Family Medicine Clerkship


Introduction

Welcome to the Family Medicine Core Rotation at NYU Lutheran. We hope that your rotation here will be rewarding The Family Medicine Clerkship provides a clinical learning experience that prepares you to communicate effectively with patients and families and learn to evaluate and manage all ages and health states. The clerkship integrates a foundation of medical knowledge with clinical and communication skills to enable you to identify and provide quality care. The Department of Family Medicine places special emphasis on professional behavior, as well as, knowledge, interviewing skills, clinical problem solving and the ability to communicate information.

 

This core clerkship allows you to gain clinical experience in evaluating patients of all ages, both sick and well, through clinical history taking, physical examination and the evaluation of laboratory data. Special emphasis is placed on: management of chronic and acute illnesses, growth and development, nutrition, common infections, social issues, and preventative care including: immunizations, screening procedures, anticipatory guidance. The student will develop the necessary communication skills to inform, guide and educate patients and families.

 

Ambulatory and in-patient services provide an opportunity to observe and enter into the care of adult and pediatric medical and surgical disorders and ob/gyn care. You will learn how to approach the patient and family and communicate effectively as they take admission histories and perform physical examinations. You will then provide the patient and families with the necessary information and guidance to understand and support the patient through the time of illness. You will learn to examine patients of all ages with appropriate skills. The adequacy and accuracy of your knowledge, communication skills, manual skills and professional behavior will be measured and evaluated by the supervising physicians, residents and preceptors. There will be formative evaluations and discussion of your progress throughout the rotation.

 

 

Expectations & Responsibilities

It is expected that there be full and active participation in the multiple learning opportunities: didactic learning, clinical seminars, self-directed learning modules, patient rounds and conferences.

 

 

Professionalism and Dress

 

ID cards should be worn at all times above the waist and visible. All Family Medicine Students must dress in business attire. Students are never permitted to wear sneakers. Anyone who is required to wear sneakers for medical purposes must provide a doctor’s note with Dx, start and end dates. All males must wear a shirt, tie and dress slacks. All females must wear dresses, skirts or dress slacks and (business) tops. No jeans Leggings, tank tops or t-shirts will be permitted.

 

If you are required to wear scrubs, they must be put on in the locker room and removed before leaving the building at any time. While wearing scrubs you should have a white lab coat on at all times. If you wear a shirt under scrubs, sleeves must be shorter than scrubs.

 

Students are required to act courteous and professionally at all times. You must protect patient confidentiality. At no time should there be any discussions of patients in common areas, elevators, in the cafeteria and outside the hospital. You should be familiar with HIPPA laws.

 

Orientation

 

You will start the rotation by reporting to Diana Calderon, the Medical Student Coordinator. She is located on the third floor in the Executive Offices 3-04. Once you are processed, and issued an ID card, Dr. Shneyder will welcome and orient you. After this orientation, Dr. Shneyder will give each student his/her schedule.

 

 

Rotations

Your rotation will last 4, 5 or 6 weeks depending on which school you attend. AT Still students will have 2 weeks of inpatient rotation and 2 weeks of ambulatory medicine. NYITCOM students will have 2 weeks of inpatient, 2 weeks of ambulatory medicine and one week of self-study. St. George’s University Students will have 2 weeks of inpatient, 2 weeks of ambulatory medicine and 2 weeks of self-study.

 

You will be broken up into groups and given your assignments.

 

Inpatient:

You will report to the Family Medicine resident’s room, Station 18 to the right of the Library at 7 AM daily for sign out. You will then follow your assigned patients. On Thursday mornings, you will present a case to Dr. Hernandez at your assigned time and location. You will attend departmental Grand Rounds in the hospital auditorium at 1 PM.

 

 

Ambulatory:

You will report to the Family Physicians Health Center at 9 AM daily and proceed to your assigned preceptor. Some students will be assigned to a private clinic, and you will attend the private clinic on your assigned day in lieu of the Family Physicians Health Center. Thursdays are non-clinical days. Independent study will occur in the morning and you will attend departmental Grand Rounds in the hospital auditorium at 1 PM.

 

Independent Study:

If you have an independent study portion to your clerkship, you complete 2 cases per day on Med-U.com. You will present ONE case per week on Wednesdays at 9:45 AM in the conference room at the Family Physicians Health Center. You will attend departmental Grand Rounds in the hospital auditorium at 1 PM. You may do your independent study at the hospital computer lab on the 6th floor. This is a convenient option. Please use your time wisely as this is your time to prepare for exams.

 

Osteopathic Medical Students:

Students from NYCOM are required to attend an Osteopathic lecture on the first Wednesday of the month at FPFHC. You will also be scheduled to observe Osteopathic Manipulation at FPHC.

 

 

 Core Topics:

 

Students are responsible for knowing the presenting signs and symptoms and management of these problems regardless of whether any patients have been seen in the preceptor ship.

 

Medical Conditions

1. Abdominal pain

2. Allergic rhinitis

3. Altered mental status

4. Asthma

5. Anxiety

6. Back pain

7. Chest pain

8. Depression

9. Dermatitis (including acne)

10. Diabetes Mellitus

11. Ear infection

12. Headache

13. Hypertension

14. Osteoarthritis

15. Respiratory tract infection (including bronchitis, sinusitis, pharyngitis)

16. Somatoform disorder

17. Urinary tract infection

18. Vaginitis

19. Well adult exam

20. Well child exam

 

In addition, students completing this clerkship should be able to provide patient education in the areas listed below.

 

Patient Education Topics

1. Adult health maintenance

2. Hypertension, patient control

3. Asthma management

4. Nutrition guideline, including

5. Diabetes Mellitus, new & cholesterol and weight loss controlled diagnosis

6. Safe sex and contraceptive choices

7. Depression

8. Smoking cessation

9. Exercise

10. Stress management

 

 

 

Teaching Rounds Schedule

 

Type of Rounds

Time/Day

Location

Attendance Required

Morning Report/Sign-Out

7AM Everyday

Station 18

Students Assigned to Inpatient Rotation Only

Department Grand Rounds

1PM/Thursdays

Auditorium

All Students

Osteopathic Lecture

1st Wednesday of Month

FPFHC

NYCOM Students Only

 

Procedures

Inpatient

Students are permitted to perform the following procedures under supervision of their resident:

• Insert nasogastric tubes

• Perform venipuncture for blood draws

• Start an IV

• Insert a Foley Catheter

 

Outpatient

Students are permitted to perform the following procedures under supervision of their resident:

• Immunizations

• PPD

• Joint Injection

• OMM

• Colposcopy

• Skin Biopsy

 

 

Exams/Presentations

If you have an independent study portion to your clerkship, you must complete 2 cases per day on Med-U.com. You will present ONE case per week on Wednesdays at 9:45 AM in the conference room at the Family Physicians Health Center.

 

WEB BASED EDUCATIONAL ASSIGNMENTS FOR INDEPENDENT LEARNING

Proof of completion of the following three web-based assignments along with your patient log will complete your portfolio for family medicine. As part of their evaluation students should submit their portfolio to the clerkship direction at the end of the rotation.

 

 

Sakai Family Medicine

Course Student will participate in the self-directed web-based learning course, fmCASES. All assigned cases will be completed during your rotation. Students can create a fmCASES account by going to www.med-u.org=>register. At the top right-hand corner=> Institutional Subscribers. The inTime Virtual Patient Cases registration page opens. Provide your personal information in the prompts. Important: use your SGU email address.

 

 

Communication Skills Modules

Students are responsible for DOCCOM communication skills Modules 25 “Diet/Exercise” and 29 “Alcoholism Diagnosis and counseling” modules of the Communication Skills B course. This self-directed learning computerized course can be accessed through the SGU website at My SGU (click Communication Skills course, upper left corner).

 

Ambulatory Care: 2,3,4, 5 Week 2: 16, 17

Inpatient: 10,13,19.25,30 Week 3: 20,23

Other: 1,26,27,28,31 Week 4: 24,32

 

The course is accessed through Sakai on the SGU website under the heading “Lessons”. The student will be directed to the Med-U website for case content and will complete all of the questions in the module. The student will then go back to the SGU website to answer 5 questions. The student must get 80% of the questions correct to receive credit for the module.

 

Completion of the cases will be monitored through the Office of Distributive Education. The preceptors are able to monitor the students’ progress. Completion of this course is required and will be monitored through the 3rd and 4th year.

 

 

 

Overnight/On Call Schedule

None