Ambulatory Clerkship II

During the Ambulatory Clerkship Year Two, you are expected to develop proficiency in both preventive health and management of common acute, subacute, and chronic medical conditions in the ambulatory setting. There is a focus on patient-centered medical care, psychosocial/behavioral issues, cost containment, and the interprofessional approach to patient care. You will spend time during the clerkship in the Cooper Rowan Clinic (CRC) clinic. In addition, you will rotate through a number of other sites for learning experiences designed to enhance your competency in patient-centered medicine. You will also begin your introduction to Community and Social Health in the Camden environment. This is primarily a community-based learning experience where you will spend a minimum of 40 hours of service learning during the academic year, building and developing skills to observe and analyze social conditions and characteristics of individual and community environments that can potentially influence health status, health maintenance, treatment, and healing. You will be expected to engage with community members through programs that address a broad variety of needs, such as education, mentorship, nutrition, fitness, patient support, and community development, in order to build relationships and broaden your awareness of cultural characteristics, personal histories, perspectives, and worldviews. Your experience in the community will better inform your practice as an effective and empathetic provider of care for diverse patient populations. Community based service will be augmented by written reflection essays, small group discussion meetings, as well as other training and presentation sessions.

1. To become an effective primary care provider to patients of different cultures, ages, genders, and socioeconomic status via direct patient care clinical experiences in ambulatory settings, the student will:

a. Conduct medical interviews with respect and compassion.
b. Perform a physical exam appropriate to the focused patient complaint, with compassion and respect.
c. Demonstrate the ability to formulate a basic differential diagnosis for the patient’s problems as part of the team care.
d. Treat patients, families and other members of the healthcare team with respect, compassion and integrity.
e. After consultation with supervising faculty, the student will present the patient with a proposed plan of care.
f. Analyze his/her own practice and look for opportunities for improvement.
g. Engage in self-directed learning regarding his/her patients’ medical problems.

2. To learn how to work effectively with others as a member or leader of a health care team or other interprofessional group, the student will:

a. Provide training in physical examination skills to M1 students
b. Clarify medication concerns and issues in the case for the M1 on the team.
c. Demonstrate ability to present cases to senior supervisors in an organized manner.
d. Work with the interprofessional clinic team to resolve medication and social service issues
e. Provide support and advocacy for patients’ medical and social needs across resource systems.

3. To become aware of the larger context of health care, the student will:

a. Coordinate with the interprofessional team for the effective delivery of care to the patient and/or the community.
b. Develop understanding of social needs and challenges at the community and individual level and the potential effects on healthcare access, compliance, and quality of care
c. Recognize social challenges within the context of patient care and to develop care strategies in sensitivity and consideration of these needs

4. To provide meaningful assistance to Camden community organizations and to the people who benefit from its service, the student will:

a. Be able to elicit and analyze social qualities and characteristics of patients that may help or impede health maintenance needs.
b. Provide programming, emotional support and positive regard for individuals in the community setting; engage with community members with awareness of their needs without personal bias or judgment.
c. Broaden personal exposure to communities and residents, with greater understanding of personal histories, religious and cultural values, life circumstances, and/or individual worldview perspectives.
d. The student will develop service learning opportunities in Camden in an area of personal interest.
e. Engage in service experiences that broaden and test limits of personal understanding of community and social health needs that can impact health and health maintenance
f. Build awareness and analysis of social environments at the community and individual levels that affect health status and influence effectiveness of healthcare delivery.
g. Use patient interview questions to adequately assess social barriers and/or challenges to health care needs.