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SYLLABUS and COURSE INFORMATION Family Medicine Preceptorship FAM:8301

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SYLLABUS and COURSE INFORMATION Family Medicine Preceptorship FAM:8301 Syllabus and Course Information FAMILY MEDICINE PRECEPTORSHIP FAM:8301 Jill Endres, M.D., M.S., Course Director Medical Student Education Program Department of Family Medicine The University of Iowa Carver College of Medicine Family Medicine Personnel Contact Information Course Goals and Objectives Student Responsibilities Course Requirements Evaluation Supervision, Other Information Contacts with Pharmaceutical Sales Representatives Required Reading Assignments Patient Targets-PxDx requirements 9 Medical Student Mistreatment Policies 10 Protocol for Reporting Blood and Body Fluid Exposure 11 Preceptor Evaluations of Student 12 Evaluation Forms 13-14 PRECEPTORSHIP CONTACT INFORMATION: If any problem occurs while you are at your preceptorship site, we want you to let us know as early as possible and we will work with you to resolve it. Our fax number is 319/384-7647. Listed below are individual office addresses, where you may direct U.S. or campus mail. Jill Endres, MD, MS, Associate Professor, is the Director of Family Medicine Medical Student Education. She is the course director for the M3 FM Preceptorship, and for M4 electives (excluding the sub-internship). 353-7175 01293-D PFP [email protected] Chris Lake is the Medical Student Education Program Coordinator, who also provides coordination for all M4 required and elective rotations as well as the MECO program. 384-7517 01293-G PFP [email protected] IMPORTANT NOTE: Students with disabilities that may require some modification of course requirements should contact the Medical Student Education Program within the Department of Family Medicine, [email protected] well in advance of their rotation dates, so that appropriate accommodations may be made. Students who require special exam accommodations should notify APM Coordinator Sharon Peck at the beginning of the APM 12-week block. SYLLABUS AND COURSE INFORMATION Family Medicine Preceptorship FAM:8301 INTRODUCTION: During your preceptorship, you will be spending 4 weeks working with a practicing family physician in an outpatient medical office. Most students enjoy this rotation greatly. They are often able to participate in and observe aspects of medicine not available on campus. 2 COURSE OBJECTIVES Family medicine is the medical specialty which provides continuing, comprehensive health care for the individual and family. It is a specialty of holistic care that integrates the biological, clinical, and behavioral sciences. The scope of family medicine encompasses all ages, genders, organ systems, and disease entities. Family physicians provide high quality care in the context of a personal doctor-patient relationship and with an appreciation for the individual, as well as their family and community influences. This clerkship will provide an outstanding learning experience for all medical students emphasizing these basic tenets of family medicine. Upon completion of the Family Medicine Preceptorship, students will be able to: Objective Assessment Competencies Required Clinical Experiences 1. Define continuity of care. Preceptor evaluation 1.1 Describe the value of continuity of care in the Preceptor evaluation SBP02 context of patient outcomes and experiences. 1.2 Apply continuity of care in the follow‐up of Preceptor evaluation PR05 C1 patients. 2. Administer comprehensive health care to the patient Preceptor evaluation, PBL02 A1‐3, C2 and family, attending simultaneously to mental and written exam, patient‐ physical health issues. based assessment 3. Provide comprehensive care of common acute and Preceptor evaluation, A1‐3 chronic conditions in a family medicine setting for Performance‐based patients, including: assessment, written examination 3.1 Gather accurate information, PC01 3.2 Formulate a prioritized differential diagnosis, and PC02, MK02, MK03 3.3 Propose a plan for evaluation and management . PC04, MK04 4. Explain the importance of the social and cultural context of health and disease in 4.1 Individuals. Preceptor evaluation SBP01 4.2 Communities. Preceptor evaluation SBP01 5. Apply knowledge of scientific concepts as they pertain Preceptor evaluation, PC03, MK01, MK02 to clinical patient care. written examination 6. Apply effective patient communication skills and Preceptor evaluation, ICS01, PR06 interact positively with patients. Performance‐based assessment 7. Apply effective counseling skills. Preceptor evaluation, ICS01, PCO5 B1‐6 Performance‐based assessment 8. Collaborate with other members of the Preceptor evaluation ICS02, SBP03, PR01 interdisciplinary health care team to maximize the quality care of patients through: 8.1. Clear oral reports of relevant patient Preceptor Evaluation PC03 information. 8.2. Thorough and concise written documentation of Preceptor evaluation, ICS03 patient encounters. Performance‐based Assessment 9. Develop evidence‐based health promotion/disease Preceptor evaluation, PBL02, MK01, B1‐6 prevention plans for patients of any age, ethnicity, and Performance‐based MK02 gender. assessment, written examination 3 STUDENT RESPONSIBILITIES DURING THE PRECEPTORSHIP: Re-confirm details with site for arrival. Ask your preceptor to discuss the following details. - Review your student information form (“green sheet”) - The office layout and the office staff - Patient care documentation and expectations (You should write at least one note per day) - Hospital location and layout, if applicable - Mutual goals and expectations - PxDx (Checklist) TIME EXPECTATIONS AND RESPONSIBILITIES: All students are expected to be on site Tuesday morning. If it is more than a 4 hour drive and in the western half of Iowa, you may begin Tuesday afternoon at the start of afternoon clinic hours. Notify your preceptor and submit online time off request if an emergency or inclement weather/road conditions prevent your arrival as expected. If you are absent from the preceptorship, you must submit an online absence request and notify your preceptor. You are expected to be active at the preceptorship site for the full four weeks. Be available for all professional duties of your preceptor during the entire rotation, including nights and the weekends. If personal obligations create a conflict, it is your responsibility to request time off well in advance and if approved, make arrangements for making up time. Participate fully in your preceptor’s professional life, including clinic hours, and also meetings, clinics, rounds, nursing home visits, house calls, emergencies, and staff functions as they arise. Pharmaceutical-sponsored events are excused. If the preceptor has the day off, it is expected that you will work with a partner or other healthcare professional in the practice. YOUR PROFESSIONAL ROLE AND DEMEANOR: Do not accept or volunteer to engage in any activity that may be construed as the actual practice of medicine without the on-site presence and direction of the preceptor. Wear your medical student ID badge at all times. Conduct yourself at all times with the honesty and professionalism consistent with the dignity and reputation of the practice of medicine. Always observe patient confidentiality. Dress in appropriate professional clothing similar to that of your preceptor and the clinic staff. Revealing clothing, overly casual clothing, body piercings, and visible body art (tattoos) are generally not considered to be acceptable professional attire. Always treat all members of the health care team with respect, courtesy, and appreciation. 4 COURSE REQUIREMENTS: Students who require special exam accommodations should notify APM Coordinator Hugh Hansen at or before the beginning of the APM 12-week block. Attend the Orientation to the Family Medicine Preceptorship. Students who are absent must contact Dr. Jill Endres to discuss their absence. Mid-rotation review – at the end of the 2nd week, you and your preceptor must complete the following: 1. Mid-rotation review (for your feedback) 2. PxDx Checklist review (Identify outstanding requirements and make a plan to address the deficiencies). Complete 4 Direct Patient Observation forms: According to LCME, students must receive feedback about their clinical skills based on direct patient observation by faculty. Each student must document the observation of their clinical skills using the Direct Patient Observation Form. Students are required to complete at least 4 of these assessment forms during the Family Medicine Preceptorship. In each assessment, at least one of the aspects of clinical care (Medical interviewing skills, Physical examination skills, Clinical Judgment, and Counseling/Education skills) must be reviewed. Each of the areas should be assessed at least once. Complete and pass the Family Medicine written exam which is given at the end of each 12- week block on APM Education Day 6. At the end of the rotation, complete (PxDx) requirements and the course evaluation forms which are available online. Initiate a preceptor evaluation of yourself through the Clerkship Evaluation website. Return the textbook. EVALUATION: There are 3 components to your Family Medicine Preceptorship grade: Clinical score (assigned by your preceptor) = 40% Performance Based Assessment = 25% Exam score = 35% Each quarter, the students’ total weighted scores will be listed in rank order. Approximately the top 40% ranking students for that quarter will receive Honors or Near Honors grades. The exact percentage may vary. The multiple choice examination will be based entirely upon the assigned readings and/or cases, the education day and weekly case-based
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