Objectives: To approach the practice of family medicine in a small town with limited access to specialists and how to use available resources to provide high quality care.
To learn about care coordination with larger healthcare systems in this practice setting.
To learn about the practice of medicine in a small community and how physicians are integrated into that community.
To develop a family systems based approach to providing care.
Supervision: The preceptors are Yale graduates who provide primary care for a diverse population in both the hospital and clinic setting. In addition to both inpatient and outpatient family medicine, they also have a large practice in transgender medicine for both youths and adults, providing a unique practice opportunity.
Facilities: A.O. Fox Hospital, Oneonta, New York
Scheduling Restriction(s): Scheduling per permission of director/preceptor
Student’s Class Level: 4th, 5th year
Length of Rotation: 2 to 4 weeks (maximum-1 student)
Prerequisite(s): Completion of 3rd year clerkships
Accept Visiting Students: No
- History skills. Gather the important information that is needed for the family medicine history and complete a history in the medical record for at least 30 patients per week. Aim to see 2 patients in the hospital and 6 clinic patients per day.
- Physical examination skills. Complete a pertinent physical examination on at least 30 patients per week. Aim to see 2 patients in the hospital and 6 clinic patients per day. The student should demonstrate the ability to perform this pertinent physical examination while being observed by at least one attending.
- Knowledge/diagnostic and treatment skills: Know about common conditions encountered in family medicine.
- Procedural skills. The student will observe procedures performed in the office and hospital as they are encountered.
- Attitude: Demonstrate professional responsibility in working as a team member with other members of the healthcare team, patients and families.
- Career/context: The student will develop an appreciation for what it is like to practice family medicine in a small town with limited access to specialists.
Objective: To expose the medical student to the wide variety of clinical situations encountered in a national model, community-based Family Medicine Residency Program.
Clinical Activities: In our offices, you will see and examine a wide variety of patients, present your findings and differential diagnosis, develop a plan of investigation and management with your supervisor, and explain the plan to your patients. Students will manage and document care using our electronic health record. In the hospital, you will be a member of the team on the Family Medicine Inpatient Service which provides medical, pediatric, newborn, maternity, and consultative care. At all time, your responsibilities will be commensurate with your abilities.
Formal Teaching Activities: Formal teaching activities include both didactic and interactive sessions. Bedside teaching rounds occur daily on the Family Practice Inpatient Service. The student will participate in several weekly conference series and attend three-hour hands-on seminars each Wednesday afternoon.
Supervision: Overall supervision will be by Dr. Cardona. The senior resident or faculty member present in the office or hospital will provide direct clinical supervision on any particular day.
Facilities: Our three offices in Middletown, Portland, and East Hampton are well equipped with facilities for minor surgery, casting, colposcopy, spirometry, audiometry, complete vision screening, electrocardiograms, various cultures and rapid, enzyme-based diagnostic tests. Each office has a teaching microscope and full videotaping capabilities.
Scheduling Restriction(s): Not offered 06/15/15 – 08/07/15. 1) Must go to John Genest to seek approval from Dr. Michelle Cardona. 2) Contact Jack LeConche or Mary Kennedy to be scheduled for rotation.
Student’s Class Level: 3rd, 4th, 5th year
Length of Rotation: 4 weeks (maximum-1 student)
Accept Visiting Students: No. *For international students: only accredited Canadian Medical School Visiting students are considered.
- History skills. Gather the important information that is needed for both comprehensive and problem-oriented histories for a variety of types of patients and complete a history in the medical record for at least 20 patients.
- Physical examination skills. Complete a pertinent physical examination for the evaluation of common medical problems encountered by family physicians in the outpatient and inpatient settings on at least 20 patients. The student should demonstrate the ability to perform this pertinent physical examination while being observed by at least one attending or resident.
- Knowledge/diagnostic and treatment skills: Display appropriate knowledge of common primary care conditions.
- Procedural skills. Perform various inpatient and outpatient procedures as they arise in the course of patient care during the rotation.
- Attitude: Demonstrate professional responsibility in working as a team member with other members of the family medicine team, patients and families.
- Career/context: Know the training/career pathway for Family Medicine