AMBULATORY FAMILY MEDICINE
FCH 800
Course Department, Number & Title: FCH 800, Outpatient Family Medicine
Course credit or length: 2 – 4 Weeks
Course director and contact information: Mitch Shaver, M.D., 304.691.1165,
Course coordinator and contact information: Glenna Michael,304.691.1191,
LOCATION:Various local locations
COURSE DESCRIPTION: Since electives will be available at a variety of family medicinesites, including community health centers as well as private family practitioners' offices, experiences will vary with the location. Students will be assigned to sites based upon student interest and site availability. Students will work under the direct supervision of clinical faculty and residents. They will obtain appropriate histories and complete indicated physical exams, develop a working assessment and initiate management of patients of all ages with acute and chronic illnesses. Students will participate in health promotion and disease prevention needs of presenting patients. Proper documentation of all patient encounters will be completed by students where appropriate.
COURSE GOAL: To expose the student to the wide variety of problems routinely encountered in family medicine in patients of all ages. Students will refine skills used in assessing and managing these patients in an outpatient setting.
COURSE GRADE MODE: This is anHonors/Pass/Fail Course
Institutional Objective
Patient Care - Students must demonstrate the ability to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.
Course Objective
The student will demonstrate the ability to perform appropriate history and physical examinations on patients of all ages in an ambulatory setting.
Outcome Measure
The student will orally present to the faculty member at least one patient encounter from each of the following list. One patient encounter will alsobe randomly selected by the faculty member. The student must also demonstrate to the faculty the ability to obtain clinical history and perform a physical examination on infants, children, and adults in the ambulatory setting.
Course Objective
The student will be able to developan appropriate differential diagnosis and an initial management plan for common outpatient medical problems.
Outcome Measure
The student will orally present to the faculty at least two patient encounters from the following list (one patient encounter will be randomly selected by the faculty member.) The student must also demonstrate the ability to formulate a working differential diagnoses from twoof the following common outpatient encounters:
Asthma (PED or Adult)
Well Child Visit
Hyperlipidemia
Hypertension
Back pain
Chronic Obstructive Pulmonary Disease (COPD)
Diabetic Mellitus
Fatigue
Headache
Hyperthyroidism/Hypothyroidism
Osteoarthrisis
Osteoporosis
Otitis Media
Sinusitis
Skin rashes
Tobacco Abuse/Smoking Cessation
Urinary Tract Infection
Well AdultVisit
Institutional Objective
Medical Knowledge-Students must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological and social-behavioral sciences, as well as the application of this knowledge to patient care.
Course Objective
The student will recognize presentations of common illnesses in ambulatorysettings and be able to formally present them in an efficient and complete manner.
Outcome Measure
The student will recognize presentations of common illnesses in outpatient settings and present those to faculty in an efficient and complete manner. Common illnesses include but not limited to, cancers, diabetes, heart disease, hypertension, stroke, mental disorders and pulmonary conditions.
Institutional Objective
Practice-based Learning and Improvement -Students must demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life-long learning.
Course Objective
The student will provide continuing care (assessment and management) and follow-up on common outpatient medical problems for adults and children.
Outcome Measure
The student will demonstrate to faculty the ability to provide assessment, management and follow-up on common outpatient medical problems for adult and children.
Course Objective
The student will interpret signs and symptoms and clinical studies in assessing patients seen in an outpatient clinics.
Outcome Measure
The student will demonstrate proficiency to faculty in the interpretation of signs and symptoms and clinical studies in assessing outpatients.
Institutional Objective
Interpersonal and Communication Skills - Students must demonstrate interpersonal and communication skills that result in the effective exchange of information and collaboration with patients, their families, and health professionals.
Course Objective
The student will communicate effectively with physicians and other health care providers, parents of pediatric patients and adult care givers.
Outcome Measure
The faculty will observe the student communicating effectively with physicians and other health care providers, patients of all ages and their families or care givers.
Institutional Objective
Professionalism- Students must demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles.
Course Objective
The student will recognize and address unique outpatient ethical issues associated with acute and longitudinal care of adults and children.
Outcome Measure
The student will demonstrate to faculty a basic recognition and ability to address unique outpatient ethical issues associated with acute and longitudinal care of adults and children.
Institutional Objective
Systems-based Practice - Students will be able to recognize and better understand the role of other health care professionals in the overall care of the patient.
Course Objective
The student will understand some of the criteria for admission for common serious problems in adults and children presenting in an office setting.
Outcome Measure
The faculty will observe the student’s ability to understand some of the basic criteria for admission for common serious problems in adults and children presenting in an office setting. Common serious problems include, but are not limited to chest pain, congestive heart failure, diabetic ketoacidosis, hypertension, jaundice, lower gastrointestinal bleeding, meningitis, myocardial infarction, pneumonia, seizures, trauma, upper gastrointestinal bleeding, and urinary tract infection.
BASIC SCIENCE OBJECTIVE
The student will develop and refine their abilities to apply an understanding of pathophysiology, anatomy, disease status, and clinical pharmacology in the assessment and management of patients where appropriate.
Outcome Measure
The faculty will assess the student’s knowledge and ability.
Self-Directed Learning
As a medical student, you are encouraged to use any unstructured time as a time to read about your patients, research questions that arise during the day, prepare for case conferences, and prepare for student-faculty rounds. Preceptors have been specifically asked to look for evidence that you have read articles and books between clinic sessions. Use this time to build your knowledge of medicine and learn from your patients.
ASSESSMENT METHODS
Preceptor Evaluation of criteria below – 100% possible, must receive 85% to receive Honors
The preceptors’ evaluation will be based, but are not limited to, upon the following factors:
- Clinic Attendance and participation in assigned activities
- Conference/ Athletic event attendance
- Demonstration of knowledge and skills outline in course objectives
- Maturity and Professionalism
• Oral Case presentation/patient workup
ATTENDANCE POLICY; INCLEMENT WEATHER POLICY; ACADEMIC INTEGRITY POLICY
Students are responsible for making sure they are aware and understand updated University policies with respect to attendance and academic integrity. These policies are available for review through the medical school web site. Students are expected to be present every day of the elective and anything less than 80% will result in an incomplete with makeup required for credit.
MUJCESOM Policies: All medical students taking this course will comply with School of Medicine policies given at Individual policies can be found at the following websites:
Student Infectious Material Exposure:
MS-IV Attendance:
Academic Dishonesty Policy:
Academic Standards Policy:
Policy for Students with Disabilities:
University Computing Services’ Acceptable Use Policy:
Affirmative Action Policy:
pp. 16-17
Inclement Weather Policy:
Notification of delays and cancellations of classes are posted on the Medical Education Home Page when Marshall University Main Campus is not in session
Required Reading/Other Material:
As assigned and provided by the Course Director or preceptor.