Electives - Family Medicine
ACE - Family Medicine Center -
Elective Number: 1409 (arranged)
Rotation Supervisor: Dr. Sean Reed
Coordinator: Wanda Hudson, McKim 3161, 924-1609
Duration: 4 weeks
Available: all rotations
Report to: Dr. Reed
Time to Report: 8:00 a.m.
Place to Report: Primary Care Center, Room 1103A; then at 11:00 am
to Wanda Hudson in McKim 3161
Typical day: 8:00 am - 5:30 pm
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
Number of students per rotation: 1
Course Description: This rotation provides students with a supervised
outpatient experience caring for patients in an academic family medicine clinic
that delivers team-based care in the model of a patient centered medical home.
Emphasis will be placed on caring for patients presenting with urgent medical
problems, including acute illnesses, or exacerbations of chronic disease.
Students will also participate in educational conferences, and be expected
to learn about the role of Information Mastery in medical care. Students must
attend all didactic teaching conferences and Grand Rounds. The pace of learning
and scope of patient care responsibilities expected of students are geared
toward preparing students to assume the level of responsibility
required of residents and as future practitioners.
The Primary Care Center is located in Charlottesville, Virginia and serves
a diverse patient population. Students are assigned to one of three clinical
teams and work with all providers on that team. A Primary Preceptor from
the team provides direct supervision of the student during the rotation
and meets with the student to complete specific learning objectives. The
provides treatment of acute and chronic illness, acute injuries, preventative
health, office-based procedures, pre-natal/postpartum care, pediatrics,
and gynecological care. During the rotation students spend a session in
colposcopy clinic and spend time with family medicine faculty providing
care in the nursing home setting.
Learning Objectives: Students completing the elective will be expected to:
- Play an integral role in caring for 20 patients per week by taking
a history, performing a focused physical exam, developing a differential
diagnosis, and communicating a plan to both the supervising preceptor
and the patient.
- Explain why elements of the history are important
- Describe how the
focused-physical exam changes the diagnosis or management of the patient
- Verbally present a differential diagnosis
- Verbally describe a management
plan for the patient
- Provide patients with relevant after-visit resources
so the patient may understand their role in any next steps.
- Write a note that documents an accurate
history and physical exam
- Write a note that conveys why the student
chose a leading diagnosis, kept multiple diagnoses in consideration,
and excluded other diagnoses.
- Write a note that conveys why the student
thinks the management plan will help the patient.
and recommend age-appropriate screening measures
- Practice and
become proficient at advanced physical exam skills
- Achieve a 'competent,
average, above competent, or highly competent' rating from the supervising
faculty for history taking, physical exam, development of management plans, and
- Achieve an 'average competence for 4th year
student' or above rating from the supervising
faculty for incorporating psychosocial issues
into care of patients; or, for lower
scores develop a strategy to practice and improve
this skill during the year.
- Obtain an
EKG on a patient with assistance from a nurse,
NP or physician, and interpret the
EKG correctly as judged by the supervising
- Interpret a chest x-ray correctly
as judged by the supervising faculty.
the following tests and interpret the results correctly: (this rnay be
in direct patient care or by images
provided by the course director or supervising
physician, NP, or nurse)
- Urine sediment microscopy
- Urine pregnancy
- Vaginal wet prep (KOH and Normal saline).
a patient with a vaccine (subQ or IM) under the
supervision of a nurse,
- Interpret a protime/INR result and
write an order for Coumadin/warfarin
a patient with lab results and explain
the significance of abnormal
with a consulting physician (verbal,
written, or electronic) (E.g.,
write a consultation note,
compose an order, inquire where the
patient should be
referred and how urgently,
or follow up with a question.)
an average or above level of professionalism
when working with
as judged by the supervising
- Achieve an average or
of professionalism when working with
staff as judged by the supervising
- The student will learn about
basic principles of Information Mastery.
- Participate in all
departmental educational conferences, including the weekly Information
- Read about basic principles of Information
Mastery with attention to the
concept of the number needed to treat (NNT);
- Gain a working
understanding of using filtered evidence-based medicine
point of care
tools during patient care.
the supervision of a faculty
member or fellow,
utilize a point-of-care evidence-based
to find an answer
the NNT for a specific treatment
modality (of their
choosing) and develop
a patient education "spiel" to
use with a patient during the
rotation (under the
supervision of the preceptor)
independently about patient
problems seen in the
- Become more proficient
in the selection of appropriate
data assimilation and patient
management through the use
of point of
care evidence based decision
the qualities of commitment,
and respect of the
patient's autonomy, confidentiality
and need for
- Model professional
attributes with regard to
- Show the
ability to communicate effectively with office staff.
- Participate in
clinical team meetings and be able
of team-based care
the core features and
- Review current
cervical cancer screening and
information to patient
a family medicine
and medical issues unique
to patients living
in long-term care facilities
and experience providing
of care under the
a family medicine
faculty member working in
this clinical setting.
the core components of
pre-natal care and the
development of a labor