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Curriculum > Years 1, 2, 3

Curriculum - Years 1, 2, 3

YEARS 1, 2, 3

Behavioral Science: A biopsychosocial understanding of the patient is central to the work of the family physician. The goal of the behavioral medicine curriculum is to assure that the resident is competent in attending to behavioral medicine issues in the clinical setting.

Learning Objectives At the completion of the rotation, Residents will:	Where/How Learning Occurs	Competency Addressed
Evaluates the presenting problem using a focused investigation	JFMA office, JFMA Hospital service, Community partners	Medical Knowledge Patient Care Interpersonal and Communication Skills
Performs a competent and appropriate physical examination	JFMA office, JFMA Hospital service, Community partners	Medical Knowledge Patient Care Interpersonal and Communication Skills
Prioritizes the probable and potential diagnoses to ensure that attention is given to the most likely, most serious and most readily treatable options	JFMA office, JFMA Hospital service, Community partners	Medical Knowledge Patient Care Practice-Based Learning Interpersonal and Communication Skills
Presents a well-organized and understandable case to the attending	JFMA office, JFMA Hospital service, Community partners	Medical Knowledge Patient Care Practice-Based Learning Interpersonal and Communication Skills Professionalism
Presents a well-organized and understandable diagnosis and plan to the patient	JFMA office, JFMA Hospital service, Community partners	Medical Knowledge Patient Care Systems based Practice Interpersonal and Communication Skills Professionalism
Locates and utilizes evidence-based resources in the care of an individual or patient group	Explore website resources: UpToDate, MDConsult, etc	Practice-Based Learning
Accepts and incorporates faculty feedback	JFMA office, JFMA Hospital service, Community partners, discussion	Practice-Based Learning Interpersonal and Communication Skills Professionalism
Assists patients with complex disease processes, ensures access to necessary ancillary services and coordination of care with specialists if indicated	JFMA office, JFMA Hospital service, Community partners	Patient Care Systems based Practice Interpersonal and Communication Skills Professionalism
Works with colleagues to share responsibilities for patient care and administrative tasks	JFMA office, JFMA Hospital service, Community partners	Systems based Practice Professionalism
Works together with staff in a manner that fosters mutual respect and facilitates an effectively run practice	JFMA office, JFMA Hospital service, Community partners	Systems based Practice Interpersonal and Communication Skills Professionalism
Understands and acts on ethical principles	JFMA office, JFMA Hospital service, Community partners	Professionalism
Completes the task of the defined session so that all necessary tasks are accomplished in a timely, organized and professional manner	JFMA office, JFMA Hospital service, Community partners	Patient Care Systems based Practice Professionalism
Possesses the appropriate medical knowledge as it pertains to the attitude, knowledge and skills in attending to the following areas: 1. the biopsychosocial model of illness 2. doctor patient relationship 3. interviewing, communication and case formulation 4. life cycle and family issues 5. physician "coping" resources 6. mental disorders 7. behavioral problems 8. psychiatric emergencies 9. psychotherapeutic interventions 10. psychosocial interventions	JFMA office, JFMA Hospital service, Community partners Recommended Reading: a. Robinson WD. Geske JA. Prest LA Barnacle R.: Depression Treatment in Primary Care. Journal of the American Board of Family Practice. 18 (2):79-86,2005 March-April. b. Searight, HR The Outsider: Reflections on Behavioral Science in Family Medicine. Family Medicine 1999; 31 (4) 232-234.	Medical Knowledge Patient Care

Practice Management: Residents learn practice management longitudinally over the three years of residency. The modalities for learning include experiential learning, monthly conference, office committees and team meetings. The goal of this experience is to learn the skills necessary to efficiently deliver patient care and to continuously improve the multiple elements of care delivery within a medical practice.

Learning Objectives At the completion of the rotation, Residents will:	Where/How Learning Occurs	Competency Addressed
Evaluates the presenting problem using a focused investigation	JFMA office, JFMA Hospital service	Medical Knowledge Patient Care Interpersonal and Communication Skills
Performs a competent and appropriate physical examination	JFMA office, JFMA Hospital service	Medical Knowledge Patient Care Interpersonal and Communication Skills
Prioritizes the probable and potential diagnoses to ensure that attention is given to the most likely, most serious and most readily treatable options	JFMA office, JFMA Hospital service	Medical Knowledge Patient Care Practice-Based Learning Interpersonal and Communication Skills
Presents a well-organized and understandable case to the attending	JFMA office, JFMA Hospital service	Medical Knowledge Patient Care Practice-Based Learning Interpersonal and Communication Skills Professionalism
Presents a well-organized and understandable diagnosis and plan to the patient	JFMA office, JFMA Hospital service	Medical Knowledge Patient Care Systems based Practice Interpersonal and Communication Skills Professionalism
Locates and utilizes evidence-based resources in the care of an individual or patient group	Explore website resources: UpToDate, MDConsult, etc	Practice-Based Learning
Accepts and incorporates faculty feedback	JFMA office, JFMA Hospital service	Practice-Based Learning Interpersonal and Communication Skills Professionalism
Assists patients with complex disease processes, ensures access to necessary ancillary services and coordination of care with specialists if indicated	JFMA office, JFMA Hospital service	Patient Care Systems based Practice Interpersonal and Communication Skills Professionalism
Works with colleagues to share responsibilities for patient care and administrative tasks	JFMA office, JFMA Hospital service	Systems based Practice Professionalism
Works together with staff in a manner that fosters mutual respect and facilitates an effectively run practice	JFMA office, JFMA Hospital service	Systems based Practice Interpersonal and Communication Skills Professionalism
Understands and acts on ethical principles	JFMA office, JFMA Hospital service	Professionalism
Completes the task of the defined session so that all necessary tasks are accomplished in a timely, organized and professional manner	JFMA office, JFMA Hospital service	Patient Care Systems based Practice Professionalism
At the completion of this experience residents will be able to: 1. accurately code and bill for all services provided 2. understand the issues involved in office facilities including deign/layout, buying equipment, laboratory regulations, office based procedures 3. understand the organizational structure of the office including chain of command, number and types of support staff 4. understand the operations of the office including patient flow, scheduling, responsibilities of varies staff, telephone triage system, chart and filing options 5. understand issues of employee relations including recruitment, hiring, evaluation 6. utilize computers for multiple aspects of patient care including scheduling, obtaining patient laboratory data, and researching medical questions 7. understand and be able to assess the different practice opportunities available to family physicians 8. Understand the basic concepts of managed care and continuous quality improvement.	a. Aita V, Dodendorf DM, Lebsack JA, et al. „Patient care staffing patterns and roles in community-based family practices. JFP 2001;50(10):www.jfponline.com. b. Waller TA. “Coding level-IV visits without fear”. Family Practice Management. 2006 www.aafp.org/fpm.	Medical Knowledge Patient Care

All residents attend Practice Management meetings at noon on the 3rd Thursday of the month. All residents attend team meetings on the 2nd Thursday of the month.

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