Electives - Internal Medicine, General
ACE- Primary Health Care in Young Adults
(Student Health- General Medicine) - lottery
Elective Number: (Oasis E20a) 1502
Rotation Supervisors: Dr. Jessica Simmons Dr.
Coordinator: Christa Conley, (434)firstname.lastname@example.org
Duration: 4 weeks
1, 2, 7, 8, 9 & 12 // R10 & 11 available as non-ACE option 2 or 4weeks
- student should contact Dr. Simmons if interested
Time to Report: 8:00 am
Place to Report: General Medicine Reception Desk in Student
Typical Day: 8:00 am - 5:00 pm
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
Number of Students Per Rotation: 1
Course Description: This elective offers the student a unique experience
as the primary healthcare provider for adolescents and young adults in a university
setting. Students will have their own, independent patient schedules each day
and will assume care, and continuity of care, for the patients they see. Students
should expect to practice autonomously, with supervision.
The student’s educational objectives are to:
Acquire and expand their knowledge of treatment of acute illness, appropriate
health maintenance, and preventive medicine pertinent to the young adult population.
Refine skills in independently taking an appropriate history and formulating
a diagnosis and treatment plan for a young adult patient.
Solidify physical exam techniques – as this is a primary care rotation,
trainees should expect to gain excellent experience in a broad array of physical
Explore healthcare team interactions in primary care setting (physicians, nurse
practitioners, RNs, LPNs, administrative assistants).
Learn appropriate coding practices.
Review guidelines and journal articles as pertain to adolescent and young adult
Types of Clinical Experiences, Procedures, and Practice Sites:
Medical students will independently see patients with a broad range of health
problems, acting as the patient’s primary care provider. Continuity
between patient visits is stressed. Medical students will have their own
patient schedules each day.
Among others, medical students would be expected to gain clinical experience
in the following areas:
Pharyngitis/ tonsillitis (bacterial and viral)
Ear problems – otitis media, tinnitus, hearing loss
Inflammatory bowel disease
Irritable bowel disease
Diarrhea (bacterial and viral)
Musculoskeletal injuries (ankle, shoulder, knee most common)
STI/ Male genital exam
Health maintenance/ immunizations
Public health issues (pertussis, mumps, flu)
Patients seen at Student Health General Medicine include undergraduate and
graduate students at the University of Virginia. The typical age range is
Patients are of diverse sociodemographic backgrounds.
Procedures which medical students may gain experience with include:
Liquid nitrogen therapy for warts
Incision and drainage of uncomplicated abscess
Type of Supervision:
Medical students are supervised by the Student Health General Medicine staff
which includes full and part-time physicians board certified in Internal
Medicine, Pediatrics, Med-Peds, and Family Medicine. The medical student
will be scheduled to see about 6 patients per half-day. All patients are
presented to the attending physician and discussed. The attending will help
the student identify knowledge gaps, physical exam questions, and refine
the assessment and plan. The attending will provide teaching appropriate
to the case, as well as coding pearls. The attending will provide feedback
to the student in a timely manner. Each medical student will have an exit
interview with a staff attending.
Office-based one-on-one and small group teaching by on-site clinical faculty.
CME conferences on 2nd and 4th Tuesday mornings (8-9:00am) on Student Health
Case-based questions provided.
Reading list on relevant Student Health topics provided.
Method of Evaluation:
Medical Students are evaluated through OASIS.
At the end of the rotation, the medical student will meet one-on-one with Jessica
Simmons, MD for feedback/ exit interview.
The General Medicine clinic hours are 8 am-5pm.
Medical Students are able to rotate only during the UVA academic school year,
excluding the student winter break.
Maximum Student limit (per month): 1 (2nd with permission).
No call duties.
Required: Case-based presentation AND review of new guidelines of pertinent
topic or review of journal article.