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FMED-720 Family Medicine Clinic- UNMC Durham Outpatient Center Clerkship

Faculty: Dr. Douglas Wheatley and Staff
Periods Offered: Every month except July and August
Student Limit: 1
Where to Report: Family Health Center

This is a clinical experience in the Family Health Center at UNMC. Includes experience in treating adults and children with acute and chronic illnesses. This rotation covers all aspects of Family Medicine in an outpatient setting in addition to exposure to preventive medicine and surgical procedures done in Family Medicine office and alternative health care systems. Students are also welcome to participate in Family Medicine seminars.

FMED-722 Family Health Center-- Bellevue Medical Center Clerkship

Faculty: Bellevue Medical Center Clerkship Staff
Periods Offered: Every month except July and August
Student Limit: 1
Where to Report: Bellevue Medical Center

A clinical experience at the University satellite clinic located at 36th & Highway 370. This rotation covers all aspects of Family Medicine in an outpatient setting in addition to exposure to preventive medicine and surgical procedures done in the Family Medicine office and alternative health care systems.

FMED-723 Family Health Center -- Oakview Clerkship

Faculty: Dr. Douglas Inciarte and Staff
Periods Offered: Every month except June, July and August
Student Limit: 1
Where to Report: Oakview Family Medicine (144th & West Center)

An exposure to all aspects of Family Medicine in a private office setting based at the Oakview Family Medicine clinic. This rotation covers all aspects of Family Medicine in an outpatient setting in addition to exposure to preventive medicine, surgical procedures done in the Family Medicine office, and alternative health care systems. Located at 2727 South 144th Street, Suite 140, Omaha Nebraska.

FMED-727 Family Medicine Inpatient Service (UNMC)

Faculty: Chief Resident and Staff
Periods Offered: Every month except July and August
Student Limit: 1
Where to Report: Chief Resident- Room 2589 MSB

Students are given externship responsibilities commensurate with experience under the direct supervision of the Family Medicine Chief Resident and inpatient attending physician. The inpatient service admits patients from the three Family Medicine Clinics, from the E.R., or Family Medicine referral patients from outstate Nebraska.

FMED-730 Family Medicine Clerkship-Lincoln General Hospital
Pre-arranged through Jolene Wees - not through the Family Medicine Program in Lincoln

Periods Offered: Check with Department of Family Medicine
Student Limit: 1
Where to Report: Medical Staff Office

A clinical experience, both inpatient and outpatient, in Family Medicine. This rotation is coordinated through the Department of Family Medicine with the Lincoln Residency Program. To sign up, contact Jolene Wees in Family Medicine (402-559-9327). For housing information only, contact Susan Vrbka at the Lincoln Family Practice Program (402- 483-4591, Ext. 260).

FMED-732 Family Medicine Clerkship-Clarkson Residency Program
Pre-arranged through Bev HIlburn (402-552-2045)

Faculty: Dr. Roger Massie
Periods Offered: Each four weeks
Student Limit: 1
Where to Report: TBA (via letter)

This is a four-week clinical experience, both inpatient and outpatient, in Family Medicine. This rotation is coordinated through the Department of Family Medicine with the Clarkson Family Medicine Residency Program. The purpose of this rotation is to allow senior students the opportunity to experience the daily practice of clinical community based Family Medicine through care of patients in the inpatient setting under the guidance of Family Medicine residents and faculty. Dr. Roger Massie is in charge of instruction for the M4 students.

FMED-733 Rural Training Track
Pre-arranged through Jolene Wees (559-9327)

Faculty: Dr. Jeff Harrison
Periods Offered: Each four weeks
Student Limit: 1
Where to Report: TBA

This is a four-week campus clinical experience, both inpatient and outpatient, in Family Medicine at one of the existing Family Medicine rural training track Family Medicine residency sites. The purpose of this course is to allow senior medical students who are interested in the rural training track residency program to perform a clinical rotation at one of these sites.

FMED-735 OneWorld Community Health Center 
Pre-arranged through Jolene Wees (559-9327)

Faculty: Dr. Alex Dwork
Periods Offered: Each four weeks
Student Limit: 1
Where to Report: OneWorld Community Health Center

This is a four week course for senior medical students who have basic conversational ability in Spanish. Students will be vetted by an OneWorld employee via telephone prior to rotation to ensure their Spanish capabilities are adequate to ensure a fulfilling rotation. This elective is a community health center based Family Medicine rotation with greater than 50% of patients speaking Spanish. Students will interview and examine patients, practicing and improving their Spanish while being supervised by the OneWorld attendings. Grade is based on attendance, enthusiasm, discretion and professionalism with patients and support staff, written notes, and final case report (done in Spanish).

FMED-737 Domestic Violence
Pre-arranged through Jolene Wees (559-9327)

Faculty: Dr. Paul Paulman, Healthcare Director, Domestic Violence Coordinating Council of Greater Omaha
Student Limit: 2
Where to Report: TBA

A four-week immersion experience in domestic violence, prevention and treatment using a biopsychosocial community health model. During this course the student will:

• Define domestic violence.
• Describe the history, prevalence, incidence, prevention and treatment of domestic violence.
• Complete a literature search on domestic violence and read selected journal articles and other material prior to starting other course activities (first week of rotation).

Participation in observational activities, including, but not limited to:

• Two nights on call with domestic violence medical advocates in the UNMC Emergency Room.
• Two eight-hour shifts with officers of the Omaha Police Department (OPD) Domestic Violence Unit.
• One day with professionals and victims in the YWCA Women Against Violence (WAVE) program.
• One day in a domestic violence shelter.
• Two days attending court cases (Court Watch) involving victims of domestic violence and meeting with members of the Douglas County Attorney's Office who deal with domestic violence.
• Participating in at least one meeting of a batterer's treatment group.

Prepare a written report of A-V presentation to be presented at an appropriate venue in the Department of Family Medicine. Follow at least one domestic violence victim through the initial treatment and referrals.

FMED-738 Preventive Medicine
Pre-arranged through Dr Jim Medder 

Faculty: Dr. Jim Medder
Periods Offered: July only
Student Limit: 1
Where to Report: TBA

The goal of this course is to expand students' preventive medicine, public health, and community health skills and knowledge. Students will study evidence-based clinical preventive services, perform an in-depth study of one specific preventive service/disease of their choosing, and either prepare a written report or oral presentation of their findings. Additional learning activities include patient care with an emphasis on clinical prevention, and visits to the Douglas County Health Department, Nebraska Health and Human Services, and private community agencies.

The student will:

• Develop skills in the following areas: performing a prevention-focused history, including identification of age and gender specific risk factors and previous screening tests/exams and immunizations; performing an appropriate prevention-focused physical exam; and ordering appropriate screening tests, preventive medications and immunization.

• Improve communication skills, specifically motivational and behavioral change counseling skills incorporating social and cultural environmental factors to improve the overall health of patients.

• Discuss the risk factors and evidence-based interventions for the following topics and conditions: immunizations, preventive medications, cardiovascular disease, cancer, infectious diseases, metabolic diseases, cognitive function, depression, sexually transmitted diseases, contraception, substance use, physical activity, nutrition, injury prevention, and dental/oral health.

• Obtain/critique/develop patient education materials.

• Identify and utilize resources, as needed, including the full range of social, educational, civic, religious, and health care organizations (both formal and informal, private and public) that relate directly or indirectly to prevention and public health.

FMED-739 SHARING
Pre-arranged through Jolene Wees (559-9327)

Faculty: Drs. Paul Paulman and Jim Medder
Periods Offered: April only
Student Limit: 4 per year
Where to Report: TBA

During the fourth year, the student will participate in a student run clinic for the underserved by assisting the student administrators and by providing patient care.  The student will also attend SHARING Board meetings and complete a clinical quality improvement project mutually agreeable to the student and the Board.  

Methods of instruction – 1 to 1 clinical precepting
Faculty facilitated clinic administration
Independent research and study with prepared report to Sharing Board.

During the senior year, the student will attend one evening clinic session (3-4 hours) for each of three SHARING clinics during eight four-week elective periods for a minimum of 24 visits during the year; additional visits may be required during some months to compensate for off-campus elective time and when these activities conflict with required activities of other electives, such as night call. In addition, students will attend SHARING Student and Faculty Board Meetings (2-3 hours per month over the noon hour) and complete the quality improvement project (approximately 4-6 hours per month) by the end of March.

Responsibilities to the SHARING Clinic throughout the M4 year DO NOT take precedence over the elective for which the student is registered in each of the other months. Students are responsible for arranging their SHARING visits each month after they have received the schedule for their elective that month.

FMED-750 International Health Elective
Pre-arranged through Jolene Wees (559-9327) and Sara Pirtle, International Health and Medical Education (559-2924)

Periods Offered: Each four weeks
Student Limit: By arrangement

You must pre-arrange this elective with Jolene Wees in the Department of Family Medicine (402-559-9327) AND Sara Pirtle, International Studies (402-559-2924).

The course offers students the opportunity to participate in a health care setting in a foreign country. Students’ responsibilities, performed under the supervision of trained medical personnel, may include work in clinics and hospitals; home visits with community health workers, and health education. In addition, the student will also participate in a brief orientation and debriefing on campus.

Elective in China (FMED-750) – 6 students per month. Questions regarding the China experience – Please call Lenal Bottoms at (402-559-3791)
This elective is designed to give students experience in practicing in the unique environment of China. This one-month elective is based at the University Hospital of Shanghai Jiao Tong University School of Medicine, a 1,600-bed hospital and the principal teaching hospital of SJTUSM. The focus of this elective is to learn about the differences between the health care systems of the US and China. Students will work alongside Chinese medical students and attending faculty. The city of Shanghai is the “hotspot of modern China”, with a population of 17,000,000. There are many sightseeing opportunities available in China, also, including the Great Wall, Xi’an City, as well as several areas within Shanghai. This experience must be pre-approved and set up through the Asia Pacific Rim Development Program Office. Initial contact person is Lenal Bottoms, 402-559-3791.

FMED-753 Competent Care for LGBT
Pre-arranged through Dr. Jim Medder (559-6271)

Faculty: Dr. Jim Medder and Dr. Gary Beck
Periods Offered: March only
Student Limit: By arrangement

Lesbian, gay, bisexual, and transgendered (LGBT) individuals have a set of unique health concerns and problems, including higher rates of depression, suicide attempts, alcoholism, cardiovascular disease, some cancers, and sexually transmitted diseases. Their special needs are often overlooked or ignored due to transparency of LGBT individuals and their avoidance of routine healthcare due to a real or imagined fear of discrimination and rejection by physicians. Although a significant segment of society is gay or lesbian, physicians receive minimal formal training in their care. The goal of this elective is to provide the specific training needed for physicians to effectively deal with the healthcare concerns and to provide medically and culturally competent healthcare to this sexual minority and vulnerable population. At the end of this four-week elective, students will be able to:

● Define psychosocial issues and risks of self-disclosure by LGBT individuals.
● Identify barriers to healthcare for LGBT individuals and methods to overcome those barriers.
● Demonstrate appropriate history taking and interviewing skills to foster patient trust.
● Identify and successfully address the unique healthcare problems facing LBGT individuals.

Learning activities include patient care experiences with the LGBT population, assigned readings, lectures, case discussions, simulations, and visits to LGBT agencies and organizations. Faculty permission is required prior to registration.

Instructional methods:
Through assigned readings, didactic lectures, seminars and panel discussions, students will learn about the healthcare issues of the LGBT community that impact their health, such as coming out, non-normative stressors, family planning, etc.

A series of case discussions and simulations will be conducted to demonstrate comprehension of didactic material.

Clinical practice opportunities will be held during the elective for direct patient encounters with members of this population, including clinics with Dr. Mark Goodman and Dr. Susan Swindells (HIV/ID Clinic). (Dr. Goodman’s patient population varies from 25-90% LGBT patients on any given day; students will be directed to the care of LGBT patients while in these practices/clinics.)

Each student will keep a reflective journal in which the student will record his/his observations and analysis of patients seen and sites visited. This journal will be reviewed with the student by faculty.

Visits to various agencies will be arranged and include the following:
● PFLAG (Parents, Families, and Friends of Lesbians and Gays) meeting
● GSA (Gay Straight Alliance) meeting at Creighton/UNO
● Meeting with legal counsel to address access to care and others concerns regarding insurance coverage
● Weekend training with NAP (Nebraska AIDS Project) and counseling/testing site experience at either NAP or Douglas County Health Department
● Palliative care for those with AIDS

FMED-760 Private Practice Office Clerkship-Omaha

Periods Offered: Every month
Student Limit: By Arrangement
Where to Report: TBA.

This elective offers a chance to participate in and observe private practice in family physicians’ offices in Omaha. An off-campus elective application form must be submitted for this experience. (See Off-Campus Elective Application procedures).

Please note – you will need to contact the Family Medicine Department and let them know where you plan to complete this rotation before you begin this rotation.

FMED-761 Off-Campus Family Medicine Elective

Periods Offered: Every month
Student Limit: By Arrangement

This elective offers a chance to participate in and observe an off-campus elective in an out of state locale of the students’ choice. An off-campus elective application form must be submitted for this experience. (See Off-Campus Elective Application procedures).

Please note – you will need to contact the Family Medicine Department and let them know where you plan to complete this rotation before you begin this rotation.

FMED-799 Research Project in Family Medicine

Periods Offered: Every four weeks
Student Limit: By permission

The student may select a project in which he is particularly interested and with the approval of the faculty, may pursue this project intensively for four weeks. Such projects might be concerned with the delivery of health care or with the value of screening procedures. Faculty advice will be given and the research project will be structured.