AC505M.40

Family Medicine Elective

Sites: CAM, SOM
Director(s): Katherine Miller
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month.
Location: OTHER - Other U.S. Institutions (40)
Open to Exclerks: No (HMS only)
Description: Students may add themselves to the waiting list for this course during add/drop periods but not during lottery periods. Pre approval required, please contact Dr. Katherine Miller, 617-665-3448, kmiller@challiance.org. This elective is designed for students who are seeking an intensive focussed experience in urban community Family Medicine.Students will spend the bulk of this month seeing patients under supervision of family medicine faculty preceptors in affiliated community health centers and/or private group practices in Cambridge, Somerville and Arlington.Students will see the full spectrum of Family Medicine( including Obstetrics and office based procedures in certain circumstances) in the context of a multiethnic community with an emphasis on underserved populations( notably those from Spanish, Portuguese and Haitian Creole- speaking origins).Students will actively participate in the initial formulation of patient assessment and management plans through oral and written presentations.Students will follow the clinical course of these patients' experience during the month.Students will complete a structured Family/Community Study of one patient .This project emphasises the social and behavioral effects on the patient's health and often involves a home visit. Students will participate in a day of casebased,evidence based discussions on common topics in Family Medicine with their preceptors. There are no oncall requirements, although there is opportunity for interested students to spend supervised time with faculty covering labor and delivery .Permission of the Course Director is required .
Incorporation of Basic Science Content and Evidence-Based Medicine:
Students are asked to include basic science correlations in their clinical assessments and preceptors are required to comment on this integration in evaluations. Emphasis on EBM is highlighted by the preceptors in each patient encounter, and a structured exercise ( recently piloted)is performed with 2 patients.
Grade Criteria:
Honors with Distinction: Consistently evaluated clinically as performing "consistently above appropriate level" on all categories outlined in "Preceptor evaluation of FM elective student" assessment and ,in almost all cases, producing( both verbally and in writing) a Family /Community Study which reflects exceptional insight and understanding of the patients' issues. These insights are also located within the context of relevant academic literature. Honors: Consistently evaluated clinically as performing "most often above appropriate level" across all categories outlined in the " HMS Preceptor evaluation of FM elective student" assessment, and , in most cases, producing both verbal and written presentations of a Family/Community Study which reflects detailed engagement and knowledge of the patient' issues. Satisfactory: Consistently evaluated clinically as performing "appropriate to level of training" on all categories outlined in the "HMS Preceptor evaluation of FM student" and , in most cases, producing both verbal and written presentations of a Family/Community Study which reflects a sound understanding of the patients issues. Unsatisfactory: Consistently evaluated clinically as performing "occasionally " or "consistently below appropriate level" on all categories outlined in the "HMS Preceptors evaluation of FM student" , and , in most cases, producing a Family/Community study which reflects little engagement and/or understanding of the patients' issues.