The Family Medicine Clerkship (FMC) is a required, third-year rotation for all OHSU medical students. It is not available to students from other institutions. It consists of four components:
- A preceptorship
- Patient Management Rounds (PMRs)
- Interactive seminars
- An objective-structured clinical examination (OSCE).
Students spend about 60% of their time on the rotation working in a family physician's practice. This may include hospital, nursing home and home visits, depending on the individual practice. Some students may work with only one preceptor for the entire rotation, while other students may have a primary preceptor, but also spend time working with partners or associates of the primary preceptor.
Students are expected to have first contact with the patients, to perform appropriate histories and examinations and to develop an assessment and management plans. Preceptors will observe students as they perform some histories and exams. In addition, students may assist or perform various office-based procedures.
Patient Management Rounds:
Weekly small group discussions and lectures, facilitated by faculty, give students an opportunity to research clinical issues they encounter in their preceptor's practice. The sessions focus on problem-solving and decision-making skills.
Didactic Interactive Seminars:
One half day per week is spent in interactive seminars/workshops at the OHSU Department of Family Medicine. A core set of seminars are presented to students by faculty which cover medical, social and practice-related issues.
Objective Structured Clinical Examination:
The OSCE uses standardized patients and clinical scenarios. Students perform histories, exams and provide patient education in a clinical simulation. They receive immediate feedback from faculty. The OSCE is for student feedback as well as evaluation, and its placement in the second week allows students a chance to learn from the feedback they receive.