Department:

Family and Community Medicine

 
Title: Family Practice Acting Internship (Meets AI requirements) - MFCM983
Faculty: Department of Family and Community Medicine
Reporting Location: Family Medicine Hospital Service: Report at 7:30 am on the first day
of the rotation fo the J.Phillips Board Room for Morning Report.
Duration: Four Weeks
Number of Students: One
When Offered: All Year
Prerequisite: Fourth Year Status
Description: Students are required to take call about every four nights in the Scott and White Hospital, assuming responsibility (under attending physician and resident supervision) for inpatients' diagnostic workups, management, and discharge planning. Students will become familiar with issues in health care delivery, including DRG's, effective utilization of resources, and quality of care. Students will also have time in outpatient care, developing similar strategies. Opportunities exist for scrubbing in on minor surgical cases and performing bedside procedures.

Goals: The faculty will strive to:

  1. Expose fourth year medical students to the lifestyle of family practitioners, with respect to both inpatient and outpatient care, as well as familiarizing the student with duties associated with internship. This opportunity allows responsibility while under supervision and permits the student an intimate look at the demands and rewards of primary care.

Objectives: Upon completion of the rotation, the student should be able to:

  1. Demonstrate the ability to interview and examine patients, entering information clearly in patient records.
  2. Develop a differential diagnosis and diagnostic strategy.
  3. Order appropriate laboratory and imaging studies.
  4. Incorporate cost-effectiveness and risk-benefit concepts into patient care.
  5. Develop interpretation skills and select appropriate treatment strategies.
  6. Understand interactions of multiple health problems and multiple medications.
  7. Display understanding of health care team approach in inpatient care, including contribution of allied health professionals, and utilization review.
  8. Develop appropriate discharge planning and outpatient follow-up.
  9. Present data logically and concisely in verbal presentation.
  10. Demonstrate comprehension of family practice concepts, in long- term management of patient's health, in illness' impact on the family, and community health issues.

Learning Activities:

  1. Participating in the daily morning report.
  2. Rounding on assigned patients, making daily notes, writing orders which will be co-signed by attending or resident. Dictating discharge summaries and helping with discharge planning.
  3. Participating in core curriculum conferences.
  4. Participating in an outpatient clinic one half day per week. Seeing patients with the attending physician in either the Belton, Killeen or Santa Fe Clinics.
  5. Student may be responsible for informal teaching by independent research of problems arising with some of their hospitalized patients.

Learning Resources:

  1. Richard D. Haines Medical Library at the Scott and White Hospital
  2. Media Center at the Student Union Building on the CTVHCS campus.
  3. Participation of the clinical/medical librarian at morning report with help on searching for literature
  4. Staff clinical pharmacologist or pharmacology student intern.

Student Evaluation:

  1. Student will be evaluated using the standard A&M evaluation forms on a pass/fail basis.

Course Evaluation:

  1. The student will be given an opportunity to evaluate the elective, the attending physicians, and residents, and constructive criticism will be used to tailor the elective for future students.

Elective Administrator:

Marc Via, M.D.
Department of Family and Community Medicine
Scott and White Clinic
Temple, Texas 76508
(254) 771-8420



NOTE: This experience is also open to fourth-year students other than TAMU students.

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