IUSM Elective Course Listing - Family Medicine

IU Student Electives
FAMILY MEDICINE

49YF702	FAMILY MEDICINE - INPATIENT
*Course Director:* Dr. Burtea *Other Faculty:* Dr. Fleming Dr. Helsel Dr. Knight Dr. Lisby Dr. Rains Dr. Shockley	*Description: NOTE: THIS ELECTIVE MAY BE DROPPED/ADDED WITHIN 15 DAYS OF THE START OF THE ELECTIVE MONTH.* Student will work with faculty and residents of the Family Practice Residency program. Emphasis will be placed on practical, clinical experience through direct patient care in the hospital. Students will be able to generate an appropriate differential diagnosis and initial and ongoing care plan for evaluation and treatment. Students will function as the patients' primary physician while in the hospital and will do follow-up in the Family Medicine Center if necessary. The student will be afforded the opportunity of obtaining experience in diagnostic and treatment modalities both in the hospital (60%) and in ambulatory settings (40%). The importance of continuous and comprehensive care in Family Medicine will be appreciated by the student. Student will be given the opportunity to spend 2 (two) nights on call with the resident during the elective month. Students will be given the opportunity to fulfill Level 3 Competency in Professionalism or Problem Solving. Students wishing to fulfill a competency must meet with the course director on the first day of the elective.	*Hospital(s):* Community Hospital (Indianapolis)
		*Availability*: All year except December
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 3rd or 4th year status; Medicine clerkship must be completed
		*Course components:* 90% Clinical; 10% Lecture
		*Competency offered:* VIII: Problem Solving IX: Professionalism & Role Recognition

49YF704	FAMILY MEDICINE- HOSPITALIST SERVICE
*Course Director:* Dr. J. Sneed	NOTE: This course may be dropped/added with 15 days of the beginning date for the elective. *Description: This elective is designed to expose 4th Year Medical Students to all aspects of hospital care. Students will work with faculty and residents of the Family Medicine Residency Program. Students will work along with the Family Medicine Resident on Duty for the Family Medicine Hospitalist Service and triage, admit, diagnose, present, and manage Obstetrical, Pediatric, Adult, and Geriatric patients from the Emergency Room, the Family Practice Center, the community physician offices, and other services at Methodist Hospital. They will be expected to manage and follow patients assigned to them on the Med-Surg floors, Pediatric floors, Labor & Delivery and Postpartum floor, and Critical Care floors, along side the Family Medicine Interns and under the supervision of the senior Family Medicine resident and faculty. Students will attend Family Medicine Didactics sessions with the residents on Thursday afternoons. Students are expected to spend 3 night calls and 2 weekends with the service during the month. By the end of the rotation, students are expected to be able to recognize conditions which requires outpatient care, admission, consultation, and referral; diagnose and treat common inpatient conditions based on the latest evidence; identify psychosocial issues which impact the care of hospitalizes patients; and communicate effectively with patients and other members of the health care team. The faculty and residents will make every effort to accommodate special interests and learning agendas that the student may present, offering the opportunity, under supervision, to manage variety of acute and chronic injuries and/or illnesses and to do variety inpatient procedures to include central venous line placement, joint aspirations and injections, thoracentesis, deliveries, patient counseling, and more Any student wanting to drop or add this elective after the initial computer scheduling should contact Novalea Feltner at 962-5423. [ TOP ]*	*Hospital(s):* Clarian Methodist Hospital (Indianapolis)
		*Availability*: All year except July
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 80% Clinical; 10% Lecture; 10% Library
		*Competency offered:* I: Effective Communication

49YF724	AMBULATORY CARE FAMILY MEDICINE ELECTIVE
*Course Director:* Dr. S. Grannis	Note: This course may be dropped or added up to the 15th day of the month preceding the elective month. *Description: This elective is designed to expose 3rd or 4th Year Medical Students to all aspects of patient care outside the hospital. Students will work with some of faculty members the Family Medicine Program. The students will learns how to do the focused history and physical, and how to diagnosis, treat, and manage Obstetrical, Pediatric, Adult, and Geriatric patients in the outpatient setting with variety of common acute and chronic injuries and/or illnesses such as gestational diabetes, a infant with a fever, asthma, fractures, wound care, malignant hypertension, COPD, CHF, and osteoporosis just to name a few. By the end of the rotation, students are expected to be able to recognize conditions which requires outpatient care, admission, consultation, and referral; using on the latest evidence, diagnose and manage common acute and chronic illnesses in an outpatient setting; perform routine preventive and wellness measures; identify psychosocial issues which impact the care of patients; and communicate effectively with patients and other members of the health care team. Students will attend Family Medicine Didactics sessions with the residents on Thursday afternoons. The faculty and residents will make every effort to accommodate special interests and learning agendas that the student may present, offering the opportunity, under supervision, to manage variety of acute and chronic injuries and/or illnesses and to do variety outpatient procedures to include colposcopy, spirometry, exercise cardiac stress test, joint aspirations and injections, casting, patient counseling, and more. Any student wanting to drop or add this elective after the initial computer scheduling should contact Novalea Feltner at 962-5423. [ TOP ]*	*Hospital(s):* Clarian Hospitals & Clinics (Indianapolis)
		*Availability*: All year except July
		*Number of units:* 1-2 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 3rd or 4th year status
		*Course components:* 80% Clinical; 10% Lecture; 10% Library
		*Competency offered:* I: Effective Communication

49YF744	FAMILY MEDICINE GERIATRICS
*Course Director:* Dr. M. Graham	Note: This course may be dropped or added up to the 15th day of the month preceding the elective month. *Description: This elective demonstrates Family Practice Geriatrics. The medical student sees patients in the nursing home, the hospital, the Family Practice Center, and on a series of home visits; the medical student spends learning time in other Methodist Hospital clinical settings such as the Center for Geriatric Medicine, audiology, physical and occupational therapy. Clinical knowledge, skills, and attitudes appropriate to geriatric care are taught by modeling, one-on-one teaching, a modest amount of library reading, and writing a required report on a geriatric topic. This elective covers "normal aging", psychological-social-environmental changes of aging, altered presentation of diseases in the aged, iatrogenic problems in geriatric medicine, health maintenance, patient care in long-term care facilities, financial aspects of health care in the elderly, and other geriatric topics. Required weekly conferences include a weekly IU Geriatrics Conference and the scheduled family medicine residency didactic sessions. Michael Q. Graham, M.D., CAQ in Geriatrics, Family Medicine Geriatrics Coordinator supervises. The student is not required to take night call during this elective. Any student wanting to drop or add this elective after the initial computer scheduling should contact Pam Hulse at 962-5419. [ TOP ]*	*Hospital(s):* Methodist Family Practice Center (Indpls)
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 3rd or 4th year status
		*Course components:* 70% Clinical; 20% Lecture; 10% Library
		*Competency offered:* None

49YF705	FAMILY PRACTICE
*Course Director:* Dr. R. Feldman *Other Faculty:* Family Practice Staff	NOTE: This course may be dropped/added with 15 days of the beginning date for the elective. *Description: Student will be assigned to a Family Practice Faculty member and a Family Practice Resident and will have direct patient care experience in the office and the hospital. 1. Attend morning staffing and teaching rounds. 2. Attend morning and noon conferences. 3. Complete at least 2 afternoons in the Family Practice center seeing acute ambulatory problems. 4. Inpatient experience including work-ups, progress notes, patient presentations and rounding. 5. Two night calls* required during the month. Our desire is to provide the senior student with an experience similar to an internship under direct supervision by a 1st and 3rd year resident without the responsibilities and pressures of a first year resident. *Objectives:* To gain greater experience and knowledge in common medical problems presenting to the family physician in the ambulatory, emergency department, and in-patient setting. The student will be able to perform work-ups, generate differential DX's, write progress notes and orders on common primary care medical problems. To gain experience in the medicine care and decision making process in the ambulatory and in-patient setting. [ TOP ]	*Hospital(s):* St. Francis Medical Arts Building Hospital Center (Beech Grove)
		*Availability*: All year
		*Number of units:* 1-3 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 3rd or 4th year status
		*Course components:* 90% Clinical; 5% Lecture; 5% Library
		*Competency offered:* IX: Professionalism & Role Recognition

49YF706	FAMILY MEDICINE ADULT INPATIENT SERVICE
*Course Director:* Dr. C. Ward *Other Faculty:* Dr. Bryant Dr. Cation Dr. Drotar Dr. Fahmy Dr. Gerke Dr. Hampton Dr. Hogue Dr. Johnson Dr. Knotts Dr. Love Dr. Maminta Dr. Massoumi Dr. Miller-Rice Dr. Palmer Dr. Roth Dr. Sayers Dr. Spanenberg Dr. Swinney Dr. Wilson	*NOTE: THIS ELECTIVE REQUIRES NIGHT CALL; THEREFORE, CHANGES IN THE SCHEDULE MUST BE MADE BY THE 10TH OF THE PRECEDING MONTH THE ELECTIVE IS SCHEDULED TO BEGIN.* *Description: Family Medicine residents rotate on the Adult Inpatient Medicine Service (AIMS). The student will function as a sub-Intern on an AIMS team consisting of one Senior Family Medicine Resident and two Family Medicine Intern Residents. The service is a combination of a single faculty teaching service and private service. Learning Objectives for the rotation include: To develop problem solving skills. Gain experience in the collection of patient data from the history and physical examination, and in the formulation of an appropriate clinical problem list. Learn to utilize the bedside clinical information to direct an efficient, focused and appropriate diagnostic and therapeutic management plan Learn to collect, record and synthesize clinical data, and then to communicate those data to your colleagues and supervisors in a complete and concise manner. Gain experience in accepting the primary care responsibility for adult patients with a wide variety of medical problems, within the context of supervision from your senior resident and attending physician. Gain insight and experience with in-patient-physician and physician-physician relationships, as they relate to comprehensive and high quality patient care. Gain experience with in-hospital, on-call responsibilities in the cross coverage of your colleague's patients, and in the evaluation and management of newly admitted patients. Become acquainted with the practice of adult inpatient medicine in a large community hospital setting. The student will take overnight call with the team during the month, and will provide the primary care for 2-5 patients at a time. Didactic sessions will include daily Attending Teaching Rounds, daily Specialty Teaching rounds, daily Noon Conference and weekly Medicine Grand Rounds. [ TOP ]*	*Hospital(s):* St. Vincent Hospital (Indianapolis)
		*Availability*: All year
		*Number of units:* 1-3 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 3rd or 4th year status; must have completed Medicine clerkship
		*Course components:* 80% Clinical; 20% Lecture
		*Competency offered:* VIII: Problem Solving

	49YF729	HOLISTIC HEALTH CARE IN AN INNER-CITY FAMILY MEDICINE ELECTIVE
	*Course Director:* Dr. M. Henein	*Objectives:* 1. To gain exposure to the similarities and differences in providing health care in an inner-city setting 2. To understand how social, economic, spiritual, and ethnic factors affect the health of an individual 3. To learn how to access community and human service resources 4. To assist in caring for patients of the health center *Description: Senior Medical students are invited to work in the inner city of Indianapolis in a faith-based medical practice. Raphael Health Center is a federally qualified, comprehensive, community Health center in the Mapleton-Fall Creek community. Located at the corner of 34th and Central Avenue, Raphael was founded in 1996 by Tabernacle Presbyterian Church and community leaders to address health care needs in the surrounding neighborhood. The students will participate in month-long elective that involves all areas of outpatient medicine including obstetric, pediatric, adolescent and adult care. The emphasis of the health center is to offer affordable, cost-effective, quality and compassionate care to all patients. Emphasis will be placed on addressing social and spiritual needs as well as traditional preventative and acute care. The student will see patients initially and develop a care plan. Each patient is then discussed with the patient's regular provider. There will be opportunities for discussion about the unique health care needs of the inner city. Topics for discussion may include public health policy, epidemiology, and specific health problems such as teenage pregnancy, infant mortality, and substance abuse. Although optional, the student is encouraged to attend our weekly staff and monthly prenatal care committee meetings. NOTE:* Please contact Dr. Henein at mmh4j@yahoo.com after the initial computer match [ TOP ]	*Hospital(s):* Raphael Health Center (Private)
			*Availability*: All year
			*Number of units:* 1 Full Time
			*Max Students/Unit:* 1
			*Prerequisites:* 4th year status
			*Course components:* 90% Clinical; 5% Presentation; 5% Library
			*Competencies offered:* I: Effective Communication VI: The Social & Community Contexts of Health Care

83YF701	ROLE OF CRITICAL ACCESS HOSPITAL IN RURAL INDIANA
*Course Director:* Dr. Greg Brock *Other Faculty:* Stephanie Laws, R.N.	*Description: This 4^th-year elective will consist of a month-long rotation at the West Central Community Hospital, a critical access hospital (CAH) in Clinton, IN. Under the supervision of family physicians and other specialists, the student will participate in all aspects of health care delivery provided by this CAH. The student will also participate in health care delivery at local nursing homes as well as in a mental health facility located in an adjacent county. A student’s typical day would include: Participating in morning rounds at West Central Community Hospital Then beginning clinical experiences, in half-day increments, with the course director in the family practice office, or with a specialist in the Outpatient Clinic at West Central Community Hospital, or within departments of West Community Hospital Reporting to the course director at lunch time and at the end of the day The student’s day would start at approximately 8:00 a.m. and end at approximately 5:00 p.m., at the course director’s office. There will be one weekend of call coverage coordinated with the course director and the on-call weekend physician. There will be no night call through the week. Objectives/Goals:* Understand and discuss the uniqueness and role of CAH in a rural community. Understand and discuss issues of accessibility, availability, and affordability in rural health care. Understand and describe the organization and delivery of health care in a rural setting based on clinical rotations in different departments within the CAH and other health care facilities. Perform simple minor surgery procedures commonly conducted in the out-patient setting. Implement chronic disease management techniques with patients in the rural setting. Diagnose and manage common undifferentiated medical problems presenting in the rural setting. Appreciate the value of preventive health measures in quality of care by participating in an available patient advocacy program. TOP	*Hospital(s):* West Central Community Hospital (Clinton, IN)
		*Availability*: November-April
		*Number of units:* 1
		*Max Students/Unit:* 2
		*Prerequisites:* 4th year status
		*Course components:* 80% Clinical, 5% Research, 10% Presentations, 5% Library
		*Competencies offered:* VI: Social and Community Contexts of Health Care

02YF701	FAMILY PRACTICE - PRIVATE PRACTICE PRECEPTORSHIP
*Course Director:* Dr. P. Blusys *Other Faculty:* Staff	*Description: The purpose of this elective is to acquaint the senior student with the specialty of Family Medicine in the context of private practice in that discipline. The student is assigned to work in conjunction with a Family Practitioner in the community. Mornings will generally consist of hospital rounds with the preceptor. Afternoons will be spent at the physician's office. The student will have an opportunity to directly participate, with supervision, in all aspects of patient care. Attendance, with the preceptor, at hospital Staff and Continuing Education Meetings, home care, and community medical activities is encouraged. Arrangements to spend free time in the various conferences and activities of the Fort Wayne Family Practice Residency are possible. [ TOP ]*	*Hospital(s):* Fort Wayne Center for Medical Education
		*Availability*: All year
		*Number of units:* 1-3 Full Time
		*Max Students/Unit:* 2
		*Prerequisites:* 3rd or 4th year status
		*Course components:* 95% Clinical; 5% Lecture
		*Competency offered:* None

02YF731	FAMILY PRACTICE RESIDENCY ELECTIVE FOR SENIOR STUDENTS
*Course Director:* Dr. P. Blusys *Other Faculty:* Staff	*Description: The purpose of this elective is to acquaint the student with the specialty of Family Medicine, including the postgraduate training in that discipline, at the Fort Wayne Family Practice Residency. The student directly participates in all phases of patient care under the direct supervision of a senior resident, the Residency Director, and/or the residency faculty. The student attends hospital rounds with the residents and all educational conferences or lectures scheduled for the residency. After-hours patient care in conjunction with the resident(s) on call in the hospital is encouraged. Substantial exposure to Obstetric, Emergency, and Critical Care problems are common in this setting. Arrangements with the Residency Director to design and implement a research project in areas pertinent to Primary Care are possible. [ TOP ]*	*Hospital(s):* Fort Wayne Medical Education Center (Ft Wayne)
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 2
		*Prerequisites:* 3rd or 4th year status
		*Course components:* 80% Clinical; 15% Lecture; 5% Library
		*Competency offered:* None

18YF701	FAMILY PRACTICE
*Course Director:* Dr. Stewart C. Brown *Other Faculty:* Dr. A. Banter Dr. J. Bird Dr. J. Bunch Dr. S. Reece	NOTE: This course may be dropped/added with 15 days of the beginning date for the elective. *Course* *Description: 1. Each senior student will participate in our family practice center under the supervision or our program directors actively seeing and staffing patients. 2. Further experiences can be custom tailored to the student's needs with opportunities in obstetrics, pediatrics, medicine, procedures, private family practitioner offices, or time in the FPC with our residents. 3. All aspects of family practice will be emphasized, with the following experiences being available: i. Obstetrics (up to 10 - 15 deliveries/month are average for a senior student) ii. Outpatient procedures (obstetrical ultrasound, EGD's full colons, treadmill, colposcopy, and derm procedures), iii. Inpatient and outpatient adult medicine and pediatrics experiences 4. Evidence based medicine is utilized wherever possible with literature and database searching capabilities just outside of each exam room allowing information to affect treatment decisions. 5. Competency II, level two is required by each student with level three being available to motivated students. Competency IV, level three is also available with additional effort. Course Objective:* The course objectives include exposing medical students to the full spectrum of Family Medicine taught in a friendly, caring environment by dedicated, passionate faculty. Family Medicine encompasses a large spectrum of the health care system. We educate students in all aspects of primary care and assist students in career decisions. First contact with patients, development of differential diagnosis, and expansion of treatment plans will be stressed. Use of IS, evidence based medicine, and exposure to procedures utilized in FM will also be emphasized. [ TOP ]	*Hospital(s):* Ball Memorial Hospital (Muncie)
		*Availability*: All year
		*Number of units:* 1-4 Full Time
		*Max Students/Unit:* 2
		*Prerequisites:* 3rd or 4th year status
		*Course components:* 90% Clinical; 10% Lecture
		*Competency offered:* IV: Lifelong learning

45YF703	FAMILY MEDICINE
*Course Director:* Dr. Spotwood *Other Faculty:* Dr. I. Cannon Dr. D. Ross	*Description: Working directly with the faculty and residents, the student will acquire familiarity with the concepts of Family Medicine. He/she will be assigned specific patients in a manner wherein the broadest exposure to all aspects of family health care will be provided. Emphasis is placed on the student participating in all areas related to comprehensive family health care. Objectives:* Understand the family practice concept and the effect of illness on the family unit. Develop awareness of the various roles of the family physician as the health care team leader, health care provider, counselor, educator, etc. Understand the role of the family physician in disease prevention. Develop understanding of the utilization of consultants. Become familiar with the availability of the agencies and their functions. Will be responsible for the evaluation and follow-up of selected family practice patients. [ TOP ]	*Hospital(s):* The Methodist Hospital, Inc. (Gary/Merrillville)
		*Availability*: May, June, July, Aug
		*Number of units:* 1-3 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 85% Clinical; 10% Lecture; 5% Library
		*Competency offered:* None

71YF713	FAMILY PRACTICE - IN-DEPTH EXPOSURE
*Course Director:* Dr. K. McAward *Other Faculty:* Dr. K. Derbin Joyce Dunfee, Ph.D. Dr. Elek Dr. A. Henderson Dr. Lavallee Dr. Lewis Dr. Riley Dr. Suttor Dr. T. Sutula	NOTE: This course may be dropped/added with 15 days of the beginning date for the elective. *Description: Prior to participation in the elective, the student will receive background information on family practice and a detailed schedule of the elective. The student, functioning in the capacity of a junior resident, will team up with a senior family practice resident, caring for patients in both inpatient and outpatient settings. The student will be expected to take call with the senior resident, as mutually agreed upon. The student will participate in educational conferences. The elective will emphasize problem solving skills leading to the practice of comprehensive, high quality, cost conscious, ambulatory care medicine. Objectives: · To give the student an understanding and appreciation of family medicine through exposure to its many facets · To allow the student, under appropriate supervision, to assume diagnostic and therapeutic responsibilities of problems commonly managed by family physicians. [ TOP ]*	*Hospital(s):* Memorial Hospital of South Bend
		*Availability*: All year
		*Number of units:* 1-2 Full Time
		*Max Students/Unit:* 2
		*Prerequisites:* 3rd or 4th year status
		*Course components:* 80% Clinical; 1% Research; 15% Lecture; 4% Library
		*Competency offered:* None

71YF723	SPORTS MEDICINE
*Course Director:* Dr. M. Lavallee	*NOTE: THIS ELECTIVE DOES NOT PARTICIPATE IN THE MATCH* *Description: The student will be involved in individual one-on-one teaching, lecture-based teaching, outpatient, office and clinic management. In addition, the student will be exposed and will assist in sideline sports event coverage from a sports medicine standpoint and training room coverage of the chronically injured athlete. There will be didactics on a twice-a-week basis, lectures on Monday morning and interactive, interesting case conferences on Fridays. The student will meet once with the journal club during the rotation. Oral presentation, observations, written presentations, clinic demonstrations and service will all be methods in which the medical student will express how they have learned and how they will be evaluated. Outpatient Sports Medicine- Exposure to High School, Collegiate Recreational Athletes. Weekly didactic lectures, weekly interesting case conferences. Weekly Training Room, casting clinic, work with physical therapists, exercise physiologist. Exposure to Sports Medicine physicians and fellows. Learn numerous procedures - casting, injections, treadmills, orthotics, etc. Objectives:* To expose medical students to the world of sports medicine via seeing patients in the clinic, in the training room and on the sidelines. Also, teach via independent sessions and via or didactic lecture series. [ TOP ]	*Hospital(s):* Sports Medicine Institute/ Memorial Hospital of South Bend
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 70% Clinical; 10% Research; 10% Lecture; 10% Library
		*Competency offered:* I: Effective Communication

71YF707	FAMILY MEDICINE
*Course Director:* Dr. J. Ludwig *Other Faculty:* Residency Faculty	NOTE: This course may be dropped/added with 15 days of the beginning date for the elective. *Description: The student will be assigned to a member of the family medicine staff and to a resident in family medicine. The student will see multiple patients in an active Family Medicine Center on a daily basis. Students are acquainted with the scope of Family Medicine in both hospital and office settings. This includes following ambulatory patients in the Family Medicine model office, with an opportunity to participate in a health-oriented rather than a disease-oriented practice. Time can be allocated for special interests at the discretion of the director, such as obstetrics, sports medicine, and care of the underserved. Objective:* To see patients in a busy family medicine center, take history and physicals, formulate an assessment and plan. Students will pursue information to enhance knowledge and demonstrate lifelong learning skills. [ TOP ]	*Hospital(s):* Saint Joseph Regional Medical Center (South Bend)
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 90% Clinical; 10% Lecture
		*Competency offered:* None

71YF717	OBSTETRICS: FAMILY CENTERED PERINATAL MEDICINE
*Course Director:* Dr. J. Ludwig *Other Faculty:* Residency Faculty	*Description: The students will participate in the obstetrics service as junior residents. Emphasis will be placed on learning clinical skills through a "hands on" approach. Student will participate in scheduled conferences, clinical rounds, and a high risk clinic. Students will take call with senior residents a few times during the month. Objectives: The student will actively participate in obstetric patient care in triage, labor and delivery, postpartum, and in the outpatient setting. In each patient encounter, the student will demonstrate professional behavior and manner including personal integrity, honesty, and self-discipline. [ TOP ]*	*Hospital(s):* Saint Joseph Regional Medical Center (South Bend)
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 90% Clinical 10% Lecture
		*Competency offered:* IX: Professionalism and Role Recognition

71YF727	SPORTS MEDICINE/ PRIMARY CARE
*Course Director:* Dr. Steve Simons	*Description: The course objective is to provide a primary care sports medicine experience. The majority of the month will be devoted to sports medicine related experiences. Student will participate in the care of patients of all ages. The student will attend office-based sports medicine clinics and high school and college training room clinics with attending physicians. Also, the student will attend a college student health center. There will be weekly didactic lectures, conferences and opportunity for academic projects. Orthopaedic as well as non-orthopaedic sports medicine issues will be addressed. Goals:* Enhance understanding of musculoskeletal medicine. Evaluate athletes and non-athletes for exercise related medical issues. The student will gain examination skills, understand diagnostic algorithms and assist in determining return to play plans as well as generate management plans for the active individual. [ TOP ]	*Hospital(s):* Saint Joseph Regional Medical Center (South Bend)
		*Availability*: Aug - Nov, Jan - Apr
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 80% Clinical; 10% Lecture; 10 % Library
		*Competency offered:* None

82YF702	FAMILY PRACTICE
*Course Director:* Dr. Kim Volz *Other Faculty:* Dr. R. Crawford Dr. C. Goodman Dr. G. Hindahl Dr. J. Hunter Dr. M. B. Lewis Dr. J. Uloth	*Description: Student will be associated with the Family Practice Residency Program and will learn fundamentals of family practice by clinical experience through direct patient care. Emphasis is placed on management of the entire family in a community setting. Will follow patients in office, hospital, and home environment. Rural office setting available to those interested, with hospital work done at Deaconess. Student will be assigned to an instructor who has time available during the selected month. This elective may be taken in sequence with any other electives offered at Evansville. [ TOP ]*	*Hospital(s):* Deaconess Hospital (Evansville)
		*Availability*: All year
		*Number of units:* 1-2 Full Time
		*Max Students/Unit:* 4
		*Prerequisites:* 3rd or 4th year status
		*Course components:* 90% Clinical; 5% Lecture; 5% Library
		None

84YF703	FAMILY PRACTICE
*Course Director:* Dr. Grace Lee Walker	*Description: Experience primary care at the front line with "first contact" opportunities and "hands-on" encounters. This rotation is office-based with moderate in-patient involvement and emphasis on presenting patients, concise medical record documentation, and thorough problem-focused evaluation and management. There will be ample procedures. Our practice is about 30% OB/peds, 20% adolescents and young adults, 20% healthy adults and gyn, and 30% geriatrics. This is an intensive clinical month to integrate knowledge and skills and have a lot of fun. Goals:* This rotation gives the student a chance to integrate knowledge with the practical skills to appreciate patient and family needs in the primary care setting. The student would be able to diagnose, treat, refer, admit to hospital, and follow up from general to complex conditions. The student would be intuitive and confident of his/her role by the end of the rotation. [ TOP ]	*Hospital(s):* Union Hospital, 476 E Buckeye St (Terre Haute)
		*Availability*: Not in July, Aug, Dec, or Jan
		*Number of units:* 1-3 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 90% Clinical; 10% Conference
		*Competency offered:* None

84YF723	FAMILY PRACTICE
*Course Director:* Dr. Charles French	*Description: Clinical elective with office and hospital duties. Student will be expected to report to the instructor daily. The elective is flexible and special interests will be taken into consideration. [ TOP ]*	*Hospital(s):* Union Hospital (Terre Haute)
		*Availability*: All year except March & October
		*Number of units:* 1-2 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 100% Clinical
		*Competency offered:* None

84YF733	PREGNANCY AND BIRTH CARE
*Course Director:* Dr. K. Stienstra *Other Faculty:* Dr. Lalouche	*Description: The student will be assigned to the Maternal Health Clinic, a maternity care clinic at Union Hospital, which is staffed by family practice residents, nurse midwives, and a physician assistant under the supervision of the residency faculty. The student will attend Maternal Health Clinic sessions with an opportunity to participate in OB ultrasound and colposcopy. They will participate in the provision of inpatient care and deliveries for pregnant women, plus newborn care for their babies, including circumcisions. They will participate in teaching rounds, the OB conferences in the Family Practice Center as well as other resident conferences. There will be an ample opportunity to do pelvic exams and participate in deliveries. Call is flexible but some call is required. Housing for student and spouse is available. Objectives:* The learner will improve their knowledge and skills in the following areas: prenatal care, labor and delivery care, postpartum care, newborn care, circumcision, and obstetric ultrasound. [ TOP ]	*Hospital(s):* Union Hospital (Terre Haute)
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 3rd or 4th year status; 3rd year OB clerkship must be completed
		*Course components:* 75% Clinical; 10% Lecture; 15% Library
		*Competency offered:* None

84YF773	RURAL FAMILY PRACTICE PRECEPTORSHIP
*Course Director:* Dr. Ernest DuPre	*Description: Very large rural practice with exposure to inpatient and outpatient experience including obstetrics, surgery, nursing home, board of health and even coroner's duties. Large numbers of colonoscopies, EGD's, ultrasound, and outpatient surgery exposure plus 5-10 deliveries a month. Housing and meals available. The student will be working in a rural area in a busy family practice group of 5 physicians and two nurse practitioners. They will be seeing patients in the office, doing an assessment and conferring on proper treatment and follow-up. They may be able to assist with a delivery and other hospital procedures. The student should be able to develop a problem list and differential diagnosis and carry out a treatment plan. [ TOP ]*	*Hospital(s):* Union Hospital (Terre Haute) Mary Sherman Hospital (Sullivan)
		*Availability*: All year
		*Number of units:* 1-2 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 3rd or 4th year status
		*Course components:* 100% Clinical
		*Competency offered:* None

93YX700	AMBULATORY CARE PRECEPTORSHIP IN FAMILY MEDICINE
*Course Director:* Dr. R. Kiovsky *Other Faculty:* Family Medicine Faculty	*Description: The students will see patients in the office setting under the supervision of a family physician. The experience will stress the components of primary ambulatory care including continuity of care, preventive health measures, assessment of health risk factors and early identification of disorders as well as diagnosis and treatment of the commonly encountered diseases in an office setting. A complete list of all the instructors and the communities where this rotation is available is in the Administrative Office of the Department of Family Medicine, Long Hospital, second floor. Students may request specific family medicine preceptors by contacting the Department of Family Medicine, Predoc Secretary at (317) 278-0330. All arrangements for a specific instructor, month, and community will also be made through this same office. Students may use this elective for Indiana only. Out-of state electives require special elective course number. Students interested in the Primary Care Sports Medicine elective should contact Dr. John Turner at jlturner@clarian.org. Goals:* Enhance student clinical experiences in the out-patient setting by rotating with a Board-Certified Primary Care Physician. Learn the importance of continuity of care in the management of patients. Learn and perform simple minor surgery procedures conducted in the out-patient setting. Learn and implement chronic disease management techniques on patients in the outpatient setting. Learn the value of preventive health measures in quality of care. Learn to diagnose and manage common undifferentiated medical problems presenting in the ambulatory setting. [ TOP ]	*Hospital(s):* Various communities throughout Indiana
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1 per Instructor - 160+ available
		*Prerequisites:* 3rd or 4th year status
		*Course components:* 100% Clinical
		*Competency offered:* None

93YX710	CARE FOR THE UNDERSERVED
*Course Director:* Dr. Javier Sevilla *Other Faculty:* Jennifer Custer Dr. Amy Lahood Dr. Scott Renshaw Dr. Broderick Rhyant Dr. Kathy Zoppi	*NOTE: THIS ELECTIVE DOES NOT PARTICIPATE IN THE MATCH* *Description:* This elective provides medical students and residents an opportunity to gain experience in caring for underserved populations at well established community health centers. A majority of these clinics are located in inner city Indianapolis where a large number of working poor, minorities, and limited English proficiency people live. The month long experience will emphasize high quality of care for underserved populations, cultural competence, and medical Spanish utilizing clinical experience in a full spectrum Family Medicine practice in a community health center setting. *Objectives: To provide high quality of medical care for underserved populations at inner city clinical sites. To improve student knowledge about the causes of health care disparities. To increase awareness of the need for culturally competent care oriented toward the growing Hispanic community of Indianapolis. To improve medical Spanish skills and effective communication with Hispanic/Latino patients. [ TOP ]*	*Hospital(s):* Various communities in Indianapolis
		*Availability*: Sep, Nov, May
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 2
		*Prerequisites:* 3rd or 4th year status; student should have completed family Medicine clerkship and possess basic Spanish skills
		*Course components:* 60% Clinical; 20% Seminars; 10% Research; 10% Library
		*Competency offered:* I: Effective Communication

93YX720	SPORTS MEDICINE
*Course Director:* Dr. J. Turner *Other Faculty:* Dr. K. Gebke Dr. D. McKeag Dr. P. Zanateas	After initial match, all changes must be approved by Dr. Turner (jlturner@clarian.org) 278-0300. *Description: The course is a four-week block rotation consisting of ambulatory sports medicine clinics with the faculty of the Indiana University Center for Sports Medicine. Half days of primary care sports clinic focus on outpatient evaluation and treatment of common musculoskeletal pathology as well as medical conditions encountered in the active population. Time is spent in the training room for IUPUI athletes as well as sideline coverage of appropriate seasonal sporting events. Sports medicine didactic lectures are attended on a weekly basis. A required written paper or presentation is completed with the help of faculty. Goals:* Understand the basic principles of musculoskeletal healing, rehabilitation, and recovery and how this is recognized and impacted in clinical care. Review clinical anatomy with emphasis on function and physical exam testing. Competence with physical exam of major joints and anatomic regions (shoulder, knee, hip, pelvis/lumbar spine, wrist/hand, foot/ankle). Learners develop understanding of standard and non-standard mechanisms for the urgent and long-term care of the athlete. This involves exposure to event coverage, training room participation, and office visits. Basic understanding of injury prevention and wellness with a focus on patient education about athletic participation. [ TOP ]	*Hospital:* IU Center for Sports Medicine
		*Availability*: All year except June
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 3rd or 4th year status
		*Course components:* 85% Clinical, 5% Lecture, 10% Library
		*Competency offered:* II: Basic Clinical Skills IV: Lifelong Learning

49YX702	AMBULATORY CARE IN A FAMILY MEDICINE CENTER
*Course Director:* Dr. Burtea *Other Faculty:* Dr. Fleming Dr. Helsel Dr. Knight Dr. Lisby Dr. Margiotta Dr. Rains	NOTE: This course may be dropped/added with 15 days of the beginning date for the elective. *Description: Working with residency program faculty and residents, students will obtain experience and expertise efficiently evaluating patients of all ages in the outpatient setting. They will demonstrate the basic knowledge, skills, and attitudes of ambulatory care in a family medicine office. They will be able to generate a differential diagnosis and initial treatment plan and/or plan for further evaluation. Preventive health maintenance will also be emphasized. In addition, the student will have opportunity to see patients in other ambulatory centers (prenatal and pediatric) by arrangement with the course director. Arrangements for Level 3 competency completion must be agreed upon with the course director on the first day of the elective rotation. [ TOP ]*	*Hospital(s):* Community Hospital (Indianapolis)
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 2
		*Prerequisites:* 3rd or 4th year status; Medicine clerkship must be completed
		*Course components:* 85% Clinical; 10% Lecture; 5% Library
		*Competency offered:* I: Effective Communication VIII: Problem Solving

49YX704	AMBULATORY CARE WITH A FAMILY PHYSICIAN
*Course Director:* Dr. S. Grannis	NOTE: This course may be dropped/added with 15 days of the beginning date for the elective. *Description: This elective is designed to expose 3rd or 4th Year Medical Students to the exciting field of Traditional Family Medicine; inpatient, outpatient, and obstetrical care. Students will work with faculty and residents of the Family Practice Program. They will spend their mornings and two afternoons, along side their senior Family Medicine resident in the Family Medicine Hospitalist Service; triaging, admitting, diagnosing, presenting, and managing Obstetrical, Pediatric, Adult, and Geriatric patients from the Emergency Room, the Family Practice Center, the community physician offices, and other services at Methodist Hospital. They will be expected to manage and follow patients assigned to them on the Med-Surg floors, Pediatric floors, Labor & Delivery and Postpartum floor, and Critical Care floors, along side the Family Medicine Interns and under the supervision of the senior Family Medicine resident and faculty. Students will have opportunity to follow some of the hospitalized patient in the outpatient setting by accompany the senior resident or faculty in their afternoon Family Medicine clinic two times a week. There the students will learns how to do the focused history and physical, and how to diagnosis, treat, and manage in the outpatient setting a variety of common acute and chronic injuries and/or illnesses such as gestational diabetes, a infant with a fever, asthma, fractures, wound care, malignant hypertension, COPD, CHF, and osteoporosis just to name a few. By the end of the rotation, students are expected to be able to recognize conditions which requires outpatient care, admission, consultation, and referral, diagnose and treat common inpatient conditions based on the latest evidence, identify psychosocial issues which impact the care of hospitalizes patients, communicate effectively with patients and other members of the health care team. Students will attend Family Medicine Didactics sessions with the residents on Thursday afternoons. Students are expected to spend 3 night calls and 2 weekends with the service during the month. The faculty and residents will make every effort to accommodate special interests and learning agendas that the student may present, offering the opportunity, under supervision, to manage variety of acute and chronic injuries and/or illnesses and to do variety outpatient and inpatient procedures to include colposcopy, spirometry, exercise cardiac stress test, central venous line placement, joint aspirations and injections, casting, thoracentesis, deliveries, patient counseling, and more. Any student wanting to drop or add this elective after the initial computer scheduling should contact Pam Hulse at 962-5419, and Novalea Feltner at 962-5423. [ TOP ]*	*Hospital(s):* IU Methodist Family Practice Center (Indianapolis)
		*Availability*: All year except July
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 3rd or 4th year status
		*Course components:* 80% Clinical; 10% Lecture; 10% Library
		*Competency offered:* I: Effective Communication

49YX706	FAMILY MEDICINE AMBULATORY CARE ROTATION
*Course Director:* Dr. C.R. Ward *Other Faculty:* Dr. Bercovitz Dr. Bowman Dr. Bryant Dr. Collier Dr. Emkes Dr. Fletcher Dr. Harsha Dr. Harris Dr. Henderson Dr. Joyce Dr. Kary Dr. Lahood Dr. Lentz Dr. Meneghini Dr. Patrick Dr. Rea Dr. Robbins Dr. Root Dr. Roth Dr. Steinkeler Dr. Trierweiler	*Description: This primary care ambulatory rotation is an excellent opportunity to finally function like the Family Doctor you've been waiting to be. In many ways, this is an outpatient sub-internship, based on your level of patient care responsibility. You will have the opportunity to evaluate and implement treatment plans on patients in the Family Medicine Center at the St. Vincent Joshua Max Simon Primary Care Center. On this rotation, you will work either directly with one of the residents/faculty in their continuity clinics, or as part of a team, functioning on an Open Access, or same-day appointment, system. The team will consist of Transitional Interns and Family Medicine Center Chief, a Family Medicine PGY-3. Daily Noon Conferences and Weekly Ambulatory Medicine Morning Reports make up the didactic portion of the rotation. Goals:* Students will improve their ability to: Evaluate and manage common acute ambulatory patient conditions. Efficiently assess and treat patients in an office setting. Implement preventative healthcare practices into the ambulatory care of patients. Follow guidelines of chronic disease management Appropriately document and code for services rendered. Incorporate the principles of evidence-based medicine. [ TOP ]	*Hospital(s):* St. Vincent Hospital (Indianapolis)
		*Availability*: All Year
		*Number of units:* 1-2 Full Time
		*Max Students/Unit:* 1-2
		*Prerequisites:* 3rd or 4th year status
		*Course components:* 90% Clinical; 10% Lecture
		*Competency offered:* IV: Lifelong Learning

53YX701	FAMILY PRACTICE/OUTPATIENT AMBULATORY CARE
*Course Director:* Dr. Wells	*Description: This elective is designed to provide the student with experience in small town family practice medicine. The student will be exposed to acute and chronic disease management, community medicine, and preventative medicine in both adults and children. The student will participate in all aspects of patient care under the direction of the attending physician. Objectives:* Develop ability to see outpatients, prioritize their problems, plan for long-term and short-term diagnostic and therapeutic intervention. [ TOP ]	*Hospital(s):* Bloomington Hospital
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 85% Clinical; 15% Library
		*Competency offered:* None