Education Specialist, Program Manager Misbah Keen, MD, MPH, MBI Co-Director Jeanne Cawse-Lucas, MD Co-Director Jaime Fitch Education Specialist, Program Manager Updated 9/1/16 Fitch

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

Central WA FMRP in Yakima Objectives Learn and apply knowledge of common conditions, wellness and prevention Learn and apply effective patient-centered care skills Act professionally in the care of patients and families, and within the health care team and communities Central WA FMRP in Yakima

Family Medicine Clerkship www.uwfmc.org

Assignment Tracker Track all curricular activities and timelines online Update Assignment Tracker each week Bring print out of form to Mid and End of Clerkship Reviews.

Common Conditions Acute Conditions Chronic Diseases Adult and Child Health Maintenance 4) Pregnancy, Labor & Delivery Sitka, AK

Effective Patient Centered Care (EPCC) WEEKS 1&2 Learn EPCC concepts through articles, videos and direct observations WEEKS 2-6 Apply EPCC concepts into practice using the Patient Centered Observation Form, 4-6 times. This is the clerkship’s mini-CEX.

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 included in fmCASES Tacoma FMR

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 encounters Develops clinical reasoning, differential diagnosis building, and patient interaction skills Studying a textbook may give similar knowledge but will not help build clinical competency

FMCASE UPDATES in RESPONSE TO STUDENT FEEDBACK PDFs and cases are inconsistent: All key content within cases is reflected in the PDFs. Cases are redundant: Redundancy is planned for what is common and should be mastered. Hard to search topics for further study: Look at this FMCases, SOMPLE and CLIPP content list to search cases by major diagnosis and content areas. Also on assignment tracker under corresponding diagnosis. Old information, expired links: Tested annually. If they are not working, email MedU and they will fix immediately. Q. Are all 40 cases (33 fmCASES plus 5 CLIPP and 2 SIMPLE) represented on the fmCASES final exam? A. Yes, the questions are closely aligned with the material in each of these cases. These are also part of the annual content update process, so when content in the cases is changed, the corresponding questions are addressed.

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

Professionalism Review: Professional expectations of the clerkship Professionalism section of Feedback & Evaluation form Discuss professional performance at Mid&End of Clerkship - REQUIRED Professionalism Awards Student Award Staff and Faculty Award 2014-15 Faculty and Student Professionalism Award Winners

DUTY HOURS Please check your UWSOM student handbook for work hours policy.

Professional Learning Environment Teacher-learner relationships: Both have rights and responsibilities Responsibilities 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.

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.

Professional Resiliency Recipe for FM Clerkship Success handout

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

Outside of Havre, Montana Required Activities Week One: Site Orientation Attendance review including possible travel day Orientation Webinar (Mon noon-1pm PT) Week Two: Required clinical reasoning a-synchronous material, accessed through Catalyst. Outside of Havre, Montana

Required Activities Week Three Mid-Clerkship Review Week Six Final Exam (Thu 9:30am-12:30 PT) End of Clerkship Review End of Week Six Site and Faculty Evaluations 4-6 times during the rotation Use of the PCOF form as the mini-CEX Pocatello, ID

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

Clinical Knowledge Assessment More residency programs are using USMLE scores to screen applicants. Recent increase in STEP 2 passing score (now 209). Whitefish, MT

Clinical Knowledge Assessment Final Exam Thursday of week 6 from 9:30 am - 12:30 pm PACFIC TIME Online, closed book 100 Questions Based exclusively on fmCases, CLIPP and SIMPLE cases Anacortes, WA

Evaluation Process Site Director collects feedback from preceptors about student’s performance. Site Director incorporates feedback into preliminary grade form considering depth, length of time, and when each faculty worked with the student. Final grades are assigned by Clerkship Directors at the Seattle office based on the site’s scores and final exam performance.

Grading Knowledge of Subject Area Data-Gathering Skills Student Evaluations are based on 11 scoring categories and the final exam   Knowledge of Subject Area Data-Gathering Skills Clinical Skills Patient-Centered Care Skills Management Skills Integration Skills Communication Skills Relationships with Patients Professional Relationships Dependability and Responsibility Educational Attitudes

Feedback & Evaluation Form

Final EXAM SCORES  Honors (82 percent and above) – grade adjustment: +0.1 High Pass (75 to 81.9 percent) – grade adjustment: No adjustment Pass (60 to 74.9 percent) – grade adjustment: -0.2 Fail (less than 60 percent) – Remediation needed If you get a score of Pass on the Exam it is not possible to get Honors as a Final Grade.

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.

Grading Criteria 2016-17 The Family Medicine Clerkship Student Clinical Evaluation is composed of eleven scoring categories: Knowledge of Subject Communication Skills Data-­ Gathering Skills Clinical Skills Patient-‐Centered Care Skills Dependability and Responsibility Management Skills Educational Attitudes Integration Skills Relationships with Patients Professional Relationships Each category will have a score of 1 to 5 and a GPA will be calculated based on aggregate of the scores. Clinical Honors: GPA of 4.9 to 5.0 Clinical High Pass: GPA of 4.2 to 4.8 Clinical Pass: GPA of 2.8 to 4.1 Clinical Fail: GPA of less than 2.8 OR a score of 1 in any category For the 2016-17 school year the final exam scores will be interpreted as follows: The national mean score for fmCases final exam is 74.5 with a standard deviation of 7.5 Honors (82 percent and above) – grade adjustment: + 0.1 High Pass (75 to 81.9 percent) – grade adjustment: No adjustment Pass (60 to 74.9 percent) – grade adjustment: – 0.2 Fail (less than 60 percent) – Remediation needed Final Grade Honors: GPA 4.9 to 5.0 High Pass: GPA 4.2 to 4.8 Pass: GPA 3.0 to 4.1 Fail: GPA of less than 3 OR a score of 1 in any category.

EHR ORIENTATION CHECK LIST See: Family Medicine Clerkship website > Info for Students

YOU CAN ALWAYS CONTACT US AT FMCLERK@UW.EDU QUESTIONS? YOU CAN ALWAYS CONTACT US AT FMCLERK@UW.EDU