Welcome to the Family Medicine Clerkship

1. 1 Welcome to theFamily Medicine Clerkship Course Operations Grading Site Information Scheduling Questions Thanks Linda - Good Morning. Pamela Young and myself are here to give you a brief overview about the FM Clerkship. We will cover 3 areas including 1) the key components of the clerkship curriculum 2) an introduction to the 24 training sites, and 3) an overview of the course operations. I would like to underscore that this is an overview - think of it as a movie trailer - I know that a number of you will have questions about the specifics of the sites and we encourage you to come visit us in our office so that we can address your specific questions.Thanks Linda - Good Morning. Pamela Young and myself are here to give you a brief overview about the FM Clerkship. We will cover 3 areas including 1) the key components of the clerkship curriculum 2) an introduction to the 24 training sites, and 3) an overview of the course operations. I would like to underscore that this is an overview - think of it as a movie trailer - I know that a number of you will have questions about the specifics of the sites and we encourage you to come visit us in our office so that we can address your specific questions.

2. 2 The clerkship is 6 weeks in length. We have 24 different training sites spanning the 5 state WWAMI region. The sites cater to somewhat unique patient populations - as you can see from the short site descriptions in your scheduling handbook - some sites exclusively serve native American populations -such as anchorage, other sites serve large immigrant populations - Renton Valley - a large Russian population, SeaMar large Latino population . Other sites have satellite rotations i.e. Yakima students spend one week in Toppenish at the Yakima Indian Health Center. Exposure to all ages including newborns, children, adolescents, adults and the geriatric pop. Patient’s SES vary significantly most sites serving a mix of Medicaid, and private insurance.The clerkship is 6 weeks in length. We have 24 different training sites spanning the 5 state WWAMI region. The sites cater to somewhat unique patient populations - as you can see from the short site descriptions in your scheduling handbook - some sites exclusively serve native American populations -such as anchorage, other sites serve large immigrant populations - Renton Valley - a large Russian population, SeaMar large Latino population . Other sites have satellite rotations i.e. Yakima students spend one week in Toppenish at the Yakima Indian Health Center. Exposure to all ages including newborns, children, adolescents, adults and the geriatric pop. Patient’s SES vary significantly most sites serving a mix of Medicaid, and private insurance.

3. 3 Goal and Objectives Our Goal: Students will learn and apply the Family Medicine approach to health care Students will achieve this goal by meeting four objectives outlined on our web site

4. 4 Curriculum Daily interactions with patients working one-on-one with preceptors and senior residents Family Medicine Clerkship Web Site See Requirements section on our web site LCME tracking of your experience is required No required textbook. The bulk of your curriculum will focus upon your daily interactions with patients and preceptors The structured curriculum you will find on the FM Clerkship Home page (see handout with URL) Student Guide - includes Electronic Syllabus 1999 piloting electronic problem based learning discussion groups Now Pamela Young is going to share with you some specifics about the sites and the course operations. Pamela - The bulk of your curriculum will focus upon your daily interactions with patients and preceptors The structured curriculum you will find on the FM Clerkship Home page (see handout with URL) Student Guide - includes Electronic Syllabus 1999 piloting electronic problem based learning discussion groups Now Pamela Young is going to share with you some specifics about the sites and the course operations. Pamela -

5. 5 Working One-On-One with Faculty in Yakima

6. 6 Course Operations Our web site gives details Take your computer Electronic communications required Email reminder prior to clerkship start sent to your UW address. Notify School of Medicine of E-mail address changes Physical address changes Name changes

7. 7 Family Medicine Clerkship Web Site URL: http://www.fammed.washington.edu/predoctoral/clerkship Or Google: UW Family Medicine Clerkship

8. 8 Requirements Clerkships are managed experiences with requirements. Ignoring the requirements will impact your grade.

9. 9 Grading Criteria for Honors, High Pass, Pass on web site You will receive a separate professionalism grade (as in all clerkships) Clerkship exam Pass/Fail - if you pass it does not change your grade Repeat allowed after first failure with no possibility of Honors Second exam failure: repeat clerkship Grades are posted online through the “Assignment Tracker” on our website.

10. 10 Grading Mid/End of Clerkship Review meetings required Weekly completion of Assignment Tracker required for these review meetings Failure to meet this requirement means No possibility of honors

11. 11 Scheduling Site Selection Housing Third Year Track Selection

12. 12 Site Selection Same core experiences at each site Each site has distinguishing characteristics Choose a site that fits your interests and needs

13. 13 Site Selection Geographic diversity Rural, Urban, Suburban, Underserved Community and Residency sites Diverse patient populations

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16. 16 Near Petersburg, Alaska

17. 17 Other WWAMI Sites Wyoming Buffalo Torrington Alaska Anchorage Petersburg Nome Montana Billings Missoula Havre Whitefish Idaho Boise Pocatello

18. 18 Housing Housing accommodations vary across sites. Housing Needs Survey Complete as part of your 3rd year registration Critical to know: If you are bringing anyone with you. If you are willing to share housing with person of opposite sex. Notify the School of Medicine immediately if your needs change.

19. 19 Scenes from SE Alaska

20. 20 Call & Pagers Call varies from site to site As often as every third night though less in many sites If this is of concern, contact the site coordinator for updated information Bring your pager and/or cell phone if it will work; this is NOT required Sites often provide pagers when needed

21. 21 Duty Hours / Absence Policy Duty Hours and Absence Policy are similar to all other third-year clerkships Details are on our web site Communicate time off needs before the start of the clerkship, after reading policy Few exceptions made except for personal emergencies Expect to be in clinic the entire last week Sites determine whether you work on UW holidays (as with all clerkships).

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23. 23 Site Selection Information Site descriptions on our web site Visit us in E 304

24. 24 Flying into Nome, Alaska - our newest clerkship site

25. 25 Third Year Track Selection Choose from one of eight options Consider the clerkship order that best suits your needs. Everyone has to take some clerkship first.

26. 26 Schedule with Care Prioritize your own personal interests and needs when scheduling. Consider excellent sites all over WWAMI region. Changes later in the year will be difficult. All requests for scheduling changes go through the registrar, Ms. Connie Lamb and not through Family Medicine

27. 27 Family Medicine UW Clerkship Team Visit us at Health Sciences E-304 Visit our web site E-mail us (info on web site) Call us at 543.9425 Toby Keys Program Coordinator Amanda Keerbs, MD Faculty Co-director Tom Greer, MD Faculty Co-director

28. 28 Questions?

29. 29 Family Medicine Clerkship Second Year Scheduling Tom Greer MD, MPH Last revised 11/18/2008