Clinical Education Electives
Pam Shaw MD
pshaw@kumc.edu
General Guidelines for
IDSP 800-Clinical
• Student finds mentors for experience
• Form due April 1, 2012
• Student must be in good standing to participate
(or have permission from Dean Meyer)
• Mentors must agree to evaluate student
• Two credits for four weeks, four credits for eight
weeks
• Papers and/or Journals must be completed by
Sept. 1, 2012
Objectives
– Goal 1. By the end of this summer
experience:
• The student will be able to formulate a history
and physical for patients presenting in various
medical settings consistent with a 1st year level
student. This history and physical will be based
on information obtained by observation and
workup of patients with the mentor.
• The student will be able to communicate and
document patient care information using
appropriate medical terminology, abbreviations
and format consistent with a 1st year medical
student.
Objectives
• The student will be able to describe aspects of
health care in the setting that the mentor
practices in, including use of consultants,
government regulations and how they affect
their practice, and the use of third party payors.
• The student will be able to describe how the
mentor prioritizes concurrent responsibilities
such as caring for hospital and ambulatory
patients or attending to patients in the
Emergency room.
Objectives
• In addition to direct patient care, the student will
participate in all related patient care activities as
requested by the mentor such as hospital committee
meetings and medical supervision at sporting events.
• The student is strongly encouraged to participate in
non-medical community activities with their mentor.
These may include local service organization meetings
and/or chamber of commerce events.
• The student will employ a professional manner at all
times. This includes wearing appropriate attire,
attendance at all required activities, carrying out
responsibilities in a timely manner, and demonstrating
respect for patients, colleagues and support staff.
Requirements
– Student – Will maintain a text journal
during the summer clinical experience(s).
The journal can be submitted or can be
used to prepare a 2- to 3-page, doublespaced paper, which will include
descriptions of three or four of the most
significant/meaningful experience(s) that
the student had. What, why, how, etc. did
the particular experience(s) have an impact
on the student as a medical student, a
person, and/or as a future physician, etc.
Requirements
– Mentor – completes the “IDSP-800
Evaluation of Student Performance” at the
end of the program period and submits it to
the Clinical Education Coordinator (me)
(Evaluation includes the grade
recommendation).
– Final Grade will be issued to the Registrar
after ALL requirements have been met.
Procedures
– Student contacts a Mentor regarding
availability/feasibility for a summer Clinical Experience.
– Mentor & Student complete their information in the
form:.
• “3 IDSP-800 Summer Clinical Education Elective Proposal”
– Mentor or Student submits Proposal to Clinical
Education Coordinator for action: review/discussion,
possible revision, and recommendation for enrollment.
– If the experience is proposed for an international site,
then the Student must meet with the International
Coordinator.
– Student is notified of the outcome on the Proposal, and
follows instructions from Enrollment Coordinator.
– If you need to get access to the EMR for your
research, you must contact the clerkship coordinator
for the specialty who contacts Lindsay Silsby.
– Must complete O2 modules before access is given.
Available Activities
• Working with a KUMC faculty
• Working with an outside physician
• Working with an international
organization
• Work with safety net clinics
Search Program
• Cooperative program between KAMU and
KU AHEC
• Places students in Community Health
Centers or safety net clinics in rural and
urban centers
• Competitive process that is application
based
• Stipend to help cover costs is available
– Contact Melanie Lira at mlira@kspca or
call 785-233-8483
for details and application
INTERDISCIPLINARY SPECIAL PROGRAM : IDSP-800
School of Medicine, University of Kansas Medical Center
Approved by:
CLINICAL EDUCATION ELECTIVE PROPOSAL
Check appropriate proposed site:
- Other USA Site 
- International Site 


- KUMC Site 

All information is required:
KUMC STUDENT:
NAME: (first) __
(last) __
STUDENT KUMC NO. ___
Home Phone #: __
Cell Phone #: __ E-MAIL:__
Local Address: Street:: ___
Apt #:__
City: __
State: __
Zip: __
Clinical Time: # WEEKS doing research: __
DATES: mo:__/day:__ to mo.:__ /day:__
Credit Hours Proposed:
4   Full Time 40hr/week, 8 wks;
2   Part Time 20hr/wk, 8 wks or 40hr/wk, 4 wks).
Permission to see my transcript grades (Min GPA=2.0 to participate):   YES   NO
INTERNATIONAL APPLICATIONS:
“I have or will have by the travel leave date…”
  YES   NO. …an up-to-date, legal USA Passport
  YES   NO. …health insurance for international travel.
  YES   NO. …medical evacuation and repatriation insurances.
  YES   NO. …sufficient funds and be responsible to pay all reasonable expenses for my elective.
CLINICAL MENTOR:
CLINICAL EDUC. TITLE: ___
Involves student’s contact with patients   YES   NO
CLINICAL MENTOR:
NAME: (first) __
(last) __
  MD
  DO
Phone #: __ FAX: __
*E-MAIL:__
Position Title:__
Clinical Site:   KUMC (only Dept & Office needed below)
  Other: (Institution Name)__
Department:__
Department:__
Office Location: __
Address: __
City:__ State: __
Country:__
Zip:__
Agree to submit Student Performance Evaluation at completion (will be e-mailed to you):   YES   NO
STUDENTS & MENTORS: EXPAND EACH ITEM IN THE CHECKLIST AS NEEDED ON CONTINUATION PAGES FOR
COMPLETING THE APPLICATION:
•  MENTOR & STUDENT: Clinical Proposal - 3 pages maximum, double-spaced, and include:
Questions?
Contact Dr. Pam Shaw
pshaw@kumc.edu
913-588-3427