INTL-4002 - Indian Health Service

	SOM Elective Brochure

Electives Type: Clinical

Elective Title Indian Health Service		Course Number INTL-4002	Duration/Weeks 4
Prerequisites: Successful completion of Year 2 Additional Requirements: Completion of one primary care clerkship. Contact Course Director at least 6 mos. prior to course (x20637).
Responsible Faculty Director: Susan Weller, Ph.D . Other Faculty:	Location to Report on First Day TBD by Indian Health Service, various locations in North America	Periods Offered 1-11 including Period 12 (June), including the holiday vacation Period 13 (Dec)	Maximum Enrollment 2 students per site

Goals

1) Clinical competency in diagnosis and management of primary care diseases with emphasis on diabetes, cardiovascular disease and syndrome X. 2) Basic knowledge of community-based health education and promotion programs. 3) Cultural sensitivity in respect of maximizing healthcare.

Objectives

1) Student will spend significant clinical time dealing with primary care patients in respect of diagnosing and treating prevalent diseases such as diabetes, hypertension, cardiovascular disease and hyperlipidemia. 2) Student will participate in a community-based health education and promotion program emphasizing pre-clinical management and prevention of primary care diseases. 3) Student will spend significant time immersed in a Native American community developing cultural competency skills deployed in respect of healthcare.

Description of course activities

1) Students will spend at least three days a week seeing patients in a community clinic or hospital setting under an MD preceptor; clinic time will emphasize diagnosis and treatment of prevalent primary care diseases in the context of community- and public health clinical care enhanced by instruction in public health policy and the public healthcare system. 2) Site-dependent activities include opportunities for the student to participate in a community health education and promotion program assisting an MD preceptor and nurse-educators in developing and teaching health classes, assisting lay health educators in community health promotion activities including conducting home visits to reinforce lifestyle and pharmacological interventions, participation in community assessments focused on facilities in support of lifestyle changes, e.g. recreational facilities, support groups and diet-compliant foods, and helping to lead lifestyle modification programs such as cooking and exercise classes. 3) Student will work closely with educators and lay community health promoters in the course of participating in health education classes and health promotion activities and conducting home visits in order to develop cultural competence in the context of maximizing health care delivery.

Type of students who would benefit from the course

Students interested in community-based healthcare education and promotion, students interested in acquiring cultural competency, students interested in primary care, students interested in Native American health, students interested in public health

Weekly Schedule

Clinical Activities (please insert estimated schedule here)

Day of Week	AM	PM
Monday	8:00 – 12:00	1:00 - 5:00
Tuesday	8:00 – 12:00	1:00 - 5:00
Wednesday	8:00 – 12:00	1:00 - 5:00
Thursday	8:00 – 12:00	1:00 - 5:00
Friday	8:00 – 12:00	1:00 - 5:00
Saturday
Sunday

Average number of patients seen per week: 25
Call Schedule: N/A

	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?
		30 hours per week by an MD preceptor
	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?
		MD preceptor
	B.	Frequency / duration of presentation(s)?
		To be determined by preceptor based on student’s performance/development
	C.	Format - What guidelines are set for the student's presentation?

	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)?
		Note for selected patient contacts (10/week); lesson plan for health education and promotion classes (1/week).
	B.	Format - What guidelines are set for the student's written work?
		Patient notes will follow SOAP format; lesson plans will consist of outline of teaching points and objectives
	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 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)?

6. Other Modes of Evaluation
	Please explain below.
		Depending on clinic site, participants will receive 360 degree evaluations from clinical preceptor, director of health education and promotion program, lay health educator and selected patients.

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