FCM 110 - Orientation 2017

What is FCM 110? Third-year required clerkship for UCSF medical students Only third-year clerkship that is entirely outpatient Equivalent of six-week block clerkship Aligns with national FCM curriculum Runs Blocks April – Dec, 2017 (except for “late start” students)

FCM 110 Goals Students gain experience in providing: Acute care Chronic care Preventive care Behavioral change Patient continuity Efficient outpatient care Team-based care Family-oriented care Patient education

Logistics Week A Student in clinic with you Week B Student has workshops, seminars, or on-line cases FCM day is the same day each week and cannot change Excused from block rotations all day for FCM clinic Times that students will miss clinic with you: Vacation Fresno rotation Illness Please contact Sandi Borok with questions….

Why a longitudinal format? Local and national data support better learning in a longitudinal format: Greater continuity with patients, preceptors and health care team More meaningful relationships with patients Improved understanding of chronic illness care, preventive health, behavior change More accurate feedback Greater mentorship by faculty Feeling like “part of the team” New this year!

Expectations of Preceptors Orienting the student to your team and clinic Eliciting student learning goals at start, midpoint and end of the rotation Supporting students’ ability to perform an independent history and physical exam Direct supervision of students in sensitive parts of the physical exam and procedures Fostering students’ development of coherent oral presentations and robust differentials Teaching clinical pearls of practice Direct observation of students’ clinical skills Providing midpoint (x2) and final feedback to students Filling out online student assessment within 2 weeks at the midpoint (x2) and end of the rotation Role modeling professionalism Providing mentorship and support of student growth More info on student assessment to follow…

Expectations of Students

Professionalism Prompt Reliable Responsible Respectful Maintains confidentiality Communicates effectively Integrates into the outpatient team If you have concerns, please contact us immediately so that we can intervene if necessary and tailor the student’s learning plan.

Clinical Learning Students should not just shadow! Performing independent patient H and P Developing clear, organized oral presentations and notes Developing and prioritizing a differential for each problem Developing assessments for chronic illnesses based on national guidelines Outlining an appropriate plan Synthesizing recommendations for preventive health Reading about relevant patient care topics Effectively providing patient education Following up with patients Eliciting feedback and integrating suggestions Communicating clearly to patients, preceptors and team Working well with the team

Attendance Students are required to attend all scheduled sessions Block rotations are expecting students to be away for FCM, even if on call or post call Students must notify preceptor, clinic and UCSF if they are ill Students must attend FCM sessions to meet graduation requirement. If a student is absent or tardy more than once, or if you have concerns, please contact us ASAP!

Didactic Learning At home, students independently complete fmCASES, an online FCM curriculum used by half of US medical schools Cases cover topics including DM, HTN, HLD, preventive health, etc. Using fmCASES means that even if a student does not see a particular topic in your clinic, they will still learn about it! All students take standardized exam in November based entirely on online cases

FCM 110 Grading Student grade: 80% Clinical assessments by preceptors Next month’s powerpoint is about student assessment 10% Attendance in seminar and completion of fmCases 10% Final exam

Questions? Please contact us… Roy Johnston Student Programs Manager Roy.Johnston@ucsf.edu Sandi Borok Curriculum Program Administrator Sandi.Borok@ucsf.edu Erica Brode, MD, MPH Assistant Course Director Erica.Brode@ucsf.edu Margo Vener, MD, MPH Course Director Margo.Vener@ucsf.edu

Confirmation Click below to confirm that you have read the FCM 110 overview FCM 110 Preceptor Overview Confirmation (or copy & paste into your browser: https://ucsf.co1.qualtrics.com/jfe/form/SV_ezFtN67SU WN3aMl)

Thank You!