Family Medicine Elective (FAM 608) Course Director: Elizabeth Brown, M.D., M.P.H. Contact: Phone: (585) 273-5677 (Jennifer Barth) 601 Elmwood Avenue, Rochester, NY 14642 Email: email@example.com firstname.lastname@example.org Course Location: Highland Family Medicine 777 S. Clinton Avenue, Rochester, NY 14620 (unless otherwise advised) Block Length: 2-4 weeks (other by arrangement) Course Offered: Check date availability with Jennifer Barth, Medical Student Education Program's Administrative Asst.; confirm dates and enroll at the University of Rochester Medical School Registrar's Office Number of Students: 2 per block length, based on availability Prerequisite(s): None Goal To develop further and refine skills in the diagnosis and management of common problems in urban, inner-city and/or rural ambulatory community-based family medicine practice. Students may opt for a combination elective with psychosocial medicine. Learning Objectives By the end of the rotation the student should be able to: Diagnose and treat the 20 most common presenting concerns in family practice. Demonstrate skills in cultural competency, including caring for patients from different races, ethnicities, and socioeconomic levels. Demonstrate understanding of the impact of health insurance, as well as the "safety net" of care for those patients who are uninsured or underinsured, and how this affects patient care. Demonstrate understanding of the psychosocial and health literacy barriers to health care that may be endemic in specific populations such as those living in the inner-city. Demonstrate understanding of when to use ancillary health providers, such as social workers, home nursing services, outreach workers, and what services they can provide. Provide advocacy for patients. Identify and assess risk factors such as domestic violence, substance abuse, and illiteracy, and provide appropriate counseling and referral. Identify and learn appropriate management of common office procedures. Objectives Specific to Psychosocial Concentration: Identify and initially manage 5 most common psychosocial concerns in primary care. Identify when a mental health referral is appropriate. Conduct a family history and construct a genogram. Identify when a family meeting would be useful. Focused Experiences May be Arranged in: OB/GYN, Women's Health Inner-city, Urban and Rural settings Dermatology/Procedures (as available & in combination with others) Adolescent Health Refugee Health GLBT (gay, lesbian, bisexual, transgender) Geriatrics with possible home visits Schedule of Activities The student will see patients under the supervision of an urban inner-city or community-based family physician preceptor in Rochester. Practice hours vary, as do on-call arrangements. This is primarily an outpatient experience. Students will participate in resident teaching activities, one half-day session per week. Students will also participate in Diabetic Group visits. Didactic Activities At the beginning of the elective, students will discuss learning objectives with their preceptor. These objectives should be revisited (and revised if necessary) during the course of the elective. Generally, brief case presentations to the primary preceptor, during or shortly after the patient encounter, will constitute the majority of teaching activities. It is expected that formal feedback sessions will occur at the midpoint and at the end of the elective. Students are required to do two small assignments regarding answering clinical questions and the Patient Centered Medical Home. Required Reading Paulman's book, "Family Medicine Clerkship Guide," will be used as your resource text while on elective. Other articles as provided. A copy can be found in Trish Harren's office at Highland Family Medicine. Student Evaluations In order to receive a grade of Passing, the student must attend all sessions, receive a satisfactory evaluation from the preceptor(s), and return their evaluation of the elective prior to grades being posted. Students interested in this course must call (585) 273-5677 (Jennifer Barth) to check on date availability before enrolling with the Registrar's Office.