Results for FAMMED

Students undertake investigations sponsored by individual faculty members. Prerequisite: consent of instructor.

This dinner seminar will describe the various ways in which healthcare is experienced and practiced across the country. Each class will focus on one region of the nation and examine the socioeconomic, geographic, historical and cultural factors that contribute to one present-day disparity localized to the region. By examining several topics in depth, this course aims to illustrate how community and state-level discrepancies affect individual experiences and the role healthcare providers can play in making healthcare more equitable and accessible to all. This year topics covered will include: Refugee/Immigrant health, Native Health, Mental Health, Women's Health + Reproductive Rights, Homeless Health, Medicare/Health Insurance Gap.

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.

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.

Being a medical student is busy! Being a physician is busy! How better to squeeze in healthy exercise habits than over the lunch break? This class is appropriate for all levels of fitness: it will challenge even the most fit physiques but can be modified for beginners. The exercises focus on the core muscles (abs, back, shoulders, hips/glutes) and use resistance training ¿ you will work hard but won¿t be so sweaty that you can¿t go back to your afternoon classes. No need to bring anything, just show up and be ready to have fun to motivating music in this group fitness session.

Over 57 million individuals in the US (20%) have a disability and face significant healthcare disparities, stigmas, and difficulty accessing care. This interactive seminar course has been designed to better prepare MD and PA students to care for individuals with disabilities throughout their careers. Throughout the course, individuals with disabilities, caregivers and physicians will discuss a variety of topics including: disability framework, medical model vs. social model of disability, healthcare disparities, language and disability, communication, ethics, government and non-governmental services, laws and policies, and coordinating complex care. Students will be matched with a patient partner whom they meet outside of class at a mutually convenient time to learn about the patient and caregiver journey, and to further explore the impact of topics discussed in the course at the individual level. Upon finishing this course, students will have a fundamental knowledge of common disabilities, understand patient-centered care for people with disabilities, and foster skills necessary to improve the lives of their patients. Course open to MD and PA students only.

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.

An in-depth experience with a family physician preceptor following the first year of the pre-clerkship curriculum. The student applies during the first year to participate in the summer following completion. Application is through the Family Medicine (avjohn@stanford.edu). Placements with family physicians' practices throughout California.

This 8-week elective course exposes medical students to fundamental cooking skills in the context of learning healthy behaviors in order to counsel patients effectively on nutrition and diet as future clinicians and also for bettering one¿s own health. The emphasis of this course is on the basic preparation of healthy and delicious whole foods and the applications of these basic culinary skills. This engaging course will be led both by dually-trained chef/MDs and by MD faculty who have a passion for cooking without any formal training. No cooking experience required. Instructor approval required for registration. Course is open to MD students only.

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.

Lecture series. Topics of interest to those concerned about women as health care consumers and providers. The historical role of women in health care; current and future changes discussed.

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.

Provides an observational experience for pre-clerkship students as determined by the instructor and student. Prerequisite: consent of instructor.

(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.

Students organize an individualized study program in family and community medicine. Prerequisite: consent of instructor.

Closed to visitors. Teaches the management of diseases commonly encountered in the ambulatory care setting. Emphasis is placed on patient-centered, efficient, cost-effective medical care of men, women and children of all ages in a variety of settings. Prevention, managed care, and cultural competence are stressed. Didactic workshops are conducted at the School of Medicine and clinic sessions are held at numerous community ambulatory sites on the Peninsula, in the South Bay, in the East Bay, in San Francisco, and electively in Humboldt County. Prereq: INDE 206. Periods Avail: 1-12, full-time for four weeks. Up to 10 students per period. Reporting Instructions: Where: To be sent by email. Call coordinator 2 weeks prior. Time: 8:00 am. Units: 6. Call Code: 2 (Occasional weekend and/or evening activities.) Director: Tracy A. Rydel, M.D. & Rika Bajra, M.D. Other Faculty: R. Bajra, R. Brinkhaus, M. Deshpande, A. Dubey, B. Feldstein, J. Fronk, M. Henehan, J. Hopkins, A. Hui, C. Kushida, C. Ladika, L. Leer, S. Lin, M. Mahoney, F.F. Marvasti, N. Morioka-Douglas, I. Nelligan, D. Rai, T. Rydel, A. Sattler, E. Schillinger, R. Seekamp, S. Srivastava, K. Vu, E. Weinlander, G. Yu, and other community preceptors in Family and Community Medicine. nCoord: Art Johnson (650-723-9621). (SHC Hoover Pavilion, SHC Portola Valley, SHC Los Altos, SHC Cisco, O'Connor Hospital, Kaiser San Jose, Kaiser Santa Clara, community sites, and rural sites) (SHC Hoover Pavilion, SHC Portola Valley, SHC Los Altos, SHC Cisco, O'Connor Hospital, Kaiser San Jose, Kaiser Santa Clara, community sites, and rural sites)

Selective 1. Closed to visitors. In the Continuity of Care Clerkship, students work with a preceptor in any field of medicine, including Family Medicine, Internal Medicine, Pediatrics, and other sub-specialties. They are released from other clerkships for one afternoon a week for a total of four afternoons per period. Three afternoons students to report to clinic, one afternoon is reserved for the monthly Continuity of Care Conference consisting of student and MD presentations. Students participating in this clerkship work with one faculty preceptor and his/her patients for 9 months. This continuity experience allows students to establish a mentoring relationship with their preceptor, to see a cohort of patients repeatedly, gain insight into patient care and chronic disease management over time, develop and carry out a QI or similar project, and develop a deeper understanding of their specialty of choice. Prereq: Medicine 300A, 301A or 333A, ObGyn 300A or Peds 300A. Periods Avail: Can start any period. Reporting Instructions: Please contact the clerkship director or coordinator at least 8 weeks prior to the first week of the clerkship to seek out an appropriate preceptor. Units: 6. Call Code: 0 (varies according to preceptor) Director: Amelia Sattler, M.D. (amelia2@stanford.edu) Other Faculty: E. Weinlander and other precepting physicians and lecturers. nCoord: Anthony Duong (650-723-7357), email; aduong91@stanford.edu (Various)

Closed to visitors. The objective of this 4 week clerkship is to provide clinical experience in the following areas: management of normal adult and pediatric patients; evaluation and treatment of common acute medical conditions in the ambulatory setting; diagnostic criteria and management of chronic medical conditions such as diabetes, heart disease, hypertension, and obesity; and the administration of routine health maintenance examinations in the clinical environment. Students will work with both Internal and Family Medicine physicians in the primary care department at the Kaiser Permanente Vallejo Medical Center. Students may also spend time in patient education classes as well as residency didactics. All students will complete an evidence based medicine project by the end of their rotation. Prereq: 3rd and 4th year students only. Periods Avail: 8-12, full-time for four weeks. 1 student per period. Rotations are scheduled up to one year in advance on a first come, first serve basis. Reporting Instructions: Where: Contact Gilbert Garces, Residency Assistant, Phone (707) 651-5628. Email: Gilbert.garces@kp.org or via fax (707) 651-5624 or (707) 651-5628; Time: TBA. Units: 6. Call Code: 2 (night call optional). nDirector: Patrick Lowerre, M.D. Other Faculty: Staff Coord: Gilbert Garces, Email: Gilbert.garces@kp.org or via fax (707) 651-5624. (Kaiser Permanente Napa-Solano)

Closed to visitors. Offers the student a flexible learning experience as part of a team of family physicians working closely with Stanford¿s Family Medicine Residency Program at O'Connor Hospital. With faculty guidance, the student develops an individually tailored mix of inpatient and ambulatory patient care responsibilities, supplemented by conferences and tutorials in family medicine topics. Special faculty interests include sports medicine, school health, HIV, and geriatrics. Emphasis is given to providing comprehensive, continuity family orientated care to patients of all ages from multiple ethnic groups in an inner city community hospital setting and physician offices. Students must register for this clerkship before May 1st of each year. After this date, students wishing to do this clerkship must first contact the clerkship coordinator to set it up before registering. Students wishing to do this elective clerkship are required to do a drug test. Prereq: Fammed 301A. Fourth year medical students only. Periods Avail: 1-12, full-time for four weeks. 1 student per period (one additional slot scheduled by Diep Nguyen at O¿Connor Hospital). Rotations are scheduled up to one year in advance on a first come, first serve basis. Reporting Instructions: Where: Program Office, 455 O¿Connor Drive, Ste 250, San Jose, CA 95128; Time: 8:30 a.m. Units: 6. Call Code: 2 (night call optional) Director: Grace Yu, M.D. Other Faculty: Staff. Coord: Jena Eidschun (408-283-7767), 455 O¿Connor Drive, Ste 250, San Jose, CA 95128. (O'Connor Hospital)

Selective 1. Closed to visitors. Family medicine preceptorship with physicians in family practice, in a model family practice unit (other than O'Connor Hospital), located in urban, suburban, or rural areas. The preceptor may be in private practice or in a health care center. Special opportunities are available in Indian Health Service settings, especially in South Dakota and New Mexico. The experience includes health supervision and primary medical care. It may include minor surgery and obstetrics under the supervision of the preceptor. The focus is family-oriented ambulatory care with minimal hospital experience. Team functioning and home visits are desirable. Visits with other health professionals and to community resources are important parts of the clerkship. This clerkship requires prior approval by Clerkship Director. Prereq: Medicine 300A or Pediatrics 300A. Consent of coordinator 6 weeks before clerkship. Periods Avail: 1-12, full-time for two or four weeks. Reporting Instructions: Call coordinator two to three months ahead, if possible, for arrangements. Time: TBA.Units: 3 or 6. Call Code: 0 Director: Erika Schillinger, M.D. Other Faculty: Stanford Family Practice Group. Coord: Kim Osborn (kosborn@stanford.edu) (Various)

Selective 2. Closed to visitors.Offers the student ready for an advanced experience similar to an internship a learning experience with an assigned patient load as part of a team of family physicians working closely with Stanford's Family Medicine Residency Program at O'Connor Hospital. With faculty guidance, the student develops an individually tailored mix of inpatient and ambulatory patient care responsibilities including supervised procedures and overnight call, supplemented by conferences and tutorials in family medicine topics. Special faculty interests include sports medicine, school health, HIV, and geriatrics. Emphasis is given to providing comprehensive, continuity family oriented care to patients of all ages from multiple ethnic groups in an inner city community hospital setting and physician offices. Students must register for this clerkship before May 1st of each year. After this date, students wishing to do this Sub-I must first contact the clerkship coordinator to set it up (to ensure there is room for the student in a given clerkship period) before registering. Students wishing to do this Sub-I are required to do a drug test. Prereq: Fammed 301A, 4th year students only. Periods Avail: 1-12, full-time for four weeks. 1 student per period (one additional slot scheduled by Diep Nguyen at O¿Connor Hospital). Rotations are scheduled up to one year in advance on a first come, first serve basis. Reporting Instructions: Where: Program Office, 455 O¿Connor Drive, Ste 250, San Jose, CA 95128; Time: 8:30 a.m. Units: 6. Call Code: 2 (night call optional). Director: Grace Yu, M.D. Other Faculty: Staff Coord: Jena Eidschun (408-283-7767), 455 O¿Connor Drive, Ste 250, San Jose, CA 95128. (O¿Connor Hospital)

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.

Closed to visitors. Provides an opportunity for a student in the clinical years to have a clinical experience in one of the fields of Family Medicine, of a quality and duration to be decided upon by the student and a faculty preceptor in Family Medicine. Please note: Students cannot add 398A clerkships directly to their fishbowl schedules through the regular shuffles. Please contact Caroline Cheang in the Office of Medical Student Affairs at cheang@stanford.edu or 650-498-7619 with the faculty preceptor¿s name and email address to add this clerkship. Prereq: MED 208 or INDE 206. Periods Avail: 1-12. Reporting Instructions: Where: TBA (designated faculty preceptor); Time: TBA Units: 1 to 12. Call Code: 0. Director: Amelia Sattler, M.D., Erika Schillinger, M.D. Other Faculty: Staff. Coord: Anthony Duong (650-723-7357) (SUMC, PAVAMC, SCVMC)

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.