SYLLABUS
College of Medicine
AY 2015-2016
Course title and number
Term
MFCM 821 OOT: Family Practice Clinic Outpatient Elective
All Year - Clinical Rotation, 4 Weeks
Course Description
Students will be assigned to a Family Medicine Clinic, have a patient roster, and be responsible for
evaluating, treating and following a variety of out-patients with close staff supervision. Hours are 8 - 5
PM, five days a week in the clinic, plus hospital rounds if the student admits a patient. This rotation is
offered specifically to students who have a keen interest in Family Medicine, intend to seek residencies
in Family Medicine or wish to sharpen their skills and broaden their knowledge in a primary care area. In
addition, fourth year clerks from other institutions may take this rotation in order to acquaint themselves
with the Scott & White Family Medicine Residency program.
Goals
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The Faculty will strive to:
Provide a conducive learning environment for advanced experience in managing common
ambulatory illness.
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 programs.
Illustrate the broad aspects of the practice of Family Medicine as a specialty that strives for
continuity of care, quality of care, and an emphasis on the patient with a disease in the context
of his environment.
Give the student an understanding and ample clinical opportunity for the proper utilization of
basic diagnostic laboratory and x-ray procedures and the correct interpretation of the results.
Allow the student to become comfortable with his assessments and develop confidence in
his/her therapeutic decisions.
Bring to the students an awareness of the critical elements in organization and management of
a typical family office situation.
Assist the student in recognizing and responding to the socioeconomic problems that influence
delivery of health care.
Course Director and Coordinator
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
Pager: 254-724-7508, #2804
Fax: 254-771-8493
Scott & White Santa Fe Clinic
1402 W. Ave H (Century Square Building)
Temple, TX 76504
By appointment
By appointment
Temple
Temple
Learning Outcomes & Objectives
Date Created/Revised: 5/15/2015 By: JL
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.
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COM Competency
Based Learning
Objectives
(CBLO):
MK4: Apply
evidenced-based
methods to
clinical problem
solving
PC1: Obtain both
complete and
system-focused
medical histories
that include
psychosocial and
behavioral
determinants of
health
PC2: Perform
both complete
and systemfocused physical
examinations
PC3: Develop
appropriate
differential
diagnoses by
integrating
collected clinical
information
PC4: Develop
contextual and
individualized
diagnostic and
treatment plans
based upon
collected clinical
information
PC5: Interpret the
results of
commonly used
laboratory and
radiologic studies
PC12: Educate
patients in
personalized
health
maintenance
PC13: Perform
basic health risk
assessment and
Taught (T)
and/or
Evaluated (E):
Evaluation:
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Clinical
Performance
Rating/Checklist
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formulate
appropriate
screening plans
PC14: Properly
utilize clinical,
laboratory,
radiologic, and
pathologic
examinations to
diagnose and
treat common
maladies
ICS1:
Demonstrate
effective listening
skills
ICS2: Discuss
diagnostic and
treatment options
in a manner
comprehensible
to the patient
ICS3:
Communicate
effectively with
patients, patients'
family members,
peers, and other
members of the
health care team
ICS4: Educate
patients, patients'
family members,
peers, and other
members of the
health care team
at an appropriate
level using
appropriate
technologies
PROF3: Act in the
patient's best
interest and serve
as a patient
advocate
ICS4: Educate
patients, patients'
family members,
peers, and other
members of the
health care team
at an appropriate
level using
appropriate
technologies
PROF5: Respect
the privacy of
patients
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Clinical
Performance
Rating/Checklist
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2. Develop interpretation skills as
the basis for clinical problem
solving, with respect to their
importance and immediacy.
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3. 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 unity as a
whole, and utilizing family
relationships in managing patient’s
problems.
SBP3:
Demonstrate an
understanding of
cost containment
principles and
their application
in the delivery of
health care
MK4: Apply
evidenced-based
methods to
clinical problem
solving
PROF10:
Demonstrate
knowledge of
responsibilities to
patients, peers,
and other
members of the
health care team
PROF12: Project
a professional
image in
demeanor and
personal
appearance
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PC6: Recognize
common
immediately lifethreatening
conditions and
initiate therapy
PC7: Formulate
an initial
management plan
for critically ill
patients
PC10: Discuss
the principles of
pain management
and formulate a
basic
multidisciplinary
care plan
PC12: Educate
patients in
personalized
health
maintenance
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ICS1:
Demonstrate
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Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Clinical
Performance
Rating/Checklist
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4. Develop an understanding of the
role of appropriate specialty of
subspecialty consultations and
understanding indications for these
consultations.
Date Created/Revised: 5/15/2015 By: JL
effective listening
skills
ICS2: Discuss
diagnostic and
treatment options
in a manner
comprehensible
to the patient
ICS3:
Communicate
effectively with
patients, patients'
family members,
peers, and other
members of the
health care team
ICS4: Educate
patients, patients'
family members,
peers, and other
members of the
health care team
at an appropriate
level using
appropriate
technologies
PROF3: Act in the
patient's best
interest and serve
as a patient
advocate
PROF4: Treat
patients and
patients' family
members
respectfully and
compassionately,
regardless of age,
disability, gender,
race, ethnicity,
culture, religion,
sexual preference,
and socioeconomic status
MK1:
Demonstrate
knowledge of
normal human
structure and
function at the
organ-system,
tissue, cellular
and molecular
level; and of the
interaction of
human systems in
maintaining
homeostasis
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
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5. 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.
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MK3:
Demonstrate an
understanding of
how healthy
lifestyles,
psychosocial
factors, and
behavioral factors
influence heath
MK5:
Demonstrate an
understanding of
the epidemiology
of common
diseases within a
population and
the approaches
which are useful
in reducing their
incidence and
prevalence
PC2: Perform
both complete
and systemfocused physical
examinations
PC3: Develop
appropriate
differential
diagnoses by
integrating
collected clinical
information
PC4: Develop
contextual and
individualized
diagnostic and
treatment plans
based upon
collected clinical
information
PC9: Perform
technical
procedures
including:
venipuncture and
arterial puncture;
insertion of
intravenous,
central venous,
and urethral
catheters;
insertion of a
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
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6. Demonstrate an improvement in
the general fund of medical
knowledge.
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nasogastric tube;
lumbar puncture;
basic suturing;
and basic airway
management
ICS1:
Demonstrate
effective listening
skills
ICS2: Discuss
diagnostic and
treatment options
in a manner
comprehensible
to the patient
ICS3:
Communicate
effectively with
patients, patients'
family members,
peers, and other
members of the
health care team
ICS4: Educate
patients, patients'
family members,
peers, and other
members of the
health care team
at an appropriate
level using
appropriate
technologies
PROF2: Display
honesty, integrity
and ethical
behavior
PROF4: Treat
patients and
patients' family
members
respectfully and
compassionately,
regardless of age,
disability, gender,
race, ethnicity,
culture, religion,
sexual preference,
and socioeconomic status
PROF5: Respect
the privacy of
patients
MK1:
Demonstrate
knowledge of
normal human
structure and
function at the
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
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7. Recognize in him and others the
qualities that not only make a
competent physician, but one who is
compassionate and humane as well.
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Date Created/Revised: 5/15/2015 By: JL
organ-system,
tissue, cellular
and molecular
level; and of the
interaction of
human systems in
maintaining
homeostasis
MK2: Describe
the basic
mechanisms
involved in the
causation of
human disease
and their
influence on
clinical
presentation and
therapy
MK3:
Demonstrate an
understanding of
how healthy
lifestyles,
psychosocial
factors, and
behavioral factors
influence heath
MK4: Apply
evidenced-based
methods to
clinical problem
solving
MK5:
Demonstrate an
understanding of
the epidemiology
of common
diseases within a
population and
the approaches
which are useful
in reducing their
incidence and
prevalence
PROF2: Display
honesty, integrity
and ethical
behavior
PROF7:
Demonstrate an
awareness of
leadership roles
in medicine and
society
PROF12: Project
a professional
image in
demeanor and
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
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8. Understand and appreciate the
role of personality traits, situational
disturbance, stress and how it
impacts acute and chronic illness.
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9. Have an understanding for office
management issues through
observation and participation of
ongoing clinic, business office and
nursing procedures.
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personal
appearance
CC2: Recognize
and appropriately
address gender
and cultural
biases in
themselves, in
others, and in the
process of health
care delivery.
CC1:
Demonstrate an
understanding of
the manner in
which diverse
cultures and
belief systems
perceive health
and illness and
respond to
various
symptoms,
diseases, and
treatments.
CC2: Recognize
and appropriately
address gender
and cultural
biases in
themselves, in
others, and in the
process of health
care delivery.
PROF2: Display
honesty, integrity
and ethical
behavior
PROF2: Display
honesty, integrity
and ethical
behavior
PROF5: Respect
the privacy of
patients
PROF6: Work
with other health
professionals in a
collaborative
fashion
PROF8:
Recognize
potential conflicts
of interest and
demonstrate
awareness of
appropriate
courses of action
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
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PROF9:
Demonstrate an
understanding of
peer review and
the expectations
of professional
licensing boards,
including medical
jurisprudence
PROF10:
Demonstrate
knowledge of
responsibilities to
patients, peers,
and other
members of the
health care team
PROF11:
Respond to
conflicts in a
professional
manner
PROF12: Project
a professional
image in
demeanor and
personal
appearance
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Attendance Policy
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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.
Students must contact the elective coordinator prior to any anticipated absences; e.g.,
interviews, appointments, vacation. Students must contact both the elective coordinator and
staff physician for unanticipated absences; e.g., tardiness and illness. Failure to communicate
absences through the correct channels will require remediation of all/part of the rotation by the
student.
Learning Materials and Activities
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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.
The student is expected to attend the Department of Family Practice Resident lectures.
The student will have reading assignments and self-teaching concerning individual patients seen
and evaluated, and covering common ambulatory problems.
Accompany staff physician to meetings in the area of office management, nursing, physician
interactions, and monthly staff meetings.
Accompany staff physicians on any 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.
Ongoing exposure to interesting cases, physical findings and common disease.
Allow appropriate follow up so that a continuum of health and disease can be experienced.
Date Created/Revised: 5/15/2015 By: JL
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The student will be expected to make a presentation to the attending staff at his assigned clinic.
The subject of this presentation is to be determined by the student and staff.
Learning Resources
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Selected review articles with special emphasis on patients evaluated by the student.
Patient education materials, videotapes, pamphlets and nursing instruction provided for patient.
Clinic satellite libraries – Compilation of several resource volumes for the student’s utilization.
Textbooks (Required and Recommended Resources)
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Richard D. Haines Medical Library – 3rd Floor TAMU II Building
Student Learning Resource Center – 4th Floor TAMU II Building
Grading and Remediation 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.
Course Schedule (may include in Appendices if available)
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Hours are 8:00 – 5:00 PM, five days a week in the clinic
Schedule will be provided by the course coordinator.
Patient Encounter Logs: N/A
Important Legal Information and Policies
a. TAMHSC E-mail Access and FERPA
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
Date Created/Revised: 5/15/2015 By: JL
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/student-policies/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 1(855)-397-9835. To report via web page,
click http://medicine.tamhsc.edu/dean/policies/student-policies/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.
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/
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
Academic Integrity
“An Aggie does not lie, cheat, or steal, or tolerate those who do.”
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