Family Medicine – Sub-Internship *

ELEC873 / PFCM 680

Department
Family and Community Medicine

Clinical or Non-Clinical Course
Clinical (Sub-I selective)

Physician Assessed Patient Facing
Yes

Prerequisites
Completion of Phase 2 Clerkships

Goal
The goal of this 4-week elective is to provide an educational experience where medical students will have direct responsibility for patient care under the supervision of the family medicine senior residents and attending physicians, including initial and follow-up assessments, diagnostic and therapeutic plans, patient education and disease prevention. Although there is a component of outpatient family medicine, this rotation prepares the student for patient-centered inpatient care. Based on their demonstrated knowledge, skills, and attitudes, students will act as “surrogate interns” with an advanced degree of independence and responsibility during the rotation in preparation for their intern year. This will help them broaden their knowledge, learn to accept responsibility, and improve their professional and interpersonal skills. Except for RSPP students, who will have the option of completing their sub-internship at the RSPP site, the sub-internship is only offered at the Family Medicine Residency.

Objectives
At the end of this course, the student will be able to:

  1. Actively take responsibility for assigned patients as “surrogate interns.”
  2. Perform a comprehensive, yet pertinent history and physical.
  3. Develop a comprehensive assessment of the patient’s presenting problem.
  4. Develop a plan for the patient’s care which includes admit orders.
  5. Formulate an evidence-based, cost-efficient, and ethical management strategy.
  6. Write, dictate, or electronically enter outpatient progress notes and admission history and physical documents.
  7. Follow the patient in the office or hospital, write pertinent notes, update problem lists, and monitor lab, imaging and other diagnostic results.
  8. Develop a “whole person” approach to patient care that focuses on the patient’s physical, emotional, psychological and spiritual health.
  9. Demonstrate good interpersonal skills.
  10. Employ skills as a member of the health care team.
  11. Describe the common problems in Family Medicine and the various diagnostic and therapeutic interventions.
  12. Describe the influences and importance of the family, community, occupation and psychological factors on patient care.
  13. Identify appropriate times for specialty consultation and referral and arrange for that consultation.
  14. Perform common office-based diagnostic and therapeutic procedures.

Method of Assessment
Standard Clinical 4wk Elective Evaluation - Honors/High Pass/Pass/Fail

Additional Methods
The preceptor will provide ongoing, constructive evaluation and feedback of the student’s competence in taking accurate histories, performing directed examinations, making assessments, forming and following appropriate plans, and building good relationships with the patients and their families. The faculty will base their evaluation on: 1. Daily observation 2. The Standard Clinical Evaluation Form

Course Director
Dr Elizabeth Gabel, M.D.

Course Coordinator
Brandi Reid
brandi72@uic.edu
309-672-4593

Location
Carle Health Peoria on Main, Carle Health Peoria Methodist Hospital, select community sites are utilized in RSPP only

Setting
Outpatient
Inpatient

Night Call
No

Laboratory
Yes

Weekends
Yes

Please Specify
During a 4-week block, students will be scheduled for two weekends in total. On each assigned weekend, student will work one day only (either Saturday or Sunday, not both), unless otherwise scheduled.

House Staff
Yes

Number of Learners per Block
1 (Maximum of 1 student per any Family Med elective per block)

Duration
4 weeks

Who is this elective available to
M4s (in Phase 3)

Blocks Available
Only available per direct request.