2014-2015 Syllabus
I.
II.
III.
IV.
MFCM 800 Core Clerkship in Family Medicine Syllabus
Clinical Rotation, 7.5 credits
When Offered: Fall and Spring
Course Directors and Coordinators
Name
Email
Phone
Office location
Office hours
Campus
Name
Email
Phone
Office location
Office hours
Campus
Name
Email
Phone
Office location
Office hours
Campus
Course Director
Course Coordinator
R. Marc Via, MD
Jennifer Little
mvia@sw.org
jlittle@sw.org
Office: 254-771-7707
Office: 254-771-7707
Cell: 254-541-7512
Fax: 254-771-8493
Pager: 254-724-7508, #2804
Pager: 254-724-7508, #0927
Scott & White Santa Fe Clinic
1402 W. Ave H (Century Square Building)
Temple, TX 76504
By appointment
By appointment
Temple, TX
Temple, TX
Clerkship Director
Mark W. English, MD
mwenglish@medicine.tamhsc.edu
Office: 979-845-1574 /691-3607
Pager: 979-228-2123
Cell: 979-324-0057
Office of Family & Community
Medicine
TAMHSC Clinical Building I
8441 State Hwy. 47, Suite 4100
College Station, TX 77843-1114
By appointment
Bryan, TX
Course Coordinator
Teri Lee
tlee@medicine.tamhsc.edu
Office: 979-845-1574
Fax: 979-862-8310
Cell: 979-450-3231
St. Joseph Regional Health Center
2801 Franciscan Drive
Bryan, TX 77802
Clerkship Director
Joel Goode, MD
joelgoode@austin.rr.com
Office: 512-672-8933
Cell: 512-567-9441
Brushy Creek Family Physicians
4112 Links Lane, Suite 201
Round Rock, TX 78664
Course Coordinator
Cyndi Kershaw
kershaw@medicine.tamhsc.edu
Office: 512-341-4994
Fax: 512-341-4212
Texas A&M HSC-COM @ Round Rock
3950 N. A.W. Grimes Blvd, 4th Floor – Rm
N306N
Round Rock, TX 78665
By appointment
Round Rock, TX
By appointment
Round Rock, TX
Date Created/Revised: ________ By: _______
By appointment
Bryan, TX
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2014-2015 Syllabus
Name
Email
Phone
Office location
Office hours
Campus
Clerkship Director
Marc Bauer, DO
Marc.Bauer@baylorhealth.edu
Office: 972-272-6554
Cell: 972-765-3989
Baylor Fam Med Residency @ Garland
601 Clara Barton, Suite 340
Garland, TX 75042
By appointment
Dallas, TX
Course Coordinator
Joy Martinez
joy.martinez@baylorhealth.edu
Office: 214-820-4397
Fax: 214-820-7272
Baylor University Medical Center
3500 Gaston Ave – 1st Floor Roberts
Building
Dallas, TX 75246
By appointment
Dallas, TX
V. Course Description and Overview
Course Description:
Full-time clerkship experiences in the offices of primary care physicians.
Prerequisites: Completion of first and second years of the medical curriculum.
Course Goals:
The educational goal of the Department of Family and Community Medicine is to prepare medical
students to provide high-quality, personalized, comprehensive health care with an emphasis on the family
and integration of care.
The Department of Family and Community Medicine adheres the educational objectives put forth by both
the STFM (Society of Teachers of Family Medicine) and the Texas A&M Health Science Center College of
Medicine, which represent a careful evaluation of the core competencies acquired during a Family
Medicine Clerkship by all students.
VI. Course Objectives and Evaluation Method
Upon completion of the course, students will be able to:
COM
Competency
Course Objective:
Based
Learning
Objectives
1. Collaborate with health care
PC15
professionals, including those from
PROF6
other disciplines, to provide patientcentered care and preventive services
PROF10
across the life-span.
2. Demonstrate sensitivity and
PROF4
responsiveness to patients' culture, age,
ICS 1
gender and disabilities when providing
CC1
care.
3. Collect and incorporate appropriate
PC1
psychosocial, cultural and family data
PC12
into a patient management plan.
4. Make informed decisions about
diagnostic and therapeutic interventions
PC5
using patient information and
Date Created/Revised: ________ By: _______
Taught (T)
and/or
Evaluated
(E):
Evaluation:
T/E
Attending observation
T/E
Attending observation
T/E
Attending observation
T/E
Attending observation
T/E
Attending observation
N/A
N/A
T/E
Attending observation
T/E
Attending observation
T/E
Attending observation,
fmCASES, OSCE,
procedure log, Sim
Page 2
2014-2015 Syllabus
preferences, scientific evidence and
clinical judgment.
5. Describe the continuing role &
responsibility of the family physician in
the care of patients during the process
of consultation and referral.
6. Develop & implement a management
plan for common, acute illnesses using
a focused, problem-oriented
assessment.
7. Participate in a chronic disease
management plan in partnership with
the patient, patient's family and other
health care professionals that enhance
functional outcome & quality of life.
8. Counsel and educate patients and
families about acute and chronic
illnesses.
9. Perform office-based procedures under
supervision of a family physician.
10. Apply screening protocols based on
guidelines and recommendations to
identify risks for disease or injury and
opportunities to promote wellness for
the following care groups:
Child care
Adolescent care
Adult (e.g. hypertension,
hypercholesterolemia, diet, CAD,
cancer screening)
Geriatric
11. Counsel patients and their families
about serious effects of harmful
personal behaviors and habits and
appropriate health maintenance
strategies.
Date Created/Revised: ________ By: _______
Center(formative)
PC14
T/E
PROF6
T
PC5
T/E
MK5
T/E
PC4
T/E
PC8
T/E
PC10
T
ICS3
T/E
ICS4
T/E
ICS2
T/E
PC3
T/E
PC9
PC6
PC7
PC11
T
T
T
T
PC13
PC15
T/E
T/E
ICS3
T/E
ICS4
T/E
PC12
T/E
Attending observation
-Attending observation,
fmCASES, OSCE,
procedure log, Sim
Center (formative)
Attending observation,
fmCASES, OSCE,
procedure log, Sim
Center (formative)
Attending observation,
fmCASES, procedure
log
Attending observation,
fmCASES, procedure
log
N/A
Attending observation,
fmCASES, OSCE,
procedure log
Attending observation,
fmCASES, procedure
log
Attending observation
Attending observation,
Sim Center (formative)
Sim Center (formative)
Sim Center (formative)
Sim Center (formative)
-Attending observation,
fmCASES, procedure
log
Attending observation,
fmCASES, OSCE,
procedure log, Sim
Center (formative)
Attending observation,
fmCASES, OSCE,
procedure log
Attending observation,
fmCASES, procedure
log
Attending observation,
procedure log
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2014-2015 Syllabus
12. Apply culturally appropriate behavioral
change strategies (e.g. smoking
cessation) to support patient wellness.
13. Use appropriate technology (e.g. webbased, handheld computer) to support
patient education and disease
prevention activities
14. Describe the social, community and
economic factors that affect patient
care.
15. Integrate and apply the basic and
clinically supportive sciences,
appropriate to the discipline of family
medicine.
MK6
N/A
PC12
T
fmCASES, procedure
log
SBP5
T
Attending observation
SBP6
T/E
Attending observation
MK3
T
SBP3
T/E
MK1
MK2
16. Demonstrate an investigatory and
analytic thinking approach to clinical
situations.
17. Identify prevalent diseases, injuries and
conditions in which prevention plays a
role.
18. Demonstrate basic knowledge of the
complex factors involved in behavioral
change.
19. Make informed decisions about
diagnostic and therapeutic interventions
using patient information and
preferences, up to date scientific
evidence and clinical judgment.
20. Use appropriate screening tools and
protocols for health maintenance in
specific populations, including
immunizations across the age spectrum.
21. Use information technology to manage
information, access current medical
information and support own education.
22. Document appropriate information for
acute and continuing care in the patient
record.
23. Participate in consultation and referral
to other health care professionals.
24. Demonstrate effective, respectful
communication with other healthcare
professionals and clinical faculty.
Date Created/Revised: ________ By: _______
MK4
MK5
MK3
T/E
T/E
T/E
T/E
T
N/A
-Attending observation
Attending observation,
fmCASES, procedure
log, Sim Center
(formative)
Attending observation,
fmCASES, procedure
log, Sim Center
(formative)
Attending observation,
fmCASES, NBME,
OSCE, procedure log,
Sim Center (formative)
fmCASES, procedure
log
Procedure log
PBLI5
T/E
Attending observation,
OSCE, Sim Center
(formative)
MK5
T/E
Attending observation,
fmCASES
T/E
Attending observation
T/E
Attending observation
T/E
Attending observation
T/E
Attending observation
T/E
N/A
T/E
T/E
Attending observation
N/A
Attending observation
Attending observation
SBP5
ICS5
PROF6
ICS3
PROF2
PROF7
PROF11
PROF12
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2014-2015 Syllabus
25. Demonstrate respect for patients and
families in the referral and consultation
process.
26. Perform concise, problem-focused
presentation of patient that reflects
critical thinking in clinical decisionmaking.
27. Demonstrate respect for patient
confidentiality and privacy regulations.
28. Advocate for quality patient care and
assist patients in dealing with system
complexities.
29. Recognize potential conflicts of interest
and demonstrate awareness of
appropriate courses of action
30. Demonstrate an understanding of peer
review and the expectations of
professional licensing boards, including
medical jurisprudence
31. Demonstrate an understanding of the
legal and regulatory frameworks
governing the practice of medicine
which affect payment, reimbursement,
referrals and incentives
32. Recognize health care system
deficiencies regarding social needs,
access to care issues, and health
disparities when they arise and develop
strategies for optimal care of each
individual patient.
33. Identify and rectify deficiencies in their
knowledge base and skill set
34. Incorporate formative evaluation
feedback into personal performance
35. Accomplish learning and improvement
goals with appropriate self-directed
activities
36. Utilize information resources and
available data to support life-long
learning
37. Demonstrate an understanding of the
basic principles and importance of
scholarly activity in the practice of
medicine
38. Recognize and appropriately address
gender and cultural biases in
themselves, in others, and in the
process of health care delivery
Date Created/Revised: ________ By: _______
PROF4
T/E
Attending observation
PC1
PC2
T/E
T/E
Attending observation
Attending observation
PC3
T/E
Attending observation
PROF5
T/E
Attending observation
PROF1
SBP1
PROF3
SBP2
T/E
T/E
T/E
T
Attending observation
Attending observation
Attending observation
N/A
PROF8
N/A
N/A
PROF9
N/A
N/A
SBP4
N/A
N/A
SBP7
N/A
N/A
PBLI1
T/E
Attending observation
PBLI2
T/E
Attending observation
PBLI3
N/A
N/A
PBLI4
T
N/A
PBLI6
N/A
N/A
CC2
N/A
N/A
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2014-2015 Syllabus
VII. Attendance Policy
Unanticipated Absences & Tardiness
The Department of Family Medicine adheres to attendance policies as set forth in the College of Medicine
Student Handbook. In case of personal illness, critical illness within your immediate family, family death,
or other circumstances (including being late) where you will not be able to participate in required
activities, you must follow the directions for reporting your absence/tardiness as follows:
Guidelines for notification of absences for the following Hospital/Clinic/Didactic Sessions:
1. Contact the FM Clerkship Coordinator. If that person is unavailable, a voice message may be
left.
2. Notify the clinic contact (as marked on your schedule) or attending faculty by 7:30 AM. You
MUST talk to a person. Emailing and/or voicemail are unacceptable.
3. If you cannot contact any of the above persons, page/call your Clerkship Director.
Failure to comply with the above expectations may result in remediation and points counted
off for the professionalism component of your final grade.
For a complete description of the absence and personal day policy please see the Student Handbook
(http://medicine.tamhsc.edu/student-affairs/docs/handbook.pdf).
Anticipated Absences
The Department of Family Medicine encourages students to continue to participate in extracurricular
activities such as AMA and TMA. Please complete the webform listed below with information regarding
your extracurricular activities.
Personal Days
As outlined in the Student Handbook, students are allowed two (2) days of personal leave. If you need
to request a personal day during this rotation, please do so at least two (2) weeks in advance. Personal
days should also be submitted through the absence request form. These absences are reported on
One45. These days may not be taken, for obvious reasons, during times of final testing or didactic
sessions.
It is the students responsibility to submit the online Phase III (M3) Absence form
http://medicine.tamhsc.edu/current/absence-forms/m3-absence.html to request an absence or personal day for
any reason. Absences and personal days may or may not be approved by the Clerkship Director and/or
other applicable staff.
Students are allowed up to two personal days during their third year rotation. Personal days must be
approved in advance and approval is not guaranteed, but will depend on the activities of the team and
the number of students off on any given day.
Please note that these personal days may not be taken during an OSCE exam, NBME or other scheduled
exam (no half days or hour counts are permitted).
Absences, regardless excused or unexcused, totaling 10% or more of the days for a clerkship will require
counseling and the development of a remediation plan. If absences exceed 20% of the days required for
a clerkship, the student may be required to repeat the clerkship before being promoted to the fourth
year. If absences exceed 20% of the days for two clerkships, the student may be required to repeat the
entire year as determined by the Student Promotions Committee. Unauthorized absences will result in a
failure of the clerkship, academic probation or dismissal by the Student Promotions Committee.
Remediation Due to Absences
Date Created/Revised: ________ By: _______
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2014-2015 Syllabus



Absences in excess of 3 days of scheduled clerkship time will necessitate make-up experience
and may affect your clerkship grade.
Absences in excess of 6 days will require a remediation plan.
Absences of 7 or more days will require repeating the clerkship.
VIII. Policies and Procedures
Schedules
You will receive schedules at Orientation. Subsequent changes will be emailed
to you.
Dress Code
A student’s personal grooming standards and selection of attire will promote a
positive image for our profession and demonstrate respect for our patients. A
clean and neat appearance will be expected at all times. A white jacket and
nametag will be worn when in the clinics and hospital setting when engaging
in any and all patient activities. Gentlemen will wear ties when participating in
clinical patient care activities. Women will dress in dress/slacks with no low
cut tops. All students will wear closed toe shoes.
This same dress is expected for any simulated live patient experience; i.e.,
mid-point OSCE and final OSCE.
For those rotating on a hospital service, you may wear neat, clean, properly
fitting scrubs only if staff approves and if in compliance with the institution’s
dress code; however, you must still wear a clean white coat and nametag.
Surgical scrubs are prohibited outside the hospital.
See the Orientation Packet for expected dress code to didactics/lectures.
Clinic Experience
You will be assigned to an approved Family Medicine Clinic for the length of
the rotation and will be expected to function as an integral member of the
health care team.
You will see patients in the clinical setting with senior staff physicians and
participate in taking histories, performing physical examinations, formulating
differential diagnoses, development of treatment plans, and communicating
the results and assessment to the patient.
See the Orientation Packet for a list of FM clinics, numbers, and contact
information.
Hospital Service
Didactic Sessions
See the Orientation Packet for detailed information about the hospital
experience.
You are expected to attend all lectures and skills workshops. These didactic
sessions are conducted to cover topics presented in the Third Year Curriculum
Outline. References and any handouts are to be reviewed prior to the
conferences to promote student learning and participation. These sessions
compliment the references rather than summarize the references. The
sessions are designed to enable students to pursue information beyond the
referenced materials, to have time for questions, to participate in simulated
problem solving/patient management, and to promote clinical correlation
Date Created/Revised: ________ By: _______
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2014-2015 Syllabus
rather than solely to provide didactic information.
Please see the Orientation Packet and/or your individual calendar for schedule
and locations.
Clinical Simulation
See the Orientation Packet for detailed information about the clinical
simulation activities.
Patient Encounter &
Procedure Logs
Required by COM



Refer to the College of Medicine documentation policies.
Document all patient encounters and procedures in One45.
Does not replace required logs by Family Medicine.
Patient/Procedure
Logs Required by
Family Medicine

You must complete your procedure log and meet 100% of the required
diagnoses/procedures to pass this portion of the final grade.
You are required to complete AND log at least half of the mandatory
patient encounters/procedures (11 out of 23) onto the One45 system prior
to the Mid-Point Practice OSCE.
You must enter in all required diagnoses / procedures into One45 by the
last day of the block in order to receive credit. You will also need to turn
in your paper log to the Clerkship Coordinator by the last day of your
rotation.
If you do not fulfill this requirement, you will receive an “Incomplete” for
Family Medicine and will be given a remediation plan, which must be
completed to pass the clerkship.



fmCASES

You must complete the following ten (10) preselected mandatory cases
on-line. You will need to complete these cases at the Med-U website by
end of your Family Medicine rotation to receive credit. If you fail to fulfill
this requirement, you receive an “Incomplete” for Family Medicine and will
be given a remediation plan, which must be completed to pass the
clerkship.
fmCase
fmCase
fmCase
fmCase
fmCase
fmCase
fmCase
fmCase
fmCase
fmCase


Mid-Point Practice
OSCE
#1: 45-y/o F – Annual Exam
#2: 55-y/o M – Annual Exam
#9: 50-y/o F – Palpitations
#10: 45-y/o M – Low Back Pain
#16: 60-y/o M – Skin Lesion
#18: 24-y/o F – Headaches
#24: 4-w/o F – Fussiness
#26: 55-y/o M – Fatigue
#28: 58-y/o M – Short Breath
#29: Dementia
You are required to complete AND log at least half of the mandatory
fmCASES (5 out of 10) onto the MedU website prior to the Mid-Point
Practice OSCE.
If you do not log a real patient encounter, as listed on the procedure log,
you must complete the corresponding fmCASE; also due by the end of the
rotation to receive credit.
We have several goals we would like to accomplish by providing this
experience:
Date Created/Revised: ________ By: _______
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2014-2015 Syllabus



To give you an idea of what the FM OSCE standardized patient (SP)
cases will be like.
To provide a platform for formative learning.
To demystify the OSCE to some degree.
Our intention is for this to be low stress and strictly for your benefit in hopes it
will help you feel more confident when performing in the pass/fail OSCE at the
end of the clerkship.
Interim Evaluation
Form
This is a mandatory requirement of the Family Medicine Clerkship
and will be your responsibility to generate while in your assigned
Family Medicine clinic.
Prior to the scheduled Mid-Point Practice OSCE:
You are expected to complete the Interim Student Self-Assessment portion of
the Family Medicine Clerkship Interim Evaluation Form (see Appendix).
You are to ask your Clinical Preceptor to complete both the Interim Student
Checklist (where your preceptor will physically witness you perform a history,
physical exam and wrap-up on the SAME patient) and the Interim Faculty
Evaluation (where your preceptor will give you verbal feedback of your
performance) portions of the Family Medicine Clerkship Interim Evaluation
Form. Both you and your clinical preceptor are required to sign and date the
form.
You are expected to have at least half of the mandatory patient encounters
(11 out of 23) logged onto One45 and at least half (5 out of 10) of the
mandatory fmCases completed at MedU AND logged onto One45.
At the scheduled Mid-Point Practice OSCE:
You are required to bring your completed Family Medicine Clerkship Interim
Evaluation Form with you to the Mid-Point Practice OSCE.
You will meet with the Clerkship Director (or designee) for a Formal Interim
Patient Encounter Conference to evaluate your progress with patient logs,
fmCases, and to discuss any perceived deficits in your learning experience.
Both you and the Clerkship Director (or designee) is required to sign and date
the form.
Exit Interview
You are expected to meet with either the Clerkship Director (or designee) on
the last day of your rotation following all of your testing. This is a mandatory
activity where you will be asked wrap-up questions concerning your overall
clerkship experience.
General Duties and
Responsibilities
You are responsible for completion of the required readings and for your
overall self-education.
Whenever a scheduled conference occurs at a time when some other clinical
activity is in progress in the clinics or while on hospital service, the scheduled
didactic session will take precedence.
We believe that you must develop problem solving/patient management skills
Date Created/Revised: ________ By: _______
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2014-2015 Syllabus
in addition to acquiring a sound base of clinical knowledge. Self-education will
be a career-long responsibility and learning style for you as a physician. Our
teaching methods are designed to promote these concepts.
Whom to See If You
Have a Problem
During the clerkship various situations may develop for which you may want
assistance. If general information is desired, educational materials are
required, or general problems develop, your first contact will be the FM
Clerkship Coordinator for assistance.
Any specific administrative problems which are encountered during the
clerkship should be promptly directed to the Clerkship Director or the Regional
Chair. Students are welcome to contact the above individuals or any member
of the Department Faculty whenever they wish information, advice, or
consultation.
In cases where you do not feel that issues are being resolved within the
departmental lines, please contact the Office of Student Affairs.
Confidentiality
Of course, patient confidentiality is demanded of health care professionals.
This includes electronic information, which should be treated the same as
paper information/charts. Information on electronic sources should not be
accessed inappropriately.
Do not discuss patient care in hallways, elevators, stairwells, etc. Do not
leave medical records lying around in unsecured areas (conference rooms,
cafeteria, etc.)
In addition, confidentiality of student examination materials is also required.
Information contained on the Objective Structured Clinical Exam (OSCE), or
National Board exams will not be discussed, copied, disseminated or shared by
students.
IX. Learning Materials and Activities
Course materials are available online 24/7 on the One45 and/or Blackboard system.
Learning
 The following items can be found on Blackboard (tamhsc.blackboard.com)
Resources:
o Family Medicine Syllabus
o Handouts & Power Points for didactic sessions
o Family Medicine recommended reading articles
o Musculoskeletal Exam Videos
 Any additional resources will be listed in the Orientation Packet.
 fmCASES
Clinic
Resources:



Available
Resources:




Staff physicians and patients.
Books, patient education materials, videotapes, pamphlets and nursing
instruction provided for the patient.
Selected review articles, library resources, and/or internet readings as
assigned by faculty.
Texas A&M Medical Library LRC/LRU
Portable electronic device programs (e.g., PDA, cell phone, etc.)
Epocrates
DynaMed
Date Created/Revised: ________ By: _______
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
Essential Evidence Plus
Studying for the Family Medicine NBME:
Since the field of Family Medicine is so broad, it is difficult to find one good study book that can be
reviewed during the six-week clerkship. Many students want to know what to study. The following are
suggestions made by a few students who have performed exceedingly well on the Family Medicine NBME
in recent years. These are only suggested readings and NOT mandatory. No matter how you decide to
study for the NBME, it is important to have a reading schedule that begins on day one of the rotation.






Step-Up to Medicine Book: This text is geared toward Internal Medicine. The chapter on
Ambulatory Medicine is particularly good.
NMS Q&A for Family Medicine, 2nd edition:
This is a board questions text book published in
2007.
First Aid for the USMLE Step 2: This book is broad, thorough, but shallow. This is good to use
with Up-to-Date Online or other daily reading on topics exposed to daily in the clinic.
Pre-Test Family Medicine: This is a question-and-answer review for family medicine questions on
the USMLE Step 2 and shelf exams. You will find 500 board-format questions, complete with
explanations of both correct and incorrect answers.
Case Files Family Medicine: This text presents 55 real-life cases that illustrate essential concepts
in Family Medicine. Each case includes a complete discussion, clinical pearls, references,
definitions of key terms, and USMLE-style review questions.
fmCASES: This is an online product created by MedU. http://www.med-u.org/
X. Grading and Remediation Policies
Philosophy:
As a foundation for evaluating medical students in clinical settings we use these basic assumptions:
 The vast majority of medical students are very intelligent, highly motivated learners who will
become competent and caring physicians with our help.
 Most medical students will perform at the expected level, i.e., will receive “B’s”
 The grade of “A” or “outstanding” should be reserved for students who distinguish themselves
relative to their contemporary and historical colleagues.
 The grade of “C” or “passable” should be given to all students who do not perform at the
expected level and need improvement.
 It is our obligation to identify unacceptable performance with a grade of “F”.
NOTE: Most Third Year Students on the Core Clerkship are/or become competent recorders and
interpreters; i.e., they can retrieve and record data accurately and arrive at a reasonable diagnosis with
differential diagnoses in most patients. This is expected and achievement to this level warrants a grade
of “mid B” (about 85). We educate our faculty that the “average 3rd year student should score exactly an
85”.
Although the staff will give you feedback on an ongoing basis in between patients, you are advised to be
pro-active and ask up front not only for feedback on your performance but on what the preceptor expects
of you.
The final course grade will be based on the following:
Grade Component
Percentage or Points Value
Clinical
70%
NBME Shelf Exam
30%
*OSCE
Pass/Fail
*Encounter/Procedure Log
Pass/Fail
Date Created/Revised: ________ By: _______
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2014-2015 Syllabus
*The student must pass the OSCE and Encounter/Procedure Log to pass Clerkship.
Honors:
1.
2.
3.
4.
5.
6.
The student must attain overall grade of ≥ 90.
The student must pass the OSCE.
The student must pass the Encounter/Procedure Log.
Complete patient logs completed as per FM Clerkship rules (syllabus); i.e., in a timely manner.
Complete procedure logs as per FM Clerkship rules (syllabus); i.e., in a timely manner.
Complete fmCases as per FM Clerkship rules (syllabus); i.e., in a timely manner.
Pass:
1.
2.
3.
4.
The
The
The
The
student
student
student
student
must
must
must
must
attain an overall grade of ≥ 70.
pass the OSCE.
pass the Encounter/Procedure Log.
complete the fmCases as stated in the FM Syllabus.
Fail:
1. The student attains an overall grade of ≤ 69.
All Campuses
Clinical Grade Calculation
 Outpatient Clinical Evaluations = 80%
Each faculty member, who worked with the student, submits clinical evaluations that are then
averaged equally.
 *Hospital Service evaluations = 20%
(*Round Rock does not include a hospital service and will use 100% outpatient evaluations.)
AIM (Longitudinal)
Clinical Grade Calculation
Grading conference to determine clinical evaluation grade.
Mid-year grading conference grade=50%
End-of-year grading conference grade=50%
Clinical
(Clinic and
Hospital Service) 70 % of Final
Grade
NBME Exam –
30% of Final
Grade
Clinical Evaluation Form:
The evaluations by the staff will be done online at the One45 website utilizing
the clinical evaluation form approved by the College of Medicine.
Clinic:
Mid-Point & End Point Evaluation: Any staff physician that you worked with at
least 3 half days during the first half of the rotation will fill out a midpoint
evaluation. The same policy applies to preceptors in the last half of the rotation.
Hospital Service:
The attending physician will complete the clinical evaluation form for a student’s
hospital service week.
Refer to the Official College of Medicine Phase III Grading & Remediation
Policies.
Date Created/Revised: ________ By: _______
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2014-2015 Syllabus
You will take the Objective Structured Clinical Exam (OSCE) at your Campus
Simulation Center which will take place the last week of your rotation.
OSCE –
Pass/Fail
The material tested will be common scenarios in ambulatory Family Medicine and
the didactic material. The OSCE will be given to evaluate performance of
minimum competency levels of knowledge and clinical reasoning/problem solving
skills. These stations reflect four (4) patient interaction situations.
See Appendix for more specifics concerning the OSCE.
Interim Evaluation Completed and turned into designated Clerkship Coordinator.
Form
Patient/Procedure Completed (on One45 and paper) and turned into designated Clerkship
Log –
Coordinator.
Pass/Fail
fmCASES –
Completed (on MedU and paper) and turned into designated Clerkship
Pass/Fail
Coordinator.
Additionally, if a student fails to perform in a professional and ethical manner, regardless of
examination grades, it may be grounds for failure of the clerkship or depending on the
specific occurrence, a reduction of the student's clinical grade.
Additionally, in order to satisfactorily complete the course, students are expected to
punctually attend scheduled conferences, rounds, clinics, and other scheduled activities.
Mandatory Components for Successful Completion of Clerkship:
Evaluation of
You are required to evaluate any faculty member that you have worked with for
Preceptors
at least 1.5 days during your rotation at the One45 website. Your responses will
remain anonymous and the faculty member will only receive the feedback after
the posting of your final grade.
Course Evaluation
At the conclusion of the clerkship, each student will be required to complete a
"Clerkship Evaluation Form" to assist the Faculty in the ongoing evaluation and
planning of the clerkship. This evaluation will be generated by the Office of
Academic Affairs via the One45 website. These forms are confidential and
anonymous and will not affect your final grade.
Pass
Fail
Grading Scale
70 – 100
69 and below
ROUNDING:
Refer to the Official College of Medicine Phase III Grading & Remediation Policies.
Remediation:
Failure/Remediation guidelines are outlined in the College of Medicine Student Handbook and Addendum.
On Family Medicine, if a student fails only the National Board examination and all other parameters of
evaluation are satisfactory, the Board exam may be retaken. The student receives a grade of IP (In
Progress) until the test is retaken. However, it may not be retaken at a time that interferes with another
clerkship/course.
Date Created/Revised: ________ By: _______
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2014-2015 Syllabus
If the student fails the OSCE only, he/she will receive a grade of IP (In Progress) and may retake it
once. Students will be given the opportunity to retake the OSCE during the midpoint of Phase 3 and at
the end of Phase 3. These retakes will be offered on a single campus predicated on the staffing and
resources available at the time. The student must pass the OSCE to complete clerkship. If a student
fails the OSCE twice, he/she will receive a failure in the clerkship and must remediate the entire clerkship.
If the student fails a clinical evaluation, or any individual part of a clinical evaluation, it will be discussed
and reviewed by the Family Medicine Clerkship Directors and any remediation will be determined on a
case by case basis.
If the student fails two out of the three (NBME, Clinical Evaluation, and OSCE), he/ she will receive a
failing grade and must remediate the entire Family Medicine Clerkship.
XI. Course Schedule
Please refer to the Orientation Packet for didactic topics and staff. You will be given a schedule at
Orientation. Any changes to this schedule will be e-mailed to you throughout the rotation.
XII. Patient Encounter Logs:
Below are the required encounter logs for Family Medicine. Note: all patient encounters
must be recorded as required by the College of Medicine.
XIII. Patient Encounter Logs
FMED Clerkship REQUIRED Procedure Log:
MANDATORY Procedures
Procedure
Interpret:
Interpret:
Interpret:
Interpret:
Date
Venue
clinic or
hospital
Level of
student
responsibility*
Doctor
Date
Venue
Doctor
On-Line
Level of
student
responsibility*
Perform
N/A
On-Line
Perform
N/A
On-Line
Perform
N/A
On-Line
Perform
N/A
On-Line
Perform
N/A
On-Line
Perform
N/A
CBC (Obj: 15,16)
Electrolytes (Obj: 15,16)
HgbA1c (Obj: 15,16)
Lipid Panel (Obj: 15,16)
MANDATORY fmCASES
Diagnosis
fmCase #1: 45-y/o F – Annual Exam (Obj:
4,10,17,20)
fmCase #2: 55-y/o M – Annual Exam (Obj:
4,10,17,20)
fmCase #9: 50-y/o F – Palpitations (Obj:
4,6,15,16)
fmCase #10: 45-y/o M – Low Back Pain (Obj:
4,6,15,16)
fmCase #16: 60-y/o M – Skin Lesion (Obj:
4,6,15,16)
fmCase #18: 24-y/o F – Headaches (Obj:
4,6,15,16)
Date Created/Revised: ________ By: _______
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2014-2015 Syllabus
fmCase #24:
fmCase #26:
fmCase #28:
4,6,15,16)
fmCase #29:
4-w/o F – Fussiness (Obj: 4,6,15,16)
55-y/o M – Fatigue (Obj: 4,6,15,16)
58-y/o M – Short Breath (Obj:
On-Line
On-Line
On-Line
Perform
Perform
Perform
N/A
N/A
N/A
Dementia (Obj: 4,6,7,15,16)
On-Line
Perform
N/A
MANDATORY Patient Encounters
Diagnosis
Date
Venue
Level of
student
responsibility*
Doctor
Date
Venue
clinic,
hospital,
online
Level of
student
responsibility*
Doctor
Arthritis, DJD/Osteoarthritis (Obj: 6,7,8)
Chest Pain (Obj: 6,7,8)
CHF (Obj: 6,7,8)
COPD (Obj: 6,7,8)
Cough (Obj: 6,7,8)
Hyperlipidemia (Obj: 6,7,8)
Obesity (Obj: 6,7,8,11,12)
Pain (Obj: 6,7,8,18)
Tobacco Abuse (Obj: 6,7,8,11,12)
MANDATORY Patient Encounters OR fmCASES
Diagnosis / fmCase
Insomnia (Obj: 4,6,15,16)
fmCase #3: 65-y/o F - Insomnia
Diabetes (Obj: 4,6,15,16)
fmCase #6: 57-y/o F - Diabetes
Leg Swelling (Obj: 4,6,15,16)
fmCase #7: 53-y/o M – Leg Swelling
Hypertension (Obj: 4,6,15,16)
fmCase #8: 54-y/o M – Elevated B/P
Knee Pain (Obj: 4,6,15,16)
fmCase #11: 74-y/o F – Knee Pain
Shortness of Breath (Obj: 4,6,15,16)
fmCase #13: 40-y/o M – Short Breath
Abdominal Pain (Obj: 4,6,15,16)
fmCase #20: 28-y/o F – Abdominal Pain
Fever (Obj: 4,6,15,16)
fmCase #21: 12-y/o F – Fever
Sore Throat (Obj: 4,6,15,16)
fmCase #23: 5-y/o F – Sore Throat
Shoulder Pain (Obj: 4,6,15,16)
fmCase#25: 34-y/o M – Shoulder Pain
XIII. Important Legal Information and Policies
a. TAMHSC E-mail Access and FERPA
Date Created/Revised: ________ By: _______
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2014-2015 Syllabus
TAMHSC is communicating all official information to students through the students’ TAMHSC e-mail
accounts. Please check the account frequently during the semester for updates.
This course is supported with web-based and/or e-mail activities. In order to take advantage of these
additional resources and participate fully in the course, you have been assigned an e-mail address by the
Texas A&M Health Science Center. This e-mail address is for internal use only, so that faculty may
communicate with you and the entire class. By registering for this course, you are agreeing to allow your
classmates to have access to this e-mail address. Should you have any questions, please contact the
Office of the Registrar at 888-523-2905.
The Family Educational Rights and Privacy Act of 1974 (FERPA), which the HSC complies fully, is intended
to protect the privacy of education records, to establish the rights of students to inspect and review their
education records and to provide guidelines for the correction of inaccurate or misleading data through
informal and formal hearings. Students also have the right to file complaints with the Family Educational
Rights and Privacy Act Office of the Department of Education in Washington, D.C., concerning alleged
failures by the HSC to comply with the act.
b. Students with Disabilities
The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides
comprehensive civil rights protection for persons with disabilities. Among other things, this legislation
requires that all students with disabilities be guaranteed a learning environment that provides for
reasonable accommodation of their disabilities. If you believe you have a disability requiring an
accommodation, please contact the Disability Services Office at 979-845-1637 or visit the website
http://disability.tamu.edu/. Any student with a disability who needs accommodation should inform the
instructor at the beginning of the course.
c. Professionalism and integrity Statement (Academic Honesty and Plagiarism)
All TAMHSC students are required to comply with the student code of conduct and the academic integrity
and honesty standards published in each component’s Student Handbook. Disciplinary action will be
taken in accordance with the policies of each component. Students found guilty of Academic Dishonesty
will receive an “F”/Unsatisfactory in the course.
As commonly defined, plagiarism consists of presenting as one's own the ideas, words, writings, etc.,
which belong to another. In accordance with this definition, you are committing plagiarism if you copy
the work of another person and turn it in as your own work, even if you should have the permission of
that person. Plagiarism is one of the worst academic violations, for the plagiarist destroys the trust
among colleagues without which academic communication cannot be safely conducted.
d. Mistreatment of Students
The College of Medicine is committed to providing a positive learning environment in which students can
meet their academic goals based on mutual respect in the teacher/learner relationship. Both parties must
be sensitive to the needs of others and differences in gender, race, sexual orientation, religion, age or
disability. As outlined in the Standards of Conduct in the Teacher-Learner Relationship, belittlement,
intimidation and humiliation are unacceptable for effective learning and undermine self-esteem. Breaches
involving student mistreatment may result in a faculty or staff member being sanctioned or the loss of
faculty and/or staff appointment. The College of Medicine internal policy for dealing with claims of
student mistreatment or unprofessional behavior is described here. This policy addresses student
mistreatment involving College of Medicine employees. However, we realize that a student may
experience mistreatment from residents, affiliate staff, or patients. These instances will be discussed in
Section V of the document. Please access the policy at http://medicine.tamhsc.edu/dean/policies/studentpolicies/mistreatment-of-students.html for more information regarding reporting, resolution of claims,
appeals, and responsibilities. To report mistreatment via College of Medicine telephone hotline, dial
Date Created/Revised: ________ By: _______
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2014-2015 Syllabus
1(855)-397-9835. To report via web page, click http://medicine.tamhsc.edu/dean/policies/studentpolicies/form.html
e. Exposure and Occupational Hazard
The Needle Stick Policy for Medical Students may be accessed at:
http://medicine.tamhsc.edu/dean/policies/student-policies/needle-stick-policy.html
Note: More information is available on the aforementioned topics to all students in the online course
catalog and or on the College of Medicine website.
XIV. College of Medicine Competency Based Learning Objectives
College of Medicine Competency Based Learning Objectives can be found under the Office of Academic
Affairs website:
http://medicine.tamhsc.edu/academic-affairs/curriculum/objectives/
XV. Principles and Guidelines for Curriculum Development
Principles and Guidelines for Curriculum Development can be found under the Office of The Dean
website:
http://medicine.tamhsc.edu/dean/policies/pdf/curriculum-principles-guidelines.pdf
Date Created/Revised: ________ By: _______
Page 17