Rural Medical Track
CLME 9285 Sub-Internship I
CLME 9295 Sub-Internship II
CLME 9315 Sub-Internship III
Course Title: Osteopathic Rural Medical Track Sub-Internship
Course Length: 4 Weeks
Course Format: Primary Care Residency Experience
Student Level: 4th 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, firstname.lastname@example.org
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.
Northeast: Xan Bryant, M.B.A. (918-401-0074) email@example.com
Southwest: Nicole Neilson, M.S. (918-401-0073) firstname.lastname@example.org
Northwest: Alex Jones (918-401-0799) email@example.com
Southeast: Danelle Shufeldt, M.B.A. (918-401-0273) firstname.lastname@example.org
Tulsa: Sherry Eastman (918-584-4375) email@example.com
Telehealth Helpdesk: firstname.lastname@example.org
All course information and materials are available on D2L Community: CHS Rural Medical Track
A 4 week required rotation that gives 4th year Rural Medical Track students training at a primary care residency site.
- Student's clinical experience is at a primary care residency site within the state and may include hospital meetings, residency didactics, emergency room calls, nursing home and hospice visits and attending health or social events.
- Students may be required to live in the community during the rotation. Housing is provided at most locations as a courtesy to students based on availability and is requested through the OSU Regional Coordinator.
- Students attend residency didactics and may be given didactic or reading assignments similar to the residents.
- Students are assigned to watch one ACOFP OMM video lecture (from list in D2L) and complete the Posttest and upload confirmation/score to D2L. Cannot be video lecture used for a different course.
- Students complete a Procedure/Skills Card and upload to D2L.
- Students will attend a 2-hour OPTI OMM Lab or view one of the past recordings. OPTI OMM Labs are usually in January, March, May, July, September and November. You will need to complete the OPTI OMM Lab Evaluation and upload it into D2L.
- Students may be required to attend a Conference (Emergency Medicine Update, OOA Annual Conference, Primary Care Update, Rural Health Association of Oklahoma, etc) when available. Information about available or required conferences with be posted in D2L or you will receive an email from the Regional Coordinator.
Goals and Objectives:
The Sub-Internship is designed as an integral part of the OSU-COM Rural Medical Track program and is under the direction of the Oklahoma State University College of Osteopathic Medicine and the Center for Rural Health. The purpose is for the student to:
- Participate in hands-on training alongside residents at a residency site in Oklahoma
- Evaluate the residency program for purpose of possible residency selection
- Audition, demonstrating skills and character, for the purpose of possible residency placement
- Gain insight into medical knowledge and skill level needed for residency
- Preview how different residencies function
- Gain a more in-depth understanding of the relationship between the residency program, the hospital and the community
Student Responsibilities (See Clerkship Handbook for more details)
- Notify Preceptor: Students are required to contact their assigned preceptor at least 2 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/CHS Rural Medical Track Community/Sub-Internship to become familiar with the site and review course syllabus and instructions prior to arriving at site.
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 a residency orientation. Be prepared to discuss your clinical strengths and weakness relative to the rotation objectives. Provide CV if you have not already.
- 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 rotation 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 module by viewing the video, reviewing presentation, and completing the Post Test. Students can access the web-based ACOFP OMT learning modules beginning on the first day of rotation. The PostTest must be completed by the final day of the rotation. Successful completion of the assigned module is required to pass this rotation. Student Access Link: http://www.acofp.org/apps/omt/omt_agreement_sr.aspx Students are also required to view an OPTI OMM Lab and complete the OMM Lab Evaluation(Instructions available in 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.
- Site evaluation: Complete the site evaluation in E-Value on the last day of the rotation.
- All paperwork 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.
- Student will be notified when a decision is made.
- Students in the Rural Medical Track program should contact their Coordinator Advisor or the Rural Medical Education Director when requesting a site change.
This rotation is worth 5 credit hours. The student's overall performance (grade) is weighted using the following criteria:
70% = Student Performance Evaluation by preceptor
10% = Required OMM Video and Post Test
10% = Required Procedure/Skills Card
10% = Required OMM OPTI Lab and OMM OPTI Lab Evaluation
- Successful completion of the course is an OSU-COM requirement for graduation.
- 100% attendance and participation is required. Any absence will require an Exception to the Rotation Form to be completed and returned to the Center for Rural Health Office and may require make-up time or assignment.
- Course requirement: This course is Pass/Fail graded. Student must have 70% or higher to pass this course.
- Student Performance Evaluation: At the completion of the Sub-Internship 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.
- 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 the Sub-Internship 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.
- Site Evaluation: Students are required to complete a Site Evaluation in E-Value at the end of each rotation. This tool is used to evaluate the course curriculum, faculty (preceptors) and student experience at that site. The individual site evaluations and responses will remain confidential.
- 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 .
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.
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.