Research:  Family Medicine

Course No.:  FAMP 701A
Duration:  6 weeks
Credits: 
Term:  Any
Prereq:  MS3 or above
Contact:  Jessica Brown, 4-5715

Students become involved with an area of ongoing research in the Department of Family Medicine. Specifics depend upon the project undertaken. Objectives include: 1) to learn and apply research skills to clinically relevant questions and 2) to understand research methodology related to clinical family practice.

Sub-Internship in Family Medicine

Course No.:  FAMP 709A
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  FAMP 720
Contact:  Jessica Brown, 4-5715

A four-week sub-internship in Family Medicine is available for fourth-year medical students. The subinternship is an intensive, rigorous experience in which students will spend two weeks on inpatient service and two weeks in one of three OHSU Family Practice outpatient clinics. As much as possible, subinterns will be given opportunities to demonstrate skills at the level of an incoming intern. On inpatient service students will be responsible for closely following patients, managing their care under the guidance and supervision of residents and faculty, and presenting their patients at morning report. Students will also be expected to work with their teams on early evening coverage of patient calls, ER visits, and inpatient care. In clinic, students will work with a senior resident or faculty preceptor, seeing a wide variety of patients independently and observing or being observed by their preceptors during the course of patient care. Under the supervision of their preceptors, students will be expected to write chart notes and /or do dictations and to help provide ancillary care such as interpreting x-rays, reading ECGs, etc.

Rural Family Medicine Experience

Second-year students may spend a week or more living and working with a family physician in a rural (or urban) practice outside the immediate Portland metropolitan area.  The intent of this elective is to give students hands-on clinical experience as well as to enable them to experience first-hand the lifestyle and practice of a family physician practicing in a rural community or an urban center in another part of Oregon.  This experience will augment students' first-year preceptor experiences and provide them with valuable reference points for future learning about patient and family responses to illness, health care delivery systems, and medical ethics.  Sites vary according to distance away from Portland, rural vs. urban settings, and patient populations and communities.  Students are individually matched with physicians according to interests and priorities, and may take the elective any week in the summer that will fit with the rest of their plans.

SW Community Health Center

Course No.:  FAMP 709G
Duration: 
Credits:  1
Term:  Any
Prereq:  MS1 and above
Contact:  Brooke Dean, 503-977-0733

The goals of this one credit clinical elective are to expose medical students to cultural and medical issues that arise when working with underserved populations, to assure quality health services to those lacking adequate resources to access care, and to help students gain experience with basic clinical skills. Students will sign up in groups of two the help the staff as the sliding scale fee clinic located at SW Community Health Center during usual evening operating hours. Student responsibilities will include patient intake, taking vital signs, obtaining a medical history, and assisting with clinical tests and procedures as requested by the providers.

Sports Medicine Consult - Sacred Heart Medical Center, Eugene

Course No.:  FAMP 709J
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  MS3 and above
Contact:  Chris Traver, 541-686-6863

Students will actively participate in patient care in the Slocum Center for Orthopedics and Sports Medicine. This elective is clinically oriented with emphasis placed on examination techniques and the diagnosis and treatment of common sports injuries. Students will participate in both surgical and non-surgical approaches to sports injuries. Opportunities will exist for students to participate with their attending physician in the University of Oregon Athletic Dept sports medicine clinics and events. Conferences may also include Medical Grand Rounds and Medicine Case Conference at Sacred Heart Medical Center.

Sub-Internship in Family Medicine - Klamath Falls

*NOTE:  To ensure availability of this Sub-I, students must have approval from  Rob Ross, MD prior to registering in the Dean's Office.

Klamath Falls Family Medicine Sub-Internship is an intensive, rigorous experience in which the students will spend one week on the inpatient wards with the resident medical team. Students work 9 half days per week in the Cascades East Family Practice Clinic, under a faculty or resident preceptor. Clinics at Juvenile Hall, Butte Valley Clinic and Doris may also be attended. Thursday Behavioral Science programs should also be attended. There is some flexibility in order to meet the student's specific objectives. Contact Dr. Ross before signing up for this Sub-I to make sure there is room in his program.

Integrative Medicine Clinic

Course No.:  FAMP 709M
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  OBGY 720, MS3
Contact:  Dr. Wendy Kohatsu, 4-5472

In this elective, students will gain an understanding of the term integrative medicine, gain confidence in the ability to access information resources for knowledge of complementary and alternative medicine modalities, and choose one complementary and alternative practice or topic for in-depth study and understanding. Students will participate in the integrative medicine clinic at the CWH, the Family Medicine Clinic at Marquam Hill, the Mindbody class led by Jill Romm, LCSW and Dr. Nedrow (when in session), and the CAM Grand Rounds (when in session), and will visit each of the participating CAM schools (National College of Naturopathic Medicine, Oregon College of Oriental Medicine, and Western States Chiropractic College).

Family Medicine elective.  Students will receive in-depth exposure to clinical geriatrics across the spectrum of care settings. They will develop and refine skills in caring for older patients and acquire knowledge and understanding of how to recognize, assess, and manage conditions common in elderly patients. The students’ time will generally include two days a week at the outpatient clinic, the Senior Health and Wellness Center, two days a week in care facilities, and one day for independent learning and exposure to other disciplines, such as hospice, neuropsychiatry, and wound care. In the clinic, students will have the opportunity to interview and examine patients, present and discuss the patients’ care with the attending, and participate in the weekly interdisciplinary team meeting. In the skilled nursing facility, students will work-up and follow patients weekly in sub-acute rehab (post-hospitalization), independently develop assessments and plans for these patients and create ‘shadow charts’ to follow them. They will participate in family meetings/care planning discussions as these arise. The student will present and discuss a patient at the care facility “Grand Rounds”, an educational in-service for nurses and other staff, weekly case discussions and didactic sessions, and read/self-direct learning to cover common geriatric conditions

Sub-Internship in Family Medicine - Providence

Course No.:  FAMP 709P
Duration:  4 weeks
Credits:  6
Term:  Any, depending upon availability
Prereq:  MS4
Contact:  Toni Lyon, 503-513-8930

*NOTE:  To ensure availability of this Sub-I, student must get approval from Toni Lyon prior to registering in the Dean's Office.

Providence Milwaukie Family Medicine Sub-Internship is an intensive, rigorous experience in which students will spend two weeks on the inpatient service and two weeks in one of two Family Practice outpatient clinics. As much as possible, sub interns will be given opportunities to demonstrate skills at the level of an incoming intern. PMFMRP (Providence Milwaukie Family Medicine Residency Program) has two Family Practice Centers: Providence Family Medicine Milwaukee (PFM-M) and Providence Family Medicine SE (PFM-SE). PFM-M is a state-of-the-art clinic with special interest in Geriatric and adolescent medicine and an ever-growing OB and Pediatric population. PFM-SE is a Mission clinic dedicated to the care of the Poor and Vulnerable with a large immigrant population.  On the inpatient service, students will be responsible for closely following patients, managing their care under the guidance and supervision of residents and faculty, and presenting their patients at morning report. Students will also be expected work with their team's coverage of patient calls, ER admissions, and inpatient care. In clinic, student will work with a senior resident of faculty preceptor, seeing a wide variety of patients independently and observing or being observed by their preceptors during the course of patient care. Under the supervision of their preceptors, students will be expected to write chart notes in the EMR and to help provide ancillary care such as interpreting x-rays, reading ECGs, etc. If scheduled at an off-campus outpatient clinic, students will be responsible for arranging their own transportation by car of bus.

Multidisciplinary Elective in Oral Health

Course No.:  FAMP 709Q
Duration:  2-4 weeks
Credits:  2-4 clinical credits (1 credit per 40 hours of clinical experience)
Term:  Any
Prereq:  MS3 or above
Contact:  Dr. Bob Myall, 4-0292
               Dr. William Toffler, 4-5322

This elective provides a special opportunity for medical students to gain hands-on patient care experience in various aspects of oral health, from routine office dental exams and procedures to the complexities of oral maxillofacial surgeries. Faculty attendings in the OHSU School of Dentistry will facilitate individualized rotations for students interested in learning more about the intersections of patient care involving medicine, oral health, and surgery. Students will be exposed to common disorders and pathology of the head and jaw such as TMJ conditions, sinusitis, and parotid gland tumors and participate in oral trauma surgical repairs. This elective will provide an excellent background for third- or fourth-year students interested in such specialties as otolaryngology and plastic surgery as well as those planning on a career in family medicine, in which patients often present with oral health and dental issues in the course of medical treatment.

Clackamas County Clinic Elective

Course No.:  FAMP 709T
Duration:  2-4 weeks
Credits:  2-4 clinical credits (1 credit per 40 hours of clinical experience)
Term:  Any
Prereq:  MS3 or above
Contact:  Dr. William Toffler, 4-5322

This elective provides a special learning opportunity for medical students interested in working with underserved or culturally diverse populations. Students will gain hands-on clinical experience working with family physicians in the Clackamas County medical clinic. Patient care may range from outpatient visits, to home visits, to hospital inpatient and maternity care. Spanish language proficiency is helpful, but not required for this elective.

Sub-Internship in Family Medicine - SW Washington

Course No.:  FAMP 709W
Duration:  4 weeks
Credits:  6
Term:  Any, depending upon availability
Prereq:  MS4
Contact:  Nancy Moyer, 360-514-7560

*NOTE:  To ensure availability of this Sub-I, students must get approval from Nancy Moyer prior to registering in the Dean's Office.

SW Washington Family Medicine Sub-Internship is an intensive, rigorous experience in which the students will spend the mornings rounding on patients and afternoons in the outpatient clinic. The medical student will do one brief presentation per week to the family medicine team. The student will write hospital progress notes on patients as directed by the FM rounding faculty. The medical student may elect to round with the adult internal medicine service on 2-4 mornings during the four week rotation to get additional exposure to inpatient adult internal medicine. Afternoon clinics - the student will have 2-4 patients per session, depending on skill level of the student.

Family Medicine Special Elective

Course No.:  FAMP 709X
Duration: 
Credits:
Term:
Prereq:
Contact:  Jessica Brown, 4-5715

Students may make special arrangements with the department for individual programs of study in any area pertinent to family medicine. Note: This year students interested in working with dying patients and their families may work with a rural family physician hospice director. Students will gain hands-on experience with the psychosocial and interdisciplinary management skills involved in end-of-life care. If interested, contact Jessica Brown, as far in advance as possible.

Family Practice/Away

Course No.:  FAMP 709Z
Duration:  2-4 weeks
Credits:  TBA
Term:
Prereq:
Contact:  Jessica Brown, 4-5715

Medical students are responsible for making their own arrangements for an away rotation, including receiving the department's review and approval prior to leaving for the rotation. The student must submit approval forms to Education and Student Affairs Office prior to leaving for rotation.  Students may work with any family physician within the state of Oregon.  Out-of-state rotations must take place at accredited medical school or residency programs.