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Family Medicine Third-Year Clerkship

08-09 Block Dates


Clerkship Description

The Family Medicine Clerkship is a six-week core rotation for BUSM third year students. Central objectives of the clerkship are to teach: 1. The Family Medicine approach to the diagnosis and management of undifferentiated patient problems, 2. Core clinical skills required to assess and manage common acute and chronic problems, and 3. Principles of comprehensive and continuous care for patients and their families. The clerkship also emphasizes the principles of health promotion, disease prevention, and patient education.

The Family Medicine Clerkship is primarily focused on ambulatory care. While students will participate in taking care of the hospitalized patients of their preceptors as well as patients in nursing homes and other facilities, the majority of the clerkship will be in the office setting. These settings may be in Family Medicine residency programs, community health centers, or private group or solo practices; students will be able to rank order their site preferences.

Experience at the clinical sites will be complemented by the core curriculum at Boston University School of Medicine and on-line discussions facilitated by department faculty. Performance will be evaluated by the student's preceptors, a case report, online work, as well as OSCE and written examinations at the conclusion of the clerkship.

The sites utilized by the Family Medicine Clerkship include the Family Medicine Heath Center at Boston Medical Center, Codman Square Community Health Center, South Boston Community Health Center, East Boston Neighborhood Health Center, Manet Community Health Center, Joseph Smith Community Health Center, private practices in the greater Boston area, private practices affiliated with Cape Cod Hospital and the Maine Primary Care Association. Clerks are also placed at the following Family Medicine Residency Programs: Tufts Family Medicine Residency at Cambridge Health Alliance, UMass/Fitchburg Family Medicine Residency Program, Central Maine Medical Center FMRP in Lewiston, and Middlesex Hospital Family Medicine Residency Program in Connecticut. Housing is provided at Cape Cod, Maine, and Connecticut sites.

Once students receive their schedule sequences from the registrar, they will then enter their site preferences through the registrar. They will also receive an email with the link to the Family Medicine Site Preference Form. This online form will allow students to give us more detailed information about their interests and preferences.  Please fill it out as soon as possible.  Students will then be matched to specific sites by the department based on schedules and interests, as expressed in the online form. **Please note: We do our best to accommodate all requests, but given the number of spots needed, we are not able to guarantee that all requests will be met.**

Our sites are divided into the seven categories listed below. During the registrar's lottery, you will rank the seven categories. Please see below for the lists and descriptions of the specific sites in each category.

  1. Community Health Centers/Undeserved
  2. Greater Boston Private Practice
  3. UMass/Fitchburg Family Practice
  4. Central Maine Medical Center - Family Medicine Residency Program
  5. Maine Primary Care Association
  6. Cape Cod Family Medicine Centers
  7. Middlesex Hospital Family Practice Residency Program, CT

Once you have read the descriptions of the sites, please fill out the Family Medicine Site Preference Form.

Contact Information

Dr. Miriam Hoffman-Kleiner
Clerkship Director
(617) 414-6208
Miriam.Hoffman@bmc.org

Heidi S. Bartoo, MA
Manager of Student Relations/Clerkship Coordinator
(617) 414-6237
Heidi.Bartoo@bmc.org

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Community Health Centers/Undeserved

Boston Medical Center, Family Medicine Center
The Family Medicine Center (FMC) is a busy urban family practice, which opened it doors in October 1997. We practice the full scope of Family Medicine, obstetrics to geriatrics, and perform many office procedures, including gynecologic procedures, minor office surgery, and casting. Colposcopy is also done depending on practitioner availability. While at the FMC you will work with a group of Family Physicians. In general you will work a morning (8-12) and an afternoon (1-5p) session each day, with occasional evening sessions (5:30-8:30p). Evening sessions are compensated with daytime off. You will also spend one week rounding on the Family Medicine inpatient service at Boston Medical Center. Call for OB is an option if you desire. Other options include working with the Family Physicians when they do nursing home rounds, home visits, and work in various shelters. No car needed.
Director: David Gunther, MD
Coordinator: Samuel Rodrigues
Address: Yawkey, Boston Medical Center

Codman Square Health Center
This site is at a community health center in Boston which serves a diverse community (African-American, African-Caribbean, Haitian and Hispanic ) in the Dorchester section of Boston. This very busy center has many programs geared to improving the health of the community in perinatal health, women's health, nutrition, HIV, and youth services. Students will see patients with several family physicians at the center and will develop an appreciation for the various community programs and the health care delivery system that make the Community Health Centers an integral part of Boston's neighborhoods. Students will work with both attendings and residents. Students will also spend one week rounding on the Family Medicine inpatient service at Boston Medical Center. This site is one of two continuity clinic sites for residents in Boston University Medical Center’s Family Medicine Residency. Access by T. No car needed.
Director: Stephen Tringale, MD
Address: 637 Washington Street, Dorchester, MA 02124

South Boston Community Health Center
The South Boston Community Health Center Family Medicine Department, one of two continuity sites for the BUMC Family Medicine Residency Program, was established in 1998 within the South Boston Community Health Center, which has served the health needs of the South Boston community for over twenty-five years. The Family Medicine Department, with faculty, sports medicine fellows, Family Medicine residents, and two family nurses, provides a broad range of services, including preventive health services and treatment of acute and chronic illnesses. Maternal-child health, sports medicine, geriatric health, skin procedures, and incorporation of the psychosocial dimensions of illness into overall management are all areas of particular emphasis in the department. Students will have the opportunity to work with the Sports Medicine faculty and fellow. Students will work closely with faculty and senior residents, while having an opportunity for exposure to the myriad of other services available at the health center, including family planning counseling, teen pregnancy outreach, and nutrition services. Students will also spend one week rounding on the Family Medicine inpatient service at Boston Medical Center.
Director: Thomas Hines, MD
Address: 409 West Broadway, S. Boston, MA 02127

Uphams Corner Health Center
The Uphams Corner Health Center is one of the Boston neighborhood health centers affiliated with Boston Medical Center. The Uphams Corner Health Center is organized to provide comprehensive, personalized and continuous health services. The goal of the health center is to provide each patient with primary care in comfort and convenience. Each registered patient is assigned a personal primary care physician. The personal physician provides the ongoing care, coordinates specialty services and inpatient care as required by the patient. In addition, Boston Medical Center provides the major hospital support for specialty consultation and inpatient care.
Address: 415 Columbia Road, Dorchester, MA 02125

East Boston Neighborhood Health Center
The East Boston Neighborhood Health Center offers a complete range of services from pediatrics to geriatrics, including a 24-hour urgent care unit, specialty services, HIV services and a large Elder Service Plan program. EBNHC is one of the largest Health Centers of its kind in New England and has a nationally recognized model of community health care. It serves an economically and ethnically diverse population, including a large number of Spanish speaking patients. In the Family Medicine Department, clerks will work directly under the supervision of attendings. Women's health (including prenatal care and gynecologic procedures), dermatologic procedures, geriatrics, and general medical care are foci of the department. Students will also spend one week rounding on the Family Medicine inpatient service at Boston Medical Center. Accessible by T and BMC shuttle; no car needed
Director: Eileen Pierce, MD
Address:10 Gove St, East Boston, MA 02128

Manet Community Health Center
Manet Community Health Center serves the broad health needs of South Shore residents through a Family Medicine model of care. A strong proponent of preventive education and public health activities, Manet collaborates with other community agencies and organizations to identify health related needs and to develop resources to meet those needs. Manet works to ensure that its patients have access to all levels of the health care system, and is especially committed to providing services for the medically underserved. Manet has several centers. The principal site is in north Quincy but there are also clinics in the Houghs Neck and Germantown sections of Quincy, at Quincy Hospital, and a center in the nearby town of Hull. A car is necessary.
Director: William Brandon, MD
Address: 110 West Squatum St. No. Quincy, MA 02171

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Greater Boston/Private/Group Practice
These positions are in community-based family medicine practices, usually within group practices. Students will work with a designated preceptor within the practice and share his or her patient-load. All these practices are in and around the Greater Boston area, and most locations require a car. Students will spend 8 clinical sessions per week and will accompany their preceptor or members of his or her practice to the hospital to round on patients, to nursing homes, and to other facilities. The preceptor will regularly review the student’s performance.

Danvers Family Doctors - Dr. Subroto Bhattacharya, MD
This clerkship will be centered at Danvers Family Doctors in Danvers (part of Beverly Hospital). The process of evaluating and treating new patients and problems will be central and techniques of patient centered care will be emphasized. Skills required in a managed care environment, especially resource management and application of evidence-based medicine will also be taught. Students will need a car to commute to the site.

Address: 75 Lindall Street, Danvers, MA 01923

Tufts University Family Medicine Residency at Cambridge Health Alliance - Dr. Sara Karp
The clerkship is primarily an outpatient experience in which the student works on a one-to-one basis with family physicians, both at the residency site and in private offices in the Malden area. Students will be exposed the full spectrum of Family Medicine, including women’s health, sports medicine, and even acupuncture. Malden has a multiethnic population which provides rich learning opportunities encompassing a variety of medical and social concerns. An emphasis is placed on writing office notes, and written feedback is given. Students will also have exposure to Family Medicine inpatient care as well as working with other health care professionals including visiting nurses and social workers. Opportunities are offered to participate in occupational health and in procedures such as colposcopy. Students may also attend deliveries, participate in nursing home and home visits, and tailor their clerkship experience to their particular educational interests or needs. Students will participate in the regular conferences and other teaching activities of the Family Medicine Residency Program.
Address: 195 Canal Street, Malden, MA 02148
ph. 781 338-0502

Ackil Medical - Dr. Joseph Ackil
Ackil Medical is a busy urban private family practice.
Address: 1 Corinth St. Roslindale, MA

Beth Israel Deaconess - Dr. Elisabeth Bassler
Address: 304 Chestnut St. Needham, MA

Compass Medical - Dr. Kevin Broderick
Dr. Broderick practices the full specturm of Family Medicine with a focus on Sports Medicine. He is the team doctor for Stonehill College athletic teams. Students will have the opportunity to work the sidelines of games, in season.
Address: 673 Bedford St. Abington, MA

Dr. Geoffrey Burns
Address: 9 Hope St. Suite 151 Waltham, MA

Family Medicine North - Dr. Alain A. Chaoui
Family Medicine North is a private community practice affiliated with Partners Healthcare. The patient population includes newborns to geriatrics, but mostly consists of younger families and women’s health.
Website: www.familymedicinenorth.com
Address: 1 Roosevelt Ave Suite 201 Peabody, MA

Family Care Associates - Dr. David Chodirker
Address: 173 Worcester St. Wellesley, MA

Bridgewater Goddard Park Medical - Dr. Michael Dern
Address: 110 Liberty St. Brockton, MA

Patton Park Medical Center - Dr. Michael Edwards
Address:40-42 Asbury St. South Hamilton, MA

Middlesex Family Practice - Dr. Jeremiah Frank
Middlesex Family Practice is a suburban practice consisting of 3000 plus patients, mostly English speaking but with some Spanish.
Address: 46 Woburn St Reading, MA

Caritas Good Samaritan Medical Practice - Dr. Mary Catherine Gustillo
This site is a suburban medical center serving patients who speak English, Creole and Spanish.
Address: 1 Pearl St. Suite 1500 Brockton, MA

Norwell Family Medicine - Dr. Perry Hearn
Norwell Family Medicine is a suburban private practice serving a mostly Caucasian population. It is a primarily English speaking population but does serve some Portuguese-speaking patients. As a student at this site you will work with 3-4 family physicians at the Norwell site, Carver site, nursing home and in the hospital.
Address: 99 Longwater Circle Suite 100 Norwell, MA

Dr. Carmel Kelly
Dr. Kelly has a solo private practice with a diverse patient population. She has many Spanish and Haitian speaking patients.
Address: 1093 North Maine St. Randolph, MA

BID Needham Heights Family Medicine - Dr. Irina Kogan
This site is a solo suburban community practice. The patient population includes a mix of adult/young adult, geriatrics and pediatrics. Patients speak English and Russian. Students will have the opportunity to follow patients both in the office and at the nursing home.
Address: 100 West Street Needham, MA

Cummings Medical Associates - Dr. Dan McCullough
This is a small suburban group Family Practice consisting of adult, pediatric, geriatric and OB/GYN patients. Students at this site will attend grand rounds every Monday at Beverly Hospital. Students will also round at CAB Health and Recovery, inpatient detox and outpatient methadone clinics.
Address: 107 West Cummings Center Beverley, MA

Dr. Bill Medwid
Address: 15 Railroad Ave Hamilton, MA

Dennis Makovitz, MD
Address: 259 Swanton St. Suite A Winchester, MA

Family Practice Group, PC - Dr. Stanley Sagov/Dr. Wayne Altman
Address: 22 Mill Street Suite 204 Arlington MA

Family Medicine Associates - Dr. Hugh Taylor
This site is a suburban group family practice with a mostly Caucasian English speaking population. As a student you will be working with two Family Medicine physicians.
Address: 15 Railroad Ave Hamilton, MA

Family Medicine - Dr. Tina Waugh
This is a small suburban group practice consisting of 3 female Family Physicians with a mostly female patient population.
Address: 38 R Enon St. Beverly, MA

Bridgewater Park Medical Associates - Dr. Robert Weinstein
Address:110 Liberty St. Brockton, MA

Merrimack Valley Family Practice - Dr. Jane Williams – Vale
Address:140 Haverhill St. Andover, MA

Bolton Family Medicine - Dr. Katie Lee
Bolton Family Medicine is a private medical office specializing in the primary care of newborns, children, adolescents, and adults of all ages. Students will have the opportunity to see a broad spectrum of family medicine patients, including procedures. There is also opportunity to work in a juvenille detention facility once per week.
Address: 146 Hudson Road Route 85 Bolton MA

Fitchburg Family Practice - Dr. Beth Mazyck
The MS3 office-based Family Practice clerkship at Fitchburg Family Practice is intended to provide the student with a real world experience in a full scope Family Medicine setting. The patient population at FFP is diverse, both ethnically and economically. The major clinical experience is in the office setting, where the student observes and participates in a wide range of patient care. Multiple educational opportunities exist, including attending hospital rounds, noon conferences, making home visits, attending staff meetings, and chart rounds. Students have the opportunity to observe different practice styles, as well as to work collaboratively with residents and clinical staff.
Address: 275 Nichols Road, 4th Floor, Fitchburg, MA 01420

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Central Maine Medical Center - Family Medicine Residency Program
Central Maine Medical Center (CMMC) was established in 1888 as Central Maine General Hospital. The growth of the tiny hospital into a regional health care facility has paralleled the growth of the area and the health care needs of area residents. Reflecting the increase in the variety and quality of health care services it provides, Central Main General Hospital became Central Maine Medical Center in 1976. CMMC offers comprehensive health care services to the residents of the Lewiston-Auburn area, as well as to those living in the general central Maine region. Students will work in the Family Medicine Center along side residents and attendings. Students will have their own patients scheduled to see them. Additional opportunities include resident conferences, grand rounds, rounding on the inpatient service, and OB call. Student housing is available at the hospital, however a car is necessary to commute back to BU for didactic sessions.
Address: Central Maine Medical Center, Family Practice Residency Program, 76 High Street, Lewiston, ME 04240

Maine Primary Care Association
The Maine PCA arranges clerkships for medical students in over 20 community health centers in Maine, most of which are run on a Family Medicine model. Most sites are in rural areas, a number are in Passamaquoddy or Penobscot Indian communities. Students will be given considerable responsibility and will be exposed to the very broad range of care which the health centers provide. Student housing is available. It is necessary for the student to have a car.
Director: Jim Dowling
Address: 73 Winthrop St Augusta, ME 04330

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Cape Cod Family Medicine Centers
There are several group and private practices in and around Hyannis which are available for clerks in Family Medicine. This experience will entail working within one of these practices including rounding on preceptors' patients in Cape Cod Hospital. The volume of patients is high, the range of patients and problems is wide, and students will be expected to take on considerable responsibility for patient care. Student housing is available at Cape Cod Hospital. One site offers experience in alternative medicine and holistic healthcare. A car is necessary to commute from the housing to the office, as well as to BU for didactic sessions. A car is necessary.
Director: Ted Herwig, MD
Address: One Independence Way Brewster, MA 02660

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Middlesex Hospital Family Medicine Residency Program - Dr. Alan Douglass
During this clerkship the student will be based at one of three office sites- one urban, one suburban, and one semi-rural- which see close to 30,000 patients a year. Offices are modern and well equipped for office surgery, casting, flexible sigmoidoscopy, colposcopy, and cryosurgery. Video observation and taping facilities are available. Patients come from all walks of life and present with a wide variety of problems. Many have been coming to the practices for over two decades. The standard clinical clerkship consists of 70% office, 20% hospital, and 10% prenatal clinic and nursing home. Student responsibilities will include taking a history, conducting an appropriate physical examination, and generating a differential diagnosis and problem-oriented plan. The office preceptor, who is a board-certified family physician and usually a member of the faculty, will serve as a consultant to the student and assist in modifying the plan as necessary. The student will be responsible for communicating the plan to the patient and arranging follow-up. In the hospital the student will be a member of the Family Medicine Service team, which coordinates care for all practice patients who are hospitalized or in the emergency department. On any given day the team cares for laboring women, newborns and postpartum mothers, adult and pediatric inpatients, a variety of emergencies, and provides consultation to patients on surgical and psychiatric services. The student will provide inpatient care under the supervision of the faculty attending, and participate in teaching rounds and coordination of care between the hospital and the office. Student housing is available, however a car is needed to commute back to BU for didactic sessions.
Address: 90 South Main Street, Middletown, CT 06457

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Military Rotation Information

A student in the military and in good standing at BUSM may request to do the Family Medicine Clerkship at a military site. The student must take the following steps in order to submit the request. All requests will be reviewed by the Family Medicine Clerkship Director for a decision and final approval.

It is the student's responsibility to:

  1. Check that the military program will accommodate BUSM's 6-week block date that has been assigned. Check that the site will agree to meet the Department of Family Medicine's clerkship requirements, click here for the requirement form.
  1. Have the principal preceptor at the military site sign the requirement form agreeing to #1 and #2.
  2. Provide information to the Family Medicine clerkship coordinator, Heidi Bartoo, that explains the military's clerkship program. You may choose to submit the military's handbook or provide a link to a website which describes the military's clerkship program Note: We strongly recommend clerkships within military Family Medicine Residency sites rather than non-residency based clerkships.
  3. Turn in the signed requirement form.
  4. Requests will be reviewed, once all the above information has been received and verified, and the student will be notified via email by the FM Clerkship Director with the final decision.
  5. If the FM Clerkship Director, Dr. Hoffman, approves of the rotation, the student may then petition the Third and Fourth Year Promotions Committee for their approval.
  6. Once approval by the Promotions Committee is secured, the student may contact the FM clerkship coordinator with the military site contact information so that the coordinator may mail the "preceptor handbook" to the site and confirm dates of attendance.

The student will be required to participate in and complete clerkship orientation, didactic sessions I and II, the online component, patient log, case study, and will return for the final examination day on the last day of the block. The student may be excused from didactic sessions III and IV and the practice interviews if long distance travel is a factor. Release from these didactic sessions is at the discretion of the FM Clerkship Director, and the student should discuss these details with the clerkship director on the first day of the clerkship.

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