primary care clerkship. categories included primary care primary care longitudinal experience...

Primary Care Primary Care ClerkshipClerkship

Categories IncludedCategories Included

Primary CarePrimary Care Longitudinal ExperienceLongitudinal Experience Focus on Special PopulationsFocus on Special Populations

– Women’s healthWomen’s health– Men’s healthMen’s health– Adolescent healthAdolescent health– GeriatricsGeriatrics– Patients with special needs (disabled, Patients with special needs (disabled,

etc)etc)

StructureStructure

One 16-week rotationOne 16-week rotation Longitudinal experience with each Longitudinal experience with each

primary care specialtyprimary care specialty Experience caring for underserved Experience caring for underserved

populationspopulations Time devoted to special Time devoted to special

populationspopulations

Sample Schedule Sample Schedule month 1 month 1

MondayMonday TuesdayTuesday WednesdaWednesdayy

ThursdayThursday FridayFriday

Week 1Week 1

amam orientationorientation GIMGIM PedsPeds FMFM AHECAHEC

pmpm Acute CareAcute Care WomensWomens WomensWomens WH DidacticWH Didactic AHEC WHAHEC WH

Week 2Week 2

amam didacticdidactic GIMGIM PedsPeds FMFM AHECAHEC

pmpm Acute CareAcute Care WomensWomens Womens Womens WH DidacticWH Didactic AHEC WHAHEC WH

Week 3Week 3


pmpm Breast CA Breast CA screeningscreening WomensWomens WomensWomens WH DidacticWH Didactic AHEC WHAHEC WH

Week 4 Week 4



MondayMonday TuesdayTuesday WednesdaWednesdayy

ThursdayThursday FridayFriday

Week 1Week 1

amam orientationorientation GIMGIM PedsPeds FMFM AHECAHEC

pmpm Acute CareAcute Care WomensWomens WomensWomens WH DidacticWH Didactic AHEC WHAHEC WH

Week 2Week 2


pmpm Acute CareAcute Care WomensWomens Womens Womens WH DidacticWH Didactic AHEC WHAHEC WH

Week 3Week 3



Week 4 Week 4



Sample schedule Sample schedule month 2 month 2

MondayMonday TuesdayTuesday WednesdayWednesday ThursdayThursday FridayFriday

Week 5Week 5


pmpm AH psychAH psych AdolescentAdolescent Substance AbuseSubstance Abuse AH didacticAH didactic AHEC WHAHEC WH

Week 6Week 6


pmpm AH psychAH psych AdolescentAdolescent Substance AbuseSubstance Abuse AH didacticAH didactic AHEC WHAHEC WH

Week 7Week 7


pmpm AH psychAH psych AdolescentAdolescent Acute CareAcute Care AH didacticAH didactic AHEC WHAHEC WH

Week 8Week 8

amam didacticdidactic GIMGIM PedsPeds FMFM Mid-term exam/AHECMid-term exam/AHEC

pmpm AH psychAH psych AdolescentAdolescent Acute CareAcute Care AH didacticAH didactic AHEC WHAHEC WH

Sample schedule Sample schedule month 3month 3


Week 9Week 9

amam didacticdidactic GIMGIM PedsPeds FMFM CommunityCommunity

pmpm HospiceHospice GeriatricsGeriatrics Palliative CarePalliative Care GM didacticGM didactic GeriatricsGeriatrics

Week 10Week 10


pmpm HospiceHospice GeriatricsGeriatrics Palliative CarePalliative Care GM didacticGM didactic GeriatricsGeriatrics

Week 11Week 11


pmpm GM/psychGM/psych GeriatricsGeriatrics Palliative CarePalliative Care GM didacticGM didactic Acute CareAcute Care

Week 12Week 12


pmpm GM/psychGM/psych GeriatricsGeriatrics Palliative CarePalliative Care GM didacticGM didactic Acute CareAcute Care

Sample schedule Sample schedule month 4month 4


Week 13Week 13


pmpm Acute CareAcute Care Men's HealthMen's Health Colon CA screeningColon CA screening MH didacticMH didactic Men's HealthMen's Health

Week 14Week 14


pmpm Acute CareAcute Care Men's HealthMen's Health Colon CA screeningColon CA screening MH didacticMH didactic Men's HealthMen's Health

Week 15Week 15


pmpm Sports Med/ DisabilitySports Med/ Disability Sports Med/ DisabilitySports Med/ Disability Sports Med/ DisabilitySports Med/ Disability Disability didacticDisability didactic CommunityCommunity

Week 16Week 16

amam didacticdidactic GIMGIM PedsPeds FMFM ExamExam

pmpm Sports Med/ DisabilitySports Med/ Disability Sports Med/ DisabilitySports Med/ Disability Sports Med/ DisabilitySports Med/ Disability Disability didacticDisability didactic ExamExam

Educational SitesEducational Sites

Primary Care longitudinal experiences, Primary Care longitudinal experiences, acute care sessions, clinical experiences acute care sessions, clinical experiences in special populations– USF Medical in special populations– USF Medical ClinicsClinics

Underserved patients – AHEC sitesUnderserved patients – AHEC sites Community preceptors – local preceptorsCommunity preceptors – local preceptors Specialized experiences (hospice, Specialized experiences (hospice,

geriatric psych, adolescent psych, geriatric psych, adolescent psych, substance abuse)substance abuse)

DidacticsDidactics

Primary Care DidacticsPrimary Care Didactics– Split into organ systems by weekSplit into organ systems by week– Including preventive medicine, communicationIncluding preventive medicine, communication– Topics spanning various age groups – Topics spanning various age groups –

multidisciplinary didacticsmultidisciplinary didactics– Some web-based didacticsSome web-based didactics

Special Populations DidacticsSpecial Populations Didactics– Based on the “population” of the monthBased on the “population” of the month– May include examination skills in OSCE-type May include examination skills in OSCE-type

settingsetting

Integrated Integrated Longitudinal Longitudinal CurriculumCurriculum

Most topics incorporated into:Most topics incorporated into:– didactics: disease prevention, health didactics: disease prevention, health

promotion, EBM, ethics, nutrition promotion, EBM, ethics, nutrition – clinical experiences: communication, clinical experiences: communication,

system based practice, radiology, pain system based practice, radiology, pain management, end of life care, lab management, end of life care, lab medicinemedicine

– OSCE/CPX type evaluations: ethics, OSCE/CPX type evaluations: ethics, communication, lab medicine, patient communication, lab medicine, patient safetysafety

Student EvaluationStudent Evaluation

Logbook to monitor activities and Logbook to monitor activities and diagnoses encountereddiagnoses encountered

Mid-term feedback with each of the Mid-term feedback with each of the longitudinal preceptors longitudinal preceptors – To review experienceTo review experience– Plan for the rest of the clerkshipPlan for the rest of the clerkship

Direct observation (videotaped office Direct observation (videotaped office visit)visit)

Evaluation by patientsEvaluation by patients CPX and Multiple Choice Final ExamCPX and Multiple Choice Final Exam

primary care clerkship. categories included primary care primary care longitudinal experience...

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