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Family Medicine

The family medicine clerkship gives students experience in an ambulatory setting. Students see patients throughout the span of life with undifferentiated health problems. The clerkship also provides the opportunity to:

  • see patients that require hospitalization,
  • practice problem-solving in a clinical setting with each patient encounter,
  • gain exposure to comprehensive and longitudinal health care, and
  • learn and apply the concepts of health maintenance.  

Site Clerkship Director: Suzanne Lester, M.D. (slester@uga.edu)

Duration of Clerkship: 6 weeks

Grading:

  • Shelf Exams: 30%
  • Preceptor Evaluations: 70 %


Required Text: "Current Diagnosis and Treatment in Family Medicine" 3rd Edition  ISBN: 9870071624367

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  • Goals and Objectives

    Family Medicine Clerkship Introduction

    The Family Medicine Clerkship is designed to provide third-year medical students with an introduction to the principles and practice of Family Medicine. The course exposes the students to the concepts, values and skills that are basic to this discipline. The clerkship provides an understanding and appreciation for Family Medicine through exposure to a system of comprehensive and continuous medical health care for the entire family. As a result, students should understand an approach to care that has an orientation toward the health of the person as a whole. When students complete the clerkship, they should have an appreciation of Family Medicine as a complex specialty that not only shares skills and knowledge with other branches of medicine but also has its own unique body of knowledge, skills and attitudes. The students should become aware of the fact that family physicians provide continuous primary care regardless of age, sex or type of problem (biological, behavioral or social). The students should also understand that the family physician serves as the patient's advocate and coordinator in health related matters including those requiring the utilization of consultative and other community health resources.

    Comprehensive Student Goals and Objectives

    GOAL #1: PERCEPTION OF AND ATTITUDES TOWARD THE ROLE OF A PHYSICIAN

    Objectives:

    • Assume responsibility and initiative in caring for patients.
    • Devote appropriate time and energy to all duties.
    • Exhibit maturing in interpersonal relationships, personal values and medical ethics.
    • Respect the rights of patients.

    GOAL #2:  PERCEPTION OF AND ATTITUDES TOWARD FAMILY MEDICINE

    Objectives:

    • Understand the necessity for providing continuous, comprehensive health care to the family.
    • Recognize the importance of life events to the family and the impact of those events on the health of the individual.
    • Provide family and person-oriented health care.
    • Recognize the importance of health maintenance.
    • Appreciate the necessity for providing care for both the acute and chronically ill patient.
    • Recognize the importance of being the physician of first contact.
    • Understand the importance of the role of the physician as the coordinator of the health care team.
    • Become the patient's advocate.
    • Recognize the importance of socio-economic factors in medical care.

    GOAL #3:  ABILITY TO ESTABLISH EFFECTIVE PHYSICIAN-PATIENT RELATIONSHIPS

    Objectives:

    • Establish rapport and communicate with patients in a caring manner.
    • Gain the confidence of patients by meeting their health needs appropriately.

    GOAL #4:  SKILLS IN GATHERING AND RECORDING APPROPRIATE PATIENT INFORMATION

    Objectives:

    • Collect and record historical data recognizing the impact of the patient's hereditary, social, economic, religious, family and occupational background on his or her presenting problem.
    • Understand the characteristics of various lifestyles and life cycles of a family and their effects on health and disease.
    • Recognize the importance of the psychosocial aspects of health and disease.
    • Perform physical examinations and record resulting data.
    • Order appropriate laboratory studies for both ambulatory and hospitalized patients and record the data.
    • Write progress notes and summaries on ambulatory and hospitalized patients for both acute and chronic care needs.
    • Perform diagnostic procedures and record the data.
    • Use the problem-oriented record system to record data and maintain patient records.

    GOAL #5:  SKILLS IN MAKING APPROPRIATE CLINICAL JUDGEMENTS

    Objectives:

    • Recognize medical emergencies and establish health care priorities.
    • Define patient's problems by using sound judgment in the selection and sequence of studies.
    • Evaluate available information in making a diagnosis and use knowledge related to problems frequently seen in Family Medicine.
    • Establish appropriate diagnosis through comprehensive knowledge and intelligent interpretation of carefully selected clinical information.
    • Provide patient care through appropriate diagnostic and therapeutic management based on an awareness of cost.
    • Gain insight into personal limitations.
    • Use proper consultation to aid in patient management.
    • Make appropriate referrals.

    GOAL #6:  SKILLS IN PLANNING, IMPLEMENTING AND EVALUATING THERAPY

    Objectives:

    • Initiate patient care in an orderly and appropriate manner.
    • Describe the use, limitations and problems of therapeutic regimens.
    • Closely observe the patient's clinical course for short and long-term care and modify the care as necessary.
    • Understand the impact of health problems on patients and patients' families.
    • Provide appropriate patient education.
    • Recognize impact of socioeconomic factors.

    GOAL #7:  SKILLS IN PLANNING, IMPLEMENTING AND EVALUATING HEALTH MAINTENANCE, DISEASE PREVENTION AND CONTINUOUS HEALTH CARE

    Objectives:

    • Apply methods of health maintenance and disease prevention.
    • Assess health risk factors based upon knowledge of the patient's age, sex, habits, occupation, genetic and environmental influences.
    • Identify the health resources available in the community.
    • Provide continuous health care.
  • Competency Based Objectives

    Medical Knowledge

    Medical students are expected to master a foundation of clinical knowledge with integration of basic sciences and the translation of that knowledge to the clinical setting.

    1.1 Demonstrate knowledge of normal and abnormal structure and function of the human body on the macroscopic, microscopic, and molecular levels.

    • Evaluate available information in making a diagnosis and use knowledge related to problems frequently seen in Family Medicine. Establish appropriate diagnosis through comprehensive knowledge and intelligent interpretation of carefully selected clinical information. Goal 5, 3 & 4

    1.2 Identify the pathology and pathophysiology of various diseases and correlate them with clinical signs and symptoms.

    • Evaluate available information in making a diagnosis and use knowledge related to problems frequently seen in Family Medicine. Establish appropriate diagnosis through comprehensive knowledge and intelligent interpretation of carefully selected clinical information. Goal 5, 3 & 4

    1.3 Demonstrate knowledge of both common or significant, acute and chronic clinical problems.

    • Recognize medical emergencies and establish health care priorities. Evaluate available information in making a diagnosis and use knowledge related to problems frequently seen in 
      Family Medicine. Establish appropriate diagnosis through comprehensive knowledge and intelligent interpretation of carefully selected clinical information. Goal 5, 1, 3 & 4

    1.4 Differentiate between normal and abnormal development and age-related changes across the life span.

    • Collect and record historical data recognizing the impact of the patient’s hereditary, social, economic, religious, family, and occupational background on his or her presenting problem. Understand the characteristics of various lifestyles and life cycles of a family and their effects on health and disease. Goal 4, 1 & 2

    1.5 Demonstrate comprehension of clinical interventions and agents including pharmaceutical, surgical, genetic, complementary and alternative medicines, and other therapies.

    • Order appropriate laboratory studies for both ambulatory and hospitalized patients and record the data. Use proper consultation to aid in patient management. Describe the use, limitations and problems of therapeutic regimens. Closely observe the patient’s clinical course for short and long-term care and modify the care as necessary.
      Goal 4, #5; Goal 5, #7; Goal 6, #2 & 3

    1.6 Demonstrate knowledge and ability to interpret epidemiological and public health contributions to understanding health and disease.

    • Apply methods of health maintenance and disease prevention. Assess health risk factors based upon knowledge of the patient’s age, sex, habits, occupation, genetic and environmental influences. Goal 7, #1 & #2

    1.7 Demonstrate knowledge of preventive medicine and current guidelines for health promotion and disease screening.

    • Apply methods of health maintenance and disease prevention. Assess health risk factors based upon 
      knowledge of the patient’s age, sex, habits, occupation, genetic and environmental influences. Identify the health resources available in the community. Provide continuous health care. 
      Recognize the importance of health maintenance. Goal 7 1#, #2, #3, & #4; Goal 2, #4

    Patient Care

    Medical students, as members of the healthcare team, are expected to provide patient and family centered care that is compassionate and effective for the promotion of health and the management of illness.

    2.1 Treat patients using a patient and family centered care approach.

    • Assume responsibility and initiative in caring for patients. Recognize the importance of health maintenance. Understand the impact of health problems on patients and patients’ families. Goal 1, #1; Goal 2, #4; Goal 6, #4

    2.2 Obtain a complete and accurate medical history that covers essential aspects, also addressing issues related to age, gender, culture, use of complementary medicine, family dynamics and socioeconomic status.

    • Collect and record historical data recognizing the impact of the patient’s hereditary, social, economic, religious, family and occupational background on his or her presenting problem. Recognize the importance of the psycho social aspects of health and disease. Recognize the importance of socio-economic factors in medical care. Goal 4, #1 & 3; Goal 2, #9

    2.3 Perform both complete and symptom-focused physical examinations, including mental health status examination.

    • Recognize medical emergencies and establish health care priorities. Establish appropriate diagnosis through comprehensive knowledge and intelligent interpretation of carefully selected clinical information. Goal 5, #1 & 4

    2.4 Perform or participate in routine technical procedures. [procedures determined by core clerkships]

    • Perform diagnostic procedures and record the data. Goal 4, #7

    2.5 Construct a differential diagnosis for common clinical presentations.

    • 2.5.1 Demonstrate effective identification and analysis of problems and effective inductive thinking when raising plausible hypotheses to explain these problems.
    • 2.5.2 Demonstrate sound judgment in making inferences about findings and synthesizing problems, and in deductive thinking when solving these problems
    • Evaluate available information in making a diagnosis and use knowledge related to problems frequently seen in Family Medicine. Goal 5, #3

    2.6 Identify and interpret the most useful clinical, laboratory, roentgenologic, and pathologic testing for common clinical presentations.

    • Initiate patient care in an orderly and appropriate manner. Define patient’s problems by using sound judgment in the selection and sequence of studies. Goal 6, #1; Goal 5, #2

    2.7 Construct appropriate and efficient therapeutic management and prevention strategies for patients with common conditions, both acute and chronic, including medical, psychiatric, and surgical conditions, and those requiring short- and long-term rehabilitation.

    • Initiate patient care in an orderly and appropriate manner. Describe the use, limitations and problems of therapeutic regimens. Closely observe the patient’s clinical course for short and long-term care and modify the care as necessary. Understand the impact of health problems on patients and patients’ families. Provide appropriate patient education. Recognize the impact of socio-economic factors. Goal 6, #1, 2, 3, 4, 5, & 6

    Practice-Based Learning

    Medical students are expected to investigate and evaluate their patient care practices, appraise and assimilate scientific evidence, and improve their practice of medicine.

    3.1 Demonstrate genuine intellectual curiosity and desire to learn, focused inquisitiveness in asking questions, and enduring persistence in the pursuit of learning.

    3.2 Develop strategies for continuous individual improvement through monitoring performance, reflection, engaging in new learning, applying new learning, and monitoring impact of learning.

    • 3.2.1 Demonstrate critical awareness and reflective thinking when evaluating individual or team performance.
    • Assume responsibility and initiative in caring for patients. Devote appropriate time and energy to all duties. Exhibit maturing in interpersonal relationships, personal values and medical ethics. Respect the rights of patients. Recognize the importance of being the physician of first contact. Understand the importance of the role of the physician as the coordinator of the health care team. Become the patient’s advocate. Goal 1, #1, 2, 3, & 4; Goal 2, #6, 7, & 8 

    3.3 Accept constructive criticism and modify behavior based on feedback.

    • Assume responsibility and initiative in caring for patients. Devote appropriate time and energy to all duties. Exhibit maturing in interpersonal relationships, personal values and medical ethics. Respect the rights of patients. Recognize the importance of being the physician of first contact. Understand the importance of the role of the physician as the coordinator of the health care team. Become the patient’s advocate. Goal 1, #1, 2, 3, & 4; Goal 2, #6, 7, & 8 

    3.4 Develop clinical questions related to patients’ problems and demonstrate skills to find evidence that is relevant and valid information to answer clinical questions using medical information technology.

    • Recognize medical emergencies and establish health care priorities. Define patient’s problems by using sound judgment in the selection and sequence of studies. Evaluate available information in making a diagnosis and use knowledge related to problems frequently seen in Family Medicine. Establish appropriate diagnosis through comprehensive knowledge and intelligent interpretation of carefully selected clinical information. Provide patient care through appropriate diagnostic and therapeutic management based on an awareness of cost. Gain insight into personal limitations. Use proper consultation to aid in patient management. Make appropriate referrals. Goal 5, #1, 2, 3, 4, 5, 6, 7, & 8

    Communication

    Medical students are expected to demonstrate skills that result in effective communication and collaboration with patients, families, and professional associates

    4.1 Demonstrate the ability to establish a positive patient-doctor relationship based on mutual trust and respect for patients’ privacy, dignity, individual integrity and culture.

    • Understand the necessity for providing continuous, comprehensive health care to the family. Recognize the importance of life events to the family and the impact of those events on the health of the individual. Provide family and person-oriented health care. Recognize the importance of health maintenance. Appreciate the necessity for providing care for both the acute and chronically ill patient. Recognize the importance of being the physician of first contact. Understand the importance of the role of the physician as the coordinator of the health care team. Become the patient’s advocate. Recognize the importance of socio-economic factors in medical care. Establish rapport and communicate with patients in a caring manner. Gain the confidence of patients by meeting their health needs appropriately. Goal 2, #1, 2, 3, 4, 5, 6, 7, 8, & 9; Goal 3, #1 & 2

    4.2 Communicate with others in a respectful, professional and non-judgmental manner and demonstrate effective listening skills (e.g. maintaining eye contact, body posture, verbal and non-verbal facilitation skills).

    • Establish rapport and communicate with patients in a caring manner. Gain the confidence of patients by meeting their health needs appropriately. Goal 3, #1 &2

    4.3 Demonstrate the ability to give a clear, concise, and organized oral presentation and written documentation of a history and physical exam with basic elements of assessment and a plan that addresses the psycho-social and biomedical needs of the patient for a focused or complete patient encounter.

    • Collect and record historical data recognizing the impact of the patient’s hereditary, social, economic, religious, family and occupational background on his or her presenting problem. Understand the characteristics of various lifestyles and life cycles of a family and their effects on health and disease.Recognize the importance of the psycho social aspects of health and disease.
    • Perform physical examinations and record resulting data. Order appropriate labratory studie for both ambulatory and hospitalized patients and record the data. Write progress notes and summaries on ambulatory and hospitalized patients for both acute and chronic care needs. Perform diagnostic procedures and record data and maintain patient records. Recognize medical emergencies and establish health care priorities. 
    • Define patient's problems by using sound judgment in the selection and sequence of studies. Evaluate available information in making a diagnosis and use knowledge related to problems frequently seen in Family Medicine. Establish appropriate diagnosis through the comprehensive knowledge and intelligent interpretation of carefully selected clinical information.  
    • Provide patient care through appropriate diagnostic and therapeutic management based on an awareness of cost. Gain insight into personal limitations. Use proper consultation to aid in patient management. Make appropriate referrals. Initiate patient care in an orderly and appropriate manner. Describe the use, limitations and problems of therapeutic regimens. Closely observe the patient's clinical course for short and long-term care and modify the care as necessary.
    • Understand the impact of health problems on patients and patients' families. Provide appropriate patient education. Recognize impact of socio-economic factors. 
    • Goals 4,5 & 6

    4.4 Conduct an interview with a limited English-speaking patient through appropriate use of an interpreter.

    4.5 Recognize barriers to effective communication and implement strategies to overcome these barriers (e.g. health literacy, vision/hearing impairment, disabled, pediatric, geriatric).

    • Establish rapport and communicate with patients in a caring manner. Gain the confidence of patients by meeting their health needs appropriately. Goal 3, #1 &2

    4.6 Educate patients assuring their understanding on:

    4.6.1 Preventive strategies and promoting healthy behavior change, and

    • Apply methods of health maintenance and disease prevention. Assess health risk factors based upon knowledge of the patient’s age, sex, habits, occupation, genetic and environmental influences. Identify the health resources available in the community. Provide continuous health care. Goal 7

    4.6.2 Medical risk and benefits in medical decision-making (e.g. informed consent).

    • Recognize the importance of health maintenance. Assess health risk factors based upon knowledge of the patient’s age, sex, habits, occupation, genetic and environmental influences. Goal 2, #4; Goal 7, #2

    Professionalism

    Medical students are expected to demonstrate professional behavior, commitment to ethical principles, and sensitivity to diverse patient populations.

    5.1 Demonstrate honesty, integrity, and ethical behavior in all interactions with patients and other health care professionals, including:

    • Exhibit maturing in interpersonal relationships, personal values and medical ethics. Goal 1, #3
    • 5.1.1 Describing the importance of protecting patient privacy and identifying personal health information, including when and when not to share information, and
      • Respect the rights of patients. Goal 1, #4; Annual HIPAA Training
    • 5.1.2 Identifying the ethical hazard and respond appropriately in situations such as:
      • Acceptance of Gifts
      • Collaboration with industry when courted to prescribe/use their products or being asked to practice beyond legal limits or personal comfort (e.g. when asked to provide medical care to friends or relatives; use of "doctor" title).

    5.2 Fulfill professional commitments in a timely and responsible manner.

    • Devote appropriate time and energy to all duties. Goal 1, #2

    5.3 Demonstrate respect for one’s self, including maintaining appropriate professional appearance, personal composure, and personal health.

    • Demonstrate respect for one’s self, including maintaining appropriate professional appearance, personal composure, and personal health.

    5.4 Recognize and address personal limitations, attributes or behaviors that might limit one’s effectiveness as a physician and seek help when needed. This would include:

    • Gain insight into personal limitations. Goal 5, #6
    • 5.4.1 Describe personal responses to stress and employ appropriate stress reduction interventions as needed.

    5.5 Demonstrates sensitivity and responsiveness to a diverse patient population, including but not limited to diversity in gender, age, race, religion, disabilities and sexual orientation and investigate impact of those on clinical care and medical decisions.

    • Assume responsibility and initiative in caring for patients. Devote appropriate time and energy to all duties. Exhibit maturing in interpersonal relationships, personal values and medical ethics. Respect the rights of patient. Become the patient's advocate. Recognize the importance of socio-economic factors in medical care. Goal 1; Goal 2, #8 & 9

    Systems-Based Practice

    Medical students are expected to develop an awareness of available health care system resources and demonstrate an ability to use them appropriately to provide optimal quality patient care.

    6.1 Demonstrate the ability to work within a multidisciplinary patient care team, with an understanding of the physicians’ role as team leader and the importance of ancillary staff.

    • Understand the importance of the role of the physician as the coordinator of the health care team. Goal 2, # 7

    6.2 Examine medical errors and quality problems using a health systems approach and describe available methods to minimize them.

    • Understand the importance of the role of the physician as the coordinator of the health care team. Goal 2, # 7
  • Sites

    Please click the FORMS or EXTRA INFO link following your site information. Follow the instructions for each location and return to the Andrea Horsman. If you have any questions, please contact Jeanette Bowman (jebowman@uga.edu) or Rachel McDaniel (racmcd08@uga.edu). 

    Athens Primary Care
    700 Sunset Drive Suite 101
    Athens, GA 30606
    Phone: 706-548-6068
    Contact: Laurie Bradberry
    Preceptors: Dr. Sam Griffin,  Dr. Suzanne Lester, Dr. Susan Hawn

    Athens Regional Physicians Services Family Medicine
    1500 Oglethorpe Ave, Suite 500 B
    Athens, GA 30606
    Phone: 706-548-5833
    Contact: Willa Smith
    Preceptor: Dr. Farris Johnson

    Dewitt and Chisolm Family Medicine
    1500 Oglethorpe Ave. Suite 3300
    Athens, GA 30606
    Phone: 706-208-1406
    Preceptors: Dr. Lee Chisolm, Dr. Henry Dewitt

    Adams Family Medicine
    25 Normora Drive
    Danielsville, GA 30633
    Phone: 706-795-9588
    Contact and Preceptor: Dr. Kevin Adams

    Clarke-Oconee Family Medicine
    1010 Prince Ave. Suite 182 North
    Athens, GA 30606
    Phone: 706-353-7747
    Contact: Toni English
    Preceptor: Dr. J. Mitchell Cook, DO

    Bethlehem Primary Care*
    317 Resource Parkway
    Winder, GA 30680
    Phone: 678-975-7471
    Contact: Megan
    Preceptor: Dr. Visitacion
    *FORMS

    The Medical Center of Elberton
    109 College Ave. 
    Elberton, GA 30635
    Phone: 760-283-3315
    Contact: Brooke Hall
    Preceptors: Dr. Glenn Poon, Dr. Jonathon Poon, Dr. Daniel McAvoy, Dr. Mark Daniel, Dr. Ralph W. Crowe, Dr. David Mize

    Habersham Family Medicine*
    865 Austin Drive
    Demorest, GA 30535
    Phone: 706-754-8811
    Contact and Preceptor: Dr. Donald Fordham
    *EXTRA INFO

    Northeast Georgia Physicians Group

    1856-14 Thompson Bridge Road
    Gainesville, GA 30501
    Phone: 770-534-2800
    Contact: Natalie Bruce
    Preceptor: Dr. Katie Dudas

    950-B South Enota Drive
    Gainesville, GA 30501
    Phone: 678-450-8969
    Contact: Natalie Bruce
    Preceptor: Dr. Monica Newton

    1689 Old Pendergrass Parkway Suite 340
    Jefferson, GA 30549
    Phone: 770-848-5400
    Contact: Nicole Wallace
    Preceptor: Dr. William Grimsley

    NGHS Urgent Care
    5875 Thompson Mill Rd. Suite 100
    Hoschton, GA 30548
    Phone: 770-848-6195
    Contact: Tabitha Gooch
    Preceptor: Dr. Leslie David (Male)

    NGPG Orthopedic Surgery and Sports Medicine
    4889 Golden Parkway, Suite 110
    Buford, GA 30518
    Phone- 770-848-9260
    Preceptor: Dr. Joseph Powers

Contact us for more information

Suzanne H. Lester

Site Clerkship Directory For Family Medicine, Interim Director of Clinical Skills, AU/UGA Medical PartnershipAssistant Professor of Family Medicine, AU/UGA Medical Partnership

Russell Hall, 138