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

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Summer Rural Externship (SRE)

CLME 8112.001

The Summer Rural Externship is a 2‐week experience designed to reinforce interest in rural practice and to prepare students for their rural clerkships. The Summer Rural Externship is required for, and exclusively available for Rural Medical Track students. Each student participating in the SRE program will shadow their assigned preceptor, as well as other non‐physician medical professionals, in a clinical setting. Students are also strongly encouraged to be involved in their assigned community by attending events, visiting local businesses, and volunteering whenever possible.

Students will be assigned on a first‐come, first‐basis. Students hoping to secure a specific location and/or block should complete and submit the SRE application, as well as their Letter of Interest, as soon as possible.

Syllabus

  1. General Description
    1. Course Title: Summer Rural Externship
    2. Course Length: Two Weeks
    3. Course Format: Rural Community Clinical and Interdisciplinary Experiences
    4. Student Level: Early Assurant, 1st & 2nd Year Osteopathic Medical Students
    5. Course Coordinator: Duane Koehler, D.O.
      1. duane.koehler@okstate.edu
      2. 918‐584‐4387
    6. Program Coordinator: Vicky Pace, M.Ed.
      1. vicky.pace@okstate.edu
      2. 918‐584‐4332
    7. Program Contact: Nicole Neilson, M.S.
      1. nicole.neilson@okstate.edu
      2. 918‐401‐0073
    8. Students will be referred to local site coordinators once assignments have
      been made
    9. Clinical Setting: Family Medicine, Clinic‐based Internal Medicine, and Pediatrics.
      Students will not be assigned to specialists or hospital‐based preceptors. No
      exceptions.
    10. Potential Out‐of‐Office Experiences:
      1. Hospital staff and committee meetings
      2. House calls
      3. Hospital emergency room calls
      4. Community activities
      5. Interdisciplinary Experiences: 2, two‐hour experiences required with nonphysician
        medical professionals
  2. Student Responsibilities
    1. Pre‐Arrival:
      1. Students are required to contact their assigned preceptor at least 1 week
        prior to starting their SRE Experience to coordinate the daily schedule and
        other pertinent aspects of the Experience
      2. All students must wear College‐approved identification and a clean, pressed
        white clinical jacket. Dress is business casual unless directed otherwise by
        their preceptor
      3. Students are required to bring identification passwords for library resources
        (i.e., MD Consult), and current references for Family Medicine, Internal
        Medicine, and Obstetrics/Gynecology
      4. All students must attend a mandatory orientation before the first day of
        their externship
      5. Students are required to bring the following items for verification purposes:
        1. National Background Check
        2. Proof of Health Insurance
        3. Immunization Records
      6. Complete the enrollment forms, and sign and submit the course information
        sheet during orientation
      7. Receive a skills card that will be kept by each student throughout their
        experience
    2. During the Externship
      1. First Week Requirements:
        1. Meet with assigned preceptor for on‐site orientation
        2. Discuss individual clinical strengths and weaknesses with preceptor
        3. Contact your Center for Rural Health regional coordinator with any
          questions/comments/concerns
        4. Discuss the skills card requirement with your preceptor early
      2. Other Requirements
        1. Complete all requirements and rotation objectives
        2. Complete 2, two‐hour Interdisciplinary Experiences with nonphysician
          medical professional
        3. Strongly encouraged to take an active role in the community
        4. Meet with the assigned preceptor regularly to determine how the
          experience is going
        5. Write and submit a short press release for the local media, which
          should include your name and a brief mention of the experience
          purpose
        6. Take photographs with your preceptor and other individuals and
          places encountered regularly
          Updated: 2 June 2014
      3. Post‐Experience Requirements (Due by 7th day after the completion of
        the Experience):
        1. Complete the site evaluation using the Survey Monkey link provided
        2. Complete and submit a 3‐4 page experience report detailing specific
          activities and individuals, and how the experience has influenced
          your career track
        3. Provide the Center for Rural Health with copies of at least three
          “Thank You” notes, all of which detail the recipient’s names and
          positions, as well a detailed account of how they added positive
          input to the overall experience
        4. Submit the original Skills Card with all signatures and initials.
          Electronic copies can be submitted for credit, but the original must
          be returned to CRH staff
        5. Submit copies of the press release and all photos taken (please
          provide copies of the actual article if it is printed by the local media)
        6. Late submissions of required assignments and information can
          result in a grade reduction or the assignment of an incomplete
  3. Clerkship Calendar
      1. 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 to the
        following:
        1. Week Requirements: Participants must complete 2 full weeks (no
          overloading of hours to complete the Experience early is allowed)
        2. Hour Requirements: 64‐80 hours (based on a 32‐40 hour workweek)
        3. Holidays: Students receive one day off each for Memorial Day and
          Independence Day
        4. Attendance: One hundred percent (100%) attendance is required on all
          clinical rotations
        5. Time Off: Students needing time off for any reason will be required to
          complete and submit an Exception to the Rotation form, and must inform
          their preceptor of the schedule change
  4. Student Performance Evaluation
      1. Grading: This course is a 2 credit hour course. The course is Pass/No Pass graded
        based on the following criteria. The student’s overall performance (grade) must
        equal 70% to pass the course.
        1. 15%=Attendance and living in the rural community
        2. 50%=Student performance evaluation from preceptor
        3. 10%=Completion of the 2 required Interdisciplinary Experiences
        4. 10%=End of Experience report
        5. 5%=Minimum of 3 specific Thank You notes
        6. 5%=Press release & photos
        7. 5%=Submission of completed Skills Card
          Updated: 2 June 2014
      2. Attendance: 10 weekdays in a rural community clinic is required. Students are
        required to live in the rural community unless special permission is granted.
        Students are encouraged to stay in the community over weekends in order to gain a
        complete appreciation of rural community life. More than one day off may require
        the student to makeup time. If an absence is unavoidable the student must contact
        the supervising preceptor, as well as their CRH regional coordinator, and must
        complete and submit an Exception to the Rotation Form prior to the absence.
  5. Experience Objectives
  6. Subject/Method Learning Objectives Resources/Assignments
    Shadow a rural physician

    Apply observational and clinical skills in the office of a rural primary care physician

    CRH staff will assign students to communities, preceptors, and housing for the 64‐80 hour experience
    2, two‐hour Interdisciplinary Experiences Develop an appreciation for the role played by nonphysician health professionals in rural communities Your CRH regional coordinator, as well as your preceptor, can assist in finding and securing these activities. Contact them if you need help.
    Press Release & Photos Describe how this experience could influence the decision to practice in a rural setting Your CRH regional coordinator and preceptor can assist in finding contact information for local media outlets
    Experience Report & Thank You notes

    Develop an understanding and appreciation of the total rural experience. Discuss how this externship has impacted your understanding of primary care and rural medicine

     In a 3‐4 page report, describe in detail your experience, including your interdisciplinary activities, community involvement, the preceptor’s practice, and other locally important information. Students should also include a discussion about how this experience has impacted their career track

     


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