DEPARTMENT OF FAMILY MEDICINE
FAMILY MEDICINE CLERKSHIP
MAXIMUM NUMBER OF STUDENTS ROTATING ON SERVICE AT ONCE. Four (4) – exceptions made for audition rotations.
LENGTH OF ROTATIONS. Four (4) to six (6) weeks.
WILL TAKE STUDENTS FOR TWO WEEKS ONLY? Yes – only fourth years.
LEVEL OF STUDENTS ACCEPTED Third or fourth year.
TIME OF YEAR OFFERRED. Flexible start dates throughout the year.
PRIOR APPROVAL (FROM DEPARTMENT REQUIRED) AND ELIGIBILITY.
- Offered primarily to medical students with an Army obligation (HPSP and USUHS)
- Students from other uniformed services and civilian students from mainland schools are welcome on a space-available basis from November to May (excluding December).
- All students (except USUHS and University of Hawai'i) will apply for a clerkship utilizing the form entitled “ Request for Approval of Clinical Clerkship Training.”
- USUHS fourth year students will apply using USUHS Form No. 1304 for clerkship request
- The TAMC Student Coordinator will obtain permission from the appropriate rotation official upon receipt of the application and will then inform the student of approval/disapproval via e-mail.
OBJECTIVES/DESCRIPTION OF CLERKSHIP.
- The objectives of the Family Medicine clerkship are:
- To introduce the student to the breadth and depth of family medicine
- To refine his/her skill in caring for patients of all ages
- To expose the student to common family practice procedures such as vasectomy, colposcopy, treadmill stress testing, minor skin and gynecologic procedures
- To promulgate family practice values of continuity of care, compassion, holism, and cost effectiveness
- To evaluate and be evaluated by students interested in applying for a Family Medicine residency
- The clerkship is divided between inpatient and outpatient settings – one and three weeks respectively for a four-week rotation.
- For longer rotations, the time division can be arranged individually depending on interest and availability.
- In the clinic, students are exposed to a full range of family medicine patients from prenatal and infant care to geriatrics.
- Students work with staff or resident preceptors and are given feedback on their performance daily.
- On the inpatient service, students evaluate patients from the Family Medicine Clinic, Labor and Delivery, and Emergency Room for admission to the hospital. Under the direction of staff and resident physicians they care for these patients throughout their hospitalization.
- Didactics are an essential part of the clerkship.
- Overnight admissions oral case presentations are presented at morning report each day at 7:30 A.M.
- Academic afternoons (Wednesdays) feature lectures on the core curriculum of Family Medicine, military-unique topics, and Grand Rounds, jointly held with the departments of Internal Medicine or Pediatrics.
FREQUENCY OF CALL.
- Each student will take Family Medicine night call with a resident once during the fourth year rotation.
- Post-call days end at noon.
- There are no required weekend duties.
REQUIRED READINGS. Students are required to read a selection of recent articles that will be provided.
OTHER REQUIREMENTS. Fourth year students are encouraged to present at least one case during morning report.
HOW ARE STUDENTS EVALUATED?
- During clinic weeks, students are evaluated daily by their preceptors.
- The following areas are specifically addressed: enthusiasm, patient rapport and communication, quality of history and physical examination, and appropriateness of diagnostic and therapeutic plans.
- On the inpatient service, the staff and senior resident evaluate the student's overall performance and provide input to the Medical Student Coordinator.
- A multiple choice test based on required readings is also given at the end of the rotation. The Medical Student Coordinator compiles the final evaluation.