SYLLABUS College of Medicine Course title and number Term (e.g., Fall 200X) Meeting times and location MFCM 801-00B: Family Medicine Outpatient Clinic Fall 2015 and Spring 2016 8:00am to 5:00pm 1730 Birmingham College Station, TX Course Description and Prerequisites This elective will provide a conducive learning environment for advanced experience in managing common ambulatory illness. It will expose the student to clinical learning situations that provide an opportunity for the students to enhance and improve the skills required of a family practitioner, including history, physical, differential diagnosis, evaluation and treatment regimens. It will illustrate the broad aspects of the practice of Family Medicine as a specialty that strives for continuity, quality, and comprehensive care, and an emphasis on the patient with a disease in the context of his environment. It will allow the student to become comfortable with his assessments and develop confidence in his therapeutic decisions. The student will be mentored in a fashion that clearly demonstrates that the Family Physician plays a vital role as a patient advocate that honors life. Instructor Information Elective Director Name Telephone number Email address Office hours Office location Coordinator Haywood Robinson, MD 979-764-4043 haywoodrobinson@hotmail.com By appointment 1602 Rock Prairie Rd, #240 College Station, TX Name Telephone number Email address Office hours Office location Teri Lee 979-845-1574 tlee@medicine.tamhsc.edu By appointment 2801 Franciscan Drive Bryan, TX Learning Outcomes & Objectives 1. Demonstrate the ability to collect, organize, record and verbally communicate patient data in an ambulatory setting. These include skills in obtaining a medical history, efficiently performing an adequate and accurate physical exam, recording initial and follow-up data clearly, and selecting appropriate laboratory, x-ray and other diagnostic studies with an emphasis on cost effectiveness, patient convenience and safety. 2. Develop an understanding of the role of the family-oriented primary care physician in terms of responsibility for managing the patient’s health problems, assuming responsibility for continuity of care, identifying potential effects of the patient’s problems on other family members or on the family unit as a whole, and utilizing family relationships in managing patient’s problems. 3. Develop an understanding of the role of appropriate specialty or subspecialty consultations and understanding indications for these consultations. Date Created/Revised: _04/15/15____ By: __TL___ 4. Develop the technical skills necessary in an ambulatory care setting, including familiarity with drugs commonly used in ambulatory care patients, performance of common office diagnostic and therapeutic procedures, ability to carry out patient education at an appropriate level, and be comfortable with communication skills. COM Competency Based Learning Objectives: http://medicine.tamhsc.edu/academicaffairs/curriculum/objectives/ Principles and Guidelines for Curriculum Development: http://medicine.tamhsc.edu/policies/pdf/curriculumprinciples-guidelines.pdf Course Objective: 1. Demonstrate the ability to collect, organize, record and verbally communicate patient data in an ambulatory setting. These include skills in obtaining a medical history, efficiently performing an adequate and accurate physical exam, recording initial and follow-up data clearly, and selecting appropriate laboratory, x-ray and other diagnostic studies with an emphasis on cost effectiveness, patient convenience and safety. 2. Develop an understanding of the role of the family-oriented primary care physician in terms of responsibility for managing the patient’s health problems, assuming responsibility for continuity of care, identifying potential effects of the patient’s problems on other family members or on the family unit as a whole, and utilizing family relationships in managing patient’s problems. 3. Develop an understanding of the role of appropriate specialty or COM Competency Based Learning Objectives (CBLO): Taught (T) and/or Evaluated (E): Evaluation: MK1 PC1 PC2 T, E Attending Observation ICS3 PROF 1 PROF10 SBP1 T, E PROF6 T, E Date Created/Revised: _04/15/15____ By: __TL___ Attending Observation Attending Observation subspecialty consultations and understanding indications for these consultations. 4. Develop the technical skills necessary in an ambulatory care setting, including familiarity with drugs commonly used in ambulatory care patients, performance of common office diagnostic and therapeutic procedures, ability to carry out patient education at an appropriate level, and be comfortable with communication skills. Click here to enter text. ICS3 T, E Attending Observation Textbook and/or Resource Material Learning Resources 1. The Harriet Lane Handbook by Michael A. Barone 2. The Sanford Guide to Antimicrobial Therapy by David N. Gilbert 3. Epocrates Essentials. PDR Symptom Treatment Diagnostic (Optional) Learning Activities 1. The student will be responsible for evaluating ambulatory patients, will subsequently discuss with the family medicine faculty the pertinent history and physical features, the differential diagnosis and develop a plan of management of the ambulatory patients. If diagnostic or therapeutic procedures need to be performed, primarily, the student will be responsible for learning these procedures. 2. Accompany staff physician to meetings in the area of office management, nursing, physician interactions and monthly staff meetings. 3. Accompany staff physicians on in-hospital rounds when patients were evaluated and admitted by the student from the outpatient clinic. The student will be expected to participate, yet not be totally responsible, for the care of these patients. Textbooks (Required and Recommended Resources) The following book is recommended for this course. Title: Essentials of Family Medicine Author: Sloane, Slatt, Ebell, Smith, Power and Viera Edition/Copyright: 6th Edition/2012 Publisher: Lippincott Williams & Wilkins ISBN: 978-1-60831-655-7 Date Created/Revised: _04/15/15____ By: __TL___ Grading Policies GRADING SCALE Satisfactory 70-100 Unsatisfactory 69 and below Should the course director determine remediation is required, the remediation plan will be at the discretion of the course director and on a case by case basis depending on the issues involved. Remediation plans could entail some (or all) of the following examples: Additional clinical shifts, research papers, presentations, article reviews, exams, directed reading, web-based modules, etc. If the student performance results in a failure of the elective, it will be recommended that the elective be taken again in its entirety. Attendance and Make-up Policies TAMHSC – COM student handbook states: Students who miss more than 20% of a 4th year elective for any reason (2 weekdays during a two-week rotation or 4 weekdays for 4 week rotation) will require a remediation plan. Course Topics, Calendar of Activities, Major Assignment Dates Elective Requirements: Students are required to work two or four weeks in an outpatient clinic setting, Monday through Friday, from 8:00am to 5:00pm. Record of Attendance: Students are required to turn in to the Elective Coordinator a Duty Hours log on the last day of the elective. Other Pertinent Course Information The Family Medicine Outpatient Clinic is for a total of 2 to 4 weeks, Monday through Friday. Only one student can be scheduled at a time during the same time frame. This will be approved on a first come, first serve basis. Americans with Disabilities Act (ADA) 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 Disability Services, in Cain Hall, Room B118, or call 8451637. For additional information visit http://disability.tamu.edu Date Created/Revised: _04/15/15____ By: __TL___ Any student with a disability who needs accommodation should inform the instructor at the beginning of the course. Academic Integrity For additional information please visit: http://aggiehonor.tamu.edu “An Aggie does not lie, cheat, or steal, or tolerate those who do.” College of Medicine Professionalism and integrity Statement (Academic Honesty and Plagiarism) All College of Medicine 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. For a full list of actions qualifying as academic dishonesty, please review the College of Medicine Student Handbook at http://medicine.tamhsc.edu/student-affairs/docs/handbook.pdf. According to the Aggie Honor System Office, plagiarism is defined as the appropriation of another person's ideas, processes, results, or words without giving appropriate credit. Intentionally, knowingly, or carelessly presenting the work of another as one’s own (i.e., without crediting the author or creator). Plagiarism and other academic misconduct definitions can be viewed on the Aggie Honor System Office website; http://aggiehonor.tamu.edu/RulesAndProcedures/HonorSystemRules.aspx#definitions. E-mail Access and FERPA The College of Medicine 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 TAMU’s Office of the Registrar at 979-845-1031. 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. 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 Student Handbook under the section titled 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. These policies address student mistreatment involving College of Medicine employees, residents, affiliate staff, or patients. Mistreatment may be reported through the College of Medicine telephone hotline, 1(855)-397-9835 or through an online form at http://medicine.tamhsc.edu/current/student-mistreatment-form.html. For a full list of reporting avenues, please refer to the Student Handbook under the Mistreatment Policy. Exposure and Occupational Hazard Date Created/Revised: _04/15/15____ By: __TL___ The Needle Stick Policy and Bloodborne Pathogen Exposure information for Medical Students may be accessed in the Student Handbook at: http://medicine.tamhsc.edu/student-affairs/docs/handbook.pdf Note: More information is available on the aforementioned topics to all students on the College of Medicine website. Date Created/Revised: _04/15/15____ By: __TL___