At the completion of this rotation
- The resident will have an understanding of underserved patient care.
- The resident will have knowledge and skills needed to practice medicine in an underserved setting.
- The resident will be able to identify and navigate common barriers to care for patients at a FQHC.
- The resident will understand how to overcome barriers specifically to medication access in an underserved population.
At the completion of this rotation, the resident will have demonstrated to the satisfaction of the preceptor:
- medical knowledge in the area of outpatient medicine. (MK)
- the ability to perform an appropriate history and physical examination in an outpatient setting and to present these findings to another physician in an appropriate manner (PC).
- the ability to interpret appropriate data related to underserved medicine and arrive at reasonable diagnostic and management decisions, weighing alternatives, benefits and risks of diagnostic and therapeutic options and co-managing patients appropriately with other specialists (PC).
- the ability to make appropriate decisions to assure high-quality care in a cost-effective manner (SBP).
- communication and interpersonal skills which facilitate positive and therapeutic relationships (ICS).
- the ability to work cooperatively with other health professionals as part of a healthcare team (ICS).
- compassion, respect and integrity; responsiveness to the needs of patients and society that supersedes self-interest; accountability to patients, society and the profession; a commitment to excellence and ongoing professional development (P).
- a commitment to ethical principles pertaining to the provision or withholding of clinical care, confidentiality of patient information, informed consent and business practices (P).
- sensitivity and responsiveness to a patient’s culture, age, gender and disabilities (P).
Rotations at a FQHC are preceptorial rotations, so the resident is assigned to a particular preceptor or group. The resident will accompany the preceptor in locations involved in the preceptor’s usual practice. In the course of seeing patients, the preceptor will provide experiential learning, role-modeling and one-on-one teaching to the resident. At the discretion of the preceptor, the resident may be assigned to research specific topics. In addition to the typical broad range of concerns that are addressed in any primary care clinic, clinicians may also provide medication assisted therapy (MAT), hepatitis C care, HIV care, substance abuse management, etc.
The resident is responsible for contacting the preceptor prior to the start of the rotation to arrange a schedule for the rotation. The program coordinator also helps with this. If the FQHC rotation is local, the resident must continue to meet usual residency obligations to his/her Family Medicine Center population including attending scheduled clinics, caring for continuity patients admitted to Memorial Hospital and rounding in the nursing home. Adjustments will be made as needed for away rotations, and the resident may not be required to attend noon conferences at the discretion of the Program Director. The resident is expected to abide by duty-hour restrictions in keeping with usual program policies. Upon completion of the rotation, the resident must complete the evaluation provided by the program.
The preceptor will complete an evaluation form at the end of the rotation assessing the resident’s success in meeting the rotation objectives as outlined in this curriculum. Residents will specifically be evaluated on the following ACGME Milestones:
- PC-1: Demonstrates health promotion and wellness for patients
- PC-2: Demonstrates care of the patient with chronic illness
- MK-1: Demonstrates medical knowledge of sufficient breadth and depth to the practice of family medicine
- PROF-2: Shows accountability and conscientiousness in patient and provider interactions
- PROF-3: Shows self-awareness and help-seeking behaviors
- SBP-1: Advocates for patient safety and quality improvement
- SBP-4: Shows an interest in advocacy for patients/health system
- PBLI-2: Demonstrates reflective practice and commitment to personal growth
- ICS-2: Demonstrates effective interprofessional and team communication