SOM Elective Brochure
 

Electives Type:  Clinical

Elective Title
Acting Internship in Family Medicine
Course Number
FAMU-4001
Duration/Weeks
4
Prerequisites: Successful completion of Year 3 
      Additional Requirements:
Course Coordinator: Layne Dearman
Responsible Faculty Director:
Quratulanne Jan, M.D.
Other Faculty:
Location to Report on First Day
Refer to the schedule that will be sent to you via email the week before the rotation begins.
Periods Offered
1-9
NOT including Period 12 (June), NOT including the holiday vacation Period 13 (Dec)
Maximum Enrollment
2

Goals
 1. Enhance student competencies in diagnosing and treating routine and complicated primary care problems of patients in both inpatient and outpatient settings. 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 patient care. 5. Prepare to function as an intern.

Objectives
 1. Evaluate and propose management plans for problems of Family Medicine patients in both inpatient and outpatient settings. 2. Provide daily comprehensive hospital management of patients, under the supervision of the supervising resident and Family Medicine faculty. 3. Integrate appropriate screening and interventions in all age groups of patients. 4. Identify and discuss common factors leading to patient compliance or non-compliance. 5. Identify medical, family, and community resources to assist in the care of patients.

Description of course activities
 The Acting Intern (AI) will have the opportunity to gain experience as an intern in the hospital setting. While on the inpatient service the AI will undertake primary responsibility for patients assigned to his/her care under the supervision of the upper level resident and/or attending faculty. The AI will attend weekly resident Didactics, as well as other conferences in the Department of Family Medicine that may be available. The AI will be required to complete by the end of the course the "Environmental Health: An Integrative Approach" online modules from The University of Arizona. (If the AI has successfully completed the modules in another Family Medicine course prior taking FAMU-4001, credit will be given and no additional modules will be assigned.)

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.

Weekly Schedule
  Clinical Activities (please insert estimated schedule here)
   
  Day of Week AM PM
  Monday 7-12 (inpatient) 1-5 patient rounds
  Tuesday 7-12 (inpatient) 1-5 patient rounds
  Wednesday 7-12 (inpatient) 1-5 patient rounds
  Thursday 7-12 (inpatient) 1-5 patient rounds
  Friday 7-12 (inpatient) 1-5 patient rounds
  Saturday As required on inpatient service
  Sunday As required on inpatient service
       
  Average number of patients seen per week: 7-10  
  Call Schedule:   Scheduled twice while on inpatient service  

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

  Self-directed study

  Data collection/analysis

  Other No Research Activity


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
  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?
    Family Medicine supervising faculty or resident
  B. Frequency / duration of presentation(s)?
    Daily; duration will vary based on complexity of patient
  C. Format - What guidelines are set for the student's presentation?
    AI should follow the Oral Case Presentation guidelines from the Assistant Dean of Eduational Affairs
  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
  B. Format - What guidelines are set for the student's written work?
    History and physical exam reports, inpatient progress notes, clinic SOAP notes
  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?
    No, but AI is expected to use current resources
  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
  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)?
    Prepare and make presentations to attending faculty and residents; preparation includes researching recent journal articles related to the topics. Ask thoughtful questions and contribute to discussions. Complete, by the end of the course, the assigned on-line modules from Environmental Health: An Integrative Approach, from The University of Arizona. Attend weekly resident Didactics.

6.  Other Modes of Evaluation
  Please explain below.
    Individual critique and feedback on patient interactions, case presentations, special topics presentations, and review of medical record documentation. AI is graded on clinical performance, including professionalism, and on successful completion of the online IMR modules. An end-of-rotation evaluation form will be completed by the lead faculty.
 
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.
    Students recieve on-going formal feedback through out the elective from the attending the student is working with. At the end of the elective, the student recieves a summative evaluation.
B. List advanced clinical skills that a student will be assured an opportunity to practice.
    History taking and physical exam skills Communication with other clinical services Communication with other specialties. Performance of some inpatient and outpatient office procedures
C. List other advanced clinical skills that a student may be exposed to depending on clinical case availability.
    Cardiac Stress Testing Nuclear Medicine Tests (MIBI, PET scans) Interventional Radiology Procedures(Lumbar Punctures, Thoracenthesis)
  D. How will the acting intern student have responsibilities similar to a PGY1 resident? How will their responsibilities differ?
    The student will be assigned patients to follow. The student will be responsible for the patient from admission to discharge. The student is expected to see the patient everyday, write a progress note, and follow up on all test results and procedures. The student is responsible to communicate with consulted services in regards to their patient. The student will also be involved in the discharge planning for their patient
  E. How will this course help prepare a student enter an internship in this field or a related field?
    The course will help the student experience the work load and level of knowledge required for an intern in this field. It will also give the student a chance to answer any questions or concerns he/she has in regards to the field of training.
  F. How will midpoint feedback be provided to the student? How will you remediate deficiencies identified at midpoint?
    midpoint evaluation wil be provided by the attending physician after the first 2 weeks of the course. the student and the attending physician will discuss any deficiencies andf formulate a plan to remediate them at this meeting.
  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.
    the student will have the oppourtunity to work with 2-3 faculty members during the course. The student will work 7-14 days with each faculty member. Attending faculty provides complete one on one supervision to all the students taking the course throughut the course. Students will work with different residents depending on schedules and availability.

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