Welcome!  This is a page designed to provide up to date information for our current and future rotating students.

First, let me say welcome and thank you for choosing Grant to further your education in Family Medicine!  You are valuable to our team, and I hope that feeling is palpable during your time with us!  We are a large program with a lot of moving parts, so depending on your specific rotation, it is easy to get overwhelmed and lose track of what is happening in the residency.  This page will hopefully serve as a resource for you to find expectations and valuable tips to make your experience meaningful.

 

Family Medicine 3rd year ambulatory rotation

Grant Medical Center

Student Information

Ambulatory & Family Medicine Clerkship

You should receive the following in your orientation folder:

·         Schedule, Medical Education directions, Center directions and info sheet via email

·         Contact list, conference schedule directions via New Innovations, parking map, directions to centers at orientation and evaluations to hand out to your preceptors with whom you work and evaluations that you will complete for the residents and attendings. 

Schedule - You are assigned to a resident or an attending for each morning and afternoon shift.  You will determine who you are assigned to by the physician name across from you name.  You can determine if it is a resident or attending by reviewing the faculty contact list or the resident/fellow contact list.  Unfortunately, I am often not aware of other obligations someone may have when I make up the schedule and there are times when the person you are scheduled to work with is unavailable.  There are other residents and attendings names on the schedule for you to choose from.  Be sure he/she does not already have a student name by it though.  If you will not be able to participate in an experience, please call the person you are scheduled to work with as soon as you can. 

o   The morning office start time is 8:20 am; afternoon start time is 1:20pm.

o   Students should attend the morning huddle at 8:10am and the afternoon huddle at 1:10pm

 

Contact List - Everyone you are working with and their pager or contact numbers should be on that list. Additionally, you can always reach someone by asking the Grant operator (566-9000) to page that person. Again, please call each person you are to work with to confirm your schedule.

 

Conference scheduleOn Wednesday afternoons there is didactic time typically starting by 12:30 or 1:00 and ending around 4:00-4:30 typically (you will get a didactic schedule attached to your personal schedule.  There is also a weekly email sent by our program director (Dr. Herzog) that lists the didactic schedule for the week.  Attendance for the Wednesday lectures is required unless you have didactics scheduled from your medical school, for example at Doctors Hospital.  They usually occur in room 2133; check with your residents for that week's didactic schedule as these can be variable.  

 

Evaluation forms – You will likely be working with multiple people during your rotation at Grant.  You were provided copies of the evaluation forms in your folder from orientation.  You should give your preceptors the evaluations through the duration of your rotation.  It is your responsibility to collect the evaluations and bring them to the end of rotation evaluation meeting.  Students rotating at East Main Street will meet with Dr. Rogers.  Dr. Rogers prefers to be emailed at scott.rogers@ohiohealth.com or call him at 614-795-3141.  Due to busy schedules, please arrange your meeting with Dr. Rogers at least 10-14 days in advance of the conclusion of your rotation.   Students rotating at Grove City should meet with Dr. Johnson.  Dr. Johnson’s email is WilliamJohnson2@ohiohealth.com.  You should contact either physician at least one week prior to the end of your rotation.

 

Parking Map – On the day of orientation, you may park in the blue garage at 141 S. 6th Street across from the ED and the Wilkins Building at 285 East State Street and come to Suite 670. If you are unable to access the Blue garage, you should park in the Orange garage at 393 East Town Street. You will receive a free parking pass to exit the garage. Parking is free during your rotation here. Grant Medical Center, Associate/student assigned parking is located at the Commons parking garage with keycard access only at 55 E Rich Street with shuttle transportation to and from the hospital for daytime parking only.  The shuttle runs from 5 am to 10 pm Monday- Friday, no weekends or holidays.    If you would need to use the garage (when you are on-call, nights or weekends), you will have to park in the orange garage with your Grant ID badge access, however, you must always swipe in and out even if the gate is up.

 

        Population Health for Medical Students- Some of you will be assigned Thursday afternoon “Population Health”               time.  Population health is an emerging focus of primary care. Weekly, structured small-group discussions occur on               Thursday afternoons from 2-4pm. They are centered around population health topics. Students should complete the           pre-work reading and worksheet prior to arriving. Group discussions will apply the information learned in the                     modules to the medical care and populations we treat, sharing personal experiences in population health/public health        is encouraged!

        Where: Wilkins 210 small conference room (just to the right of the medical library entrance). It may be                                   locked when you arrive, but rest assured, we will start right at 2pm.

        Pre-Work: Students should complete the session 1 module on the attached worksheet prior to attending                          the Thursday PM session.  Reading material is also attached in your orientation packet- the pdf is entitled                                   Population Health Module1.

       John’s Hopkins Modules-

Typically, at least one Wednesday afternoon didactic session will include some online modules from John’s Hopkins.  To have the most learning, it is helpful if you’ve logged on and done the pretest.  To do this, you need to create a login.  Go to https://ilc.peaconline.org/.  CHOOSE Internal Medicine Ambulatory Care Curriculum from the drop down.  Create an account.  You will be asked for a passcode - enter jgw. 

 

       FMOB (Family Medicine OB) Clinic-

 If you have been assigned to attend FMOB clinic (Tuesday PM or Friday AM), that is located at the Grant Outpatient Clinic.  See the attached address/numbers for this office downtown.  It is a busy prenatal care clinic staffed typically by our faculty Dr. Wilson and Dr. Rogers (occasionally other Grant FM faculty fill in as well) and residents.  We are engaged in Centering Pregnancy, a group prenatal care model, so many times you will be participating in a group prenatal care visit.  The first groups start promptly at 8am, so please be on time.

 

 Odds and Ends - When you are working with a resident in the Family Medicine Centers (FMCs) they will participate in “education rounds” at the conclusion of the session (AM or PM).  This is a time when all the residents who were in the office that session sit down with the preceptor and discuss the cases.  You should plan to go to and participate in these rounds.  They are a good learning experience.  Even if the resident dismisses you, you can let them know Dr. Rogers wants you to stay at these teaching sessions. 

 Medical students should wear business casual attire in the offices at all times.  No scrubs are permitted in the family medicine centers.

 

Required Assignment:

Often times in a busy medical life, one can become bogged down in work requirements and lose sight of the ideals of medicine.  During this rotation, I want you to take time to be inspired by those around you.  Think of an experience with a patient this month that touched you in some way.  Then create something that captures that experience for you:  short story, poem, drawing, collage, etc.  The sky is the limit.  Be prepared to share your creation with me and other students during our exit meeting. Email me with any questions at scott.rogers@ohiohealth.com.

 Finally, one last requirement…please have a great time this month and make sure it meets your learning needs!  If you have any questions or problems throughout the month, call me right away.  I look forward to working with you.

 

 Inpatient Medical Student Orientation

Welcome to your Grant Family Practice rotation!  This handout applies to any students doing partial or full inpatient medicine rotations with our Grant Family Medicine team (M3 internal medicine rotations, 4th year sub-Is, or audition rotations).  You’ll be assigned to either the Clinical Medicine or GFP service for part or all of your rotation.  The GFP service admits all patients who have GFP residents or attendings as their PCPs. The Clinical Medicine service consists of up to 20 “unassigned” patients, assigned by the hospitalist service.  The ClinMed team also admits continuity patients from the Transition of Care (TOC) clinic, who are often patients of Dr. Squibb, Dr. Skully, and Dr. Gulley.

  • Sign out in the AM is variable, usually 7:00 or 7:30 AM in 2133 (right beside the cafeteria).  Contact the senior resident on your team to learn times and expectations for the days you will be working.
  • Rounds for Clin Med are variable and will depend on the attending and your team.
  • Rounds start at 8:30 AM for GFP. Location will be determined by your senior resident, but common locations are either the resident lounge in Wilkins or the HMS lounge down the hall off the lobby (in the old Coumadin clinic; door code 911*).

 

MS-3 Expectations:

  • Full day orientation shadowing senior (Go over EPIC, expectations for the rotation)
  • Start with 1-2 patients, end with up to 3 patients
  • See patients in am, write med student note in EPIC, Word, or by hand.  If written in Word, no patient identifiers may be used.  NO TEMPLATES OR COPY/PASTING CAN BE USED.
  • ICU patients go first to GFP interns, then podiatry interns, then med students (if approved by senior resident)
  • Short call one day/week (up to senior to decide which day). Expect to be in the hospital until 5:00 PM on other days unless otherwise directed by senior resident.
  • Will do the first admission of the day with the intern
    • Alternate days with MS-4 if there is an MS-4
    • Write a set of orders with one admission/week in Word/by hand in ADCVAANDIML or similar format (Admit, Diagnosis, Condition, Vital signs, Allergies, Activity, Nursing, Diet, IV fluids, Medications, Labs/procedures)
  • Attend noon conference, attend didactic lectures on Wednesday afternoons from 1:30-3:30, if not longer (12:30-5; based on team)
  • Present one topic to team per week (5-10 min, handout appropriate, no PowerPoint necessary). Discuss the timing and topics of these presentations with your senior resident.

 

Patient Presentations – Emphasize presentation and appropriate data collection instead of actual plan. This may need to be done with the senior before rounds or later in the day depending on if the attending wants full presentations. Assessment and plan should be a collaboration with the senior residents.

 

MS-4/Sub-I expectations:

  • ½ Day orientation with senior (Go over EPIC, expectations for the rotation)
  • Start with 3 patients, end with 5 patients
    • Can take up to 1 ICU patient
  • See patient in am, write med student note in EPIC, Word, or by hand.  If written in Word, no patient identifiers may be used. NO TEMPLATES OR COPY/PASTING!
  • Go over orders with senior to see how it is done (can no longer have students write them like before)
  • Follow up on patients in afternoon
  • Make phone calls to consults/family
  • Update DS – Overview for each problem daily
  • Update sign outs daily
  • Attend noon conference, attend didactic lectures on Wednesday afternoons from 1:30-3:30, if not longer (12:30-5; based on team)
  • Assist with case conferences
  • Will do the first admission of the day with the senior, not intern
    • Alternate days with MS-3 if there is an MS-3
    • Write a set of orders in Word with one admission/week
    • ADCVAANDIML (for Admit, Diagnosis, Condition, Vital signs, Allergies, Activity, Nursing, Diet, IV fluids, Medications, Labs/procedures)
  • Present one topic to team per week (5-10 min, handout appropriate, but no powerpoint)
  • Patient Presentations - Emphasize management, assessment and plan, and more focused presentations (only relevant info, not full presentations like MS-3)

Mom/Baby Service:

·         Some of you doing sub-Is or audition rotations will notice you are assigned a week of Mom/Baby service (check your calendars!).  This is an opportunity to experience a glimpse of what our residents do on L&D, Newborn, and Postpartum.  Our Mom/Baby service consists of the FM residents on OB, the FM resident on Newborn rotation, and the FM faculty attending.  You should plan to meet on the 3rd floor L&D with the OB team (you will be given resident name/pager number) by 7am to round on postpartum moms and babies.  While this is not a formal OB rotation (there are other students on L&D from other schools), we want to expose you to what our residents do on L&D, so you are welcome to be involved in deliveries with our residents if interested.  There is also dedicated teaching time at 11AM by our Family Medicine faculty on all mornings except Wednesdays.

Population Health for Medical Students:

 

Some of you will be assigned Thursday afternoon “Population Health” time on your calendar.  Population health is an emerging focus of primary care. Weekly, structured small-group discussions occur on Thursday afternoons from 2-4pm. They are centered around population health topics. Students should complete the pre-work reading and worksheet prior to arriving. Group discussions will apply the information learned in the modules to the medical care and populations we treat, sharing personal experiences in population health/public health is encouraged!

 

Where: Wilkins 210 small conference room (just to the right of the medical library entrance). It may be locked when you arrive, but rest assured, we will start right at 2pm.

       Pre-Work:

·         Students should complete the session 1 module on the worksheet attached prior to attending the Thursday           PM session.  Reading will be provided along with orientation materials.

 

John’s Hopkins Modules-

Typically, at least one Wednesday afternoon didactic session during your rotation will include some online modules from John’s Hopkins.  To have the most learning, it is helpful if you’ve logged on and done the pretest.  To do this, you need to create a login.  Go to https://ilc.peaconline.org/.  CHOOSE Internal Medicine Ambulatory Care Curriculum from the drop down.  Create an account.  You will be asked for a passcode - enter jgw. 

 

FMOB (Family Medicine OB) Clinic:

If you have been assigned to attend FMOB clinic (Tuesday PM or Friday AM), that is located at the Grant Outpatient Clinic.  See the attached address/numbers for this office downtown.  It is a busy prenatal care clinic staffed typically by our faculty Dr. Wilson and Dr. Rogers (occasionally other Grant FM faculty fill in as well) and residents.  We are engaged in Centering Pregnancy, a group prenatal care model, so many times you will be participating in a group prenatal care visit.  The first groups start promptly at 8am, so please be on time.

 

Required Assignment:

Often times in a busy medical life, one can become bogged down in work requirements and lose sight of the ideals of medicine.  During this rotation, I want you to take time to be inspired by those around you.  Think of an experience with a patient this month that touched you in some way.  Then create something that captures that experience for you:  short story, poem, drawing, collage, etc.  The sky is the limit.  Be prepared to share your creation with me and other students during our exit meeting.  Email me with any questions at scott.rogers@ohiohealth.com

 

Evaluations:

You will be working with multiple people during your rotation at Grant.  You were provided copies of the evaluation forms in your folder from orientation.  You should give your preceptors (residents and attendings) the evaluations through the duration of your rotation.  It is your responsibility to collect the evaluations and bring them to the end of rotation evaluation meeting.  Students must arrange this meeting with Dr. Rogers who prefers to be emailed at scott.rogers@ohiohealth.com.  Due to busy schedules, please arrange your meeting with Dr. Rogers at least 10-14 days in advance of the conclusion of your rotation.  

Finally, one last requirement…please have a great time this month and make sure it meets your learning needs!  If you have any questions or problems throughout the month, page me right away.  I look forward to working with you.