Misbah Keen, MD, MPH, MBI - PowerPoint Presentation

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Misbah Keen, MD, MPH, MBICo-Director

Jeanne Cawse-Lucas, MDCo-Director

Updated 3/22/17

Fitch

Jaime Fitch

Education Specialist, Program Manager (aka Administrator)

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GOALS

Learn and apply key components of the Family Medicine approach to health

care:

Biopsychosocial Aspects of Care

Comprehensive Care

Continuity of Care

Context of Care

Coordination and Integration of Care

Buffalo, WY

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Objectives

Bozeman, MT

Discuss the principles of care within the framework of family

medicine.

Discuss the critical role of family physicians within any health care system.

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Objectives 2-4: Clinical Knowledge

Gather information, formulate differential diagnoses, propose initial diagnostic evaluation, and offer management plans for patients with common presentations within the within the framework of the family medicine. 

Manage initial evaluation and follow-up visits with patients needing longitudinal care such as such as chronic disease and pregnancy, in a family medicine setting.

Central

WA FMRP in Yakima

Collaboratively, with patient input, develop

evidence-based health promotion/disease prevention plans for patients of any age or gender in a family medicine setting.

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Objectives 5-6: Patient Centered Communication & Professionalism

Demonstrate use of patient centered communication skills during history taking, physical exam, use of electronic health

records, and collaborative decisions making in an outpatient setting.

Demonstrate

professionalism in the care of patients and families, and in interactions with the health care team and communities.

Bozeman, MT

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Family Medicine Clerkshipwww.uwfmc.org

Left menu: info for students

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Assignment Tracker

Track all curricular activities and timelines onlineUpdate Assignment Tracker WEEKLY

Bring print out of tracker to Mid & End of Clerkship Reviews

SCROLL ALL THE WAY DOWN, weekly assignments at bottom

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CLINICAL KNOWLEDGE

Acute ConditionsChronic Diseases

Maintenance for Adult and Child Health Pregnancy, Labor & Delivery

Sitka, AK

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Clinical Knowledge

Acute Conditions – see at least 14 of 18

Chronic Diseases – see at least 10

of 13

Health Maintenance: Adult

– see at least 11 of

14

Child

– see at least

7 of 9 Pregnancy, Labor & Delivery –

see at least

5

of

6

Not all sites have this, so much complete corresponding

FMCase

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Effective Patient Centered Care (EPCC)mini-CEX for FMC:

WWW.PCOF.US WEEKS 1&2

Learn EPCC concepts

through articles, videos and direct observations

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WEEKS 2-6Apply

EPCC concepts into practice using the Patient Centered Observation Form4-6 times

OBJECTIVE 2: Effective Patient Centered Care (EPCC)

mini-CEX for FMC:

WWW.PCOF.US

This is the

FMC

Mini-CEX

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Can complete at anytime - recommend early

OPTIONAL CURRICULUM

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Professionalism

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Professionalism

Review: Professional expectations of the clerkshipProfessionalism section of Feedback

& Evaluation form

Discuss professional performance at Mid & End of Clerkship - REQUIRED

Professionalism AwardsStudent Award

Staff and Faculty Award

2014-15

Faculty and Student Professionalism Award Winners

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Professional Learning Environment

Teacher-learner relationships: Both have rights and responsibilitiesResponsibilities of

Teachers Treat learners fairly, respectfully, and without bias related to their age, race, gender, sexual orientation, disability, religion, or national origin

.

Give learners timely, constructive, and accurate feedback.

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Professional Learning Environment

Responsibilities of Learners: Be courteous and respectful of others.Put patients' welfare ahead of educational needs.

Know limitations and ask for help when needed.

Maintain patient confidentiality.View feedback as an opportunity to improve knowledge and performance skills.

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DUTY HOURS

Please check your UWSOM student handbook for work hours policy.

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Professional Resiliency

Recipe for FM Clerkship Success

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Professionalism Concerning Comments and Low scores

We aim to protect student confidentiality.

Unless there is imminent danger we do not notify the site until anonymity can reasonably be assured.

We would like permission to contact you, but we respect your choice.

Omak, WA

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Formal Curriculum: fmCASES

40 interactive virtual cases: - 33 fmCASES

(1-33)- 5 CLIPP (1,2,3,4,13)- 2

SIMPLE Cases (2,6)

Used nationally

Self-assessment questions

Link to cases is on website and in Assignment tracker!

Tacoma FMR

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WHY fmCASES?

Curricular equivalence for all: Creates equal learning

opportunities across rotation sites and time of year

Teaches you to be a doctor

: Muscle memory is important - flow is consistent with clinical encountersDevelops clinical reasoning, differential diagnosis building, and patient interaction skills

Studying

a textbook may give similar knowledge but will not

help build clinical competency

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More on FMCASEs

Key content within cases is reflected in the PDFs. Redundancy in cases is intentional. These topics are common and should be mastered. You can search major diagnosis and content using this

FMCases, SIMPLE and CLIPP content list. Also

on assignment tracker under corresponding diagnosis. Links are tested annually. If they are not working, email

MedU and they will fix immediately.

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Using fmCASES WElL

Look through the list of chief complaints. If you see a real patient with one of these chief complaints, do the corresponding case(s).

Pace yourself and work through at least 1 case/day

Plan to spend an a

verage of 45min/case. Core content is included within the body of the case. Links are a supplement and not required to do well.

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Required Activities

Week One:Site OrientationAttendance review including possible travel day

Clerkship Orientation Webinar

Week Two: Required Clinical Reasoning Practice Test (Catalyst)

Outside of Havre, Montana

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Required Activities

Week Three Mid-Clerkship ReviewWeek Six

Final Exam Thu 9:30am-12:30pm PT

End of Clerkship Review

End of Week SixSite and Faculty Evaluations4-6 times DURING the rotation

Use of the PCOF form as the mini-CEX

Pocatello, ID

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Clinical Reasoning Practice Test

Required Material on Catalyst at this URL: Here

is the link:

https://

catalyst.uw.edu/webq/survey/fmclerk/287255

14 questions based on

fmCASES

2, 4, 6, 20, 21

Review answers Offer exam strategies

Wyoming FMR

Voluntary conference call with

the clerkship Co-Director

:

Monday

of Week

THREE from 12N

– 1pm

PACIFIC TIME

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Why Do we have CLINICAL REASONING PRACTICE TEST?

More residency programs are using USMLE scores to screen applicants.

Whitefish, MT

Recent increase in

STEP 2 passing score

(now 209

)

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FINAL EXAM: Clinical knowledge assessment

Online, closed book

100

Questions

Based exclusively on fmCases, CLIPP and SIMPLE cases

Anacortes, WA

Final Exam

Thursday of week 6 from 9:30 am - 12:30 pm PACFIC TIME

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Evaluation Process

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Grading

Student Evaluations are based on 11 scoring categories and the final exam

 

Knowledge of Subject

AreaData-Gathering SkillsClinical Skills

Patient-Centered Care SkillsManagement SkillsIntegration Skills

Communication

Skills

Relationships with PatientsProfessional RelationshipsDependability and Responsibility

Educational Attitudes

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Feedback & Evaluation Form

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Grading Criteria 2017-18

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Final EXAM

SCORES Honors (82 percent and above) – grade adjustment:

+0.1

High Pass (75 to 81.9 percent) –

grade adjustment: No adjustmentPass (60 to 74.9 percent) – grade adjustment: -0.2

Fail (less than 60 percent) –

Remediation

needed

– the highest Final Grade a student can receive is a Pass

NOTE: If you Pass on the Exam it is not possible to get Honors as a Final Grade

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Remediation

In the event that you fail the exam, you are required register for online remediation course FAMED 598. You will need to study for the test again and will be required to re-take and pass the exam.

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EHR ORIENTATION CHECK LIST

See: Family Medicine Clerkship website > Info for Students

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QUESTIONS?

YOU CAN ALWAYS CONTACT US

AT FMCLERK@UW.EDU