FmCases based workshop sessions will be held during the first week of FMRH Clerkship in the family medicine medical student conference room located in the Department of Family Medicine administrative building. (1513 E. Cleveland Avenue, Bldg 100, Suite 300-A East Point, GA 30344). Seminar facilitators may vary by rotation and will depend upon faculty schedules. FmCASES is a Computer Assisted Instruction tool which uses interactive cases to cover the nationally accepted core curriculum for Family Medicine clerkship students.
Students will participate in inpatient, outpatient, rural health and obstetric clinical care. Clinic faculty will guide student involvement in history taking, physical examination and other investigations and treatment in accordance with the objectives of the course. Clinic faculty will discuss the patient's history, eliciting of physical signs and management with the students assigned to her/him. The faculty will be required to submit a comprehensive assessment of the student using the Preceptor Evaluation of Student Performance evaluation form.
Our students benefit from having the unique experience of both urban and rural clinical exposures during a single six week clerkship. Each student spends two weeks at rural clinical sites and two weeks in the urban setting. In doing so, students have the opportunity to appreciate the differences between practicing in these two settings. Some of these differences include socioeconomic factors unique to rural settings that negatively impact patient's health as well as impacting the approach to their care; access to care; infections and injuries related to agricultural occupations that would be unique to patients in rural settings; and differences in readily available resources to the physicians caring for patients in these settings. By providing this exposure and developing the appreciation for the healthcare need that exists in rural areas during the third year of medical school, it is thought that more students may ultimately decide to practice in rural areas. In the long term, this may help to address the shortage of physicians in rural areas, particularly in rural Georgia. At the rural sites, the student's daily clinical activities will mirror that of his/her preceptor. Primarily, the student will participate in supervised patient care in an ambulatory family medicine practice. Additionally, the student will accompany the preceptor on hospital/nursing home rounds and house calls and may take calls with the preceptor when these experiences are available.
Each student will be assigned to one day of call. During the call day, the student will participate in the admission history and physical exam of one patient, discuss the assessment and plan with the inpatient team and write a full history and physical on that patient. The student will then complete an inpatient project on the patient as described below. The student will be expected to stay at the hospital until 10:00 p.m. or until they have admitted a patient.
The project will consist of a paper to include a description of additional information that would be helpful to have from the patient's primary care physician; psycho social circumstances that contributed to the patient's presentation and must be considered in the approach to the patient including family, employment/career, habits, finances, patient's knowledge of his/her disease, etc.; inpatient interventions/care; resources that might be needed for the patient; and discharge planning. Projects are to be presented during the inpatient project seminar which is to be facilitated by the inpatient attending.
Students will accompany the clinical instructor on a home visit for a home-bound patient. The student will participate in the visit and will be responsible for a visit write-up.
This is an integral part of the course. The community outreach component of the rotation typically occurs on a Saturday during the rotation. The program manager will notify students of the date and time for the community outreach project at the beginning of the rotation. The purpose of this component of the course is to enable the students to interact with the community in discussing relevant health issues and performing health screenings.
Each student is required to keep a patient log. The patient's initials, diagnosis and treatment should be recorded in New Innovations and sent to the teaching physician for confirmation. A written log is to be kept while at the rural sites and is to be signed by the rural preceptor. Although the patient log is not included in the grade calculation a minimum of 60 patients must be seen and documented to pass the Family Medicine and Rural Health Clerkship. Students will be contacted at the midpoint of the clerkship to discuss their progress in meeting the requirement of seeing 60 patients. If based on mid-clerkship numbers, a student is predicted not to see 60 patients by the end of the clerkship, clinic assignments may be adjusted to ensure exposure to clinics with adequate patient volumes.
Students will attend weekly departmental grand rounds (didactic sessions) on Wednesday afternoons from 12:30 -1:30 p.m. in the main conference room of the Family Medicine administrative offices.
An OSCE is conducted on the third Wednesday of the clerkship. OSCE stands for Observed Standardized Clinical Examination. A classic OSCE involves student interviewing or examining a standardized patient who is taught to act and respond in a standard way, time after time regardless of who is doing the interview.
OSCEs may include:
- History, and physical exams with standardized patients
- Test interpretation
- Patient education
- Order writing
While performance on the OSCE is not included in the calculation of the final grade, completion of the OSCE is required to pass the course.