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Family Medicine Y3 Clerkship

Clerkship Information

The required Year 3 Family and Community Medicine (FCM) Clerkship offers a 4-week block immersion experience with community-based preceptors or faculty members from the department’s four residency programs. Our goal is to provide an educational experience that emphasizes continuous comprehensive medical care within the context of the Patient-Centered Medical Home. Additionally, the curriculum promotes understanding of the core concepts of Family Medicine through elements of health policy, clinical epidemiology, preventive medicine, community oriented primary care, health literacy, continuous quality improvement, medical informatics, practice management, health disparities, and biopsychosocial issues. Current and previous components of the curriculum have been presented at international and national education meetings. Details regarding our curriculum may be found on the clerkship’s D2L page hosted by the Southern Illinois University School of Medicine.

The FCM Clerkship has utilized community-based preceptors since 1981 and currently has over 160 board-certified family physicians located throughout the state of Illinois. Our preceptors have been instrumental in the FCM Clerkship’s achievement of excellent feedback and high ranking by medical students. Additionally, our students have rated the clerkship most positively with regards to respect, professionalism, and role modeling. Past student remarks have also consistently identified the following clerkship strengths: clerkship organization, faculty contact, patient number and variety, clinical autonomy, functioning as a team member, patient continuity, working in a community-based practice, and the opportunity to learn outside Springfield’s academic center. We believe these remarks to be reflective of the necessity to introduce the breadth and scope of the Patient-Centered Medical Home within a community-based block immersion experience.

 

Joint Principles of the Patient Centered Medical Home - February 2007

Introduction

The Patient Centered Medical Home (PCMH) is an approach to providing comprehensive primary care for children, youth and adults. The PCMH is a health care setting that facilitates partnerships between individual patients, and their personal physicians, and when appropriate, the patient’s family.

The AAP, AAFP, ACP, and AOA, representing approximately 333,000 physicians, have developed the following joint principles to describe the characteristics of the PC-MH.

Principles

Personal physician - each patient has an ongoing relationship with a personal physician trained to provide first contact, continuous and comprehensive care.

Physician-directed medical practice – the personal physician leads a team of individuals at the practice level who collectively take responsibility for the ongoing care of patients.

Whole-person orientation – the personal physician is responsible for providing for all the patient’s health care needs or taking responsibility for appropriately arranging care with other qualified professionals. This includes care for all stages of life; acute care; chronic care; preventive services; and end of life care.

Care is coordinated and/or integrated across all elements of the complex health care system (e.g., subspecialty care, hospitals, home health agencies, nursing homes) and the patient’s community (e.g., family, public and private community-based services). Care is facilitated by registries, information technology, health information exchange and other means to assure that patients get the indicated care when and where they need and want it in a culturally and linguistically appropriate manner.

Quality and safety are hallmarks of the medical home:

  • Practices advocate for their patients to support the attainment of optimal, patient-centered outcomes that are defined by a care planning process driven by a compassionate, robust partnership between physicians, patients, and the patient’s family.
  • Evidence-based medicine and clinical decision-support tools guide decision making.
  • Physicians in the practice accept accountability for continuous quality improvement through voluntary engagement in performance measurement and improvement.
  • Patients actively participate in decision-making and feedback is sought to ensure patients’ expectations are being met.
  • Information technology is utilized appropriately to support optimal patient care, performance measurement, patient education, and enhanced communication.
  • Practices go through a voluntary recognition process by an appropriate non-governmental entity to demonstrate that they have the capabilities to provide patient centered services consistent with the medical home model.
  • Patients and families participate in quality improvement activities at the practice level.

 

Enhanced access to care is available through systems such as open scheduling, expanded hours and new options for communication between patients, their personal physician, and practice staff.

References

American Academy of Family Physicians (AAFP)

American Academy of Pediatrics (AAP)

American College of Physicians (ACP)

American Osteopathic Association (AOA)