1. FCM Orientation 2017

2. 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, (except for “late start” students)

3. 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

4. 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….

5. 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!

6. 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…

7. Expectations of Students

8. 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.

9. 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

10. 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!

11. 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

12. 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

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

14. Confirmation
Click below to confirm that you have read the FCM 110 overview
FCM 110 Preceptor Overview Confirmation
(or copy & paste into your browser: WN3aMl)

15. Thank You!