Sub-I Curriculum

We offer elective experiences to suit the medical student’s individual needs. Students can choose from a predominantly outpatient clinical rotation, seeing patients in any one of our three busy urban residency clinics (Cherry Hill, Sea Mar, Seattle Indian Health Board) or an inpatient-focused rotation, taking call with our residents on our Family Medicine Service and care for the obstetric, pediatric, and adult medicine patients they admit under the supervision of our senior residents and faculty. In addition, students will complete a patient education, quality improvement, or community oriented primary care project. Students will be assigned a faculty advisor with whom they will develop personalized written goals for the rotation. Students will be responsible for their own housing, food and transportation.

Goals of the Rotation:

Students will provide care for the full spectrum of family medicine, including pediatric, obstetric, and adult medicine inpatient and outpatient care.

  • Students will serve as interns for Family Medicine services associated with residency programs under the supervision of family medicine residents and attending physicians.
  • Students will be able to perform an initial assessment of patients under consideration for admission to the family medicine service.
  • Students will be able to implement diagnostic and therapeutic plans taking into account evidence-based information and patient preferences.
  • Based on their demonstrated knowledge, skills and attitudes, students will be able to participate on an inpatient family medicine team with an advanced degree of independence and responsibility in preparation for their R-1 year.
  • Under the guidance of residents and faculty, students will formulate clinic questions relevant to patient care, research appropriate sources, and present evidence-based information to team members.
  • Students will participate in an activity designed to promote community health.
  • Students will learn to provide patient-centered inpatient care and document that care appropriately.
  • Students will be able to provide continuity of care to patients in both the hospital and the ambulatory setting.
  • Students will provide care to a multi-ethnic, underserved patient population.

Objectives:

  • Training will be tailored to the individual needs of the student to provide a mix inpatient and outpatient care depending on the student’s preference.
  • Perform a complete and accurate patient-centered initial history and physical exam for patients being considered for admission or admitted to the family medicine service.
  • Evaluate patients in the residency’s outpatient clinic, combining subjective and objective date to formulate diagnoses and design appropriate treatment plans that reflect patient-centered, evidence-based practice.
  • Deliver succinct and organized oral summaries of patient cases to residents and attending physicians.
  • Write through, complete, legible, organized admission notes, progress notes, and clinic notes that support the degree of care provided including presenting problems, past medical history, personal information, family history, review of systems and physical examination.
  • Formulate diagnostic and treatment plans independently before review with residents, attending physicians and consultants.
  • Interact with floor administrators, nurses, social workers, therapists, consultants and the other members of the family medicine team to achieve good patient outcomes taking into account the patient's perspective.
  • Perform procedures as necessary for patient care under the supervision of residents, consultants or attending physicians.
  • Complete a patient education, quality improvement, or community oriented primary care project.

Schedule:

  • Call will be 1 weekend and 3 weekdays

Conferences:

  • Students will also participate in a variety of didactic experiences offered through the residency

Evaluation of course:

  • Web Q online evaluation form will evaluate both program and faculty teachers

Evaluation of student:

  • This course will not have a written test. The course director will formally evaluate student performance with input from faculty and residents.

    References: See web site (under development, will provide more details and direct links to these references available through UW Health Sciences Library web site).

Web:

  • EBM Tutorial site
  • Up to Date
  • UW HSL Care Provider's Toolkit

Required Readings: 

  • As needed to provide appropriate patient care.

 

 

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