"Nuts & Bolts 2" - A Guide to the Clinical Years
Section 5: Third-Year Clerkship Information & Objectives
Table of Contents
Core Clerkship Objectives:
Anesthesia 110 Clerkship Objectives
At the completion of this course, students will be able to:
Scientific Foundations
1. Describe an approach to the concept of general anesthesia, i.e., analgesia
and amnesia.
2. List the common agents used to provide analgesia and explain how
these agents provide sedation and hypnosis and to produce muscle relaxation and
its antagonism.
3. Discuss how to manage the autonomic nervous system.
4. Describe various anesthetic options including general anesthesia,
regional anesthesia, peripheral nerve blocks and monitored anesthesia care.
5. List which co-existing conditions impact the perioperative experience.
6. Discuss how to the identify and treat malignant hyperthermia.
7. Outline the principles of intravenous fluid and blood component therapy,
and conscious sedation.
Clinical Skills
1. Establish rapport and communicate effectively with perioperative patients
and families.
2. Demonstrate an understanding of doctor-patient relationships in a
therapeutic, supportive, and culturally sensitive way for perioperative patients and families.
3. Perform a directed preoperative history and physical examination.
4. Perform at least two comprehensive airway examinations.
5. Interpret indicated preoperative diagnostic tests., e.g., electrocardiogram.
6. Develop an anesthetic plan based on the surgical procedure, the health of
the patient and, if appropriate, the personal preference of the patient.
7. Perform intravenous catheter insertion.
8. Develop skills in arterial puncture, lumbar puncture and central line placement.
9. Manage the airway of the unconscious patient. Techniques include the
jaw thrust, oral/nasal airway insertion, facemask, laryngeal mask airway, direct
laryngoscopy and endotracheal intubation.
10. Participate in the conduction of anesthesia for surgical patients.
11. Interpret changes in vital signs during the course of an anesthetic.
12. Describe the crisis management process.
13. Develop a plan for postoperative pain management.
Learning, Teaching and Scholarship Skills
1. Develop an assessment for each patient based on discussion with the
anesthesia care team and independent reading.
2. Present preoperative patients to the anesthesia care team.
3. Investigate topics related to the anesthetic management of patients cared for
by the team.
Professional Attributes and Values
1. Communicate effectively with perioperative patients and families about
their hospital experience and perspective on their care.
2. Appreciate your own emotional response to patients and their care.
3. Treat patients with respect.
4. Communicate with attendings and residents about expectations and
feedback, and incorporate constructive feedback.
5. Work collaboratively and communicate effectively as a member of a
anesthesia care team, acting with honesty and integrity.
6. Appreciate the content and confidentiality of the anesthetic and
other perioperative medical records.
Top
Family & Community Medicine 110
Clerkship Objectives
At the completion of this course, students will be able to:
Scientific Foundations
1. Describe the differential diagnosis, evaluation and management of cough
and shortness of breath including asthma, COPD, URI.
2. Describe the differential diagnosis, evaluation and management of chest
pain in primary care.
3. Describe the diagnosis and management of diabetes mellitus in the
outpatient setting including HCM and common complications.
4. Discuss the differential diagnosis, evaluation and management of hypertension.
5. Discuss the diagnosis, evaluation and management of hyperlipidemia
and obesity.
6. Discuss the differential diagnosis, evaluation and management of
acid-peptic disease.
7. Discuss the differential diagnosis, evaluation and management of
mood disorders in Primary Care (anxiety and depression).
8. Discuss the differential diagnosis, evaluation and management of
substance abuse (alcohol, tobacco, drugs) in primary care and describe models for
behavioral change.
9. Discuss strategies for management of pain in the outpatient setting.
10. Describe health care maintenance and disease prevention for patients
using age-base and disease-based risk factors.
11. Describe the increased health risks and barriers to access to care of
medically underserved populations.
Clinical Skills
1. Establish rapport and communicate effectively with patients and families.
2. Demonstrate an understanding of doctor-patient relationships in a
therapeutic, supportive, and culturally sensitive way to communicate with patients and families.
3. Distinguish between a new patient visit, a follow-up visit, and an acute visit.
Focus the patient visit and organize information appropriately for each.
4. Perform an appropriate focused history and physical exam on an
undifferentiated patient in outpatient setting.
5. Select and interpret appropriate diagnostic tests.
6. Develop an assessment, including a differential diagnosis, based on information
gathered from the history, physical exam, and laboratory data.
7. Do a clinical case presentation for each patient following S-O-A-P format.
8. Write a complete note for each patient seen following S-O-A-P format.
9. Perform a functional assessment of a geriatric patient in his/her home.
10. Discuss medication adherence with a patient and strategies for improvement.
11. Counsel patient about behavioral modification (exercise, smoking cessation...)
Learning, Teaching and Scholarship Skills
1. Develop an assessment of each patient based on discussion with the
attending and independent reading.
2. Present patients in weekly behavioral science seminar, facilitate
discussion (one week), and actively participate in discussion about psychosocial and
cultural aspects of patient care.
3. Perform a community health assessment and participate in a
preventive medicine project in the community.
4. Give an oral presentation assessing key health issues in a local
community (access to care, etc) and describe work on a preventive medicine project (see above).
5. Write up a functional assessment of a geriatric patient and discuss impact
of activities of independent adult daily living, functional limitations, and caregiver
strain on patient's health status.
Professional Attributes and Values
1. Communicate effectively with physician colleagues, distinguishing
referrals and consultations and formulating clear consult questions.
2. Describe the confidentiality standards that apply to the communication
of medical information.
3. Listen to and communicate effectively with patients, patients' families,
and colleagues and others who contribute to health care delivery, both orally and
in writing.
4. Counsel patients and their families, including anticipatory guidance.
5. Treat patients with respect & compassion with sensitivity to their individuality.
6. Apply the principles of honesty and integrity to clinical
decision-making, scientific pursuits and interpersonal interactions.
7. Understand ethical dilemmas in medicine and develop a framework for
their resolution.
8. Use constructive feedback to improve performance (all clinical settings).
9. Work collaboratively as members of health care teams.
Top
Medicine 110 Clerkship Objectives
At the completion of this course, students will be able to:
Scientific Foundations
1. Describe the differential diagnosis and appropriate lab evaluation of
anemia; evaluate a peripheral blood smear.
2. Describe the differential diagnosis and evaluation of cardiac disease,
including chest pain, MI/angina, CHF, valvular disease.
3. Describe the etiologies and identify the complications of cirrhosis;
interpret ascites fluid.
4. Describe the differential diagnosis and evaluation of delirium in
hospitalized patients.
5. Recognize and describe the management for common symptoms at the end
of life, including shortness of breath, pain, nausea.
6. Outline the inpatient evaluation and management of infectious
disease including pneumonia, UTI/urosepsis, bacteremia, HIV.
7. Describe the differential diagnosis and evaluation of pulmonary
diseases including dyspnea, asthma, COPD, pleural effusion, PE; interpret pleural fluid.
8. Recognize and evaluate acute renal failure; list indications for dialysis;
describe the etiologies and management of abnormalities of sodium,
potassium, calcium, and ABGs.
Clinical Skills
1. Establish rapport and communicate effectively with patients and families.
2. Use an understanding of doctor-patient relationships in a
therapeutic, supportive, and culturally sensitive way for patients and families.
3. Perform complete admission history and physical examination on
medical patient.
4. Select and interpret appropriate diagnostic tests.
5. Develop an assessment, including a differential diagnosis, based on
information gathered from the history, physical examination, and laboratory data.
6. Do a complete write up for each admission.
7. Write orders including admission orders.
8. Do a complete oral presentation for each admission, presented in no more
than seven minutes.
9. Perform a daily history and physical examination targeted to the patients'
problems.
10. Present patients in SOAP format on daily rounds.
11. Write daily progress notes.
12. Participate in discharge planning, taking into account a patient's
social situation.
13. Interpret electrocardiograms.
14. Interpret a chest x-ray.
15. Discuss end-of-life decision making, including surrogate decision-makers
and goals of care.
Learning, Teaching and Scholarship Skills
1. Develop an assessment for each patient based on discussion with the team
and independent reading.
2. Present a patient at student case conference for group discussion,
and participate in weekly case conference discussions.
3. Research topics related to patients on the team and prepare 2
presentations with references and a handout for attending rounds, and 1 for student case conference.
Professional Attributes and Values
1. Communicate with patients and families about their hospital experience
and perspective on their care.
2. Identify his/her own emotional responses to patients, and participate in
stress rounds to discuss these responses.
3. Treat patients with respect.
4. Meet with the attending and resident 3 times per month to discuss
expectations and feedback, and incorporate constructive feedback to improve performance.
5. Work collaboratively and communicate effectively as a member of a health
care team, acting with honesty and integrity.
Top
Neurology 110 Clerkship Objectives
At the completion of this course, students will be able to:
Scientific Foundations
Discuss an approach to the work-up and management of:
Neurology specific objectives
· Abnormal Movement
· Abnormal Sensation
· Acute Cerebral Dysfunction
· Back pain
· Dizziness
· Generalized Weakness
· Headaches
Joint Neurology and Psychiatry objectives
· Abnormal Cognition
· Abnormal Level of Consciousness
· Addiction
Psychiatry specific objectives
· Abnormal Illness Behavior
· Anxiety
· Persistent Abnormal Mood
· Personality Dysfunction
Clinical Skills
Learn to (perform, demonstrate):
Neurology specific objectives
· Perform the complete neurologic examination.
· Perform a lumbar puncture.
· Demonstrate anatomic localization of neurologic clinical findings.
Joint Neurology and Psychiatry objectives
· Demonstrate clinical assessment and reasoning through a complete write
up and oral presentation.
· Demonstrate the ability to write appropriate physician orders.
· Perform a focused history and exam.
· Demonstrate write up and oral case presentation skills in a SOAP format.
· Demonstrate understanding of discharge planning, which includes biological,
psychological and sociocultural factors.
· Demonstrate application of clerkship-specific skills in other clerkships.
Psychiatry specific objectives
· Perform the complete mental status examination.
· Demonstrate the application of the biopsychosocial model in a
psychiatric formulation.
· Demonstrate how awareness of personal reactions to clinical situations
can help in the assessment and management of patients.
· Perform a clinical assessment of a patient's capacity to make
informed decisions about healthcare.
· Demonstrate understanding of the principles and application of
involuntary psychiatric commitments.
· Demonstrate understanding of the appropriate use of psychotherapy.
Top
Obstetrics & Gynecology 110 Clerkship Objectives
At the completion of this course, students will be able to:
Scientific Foundations
1. Understand the process of normal and abnormal labor.
2. Describe different modes of delivery.
3. List the complications of pregnancy, e.g. diabetes, preterm labor,
hypertensive disorders.
4. Describe the reproductive cycle in women.
5. Recognize pathological gynecological conditions such as
endometriosis, reproductive tract cancer, pelvic masses, and benign breast disease.
Clinical Skills
1. Deliver a baby and placenta.
2. Perform a screening pelvic exam including performing a Pap smear
and cervical cultures.
3. Interpret fetal monitor strips.
4. Perform a screening breast exam
Learning, Teaching and Scholarship Skills
1. Study the literature and present an obstetrical or gynecological topic
to peers, residents and attendings.
Professional Attributes and Values
1. Participate in health care team that includes nurses and physicians in
the inpatient setting.
2. Sensitively address health care needs of women in taking a history and
doing a physical exam.
Top
Pediatrics 110 Clerkship Objectives
At the completion of this course, students will be able to:
Scientific Foundations
1. Describe the differential diagnosis and appropriate lab evaluation of
meningitis.
2. Describe the differential diagnosis and evaluation of otitis media.
3. Describe the microbial and non-microbial etiologies of diarrhea.
4. Describe the major changes in circulation and respiration that normally
occur at and after the birth of an infant.
5. Recognize and describe the initial management of respiratory distress
in neonates.
6. Outline the inpatient evaluation and management of infectious diseases such
as suspected sepsis in the febrile young infant, pneumonia and UTI.
7. Describe the differential diagnosis and evaluation of respiratory diseases
such as croup, asthma, and bronchiolitis.
8. Recognize and evaluate patterns of normal and abnormal growth,
understand the nutritional requirements that promote optimal growth.
Clinical Skills
1. Establish rapport and communicate effectively with children (using
a developmentally based approach) and families.
2. Use an understanding of doctor-patient relationships in a
therapeutic, supportive, and culturally sensitive way for children and families.
3. Perform initial "complete" nursery, inpatient and outpatient history
and physical examinations on a pediatric patient.
4. Select and interpret appropriate diagnostic tests.
5. Develop an assessment, including a differential diagnosis, based on information
gathered from the history, physical examination, and laboratory data.
6. Do an appropriate write up for each patient seen.
For Hospitalized Patients:
7. Write orders on hospitalized patients, including admission orders.
8. Do a complete oral presentation for each admission, presented concisely (5
to 10 minutes).
9. On the inpatient service, perform a daily history and physical
examination targeted to the patients' problems.
10. Present patients in a problem-oriented, SOAP format on daily rounds.
11. Write daily progress notes.
12. Participates in discharge planning and advocate for specific follow-up
care, taking into account a patient's social situation and access to resources.
13. Interpret a chest x-ray.
For Outpatients:
14. Write outpatient prescriptions
Learning, Teaching and Scholarship Skills
1. Develop an assessment for each patient based on discussion with the team
and independent reading.
2. Participate in weekly case conference discussions.
3. Research topics related to patients seen, using effective strategies for
self-directed learning.
4. Through self-reflection identify his/her own emotional responses to
patients, and participate in rounds to discuss these responses and enhance learning from
their experience.
5. Teach patients and families about their health (or illness) issues, and
its treatment.
Professional Attributes and Values
1. Communicate effectively with children and families about their visit
or hospital experience and perspective on their care.
2. Treat patients with respect.
3. Meet with the attending and resident at least once midway during each
`mini-block' (outpatient, inpatient, and nursery) to discuss goals, expectations and
feedback, and incorporate constructive feedback to improve performance.
4. Work collaboratively and communicate effectively as a member of a
health care team, acting with honesty and integrity.
5. Recognize the role of advocacy in the resolution of children's health issues.
Top
Psychiatry 110 Clerkship Objectives
At the completion of this course, students will be able to:
Scientific Foundations
Discuss an approach to the work-up and management of:
Neurology-specific objectives
· Abnormal Movement
· Abnormal Sensation
· Acute Cerebral Dysfunction
· Back pain
· Dizziness
· Generalized Weakness
· Headaches
Joint Neurology and Psychiatry objectives
· Abnormal Cognition
· Abnormal Level of Consciousness
· Addiction
Psychiatry-specific objectives
· Abnormal Illness Behavior
· Anxiety
· Persistent Abnormal Mood
· Personality Dysfunction
Clinical Skills
Perform or demonstrate:
Neurology-specific objectives
· Perform the complete neurologic examination.
· Perform a lumbar puncture.
· Demonstrate anatomic localization of neurologic clinical findings.
Joint Neurology and Psychiatry objectives
· Demonstrate clinical assessment and reasoning through a complete write
up and oral presentation.
· Demonstrate the ability to write appropriate physician orders.
· Perform a focused history and exam.
· Demonstrate write up and oral case presentation skills in a SOAP format.
· Demonstrate understanding of discharge planning, which includes
biological, psychological and sociocultural factors.
· Demonstrate application of clerkship-specific skills in other clerkships.
Psychiatry-specific objectives
· Perform the complete mental status examination.
· Demonstrate the application of the biopsychosocial model in a
psychiatric formulation.
· Demonstrate how awareness of personal reactions to clinical situations
can help in the assessment and management of patients.
· Perform a clinical assessment of a patient's capacity to make
informed decisions about healthcare.
· Demonstrate understanding of the principles and application of
involuntary psychiatric commitments.
· Demonstrate understanding of the appropriate use of psychotherapy.
Learning, Teaching and Scholarship Skills
Investigate a topic related to a current patient and prepare a brief oral
presentation with references and a handout in a conference or rounds setting.
Professional Attributes and Values
· Communicate with instructor's midway and at the end of each principal
clinical rotation about expectations and level of student performance.
· Incorporate feedback to improve performance.
· Appreciate and apply effective and honest communication and collaboration
skills with all members of the health care team.
· Communicate and interact with patients and their families with
compassion, respect, honesty, cultural sensitivity and integrity.
· Appreciate and apply the commitment to put the needs of others before
one's own needs.
Top
Surgery 110 Clerkship Objectives
At the completion of this course, students will be able to:
Scientific Foundations
1. Describe surgical approach to assessing and managing the acute abdomen
and patient with shock.
2. Discuss the surgical evaluation of pathologic conditions of the GI
tract, including: esophagus, stomach, small intestines, and colon, rectum and anus.
3. Describe the surgical approach to the differential diagnosis evaluation
and management of biliary tract disease, malignancy, and vascular disease.
4. Explain the surgical approach to wound management; including the process
of normal and abnormal wound healing.
Clinical Skills
1. Perform complete initial admission histories and physical exams on patients.
2. Perform symptom-focused history and physical exam on patients.
3. Demonstrate a thorough diagnostic abdominal exam.
4. Perform a thorough diagnostic vascular exam.
5. Describe the surgery-radiology interface.
Professional Attributes and Values
1. Communicate effectively with patients, their families, and other members
of the health care team.
2. Appreciate the communications between surgeons and radiologists when interpreting
CT/angio/MRI studies.
Top
Surgical Subspecialties 110 Clerkship Objectives
At the completion of this course, students will be able to:
Scientific Foundations
UCSF graduates will understand the scientific foundation of eye disease, otolaryngologic
illness, orthopaedic problems and urologic disease with particular attention
to commonly observed diseases, life-threatening emergencies, and disease conditions
which, if untreated, may result in permanent disability. They will be able to:
· learn basic molecular and cellular and pathologic mechanisms of
frequently observed disease states;
· understand the diverse pathologic mechanisms for blindness, hearing loss,
reduced mobility, impotence and infertility
Clinical Skills
UCSF graduates will master advanced clinical skills necessary to evaluate and care
for patients managed by surgical specialists. Students will be able to:
· obtain a focused medical history relevant to the patient's presenting problem;
· perform appropriately focused and specialized physical examination based on
the presenting problem;
· establish rapport with patient in an open-ended approach; respond to and
ask questions appropriate to the patient's presentation and communication style;
· recognize early disease states which could eventually result in patient
disability; recognize interventions which prevent disabling outcomes;
· assess the impact of illness on patient and family;
· describe resources and tools which minimize patient disability and
maximize patient function;
· observe and assist in the operating room and interact as a member of the
operative team.
Learning, Teaching and Scholarship Skills
UCSF graduates will be prepared to continue their own education throughout
their medical careers because they will be able to:
· develop focused examination skills which allow early diagnosis of disabling
illness; these skills will provide the basis for informed consultations with surgical
subspecialty colleagues throughout their medical careers;
· reason deductively and refer appropriately to solve clinical problems;
· critically evaluate medical literature including surgical subspecialty publications;
· demonstrate effective communication skills for teaching patients, students,
and colleagues;
· actively participate in their role in the community to advance medical
awareness and to minimize disabling disease outcomes
Professional Attributes and Values
UCSF graduates will employ ethical principles in caring for patients, and demonstrate
empathy for the families of the patients. Students will be able to:
· treat patients with respect;
· identify his/her own emotional responses to patients, particularly those
with disabilities;
· apply principles of honesty and integrity to clinical decision-making,
scientific pursuits, and interpersonal interactions;
· understand ethical dilemmas in medicine and work to solve them;
· work constructively as a member of a health care team;
· incorporate constructive feedback to improve performance;
· demonstrate effective skills for teaching patients and their families about
illness, treatment and prognosis;
· recognize ethical responsibility to diagnose disabling illness when
medical intervention may be most successful.
Top
Intersessions (IDS 112)
Intersession is taught in three one-week segments over the course of the third year.
The goals of Intersession are two-fold:
1. Acquire important knowledge and skills in topic areas that are relevant
to clinical medicine, but rarely specifically taught in the clinical setting.
2. Provide an opportunity to reflect on your experiences to date and
discuss them with your classmates.
The core concepts covered in Intersession include:
1. Clinical Decision Making (CDM)
2. Advances in Medical Sciences (AIMS)
3. Health Systems
4. Ethics (Responsibilities of Medical Practice)
5. Professional Development (Reflections)
At the completion of this course, students will be able to:
Scientific Foundations
CDM specific objectives:
1. Phrase a clinical question in such a manner that an evidence-based
answer can be sought.
2. Efficiently search the literature for high quality evidence.
3. Critically appraise the literature including randomized-controlled trials,
meta-analyses, cost-benefit analyses, and clinical guidelines.
AIMS specific objectives:
1. Distill basic concepts from basic science papers.
2. Understand that current basic science research provides the groundwork
for advances in clinical practice.
3. Describe at least one prototypical investigative approach that has led
to fundamental changes in understanding prognosis, diagnosis, or treatment
of important disease encountered in clinical medicine.
Health Systems specific objectives:
1. Describe the component parts of and participants in the U.S. health
care system.
2. Describe national and local trends in health care.
3. Describe the basic types of health insurance plans, hospitals, and
physician organizations.
4. Describe the relationships between patients, employers, insurers,
and providers in the provision of health care services.
Ethics specific objectives:
1. Understand conceptual frameworks that have been developed for
thinking through and discussing ethical dilemmas, including issues of
confidentiality, informed consent, mistakes, end-of-life care, and decision-making capacity.
Reflections specific objectives:
1. Describe common professional development challenges faced during
clinical work including issues of hierarchy, interpersonal and team dynamics,
making mistakes, and unprofessional behavior.
Clinical Skills
CDM specific objectives:
1. Understand how to efficiently incorporate best evidence into daily
clinical decision making.
2. Understand when to appropriately order diagnostic tests and how
to interpret the results based on their test characteristics.
AIMS specific objectives:
1. Describe the impact (or future impact) of a recent or important basic
or social science advance on your understanding of the pathogenesis and
the prognosis, diagnosis, or treatment of a specific disease.
2. Appreciate and identify the wide gaps in current scientific understanding
of disease pathogenesis, prognosis, diagnosis, and treatment that represent
the needs and opportunities in biomedical research.
3. Describe how s/he might use basic or social science concepts in their
future career as a physician.
Health Systems specific objectives:
1. Identify quality problems s/he may have witnessed during clinical rotations.
2. Discuss ways to improve quality of care provided at our institution.
3. Describe how the nature of the health insurance system affects the
quantity, quality and kind of care received by patients from varying
backgrounds.
Ethics specific objectives:
1. Identify ethical issues that have or will arise during clinical care.
2. Articulate justifications for specific positions in ethical dilemmas.
3. Appreciate where ethical and legal consensus exists and where no
such consensus exists regarding common clinical circumstances.
Reflections specific objectives:
1. Reflect on your clinical experiences and how you may have been altered
by them.
2. Identify the impact of errors on patients, family members, staff, other
team members, and the person making the mistake.
3. Understand factors that may lead to unprofessional behavior and
discuss ways to reduce and deal with it when it occurs.
Learning, Teaching and Scholarship Skills
1. Enhance skills in self-directed learning.
2. Promote respectful and thoughtful discussion on controversial and
difficult topics.
3. Be active participants in their own education.
4. Receive and respond to feedback in a professional manner.
Professional Attributes and Values
1. Understand ways in which s/he can contribute to changes and
improvements in medical care through science, quality improvement, and advocacy.
2. Understand ways to deal with dilemmas that occur between the
physician team, other staff, and patients.
3. Recognize the impact of their clerkships on their functioning as a
medical student and on a personal level.
4. Support fellow students and offer input in respect to their
clerkship experiences.
5. Meet possible role models for their future careers in medicine.
Top
Longitudinal Clinical Experience (IDS 111)
At the completion of this course, students will be able to:
Scientific Foundations
Demonstrate the knowledge and skills necessary to provide effective patient care
in the ambulatory care setting (eg: appropriate use of patient database, presentation
of cases, charting and documentation, follow-up, office based procedures-if
appropriate, patient education, impact of health care systems issues on patients in this
particular practice, utilization of appropriate resources for medical information, etc).
Experience continuity of clinical practice:
a. by preceptor(s)
b. by site
c. by type of patient population
d. with individual patients, when possible
Clinical Skills
Perform independent history and physical exams and will participate in
the formulation and implementation of management plans for individual patients under
the guidance of their faculty preceptor.
Professional Attributes and Values
Discuss the longitudinal course of chronic illness and disability on patients
and their families.
Work with other health care professionals (social workers, physical
therapists, pharmacists, nurses, and other physicians) and will be able to describe the importance
of a multi-disciplinary, multi-specialty approach to patient care.
Demonstrate appropriate relationships with staff, patients, and patients'
families and will advance communication skills beyond the level achieved in the first and
second years.
Expectations
Students will have 22 weeks of scheduled LCE on an assigned afternoon or evening
(except Wednesday afternoons) during the third year. The specific dates will
be decided in advance by the student and preceptor based upon their schedules.
These dates need to be submitted in writing to the LCE course administrators
by May 24, 2004. Timely submission of LCE schedules in writing is a course requirement,
and is your professional responsibility -- failure to do so may have serious
consequences.
Attendance Policy
Students are required to attend every scheduled LCE session. If there
are extenuating circumstances and a student must miss a preceptor session, the
student needs to contact the preceptor immediately. If an LCE preceptor cannot be present at
a precepting session, ideally the student will work with one of the
preceptor's colleagues. If more than one session is missed, the student must make up the
missed sessions.
Placement Procedures
In February, every student completes an LCE preference form. They note their
top three LCE preferences, and every effort will be made to place the student
in one of their preferred specialties. Students may choose primary care or subspecialized
settings; however, the setting must be ambulatory (outpatient) with some continuity
(i.e., emergency medicine does not meet the LCE guidelines). Students will be
notified of their placement in early March. Those students wishing to arrange
their own preceptorship must have their choice approved by Cynthia Irvine before
approaching a potential preceptor; requests must be submitted via email
to IrvineC@fcm.ucsf.edu no
later than February 20, 2004.
Schedule
When arranging your schedule, please keep in mind that during the
Neurology portion of the Neuro-Psych clerkship, you may schedule LCE during only two of the
four weeks. This is due to the fact that students have a half-day session in a
psychiatry outpatient clinic each week during the Neurology component of the clerkship to
promote integration between Neurology and Psychiatry.
Students with Monday afternoon LCEs should not schedule LCE during the
first Monday of a block, as this is typically when clerkship orientation activities occur.
Any request for a change in the LCE assigned day must be submitted at
least eight weeks in advance and approved by the LCE course administrators. LCE
clinical placements may not be changed without prior approval of the LCE Course Directors.
Course Faculty and Administrators
Maria Wamsley, M.D., Associate Clinical Professor of Medicine
Margo Vener, M.D., Assistant Clinical Professor of Family & Community
Medicine
Cynthia Irvine, M.Ed., Director, Office of Community Based Education,
476-6840
Nicole Budd, Preceptorship Coordinator, Office of Community Based Education
Top
|
