FMP 612
Family Medicine Elective — Inpatient Clerkship

For details about Family Medicine elective clerkships in each community, see Family Medicine Electives Notebook (pdf) (Word).

PreApproved Sites

001 - Flint

• a. Genesys
• b. McLaren

002 - Grand Rapids

• Residency

003 - Kalamazoo

• a. KCMS

004 - Lansing

• Residency

005 - Saginaw

• a. Saginaw Residency
• b. Midland Residency

006 - Upper Peninsula

007 - Traverse City - Munson

010 - Other Residency

FMP 612 Family Medicine Elective – Inpatient Clerkship

This four week clerkship introduces students to the role of the family physician in caring for hospitalized patients. While most of the work-load and many of the distinctive skills of the family physicians are centered in the office practice, some of the patients seen in the office must from time to time be admitted to the hospital. For the hospitalized patients, the family physician remains the primary physician. Compared to patients seen in the office, however, a greater proportion of the problems of hospitalized patients require consultations with and referrals to other specialists. Management of the care of the hospitalized patient, and especially of the relationships among physicians and other health care providers in the hospital, is the major focus of attention in this clerkship.

Location

The inpatient clerkship is taken on a family medicine service associated with a family medicine residency. There should be a census of at least 10 patients on the service for the duration of the clerkship.

Faculty

For purposes of supervision, the student should be assigned to a family medicine resident, preferably a second year resident, who is taking a rotation on the family medicine service which coincides in time with the interval of the clerkship. Under the supervision of the assigned preceptor, the student should consult with and assist other residents and practicing physicians who admit to the family medicine service.

Student Status

The medical student should be sufficiently advanced (generally in his/her fourth year) so as to be able to obtain intern equivalent status on the family medicine service. This status will allow the student to write orders for patients on the service.

Patients

Under the supervision of the resident preceptor, the medical student should be assigned some patients from the service to work up and follow through the course of their hospitalization. The student should assist in or do work ups of other patients, as requested by the physicians admitting to the service and the residents on the service. The student’s overall patient load should be monitored and managed by the assigned preceptor. In instances in which disagreements among specialists arise, as mentioned above, the medical student should not be expected to take the active role of intervening to determine the best course of care for the patient: such tasks would best be performed by the resident or attending physician responsible for the admission. To the extent feasible, though, the student should be kept appraised of how the responsible family physician is handling the case.

Prerequisities

Completion of FMP 608 or equivalent, is a prerequisite to this clerkship. Prior completion of most of the required clerkships, especially the medicine clerkship, is highly recommended. Before signing up for the clerkship, the student should contact the director of the family medicine residency in which the clerkship will be conducted, to assure that in the opinion of the residency director, the student is sufficiently advanced to obtain intern equivalent status.

Intended Audience

Fourth year students in medical school.

Instructional Methods

Discussion of patients with the assigned resident preceptor is the major instructional technique in this clerkship. Additionally, the student is encouraged to read about the range of patient problems which are noted.

Methods of Evaluation

Pass/fail. Based on the recommendations of the precepting resident, the residency director, and attending physicians who have worked closely with the student on the family medicine service. These evaluations will be reviewed as appropriate by the community family medicine coordinator, and by the clerkship coordinator in the Department of Family Medicine.

When Offered

Fall, winter, spring and summer, depending on the availability of openings for this clerkship in family medicine residencies.

Credits and Duration

Six credits are awarded for completing this clerkship as a four week elective.

FMP 612 Family Medicine Elective – Inpatient
Flint – McLaren Sec 001b

The McLaren Regional Medical Center Family Practice Residency Program offers an advanced Family Medicine Elective to all interested fourth year medical students from accredited medical schools. A fourth-year medical student will function as an acting intern during this elective. Supervision will be provided by a senior resident and by teaching faculty. the elective incorporates office, hospital and didactic sessions. It offers the senior student, interested in a career in Family Medicine, exceptional hands-on exposure working with teaching faculty and resident physicians in a community-based university affiliated center.

Senior students must have successfully completed a clerkship in Family Medicine and be a student in good standing at their respective school. Fourth-year students not previously completing a clerkship in Family Medicine, who are interested in the advanced elective must first obtain permission from the dean of their respective medical school and the director of the Family Practice Residency Program.

The in-hospital experience occurs at the McLaren Regional Medical Center. The senior student (sub-intern) will participate in morning teaching sessions and hospital rounds, supervised by the senior resident and Family Medicine faculty. Students will follow a limited number of in-patients on the Family Practice service. The student will discuss and manage the day-to-day care of the patient with senior resident and faculty supervision.

Hospital activities will also include assisting faculty and/or resident physicians in performing minor surgical procedures, common hospital procedures, and deliveries at the McLaren New Life Center.

The Office experience is held at the McLaren Family Practice Center, under the direct supervision of Family Medicine faculty. It is anticipated that this will provide, not only a learning experience, but also a continuity of care for the patient and senior medical student. In addition, the sub-intern will present a Family Medicine topic of interest at a scheduled noon lecture.

Goals and Objectives

By the end of the elective rotation, the senior student will be able to:

• Diagnose and institute treatment for common problems seen in the Family Practice Center. This includes, exhibiting knowledge of short and long-term prognosis, potential complications of therapy and proper follow-up.
• Perform an initial evaluation and stabilization of hospitalized patients. This includes performing history and physical examination and writing admission orders after discussion with the supervisory faculty.
• Perform, with supervision, common office and hospital procedures.
• Monitor patients in active labor and perform vaginal delivery, with supervision. This includes exhibiting knowledge of the stages of labor, common obstetrical emergencies, and post-partum complications.
• Review and assess medical literature in preparation for conference presentation.

Limited housing is available for students participating in the elective. Food in the McLaren Medical Center cafeteria is free to all medical students. Free parking, access to library and research material is also available. Students must provide their own short white lab coat and stethoscope. All other medical instruments are available at the Family Practice Center and hospital.

Contact person

For more information, please contact Stephanie LeSchuk, Program Administrator for the McLaren Family Practice Program at (810) 733-9654.

FMP 612 Family Medicine Elective – Inpatient
Grand Rapids Sec 002

Objectives:

1) The student will develop an appreciation for family medicine as a specialty and become aware of the goal of continuous and comprehensive care as it relates to Family Practice.

2) The student will see patients in a variety of settings, primarily in the hospital and with some office practice and emergency room experience.

3) The student will observe all facets of Family Medicine, stressing the inter-relationship of disease and prevention of disease within the family unit.

4) The student will develop skill in the assessment of problems presented by ambulatory patients, though this is not central to the rotation.

Description:

This elective will introduce the student to the concepts of Family Medicine, a specialty which provides continuous and comprehensive health care on a primary basis to families. A major emphasis will be placed on practical, clinical experience through direct patient care. Students will develop a close working relationship with Family Medicine residents and faculty.

Evaluation:

Preceptor(s) will be asked to submit a written evaluation at the conclusion of the clerkship. Faculty are encouraged to provide ongoing feedback throughout the elective rotations.

Hospital/Residency:

• Grand Rapids Family Medicine Residency
  Grand Rapids Medical Education and Research Center for Health Professions
  1000 Monroe, N.W.
  Grand Rapids, MI 49503

crispina@trinity-health.com

Contact Person:

• Alicia Crispin, Grand Rapids Family Medicine Residency
  
• (800) 276-1807
  
• Grand Rapids Medical Education and Research Center for Health Professions
  300 Lafayette, SE #3400
  Grand Rapids, MI 49503

1-800-276-1807 or crispina@trinity-health.org

Dates Offered: Year round

When and where to Report:

• Contact Alicia Crispin prior to start

Schedule:

• Hours: 7:30 a.m. - 5:00 p.m. M-F
• Rounds - Every morning
• On-Call: No call unless negotiated
• Clinic: Wege Health & Learning Center - 2 or 3 ½ days/month
• Length of clerkship: 4 or 8 weeks

Duties and responsibilities of advanced clerk:

1) Patient care on patients assigned (6 to 10 per intern) will:

• conduct timely morning rounds and write all orders and progress notes (except Tuesday) attending responsibility
• Converse with attending physician about each patient at least every other day
• Facilitate timely, appropriate discharge planning in coordination with attending
• Communicate with 3 rd year resident daily regarding work load
• Establish clear and unambiguous lines of responsibility with consultants
• Available for admissions

2) Education
3) Teaching
4) Call
5) Wege Health & Learning Center ½ day per week in afternoon
6) Tuesday AM conference

Duties and responsibilities of attending:

• Will be discussed during orientation

Readings:

• Various

Living Arrangements (if available):

• St. Luke’s Apartments (across the street from hospital (residency)
• Free housing

Evaluation:

• Will be provided by resident and attending from the team

FMP 612 Family Medicine Elective – Inpatient
Kalamazoo Sec 003

• MSU/KCMS-Kalamazoo Family Medicine

• William Allen, MD, Program Director
  
  MSU/KCMS-Family Medicine
  1000 Oakland Drive, Kalamazoo, MI 49008-1282
  
• 616-337-6554
  
• allen@kcms.msu.edu
  
• Peter Ziemkowski, MD, Predoctoral Coordinator
  
• MSU/KCMS - Family Medicine
  1000 Oakland Drive, Kalamazoo, MI 49008-1282
  
• 616-337-6550
  
• ziemkowski@kcms.msu.edu

• MSU/KCMS-Kalamazoo Campus
  
• Harriet Roelof
  
• MSU/KCMS
  1000 Oakland Drive, Kalamazoo, MI 49008-1282
  
• 616-337-4601
  
• roelof@kcms.msu.edu

• 4 or 8 week blocks through the year

• Initial contact – Community Administration KCMS
• Clerkship begins-report to Family Medicine Secretary, 2 nd floor

• Arranged by Predoctoral Coordinator
• Students are scheduled at both Kalamazoo Family Medicine (KFM) clinical office and the Family Medicine inpatient service (FMS) at the Borgess or Bronson hospital.

Upon completion of the elective, the student should: understand continuity of care in context of the family; be familiar with the evaluation and management of common primary care health problems in a primary care practice; understand the biopsychosocial model in health care; and be able to apply basic principles of prevention.

This elective is designed to: provide an opportunity to assume increased patient management responsibilities for hospitalized patients; enhance patient evaluation, case presentation, team management, and discharge planning skills; and gain familiarity with use of consultants.

1. Participates in learning activities and conferences
2. Support and foster a positive spirit of team work
3. Clerks will work with residents on the inpatient service (FMS) providing care for patients of community attendings, and with faculty and residents at KFM.
4. Clerks will be able to present key elements of the history and physical examination, write orders, and communicate with attending, staff and hospital departments, and dictate the medical record.
5. Clerks are expected to display critical thinking, integrate knowledge and take responsibility to be self-educated.
6. Professional behavior is expected in conduct of educational and service commitments.

1. Clerks will be supervised by senior residents, faculty and community attendings on the FMS service.
2. The senior resident will assign patients, supervise writeups, orders, and encourage communication with attendings, and where appropriate, with patients families.
3. Clerks will be supervised by faculty and residents in KFM providing care to patients.

• Assigned by faculty and senior residents on the FMS service

• Arranged by Community Administrator, KCMS

• Evaluations are given by the senior resident on the FMS service, faculty and residents in KFM. A summary final evaluation is written by the Predoctoral Coordinator. Feedback on an ongoing basis is encouraged by the senior resident and faculty that come in contact with the clerk.

FMP 612 – Advanced Family Medicine Medicine
Lansing Sec 004

The Family Medicine elective offered in conjunction with the Sparrow/MSU Family Medicine Residency is open to senior students interested in exploring the full range of this primary care specialty.

The elective components can, and typically do, include being part of our in-patient team, seeing out-patients in one or both of our two Family Health Centers (one across from the hospital, one about 7 miles south in more rural/small town Mason), managing women in labor, helping to deliver babies and caring for the moms and babies postpartum, attending Thursday afternoon didactic sessions with our residents and generally being an active team member.

Depending on the student's interests, other patient care aspects can be individually arranged. Examples include: nursing home care, a geriatric emphasis, home visits or a community medicine emphasis. Our goal is to remain flexible and have this be a good learning experience and time for exploration of family medicine.

Typically overnight call is not required, though some elective students do choose to spend some evening time in the hospital with compensatory time off the next day. Students with specific interests or clinical requests are encouraged to notify us at least one month in advance so an individually tailored schedule can be crafted.

FMP 612 Family Medicine Medicine– Inpatient
Saginaw Sec 005a

Family Medicine on the Inpatient Service

Instructor: Dr. Jackson and faculty

Responsible Agent: Dr. Jackson/Joyce Pruitt 989-583-7917

Periods offered: Calendar months throughout the year

Students accepted: fourth year students considering or planning to enter Family Medicine

Distribution of student’s time:

• 70% on inpatient service
• 20% on conferences/lectures
• 10% attendance at St. Francis Nursing Home
• Average number of patients seen per week: 60

Where to report the first day of the clerkship:

• Department of Family Medicine (Joyce Pruitt’s office by 9:00 am)

Clerkship description:

The medical student will function as an Acting Intern on the inpatient Family Medicine service. The student will take call 6 times during the month with a Family Medicine resident. Patients will be evaluated in the Emergency Room, and complete history and physical examinations performed for patients admitted to the service. Students will evaluate patients admitted to Labor and Delivery, and will follow faculty patients through labor to delivery. The student will attend each of the Department’s daily didactic conferences. Students will visit St. Francis’ Nursing Home every Thursday afternoon; evaluating patients in that setting. Students will prepare lectures for the Inpatient Teaching Service Rounds that are directed by Department faculty.

FMP 612 Family Practice Medicine - Inpatient
Midland Sec 005b

Family medicine, with special emphasis in:

• OB
• Sports medicine
• Geriatrics (nursing home/home health/hospice)
• Procedures
• Women’s health
• Family medicine service (adult inpatient medicine)
• Family Practice Center (outpatient)
• Practice management
• Medical ethics
• Patient education
• Critical care

The student will be able to create a personalized learning experience in family medicine. Prerotation planning with a full-time family medicine faculty member will ensure that goals and objectives are accomplished. A month-long rotation can be created from a long list of experiential learning opportunities. The student can choose to: spend time in the Family Practice Center with full-time family medicine faculty mentors; experience a first, second, or third year resident’s typical day; become the house officer and manage the ICU and CCU; spend a shift in the emergency department or on labor and delivery with a resident; choose a faculty mentor with a Certificate of Added Qualifications in geriatrics or sports medicine; spend time in the procedures suite with faculty and residents, learning OB ultrasound, flexible sigmoidoscopy, vasectomy, colposcopy, and dermatologic procedures; spend time on the family medicine service, an inpatient adult medicine service run by the faculty, first, and third year residents; make nursing home rounds, home visits, or assist in hospice care. The student can emphasize what is most important by creating his/her own experience. The options are limitless.

Contact:

• Luella Rosencrants , Coordinator
  
• Midland Family Practice Residency Program
  4005 Orchard Drive
  Midland, Michigan 48670
  
• (989) 839-3320 or toll free at 877-509-1794
  
• luella.rosencrants@midmichigan.org
  

Website: www.midmichigan.org

FMP 612 Family Practice Medicine - Inpatient
Traverse City Sec 006

Hospital/Residency:

• Munson Medical Center
  Graduate Medical Education
  Family Practice Residency Program
  
• 1400 Medical Campus Drive
  Traverse City, MI 49684
  
• (231) 935-8070

Contact Person:

• Dana Hoyle MacLellan, Coordinator
  
• Munson Medical Center
  Graduate Medical Education Dept.
  1400 Medical Campus Drive
  Traverse City, MI 49684
  
• (231) 935-8012
• dmaclellan@mhc.net

Attendings:

• Joseph Cook, D.O., Eileen Schweickert, D.O., Timothy Lambert, D.O., Barbara Supanich, M.D.

Dates Offered:

• Four week blocks throughout the academic year.

When and Where to Report:

• Above address.

Schedule:

• Hours: 7:00 a.m. to 7:00 p.m.
• Rounds: Daily
• On-Call: One time weekly
• Clinic: Family Practice Center
• Length of Clerkship: Four weeks.

Goals and Objectives:

The goal of this fourth year clerkship is to further the education of the medical student in the many areas related to Family Practice, both through an inpatient and outpatient experience.

Duties and Responsibilities of Advanced Clerk:

The fourth year medical student would function in the same role as a first year family medicine resident. This individual would be responsible for the Family Practice service, which is the inpatient avenue for the care of our patients from the Family Practice Residency as well as seeing patients through the Family Practice Residency as well as seeing patients through the Family Practice Center, which is the outpatient avenue of continuity of care within our residency. Duties and responsibilities of the attending would be to oversee and supervise all activities of a fourth year medical student.

Readings:

• To be assigned on an individual basis.

Living Arrangements:

• None available at this time.

Evaluations:

• To occur weekly as well as at the end of the four week rotation to maximize learning potential.