Handbook> Electives > Internal & General Medicine > Primary Care in Young Adults

Electives - Internal Medicine, General Medicine

ACE- Primary Health Care in Young Adults (Student Health- General Medicine) - lottery

Elective Number: (Oasis E20a) 1502

Rotation Supervisors: Dr. Jessica Simmons Dr. Simmons

Coordinator: Christa Conley, (434)243-6919/cjh9c@virginia.edu

Duration: 4 weeks

Available: Rotations 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 Health

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 exam skills.
• 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 health.

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:
• Asthma
• UTI/ Pyelonephritis
• Pharyngitis/ tonsillitis (bacterial and viral)
• Headache
• Ear problems – otitis media, tinnitus, hearing loss
• Inflammatory bowel disease
• Irritable bowel disease
• Diarrhea (bacterial and viral)
• Musculoskeletal injuries (ankle, shoulder, knee most common)
• Thyroid disease
• STI/ Male genital exam
• Alcohol-related problems
• Dermatitis/ Acne
• Wart treatment
• Health maintenance/ immunizations
• Public health issues (pertussis, mumps, flu)
• Transitional care.
Patients seen at Student Health General Medicine include undergraduate and graduate students at the University of Virginia. The typical age range is 17-mid-30’s. Patients are of diverse sociodemographic backgrounds.

Procedures which medical students may gain experience with include:
• Liquid nitrogen therapy for warts
• Cerumen extraction
• Incision and drainage of uncomplicated abscess
• Wound care
• Toenail removal
• Sutures
• Bedside ultrasound.

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.

Teaching Methods:
• 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 topics.
• 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.

Rotation Logistics:
• 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.