Elective Rotations

The Family Medicine residency program (based at Community South campus) offers an elective rotation for 3rd and 4th year medical students. This course provides training experience in the inpatient and outpatient settings. Student will work with residency program faculty and residents in primarily the outpatient setting, but they will typically spend one week of the rotation as part of the inpatient team. Students will participate in direct patient care including interviewing, examining, documenting, developing a differential diagnosis, and forming a plan of care. The student will also have opportunities to perform osteopathic manipulative treatment in conjunction with residents and faculty. Students will attend weekly didactics with the residents.

Interested students should include with their elective request: COMLEX scores, disclosure of any course fails, and dates of availability.

Working with residency program faculty and residents, students will gain experience and expertise efficiently evaluating patients of all ages in the outpatient setting. The student will participate in direct patient care including interviewing, examining, documenting, and developing a differential and plan of treatment. The student will present patients and receive constructive feedback. Preventive care will be emphasized along with chronic disease management, concepts of patient centered medical home, and interdisciplinary care. In addition, students will attend Tuesday afternoon resident didactic time and rotate for one week at the federally qualified Jane Pauley Community Health Center site, which is the location of our underserved track. There is time to discuss difficult patients, the inner workings of a residency program and different approaches of care. Once a month there is a week of pertinent short topics at morning report. (Appears as IUSM course: 49YX702 AMBULATORY CARE IN A FAMILY MEDICINE CENTER)

This sub-internship in family medicine care will integrate the student into the resident inpatient service at Community Hospital East. The goal is to improve the student's ability to think and function like a clinician in a supervised setting. During the rotation students will be assigned patients for which they will actively care and follow. The student will mimic both the schedule and duties of an intern with active participation in admitting, presenting, following, note writing, and discharging patients. The student will participate in morning and evening changeover, one day of weekend rounds (Sat or Sun), and weekly Tuesday afternoon didactics. Emphasis will be placed on practical, clinical experience through direct patient care in the hospital which includes morning didactic with TEACH cards, patient rounds, table rounds, and bedside rounds on the accountable care unit. The student will have opportunities to interact with specialist consultants in addition to the multidisciplinary team which includes a social worker, nurse and pharmacist. (Appears as IUSM course: 49YF702 –FAMILY MEDICINE - INPATIENT Sub- Internship)

This is a one-month rotation for students interested in pursuing a career in psychiatry and wishing to gain exposure to an inpatient residency service which cares for patients with a broad spectrum of psychopathology. Our residency service is multidisciplinary in design and includes pharmacy residents and students, third-year medical students, social workers and case managers, and nursing staff. Fourth-year students will have the opportunity to progressively take on more autonomy regarding patient care including seeing patients on their own, staffing cases directly with the attending, communicating treatment plans with the patients, and completing comprehensive documentation.

Psychopathology seen will be diverse including affective disorders, thought disorders including psychosis and acute mania, agitation, acute detox, and co-morbid substance use disorders. Our inpatient facility includes nine distinct units which all have specialized programming to which students will be exposed. Understanding of ethical and legal aspects of psychiatric care will also be observed, including shorter involuntary stays, as well as patients with more prolonged stays undergoing court-ordered treatment.

Medical knowledge, communication skills, professionalism, and systems-based practice are competencies highlighted in the rotation.

This is a one-month rotation for students interested in pursuing a career in psychiatry who wish to gain exposure to an outpatient psychiatry service, much of which is working alongside the residency service. Fourth-year students will have the opportunity to work directly alongside senior residents and residency faculty in various clinical settings to observe and at times participate in patient interviews.

Psychopathology seen will be diverse including affective disorders, thought disorders, childhood disorders, and co-morbid substance use disorders. The sites of clinical opportunity include a residency continuity clinic with primarily affective disorders, an outpatient school-based clinic, and a clinic with a focus on the severely-mentally ill.

Medical knowledge, communication skills, professionalism, and systems-based practice are competencies highlighted in the rotation.

This is a one-month rotation for students interested in pursuing a career in psychiatry who want to further develop skills related to scholarly inquiry. A scholarly work product is required for the rotation, usually a poster for presentation and a manuscript submission to a peer reviewed journal. Students work closely with our residents and faculty in the development of their patient-oriented scholarly work product. Students are expected to actively participate in our weekly scholarly activity committee meetings.

Practice-based learning and improvement, medical knowledge, interpersonal and communication skills, and professionalism are competencies highlighted in the rotation.