SOM Elective Brochure
 

Electives Type:  Clinical

Elective Title
International Primary Health Care		 Course Number
INTL-4005		 Duration/Weeks
4 or 8
Prerequisites: Successful completion of Year 2 
      Additional Requirements: A C-Form signed by the course director must be completed and submitted to Enrollment Services.
Responsible Faculty Director:
Susan Weller, Ph.D
Other Faculty:
n/a		 Location to Report on First Day
Primary Care Pavilion, suite 2.205, 409-772-0637; students should arrange to meet with Dr. Smith.		 Periods Offered
1-12
including Period 12 (June), including the holiday vacation Period 13 (Dec)		 Maximum Enrollment
unlimited

Goals
 1. To participate in the delivery of primary health care in a foreign country. 2. To become familiar with important issues of primary health care in the international arena. 3. To begin to understand the relationship between public health, underlying determinants of health and the health of populations.

Objectives
 The student and faculty advisor will jointly develop learning objectives for this experience. The focus is on public health, community health and health education as key components of a primary health care system. Concepts which should be covered include: systems of health care delivery in other countries; epidemiology in developing countries; community and cross cultural aspects of health care; clinical decision-making with limited diagnostic resources.

Description of course activities
 The student will work with the Director (or a mutually negotiated alternative faculty advisor) to identify opportunities in various parts of the world in order to have a participatory experience in primary health care. The student will be assigned some basic required readings in international health before going abroad. An on-site advocate and clinical supervisor will be defined for each student. Specific activities will depend on the learning objectives negotiated between student and faculty advisor. The student will submit a written report on the experience to the advisor.wellbutrin online cozaar advil zithromax phentermine online purchase phentermine order soma online naproxen generic zyrtec buy ultram generic lipitor phentermine online generic wellbutrin generic xanax buy soma diflucan order cialis prevacid viagra online allegra wellbutrin online hoodia online norvasc lorazepam ambien online purchase viagra soma buy phentermine generic prevacid cheap adipex phentermine online cetirizine lasix viagra generic phentermine famvir imovane augmentin order valium online celecoxib zestril generic prozac buy xenical order phentermine cheap alprazolam purchase valium zyrtec tylenol cheap viagra online buy ultram online generic cialis buy propecia order soma viagra online buy hydrocodone metformin

Type of students who would benefit from the course
 This course is particularly valuable for students interested in international health care, health care for disadvantaged populations and medical practices where there is limited access to modern technology. Students do not have to have completed 3rd year clerkships to enroll in this elective, but would benefit from having had either Fam Med, Peds or IM.

Weekly Schedule
  Clinical Activities (please insert estimated schedule here)
   
  Day of Week AM PM
  Monday 4 hours (may vary according to site) 4 hours(may vary according to site)
  Tuesday 4 hours(may vary according to site) 4 hours(may vary according to site)
  Wednesday 4 hours(may vary according to site) 4 hours(may vary according to site)
  Thursday 4 hours(may vary according to site) 4 hours(may vary according to site)
  Friday 4 hours(may vary according to site) 4 hours(may vary according to site)
  Saturday 4 hours if clinic open 4 hours if clinic open
  Sunday off off
       
  Average number of patients seen per week:  
  Call Schedule:    

  Research Activities (please insert estimated schedule here)
   
  Activity Hours per Week
  Faculty contact time

  Self-directed study

  Data collection/analysis

  Other


Method of student evaluation
Check all that apply - complete appropriate section(s) only:
1.  Clinical Observation
  A. Where are students observed on this elective?
    Inpatient service   Ambulatory   Surgery   Standardized patients
Patients simulators   Other
  B. Frequency - How often are students observed clinically?
    Daily observation/supervision
  C. Format - What method(s) are used to document the student's clinical performance?
    Daily oral feedback   End of period oral feedback   Written feedback
Other

2.  Oral Presentation
  A. Audience - To whom does the student present?
    Preceptor or on site clinic supervisor
  B. Frequency / duration of presentation(s)?
    Present all patient encounters
  C. Format - What guidelines are set for the student's presentation?
    SOAP note format
  D. Assessment - Who assesses the student's presentation performance?
    Self-assessment   Peer assessment   Faculty assessment
  E. Method of content selection
    Current cases  Student-selected topic   Assigned topic

3.  Written Assignment (H&P's, notes, papers, abstracts, etc.)
  A. Frequency of written assignment(s)?
    Student documents patient encounters in a chart. End of course written assignment.
  B. Format - What guidelines are set for the student's written work?
    SOAP note format.
  C. Length of written assignment(s)?
    Abstract   Annotated bibliography   1 - 2 page paper   3+ page paper
  D. Are recent references required?   No    If yes, how are they selected?
   
  E. Method of content selection - e.g. student-selected, relate to cases, etc.?
    Patient encounters-assigned and student selected.
  F. Audience - Who assesses the student’s written performance?
    Peer Assessment     Faculty Assessment     Other

4.  Examination
  Format
    Oral   Written multiple choice   Written essay / short answer   OSCE
Other

5.  Extra Course Activities
  What expectations do you have for the student to demonstrate participation in the elective (e.g. small group activities, seminars, thoughtful questions, providing resources, journal club, resident lecture attendance)?
    N/A

6.  Other Modes of Evaluation
  Please explain below.
    Grading will consist of evaluations from the clinical supervisor on site and the faculty advisor in the Department of Family Medicine at UTMB. The student’s written report of the experience will be reviewed by the faculty advisor.

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