Congratulations to Jeff Markuns, MD, MEd for getting his article “Development and validation of the Vietnamese primary care assessment tool”published!
“Congratulations to Jeff Markuns MD MEd for publication of the important article...
Boston University students interested in any of the following Family Medicine elective or subinternship offerings should contact the Manager of Student Relations for more information and/or to inquire about availability.
Interested in Family Medicine as a career? To request a Family Medicine Field Specific Advisor Please fill out this form!
OBJECTIVE: To gain exposure and experience full-spectrum ambulatory family medicine in an academic community health center setting
Sara Tepperberg, MD MPH
Heather Miselis, MD MPH
Rachel Mott-Keis, MD
Students will work with a variety of Family Medicine faculty and residents at each site
Students who are entering the field of family medicine are the target for this elective. Students will see ambulatory patients at one or two of the affiliated residency sites, including South Boston Community Health Center, East Boston Neighborhood Health Center and Codman Square Health Center. The student will work with a variety of Family Medicine residents and preceptors, and as such will not likely have opportunity for significant summative assessments and advanced accolades from faculty. With appropriate supervision, students will be expected to have first contact with patients and to do the initial work-up. Students will advance their skills in the diagnosis of the undifferentiated patient, and the assessment and management of acute and chronic problems which commonly present in family medicine. Instruction in patient education and preventive medicine in the family context will be emphasized. Students will participate in staff conferences and may attend rounds, conferences and lectures that are part of the BMC Family Medicine Residency Program.
This elective is also available through the Boston Medical Center Minority Recruitment Program.
The student will be evaluated by the same BU SOM assessment tool that is used for BU Family medicine clerks or by the Elective evaluation supplied by their sponsoring institution.
For information on how to apply, please contact Florence Laforest at email@example.com.
This elective gives students a true family medicine-centered experience to include prenatal/perinatal care (including labor and delivery), inpatient postpartum care for women, as well as newborn nursery care for their infants. The student will spend mornings on the postpartum floor caring for women and their infants- you will focus on issues such as breastfeeding (including spending time with our lactation consultants), the newborn exam, routine postpartum care, maternal counseling and anticipatory guidance. Afternoons will be spent either seeing primary care patients in clinic (including as many prenatal/pediatric visits as possible), or researching a maternal/child health topic of your choice to be presented at the end of the elective. Students take call overnight on labor and delivery one night per week, allowing them an opportunity to be actively involved in deliveries and all aspects of labor and delivery care. Each student chooses one weekend to work with the postpartum/nursery rounder to get more direct clinical experience. Participation in this elective provides you with a wonderful opportunity to be an active and important team member with a lot of independence. Students who will derive the most benefit from this rotation are self-motivated and active learners.
Sample Student Presentations:
Hypothyroidism (PowerPoint presentation, 3.93 MB)
Postpartum Contraception (PowerPoint presentation, 1.03 MB)
Instructor: Chris Manasseh, MD
Course Administrator: Florence Laforest, firstname.lastname@example.org
Location: East Newton Pavilion. Boston University Medical Center
Team: East Newton Family Medicine Inpatient Service
Students per Block: One
Period offered: Block 9-20
Orientation: First day of the rotation
Students will work as interns with the family medicine inpatient team. They will care for a wide variety of patients from the HealthNet Rounder system, acting as the primary care-giver for their patients. They will have all the responsibilities of an intern, including daily management of their patients, new admissions, attending conferences and participating in daily teaching.
Guidelines for Absences
Students are reminded to maintain standards of professionalism, courtesy and common sense when scheduling residency interviews that take place during fourth year rotations. Try to schedule interviews during vacation blocks whenever possible. In general, a student may, with advance permission from the rotation director, be away for no more than four days during the four-week rotation.
Please take note of the following guidelines:
Description: Students will participate in the adult inpatient teaching service at Lawrence Memorial Hospital in Medford, MA, a principal teaching institution for the Tufts University Family Medicine Residency Program. Students will function as subinterns under the supervision of family practice interns and residents. A critical care fellow may also work with the student in the ICU. Both Internists and Family Practitioners will be admitting patients to the teaching service and conduct work and teaching rounds. Responsibilities will include all aspects of inpatient care including evaluation of the patient, completing histories and physicals, rounding, and order and note writing. There are daily didactic lectures including videoconference links to the residency site. A night float system covers Sunday – Thursday nights 7:00 PM – 7:00 AM. Therefore the medical student will be on call 1-2 weeknights each week until 8 PM. The student will have two weekends off, and two weekends working overnight Friday and all day Sunday until 8:00 PM.
This subinternship is offered to Boston University students only.
Note: This elective satisfies the subinternship requirement for BUSM students.
Description: Students will learn about the specialty of Family Practice and what makes Family Physicians unique in the way they care for patients and families. The clerkship is primarily an outpatient experience (includes 1 week of Family Practice Inpatient Service) in which the student works in a busy community hospital family practice center which serves as the continuity site for the residents and faculty. There is also an opportunity to spend some time in a rural family practice office if requested by the student. Clinical clerks will see outpatients independently and generate a history, appropriate physical exam, assessment and plan before presenting the patient to the family practice preceptor. This combination of caring for rural families plus an inner-city under-served population at the Residency provides rich learning opportunities encompassing a variety of medical, psychiatric and social concerns. Students will also have exposure to Family Practice inpatient care, attend deliveries, participate in outpatient procedures and home visits. Students will take call with a senior resident and residency faculty attending over the course of their preceptorship. Students will participate in a comprehensive didactic curriculum presented at the noon hour.
The Latino Health Elective is geared towards students with an intermediate-to-advanced level of Spanish who want a focused experience caring for Spanish speaking patients and studying the health of Latino communities. To participate, students should be able to take a history and conduct a physical examination in Spanish. Students will work in a variety of clinical settings including outpatient primary care, chronic disease management clinic, and specialty care. Students will explore health disparities, as well as educate themselves regarding barriers to health care and community resources available to Latino patients throughout Boston. During the four-week rotation, the student will be expected to investigate and present a topic agreed upon with the course director.
You must contact the course director before signing up for this elective to determine the appropriateness of the elective for you and your level of Spanish proficiency.
DESCRIPTION OF ELECTIVE
The Latino Health Elective is an opportunity for fourth year medical students to improve their ability to provide medical care in Spanish, to increase their understanding of Latino health issues and disparities, and to research a topic of relevance to the health of Latino communities.
The elective experience will take place at East Boston Neighborhood Health Center (EBNHC), Boston Medical Center, and Boston area community agencies.
Students will participate in clinical sessions in Family Medicine and Chronic Disease Management at EBNHC. Specialty clinical sessions will take place at BMC. Students will be responsible for conducting history and physical examinations in Spanish and presenting their findings in standard oral presentation format in English.
At community agencies, students will learn about outreach to the Latino community around issues of immigration, housing, education, and more. Latino elder care will be explored with an adult day health program.
Selected readings will be provided to students to expand their knowledge of Latino communities in the United States and health disparities facing Latinos. These readings will be reviewed independently and discussed with the course director.
During the four week rotation the student will select a topic of interest relevant to the Latino community and prepare an oral presentation to be shared in the final week.
Students will be evaluated on the basis of their participation in clinical sessions and engagement with community agencies and independent readings. The final presentation will be evaluated on the basis of relevance to Latino health and skills in oral presentation.
Students must contact the course director before signing up for this elective to ensure that their level of Spanish proficiency will be adequate for a successful experience on this rotation.
By the end of the Latino Health Elective, the BUSM student will be able to:
The curriculum includes (see also separate document with the block’s template):
Healthy People 2020
The Institute of Medicine. Disparities in Health Care: Methods for Studying the Effects of Race, Ethnicity, and SES on Access, Use, and Quality of health care, 2002. Available from http://www.iom.edu/~/media/Files/Activity%20Files/Quality/NHDRGuidance/DisparitiesGornick.pdf [PDF – 108 KB]
Latino Health Issues – National
Centers for Disease Control – Hispanic or Latino Populations
Healthy People 2010 snapshot for the Hispanic Population
– goals for improvement and disparities updates
Unnatural Causes – documentary series and discussion guide
Latino Health – Massachusetts
Health Status of Hispanic Adults in Massachusetts by Spoken Language Preference
Group Medical Visits
Environmental Protection Agency summary http://www.epa.gov/epahome/sciencenb/asthma/HD_Hispanic_Asthma.pdf
ADHD in Children
Lee YM, Dancy B, Florez E, Holm K. Factors related to sexual practices and successful sexually transmitted infection/HIV intervention programs for Latino adolescents. Public Health Nurs. 2013 Sep-Oct;30(5):390-401. doi: 10.1111/phn.12039. Epub 2013 Apr 29.
Statistics on prevalence
Taveras EM, Gillman MW, Kleinman KP, Rich-Edwards JW, Rifas-Shiman SL. Reducing racial/ethnic disparities in childhood obesity: the role of early life risk factors. JAMA Pediatr. 2013 Aug 1;167(8):731-8.
Lion KC, Thompson DA, Cowden JD, Michel E, Rafton SA, Hamdy RF, Killough EF, Fernandez J, Ebel BE. Clinical Spanish use and language proficiency testing among pediatric residents. Acad Med. 2013 Oct;88(10):1478-84.
Spanish Language Resources – Books loaned during clerkship
The Boston Women’s Health Collective Nuestros Cuerpos, Nuestras Vidas. 2000.
Dozier, Eleanor and Iguina, Zulma Manual de gramatica, Grammar reference for students of Spanish, 3rd edition 2003.
Murkoff, Heidi and Mazel, Sharon Que puedes esperar cuando estas esperando 2010.
Werner, David, Thuman, Carol, Maxwell, Jane Donde no hay doctor 2012.
In the final week of the course the student will have a formal evaluation with Dr. Elizabeth Ferrenz of her/his achievement of the stated objectives. The student will have an observed clinical encounter with observation checklist completed. The final project presentation will be evaluated based on depth of investigation and oral presentation skills.
Course Director – Elizabeth Ferrenz, MD, Family Medicine
Clinical Faculty – may vary depending on availability each block
Carol Singletary, Registered dietician, EBNHC
Dr. Sonia Ananthakrishnan, Endocrinology
Dr. Jose Betances, Pediatrics
Dr. Charles Bliss, Gastroenterology
Dr. Miriam Hoffman, Family Medicine
Dr. Jessica Levi, Pediatric Otolaryngology
Dr. Jose Romero, Neurology
Dr. Peter Smith, Chronic Disease Education and Management (CDEM), EBNHC
During this four-week elective, students will cultivate a deeper understanding of the complex interactions between patients, healthcare providers and healthcare systems and the relationship to health outcomes. Topics to be explored include:
Suzanne E. Mitchell M.D. is a board certified family physician, medical educator and consultant in physician-patient communication. In addition to her research activities in healthcare disparities, Dr. Mitchell provides training for medical professionals in cross cultural communication, patient-centered care and patient activation. She has served as course director for the Healer’s Art course at Tufts University. Dr. Mitchell received her doctorate degree from Wake Forest University School of Medicine and completed post-graduate training in Family Medicine at White Memorial Medical Center Family Medicine Residency Program. Dr. Mitchell holds a Masters of Science in Clinical Research from the University of California, Los Angeles. Her research interests are in health disparities in transitions of care, healthcare and cross cultural communications and healthcare access. Dr. Mitchell is an academic faculty fellow in the Boston University School of Medicine Department of Family Medicine.
OBJECTIVE: To gain exposure and experience in the field of primary care sports medicine
Alysia L. Green, M.D-Family Medicine/Primary Care Sports Medicine
Matthew Pecci, M.D-Family Medicine/Primary Care Sports Medicine
Douglas Comeau, D.O-Family Medicine/Primary Care Sports Medicine
Arturo Aguilar, MD-Family Medicine/Primary Care Sports Medicine
Mark Laursen, Director of Athletic Training Services, Boston University
Brian Vesci. Senior Athletic Trainer, Boston University
Amanda Nicoles, Head Athletic Trainer, Emerson College
The curriculum will include multiple experiences in primary care sports medicine. A sample of a weekly schedule of clinic time and other experiences would be the following:
-5 half days of Primary Care Sports Medicine
-2 half days in BMC orthopedics with Drs. Comeau and Green in our orthopedic clinics
-Wednesday afternoon Sports Medicine Conference
-1/2 day BU Athletic Training Room working one on one with BU Athletic Trainers and covering different athletic practices.
-1/2 day Emerson College Athletic Training Room with Dr. Green
-1/2 day of reading time
-Game coverage: will vary depending on the time of year and block but anticipate at least 1-2 game coverage opportunities per week of the elective. Please note much of the game coverage occurs in the evening and/or the weekends so student needs to be aware they may have to work late and possibly on the weekends.
The student will have a mid-block evaluation of their achievement of the above stated goals, done by Alysia L Green M.D. with the written/verbal input of the other physicians and additional staff members. At the end of the rotation, the student will be responsible for presenting a 30 minute presentation based on a sports medicine case that they observed during the rotation or a sports medicine topic of their interest. They will further be evaluated throughout their rotation on their musculoskeletal examination skills.
Student will have to provide at least 30 days’ notice if they are going to drop the elective otherwise it will not be allowed.
Description: A family medicine elective opportunity in northern Lesotho (Lĕ-SOO-too), Southern Africa. Rotations are based at Motebang District Hospital. A commitment of 6-8 weeks is required for this rotation. Motebang Hospital is located in a town called Leribe in the Leribe district of Lesotho about 90 km north of Maseru, and 20 km from Maputsoe, a major border crossing to Ficksburg, South Africa. Motebang is one of two regional referral hospitals in the country and serves the northern districts.
Motebang is a 196-bed hospital that serves the second largest catchment population of any district hospital (the national referral hospital also serves as the district hospital for Maseru). There are over 55,000 outpatient visits at the hospital and nearly 5,300 inpatient admissions with wide ranging presentations of illness.
This program is administered by the Lesotho Boston Health Alliance that is based in the Department of Family Medicine at Boston University Medial Center.
Living: Students are accommodated at a convent guest house near the hospital. The convent offers a private room with a shared kitchen and bathroom. It costs R175 (~$25)* per night, which includes three meals. A lower cost may be available if meals are not included. If you elect to buy your own food, it will cost about $25-$35/week.
*this rate may be more depending on the time you travel to Lesotho.
Language: Patients primarily speak Southern Sesotho. All staff are fluent in English. If needed, hospital staff can serve as interpreters.
Medical Experience: Students will have extensive opportunities in Pediatrics, Adult Medicine, Obstetrics/Gynecology including cesarean section, and Surgery including Urology and Ophthalmology. Common medical problems include HIV-AIDS and opportunistic infections, tuberculosis, orthopedic trauma, and maternal-child health including cesarean section.
Interested: Given the challenging nature of this elective, interested students are first required to meet with Suzanne Sarfaty, M.D., Director, International Health Program, BUSM, to discuss the feasibility of this elective and the application process. While BU has become an affiliated institution with this hospital, the June-August months are the most difficult time to set up this elective because U.S. schools with a more long standing affiliation get preference. Students are allowed to undertake this elective during time periods when BMC residents from Pediatrics, Family Medicine, and Internal Medicine departments are also at the hospital. Presently, two students for each time period are allowed.
Requirement: Students are required to attend a mandatory orientation session prior to travel. Students are also required to attend the BUMC travel clinic prior to departure to assure their utmost safety on this elective.
Information for Non-BU Students: All elective slots are held for BU students until May 1, 2013. On this date we will begin to accept application from outside students. They will be reviewed in the order that they are recieved. If you are interested in applying for an elective at Boston University Medical Center please email BUMC Elective Application along with your CV and personal statement to email@example.com on or after May 1st.