Elective courses in Family Medicine are offered for credit only to senior medical students. These clinical options involve various aspects of primary care: family medicine sub-internship, outpatient clinics or a special aspect of family medicine, preventive medicine, clinical and laboratory aspects of infectious disease and epidemiology, and research opportunities in primary care, family medicine, and preventive medicine. Seniors may also include in their elective program listed courses from the new curriculum of the Master of Public Health Program on subject areas such as management, public policy, health resource allocation, health planning, and environmental health. Directed study elective courses may also be undertaken. The proposal must be cleared with the Department as it is dependent on preceptor availability. Graded as Satisfactory or Unsatisfactory.
Students spend two weeks on the inpatient service and two weeks in the outpatient family medicine residency clinic. During the inpatient phase, students work one night of call per week, with one of them being a weekend call. The medical students are responsible for attending and participating in morning report, including making presentations, when appropriate. Students are expected to attend weekly didactic sessions and to give one presentation at didactics during the rotation. During the outpatient phase, students will provide care to patients being seen in the ambulatory clinic. They will attend conferences before and after each clinic session. Students must be able to provide their own transportation. Students work with faculty attendings and residents as members of the medical care teams during the four week rotations. They are expected to improve their proficiency in caring for patients who present with the most common outpatient and inpatient diagnoses. They will provide care throughout the full spectrum of family medicine.
Students are expected to function at the level of sub-interns. They should evaluate the patient using history taking and physical exam skills, synthesize the information, present the case to the resident and/or attending including an assessment, differential diagnosis, treatment plan and follow-up care needed. Students will have opportunities to rotate through procedure clinics. Students are encouraged and expected to be assertive in their quest for learning. Students will be expected to see and participate in the care of patients with acute and chronic health issues. Continuity of care is stressed in the outpatient clinics. Students are also involved in the care of inpatients and obstetric patients.
Students who are considering applying to this residency program are given precedence in being assigned to this elective from August to February. Grading is pass-fail.