Emphasized conditions

Our intention in the family medicine clerkship is to provide a good sampling of types of patients for you to see, representative of the work of a typical family doctor. But there is no such thing as a ``typical family doctor.'' All of our practices adapt to the needs, resources, and lmitations of our communities.

As every clerkship in an accredited medical school must, we have devised a list of clinical conditions that every student should see at least once. Our list, shown in Table 1, that I will refer to as ``emphasized conditions:''


Table 1: Logging of emphasized conditions. O = observed; A = assisted; P = performed S = performed under direct faculty supervision
Condition Experience type Role Number
upper respiratory syndromes and cough real or simulated/online OAPS 1
headache real or simulated/online OAPS 1
rashes and skin lesions real or simulated/online OAPS 1
back pain real or simulated/online OAPS 1
joint pain real or simulated/online OAPS 1
chest pain real or simulated/online OAPS 1
abdominal pain real or simulated/online OAPS 1
depression and/or anxiety real or simulated/online OAPS 1
hypertension real or simulated/online OAPS 1
type 2 diabetes real or simulated/online OAPS 1
hyperlipidemia real or simulated/online OAPS 1
routine health maintenance for all ages real or simulated/online OAPS 1


Despite the natural diversity in preceptor's practices, I believe every student should be able to see every one of these conditions or problems at least once during the year.

I measure how well the clerkship is delivering these experiences to you by two mechanisms:


\begin{outline}
\1 Your weekly SOAP notes.
\1 e-value logging. Hopefully else...
... with the college-wide software system that we have implemented.
\end{outline}

I will provide feedback to you periodically, concerning the types of patients you have been seeing and writing up.

Chris Ryan 2012-07-08