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Rural Medical Education
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Community Clinic Clerkship

Community Clinic Orientation Checklist

Syllabus
CE 9245

  1. General Description
    1. Course Title: Osteopathic Community Clinic
      Course Length: 4 Weeks
      Course Format: Small Community Clinical Experience/Weekly Didactic Seminars
      Student Level: 3rd Year Osteopathic Medical Students
      Course Coordinator: Duane Koehler, D.O., Assistant to the Associate Dean of Rural Health
      Course Contact: Vicky Pace, M.Ed., Director of Rural Medical Education
      Center for Rural Health Office Location (Phoenix Building): 1716 S. Phoenix Avenue
      Phoenix Building Office Hours: Monday – Friday, 8:00 am to 5:00 pm.
      OSU Holidays are observed.
      Coordinator Contact Information:
      Tulsa: Sherry Eastman (918-584-4375)
      Northeast: Xan Bryant, M.B.A. (918-401-0074)
      Northwest: Robert Sammons, M.A. (918-401-0799)
      Southeast: Danelle Shufeldt, M.B.A. (918-401-0273)
      Southwest: Nicole Neilson, M.S. (918-401-0073)
  2. Course Overview
    A 4 week required rotation that gives third-year students training in a rural and community-based
    rotation.
    • Monday through Thursday student's clinical experience is in a physicians' office and may include
      hospital meetings, house calls, emergency room calls, and attending health or social events.
    • Every Friday students attend didactics which covers a variety of topics.
    • Students participate in a Telehealth Workshop.
    • Students prepare a Curriculum Vitae
    • Students complete a Procedure/Skills Card
    • Students prepare and present a Case Presentation using PowerPoint and distance learning
      technology.
  3. Student Responsibilities (See Clerkship Handbook for more details)
    1. Pre-Arrival
      1. Notify Preceptor: Students are required to contact their assigned preceptor at least 1 week prior to the beginning of the rotation to coordinate the daily schedule and other pertinent aspects of the
        rotation.
      2. Identification: Students are required to bring passwords for library resources (i.e. MD Consult), and current references for Family Medicine, Internal Medicine and Obstetrics/Gynecology with
        them.
    2. During the Rotation:
      • Dress appropriately at all times, utilize College approved identification, and identify yourself as a non-graduate medical student not as a medical graduate or a licensed physician.
      • Meet with your preceptor for an office orientation. Be prepared to discuss your clinical strengths and weakness relative to the rotation objectives.
      • Attended the rotation orientation the first Friday of the rotation or at date and time indicated by email Instructions. Orientations are at the Center for Rural Health Office (or through
        videoconferencing if preapproved)
      • Community Clinic checklist is provided for your convenience. Center for Rural Health will keep a
        signed copy.
      • Didactics: Attend all lectures/seminars/workshops. The didactics are every Friday at the Center for Rural Health Conference room. Schedules are provided by email or discussed during the orientation. Some seminars may include participation through Turning Point, assignments, or prelecture readings. Attendance will be taken during all lectures. Nonattendance, arriving late or leaving early from a lecture must be preapproved and points may be deducted.
        • Non-Physician Clinician Discussion: Students are required to read the handout prior to
          the seminar on that topic.
        • Telehealth Workshop: This hands-on activity will provide you with videoconferencing skills
          needed for the Case Presentation.
        • CV & Personal Statement Workshop: Students are required to bring their CV and a
          Personal Statement to this workshop.
        • Medical Conferences: attend when available. Center for Rural Health will register the
          students. Conferences may be located in Tulsa, OKC, Norman or other locations in
          Oklahoma.
      • Case Presentation: Presented the last Thursday of the rotation, unless notified by email of an
        alternate date. Email the Case Presentation PowerPoint to ruralhealth.clerkship@okstate.edu the day before the presentation. An evaluation of the case presentation conducted by the Rural
        Health Professor will count 10% of the grade. An evaluation of the Case Presentation conducted by a Regional Coordinator will count as 10% of the grade. All students will complete a Peer Evaluation.
      • Clinical Experience: Scheduled Monday-Thursday, in a physician's office or health care facility. These hours may also include out-of-office experiences such as hospital staff and committee meetings, house calls, hospital emergency room calls, community and public health functions, and fraternal and social functions, as an integral portion of this program.
      • Procedure/Skills Card will be completed and should include physician initials, date and level for each procedure observed, assisted, or performed during rotation. Due the end of the rotation. Original required. Completed cards will go in the students file and student will be provided a report after graduation. Although a minimum of 5 different procedures/skills are required for the rotation, students can use as many cards as needed to add value to the report. These cards count
        10% and are required for all Rural Health rotations.
      • OMM: Provide appropriate patient care under the supervision of the preceptor. Demonstrate appropriate indications and techniques in using OMM.
      • Meet with your preceptor:
        • Midway for a verbal evaluation of your clinical performance and areas to improve. You are
          responsible for scheduling this meeting
          .
        • At the end of the rotation to review your clinical performance and to get feedback on ways
          to improve for future rotations. You are responsible for scheduling this meeting.
      • Complete the site evaluation on E-Value. All paperwork is due within 7 days (postmarked by the 5th day) of the end of the rotation. If forms are not received within 7 days of the end of the
        rotation, the student’s grade may decrease up to one letter grade. A grade of “I” (incomplete) may be issued until all the paperwork has been received.
  1. Clerkship Calendar
    1. For guidelines on Times, Holidays, and Attendance: The specific scheduling of days and hours shall be made by the preceptor, with approval by the OSU-COM Course Coordinator, and shall generally conform with the student clerkship handbook.
    2. Delays and Absences: If there is a reasonable explanation for a delay in reporting (e.g., auto accident, illness, or similar reason), the student is to contact the preceptor and the OSU Rural Health Office immediately. If a student is absent for any reason (or multiple reasons) or will be missing a required event he/she is required to complete an Exception to the Rotation Application with the preceptor's signature and submit it to the Center for Rural Health for the course coordinator's approval. If approved, make up may be required.
    3. Rotation Changes: Students may trade rotation assignments, under approved special circumstances only. A Change of Rotation Form is required. Completed, dated, and signed Change of Rotation Forms should be in The Center for Rural Health Office at least 60 days prior to the rotation start date to allow for processing time. Final Approved Changes must be complete and in the Clinical Education Office at least 6 weeks prior to start of the rotation. Change of Rotation Forms are available in Clinical Education, online or in the Center for Rural Health Office. Completed Forms can be faxed to 918-582-8938, email to sherry.eastman@okstate.edu or delivered to The Center for Rural Health Office. Students in the Rural Medical Track program should contact the Rural Medical Education Director (918-584-4332) for their site options or to request a site change.
  2. Grading
    1. This Rotation is worth 5 credit hours. The student's overall performance (grade) is weighed using the following criteria:
      50% = Student Performance Evaluation by preceptor
      5% = Telehealth Workshop
      5% = CV & Personal Statement Workshop
      20% = Case Presentation
      10% = Procedure/Skills Card (minimum of 5 different signed procedures or skills)
      10% = Attendance and Seminar Participation
    2. Course requirement: Must be passed with a 70 percent or higher to pass this course. Letter grades of A, B, C, or U will be assigned according to procedures outlined in the student handbook.
    3. Student Performance Evaluation: At the completion of the Community Clinic rotation, the preceptor will evaluate the student's performance on clinical activities and other activities of the rotation on the student performance evaluation in E-Value.
    4. Telehealth and Distance Learning Extra Experience: OSU Mobile Telemedicine Clinic (MTC) will occasionally request Osteopathic Medical students to accompany the MTC. With the preceptor’s approval, students may volunteer to assist on the MTC and will receive extra credit. An Exception to the Rotation Form is required. This must be completed during the Community Clinic Rotation to count as extra credit. Availability will be provided at Orientation or by email.
    5. Final Grade: The final (overall) grade will be determined and issued by the Course Coordinator following the completion of the rotation. Students are responsible for ensuring that all paperwork for Community Clinic is completed and received by the OSU-COM Center for Rural Health. If paperwork is not received within 7 days of the end of the rotation, the student’s grade may be decreased up to one letter grade.
    6. Academic Standards: Students are held accountable for the non-cognitive academic standards as the standard of professionalism for their conduct. A grade of S (satisfactory) or N (needs improvement) is determined by the Course Coordinator based upon evaluation of the student by the preceptor and other course participation factors.
    7. Site Evaluation: Students are required to complete a Site Evaluation in E-Value at the end of each rotation. This tool is used to evaluate the course curriculum, faculty (preceptors) and student experiences at that site. The individual site evaluations and responses will remain confidential.
    8. A grade of "I" (Incomplete) may be assigned if: A student is unable to complete the course requirement of approved 100% attendance. The Course Coordinator recommends an extension of the student's Clerkship and sets forth reasoning for the recommended extension. The student fails to submit the required paperwork.
    9. Grievance Authority: Grievance of a rotation, performance evaluation, or course grade should start with the Course Coordinator. The final grading authority will be with the CourseCoordinator.
  3. Rotation Objectives
    • Observe and demonstrate knowledge in telehealth and videoconferencing technology.
    • Connect and participate in a videoconference.
    • Recognize various uses for interactive videoconferencing.
    • Name components of videoconference equipment.
    • Perform troubleshooting to prevent or correct videoconferencing errors.
    • Demonstrate skill in videoconferencing by presenting using PowerPoint.
    • Prepare an effective Curriculum Vitae (CV).
    • Acquire an understanding of differentiating factors in rural and urban medical settings.
    • Demonstrate appropriate clinical and interpersonal skills.
    • Demonstrate presentation skills through a PowerPoint presentation requiring the use of medical literature searches and EBM references.
    • Construct a differential diagnosis and develop treatment/management strategies for common diseases and conditions seen in family practice.
    • Develop an understanding of Conferences and Continuing Medical Education by attend lectures on current, timely topics, networking with physicians and key leaders in the medical field and visiting with vendors from a variety of resources.
    • Evaluate the non-physician clinicians' role in osteopathic medicine and the rural community.
    • Compare and contrast the physician’s role in healthcare and the NPC with reference to education, scope of practice, and licensure.
    • Describe what physicians can expect from NPC's professionally.
    • Discuss how the physician can advise patients on how the NPC fits into the scope of practice and their role in the case management scheme.
    • Know what academic knowledge and practice skills/procedures separate rural practicing primary care physicians from rural practicing NPC's.
    • Describe basics of the Patient Centered Medical Home and the concept of case management.
    • Discuss the concept of “collaboration” between physicians and NPCs.
    • Apply clinical skills in physician's offices in small community
    • Gain an understanding of the functioning of the State Office of Rural Health and the Center for Rural Health.
    • Gain a better understanding of nutritional concerns for rural Oklahoma and explore options for improving health outcomes as related to nutrition.
    • Explore ways students can improve rotation outcomes.
  4. Professionalism:
    Students are expected to exhibit professionalism and behave in an ethical manner which includes but is not limited to:
  • Demonstrating reliability and dependability by arriving prior to the start of class.
  • If you are unable to attend class you, must contact the Course Contact prior to class.
  • Make-up work is at the discretion of the Course Contact.
  • Preparing for and participating in course activities
  • Students are expected to participate in class discussions based on the reading assignments.
  • Communicating respectfully (Disruptive or disrespectful behavior will not be tolerated.)
  • Engaging in active learning through participation
  • Assignments must be turned in on time to receive full credit.
  • Students are expected to attend all lectures.
  • Accepting and applying constructive feedback.
  • Demonstrating a desire to exceed expectations.

University policies will be strictly enforced.