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FAMMED 199: Undergraduate Directed Reading and Research in Family and Community Medicine

Students undertake investigations sponsored by individual faculty members. Prerequisite: consent of instructor.
Terms: Aut, Win, Spr, Sum | Units: 1-18 | Repeatable for credit

FAMMED 210: The Healer's Art

Explores the human dimensions of medicine, creating a firm foundation for meeting the challenging demands of medical training and practice. Based on curriculum developed by Dr. Rachel Naomi Remen at UCSF . (For details/evaluations see http://ishiprograms.org/programs-medical_educators.html). Medical students and faculty participate together in an innovative discovery model process that enables an in-depth sharing of experience, beliefs, aspirations and personal truths. Topics include deep listening, presence, acceptance, loss, grief, healing, relationship, encounters with awe and mystery, finding meaning, service, and self-care practices. No papers/exams. May be repeated for credit.
Terms: Aut | Units: 1 | Repeatable for credit
Instructors: ; Feldstein, B. (PI)

FAMMED 213: Medical Tai Chi

Tai chi is a recognized form of complimentary and alternative medicine. Class is intended to promote student health and well-being and to decrease stress, depression, and anxiety through tai chi practice. Course focuses on weekly practice and analysis of the literature/research regarding health benefits of tai chi.
Terms: Aut, Win, Spr | Units: 1 | Repeatable for credit

FAMMED 219: Mind-Body Medicine

A small group (8-10) of medical students experientially exploring of the interconnections among human capacities such as thought, emotion, belief, attitudes, and physical health. Review and practice of specific skills (including mindfulness exercises, meditation, imagery, visualization, body awareness, autogenics, and biofeedback) to enhance self-awareness, self-expression, and stress management. Readings relevant to mind-body medicine made available. Anticipated benefits to class participants include discovering and mobilizing their capacity to participate in valuable and proven methods of self knowledge and stress reduction, while dealing with the frustrations and alienation that many students experience in medical school and beyond.
Terms: Win, Spr | Units: 1
Instructors: ; Weinlander, E. (PI)

FAMMED 241: Assistantship in Family and Community Medicine

An in-depth experience with a family physician preceptor following the first year of the pre-clinical curriculum. The student applies during the first year to participate in the summer following completion. Application is through the Center for Family and Community Medicine (avjohn@stanford.edu). Placements with family physicians' practices throughout California.
Last offered: Autumn 2012 | Units: 6-12

FAMMED 243: Introduction to Integrative Medicine (ANES 243)

Presentations by local, national, and international experts in various modalities of integrative medicine commonly used by patients in the US, including mind-body medicine (biofeedback, clinical hypnosis, meditation, yoga); traditional whole systems of medicine (traditional Chinese medicine, Ayurveda); biological therapies (botanical medicine, supplements, herbal medicine); manipulative therapies (chiropractic, massage); and acupuncture. Lectures focus on evidence supporting the potential value of various treatment modalities and explanations of both the traditional and proposed scientific mechanisms of actions. Most classes include an experiential portion.
Last offered: Winter 2011 | Units: 1

FAMMED 244: Ethnicity and Medicine (HUMBIO 121E)

Weekly lecture series. Examines the linguistic, social class, and cultural factors that impact patient care. Presentations promote culturally sensitive health care services and review contemporary research issues involving minority and underserved populations. Topics include health care inequities and medical practices of African Americans, Asians, Latinos, Native Americans, immigrants, and refugees in both urban and rural settings. 1 unit requires weekly lecture attendance, completion of required readings, completion of response questions; 2 units requires weekly lecture attendance and discussion session, completion of required readings and weekly response questions; additional requirement for 3 units (HUMBIO only) is completion of a significant term paper Only students taking the course for 3 units may request a letter grade. Enrollment limited to students with sophomore academic standing or above.This course must be taken for a minimum of 3 units to be eligible for Ways credit.
Terms: Spr | Units: 1-3
Instructors: ; Garcia, R. (PI)

FAMMED 245: Women and Health Care

Lecture series. Topics of interest to women as health care consumers and providers. The historical role of women in health care; current and future changes.
Terms: Aut | Units: 1
Instructors: ; Weinlander, E. (PI)

FAMMED 250: Interprofessional Management of Population Health with Advanced Computer Technology

The Interprofessional Management of Population Health with Advanced Computer Technology (IMPACT) Program is designed for MD students who wish to have a sustained early clinical experience during the pre-clerkship years by being part of a primary health care team. Using the EPIC electronic medical record system, the team identifies and targets patients who are overdue for recommended preventive services. Focus is on training students to use health coaching, motivational interviewing, and shared decision-making skills to improve the health of patients through better cancer screening, chronic disease surveillance, immunizations, and medication monitoring. Delivered through the Stanford Healthcare Innovations and Experiential Learning Directive (SHIELD), a curriculum innovation partnership between the Stanford School of Medicine, the Stanford Department of General Medical Disciplines, and the Stanford Office of Community Health. Prerequisite: director consent; brief application, interview required.
Terms: Aut, Spr, Sum | Units: 3 | Repeatable 4 times (up to 16 units total)

FAMMED 250B: Interprofessional Management of Population Health with Advanced Computer Technology II

The second quarter course for students continuing in the The Interprofessional Management of Population Health with Advanced Computer Technology (IMPACT) Program, designed for motivated MD students who wish to have a sustained early clinical experience during the pre-clerkship years by being part of a primary health care team. Students collaborate with the interprofessional team to develop data-driven projects utilizing the EPIC electronic medical record system, and increase patient interaction and application of skills in health coaching, motivational interviewing, and shared decision-making to improve the health of patients through better cancer screening, chronic disease surveillance, immunizations, and medication monitoring. The second of a 3-quarter series delivered across the first year of medical school, with an option to continue in year two, and part of the SHIELD (Stanford Healthcare Innovations and Experiential Learning Directive) Early Clinical Immersion Program. nnInterested MD students should contact the course director, Dr. Amelia Sattler (amelia.sattler@stanford.edu). A 3-quarter commitment is required. Students will enroll in FAMMED250A, FAMMED250B, FAMMED205C. Max enrollment of 6 students. Prerequisite: director consent; brief application, interview required.
Terms: Win | Units: 2
Instructors: ; Sattler, A. (PI)

FAMMED 250C: Interprofessional Management of Population Health with Advanced Computer Technology III

The third quarter course for students continuing in the The Interprofessional Management of Population Health with Advanced Computer Technology (IMPACT) Program, designed for motivated MD students who wish to have a sustained early clinical experience during the pre-clerkship years by being part of a primary health care team. Students continue their collaboration with the interprofessional team at their clinical site, further develop projects, explore research opportunities, and increase patient interaction and application of skills in health coaching, motivational interviewing, and shared decision-making to improve the health of patients through better cancer screening, chronic disease surveillance, immunizations, and medication monitoring. The third of a 3-quarter series delivered across the first year of medical school, with an option to continue in year two, and part of the SHIELD (Stanford Healthcare Innovations and Experiential Learning Directive) Early Clinical Immersion Program. nnInterested MD students should contact the course director, Dr. Amelia Sattler (amelia.sattler@stanford.edu). A 3-quarter commitment is required. Students will enroll in FAMMED250A, FAMMED250B, FAMMED205C. Max enrollment of 6 students. Prerequisite: director consent; brief application, interview required.
Terms: Spr | Units: 2
Instructors: ; Sattler, A. (PI)

FAMMED 251B: Interprofessional Management of Population Health with Advanced Computer Technology (IMPACT)

Population health management is a cornerstone of Stanford Health Care¿s ongoing efforts to redesign primary care delivery and improve the quality of patient care. This is the second part of the 2-quarter series for second year medial students, which enables a continuity experience for students in the Interprofessional Management of Population Health with Advanced Computer Technology (IMPACT) Program. Students will apply skills in health coaching, motivational interviewing, and shared decision-making skills to improve the health of patients through better cancer screening, chronic disease surveillance, immunizations, and medication monitoring, and further develop clinical quality improvement and scholarship projects begun in their first year. This 2-quarter series is part of the SHIELD (Stanford Healthcare Innovations and Experiential Learning Directive) Early Clinical Immersion Program. nnInterested MD students should contact the course director, Dr. Amelia Sattler (amelia.sattler@stanford.edu). A 2-quarter commitment is required. Students will enroll in FAMMED251A and FAMMED251B. Max enrollment of 6 students. Prerequisite: director consent; brief application, interview required.
Terms: Win | Units: 2

FAMMED 251C: Interprofessional Management of Population Health with Advanced Computer Technology VI

The Interprofessional Management of Population Health with Advanced Computer Technology (IMPACT) Program is designed for MD students who wish to have a sustained early clinical experience during the pre-clerkship years by being part of a primary health care team. Using the EPIC electronic medical record system, the team identifies and targets patients who are overdue for recommended preventive services. Focus is on training students to use health coaching, motivational interviewing, and shared decision-making skills to improve the health of patients through better cancer screening, chronic disease surveillance, immunizations, and medication monitoring. Delivered through the Stanford Healthcare Innovations and Experiential Learning Directive (SHIELD), a curriculum innovation partnership between the Stanford School of Medicine, the Stanford Department of General Medical Disciplines, and the Stanford Office of Community Health. Enrollment limited to second year MD students only. Prerequisite: director consent; brief application, interview required.
Terms: Spr | Units: 2
Instructors: ; Sattler, A. (PI)

FAMMED 252: Medicine & Horsemanship: An Outdoor, Equine Assisted Learning Course for Doctor-Patient Relationship

Medicine and Horsemanship is a unique outdoor experience working with horses to develop interpersonal skills, leadership qualities, and self-care techniques. A challenge throughout a clinical career is to conduct relationships with patients and colleagues in a manner that is professional, perceptive, confident, and authentic. Horses mirror and magnify our intentions and behaviors. Working with horses requires sensitivity to nonverbal cues, discrimination in the quality and amount of physical contact, and an awareness of one's emotional state, all important skills for relating to patients. Horses give non-judgmental feedback about our personal communication styles and our ability to operate from a place of empathy and kindness. The course also teaches how to recognize subjectivity in judgment and how to overcome fear and immobility in the face of uncertainty. No riding is required and no previous horse experience is assumed. Limit 12 students.
Terms: Aut | Units: 1 | Repeatable for credit

FAMMED 280: Early Clinical Experience in Family and Community Medicine

Provides an observational experience for pre-clinical students as determined by the instructor and student. Prerequisite: consent of instructor.
Terms: Aut, Win, Spr, Sum | Units: 1-3 | Repeatable for credit

FAMMED 281A: L-CHAMP Longitudinal Community Health Advocacy Medical Partnership

This course is designed for students who wish to have sustained early clinical experience throughout their pre-clerkship years. The Longitudinal Community Health Advocacy Medical Partnership (L-CHAMP) is part of the SHIELD program. The course initiates with one-hour intensive health coaching training sessions, quarterly skill-based sessions, such as motivational interviewing, medication reconciliation, and leadership, as well as monthly seminars on topics, including health coaching integration, service projects, and patient-centered care, etc. L-CHAMP is a collaborative effort between Center for Education and Research in Family and Community Medicine and the Office of Community Health. Enrollment limited to first-year MD students.
Terms: Aut | Units: 2

FAMMED 281B: L-CHAMP Longitudinal Community Health Advocacy Medical Partnership

This course is designed for students who wish to have sustained early clinical experience throughout their pre-clerkship years. The Longitudinal Community Health Advocacy Medical Partnership (L-CHAMP) is part of the SHIELD program. The course initiates with one-hour intensive health coaching training sessions, quarterly skill-based sessions, such as motivational interviewing, medication reconciliation, and leadership, as well as monthly seminars on topics, including health coaching integration, service projects, and patient-centered care, etc. L-CHAMP is a collaborative effort between Center for Education and Research in Family and Community Medicine and the Office of Community Health. Enrollment limited to first-year MD students. Prerequisite: FAMMED 281A.
Terms: Win | Units: 2

FAMMED 281C: L-CHAMP Longitudinal Community Health Advocacy Medical Partnership

This course is designed for students who wish to have sustained early clinical experience throughout their pre-clerkship years. The Longitudinal Community Health Advocacy Medical Partnership (L-CHAMP) is part of the SHIELD program. The course initiates with one-hour intensive health coaching training sessions, quarterly skill-based sessions, such as motivational interviewing, medication reconciliation, and leadership, as well as monthly seminars on topics, including health coaching integration, service projects, and patient-centered care, etc. L-CHAMP is a collaborative effort between Center for Education and Research in Family and Community Medicine and the Office of Community Health. Enrollment limited to first-year MD students. Prerequisite: FAMMED 281A, FAMMED 281B.
Terms: Spr | Units: 2

FAMMED 282A: L-CHAMP Longitudinal Community Health Advocacy Medical Partnership IV

Continuation of FAMMED 281A-C. This course is designed for students who wish to have sustained early clinical experience throughout their pre-clerkship years. The Longitudinal Community Health Advocacy Medical Partnership (L-CHAMP) is part of the SHIELD program. The course initiates with one-hour intensive health coaching training sessions, quarterly skill-based sessions, such as motivational interviewing, medication reconciliation, and leadership, as well as monthly seminars on topics, including health coaching integration, service projects, and patient-centered care, etc. L-CHAMP is a collaborative effort between Center for Education and Research in Family and Community Medicine and the Office of Community Health. Enrollment limited to second-year and beyond MD students. Prerequisite: FAMMED 281A-C.
Terms: Aut | Units: 1

FAMMED 282B: L-CHAMP Longitudinal Community Health Advocacy Medical Partnership V

This course is designed for students who wish to have sustained early clinical experience throughout their pre-clerkship years. The Longitudinal Community Health Advocacy Medical Partnership (L-CHAMP) is part of the SHIELD program. The course initiates with one-hour intensive health coaching training sessions, quarterly skill-based sessions, such as motivational interviewing, medication reconciliation, and leadership, as well as monthly seminars on topics, including health coaching integration, service projects, and patient-centered care, etc. L-CHAMP is a collaborative effort between Center for Education and Research in Family and Community Medicine and the Office of Community Health. Enrollment limited to second-year MD students. Prerequisite: FAMMED 281A-C and FAMMED 282A.
Terms: Win | Units: 1

FAMMED 292: Clinical Skills Maintenance Experience

(Formerly FAMMED 311) For MSTP students and other Stanford Medical students obtaining combined M.D./Ph.D. degrees through non-MSTP programs only. Students are assigned to a primary care clinic within medicine, family medicine or pediatrics, or a specialty clinic that can offer similar experiences. Continuity of mentorship is the first priority and is desired for reinforcement of basic medical skills; continuity of patients is also desirable, but second priority. Students attend clinic one morning or afternoon per week for two contiguous quarters of the year in which they defend their Ph.D.theses (minimum 10 clinics per quarter). Each four hour clinic session the student: (1) obtains the history of a clinic patient; (2) conducts a physical exam; (3) formulates a differential diagnosis or problem list; (4) presents the patient to her/his clinic preceptor; and (5) prepares a write-up of the case. The clinic preceptor observes and provides guidance for the student's history taking and physical examination skills and critiques the differential diagnosis, verbal presentation, and write-up. The student is guided in the use of the computerized medical record and is asked to progressively integrate this information into the review of the patient history. The clinical preceptor reviews the results of the student's Micro-CPX, Mini-CPX, POM course evaluations, and E4C Mentor evaluations and uses this information to address any perceived weaknesses. The preceptor provides verbal and written performance evaluations to the student and a standardized evaluation becomes part of the student's record. The director of the E4C-MSTP program reviews, on a regular basis, the written performance evaluations of each student taking this course. Deficits are to be identified and addressed before the student enters clinical training.
Terms: Aut, Win, Spr, Sum | Units: 3

FAMMED 299: Directed Reading in Family and Community Medicine

Students organize an individualized study program in family and community medicine. Prerequisite: consent of instructor.
Terms: Aut, Win, Spr, Sum | Units: 1-18 | Repeatable for credit

FAMMED 370: Medical Scholars Research

Provides an opportunity for student and faculty interaction, as well as academic credit and financial support, to medical students who undertake original research. Enrollment is limited to students with approved projects.
Terms: Aut, Win, Spr, Sum | Units: 4-18 | Repeatable for credit

FAMMED 399: Graduate Research

Students interested in conducting research in a specific area of family and community medicine undertake investigations sponsored by the faculty instructor. Prerequisite: consent of instructor.
Terms: Aut, Win, Spr, Sum | Units: 1-18 | Repeatable for credit
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