Family Medicine Clerkship Curriculum
Goals and Objectives
Goal 1
The student will learn a primary care approach to the diagnosis and management of common medical problems presenting in a family medicine practice setting.
Required Objectives
Objective A: The student will diagnose and manage common problems and provide health maintenance and disease prevention education through involvement in first clinical contact with an average minimum of at least three patients per half-day and a minimum of 120 patient encounters in six week.
· Curriculum: The student will see patients with his/her preceptor, read the text and utilize the online information about the common problems
· Benchmark: The students will see at least one patient with each of the required common problems and document experience with desirable common problems.
· Test: Students will keep a paper record of the types of patients seen using their Weekly Clerkship Summary sheet they can download from the clerkship website. At the end of each week, including the final sixth week, students will use their Weekly Clerkship Summary sheet to update their Mid/End of Clerkship Review, also located on the clerkship web site. The student will review the Mid/End of Clerkship Review with their site coordinator/preceptor. The student must demonstrate knowledge of common medical problems to pass the clerkship's web-based exam.
Objective B: The student will experience working in a variety of practice settings.
· Curriculum: The student will spend the majority of the Clerkship in the ambulatory setting which can include both scheduled ambulatory clinics and unscheduled care settings (ER, walk-in, and on-call). Students will be involved in the inpatient management of a minimum of 4 patients. Other settings for patient care may include the home, schools, institutions, workplaces, and/or long-term care facilities.
· Benchmark: The site coordinator will arrange a schedule for the student with a majority of time spent in the outpatient setting. Students will be scheduled to make at least one visit to a non-office setting. If possible, this visit will be to a clinic patient, and the student will be accompanied and debriefed by a physician. This visit can also be made with an experienced home health care provider (e.g., home health nurse). A visit to any permanent residence of a patient is acceptable (e.g., extended care facility, nursing home). An unaccompanied student will not make or change diagnostic or treatment plans.
· Test: Students will document patient visits and visits to non-office settings in their Mid/End of Clerkship Review.
Objective C: The student will understand the concept of continuity of care.
Curriculum:
Strategy 1: The student will participate in managing continuity of care for selected patients from setting to setting (e.g., office, home, nursing home, hospital).
Strategy 2: The student will provide continuing care for clinic patients. This may include management of chronic disease, follow-up of acute illnesses or visits for health maintenance and disease prevention.
· Benchmark: Student will see at least one patient in a follow up clinic visit and at least one patient in a setting other than the office.
· Test: Students will document patients seen in follow up clinic visits and non-office settings in their Mid/End Clerkship Review.
Objective D: The student will be exposed to the full scope of family practice as represented in the WWAMI region including obstetric patients and other patients from all age groups.
· Curriculum: Daily outpatient experience in a family medicine setting.
· Benchmark: Students will see a broad range of patients. Currently a few sites do not offer obstetrical experience.
·Test: Students will rate their exposure to age groups from newborn to elderly on our evaluation. Our Mid/End of Clerkship Review will document participation in prenatal care.
Objective E: The student will learn the principles of chronic illness self management.
Curriculum: The student will use the online Chronic Illness Management curriculum as well as the existing site protocol and resources.
Benchmark: The student will help facilitate chronic Illness self management and behavior modification of at least one type II diabetic patient.
Test: The student will respond to two separate patient interviews. The student will complete a motivational poster for the patient. The student will also be required to submit a online reflection and evaluation of the Chronic Illness Management curriculum.
Objectives that are desirable but not required
Objective F: Where required by the site coordinator, the student will make a presentation. Prime Answers and the Care Provider Toolkit are available from all clerkship sites via the web. If you cannot use restricted areas via the web, contact Sarah Safranek, Information Management Librarian.
Objective G: The student will learn to view the patient within the context of relevant biological, social, economic, familial, environmental, psychological, cultural and genetic factors in health or illness.
Strategy 1: The student will, when presenting patients to the preceptor, demonstrate an awareness of the patient's health or illness within the context of relevant biological, social, familial, environmental, psychological, cultural, and genetic factors.
Goal 2 The student will increase his/her understanding of the role of the family physician.
Required Objectives
Objective A: The student will learn about the lifestyles and community roles of the family physician.
· Curriculum: The student will take opportunities to learn about lifestyles and community roles of the family physician.
· Benchmark: With their preceptors, students will discuss lifestyle issues or the family physician's role in the community at least once a week. A second option is to participate in relevant lifestyle or community-based activity at least once during the clerkship.
· Test: The student will report these activities by updating their Mid/End of Clerkship Review.
Objectives that are desirable but not required
Objective B: The student will learn how a family physician works with other professionals in facilitating and coordinating patient care.
Strategy 1: The student will work with one preceptor for at least 20% of all clinical time.
Strategy 2: The student will demonstrate competence in the coordinated management of selected patients with other professionals. This will include referring or assisting with a referral of at least one patient to a community agency and obtaining a follow-up. It will also include a consultation with a physician or non-physician specialist about the management of at least one patient.
Objective C: The student will learn the family physician's role in facilitating cost-effective medical care.
Strategy 1: The student will discuss with their preceptor cost-effective and cost-beneficial diagnostic and therapeutic approaches to the problems of patients presenting in the primary care setting.
Goal 3
The student will learn elements of a patient-centered care (PCC) approach to working with patients presenting in a family medicine practice setting.
Required Objectives
Objective A: The student will understand the principles and practice three fundamental steps of PCC: establishing focus (EF), soliciting the patient's perspective of the illness (PPI) and reaching common ground (RCG) during patient encounters.
· Curriculum: Student will complete online curriculum and view available videos and discuss issues with their preceptors.
· Benchmark: Each student will be observed once and frequently more often during the clerkship performing a patient visit using PCC principles.
· Test: Students and faculty are responsible for the curriculum. Faculty should observe at least one student-run patient encounter using PCC principles. This is the clerkship's mini-CEX. The clerkship exam evaluates the student's understanding of the PCC curriculum and the ability of the student to implement it in patient care. Students must report their completion of this curriculum using the web-based Mid/End of Clerkship Review. Faculty must report completion of their observation (mini CEX) on the final grade form.
Objective B: The student will learn the principles and practice of helping patients change behaviors.
· Curriculum: Student will complete the online Case for Change learning module and discuss strategies for behavior change with their preceptor.
· Benchmark: Each student will develop and initiate a behavior plan for at least one patient.
· Test: Completion of the Case for Change is documented via our web site. Students will document their patient behavior plan using their Mid/End of Clerkship Review.
Updated:
7/17/07
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