SOM Elective Brochure

Electives Type:  Clinical

Elective Title
Acting Internship in Inpatient Family Medicine in Austin
Course Number
Prerequisites: Successful completion of Year 3 
      Additional Requirements:
Applicants must submit a statement describing how they intend to utilize the family medicine experience to enhance his/her professional development and list specific objectives the rotation satisfies for this development.
Responsible Faculty Director:
David Wright, MD
Other Faculty:
Location to Report on First Day
Contact Tricia M. McElligott at or 512-324-7860
Periods Offered
including Period 12 (June), including the holiday vacation Period 13 (Dec)
Maximum Enrollment

 1. Enhance student competencies in diagnosing and treating both routine and complicated primary care problems of patients admitted to the Family Medicine inpatient service. 2. Understand the role of the family physician working with consultants and community health resources. 3. Develop a basic understanding of family dynamics and family-centered care, particularly in relation to complex and difficult patient problems. 4. Recognize the importance of the interdisciplinary approach to inpatient care. 5. Prepare to function as an intern.

 1. Evaluate and propose a management plan for problems of patients commonly admitted to a Family Medicine service. 2. Record for audit by resident and/or attending faculty an admission history and physical exam and SOAP notes for the problems assessed. 3. Provide daily comprehensive hospital management of these patients, under the supervision of third-year residents and Family Medicine faculty. 4. Discuss the pharmacology and cost of drugs commonly utilized in the treatment of inpatients. 5. Identify medical, family, and community resources to assist in the care of patients with complex problems. 6. Identify and discuss common factors leading to patient compliance or non-compliance.

Description of course activities
 The student will spend time at Brackenridge Hospital rounding on the patients admitted to the Family Medicine inpatient service. The student will develop an appreciation for the interaction of medical, socioeconomic and psychological factors in the practice of family medicine and a greater understanding of the doctor-patient relationship. The student will have the opportunity to function as an intern with the Family Medicine inpatient service team. The student will undertake primary responsibility for patients assigned to his/her care and will be directly supervised by the upper level resident and faculty on the service. The student will make daily rounds with residents and faculty (including weekends). Off-days will be scheduled for the student in rotation with the residents. The student will take short call (there is no night call as there is a FLOAT resident) and will serve as the patientís primary provider. The student will also attend grand rounds, resident lectures, and other scheduled conferences within the Department of Family Medicine, as determined by the attending faculty and supervising resident.

Type of students who would benefit from the course
 This course is particularly valuable to students interested in Family Medicine or those students interested in the practice of comprehensive care in a primary care setting. To enroll, UTMB students should submit a C-form to Tricia M. McElligott and the supporting letter via e-mail to or fax at 512-324-7988 for approval. Visiting students should submit an application through VSAS and the supporting letter to Tricia McElligott or by fax to 512-324-7988: Select UTMB at Galveston as the host institution and indicate you wish to take FAMU 4150 on the application.

Weekly Schedule
  Clinical Activities (please insert estimated schedule here)
  Day of Week AM PM
  Monday 7:00 - Daily Noon Conference- 5:30
  Tuesday 7:00 - Daily Noon Conference- 5:30
  Wednesday 7:00 - Daily Noon Conference- 5:30
  Thursday 7:00 - Daily Noon Conference- 5:30
  Friday 7:00 - Daily Noon Conference- 5:30
  Average number of patients seen per week: 7-10  
  Call Schedule:   n/a  

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

  Self-directed study

  Data collection/analysis


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 on clinical services.
  C. Format - What method(s) are used to document the student's clinical performance?
    Daily oral feedback   End of period oral feedback   Written feedback

2.  Oral Presentation
  A. Audience - To whom does the student present?
    Faculty and residents
  B. Frequency / duration of presentation(s)?
  C. Format - What guidelines are set for the student's presentation?
    Clinical case presentations
  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)?
    Daily progress notes.
  B. Format - What guidelines are set for the student's written work?
    Clinical case 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.?
  F. Audience - Who assesses the studentís written performance?
    Peer Assessment     Faculty Assessment     Other

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

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)?
    Small group activities in the hospital that consist of preparing and making presentations to attending faculty and residents. Attending resident lectures.

6.  Other Modes of Evaluation
  Please explain below.
    Students will be evaluated on their reliability and sense of responsibility for patient care. Special attention will be paid to knowledge acquired during the acting internship as well as communication and listening skills. Written consults, oral presentations, and feedback from residents on the team will also be used by the attendings to evaluate the studentsí performance.
7.  If this course is an Acting Internship, please complete the following:
  A. Specify how the student will be given formative feedback on their clinical skills.
B. List advanced clinical skills that a student will be assured an opportunity to practice.
C. List other advanced clinical skills that a student may be exposed to depending on clinical case availability.
  D. How will the acting intern student have responsibilities similar to a PGY1 resident? How will their responsibilities differ?
  E. How will this course help prepare a student enter an internship in this field or a related field?
  F. How will midpoint feedback be provided to the student? How will you remediate deficiencies identified at midpoint?
  G. Acting Internship students often seek letters of recommendation following their experience. How many different faculty are they likely to encounter during this course? What is the usual number of working days they can expect to encounter the same individual faculty member? Describe the degree of supervision and interaction with faculty vs. residents or other providers.