FAMILY MEDICINE
PRESBYTERIAN HOSPITAL
The Center for Family Medicine requires prior approval for all of its electives. Please contact Dr. Craig Irvine at ci44@columbia.edu or by calling the Predoctoral Education Office at (212) 305-9107. For more information, please visit http://www.cumc.columbia.edu/dept/family/predoc/index.html.
| FM01P Advanced Family Medicine |
**ALL STUDENTS MUST GET WRITTEN APPROVAL FROM COURSE COORDINATOR BEFORE REGISTERING OR APPLYING FOR THE ELECTIVE*** |
| Course Director: |
Dr. Beena Jani, (212) 544-1874 or (212) 305-9107, paj13@columbia.edu |
| Coordinator: |
Dr. Craig Irvine, (212) 305-9107, ci44@columbia.edu |
| Given: |
All year |
| Maximum: |
1 student per month |
| Start Date/Time: |
First weekday of the month, (Contact Course Coordinator for exact time) |
| Site/Location: |
CUMC, Presbyerian Hospital, Farrell ACNC
610 West 158th Street, New York, NY 10032 |
| Description: |
Senior students with a demonstrated interest in Family Medicine and service to underserved communities will have the opportunity to work at an advanced level in multiple inner-city ambulatory settings affiliate with the Center for Family Medicine at Columbia-Presbyterian.
Objectives: Students will increase their level of competence in community-oriented primary care, including the interdisciplinary diagnosis and treatment of common ambulatory problems in bio-psychosocial context. Students will explore the differences between generalist and specialist reasoning in health care in order to better understand their future roles as primary care clinicians.
Learning Experience: Students will be directly involved in the evaluation and treatment of ambulatory patients in three different sites affiliated with Presbyterian Hospital, including the Family Practice Center of the CPMC Family Medicine Residency Program, and faculty practice locations that include a free clinic for uninsured actors, and a sports medicine private practice. Together, these sites represent a broad experience serving widely diverse populations in terms of socioeconomic, linguistic, ethnic and cultural variables. Students will work under the supervision of family medicine residents and faculty, and will be expected to independently evaluate patients and formulate treatment and follow-up plans for review with their preceptors. In addition to small group teaching modules, students will attend all educational conferences, and will have an opportunity to attend inpatient rounds of the Family Medicine Service, and attend patient home visits and OB deliveries at the Allen Pavilion.
Feedback: Students will receive formal feedback in the middle and at the end of the rotation.
Evaluation: The course director will compile a final evaluation based upon all preceptor evaluations. |
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| *FM02P Family Medicine Inpatient Service Subinternship |
***ALL STUDENTS MUST GET WRITTEN APPROVAL FROM COURSE COORDINATOR BEFORE REGISTERING. *** |
| Course Director: |
Dr. Bertie Bregman, (212) 932-4526, beb9004@nyp.org |
| Coordinator: |
Dr. Craig Irvine, (212) 305-9107, ci44@columbia.edu |
| Given: |
All year, except July |
| Maximum: |
1 student per month |
| Start Date/Time: |
First weekday of the month, 9:00 AM (contact Course director 2 weeks prior for exact instructions) |
| Site/Location: |
CUMC, Allen Pavilion, 5141 Broadway (@ 220th St.), 2 River West, Room 2-055 |
| Description: |
This advanced clinical clerkship on the Family Medicine Inpatient Service at Presbyterian Hospital's Allen Pavilion will permit learners to understand the role of hospital care as part of a broad continuum of services which constitute comprehensive, generalist primary care.
Objectives: Learners will function as "acting interns" on a busy primary care inpatient service under direct supervision of faculty and senior house staff. The Family Medicine Inpatient Service represents the hospital arm of a large diverse generalist medical practice at Columbia-Presbyterian, and students will be expected to understand the role of inpatient care as part of the continuity of care provided in family practice.
Learning Experience: Students will work directly with the Inpatient Coordinator and Inpatient Service Attending at the Allen Pavilion of the Columbia-Presbyterian Medical Center. Students will participate in daily rounds as an integral member of the inpatient team, and will be directly responsible for the care of their inpatient panel. Attendance at all Family Medicine seminars and conferences will be required. Students will take admissions with the residents of the inpatient team. One of the four weeks will be spent covering night float with the senior Family Medicine resident.
Feedback: Students will receive ongoing feedback from the Inpatient Coordinator and senior house staff.
Evaluation: The course director will compile a final evaluation based upon formal evaluations by faculty and senior residents. |
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FM90P Family and Community Medicine Research |
All interested Columbia P&S students MUST have approval from the course director for this elective. |
| Course Director: |
Richard Younge, MD, MPH |
| Course Administrator: |
Craig Irvine PhD 212-305-9107 |
| Given: |
1-2 months from February through June. Other times by special permission. |
| Maximum: |
2 students per month |
| Start Date/Time: |
First weekday of the month, 9:30 AM |
| Site/Location: |
CUMC Center for Family and Community Medicine 100 Haven, 27C |
| Description: |
Family Medicine scholarship and research covers a wide spectrum of topics and methods. This reflects the broad, interdisciplinary knowledge base and interests of physicians in this specialty.
Objectives: To introduce learners to the Family and Community Medicine research literature and to the research methods family medicine investigators use. Areas of inquiry such as community-oriented primary care, evaluation research, education research, community based participatory research, practice based research networks, quality management and health services research will be described. Scholarship and research activities and methods such as systemic literature reviews, qualitative analysis, narrative medicine, large data-base analysis, and cluster randomized clinical trials will be explored. Students will become familiar with some of the theoretical models that family medicine investigators use to develop their hypothesis and intervention.
Learning Experience: Students will read representative research articles from academic family medicine journals. They will meet with faculty in the Columbia University Center for Family and Community Medicine discuss articles written by family physicians to gain insight about Family Medicine scholarship and research methods. Students may be assigned to work with faculty on an ongoing research, scholarship or quality improvement project at Family Medicine at Farrell, the Family Medicine inpatient service at the Allen Pavilion or other Center for Family and Community Medicine sites. Students who take the course for two months may develop their own research question or research project proposal with faculty supervision, and prepare an abstract for the proposal stating the principle aims, goals and measurable objectives, and proposed methodology.
Feedback: Students will receive ongoing feedback during weekly meetings with the course director.
Evaluation: The course director will compile a final evaluation based upon completion of the curriculum in research methods and the submission of a final research proposal abstract.
Faculty: Richard Younge, MD, MPH, Craig Irvine, PhD, Lourdes Hernandez-Cordero, Dr.PH, Susan Lin, Dr.PH, Alan Formicola, DDS, Sylvia Amnesty, MD, MPH
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| SU18P Preceptorship in Wound Healing |
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See Surgery |
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THE FOLLOWING ELECTIVE IS OFFERED AT THE INDIAN HEALTH SERVICE IN WHITERIVER, AZ
| FM03P Whiteriver Indian Health Service Primary Care |
| THIS ELECTIVE IS NOT OPEN TO VISITING STUDENTS. |
| Course Director: |
Dr. Dianna Mahoney, (928) 338-4911, extension 3740, dianna.Mahoney@his.govv |
| Given: |
All year |
| Maximum: |
1 student per month |
| Start Date/Time: |
First weekday of the month, 8:00 AM |
| Site/Location: |
Whiteriver USPHS IHS Hospital, Main Conference Room |
| Description: |
The Whiteriver United States Public Health Service Indian Health Service Hospital is a 40-bed inpatient and outpatient facility serving the 14,000 members of the White Mountain Apache Tribe. Whiteriver Hospital is accredited by the Joint Commission on Healthcare Organizations as a Critical Access Hospital, and its satellite clinic, Cibecue Health Center (50 miles South-West), is also JCAHO accredited.
The primary care teaching staff at Whiteriver consists of eighteen physicians in the specialties of family practice, internal medicine, pediatrics, and medicine/pediatrics.
The medical staff also includes five mid-level providers, a podiatrist, a part-time orthopedist, and part-time general surgeon.
The facility provides inpatient and outpatient adult and pediatric care, obstetrical services, and emergency care.
Whiteriver has an average inpatient census of 17 adults and children, an average daily clinic load of 100-200 patients, and approximately 12 vaginal deliveries per month. The Whiteriver Emergency Department sees 17,000 patients annually, and the facility transports over 400 patients by air to in-state metropolitan areas each year.
Learning Experience: Students will participate in care in multiple settings including the Emergency department, the outpatient clinics, the inpatient ward, and our remote clinic in Cibecue.
Coincident with socioeconomic burdens in the reservation population, the clinical experience will include care of conditions affecting Native populations disproportionately including pediatric infectious disease, alcoholism, diabetes, and trauma.
Students are asked to work one weekend day, but no overnight work or other weekend work is required. Students are encouraged to experience the unique culture of the Apache people and are encouraged to explore the Southwest.
Feedback and Evaluation: Primary instruction will be by one-on-one preceptorship with board certified staff members.
Didactic teaching is provided by weekly noon conferences. |
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| FM05P Latino Health: A Model for Intercultural Learning |
***ALL STUDENTS MUST GET WRITTEN APPROVAL FROM COURSE COORDINATOR BEFORE REGISTERING*** |
| Course Director: |
Dr. Pablo Joo, (212) 544-1874 or (212) 305-9107, paj13@columbia.edu |
| Coordinator: |
Dr. Craig Irvine, (212) 305-9107, ci44@columbia.edu |
| Given: |
All year |
| Maximum: |
1 student per month |
| Start Date/Time: |
First weekday of the month (Contact Course Coordinator for exact time) |
| Site/Location: |
CUMC, Presbyerian Hospital, Farrell ACNC
610 West 158th Street, New York, NY 10032 |
| Description: |
Latinos are one of the largest and fastest growing population groups in the United States. Fourth year medical students with a strong interest in health care of Latino communities will have an opportunity to develop a comprehensive understanding of complex individual, family, community, cultural, and public health issues that impact health promotion and disease management. This will provide a framework that students can use to work with Latinos, as well as other minority communities.
Objectives: The student will have experience providing culturally responsive primary care of the Latino patient, in the context of their family and community, utilizing the bio-psychosocial model. The student will gain an understanding of public health policy issues, health disparities and equities affecting Latinos in the United States and knowledge of important Latino health care research topics. They will become aware of the diversity of cultures within the Latino community, their various needs and strengths, and access to community resources. The student will also understand the role of physician as patient and community advocate.
Learning Experience: The student will be directly responsible for the evaluation and treatment of ambulatory patients, for two half days per week, at the Family Medicine Clinic at CUMC, under the supervision of the family medicine faculty. The student will have an opportunity to discuss culturally responsive patient care with family medicine preceptors. In addition to patient care, the other 8 half day sessions the student work with community advocacy leaders, a behavioral scientist, Family Medicine MPH and PhD faculty, community medicine faculty, a patient education specialist, and research faculty in the Center for Family Medicine. They will meet with a behavioral scientist to learn psychosocial aspects of treating Latino patients and families. Each student will have the opportunity to videotape and review their patient encounters and to explore language and cultural interpreter effects on the patient – physician dynamic. The student will have the opportunity to examine community medicine and public health issues in Latino health. They will learn to access resources for Latino patients and collaborate with community organizations; gain an awareness of local and national health status of various Latino populations and trends in health disparities and equities. The student will study emerging primary care research topics regarding Latino populations and how family medicine research is accomplished in this area. Opportunities to self reflect and process cross-cultural dynamics will be accomplished via a narrative medicine exercise. The student will be responsible for submitting free-form Latino health project of their choice to the course director.
Feedback: Students will receive formal feedback in the middle and at the end of the rotation.
Evaluation: The course director will compile a final evaluation based on input of the teaching faculty.
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STAMFORD HOSPITAL
| FM30S Family Practice |
| THIS ELECTIVE IS NOT OPEN TO VISITING STUDENTS. |
| Course Director: |
Dr. Joseph Connelly, (203) 353-2270 |
| Coordinator: |
Ms. Wendy Froehlich, (203) 353-2270, wfroelich@stamhealth.org |
| Given: |
August through June. Start date is flexible. |
| Maximum: |
1 student per month |
| Start Date/Time: |
First day or weekday of the month, 9:00 AM |
| Site/Location: |
Tully Health Center, 32 Strawberry Hill Ct., Stamford, CT |
| Description: |
This is a flexible rotation that is designed around the needs of the student interested in exploring a career in Family Practice.
Objectives: During this rotation the student will increase his or her understanding of the key principles underlying the care of patients in Family Practice: family orientation, continuity of care, comprehensive care, compassionate care, community involvement, and coordination of care. The student will increase his or her knowledge of the problems seen in Family Practice.
The student will increase his or her skills in the office setting in: communicating with patients, assessing and managing common outpatient problems, obtaining an appropriate database, charting, and patient education.
Learning Experience: The rotation is based in the William Pitt Family Medicine Center in Stamford.
The student will see Family Practice patients under the supervision of senior residents, and faculty physicians.
Optional experiences available for interested students include nursing home visits, home visits, a clinic at the local soup kitchen, sports medicine, hospice care, occupational medicine, community medicine, practice management, behavioral medicine, and a children's health center.
The student will participate in the residency educational conferences while on the rotation.
Feedback: Continuous throughout the elective.
Evaluation: The student will be evaluated in the basic areas of attitude, knowledge, and skill.
The course director will be responsible for the final evaluation. Input will be provided by faculty who work with the student during the rotation.
Faculty: The faculty of the Stamford Hospital/Columbia University Family Practice Residency Program. |
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