SELECT SOFMA - Ambulatory (Outpatient Selective)

Primary Goals of Selective:

Students will attain additional experience in caring for patients in a primary care setting, improve knowledge and skills related to preventive care and medical disorders commonly seen in a primary care setting, and demonstrate adherence to professional standards.    

Specific Objectives:

Students will provide primary contact with patients as part of a multidisciplinary team, under faculty supervision, and will keep a complete patient log of all patients on MyEvaluations.

Students will perform and document a history and physical, and will formulate a provisional treatment plan for each assigned patient for review with the attending physician.

Students will attain proficiency with using evidence based medicine or point of care resources.

Students will adhere to professional standards as outlined in the Course Syllabus. 

Resources for Learning:

This is an experiential activity. Student interactions with patients and the health care team in the clinics are the primary learning resource. Quality education is dependent on the quality of patient care provided.  Students will actively participate in the ongoing evaluation and improvement of patient care through discussions with patients, their families, and other members of the health care team; the use of informational resources; and participation in ongoing quality improvement projects.

Continuity of care between patients and primary care providers is a basic principal of Family Medicine. Senior students will continue with the same health care teams assigned to them as junior students. This arrangement improves the overall continuity for our patients, and allows individual students the option to maintain continuity relationships with patients from the junior FMMD rotation.  For ideal continuity, PCF/CCC blocks should be separated by 2-4 months.

Students may be given assigned readings and required to complete mandatory simulation / e-cases on common clinical problems. Students are expected to actively participate in departmental-based educational activities (Grand Rounds) and demonstrate self-directed learning.

Students will document the daily use of point of care resources to answer clinical questions raised by their patient encounters. The quality of clinical questions generated by the student, the level of information they find, and their ability to apply this information appropriately to patient care should improve as they progress through the rotation.  The students will choose two of these questions to submit for final approval before passing the course. 

Evaluation:

Passing the selective will require demonstrated attendance to all assigned activities, completion of all required activities, adherence to professional standards of behavior, and a passing score on all evaluations.  

Students, who expect to interview with multiple programs, are strongly encouraged not to choose this selective during the interview season. The maximum allowed excused absence from the rotation is two days.  Excused absences will require appropriate documentation and notice.

 

Blocks 3-11

Pass/Fail