1. Education Specialist, Program Manager (aka Administrator)
Misbah Keen, MD, MPH, MBI
Co-Director
Jeanne Cawse-Lucas, MD
Co-Director
Jaime Fitch
Education Specialist, Program Manager (aka Administrator)
Updated 3/22/17 Fitch

2. 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

3. Objectives
Discuss the principles of care within the framework of family medicine.
Bozeman, MT
Discuss the critical role of family physicians within any health care system.

4. 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.
Collaboratively, with patient input, develop evidence-based health promotion/disease prevention plans for patients of any age or gender in a family medicine setting.
Central WA FMRP in Yakima

5. 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

6. Family Medicine Clerkship www.uwfmc.org Left menu: info for students

7. Assignment Tracker
Track all curricular activities and timelines online
Update Assignment Tracker WEEKLY
Bring print out of tracker to Mid & End of Clerkship Reviews
SCROLL ALL THE WAY DOWN, weekly assignments at bottom

8. CLINICAL KNOWLEDGE Acute Conditions Chronic Diseases
Maintenance for Adult and Child Health
Pregnancy, Labor & Delivery
Sitka, AK

9. 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

10. Effective Patient Centered Care (EPCC) mini-CEX for FMC: WWW.PCOF.US
WEEKS 1&2
Learn EPCC concepts through articles, videos and direct observations

11. This is the FMC Mini-CEX
OBJECTIVE 2: Effective Patient Centered Care (EPCC)
mini-CEX for FMC:
WEEKS 2-6
Apply EPCC concepts into practice using the Patient Centered Observation Form
4-6 times
This is the FMC
Mini-CEX

12. OPTIONAL CURRICULUM
Can complete at anytime - recommend early

13. Professionalism

14. 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
Faculty and Student Professionalism Award Winners

15. 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.

16. 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.

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

18. Professional Resiliency
Recipe for FM Clerkship Success

19. 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

20. 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

21. 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

22. 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, 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.

23. 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.

24. Outside of Havre, Montana
Required Activities
Week One:
Site Orientation
Attendance review including possible travel day
Clerkship Orientation Webinar
Week Two:
Required Clinical Reasoning Practice Test (Catalyst)
Outside of Havre, Montana

25. Required Activities Week Three Mid-Clerkship Review Week Six
Final Exam
Thu 9:30am-12:30pm 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

26. Clinical Reasoning Practice Test
Required Material on Catalyst at this URL:
Here is the link:
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

27. 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)

28. FINAL EXAM: Clinical knowledge assessment
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

29. 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.

30. 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

31. Feedback & Evaluation Form

32. Grading Criteria

33. 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 – 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

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

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

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