Indiana University
IUSM IU
IU School of Medicine  - Terre Haute

Course Number: 83YF701

 

Course Description:

 

This 4th-year elective will consist of a month-long rotation at the West Central Community Hospital, a critical access hospital (CAH) in Clinton, IN.

Under the supervision of family physicians and other specialists, the student will participate in all aspects of health care delivery provided by this CAH.  The student will also participate in health care delivery at local nursing homes as well as in a mental health facility located in an adjacent county.

A student’s typical day would include:

  • Participating in morning rounds at West Central Community Hospital
  • Then beginning clinical experiences, in half day increments, with the course director in the family practice office, or with a specialist in the OutPatient Clinic at West Central Community Hospital, or within departments of West Central Community Hospital,
  • Reporting to the course director at lunch time, and at end of the day.

 

The student’s day would start approximately at 8:00AM, and end approximately at 5:00PM, at the course director’s office.  There will be one weekend of call coverage coordinated with the course director and the on-call weekend physician.  There will be no night call through the week.

 

The following clinical experiences will be organized into half-day blocks: 
  1. Mental Health

 

  1. Pulmonary Outpatient Clinic

 

  1. Cardiology Outpatient Clinic

 

  1. Oncology Outpatient Clinic

 

  1. Nephrology Outpatient Clinic

 

  1. Physical/ Occupational Therapy Clinic

 

  1. Podiatry Outpatient Clinic

 

  1. Patient Support Services

 

  1. Pharmacy

 

  1. OB/Gyn Outpatient

 

  1. Community Outreach

 

  1. Orthopedic Outpatient Clinic

 

  1. Ambulatory Care

     

  1. Surgery

 

  1. Cardiac Testing

 

  1. Respiratory Therapy

 

  1. Nursing Home Rounds

 

  1. Health Department Vaccine Clinic

 

  1. Hospice

 

  1. Office medicine in Family Practice

     

  1.  One Weekend On-Call coverage with weekend-covering physician

 

 

Educational Objectives:

 

On completion of the elective, the student should be able to…   

  • Understand and discuss the uniqueness and role of CAH in a rural community.

  • Understand discuss issues of accessibility, availability and affordability in rural health care

  • Understand and describe the organization and delivery of health care in a rural setting based on  clinical rotations in different departments within the CAH and other health care facilities.

  • Perform simple minor surgery procedures commonly conducted in the out-patient setting.

  • Implement chronic disease management techniques  withpatients in the rural setting.

  • Diagnose and manage common undifferentiated medical problems presenting in the rural setting.

  • Appreciate value of preventive health measures in quality of care by participating in an available patient advocacy program.

 

Grading Policy and Assessment Plan:

 

    The student’s responsibility for patient care, patient volume, record keeping, oral presentations, and procedures will be commensurate with 4th year student:  The student will independently round on patients in hospital on a daily basis, write a SOAP note, and discuss care and management with the course director.

    Patient volume will be related to the specific clinical experience the student is participating in that particular half day.  This could be as few as one patient when working with Patient Support Services involving discharge planning, or as many as 12 to 15 patients during a half day in a busy family practice office at the busiest time of the year.

    Direct supervision will be provided by the course director.  The course director will be responsible for record keeping in terms of scheduling of student experiences, oral presentations, completion of procedures and satisfactory completion of student experiences.

 

Grading and assessment will be within the IUSM-approved format (Honors, High Pass and Pass).

 

Grade breakdown:

 

20%     Paper

20 %     Presentation

60%     Course Director Evaluation

 

A checklist/signoff format will be used for the outpatient clinical rotations with the signature of the clinician indicating attendance, participation, and successful completion of the clinical experiences.

 

Satisfactory performance of this rotation will be determined by:

·         satisfactory completion of  clinical experiences

·         successful completion of clinical experiences in family practice office setting

·         completion of one weekend call with on-call family practice physician

·         weekly presentations of pertinent topics in rural health care in the critical access hospital setting to the co-course director, resident physicians and medical students

·         A final reflection paper on the student’s experiences in the critical access hospital setting. 

 

Assessment instruments:

  • One weekly oral presentation on selected issues of CAH and rural health care. 
  • A final reflection on the role of the CAH in the rural setting.

 Upon starting the elective, the student will be given an assessment of their preexisting knowledge of the CAH.  The culminating paper at the end of the elective will be compared to this pre-assessment.

Prerequisites:  Completion of all required clerkships

 

Time Distribution:

Clinical            80% 

Research           5%

Presentations   10%

Library               5% 

 

The student’s time would be allocated approximately as follows:

  • 70 – 80 % family physician.  Although, the student will be rotating through various departments of the CAH, she/he will check in daily with the course director
  • 20 – 30% with specialists and other providers  Oversight and Coordination of scheduling will be performed by Dr. Greg Brock, the Course Director

 

Maximum Number of Students who may enroll in each unit (month): 2

 

Number of consecutive units/months a student may take the course:  1 

 

Course Availability: During the academic year: 

 

Enrollment Eligibility:  Fourth-year status only

 

Course Director : 

 Greg Brock, D.O.

 West Central Community Hospital

 801 South Main, Clinton, IN, Zip 47842

 Ph.# (765) 832-1234

 or

777 South Main, Suite 200, Clinton, IN, Zip 47842

Ph.# (765) 828-0750

Co-Course Director: 

Stephanie Laws, RN, BSN, Project Associate

Union Hospital's Richard G. Lugar Center for Rural Health

1433 N. 6 1/2 Street

Terre Haute, IN 47807

(812) 238-7479

slaws@uhhg.org

For further information, contact:

Brooke Lockhart, M.H.A.

Clinical Education Coordinator

(812) 237-3419

blockhart@isugw.indstate.edu

 

Indiana University