1. 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

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. 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

4. Family Medicine Clerkship www.uwfmc.org

5. 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.

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

7. 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.

8. 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

9. 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

10. 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, 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.

11. 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.

12. 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

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

14. 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.

15. 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.

16. Professional Resiliency
Recipe for FM Clerkship Success handout

17. 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

18. 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

19. 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

20. 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

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

22. 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

23. 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.

24. 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

25. Feedback & Evaluation Form

26. 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.

27. 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.

28. Grading Criteria
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 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: 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.

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

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