Department Of Family Medicine

Comprehensive Student Requirements

The student will:

I. Evaluate assigned ambulatory patients based on presenting problems and health care requirements determined by age, sex, race and family characteristics in the following situations:

A. Comprehensive health evaluation.

B. Health maintenance and disease prevention evaluation.

C. Concise evaluation of patients with immediate care problems.

D. Continuous health evaluation.

II. Obtain historical data and perform physical evaluation of at least 120 patients in the outpatient clinic or office. The student will record this health data to include the following:

A. The reason given by the patient for the office visit.

B. Short and long-term health care requirements.

C. Total health care database:

1. Patient profile

2. Historical evaluation

3. Present profile:

a. Past history

b. Social history

c. Family health history

d. Employment history

e. Habits, allergies

f. Comprehensive systems review

4. Physical examination

5. Identification of problems

III. Maintain the office chart for ambulatory patients (note in Section II) and in consultation with the attending faculty:

A. Present patients and discuss case histories with the attending faculty.

B. Develop a preliminary diagnosis.

C. Obtain appropriate laboratory evaluation.

D. Understand mechanism of comprehensive care requirements.

E. Institute plan of patient care by the following:

1. Obtain or perform further diagnostic procedures.

2. Institute specific therapy.

3. Provide patient education.

4. Provide for follow-up and continuous care for patient and family

IV. Write health evaluation summary in problem-oriented fashion as described.

V. Participate in Family Practice Center office checkout rounds and morning report.

VI. Provide student night call coverage every fourth night and be prepared to present and discuss the results of any patient encounter (hospital, immediate ambulatory care or new hospital admission) at morning report.

VII. Record the results of all initial office or emergency room patient visits in the Patient Experience Logbook including presenting problems, procedures performed, diagnosis, therapeutics and follow up.

VIII. Obtain medical histories and perform physical and laboratory evaluation of at least eight patients in the hospital. After consultation with the attending faculty, the student will:

A. Establish an admitting diagnosis.

B. Determine the reason for hospitalization.

C. Understand the impact of hospitalization on the patient and the patient's family.

D. Participate in the maintenance of thorough medical records via constructing daily comprehensive progress notes.

E. Understand the need for specific laboratory tests.

F. Determine status of patient (stable vs. unstable).

G. Understand mechanism of ordering specific evaluation and management requirements.

H. Recognize setting when consultation and/or referrals are required.

I. Participate in the formulation of discharge planning by the following:

1. Patient and family education concerning health problems.

2. Control and prevention of health problems.

3. Factors affecting compliance.

4. Support of patient following discharge via provision of continuous and comprehensive care.

IX. Attend Family Medicine conferences and seminars and be prepared to present clinical case summaries on request.

X. Develop a knowledge base and understanding of problems common to and frequently seen in Family Medicine.

XI. Read the assigned materials on problems frequently seen in Family Medicine.

XII. Make patient home visit and complete report.

XIII. Participate in assigned clinical teaching modules.

XIV. Complete Patient Experience Logbook as directed.

XV. Take final examination based on reading materials and clinical teaching modules.

XVI. Complete student course evaluation form.

Dept. of Family Medicine | Medical College of Georgia

Please email comments, suggestions or questions to:
Libby Poteet, lpoteet@mcg.edu