Electives - Family Medicine
Outpatient Family Medicine at Stony Creek
Family Medicine, Nellysford, VA
Elective Number: 1404 (arranged)
Rotation Supervisor: Dr. Sean Reed
Coordinator: Wanda Hudson, McKim 3161 - (will arrange with rotation
Duration: Maximum: 4 weeks; Minimum 2 weeks
Available: Rotations 3, 7, 8 & 9
Place to Report: Stoney Creek Family Medicine, Nellysford VA
Time to Report: 8:45 am
Typical Day: 9:00 am - 5:00 pm M-F. Involvement with
inpatient service or deliveries on weekends.
Attendance: 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 have the opportunity to participate in educational conferences, ground
rounds, and be expected to learn about the role of Information Mastery in medical
care. 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.
Stoney Creek Family Medicine is located in Nelson County and serves a diverse
patient population. Previously designated a Health Professions Shortage Area,
Nelson County is a rural area with high rates of poverty and chronic disease.
The office provides treatment of acute and chronic illness, acute injuries,
preventative health, pre-natal/post partum care, pediatrics, and gynecological
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.
why elements of the history are important
- Describe how the focused-physical
exam changes the diagnosis or management of the patient
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.
a note that documents an accurate history and physical exam
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.
- Practice and become proficient at advanced physical exam skills
a ‘competent, average, above competent, or highly competent’ rating
from the supervising faculty for history taking, physical exam, development
of management plans, and written notes.
- 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
this skill during the 4th year.
- Obtain and EKG on a patient with assistance
from a nurse, NP or physician, and interpret the EKG correctly as judged
by the supervising faculty.
- Interpret a chest x-ray correctly as
judged by the supervising faculty.
- Perform the following tests and interpret
the results correctly: (this may be done either in direct patient care
or by images provided
or supervising physician, NP, or nurse)
- Urine sediment microscopy
- Urine pregnancy test
- Vaginal wet prep (KOH and Normal saline).
- Immunize a patient with
a vaccine (subQ or IM) under the supervision of a nurse, NP or physician.
a protime/INR result and write an order for Coumadin/warfarin dosing adjustment.
a patient with lab results and explain the significance or abnormal and
- Communicate with a consulting physician (verbal,
written, or electronic) (E.g., write a consultation
an order, inquire where the
patient should be referred and how urgently,
or follow up with a question.)
- Achieve an average or above level of
professionalism when working with patients as judged by the supervising
- Achieve an average or above level
of professionalism when working with office staff as judged by
the supervising physician.
- The student
will learn about basic principles of Information Mastery. The student will:
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
- Gain a working understanding
of using filtered evidence-based
of care tools
during patient care.
- Under the
supervision of a faculty member or fellow, develop a clinical
and utilize a point-of-care
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
gathering, data assimilation
and patient management
through the use
of point of care evidence
decision support tools.
the qualities of commitment, trustworthiness, integrity,
and respect of the patient's
and need for information.
professional attributes with regard to professional
the ability to communicate effectively
with office staff.
in clinical team meetings and be
able to distinguish
the core features
a patient centered
the core components of pre-natal
care and the
of a labor plan.