approach to patient care.
- Exhibit a caring and empathetic attitude toward patients and display professional values and attitudes.
- Understand indications, perform and interpret common office-based procedures and tests.
- Develop an appreciation for the basic tenets of Patient Centered Medical Home(PCMH)
- Understand the role and value of family physicians in community medicine and the heath care community.
Clinical: Students spend the majority of the rotation in direct ambulatory patient care as a member of the healthcare team in preceptors’ offices in the Tristate. Students are placed in diverse community sites ranging from solo practices to small group practices to faculty and residency programs. The sites may be urban, suburban or rural.
Students are encouraged to take advantage of all learning opportunities during the month with their preceptor; for example, participate in hospital rounds, visit nursing home patients, accompany their preceptor on home visits and become familiar with the business side of running a medical practice.
Students spend one day a week in the Department of Family and Community Medicine at the College of Medicine in formal teaching sessions. The didactics are interactive, learning sessions with an emphasis on common outpatient problems, communication and clinical skills and the thought process involved in evaluating patients.
Students receive midway formative feedback from their preceptors and review this individually with Family and Community Medicine faculty. The final grade for the Family and Community Medicine clerkship is a combination of three components: the preceptor evaluation (50 percent); the end-of-rotation exam (25 percent); in-class participation and presentations (15 percent); and clinical skills assessment on the musculoskeletal exam (10 percent).
Third-Year Additional Opportunity
Geriatric Medicine Selective
This course provides students with an introduction to the basic principles of providing safe and effective care to frail older adults as part of an inter-professional team. It includes experiences on an inpatient geriatric medicine special care unit, in an outpatient geriatric assessment clinic, in community nursing homes, and in a community agency for the aged / home care.