Advanced Interviewing and Doctor/Patient Relationship Appalachian Preceptorship International Primary Care Elective Research in Family Medicine Senior Family Medicine Senior Rural Family Medicine

(2 or 4 weeks) Offered in October, or by special arrangement during other periods. The medical interview is central to accurate diagnosis. The patient-center clinical model of interviewing is central to helping patients handle their pain (physiologic or psychologic), and is the backbone of health intervention. Successful patient interviews serve to strengthen the bond between patient and physician. Without directed instruction in this area, physicians regularly make preventable mistakes of omission or commission. This course brings together resources to improve cognitive and performance aspects of the medical interview.
Students will interview random patients in the family practice centers and nursing home. These interviews will be taped and the student will review interesting and problematic encounters with faculty. There will also be exposure to difficult simulated patient situations, group video reviews, and role-playing sessions. Students will travel to ETSU's family practice clinic sites and rural campus, the geriatric site, and possibly other sites to broaden their exposure.

(4 weeks) The Appalachian Preceptorship is designed to expose medical students to rural primary care practiced in a manner sensitive to the culture. Students will participate in one week of didactic sessions on the ETSU campus and spend three weeks with a rural physician practicing in an Appalachian community. Students will benefit from the cross-cultural experience, whether they choose to practice in Appalachia, urban areas, or other communities throughout the nation. This elective is approved for credit as a required ambulatory or family medicine rotation, or as a senior elective.

The preceptorship is offered during the summer* and is four weeks in duration. The annual didactic portion will be offered during July, usually beginning with the Friday after the fourth of July and concluding the following Friday. Students in the summer preceptorship should arrange their schedules to include the July didactic week. It is common for students to have different beginning and ending dates for the overall preceptorship. some students will begin with the didactic portion, and others will begin with their physician preceptor. Contact the Department for the exact dates for the didactic portion.

*Upon prior application and acceptance, students may complete the course at other times during the year when positions are available. This will consist of spending four weeks with a rural preceptor. (Please see Application Process Below.) Applications for all 15 positions must be received by March 25. Positions are available beginning June 1, through May 31, of the following year. Those accepted into the program will be notified by late April. Please contact the Department of Family Medicine for an application form. Prerequisites: This elective is open to those students nationally who have completed at least one year of medical school prior to entering the program and have an interest in family medicine. Preference is given to those who have completed a third year family practice clerkship. Permission of the responsible agent is required (see Application Process section below.) All students must be in good standing at their medical school at the time of application and entry into the preceptorship.

(4 weeks: ETSU students only) This rotation is designed to provide senior medical students with an international clinical experience grounded in the cultural, historical, political and economic context of Ecuador. Through this experience, students will be given the opportunity to gain knowledge and skills in the areas of the cultural context of medicine, low-technology medicine, the role of physicians in public health, and patient access to care. These issues are all pertinent to family medicine. Permission of instructor needed.

(2-8 weeks) This elective is offered monthly for two to eight weeks, depending on the nature of the research project. The student should consider taking this elective in two two-week segments, with an intervening period for data collection while participating in another rotation. (This might be combined with another elective such as the Appalachian Preceptorship.) Such a schedule would look like the following: 2 weeks: Research Elective to review relevant research methodology and to design and plan the research project.. 4 weeks: Clinical Elective -- to collect research data while participating in a clinical setting. 2 weeks: Research Elective -- to data analysis and summarizing findings.

(2-4 weeks) Objectives: The aim of the senior Family Medicine elective is to provide the student with experience in the care of both inpatients and outpatients in the ETSU Family Practice Centers. This experience will provide in-depth exposure to family medicine, resulting in an increased understanding of the depth and breath of family practice. Responsibilities: The senior clerk will be expected to: (1) Follow and manage assigned inpatients on a daily basis, perform history and physicals, conduct daily evaluations, write admission orders, write daily orders and progress notes, perform selected procedures, manage discharge planning, and complete discharge summaries. These activities will be under the supervision of senior residents and the attending faculty. (2) Evaluate and manage assigned outpatients on a daily basis, including appropriate history and physicals, assessments, and plans. The clerk will complete the encounter form, the "SOAP"note, evaluate lab results, and perform selected procedures. These activities will be performed under the supervision of the preceptor. The student may be videotaped during the encounters, if desired. (3) Attend all conferences, including noon conferences, Grand Rounds, and Pediatric breakfast. (4) Take in-house call on a rotating basis with other students. During these evenings, the student will be involved in the activities of the residents on call, to work up assigned patients and manage selected problems. The call will be all night with facilities furnished. (5) Expand his/her skills through outpatient management by working with the clinical psychologist, performing lab procedures with the lab technician, and managing panel of nursing home patients. (6) Make brief presentations to the attending, students and residents on the family practice service or other community agencies. Location: The Department of Family Medicine's Family Practice Centers in Bristol, Kingsport, Johnson City, and/or Chattanooga, Tennessee serve as clinic sites for this elective. Students may indicate their choice of clinic site(s). Evaluation:: Periodic feedback will be provided to the student, as well as a final evaluation. An evaluation of the rotation by the student will be expected at the end of the rotation.

(4 weeks offered monthly) The Senior Rural Family Medicine elective is designed to expose medical students to rural primary care practiced in a manner sensitive to the culture of rural Appalachia. All students will spend a t least four weeks with a physician practicing in a rural Appalachian community. The preceptors are dedicated to excellence in patient care and community relationships, and they serve as role models for students. The nature of the clinical and community involvement will vary based on the level of training of the student, the interest of the student, and the individual characteristics of the practice. All students will be involved in direct patient care with supervision of the preceptor. Location:/Instructor:: Community-based family physicians in Northeast Tennessee, Southwest Virginia, and Western North Carolina serve as preceptors for this elective. All sites are rural and somewhat agricultural, while some are predominantly mining communities.

Emergency Medicine Electives

Internal Medicine Electives

Home

Elective Information

martindj@etsu.edu

Last modified on June 22, 1999