This clerkship has been established to provide students with an opportunity to learn how family physicians manage patients and their families. Students will learn important principles necessary for quality care in both primary care and hospital settings.
Course Objectives
Clinical Skills Students will be expected to:
Take an appropriate, accurate and systematic history.
Demonstrate appropriate communication and psychological skills.
Perform a complete systematic physical examination that is appropriate for the history.
Formulate oral presentations and medical write-ups that are complete, accurate and organized.
Perform ancillary tasks necessary for patient care, including interpreting simple X-rays, interpreting ECG’s, interpreting common laboratory data and writing prescriptions.
Students will achieve this through:
Active participation in a family medicine outpatient practice including
performing observed histories and physical examinations
having first contact with patients
presenting patient cases with assessments and plans to the precepting physician,
writing S.O.A.P. clinical notes that are thorough yet concise.
Active participation on the Family Medicine Inpatient Service (1 week) or in hospital care with a community preceptor as part of 5 week rotation.
Participation in the objective structured clinical examination and videotape review.
Practice of Family Medicine Students will be expected to:
Apply basic ethical principles to problems encountered in a family medicine practice.
Understand and apply cost-benefit and cost-effectiveness issues in family medicine.
Understand the role of the office team in patient care.
Understand and participate in the referral process from a family medicine perspective.
Provide continuity of care for patients in a variety of settings including: the office, the hospital, the nursing home, and/or the patient’s home.
Students will achieve this through:
Active participation in a family medicine practice including, as available:
the clinic
the hospital
the nursing home
the patient’s home
Attendance and active participation in all seminars and workshops.
Attendance and active participation in all patient management rounds.
Content of Family Medicine Students will be expected to:
Understand and perform age-and-gender specific screening as part of preventative health care maintenance.
Understand and demonstrate the ability to assess and offer preventative advice and initial counseling and treatment for important issues.
Understand and demonstrate cultural influences on medical problems and on the doctor-patient relationship.
Increase knowledge and understanding of common family practice problems.
Understand and demonstrate an awareness of social and psychological influences on medical care.
Lifelong Learning Issues Students will be expected to:
Develop skills for lifelong learning including question formation and the use of a variety of resources to answer these questions.
Perform clear, organized and focused presentations.
Students will do this through:
Active participation in a family medicine practice.
Presenting at morning report at least one time during 1 week inpatient experience.
Attendance and active participation in all didactic seminars and workshops.
Attendance and active participation at all patient management rounds, including:
choosing and focusing on a clinical problem
researching and critically analyzing the medical literature
presenting an interactive discussion of a case
participating in the discussions led by others.
Course provides each student during orientation with a detailed course manual and two required textbooks.
Location of Clerkship Activity The student will spend 70-80% of the time in metropolitan Portland family physician’s offices. The remaining 20-30% will be spent at the University involved in didactic seminars, Patient Management Rounds, OHSU inpatient care, and other learning activities.
Student Responsibilities Attendance at all scheduled sessions, in the classroom, clinic, and hospital.
Teaching Rounds Patient Management Rounds - weekly small group discussions are scheduled to give students an opportunity to research a common clinical issue they have encountered in their preceptor’s practice.
Operating Room Activity Not applicable
Meetings with Clerkship Directors A formative feedback session takes place in the third week of rotation. The students meet with the clerkship director or assistant director to review feed back received from their preceptors and OSCE observers and to discuss other clerkship issues of importance to them.
Conferences A series of didactic seminars addressing major topics in family medicine are scheduled weekly.
Self-Educational Opportunities Most of the learning on this clerkship is self-motivated and dependent on student commitment.
Time of Clerkship Each student’s clinic schedule will vary based on the preceptor’s practice.
Sleeping Quarters Not Applicable
Evaluation Methods Preceptorship/Inpatient week 60% Patient Management Rounds 15% Med. Test Seminar 5% Chairman’s Seminars 10% Final Exam 10% Objective Structured Clinical Examination Pass/Fail Video Review Pass/Fail
