Electives - Family Medicine

ACE - A. I. in Family Medicine

Elective Number: 1401 (arranged)

Rotation Supervisors: Dr. Steven Heim

Designated Signer: Wanda Hudson, McKim 3161

Duration: Maximum: 4 weeks, Minimum: 4 weeks

A pager is required and will be provided by the department.

Report to: Family Medicine Inpatient Attending (contact Wanda Hudson)

Time to Report: 8:15 am

Place to Report: Family Practice Center, Primary Care Building, Conference Room C

Typical day: 7:30 am - 5:30 pm - hours vary with the inpatient census - these times are approximations.

Attendance: A student may not take time off during an ACE.

Attendance at elective activities is mandatory.

• Anyone who is ill or has a personal or family emergency must contact Student Affairs and the Attending on Service.
• Students are allowed to take off up to 1 day per week to interview between November 1 and February 1.
  • Specific days missed must be approved by the Attending on Service.

Number of students per rotation: 1 

Course Description: To provide medical students with a supervised, one-month experience that closely resembles the activities and responsibilities of a family medicine intern. Emphasis will be placed on obtaining a family medicine inpatient experience with the opportunity to obtain supplemental experience in an academic family medicine outpatient clinic. Visiting students should follow the directions in their acceptance email to schedule MIS and CARECAST training.

Goals:

1. AI students will become equal members of the Family Medicine Inpatient Team:
   • demonstrate competency in providing the following essential components of inpatient care for Family Medicine patients (admission; initial history; initial physical examination; initial assessment and differential diagnosis; development of a treatment plan; writing orders for medications, activity, and diet; ordering appropriate tests; interpreting lab tests; writing daily "SOAP" (subjective/objective assessment/plan) notes; discharge planning;
   • demonstrate the ability to conduct a well-organized presentation of their own patients to the Inpatient Team while on rounds. These presentations are to include adequate discussion of the patient's history, physical findings, diagnosis, assessment (including the daily assessment), and treatment plan (including the need for further diagnostic or treatment plan);
   • be able to effectively present patients or relevant medical topics during morning report, including the incorporation of medical related evidence whenever appropriate;
   • will take call 1 night per week with the night float resident and 1 weekend day during the month;
   • will admit patients when on-call, and will divide all other admissions with the family medicine intern;
   • will take phone calls during night call, under the supervision of the on-call resident;
   • will demonstrate the ability to communicate effectively with Inpatient Team members;
   • will participate actively in teaching and learning activities;
   • will demonstrate the ability to work collaboratively with other services and health care providers, including nurses, PT, respiratory therapy, specialty consults, emergency room, nutrition and social workers;
   • will receive support from the Family Medicine resident and attending on the Inpatient Team.
2. AI students will participate in a minimum of one labor and delivery (if possible).
3. AI students will demonstrate proficiency in performing the following procedures (as available): blood draw, lumbar puncture, arterial blood gas, and nasogastric tube.
4. AI students will demonstrate the ability to interpret the following lab tests as they relate to the care of the patient: acid base/electrolytes; EKG; ABG; chest x-ray; abdominal films; comprehensive chemistry panel; urinalysis; PT/INR; CBC.
5. AI students will demonstrate the ability to work-up the following common hospital issues: fever, chest pain, hypoxia, and abdominal pain.
6. The student will learn about basic principles of Information Mastery
   • the student will participate in all departmental educational conferences, including the weekly Information Mastery conference;
   • the student will read about basic principles of Information Mastery;
   • the student will, under the supervision of a faculty member or senior resident, develop a clinical question, perform a literature search, and locate and critique a systematic review;
   • the student will read independently about patient problems seen in the hospital;
   • the student will gain a working understanding of using filtered evidence-based medicine databases during patient care. The student will be loaned a Pocket PC platform PDA with InfoRetriever®, trained in its use, and be expected to use this during patient care.