PREREQUISITES AND PLACEMENT IN THE CURRICULUM: Completion of M2 Year; Year Three
PURPOSE: Generalist MD Clinical III: Longitudinal Primary Care is a continuation of Years 1 and 2 of the IPC program. In the first two years of the program, students establish a relationship with a preceptor in an outpatient setting and learn the art of communication through patient encounter. In the M-3 year, students take on increasing responsibility for the patients they see. They also integrate various types of data (clinical, epidemiologic , environmental, behavior, socio-economic) with their increasing clinical skills while keeping their focus upon the patient-physician relationship.
COMPETENCIES: In the process of completing this course, students acquire the following competencies:
• Continuity of care and long-term relationship with patients and families and ability to maintain the relationship with the patient in both office and hospital environments.;
• Skill building for history-taking, physical exam, ddx and management and understanding the role of the physician as a member of the patient care team;
• Skill building for wellness, risk assessment, health promotion , disease prevention and counseling patients;
• Development of ability to identify and to manage the psychosocial aspects of patient and family care;
• Cultivation of habits of life-long learning through awareness of changes occurring in medicine with regard to hospitalization of patients and a continual practice of reading the literature for patient care.
ACADEMIC ELIGIBILITY: As of June 20, 1997, the Curriculum Committee has stipulated that:
• Students taking this elective must sit for and pass a June administration of USMLE Step I on the first attempt;
• Students who wish to take this elective must be in good academic standing and maintain academic eligibility throughout the M3 year in order to receive LPC M3 elective credit. To maintain academic eligibility:
• Students can have no more than one end-of-year clerkship exam failure and the student must successfully remediate this deficiency during the next regularly scheduled make -up period . Note that students will only be granted ONE attempt to remediate a single end-of-clerkship exam failure in order to receive LPC credit. If the student fails the exam a second time, or fails another end-of-clerkship exam, the student will lose academic eligibility and cannot get credit even if all the LPC sessions have been completed. Multiple exam failures will automatically result in student ineligibility to receive LPC credit.
• Students cannot receive a “Needs Remediation” assessment for the clinical component of any clerkship. Any grade less than a “Proficient” in the clinical component of the clerkship will automatically result in student ineligibility to receive LPC credit even if all the LPC sessions have been completed.
• Students who successfully complete this elective will be awarded two weeks of elective credit.*
ASSESSMENT: Students must complete eighteen half-day sessions with their preceptor on average of once every other week throughout the academic year. A Grade Report as well as Mid-Year and a Year-End Professional Behavior Forms document the student’s efforts and will confirm that the student has completed sessions on a longitudinal basis rather than doing them all in close proximity to each other at the end of a term. The student will also write a five to ten page reflective paper on their experience.
Program Number: CLER 613
Location: various sites as assigned
Program Director: Nimmi Rajagopal, MD
Coordinator: Shila Koswatta, MPA firstname.lastname@example.org
Duration: 2 half day sessions/month =18 sessions/yr*
Night Call: No
Outpatient: 4 hr sessions approx . 2/month
Students accepted: Min. none Max. none
Housestaff used as Faculty: Yes
KEY WORDS: Continuity of care, patient-physician relationship, medical practice, longitudinal care.
*Alternatively, students may take the course for nine sessions - once monthly - for a credit of one week.