Required Courses

3rd Year

AMMD 975 Ambulatory Medicine/Geriatrics (6). This clerkship is designed to prepare students for delivery of medical care in the ambulatory setting with an emphasis on geriatrics. It is jointly sponsored by the Department of Internal Medicine and the Department of Family and Community Medicine. Students spend the majority of their time in the outpatient office of a practicing internist or family physician where they participate as a member of the healthcare team. To introduce students to multi-disciplinary approaches to care, they visit a variety of community agencies including nursing homes, hospice, a dietitian, rehabilitation hospital, and wound care clinic. These clinical experiences are augmented by Web-based modules on geriatric topics, seminars on common and important medical topics, and workshops on ECG interpretation and exercise treadmill testing. The clinical portion of the clerkship is in sequence with the Family Practice Clerkship (FCMD 975); the didactic portions are coordinated to enhance student learning on both clerkships. Evaluation is based on assessment of clinical performance, an objective structured clinical exam, evidence-based medicine assignments, seminar participation, and a departmental written exam. Prerequisite: medical basic sciences.

FCMD 975 Family Medicine (6). Students are introduced to the principles and practice of family medicine. They spend the majority of their time participating in the practice of a private family physician where they evaluate patients under direct supervision and recommend management. This practice experience is enhanced by hospital call with family medicine residents and by case-based seminars and skill-development workshops led by faculty. The clerkship is in sequence with the Ambulatory Medicine/Geriatrics Clerkship (AMMD 975); the didactic portions are coordinated to enhance student learning on both clerkships. Evaluation is based on assessment of clinical performance, seminar participation, and the NBME Family Medicine subject exam. Prerequisite: medical basic sciences.

ICM 975 Issues in Clinical Medicine (0). This course is designed to promote the development of professional responsibility and medical ethics. Incorporated into the topics are medical ethical theory, skills of ethical decision making and recognizing personal and professional responsibilities and value identification. The one-hour sessions are held twice a month. All third year medical students are required to attend. Prerequisite: medical basic sciences.

INMD 975 Basic Medicine Clerkship (8). Students are assigned two four-week blocks on university general medicine services. Students are expected to acquire basic clinical skills in medicine: interview and examine patients, complete databases and clinical problem assessments, write progress notes and give bedside presentations on daily rounds, and demonstrate accountability for ward duties and patient data. Rounds with visiting professors, KUSM-W grand rounds, and medicine case conferences supplement regularly scheduled tutorial sessions and daily ward rounds. Grades are based on ward work, critical case summaries, and National Board subject examination scores. Prerequisite: medical basic Ssciences.

OBGN 975 Obstetrics/Gynecology (6). During the clinical clerkship the student develops understanding of disease in women through history, physical examination, and laboratory studies. The clerkship includes study of biochemical, anatomical, and physiological changes of normal pregnancy, and the effect of disease in altering the course of reproduction. Prerequisite: medical basic sciences.

PDRC 975 Pediatrics (6). The student will spend approximately 60 percent of the time on pediatric wards taking pediatric medical histories, physical examination of children and infants and making ward rounds with attendants and house staff. Approximately 40 percent of the student’s time will be spent in ambulatory pediatrics in general specialty clinics and in the offices of practicing pediatricians. Time will be spent in the newborn nursery. Prerequisite: medical basic sciences.

PSCR 975 Neuropsychiatry (8). The required eight-week Neuropsychiatry clerkship is intended to familiarize students with the diagnosis and treatment of major psychiatric and neurological disorders. Effective interviewing and diagnostic skills, and competent performance of the mental status and neurological examinations are emphasized. Students have an active, closely supervised role in the diagnosis and treatment of both hospitalized and ambulatory patients. Clinical experience is accompanied by a didactic schedule of lectures, seminars, and practical-interactive learning sessions. Prerequisite: medical basic sciences.

SGRY 975 Junior Surgery (8). This course offers the student an introduction to the surgical management of disease. Students are assigned to one of the several surgical services, where they participate fully in diagnosis, operation, and management of patients with a wide range of surgical diseases. Clinical conferences, seminars, ward rounds, and case studies supplement the clinical experience. Students participate directly in patient care on the ward, as well as in the outpatient department and operating room. Emphasis is placed on the understanding of alterations in physiology secondary to trauma, management of fluids and electrolytes, basic elements of pre- and postoperative care, and an understanding of diseases amenable to surgical treatment. Prerequisite: medical basic sciences.

4th Year

PVMD 975 Health of the Public (4) This required clerkship is designed to instruct fourth year medical students about population based approaches to health care and to facilitate the application of epidemiologic principles to clinical decision making. Using some of the basic concepts described under the auspices of community oriented primary care, students will learn how to define specific populations, ascertain their health care needs, formulate interventions to meet those needs and evaluate the impact of those interventions. These concepts will be developed and reinforced as the student moves through a series of modules designed to provide learning opportunities about health services organizations and delivery, community dimensions of medical practice, occupational and environmental medicine, health care finance, access to medical care and quality of medical care. These modules will include didactic teachings supplemented by course reading material and workshops that involve case studies and site visits. This clerkship will allow the student to examine what it means for a physician to be part of a community and to explore the role that the community plays in the health of an individual. Prerequisite: Completion of third year medical school curriculum.

RLMD 976 Rural Medicine in Family Medicine (4). The student participates in the practice of a family physician in the state of Kansas. The student is expected to be active in patient care at a variety of sites that may include the outpatient office, hospital, nursing home, home visits, and emergency room. Supervised involvement in procedures and obstetrical care is encouraged. The student is given an opportunity to accompany preceptors to community events and participate in the life of the town. Evaluation is based on assessment of clinical performance in a community setting. Prerequisite: FCMD 975 and senior standing.

RLMD 977 Rural Medicine in Internal Medicine (4). Rural Medicine in Internal Medicine is a four week clinical rotation during which each student works with a practicing Internal Medicine physician in the state of Kansas. Student will experience a one-to-one teaching/learning relationship in a private office and hospital practice (i.e., non-institutional) setting and will be exposed to both professional and non-professional aspects of the preceptor’s family and social life in a community environment. The student will be assigned to both patients admitted to the hospital and consultation patients. The student will perform a history and physical examination on each patient and will be responsible for writing daily progress notes on each assigned patient. Student will formulate diagnostic treatment and educational plans on each patient. The student will write orders after reviewing plans with the attending physician. The student will also see patients in the emergency room and present them to the attending physician. The student will be involved in all procedures, such as treadmills, lumbar puncture, bone marrow biopsies, liver biopsies, upper GI endoscopy and flexible sigmoidoscopy on all assigned patients and other patients if appropriate. Prerequisite: Ssenior standing and INMD 975.

RLMD 978 Rural Medicine in Pediatrics (4). Rural Medicine in Pediatrics is a four-week clinical rotation during which each student works with a practicing pediatrician in the state of Kansas. Student will experience a one-to-one teaching/learning relationship in a private practice (i.e., non-institutional) setting and will be exposed to both professional and non-professional aspects of the preceptor’s family and social life in a community environment. Initially the student will see patients and take calls with the pediatrician. Later in the month, the student will be given some independence seeing patients. The student may write progress notes and learn to dictate discharge summaries. The student will also participate in a number of procedures such as lumbar punctures, umbilical artery catheter insertion, etc. Students may also assist in ambulance transfers from smaller communities. Prerequisite: senior standing and PDRC 975.

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