1. Primary Care Clerkship

2. Categories Included Primary Care Primary Care Longitudinal Experience Longitudinal Experience Focus on Special Populations Focus on Special Populations –Women’s health –Men’s health –Adolescent health –Geriatrics –Patients with special needs (disabled, etc)

3. Structure One 16-week rotation One 16-week rotation Longitudinal experience with each primary care specialty Longitudinal experience with each primary care specialty Experience caring for underserved populations Experience caring for underserved populations Time devoted to special populations Time devoted to special populations

4. Sample Schedule month 1 MondayTuesdayWednesdayThursdayFriday Week 1 amorientationGIMPedsFMAHEC pm Acute Care WomensWomens WH Didactic AHEC WH Week 2 amdidacticGIMPedsFMAHEC pm Acute Care WomensWomens WH Didactic AHEC WH Week 3 amdidacticGIMPedsFMAHEC pm Breast CA screening WomensWomens WH Didactic AHEC WH Week 4 amdidacticGIMPedsFMAHEC pm Breast CA screening WomensWomens WH Didactic AHEC WH MondayTuesdayWednesdayThursdayFriday Week 1 amorientationGIMPedsFMAHEC pm Acute Care WomensWomens WH Didactic AHEC WH Week 2 amdidacticGIMPedsFMAHEC pm Acute Care WomensWomens WH Didactic AHEC WH Week 3 amdidacticGIMPedsFMAHEC pm Breast CA screening WomensWomens WH Didactic AHEC WH Week 4 amdidacticGIMPedsFMAHEC pm Breast CA screening WomensWomens WH Didactic AHEC WH

5. Sample schedule month 2 MondayTuesdayWednesdayThursdayFriday Week 5 amdidacticGIMPedsFMAHEC pm AH psych Adolescent Substance Abuse AH didactic AHEC WH Week 6 amdidacticGIMPedsFMAHEC pm AH psych Adolescent Substance Abuse AH didactic AHEC WH Week 7 amdidacticGIMPedsFMAHEC pm AH psych Adolescent Acute Care AH didactic AHEC WH Week 8 amdidacticGIMPedsFM Mid-term exam/AHEC pm AH psych Adolescent Acute Care AH didactic AHEC WH

6. Sample schedule month 3 MondayTuesdayWednesdayThursdayFriday Week 9 amdidacticGIMPedsFMCommunity pmHospiceGeriatrics Palliative Care GM didactic Geriatrics Week 10 amdidacticGIMPedsFMCommunity pmHospiceGeriatrics Palliative Care GM didactic Geriatrics Week 11 amdidacticGIMPedsFMCommunity pmGM/psychGeriatrics Palliative Care GM didactic Acute Care Week 12 amdidacticGIMPedsFMCommunity pmGM/psychGeriatrics Palliative Care GM didactic Acute Care

7. Sample schedule month 4 MondayTuesdayWednesdayThursdayFriday Week 13 amdidacticGIMPedsFMCommunity pm Acute Care Men's Health Colon CA screening MH didactic Men's Health Week 14 amdidacticGIMPedsFMCommunity pm Acute Care Men's Health Colon CA screening MH didactic Men's Health Week 15 amdidacticGIMPedsFMCommunity pm Sports Med/ Disability Disability didactic Community Week 16 amdidacticGIMPedsFMExam pm Sports Med/ Disability Disability didactic Exam

8. Educational Sites Primary Care longitudinal experiences, acute care sessions, clinical experiences in special populations– USF Medical Clinics Primary Care longitudinal experiences, acute care sessions, clinical experiences in special populations– USF Medical Clinics Underserved patients – AHEC sites Underserved patients – AHEC sites Community preceptors – local preceptors Community preceptors – local preceptors Specialized experiences (hospice, geriatric psych, adolescent psych, substance abuse) Specialized experiences (hospice, geriatric psych, adolescent psych, substance abuse)

9. Didactics Primary Care Didactics Primary Care Didactics –Split into organ systems by week –Including preventive medicine, communication –Topics spanning various age groups – multidisciplinary didactics –Some web-based didactics Special Populations Didactics Special Populations Didactics –Based on the “population” of the month –May include examination skills in OSCE-type setting

10. Integrated Longitudinal Curriculum Most topics incorporated into: Most topics incorporated into: – didactics: disease prevention, health promotion, EBM, ethics, nutrition –clinical experiences: communication, system based practice, radiology, pain management, end of life care, lab medicine –OSCE/CPX type evaluations: ethics, communication, lab medicine, patient safety

11. Student Evaluation Logbook to monitor activities and diagnoses encountered Logbook to monitor activities and diagnoses encountered Mid-term feedback with each of the longitudinal preceptors Mid-term feedback with each of the longitudinal preceptors –To review experience –Plan for the rest of the clerkship Direct observation (videotaped office visit) Direct observation (videotaped office visit) Evaluation by patients Evaluation by patients CPX and Multiple Choice Final Exam CPX and Multiple Choice Final Exam