shadow_tr

Medical Student Education

Important Dates

Electives

Educational Objectives

Programs


Educational Support

This page is maintained by the Office of Medical Education. You may contact the OME by email (omeweb@tulane.edu) or phone (504) 988-6600.

 

FAMILY MEDICINE CLERKSHIP

Course Overview

During this 6-week experience, students will have an opportunity to join a community-based Family Practice and to learn about primary care practice through a structured, yet "real world" clinical experience with a mentor. Students will live in the community and largely adopt their preceptor's schedule. This clerkship offers students a unique variety of opportunities different from other third-year clerkships including:  

  • working one-on-one with an experienced physician mentor, typically without other students or residents.
  • experience in the type of ambulatory setting where a majority of the nation's health care is delivered. Students often have the opportunity for follow-up and continuity of care with ambulatory patients over several visits, and many of these patients have years and generations of continuity relationship with the preceptor.
  • the challenge of seeing presenting signs and symptoms that are often vague, undifferentiated, and early, as well as patients presenting with multiple needs.
  • daily repetition in history taking, the focused physical exam, and common procedural skills.
  • a rural emphasis at many sites.
  • service as ambassadors, through professionalism and contributions to the host practice and community, reflecting on Tulane throughout the region.  

The Clerkship is possible due to a network of volunteer Family Physicians who enthusiastically give of their time and experience to welcome and mentor students in their practice and community. Preceptors are Board Certified Family Physicians, located across Louisiana, south Mississippi, south Alabama and the Florida panhandle. They have participated in an orientation, site visits by Faculty, and/or training workshops regarding the Clerkship, and have been oriented to the course goals and activities. Many are experienced teachers with years of office-based teaching. In exchange for their efforts, preceptors receive the benefit of contact with bright doctors-to-be, a Tulane Faculty appointment, access to continuing education, workshops on office-based teaching, and a preceptor newsletter.

Hospital Sites:

Student website (secure)

Clerkship site

Blackboard site

Goals and Objectives

Goal: At the end of this 6 week, office-based block, students will have knowledge and experience as expected for a third year student regarding first contact ambulatory primary care, including well person care, common acute problems and chronic problems.  

Objectives: Students will increase knowledge and skills in community-based ambulatory practice including  

  • Common medical problems, conditions and situations  
  • Disease prevention and health promotion, and lifestyle modification techniques (smoking, nutrition, alcohol and substance use, physical activity)  
  • Organization and prioritization of undifferentiated complaints, signs, and symptoms  
  • Common office procedures  
  • Family dynamics  
  • Consultation and referral  
  • Documentation issues  
  • Evidence-based information gathering and decision making  

Goal: Students will increase understanding of and skill in incorporating the cultural and biopsychosocial components and context of health, disease, and health care in their host community.  

Objectives: Students will increase knowledge and skills in community-based ambulatory practice including  

  • How context affects interviewing, diagnosis, physical exam, therapeutic plans/recommendations, and adherence  
  • Patient-, family-, and community-centered care  
  • Cultural and economic determinants of health care and health
  • How family physicians utilize health resources in their community and contribute to their community's health through service in community programs.  

Goal: Students will understand and respect the role of ambulatory primary care in the continuum of health care service.  

Objectives: Students will increase their appreciation and knowledge of  

  • The value and role of the family physician in the health care system  
  • How family physicians interact with and utilize specialists  
  • Exposure to health systems issues such as payor effects on care provision, disease management programs, CQI process can enhance the quality of care in the office setting.  
  • Routine office practice operations and issues such as insurance, billing and collecting, CPT/ICD coding, pre-authorization processes

Syllabus (Handbook)

Forms

The overall structure of the typical 6 week Family Medicine Clerkship follows. Please check each Block Schedule for specific dates, as the length of the blocks vary. Block Schedule Fammed

Contact Information

Clerkship Director: Pam Wiseman, MD
Clerkship Co-Director: Sarat Raman, MD
Chairman: Rick Streiffer, MD
Vice Chairman: Eddie Dennard, MD, JD
Clerkship Coordinator: Joy Gilhousen
Administrative Secretary: Dionne Weber

Office Address: Tidewater BLDG, Room 1714
Office Phone: (504) 988-4700
Office Fax: (504) 988-4701

Department Website

1430 Tulane Ave, New Orleans, LA 70112 504-988-5263 medsch@tulane.edu