
College of Osteopathic Medicine
Course
Title: OCOM
819 Osteopathic Family Medicine 1
Credit Hours: 18 Credit Hours (3 credit hours per week)
Rotation Length: 6 weeks
Prerequisites: Successful completion of all course work for
Year 1, 2 and summer quarter of Year 3
Instructor of Record: Peter Dane, D.O.
Clerkship Coordinator: Judith Edinger, M.S.Ed.
Syllabus Components:
Appendices:
Appendix A: List
of Most Common Diseases/Conditions for Family Medicine
Appendix B: Skills
and Procedures: List of Skills/Procedures for Family Medicine 1
Appendix C: Components
of an Effective Orientation to the Preceptor’s Office
Appendix E: Faculty,
Staff, Small Groups
Appendix F: Student
Responsibilities and Protocols
Checklists
Learning Activity and Evaluation Checklist – Student
Version
Learning Activity and Evaluation Checklist – Staff
Version
Learning
Activity Forms
Student Learning Profile (LA-1)
Facilitator Feedback for Student Required Learning Activities
(LA-2)
Preceptor Checklist of Student Focused H & P (LA-3)
Preceptor Scoring Sheet of Student Focused H & P SOAP Notes (LA-4)
Student
Procedure Logs/Log Report (www.new-innov.com)
Clerkship
Evaluation Forms
Preceptor Evaluation of Student Performance Mid Clerkship (E-1)
Preceptor
Evaluation of Student Performance End of Clerkship (E-2)
Facilitator Evaluation of Student Seminar Performance (E-3)
Student Evaluation of Preceptor and Rotation (www:new-innov.com)
Appendix H:
Guidelines for Learning Activities
1.
Clerkship Description, Purpose, and Philosophy
Osteopathic
Family Medicine 1 is a six-week
ambulatory clerkship designed to provide you with experiences in an Osteopathic
Family Medicine setting. The American
College of Osteopathic Family Physicians (ACOFP) defines an Osteopathic Family
Physician as “a physician whose training and experience qualify one to practice
in the fields of medicine and surgery and who is able to accept the total
continuing responsibility of the patient and/or the family as a whole as their
physician and medical advisor.
Osteopathic Family Physicians assume the responsibility of the patient’s
comprehensive and continued health care and act as coordinators of their
patients’ health services.”
The overall goal of Osteopathic
Family Medicine 1 is for you to understand the unique role of the Osteopathic
Family Physician and the principles and practice of Family Medicine. You will participate in structured learning
activities based on a defined set of explicit learning objectives. These objectives represent the basic
knowledge, skills, and attitudes necessary for patient management relative to
access, continuity, and coordination of health care for the family unit and
individual patients of all ages. You
will accomplish these objectives primarily through clinical experiences
supervised by a physician preceptor in a medical clinic or private practice
office setting. You will build upon
basic clinical skills learned during early clinical contact, simulated patient
experiences, and clinical practicum labs.
Some of these experiences will be provided in those rural
Southeastern Ohio Counties that comprise the primary area served by the Ohio
University Area Health Education Center (AHEC) program. AHEC is a national and state health
professions education program which bridges health training resources with
community needs. The Ohio Statewide AHEC
program, initiated through federal funding in 1978, is a uniquely designed
program that merges the resources and cooperative efforts of medical and
osteopathic schools and the Ohio Board of Regents. This clinical course is a way for OU-COM to
meet one of its statewide AHEC goals of promoting and supporting clinical
training opportunities for health professions students in community-based
sites.
2. Clerkship Goals
and Objectives
2.1 Goals
Upon
completion of this clerkship you will:
·
gain an
appreciation of the primary care practitioner’s role as the physician of first
contact who delivers holistic, family-oriented, comprehensive, and continuous
medical care to those patients entering the health care system
·
develop greater
confidence in providing traditional quality medical care in ambulatory settings
·
recognize the
significance of complementary and alternative medicine in the overall plan of
treatment/care and medical management of the patient
·
recognize the importance
of the cultural competence of physicians in the treatment of patients
·
appreciate the
importance of patient safety practices
·
enhance skills to
acquire evidence-based medicine information
·
explore community
resources for utilization in case management, disease prevention, health
maintenance, and patient education
·
understand family
systems concepts, the impact that family functioning and psychosocial factors
have on health and illness, and the importance of involving the family in the
treatment of the patient in order to provide effective overall health care
·
enhance history
and physical exam, diagnostic, procedural, OMT, interpersonal communication,
psychosocial, and practice management skills to improve patient care
·
increase
knowledge about the etiology, appropriate intervention and treatment, and
possible complications of diseases and conditions with which patients and their
family commonly present in the primary care setting
·
gain a better
understanding of the moral, ethical, political, legal, economic, and cultural
issues affecting the practice of family medicine
2.2 Objectives
These
objectives are intended to guide your learning activities and to serve as a
baseline for assessment of your knowledge, skills, and professional
behavior. While you are expected to
further expand your knowledge base and to care for all assigned patient cases,
you are also expected to avail yourself of the educational materials provided
and to work toward mastery of the following objectives.
Upon completion of this clerkship, you will be able
to:
·
complete a
thorough osteopathic assessment of a patient, determine the need for
manipulative medicine, and demonstrate basic osteopathic manipulative
techniques
·
discuss the indications,
contraindications, interactions, pharmacokinetics, side effects, and special
instruction to patients for drugs commonly prescribed for patients seen in
family practice
·
discuss the
diagnosis, treatment, and prevention and develop a differential diagnosis for
the conditions and diseases listed in Appendix A of this document
·
demonstrate the
ability to perform common clinical procedures, tests and skills listed in
Appendix B of this document
·
discuss with
patients the appropriate use of Complementary and Alternative Medicine (CAM)
using a strategy that highlights the need for a formal discussion of patients’
preferences, expectations, and values.
·
recognize and
respond appropriately to patients’ concerns about the following issues commonly
encountered in family practice:
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·
evaluate and
develop a differential diagnosis for patients presenting with the following:
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·
discuss the
ethical, moral, and social challenges that may confront the patient, family, or
physician when dealing with health care issues
·
utilize
evidence-based medicine research strategies to access information to help
develop an effective treatment plan
·
employ patient
safety measures in patient management
·
describe the role
of family dynamics in the delivery of health care
·
demonstrate the
following interpersonal communication skills that build rapport with patients
and their families and facilitate a positive physician-patient relationship:
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·
demonstrate
appropriate history and physical exam skills
3. Clerkship Orientation and Logistics