Oklahoma State University Center for Health Sciences
Oklahoma State University Center for Health Sciences

 

Required Clinical Rotations

Community Clinic Syllabus

CLME 9245

General Description
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, vicky.pace@okstate.edu
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.
Contact Information:
Northeast: Xan Bryant, M.B.A. (918-401-0074) xan.bryant@okstate.edu
Southwest: Nicole Neilson, M.S. (918-401-0073) nicole.neilson@okstate.edu
Northwest: Alex Jones, M.S. (918-401-0799) alex.l.jones@okstate.edu
Southeast:
Tulsa: Sherry Eastman (918-584-4375) sherry.eastman@okstate.edu
Telehealth Helpdesk: telemed@okstate.edu

Course Overview
A 4 week required rotation that gives 3rd year osteopathic medical students training in a community-based clinical rotation.

  • Student's clinical experience is in a physicians' office and may include hospital meetings, house calls, emergency room calls, nursing home and hospice visits and attending health or social events.
  • Students are not required to live in the community during the rotation. Housing may be provided in some locations as a courtesy to students based on availability and is requested through the OSU Regional Coordinator.
  • Students attend didactics (usually on Friday) which covers a variety of topics. Attendance at appropriate conferences may also be required.
  • Students participate in a Telehealth Workshop
  • Students prepare a Curriculum Vitae • Students complete a Procedure/Skills Card
  • Students complete an OMM Assessment Quiz
  • Students prepare and present a Case Presentation using PowerPoint and distance learning technology and complete a Peer Review

Rotation Goals and 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, as available.
  • Evaluate the non-physician clinicians' role in osteopathic medicine and the rural community.
  • Compare and contrast the physician’s role in healthcare and the non-physician clinician with reference to August 7, 2015 education, scope of practice, and licensure.
  • Describe what physicians can expect professionally from non-physician clinicians.
  • Discuss how the physician can advise patients on how the non-physician clinician 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 non-physician clinicians.
  • Describe basics of the Patient Centered Medical Home and the concept of case management.
  • Discuss the concept of “collaboration” between physicians and non-physician clinicians.
  • 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.

Student Responsibilities (See Clerkship Handbook for more details)
Pre-Arrival:

  • 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. Students should provide the preceptor with a CV prior to arrival.
  • Identification: Students are required to bring passwords for library resources and current references for Family Medicine, Internal Medicine and Obstetrics/Gynecology with them.
  • Review D2L: Go to D2L/Rural Health Curriculum Community/Community Clinic to familiarize you with the site, review course syllabus and instructions prior to attending the Orientation. Complete the Orientation Checklists and upload to the Dropbox prior to Orientation.
  • Attend the Rotation Orientation the first Monday (morning) of the rotation or the date and time indicated on D2L. If date and/or time changes due to holiday, weather or emergency an email update will be sent to your OSU Email Address. Orientations are at the Center for Rural Health Office (or through videoconferencing if preapproved)

During the Rotation:

  • Dress appropriately at all times, utilize College approved identification, and identify yourself as a nongraduate 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. Provide CV if you have not already.
  • Review the Community Clinic checklist often (provided on D2L for your convenience)
  • Read or review the ACOFP Somatic Dysfunction in Osteopathic Family Medicine: Chapter 29-The Office.
  • Complete pre-didactic assignments, participate in the Didactics and complete the online Didactic Evaluations: lectures/seminars/workshops/conferences/events. The didactics are usually every Friday at the Center for Rural Health Conference room in Tulsa. Schedules are provided on D2L and 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. Schedules could change based on presenter availability. It is your responsibility to provide your preceptor with a copy of the course schedule and any schedule changes. Didactic Presentations may include but are not limited to the following:
    • Non-Physician Clinician Discussion: Students are required to read the handout prior to the seminar on that topic.
    • Billing and Coding for a Successful Practice: Students are required to review and bring copies of the handouts that are on D2L (or view them on your tablet, phone, or laptop).
    • Telehealth Workshop: This hands-on activity will provide you with videoconferencing skills needed for the Case Presentation and includes a quiz. You must be in Tulsa for this and cannot use videoconferencing for this workshop.
    • CV & Personal Statement Workshop: Students are required to upload their CV and a Personal Statement to D2L 2 days prior to the workshop.
    • Conferences: Students are required to attend when conferences are available. Center for Rural Health will register and cover any cost associated with a required or optional conference. Conferences may be located in Tulsa, OKC, Norman or other locations in Oklahoma. August 7, 2015
  • 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, nursing home or hospice visits, hospital emergency room calls, community events, public health functions, fraternal and social functions, as an integral portion of this program.
  • Procedure/Skills Card: Completed with physician initials, date and level for each procedure observed, assisted, or performed during rotation. Upload to D2L at the end of the rotation. Save the original as it may be requested. Completed cards will go in the students file and student will be provided a report after graduation. Students should document everything they see and do while on the rotation and use as many cards as needed. These cards count 10% of the final grade and are required for all Rural Health rotations. Since some residency sites request a copy of these reports, skills cards should be used on all rotations to add value to the report.
  • OMM: In order to increase exposure to Osteopathic Manipulative Medicine while on rotation, students are required to complete the assigned ACOFP OMT learning modules by viewing videos, reviewing presentations, and completing the assessment quizzes. Students can access the web-based ACOFP OMT learning modules beginning on the first day of rotation. The final assessment quizzes will be available in ExamSoft, and must be completed by the final day of the rotation. Successful completion of the assigned modules is required to pass this rotation. Student Access Link: http://www.acofp.org/acofpimis/acofporg/apps/OMT/index.html (End of Life, Chapter 17, 2nd Edition)
  • Case Presentation: Presented the last Wednesday of the rotation, unless notified by email of an alternate date. Upload the Case Presentation PowerPoint to D2L 2 days 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 the required Peer Evaluation and upload to D2L.
  • 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.
  • Clerkship Evaluation: Students are required to complete the Clerkship site Evaluation in E-Value.
  • All assignments should be uploaded to D2L within 7 days 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.

Clerkship Calendar and Guidelines

  • 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.
  • 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 Regional Coordinator 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 Regional Coordinator for the Course Coordinator's approval. If approved, make-up may be required.
  • Rotation Changes: Under special circumstances only, students may request to change or trade a rotation assignment by completing a Change of Rotation application. Student must
    • Contact the appropriate Regional Coordinator for site/date availability.
    • Complete a Change of Rotation application. Change forms are available in D2L.
    • Email the completed form to Dr. Duane Koehler no less than 6 weeks prior to the start of the rotation. o Student will be notified when a decision is made. o Students in the Rural Medical Track program should contact their Coordinator Advisor or the Rural Medical Education Director when requesting a site change.

Grading

This rotation is worth 5 credit hours. The student's overall performance (grade) is weighted using the following criteria:
50% = Student Performance Evaluation by preceptor
5% = Telehealth Workshop August 7, 2015
5% = CV & Personal Statement Workshop
5% = OMM Assessment Quiz (Chapter 13-End of Life)
5% = Didactic attendance and participation
10% = Procedure/Skills Card
20% = Case Presentation and Peer Review

  • Course requirement: Must be passed with a 70 percent or higher to pass this course. Letter grades of A, B, C, D, F or I will be assigned according to procedures outlined in the student handbook.
  • 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. The student must pass the Preceptor’s evaluation to pass the course.
  • 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. The MTC experience must be completed during the Community Clinic Rotation to count as extra credit. Availability will be provided at Orientation or by email.
  • 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 via D2L. 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.
  • 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.
  • Clerkship site Evaluation: Students are required to submit an online course evaluation in E-Value for each course.
  • 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, or the student fails to submit the required paperwork and can provide justification for an extension.
  • 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 Course Coordinator.

Professionalism:
University policies will be strictly enforced
. Students are expected to:

  • Exhibit professionalism and behave in an ethical manner at all times.
  • Demonstrate reliability and dependability by arriving prior to the start time. If you are unable to arrive prior to the expected start time, you must contact the preceptor and the OSU Coordinator. Make-up work is at the discretion of the Preceptor and the Course Coordinator.
  • Prepare for and participate in course activities.
  • Participate in discussions based on reading assignments.
  • Communicate respectfully (Disruptive or disrespectful behavior will not be tolerated.)
  • Engage in active learning through participation.
  • Turn in assignments on time to receive full credit.
  • Attend orientation and all didactics. If you are unable to arrive prior to the start time or are unable to attend, you must contact the OSU Coordinator and Course Contact. Make-up work is at the discretion of the Course Coordinator.
  • Accept and apply constructive feedback.
  • Demonstrate a desire to exceed expectations.

Disabilities:
Students taking this course that feel they have a disability that requires special accommodations to enable full participation, should advise the Course Coordinator of this as soon as possible. The Course Coordinator will work with that student and the Office of Student Services to provide reasonable accommodations to ensure that the student has a fair opportunity to perform.

 

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