Undergraduate EducationDr. Jon Miklea

April 2007

OBJECTIVES

• Preclerkship Update

• FMIG

• Become familiar with the changes in FM clerkship

• Questions and Feedback

• Thank you for your commitment to teach our students!

PRECLERKSHIP

• FM presence in Pro Comp

• 12 mo longitudinal FM experience

• Recruiting preceptors for mandatory 6 wk FM experience

• FM Open House-October 25

• FMIG

FM Clerkship in the new COMPASS Curriculum

January 2007

How has FM Clerkship changed?

What is COMPASS?

• New curriculum of the Undergraduate MD Program (2005)

– Concept-oriented, Multi-disciplinary, Problem-based, Practice for transfer, Simulations in Clerkship, Streaming

• Emphasis on concepts, mechanisms, integration, application

• Professional Competencies: longitudinal, pre-clerkship

– Professionalization, Self-Awareness; Communication; Clinical Examination; Life-long Learning; Ethics; Social/Community Context

Family Medicine Before

• 6 week block rotation• average 6 half days in the FM practice• 40 hrs of ER• 2 Early Years sessions + 1 site visit• 2 Palliative sessions + 1 site visit• 5 Tutorials• Written key feature exam• Evaluations

Changes…DONE!• Content change-National Undergraduate FM

learning goals and objectives + CANMEDs

• Replacing the ER week, 40 hrs

• Using the Passport to trace the FM clerkship

Changes…work in progress

• Looking at the Tutorial

• EXAM

• Introducing Professional Competencies in Clerkship

Unchanged elements …

• Time spent in the office and CLINICAL experience• Both local and distant sites• Obstetrical experience will continue to be preceptor

dependant and or via Maternity center arranged by student

• Geriatric exposure through office cases and/or NH visits which are preceptor dependant

…but now there is a formal ‘Care of the Elderly’

NH experience

Con’t…SAME

• Weekly tutorials for now

• Mid-term and final Evaluation with Tutor and Preceptor

• Final exam

FM Clerkship Content

• Reflected in preceptor’s package and student’s passport = rough guide to replace Encounter cards

• Helps with recording FM experience

ER experience replaced by:

• More Palliative care

• More formal Care of the Elderly in NH

• Global Health

• Complimentary and Alternative medicine exposure

• Selective experience in different areas of FM

Early Years

• Provide background information to support a proactive approach to early childhood development

• Teach strategies for comprehensive and efficient clinical practice

• Enhance knowledge regarding community resources

• 1 site visit, 2 lec

Palliative Care

• To provide clinical and educational experiences to achieve the EFPPEC competencies

• To provide exposure to palliative patients and families within context of an interprofessional team

• To encourage self reflexion about issues of end of life care

• 1 site visit, 2 lec,1 ias• TOSCE

Care of the Elderly• To expose the clerk to a primary care approach

to care of the elderly

• To address key concepts in FM care of the elderly

• To showcase the long-term care setting/facility as part of the scope of family physicians

• 1 half day combining site visit with lecture

Global Health

• To develop an understanding of global health• To develop an early knowledge of why global health is

important to the practicing physician• To consider ways in which doctors can become involved

in addressing the broad determinants of global health• To understand the role of physician advocacy and

responsibility in the context of global health• To provide an opportunity to experience an interactive

session to demonstrate one, or more, aspects of global health

• 1 tutorial ,1 interactive session

CAM

• Indentify common forms of CAM• Become aware of reasons for pt’s use of CAM• Experience and observe the clinical practice of

CAM modality• Observe/ reflect on differences among CAM

practices, and between CAM and conventional medicine

• 1 lec, 1 site visit, 1 tutorial

Selectives

• Hospitalist• Sport medicine• GP Anesthesia• Addiction medicine• GP Psychotherapy• Inner city health• Francophone center

• 2 half days

Department of Family MedicineClerkship Itinerary

r: ________________________ Telephone:__________________ Pager: _____________________

dates: From _________ to__________ Tour Guide (clinical preceptor): ____________________________

k Monday Tuesday Wednesday Thursday FridayAM Early years/ NB/ Maternity

(Tutorial)

PM Palliative Care (Tutorial)AM Global Health (Tutorial)

8am- 11amComplementary/

Alternative Medicine(Lecture) 11am-12 pm

PM Palliative Care(Site Visit)

AM Care of the Elderly(Site Visit)

PM Palliative Care (Interactivesession)

AM Early years/ NB/ Maternity(Tutorial)

Global Health (Interactivesession)

PM Palliative Care (Tutorial)AMPMAMPM Palliative Care

(TOSCE)Unfixed – _ day Early Years Site Visit _ day Complementary/Alternative Medicine site visit _ day lecture Complementary/Alternative Medicine 2- _ day Selective

Future planning

• So far 2 cohorts of students going through new FM clerkship…No casualties!

• Evaluation of the new FM clerkship-fall 2007• Tutorial revamping group came up with the

new concept• Exams are to be reviewed throughout 2007-

May 25• Electronic access of Passport, Objectives• Questions? Feedback!