Guest guest Posted July 8, 2007 Report Share Posted July 8, 2007 As a former FP residency faculty, I am now used to working with Medical Students, PA students, and residents. You need more time only with medical students, and then depending on their yr. I think it takes the most time to work with third yr students, as they have some knowledge and can do a little on their own, but must have close supervision. First yrs, just follow, second, can take hx, and relay to me, then we do exam together, third yr, if not their first rotation, can select an appropriate patient out of the day, let them do the hx and pe, or break up, then present, and back in to see patient, formulate plan. With PA students doing their months of elective, and residents, depends again if their first rotation, or way into the year. PA and residents don't slow me down, they actually increase what can be seen and done in a day. Again, you don't expect them to work your schedule, but they should be able to pick 1-3 patients out of your half day, and see the patients, present, formulate a plan with you, and then you both go in and sum up, send patient on way. They are responsible for the charting on who they see, ( the time saving), and I overread and sign. I only take PA students right now, about 1-2 a yr, but have thought about approaching my old residency to take residents on rotation. Right now the residency is mostly a farm to grow MD's for the hospitals, big clinic system, not exactly what I am doing. Of course your patients have to be okay with it. When we have a student, the MA tells the patient before I or the student go in, and asks if they mind. Some patients do, usually if for a pap, and I have a male student. Obviously some women just want a woman. Most are happy to participate in education, and feel they have something they want to "teach" a future care giver. I have always found that the patients enjoy the extra explanation's I give to the student, and often comment on it at their next appt or ask if we have heard from the student, or where they are now, how they are doing. Cote' MD Four Corners Family Medicine --------- Medical Students > >Date: Fri, 6 Jul 2007 10:22:01 -0400 > > > >Group, > >I have been mentoring 1st and 2nd year med students for years (and they > >have all gone in to FM!!), but now I am being asked to mentor 3rd year > >students as well. With a small practice and limited space, I would think > >this would be a logistical nightmare. My question is whether any of you > >guys are teaching 3rd years and how you manage to do it with limited > >space and resources. Thanks! > > > > ______ ___________________________________________________________ > Need a brain boost? Recharge with a stimulating game. Play now! > http://club.live.com/home.aspx?icid=club_hotmailtextlink1 > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 8, 2007 Report Share Posted July 8, 2007 RE teaching students and getting paid for what we do. I'd feel better if I'd be paid for this; do not feel interested either in teaching PA/NP students my area, sorry. Dr Matt Levin Medical Students > >Date: Fri, 6 Jul 2007 10:22:01 -0400 > > > >Group, > >I have been mentoring 1st and 2nd year med students for years (and they > >have all gone in to FM!!), but now I am being asked to mentor 3rd year > >students as well. With a small practice and limited space, I would think > >this would be a logistical nightmare. My question is whether any of you > >guys are teaching 3rd years and how you manage to do it with limited > >space and resources. Thanks! > > > > ______ ___________________________________________________________ > Need a brain boost? Recharge with a stimulating game. Play now! > http://club.live.com/home.aspx?icid=club_hotmailtextlink1 > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 9, 2007 Report Share Posted July 9, 2007 thelocal resdiency here does pay Not much but i think I got 50.00 once Per day. At least it is a show of support More thanMainecare give me!! Re: Medical Students RE teaching students and getting paid for what we do. I'd feel better if I'd be paid for this; do not feel interested either in teaching PA/NP students my area, sorry. Dr Matt Levin Medical Students > >Date: Fri, 6 Jul 2007 10:22:01 -0400 > > > >Group, > >I have been mentoring 1st and 2nd year med students for years (and they > >have all gone in to FM!!), but now I am being asked to mentor 3rd year > >students as well. With a small practice and limited space, I would think > >this would be a logistical nightmare. My question is whether any of you > >guys are teaching 3rd years and how you manage to do it with limited > >space and resources. Thanks! > > > > ______ ___________________________________________________________ > Need a brain boost? Recharge with a stimulating game. Play now! > http://club.live.com/home.aspx?icid=club_hotmailtextlink1 > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 11, 2007 Report Share Posted July 11, 2007 - with the practice paperless, I am assuming you have an extra computer station running your EMR that they can use? I actually am not wanting the residents to see patients but what I want is to expose them to the practice model. I think that might be best served by having them see a few patients with me, as opposed to them taking patients on their own. For volume, they can see patients at any other grind'em through practice. Also, do you have an extra exam room? if you are running with only one, it would make it impossible for the residents or 3rd years to see the patients on their own, tying up the only room. I have a first year resident coming this Friday and I booked an hour out when he gets there to show him my setup and proselytize a little about IMP. Then if anyone does take an appointment from 2-3 (I leave at 3), I think we will see the patient together. Curious to hear how anyone else would do it. Lynn >From: magnetdoctor@... >Reply-To: >To: >Subject: RE: Medical Students >Date: Sun, 08 Jul 2007 18:07:55 +0000 > >As a former FP residency faculty, I am now used to working with Medical >Students, PA students, and residents. You need more time only with medical >students, and then depending on their yr. I think it takes the most time >to work with third yr students, as they have some knowledge and can do a >little on their own, but must have close supervision. First yrs, just >follow, second, can take hx, and relay to me, then we do exam together, >third yr, if not their first rotation, can select an appropriate patient >out of the day, let them do the hx and pe, or break up, then present, and >back in to see patient, formulate plan. With PA students doing their >months of elective, and residents, depends again if their first rotation, >or way into the year. PA and residents don't slow me down, they actually >increase what can be seen and done in a day. Again, you don't expect them >to work your schedule, but they should be able to pick 1-3 patients out of >your half day, and see the patients, present >, formulate a plan with you, and then you both go in and sum up, send >patient on way. They are responsible for the charting on who they see, ( >the time saving), and I overread and sign. I only take PA students right >now, about 1-2 a yr, but have thought about approaching my old residency to >take residents on rotation. Right now the residency is mostly a farm to >grow MD's for the hospitals, big clinic system, not exactly what I am >doing. >Of course your patients have to be okay with it. When we have a student, >the MA tells the patient before I or the student go in, and asks if they >mind. Some patients do, usually if for a pap, and I have a male student. >Obviously some women just want a woman. Most are happy to participate in >education, and feel they have something they want to " teach " a future care >giver. >I have always found that the patients enjoy the extra explanation's I give >to the student, and often comment on it at their next appt or ask if we >have heard from the student, or where they are now, how they are doing. > > Cote' MD >Four Corners Family Medicine > >--------- Medical Students > > >Date: Fri, 6 Jul 2007 10:22:01 -0400 > > > > > >Group, > > >I have been mentoring 1st and 2nd year med students for years (and they > > >have all gone in to FM!!), but now I am being asked to mentor 3rd year > > >students as well. With a small practice and limited space, I would >think > > >this would be a logistical nightmare. My question is whether any of you > > >guys are teaching 3rd years and how you manage to do it with limited > > >space and resources. Thanks! > > > > > > > _________________________________________________________________ > > Need a brain boost? Recharge with a stimulating game. Play now! > > http://club.live.com/home.aspx?icid=club_hotmailtextlink1 > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 11, 2007 Report Share Posted July 11, 2007 I do it like Lynn, but usually have R3s coming along to check out the practice model, so seeing patients and volume are not the issue. The point of the experience is to go over what makes this model work and how one works in this model. We talk about the design elements, the data we're getting out of the IMP project, and what we do that's really different that allows us to achieve these results. I have them come with me to see how we interact with patients to see what patient centered collaborative care is about, how we use electronic tools during a visit, but also how we interact on the phone, via email, etc. Gordon At 08:12 PM 7/10/2007, you wrote: >- with the practice paperless, I am assuming you have an extra computer >station running your EMR that they can use? I actually am not wanting the >residents to see patients but what I want is to expose them to the practice >model. I think that might be best served by having them see a few patients >with me, as opposed to them taking patients on their own. For volume, they >can see patients at any other grind'em through practice. Also, do you have >an extra exam room? if you are running with only one, it would make it >impossible for the residents or 3rd years to see the patients on their own, >tying up the only room. I have a first year resident coming this Friday >and I booked an hour out when he gets there to show him my setup and >proselytize a little about IMP. Then if anyone does take an appointment >from 2-3 (I leave at 3), I think we will see the patient together. Curious >to hear how anyone else would do it. >Lynn > > >From: magnetdoctor@... > >Reply-To: > >To: > >Subject: RE: Medical Students > >Date: Sun, 08 Jul 2007 18:07:55 +0000 > > > >As a former FP residency faculty, I am now used to working with Medical > >Students, PA students, and residents. You need more time only with medical > >students, and then depending on their yr. I think it takes the most time > >to work with third yr students, as they have some knowledge and can do a > >little on their own, but must have close supervision. First yrs, just > >follow, second, can take hx, and relay to me, then we do exam together, > >third yr, if not their first rotation, can select an appropriate patient > >out of the day, let them do the hx and pe, or break up, then present, and > >back in to see patient, formulate plan. With PA students doing their > >months of elective, and residents, depends again if their first rotation, > >or way into the year. PA and residents don't slow me down, they actually > >increase what can be seen and done in a day. Again, you don't expect them > >to work your schedule, but they should be able to pick 1-3 patients out of > >your half day, and see the patients, present > >, formulate a plan with you, and then you both go in and sum up, send > >patient on way. They are responsible for the charting on who they see, ( > >the time saving), and I overread and sign. I only take PA students right > >now, about 1-2 a yr, but have thought about approaching my old residency to > >take residents on rotation. Right now the residency is mostly a farm to > >grow MD's for the hospitals, big clinic system, not exactly what I am > >doing. > >Of course your patients have to be okay with it. When we have a student, > >the MA tells the patient before I or the student go in, and asks if they > >mind. Some patients do, usually if for a pap, and I have a male student. > >Obviously some women just want a woman. Most are happy to participate in > >education, and feel they have something they want to " teach " a future care > >giver. > >I have always found that the patients enjoy the extra explanation's I give > >to the student, and often comment on it at their next appt or ask if we > >have heard from the student, or where they are now, how they are doing. > > > > Cote' MD > >Four Corners Family Medicine > > > >--------- Medical Students > > > >Date: Fri, 6 Jul 2007 10:22:01 -0400 > > > > > > > >Group, > > > >I have been mentoring 1st and 2nd year med students for years (and they > > > >have all gone in to FM!!), but now I am being asked to mentor 3rd year > > > >students as well. With a small practice and limited space, I would > >think > > > >this would be a logistical nightmare. My question is whether any of you > > > >guys are teaching 3rd years and how you manage to do it with limited > > > >space and resources. Thanks! > > > > > > > > > > _________________________________________________________________ > > > Need a brain boost? Recharge with a stimulating game. Play now! > > > http://club.live.com/home.aspx?icid=club_hotmailtextlink1 > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 11, 2007 Report Share Posted July 11, 2007 I get about 6 students a year from the University of Colorado and Vanderbilt?. The third and forth years are somewhat helpful, I have 2 rooms and they rather good at H and P's, blood draws and x-rays. The first years take too much time, but since I am still a facult member and affiliated with the rural training program, I get conned into taking an occasional one. I worked in the FM residency for 10 years, and with the new P4 program, I think I will be getting all of the 3rd years for a month-mostly to teach practice management IMP. They participate in the patient care, and we review all the practice stuff, and the financials and try to teach them the business side as well as the medical side. I have these kids for a month at a time and they live in my basement, so they get the full monty experience. Seems to work out. ________________________________ From: on behalf of L. Gordon Sent: Tue 7/10/2007 8:25 PM To: Subject: RE: Medical Students I do it like Lynn, but usually have R3s coming along to check out the practice model, so seeing patients and volume are not the issue. The point of the experience is to go over what makes this model work and how one works in this model. We talk about the design elements, the data we're getting out of the IMP project, and what we do that's really different that allows us to achieve these results. I have them come with me to see how we interact with patients to see what patient centered collaborative care is about, how we use electronic tools during a visit, but also how we interact on the phone, via email, etc. Gordon At 08:12 PM 7/10/2007, you wrote: >- with the practice paperless, I am assuming you have an extra computer >station running your EMR that they can use? I actually am not wanting the >residents to see patients but what I want is to expose them to the practice >model. I think that might be best served by having them see a few patients >with me, as opposed to them taking patients on their own. For volume, they >can see patients at any other grind'em through practice. Also, do you have >an extra exam room? if you are running with only one, it would make it >impossible for the residents or 3rd years to see the patients on their own, >tying up the only room. I have a first year resident coming this Friday >and I booked an hour out when he gets there to show him my setup and >proselytize a little about IMP. Then if anyone does take an appointment >from 2-3 (I leave at 3), I think we will see the patient together. Curious >to hear how anyone else would do it. >Lynn > > >From: magnetdoctor@... <mailto:magnetdoctor%40comcast.net> > >Reply-To: <mailto:%40yahoogroups.com> > >To: <mailto:%40yahoogroups.com> > >Subject: RE: Medical Students > >Date: Sun, 08 Jul 2007 18:07:55 +0000 > > > >As a former FP residency faculty, I am now used to working with Medical > >Students, PA students, and residents. You need more time only with medical > >students, and then depending on their yr. I think it takes the most time > >to work with third yr students, as they have some knowledge and can do a > >little on their own, but must have close supervision. First yrs, just > >follow, second, can take hx, and relay to me, then we do exam together, > >third yr, if not their first rotation, can select an appropriate patient > >out of the day, let them do the hx and pe, or break up, then present, and > >back in to see patient, formulate plan. With PA students doing their > >months of elective, and residents, depends again if their first rotation, > >or way into the year. PA and residents don't slow me down, they actually > >increase what can be seen and done in a day. Again, you don't expect them > >to work your schedule, but they should be able to pick 1-3 patients out of > >your half day, and see the patients, present > >, formulate a plan with you, and then you both go in and sum up, send > >patient on way. They are responsible for the charting on who they see, ( > >the time saving), and I overread and sign. I only take PA students right > >now, about 1-2 a yr, but have thought about approaching my old residency to > >take residents on rotation. Right now the residency is mostly a farm to > >grow MD's for the hospitals, big clinic system, not exactly what I am > >doing. > >Of course your patients have to be okay with it. When we have a student, > >the MA tells the patient before I or the student go in, and asks if they > >mind. Some patients do, usually if for a pap, and I have a male student. > >Obviously some women just want a woman. Most are happy to participate in > >education, and feel they have something they want to " teach " a future care > >giver. > >I have always found that the patients enjoy the extra explanation's I give > >to the student, and often comment on it at their next appt or ask if we > >have heard from the student, or where they are now, how they are doing. > > > > Cote' MD > >Four Corners Family Medicine > > > >--------- Medical Students > > > >Date: Fri, 6 Jul 2007 10:22:01 -0400 > > > > > > > >Group, > > > >I have been mentoring 1st and 2nd year med students for years (and they > > > >have all gone in to FM!!), but now I am being asked to mentor 3rd year > > > >students as well. With a small practice and limited space, I would > >think > > > >this would be a logistical nightmare. My question is whether any of you > > > >guys are teaching 3rd years and how you manage to do it with limited > > > >space and resources. Thanks! > > > > > > > > > > __________________________________________________________ > > > Need a brain boost? Recharge with a stimulating game. Play now! > > > http://club.live.com/home.aspx?icid=club_hotmailtextlink1 <http://club.live.com/home.aspx?icid=club_hotmailtextlink1> > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 11, 2007 Report Share Posted July 11, 2007 I lost the thread, but someone asked if anyone finished eveything before you left the room. I usually do. With the EMR I can use the templates to write the note while the patient is there, sometimes I aske them to read it, send referrals right from the note, and send the scripts. If it is a physical, I usually print out the note and give it to the patient before they leave. I ask them to read it and give me feedback about errors in what I wrote, and when they do, I fix them. The fax monitor in the program has templates for referrals and with the names of the docs it takes about a minute to order a consult or a mammogram, and sent it off.SAme with VNA referrals, and since it is electronic, it is already in the chart, no filing. Do not forget that every time you have to handle a piece of information, there is a " transaction cost " . We estimated at the University that it cost $45,000 a year or about $25/refill in our residency practice. If the information is in the EMR and it takes 3 clicks to do the refill the transaction cost drops to a few pennys. Since the bill is already to go, if they have a copay or are paying cash, they get their receipt printed, before we leave the room and they can write the check in the room. If there are issues about payment, time payments, discounts or what ever they can be done in private. When we leave the room, most visits are done. Did not happen today as well-had a broken ankle and hand laceration that messed me up a bit. ________________________________ From: on behalf of lynn ho Sent: Tue 7/10/2007 6:12 PM To: Subject: RE: Medical Students - with the practice paperless, I am assuming you have an extra computer station running your EMR that they can use? I actually am not wanting the residents to see patients but what I want is to expose them to the practice model. I think that might be best served by having them see a few patients with me, as opposed to them taking patients on their own. For volume, they can see patients at any other grind'em through practice. Also, do you have an extra exam room? if you are running with only one, it would make it impossible for the residents or 3rd years to see the patients on their own, tying up the only room. I have a first year resident coming this Friday and I booked an hour out when he gets there to show him my setup and proselytize a little about IMP. Then if anyone does take an appointment from 2-3 (I leave at 3), I think we will see the patient together. Curious to hear how anyone else would do it. Lynn >From: magnetdoctor@... >Reply-To: >To: >Subject: RE: Medical Students >Date: Sun, 08 Jul 2007 18:07:55 +0000 > >As a former FP residency faculty, I am now used to working with Medical >Students, PA students, and residents. You need more time only with medical >students, and then depending on their yr. I think it takes the most time >to work with third yr students, as they have some knowledge and can do a >little on their own, but must have close supervision. First yrs, just >follow, second, can take hx, and relay to me, then we do exam together, >third yr, if not their first rotation, can select an appropriate patient >out of the day, let them do the hx and pe, or break up, then present, and >back in to see patient, formulate plan. With PA students doing their >months of elective, and residents, depends again if their first rotation, >or way into the year. PA and residents don't slow me down, they actually >increase what can be seen and done in a day. Again, you don't expect them >to work your schedule, but they should be able to pick 1-3 patients out of >your half day, and see the patients, present >, formulate a plan with you, and then you both go in and sum up, send >patient on way. They are responsible for the charting on who they see, ( >the time saving), and I overread and sign. I only take PA students right >now, about 1-2 a yr, but have thought about approaching my old residency to >take residents on rotation. Right now the residency is mostly a farm to >grow MD's for the hospitals, big clinic system, not exactly what I am >doing. >Of course your patients have to be okay with it. When we have a student, >the MA tells the patient before I or the student go in, and asks if they >mind. Some patients do, usually if for a pap, and I have a male student. >Obviously some women just want a woman. Most are happy to participate in >education, and feel they have something they want to " teach " a future care >giver. >I have always found that the patients enjoy the extra explanation's I give >to the student, and often comment on it at their next appt or ask if we >have heard from the student, or where they are now, how they are doing. > > Cote' MD >Four Corners Family Medicine > >--------- Medical Students > > >Date: Fri, 6 Jul 2007 10:22:01 -0400 > > > > > >Group, > > >I have been mentoring 1st and 2nd year med students for years (and they > > >have all gone in to FM!!), but now I am being asked to mentor 3rd year > > >students as well. With a small practice and limited space, I would >think > > >this would be a logistical nightmare. My question is whether any of you > > >guys are teaching 3rd years and how you manage to do it with limited > > >space and resources. Thanks! > > > > > > > _________________________________________________________________ > > Need a brain boost? Recharge with a stimulating game. Play now! > > http://club.live.com/home.aspx?icid=club_hotmailtextlink1 > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 11, 2007 Report Share Posted July 11, 2007 I have 2 rooms, and I have a separate office with computers in each room, and my office. Remember I am the one who started with 1000 square feet, way more than I needed. So the goal is not to have medical students or PA students churn volume. I can do that without them, but that's why I left the hamster wheel. With 2 rooms they can go in with one patient, and take all the time they want or need, while I see the next one or even 2 people. Then I can go over the presentation with them in the room with patient, or out, they usually prefer out. Then we go back in together. I don't spend a lot of time on the practice management portion, but the IMP model, vs what they see elsewhere is not lost on them. They can chart their part on the computer in room with patient, or later in my office, on that computer, I review, co-sign electronically in AC before it is saved. I do usually spend a fair amount of time discussing the "layers of the onion", what the psychologist called it in the faculty group I was in before. Meaning, they come in for their physical or sinus infection or whatever, but what other issues are there? The depression that keeps them from managing their diabetes, their son who is a drug addict who steals everything, the abusive spouse. What is the "hypochondriac" really afraid of, what is really driving the visit, is often, at least when the patient is relatively new to you and the practice, not apparent, or written down. In IMP we have the luxury of the time to get to the real issue, and how to help them grapple with it. They may not solve it, and it's not my place generally to solve it for them, but I can help them on that journey. Generally even when it's near the end of the student's month with me, it would be an unusal PA student who would see even 3-4 patients in a day, keeping in mind that my schedule is usually 12-16. So as I said before each year student is different, and even a third year medical student needs different things than a PA. Generally I am working with PA students now, and they are looking to be employed, not to run their own business, so some business aspects like coding appropriately are better for them, than running the business. Hope this helps, primarily responding to Lynn, but don't see her orignial post, and don't have the time to go thru all 50 I got today. --------- Medical Students> > > >Date: Fri, 6 Jul 2007 10:22:01 -0400> > > >> > > >Group,> > > >I have been mentoring 1st and 2nd year med students for years (and they> > > >have all gone in to FM!!), but now I am being asked to mentor 3rd year> > > >students as well. With a small practice and limited space, I would> >think> > > >this would be a logistical nightmare. My question is whether any of you> > > >guys are teaching 3rd years and how you manage to do it with limited> > > >space and resources. Thanks!> > &g t; >> > >> > > __________________________________________________________> > > Need a brain boost? Recharge with a stimulating game. Play now!> > > http://club.live.com/home.aspx?icid=club_hotmailtextlink1> > >> > >> > >> > >> > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 11, 2007 Report Share Posted July 11, 2007 Lynn, I have the one room scenario. The student and I alternate taking history, exam or both (depending on student skill level, efficiency, and presenting problem) while the other records. Allows for direct learning and evaluation both ways, permits you to unobtrusively guide questions/exam if needed for time/appropriateness, and work still gets done. More detailed teaching happens as time allows during/at end of day. Jeff Huotari RE: Medical Students >Date: Sun, 08 Jul 2007 18:07:55 +0000 > >As a former FP residency faculty, I am now used to working with Medical >Students, PA students, and residents. You need more time only with medical >students, and then depending on their yr. I think it takes the most time >to work with third yr students, as they have some knowledge and can do a >little on their own, but must have close supervision. First yrs, just >follow, second, can take hx, and relay to me, then we do exam together, >third yr, if not their first rotation, can select an appropriate patient >out of the day, let them do the hx and pe, or break up, then present, and >back in to see patient, formulate plan. With PA students doing their >months of elective, and residents, depends again if their first rotation, >or way into the year. PA and residents don't slow me down, they actually >increase what can be seen and done in a day. Again, you don't expect them >to work your schedule, but they should be able to pick 1-3 patients out of >your half day, and see the patients, present >, formulate a plan with you, and then you both go in and sum up, send >patient on way. They are responsible for the charting on who they see, ( >the time saving), and I overread and sign. I only take PA students right >now, about 1-2 a yr, but have thought about approaching my old residency to >take residents on rotation. Right now the residency is mostly a farm to >grow MD's for the hospitals, big clinic system, not exactly what I am >doing. >Of course your patients have to be okay with it. When we have a student, >the MA tells the patient before I or the student go in, and asks if they >mind. Some patients do, usually if for a pap, and I have a male student. >Obviously some women just want a woman. Most are happy to participate in >education, and feel they have something they want to " teach " a future care >giver. >I have always found that the patients enjoy the extra explanation's I give >to the student, and often comment on it at their next appt or ask if we >have heard from the student, or where they are now, how they are doing. > > Cote' MD >Four Corners Family Medicine > >--------- Medical Students > > >Date: Fri, 6 Jul 2007 10:22:01 -0400 > > > > > >Group, > > >I have been mentoring 1st and 2nd year med students for years (and they > > >have all gone in to FM!!), but now I am being asked to mentor 3rd year > > >students as well. With a small practice and limited space, I would >think > > >this would be a logistical nightmare. My question is whether any of you > > >guys are teaching 3rd years and how you manage to do it with limited > > >space and resources. Thanks! > > > > > > > _________________________________________________________________ > > Need a brain boost? Recharge with a stimulating game. Play now! > > http://club.live.com/home.aspx?icid=club_hotmailtextlink1 > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 11, 2007 Report Share Posted July 11, 2007 Does anyone have a form that the student is supposed to sign re: confidentiality etc.? Thanks, Moitri Long Island CIty, New York Jeff Huotari wrote: Lynn,I have the one room scenario. The student and I alternate taking history,exam or both (depending on student skill level, efficiency, and presentingproblem) while the other records. Allows for direct learning and evaluation both ways, permits you tounobtrusively guide questions/exam if needed for time/appropriateness, andwork still gets done. More detailed teaching happens as time allowsduring/at end of day.Jeff Huotari RE: Medical Students>Date: Sun, 08 Jul 2007 18:07:55 +0000>>As a former FP residency faculty, I am now used to working with Medical >Students, PA students, and residents. You need more time only with medical>students, and then depending on their yr. I think it takes the most time >to work with third yr students, as they have some knowledge and can do a >little on their own, but must have close supervision. First yrs, just >follow, second, can take hx, and relay to me, then we do exam together, >third yr, if not their first rotation, can select an appropriate patient >out of the day, let them do the hx and pe, or break up, then present, and >back in to see patient, formulate plan. With PA students doing their >months of elective, and residents, depends again if their first rotation, >or way into the year. PA and residents don't slow me down, they actually >increase what can be seen and done in a day. Again, you don't expect them >to work your schedule, but they should be able to pick 1-3 patients out of >your half day, and see the patients, present>, formulate a plan with you, and then you both go in and sum up, send >patient on way. They are responsible for the charting on who they see, ( >the time saving), and I overread and sign. I only take PA students right >now, about 1-2 a yr, but have thought about approaching my old residency to>take residents on rotation. Right now the residency is mostly a farm to >grow MD's for the hospitals, big clinic system, not exactly what I am >doing.>Of course your patients have to be okay with it. When we have a student, >the MA tells the patient before I or the student go in, and asks if they >mind. Some patients do, usually if for a pap, and I have a male student. >Obviously some women just want a woman. Most are happy to participate in >education, and feel they have something they want to "teach" a future care >giver.>I have always found that the patients enjoy the extra explanation's I give >to the student, and often comment on it at their next appt or ask if we >have heard from the student, or where they are now, how they are doing.>> Cote' MD>Four Corners Family Medicine>>--------- Medical Students> > >Date: Fri, 6 Jul 2007 10:22:01 -0400> > >> > >Group,> > >I have been mentoring 1st and 2nd year med students for years (and they> > >have all gone in to FM!!), but now I am being asked to mentor 3rd year> > >students as well. With a small practice and limited space, I would >think> > >this would be a logistical nightmare. My question is whether any of you> > >guys are teaching 3rd years and how you manage to do it with limited> > >space and resources. Thanks!> > >> >> > __________________________________________________________> > Need a brain boost? Recharge with a stimulating game. Play now!> > http://club.live.com/home.aspx?icid=club_hotmailtextlink1> >> >> >> >> > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 12, 2007 Report Share Posted July 12, 2007 I have one, I will look for it tomorrow. ________________________________ From: on behalf of Moitri Chowdhury Savard Sent: Wed 7/11/2007 11:37 AM To: Subject: RE: Medical Students Does anyone have a form that the student is supposed to sign re: confidentiality etc.? Thanks, Moitri Long Island CIty, New York Jeff Huotari wrote: Lynn, I have the one room scenario. The student and I alternate taking history, exam or both (depending on student skill level, efficiency, and presenting problem) while the other records. Allows for direct learning and evaluation both ways, permits you to unobtrusively guide questions/exam if needed for time/appropriateness, and work still gets done. More detailed teaching happens as time allows during/at end of day. Jeff Huotari RE: Medical Students >Date: Sun, 08 Jul 2007 18:07:55 +0000 > >As a former FP residency faculty, I am now used to working with Medical >Students, PA students, and residents. You need more time only with medical >students, and then depending on their yr. I think it takes the most time >to work with third yr students, as they have some knowledge and can do a >little on their own, but must have close supervision. First yrs, just >follow, second, can take hx, and relay to me, then we do exam together, >third yr, if not their first rotation, can select an appropriate patient >out of the day, let them do the hx and pe, or break up, then present, and >back in to see patient, formulate plan. With PA students doing their >months of elective, and residents, depends again if their first rotation, >or way into the year. PA and residents don't slow me down, they actually >increase what can be seen and done in a day. Again, you don't expect them >to work your schedule, but they should be able to pick 1-3 patients out of >your half day, and see the patients, present >, formulate a plan with you, and then you both go in and sum up, send >patient on way. They are responsible for the charting on who they see, ( >the time saving), and I overread and sign. I only take PA students right >now, about 1-2 a yr, but have thought about approaching my old residency to >take residents on rotation. Right now the residency is mostly a farm to >grow MD's for the hospitals, big clinic system, not exactly what I am >doing. >Of course your patients have to be okay with it. When we have a student, >the MA tells the patient before I or the student go in, and asks if they >mind. Some patients do, usually if for a pap, and I have a male student. >Obviously some women just want a woman. Most are happy to participate in >education, and feel they have something they want to " teach " a future care >giver. >I have always found that the patients enjoy the extra explanation's I give >to the student, and often comment on it at their next appt or ask if we >have heard from the student, or where they are now, how they are doing. > > Cote' MD >Four Corners Family Medicine > >--------- Medical Students > > >Date: Fri, 6 Jul 2007 10:22:01 -0400 > > > > > >Group, > > >I have been mentoring 1st and 2nd year med students for years (and they > > >have all gone in to FM!!), but now I am being asked to mentor 3rd year > > >students as well. With a small practice and limited space, I would >think > > >this would be a logistical nightmare. My question is whether any of you > > >guys are teaching 3rd years and how you manage to do it with limited > > >space and resources. Thanks! > > > > > > > __________________________________________________________ > > Need a brain boost? Recharge with a stimulating game. Play now! > > http://club.live.com/home.aspx?icid=club_hotmailtextlink1 <http://club.live.com/home.aspx?icid=club_hotmailtextlink1> > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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