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

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 14 students.

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

VISITING: Closed to visitors. TYPE OF CLERKSHIP: Required. DESCRIPTION: Teaches the management of diseases commonly encountered in the primary care setting. Emphasis is placed on patient-centered, efficient, equitable, cost-effective medical care of men, women and children of all ages in a variety of settings. Prevention, managed care, and cultural humility are emphasized. 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. PREREQUISITES: None. PERIODS AVAILABLE: 1-12, full time for 4 weeks, 10 students per period. CLERKSHIP DIRECTOR: Tracy A. Rydel, M.D. & Rika Bajra, M.D. CLERKSHIP COORDINATOR: Natalie Gonzalez, natg@stanford.edu. REPORTING INSTRUCTIONS: Where: To be sent by email. Contact coordinator 2 weeks prior; Time: 8:00AM. CALL CODE: 2 (Occasional weekend and/or evening activities). OTHER FACULTY: R. Brinckhaus, M. Chelvakumar, M. Deshpande, R. Gibbs, D. Griffith, A. Hui, O. Jee, C. Ladika, B. Laniakea, D. Rai, T. Rydel, K. Vu, G. Yu, and other faculty and community preceptors in Family and Community Medicine.nLOCATION: (Stanford Family Medicine Hoover, Stanford Portola Valley, Stanford Los Altos, O'Connor Family Medicine Residency, Kaiser Santa Clara, Milpitas SCVMC, Almaden Family Practice/Stanford UHA, various community sites, and rural sites).

VISITING: Closed to visitors. TYPE OF CLERKSHIP: Selective 1. DESCRIPTION: In the Continuity of Care Clerkship, students work with a preceptor in an ambulatory setting, 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. One afternoon every odd period is reserved for the Continuity of Care group session consisting of student and MD presentations. Students participating in this clerkship work with one faculty preceptor and his/her patients for 9 periods. 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. PREREQUISITES: FAMMED 301A, MED 300A/313A, OBGYN 300A or PEDS 300A. PERIODS AVAILABLE: 1-12. CLERKSHIP DIRECTOR: Kim Chiang, M.D., kichiang@stanford.edu. CLERKSHIP COORDINATOR: Natalie Gonzalez, natg@stanford.edu. REPORTING INSTRUCTIONS: Where: 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 and complete mandatory orientation; Time: TBA. CALL CODE: 0, varies according to preceptor. OTHER FACULTY: Staff. LOCATION: Various.

VISITING: Closed to visitors. TYPE OF CLERKSHIP: Elective. DESCRIPTION: The objective of this 3 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. Rotations are scheduled up to one year in advance on a first come, first serve basis. PREREQUISITES: 3rd and 4th year medical students only. PERIODS AVAILABLE: 1-12, full time for 4 weeks, 1 student per period. CLERKSHIP DIRECTOR: Patrick Lowerre, M.D. CLERKSHIP COORDINATOR: Gilbert Garces, Email: Gilbert.garces@kp.org or via fax (707) 651-5624. REPORTING INSTRUCTIONS: Where: Contact Gilbert Garces, Residency Assistant; Time: TBA. CALL CODE: 2 (night call optional). OTHER FACULTY: Staff. LOCATION: Kaiser Permanente Napa-Solano.

VISITING: Open to visitors. TYPE OF CLERKSHIP: Elective. DESCRIPTION: 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 & Indian Health Center of Santa Clara Valley. The student will experience a variety of family medicine experiences, which may include individual and group patient care in the ambulatory care setting, supplemented by didactic conferences on family medicine topics. Special faculty interests include sports medicine, HIV, addiction medicine, women's health, maternity care, point-of-care ultrasound, procedures, palliative care, weight management, geriatrics, and quality improvement. Emphasis is given to providing continuity and comprehensive family-oriented care to diverse patients of all ages, in inner-city outpatient medical offices. Please note: Visiting students who wish to apply to any clerkship in the Division of Primary Care and Population Health, with a focus in Family Medicine (clerkships that start with FAMMED) must fill out the Family Medicine supplemental application. Please submit the supplemental application to Michelle Engle, M.D. at mengle@stanford.edu. These forms must be reviewed for pre-clearance before submitting your visiting clerkship application form and other supporting documents to the Clerkship Office. Please email Michelle Engle, mengle@stanford.edu, for more information. Students wishing to do this elective clerkship are required to complete a detailed background check, submit a letter of good standing from their medical school and show proof of liability insurance. PREREQUISITES: None. Open to third and fourth year medical students. PERIODS AVAILABLE: 1-12, full time for 4 weeks, 1 student per period. CLERKSHIP DIRECTOR: Michelle Engle, M.D. CLERKSHIP COORDINATOR: Diep Nguyen, 408-283-7767. REPORTING INSTRUCTIONS: Where: 455 O'Connor Drive, Ste 250, San Jose, CA 95128; Time: 8:30 am. CALL CODE: 0. OTHER FACULTY: Staff. LOCATION: O'Connor Hospital, Indian Health Center of Santa Clara Valley (residency practice), Family Medicine Associates of San Jose (Faculty practice).

VISITING: Closed to visitors. TYPE OF CLERKSHIP: Selective 1. DESCRIPTION: Family medicine outpatient clinical experience, located in urban, suburban, or rural areas. The preceptor may be in private practice or in a health care center. Special opportunities may be available in urban underserved, in Indian Health Service settings, including in New Mexico, or in rural Humboldt County. The experience includes health supervision and primary medical care. It may include home visits, minor surgery, and obstetrics experience under the supervision of the preceptor. Team functioning is essential. Coordinating visits with other health professionals and to community resources are important parts of the clerkship. This clerkship requires prior approval by Clerkship Director. PREREQUISITES: Approval of coordinator and director 6 weeks before clerkship. PERIODS AVAILABLE: 1-12, full time for 2 weeks or 4 weeks, 10 students per period. CLERKSHIP DIRECTOR: Tamara Montacute, M.D., tamaram@stanford.edu. CLERKSHIP COORDINATOR: Natalie Gonzalez, natg@stanford.edu. REPORTING INSTRUCTIONS: Where: TBA. Please contact the clerkship director at least 6 weeks ahead of time; Time: TBA. CALL CODE: 0. OTHER FACULTY: Stanford Family Practice Group. LOCATION: Various.