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Clerkship
Program
The Family Medicine Clerkship is a required six-week third year rotation.
There are eight rotations throughout the year serving approximately 130
students.
Scott A.
Levin, M.D., is the Clerkship Director,
Kit Lee, M.D.,
is the Assistant Clerkship
Director, and
Cathryn Merrick Moore
is the Education Coordinator. Dr. Levin is a physician from the
West Suburban Family Practice Center, and a part-time Loyola faculty member.
During the clerkship, all students are expected to accomplish a
core group of competencies in: 1) patient care; 2) health promotion and disease
prevention: and 3) professionalism. In the clinic setting, students assess and manage
acute and chronic medical problems frequently encountered in the family practice setting,
however, the importance of establishing physician-patient relationships, and understanding
the therapeutic role these relationships confer is also emphasized.
The clerkship begins with a one day orientation and concludes
with a final half-day for a written exam and evaluation. The orientation involves various
speakers from the Department and affiliated family medicine sites. Topics include common
ambulatory problems, principles of community-oriented primary care, the family physician's
role in patient care, health promotion and disease prevention, evidence-based clinical
reasoning, and many others. The topics are continually updated and take into account the
students growing experience from prior rotations. Mid-rotation, students return to the
Loyola campus to present a biopsychosocial project and to review their experience and
evaluation. Students receive a clerkship manual which outlines expectations, projects, and
resources.
Students complete several assigned projects including a log book
of patient encounters, a procedural checklist, a biopsychosocial project, and an
evidence-based medicine project. These are incorporated into the assignment of a final
grade, which relies most heavily on clinical performance. The final exam is also figured
into the final grade. The textbook required for the course is Fundamentals of Family
Medicine by Taylor.
A director at each clerkship site is responsible for the
students' educational experience. At least thirty hours a week are spent in direct
ambulatory care, with the remaining time used for reading and completing assignments,
rounding on inpatients, and attending educational programs. Students are matched to sites
through a lottery process which takes student preferences into account. Sites available to
students include private practitioners' offices of various size, and ambulatory care
centers associated with family practice residency programs. Settings are diverse and
include inner city, rural, urban, and suburban. This range of choices makes the Family
Medicine Clerkship unique at Loyola. It is the first rotation to offer rural, out-of-town
sites. Criteria for participation as a site include adequate patient volumes, enthusiasm
for teaching, a supportive office staff, quality clinical care, and clinical teaching
experience.
In 2003, Family Medicine became one of the first core clerkships
to require a clinical skills exercise. The intent of this encounter is to
reflect the knowledge, skills, and attitudes that the student have
acquired during their family medicine rotation. The ultimate goal is to
provide a better mechanism for the teaching and evaluation of
students’ clinical competency throughout their medical school
training.
The clerkship continues to receive high scores from the students. Their
written comments reflect satisfaction with the excellent quality of teaching
provided by the preceptors, the collegial atmosphere throughout the clerkship,
and the diversity of patients seen. This feedback is compiled and returned to
our preceptors on an annual basis. This response has translated into a steady
increase in the number of Loyola graduates choosing family medicine as a career.
For more information on the Clerkship Program contact:
Cathryn Merrick Moore
Loyola University Stritch School of Medicine
Department of Family Medicine
Building 54, Room 252
2160 S. First Avenue
Maywood, Illinois 60153
Phone: (708) 216-1356
cmerric@lumc.edu
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