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The academic program in Family Medicine prepares students and residents
for careers in Family Medicine and also provides exposure to the principles
and practices of Family and Community Medicine for students planning
careers in other specialties. The academic program has developed special
emphases on the recruitment and retention of minority students, the placement
of students and graduates in practices relating to medically underserved
populations, the collaboration of physicians and PAs and NPs in primary
care and a multidisciplinary and cross-cultural approach to geriatrics.
Medical education is under the direction of Samuel Le Baron, MD, PhD.
The majority of students elect one or more of the following courses.
Curriculum:
Family Medicine Student Interest Group. An active student led group
supported by Center faculty, student government and the local Academy
of Family Physicians has the goal of increasing the exposure of Stanford
students to primary care. The group sponsors presentations on topics
of interest. Events also bring students together with residents and PA/NP
students. The California Academy of Family Physicians awards an annual
grant to the Interest Group to support their educational activities.
http://med.stanford.edu/md/student_orgs2.html
http://fmignet.aafp.org/
Courses:
INDE 183I/283I. Early Clinical Experience in Int'l Family & Community Medicine
An international experience for preclinical medical students (and undergraduates by special arrangement). Interactive early clinical experience with physicians, community leaders, health care workers, and patients in Mexico , South Africa , India , China , and Tibet . Emphasizes community health from local and global perspectives. Activities may include seminars, discussion and independent study. Topics include study of the social, political, historical, and economic backgrounds of the country and the local region; non-western attitudes, beliefs and practices regarding health care, including herbal and other forms of complementary medicine; local institutions and infrastructure including schools, social services, and the public health care system; and policies that impact health and the provision of care. Prerequisite for medical students: Successful completion of first year of medical school. Prerequisite for undergraduate students: Junior standing or higher. Undergraduates are not eligible to apply for the South Africa site. Undergraduate applicants for Mexico should apply though International Alliance in Service and Education (IASE), and for the Asian sites through Volunteers in Asia (VIA). Medical students should apply through the Center for Education in Family & Community Medicine. Conversational Spanish is required for the Mexico site. Course participation equals 40+ hrs per week for minimum 4 weeks, maximum 8 week experience.
6 to 12 units, any quarter (S. LeBaron, C. Gabali, S. Srivastava, S. Suguira , M. Sans and Staff)
INDE 210. The Healer's Art
Five-week course for preclinical and clinical medical students that combines seed talks and experiential exercises in both large and small group settings. Students and faculty explore core dimensions of meaning, service and healing that are exemplified by the outstanding physician. Specially selected clinical faculty who facilitate the small group sessions participate in the discovery model process on an equal footing with students. Provides opportunity for developing and preserving personal values such as service, harmlessness, compassion, altruism, self care, integrity, equality, justice, respect, and nurturing wholeness. The course facilitates clarifying a commitment to medicine as one's life's work. The Healer's Art was orginally developed by Dr. Rachel Naomi Remen, Clinical Professor at UCSF and author of Kitchen Table Wisdom, and My Grandfather's Blessings. There are no papers or exams. Attendance at all sessions is required. Dinner is provided.
1 unit, Win (B. Feldstein, S. LeBaron, Staff)
INDE 240. Orientation to Family & Community Medicine
Introduces students to the unique aspects of family practice as a specialty. This course also offers clinical skills in physical exam and history taking, and utilization of community resources. Summer assistantship students and those medical students receiving California Academy of Family Physicians (CAFP) Preceptorship Awards are encouraged to take this course. No final exam.
2 units, Spr (S. LeBaron, M. Grudzen)
INDE 241. Assistantship in Family Practice
An in-depth experience with a family physician preceptor following the first or second year. A required seminar (Orientation to Family Practice) in Spring quarter provides students exposure to the intellectual content of the discipline along with basic physical assessment and interviewing skills. Placements with family physicians' practices are offered throughout California .
6 to12 units, Aut, Sum (M. Grudzen, S. LeBaron)
INDE 243A. Integrative Medicine: A Primer for Future Doctors
Introduction to the field of integrative medicine with emphasis on practical applications for Stanford medical students and discussion of evidence supporting the potential value of various treatment modalities, including: traditional Chinese medicine; teaching forgiveness to treat stress-based illness; medical hypnosis; yoga, tai chi, and meditation; massage and chiropractic therapies; Tibetan traditional medicine; Mexican folk medicine; Ayurvedic medicine. The prominent question throughout is "How do we apply these ideas and knowledge to our work as students and ultimately doctors?" Aims not only to augment cultural competency, but also to encourage partnerships that help alleviate suffering and promote health.
1 to 2 units, Win ( S. LeBaron )
INDE 243B. Integrative Medicine: A Primer for Future Doctors (Part 2)
Provides further introduction to various modalities of integrative medicine, including discussions of the placebo effect, naturopathy and homeopathy, and further discussion of evidence for alternative modalities. Includes hands-on exploration of a complementary field of particular interest. Students attend four shadowing sessions with a practitioner of integrative medicine. Placement considers personal preferences. Represented practices and modalities include, but are not limited to, traditional Chinese medicine, osteopathy, naturopathic medicine, chiropractic, Ayurvedic medicine, bodywork and massage therapy. Class discussions provide students the opportunity to share shadowing experiences. The course promotes: 1) personal exploration of a specific branch of integrative medicine; 2) examination of evidence (or lack of it) underlying that modality; and 3) an understanding of how students might apply their knowledge of integrative medicine to their patient and self-care. Overall, the course aims to augment cultural competency and to encourage partnerships that help to alleviate suffering and promote health.
1-2 units, Spr (S. LeBaron)
INDE 244. Ethnicity and Medicine
Weekly lecture series introduces basic information about ethnic and cultural factors that impact patient care. Presents information about culturally sensitive health care services and addresses contemporary research issues involving minority and underserved populations. Topics include health care issues and indigenous medical practices of African Americans, Asians, Latinos, Native Americans, immigrants and refugees in both urban and rural settings. Credit: One unit for attending weekly lectures only; two units for attending lectures followed by one-hour discussions facilitated by course director; three units (NON-MED STUDENTS ,GRAD or UNDERGRAD,ONLY) for preparing weekly response papers and a research paper, as well as attending lectures and discussions. Students taking the course for three units may earn a letter grade. No final examination.
1 to 3 units, Spr (R. Garcia)
INDE 245. Women and Healthcare
(Same as FEMST 145) Lecture and seminar series. Topics of interest to women as health care consumers and providers. The historical role of women in health care with current and future changes.
1 to 2 units, Aut Mon 12:00-1:00 (M. Grudzen, C. Massion, S. LeBaron)
INDE 248. Ethnogeriatrics in Medicine
(Enrollment limited to MD candidates.) Introduces the basic issues and principles of ethnogeriatrics. Increases students' awareness of the effects of race, culture, and ethnicity on health and health care of older adults in the U.S. and globally; develops clinical skills and competency regarding ethnogeriatric care. Course work includes case-based discussions, community case studies, and local site visits to centers which serve the needs of the ethnogeriatric population. Includes study of social, political, historical, and economic background of various ethnic minority populations; culturally specific attitudes, beliefs, and practices regarding health care, including herbal medicine; local institutions and infrastructure, including social services and the public health care system; and public policies that impact health and the provision of medical care to the ethnogeriatric population. Students spend a half-day each week in a clinical setting under the supervision of a clinical preceptor, developing and practicing basic clinical skills, conducting health screening and patient interviews. Students are expected to participate in projects that have direct benefit to the community.
3 units, Aut, Win, Spr (S. LeBaron, N. Morioka-Douglas)
INDE 250. Physical Exam Skills & Clinical Reasoning
(Enrollment limited to MD candidates.) Opportunities for in-depth review and practice of phsyical exam skills and clinical reasoning. Organized into discrete modules, each focusing on one area of the body; course design integrates cognitive and experiential learning; offers multiple opportunities for student repetition and practice; makes use of learning technology to enhance the preceptor's ability to teach and the students' ability to ask specific, targeted questions about physical findings. Students may enroll in any of the modules in any order, but must register for a minimum "set" of four modules, and may enroll in additional sets of four modules. Course is administered through the Center for Education in Family & Community Medicine, however, teaching is provided by an interdisciplinary faculty. Course consultants include faculty from various sub-specialties. Course open to clinical medical students. These modules do not interfere with clinical rotation schedules.
1 to 4 units, Aut, Win, Spr (S. LeBaron)
252. Medicine & Horses: A Model for the Doctor-Patient Relationship
Medicine & Horses is a unique new elective TA'd by live horses on a beautiful local ranch. A major challenge for medical students in clinical rotations and for physicians throughout our careers is to conduct our relationships with patients and colleagues in a manner that is professional, sensitive, perceptive, confident, and authentic. Horses mirror and magnify the interpersonal dynamics of the physician-patient relationship. Working with horses requires sensitivity to nonverbal cues, discrimination in the quality and amount of physical contact, a keen awareness of one's emotional state, a well-developed sense of empathy and
kindness, an ability to identify subjectivity in communication, and an effort to overcome one's fear and immobility in the face of uncertainty. The clinical skills examination of the United States Medical Licensing Exam Step 2 for National Boards and many specialty boards are increasingly testing for the interpersonal skills that horses develop in us. No previous horse experience is necessary. Contact Beverley Kane, MD, co-director,
650-868-3379 for more information. 1 to 3 units, Fall (S. LeBaron, B. Kane, S. North-Pohl, L. Mokres, Staff)
INDE 253. Rural Health from a Global Perspective
An overview of rural health in the US , comparing and contrasting that with rual health in developing courntries. Special attention will be given to vulnerable populations in both contexts. In addition special presentations will address wilderness medicine, and hands on sessions on skills in suturing and casting. Includes on-site visits to rural health clinics and health care programs. 3 to 5 units, Spr 5:30-7:00pm (S. LeBaron, E. Jones, M. Grudzen)
INDE 262A, B, C. Reaching Out to Undeserved Children: An Introduction to Community Health Education
INDE 262 is a service oriented and interactive community health class that examines prevalent public health issues through an experience-based approach and provides instruction through the implementation and direction of community-based programs. The first quarter of this two-quarter seminar series brings together students committed to and involved in public service as part of their professional development. Students will hear from experienced health professionals about the opportunities for incorporating community engagement activities into careers in medicine. Although this class will provide theory and models for such work, it is ultimately the application of such principles that drives this course.
During the second quarter of the seminar series, students will implement health education activities (developed during the first quarter) for middle and high school children in high need/vulnerable communities, and solicit evaluative feedback on the intervention from students and community partners.
This class will contribute to reach the overall goals of the Community Health concentration by providing an opportunity to better understand some of the social and environmental determinants that influence health/disease, to explore the role of race & ethnicity in health inequities, to expand understanding of how vulnerable populations are uniquely at health risk, and to appreciate the structure and function of “communities” as they relate to health.
262A, B, or C. 1-3 units, (N. Morioka-Douglas, E. Rodriguez)
INDE 283. Early Clinical Experience in Family & Community Medicine
(Enrollment limited to MD candidates.) An observational experience for preclinical students with family physicians where students spend two half days per week in practice and attend concurrent series of six seminars comparing data and experiences from their practices with exercises such as family systems analysis and medical cost care analysis. The experience provides students an opportunity to become involved in a medical practice and to experience the practice and lifestyle of a family physician.
3 units, any quarter ( S. LeBaron , J. Hopkins, M. Grudzen) (Search for instructor in Axess)
INDE 299. Directed Reading in Family and Community Medicine
Allows for students to organize an individualized study program in family and community medicine. Consent of instructor required. Interested students are encouraged to contact the Center for Education in Family & Community Medicine administration.
1 to 18 units, any quarter (S. LeBaron, E. Schillinger)
INDE 399. Graduate Research
Allows qualified students interested in conducting research in a specific area of family and community medicine to undertake investigations sponsored by the faculty instructor. Consent of instructor required. Interested students are encouraged to contact the Center for Education in Family & Community Medicine administration.
1 to18 units, any quarter (S. LeBaron, E. Schillinger)
INDE 301A. Family Medicine Core Clerkship - Closed to Visitors
Teaches the management of diseases commonly encountered in the ambulatory care setting. Emphasis is placed on efficient, cost-effective medical care of men, women and children of all ages in a variety of settings. Prevention, managed care, and cultural competence will be stressed. Didactic workshops will be conducted at SUMC and clinic sessions will be spent attending patients of one ambulatory site.
Prereq: MED 208 or INDE 206.
Periods Avail: 2-12, full-time for four weeks. 6 to 10 students per period.
Reporting Instructions: Where: To be sent by email. Call coordinator 2 weeks prior. Time: 8:00 am.
Units: 6 DropCode: T Call Code: 2 (Occasional weekend and/or evening activities.)
Director: Erika Schillinger, M.D.
Other Faculty: J. Jernick, E. Weinlander, S. LeBaron, A. Dubey, D. McKay, R. Lee, B. Feldstein.
Coord: Marita Grudzen (650-725-4480), Art Johnson (650-723-9621).
INDE 310A. Continuity of Care Clerkship - S1 Closed to Visitors
In the Continuity of Care Clerkship, students work with a preceptor in any field of medicine, including Family Medicine, Internal Medicine, Pediatrics, and the subspecialties. They are released from other clerkships for one afternoon a week for their continuity clinic as well as a monthly didactic session. Students participating in this clerkship work with one faculty preceptor and his/her patients for 9 months. This continuity experience allows students to establish a mentoring relationship with their preceptor, to see a cohort of patients repeatedly over time, and to gain insight into patient care.
Prereq: Medicine 300A, 301A or 333A or Peds 300A
Periods Avail: Can start any period.
Reporting Instructions: Please contact the clerkship director or coordinator 3-4 weeks prior to the first week of the clerkship.
Units: 6 DropCode: T Call Code: 0 (varies according to preceptor)
Director: Eva Weinlander, M.D. (650-723-7624, evaew@stanford.edu)
Other Faculty: E. Weinlander and other precepting physicians and lecturers.
Coord: Art Johnson (650-723-9621), email; avjohn@stanford.edu
INDE 337A. Women's Health Clerkship - S1 Closed to Visitors
The primary goals of this clerkship are to educate students about the major health concerns of women including issues of age, class, ethnicity and sexual orientation; to provide the skills to thoroughly and sensitively treat women patients; and to encourage the process of critical thinking about gender issues in clinical research and treatment. The clerkship begins with an introduction to the healthcare seeking practices of women. Then, through the life cycle approach, women's health issues from adolescence to geriatrics are reviewed. Special topics include sexuality, mental health, cardiovascular health, and violence against women. There are sessions on biological, psychological, and sociological transitions, such as menarche. The course wraps up with a focus on prevention and health maintenance to emphasize a wellness model of women's health. Each subject was designed by a "content expert" faculty member and contains well-defined goals in knowledge, skills and attitudes. The clerkship includes didactic and clinical experiences. The clinical sites emphasize ambulatory care but include specialty services such as breast clinic, Planned Parenthood, and sessions with practitioners who examine and treat victims of sexual assault.
Prereq: Medicine 300A or Pediatrics 300A. Consent of coordinator 6 weeks before clerkship.
Periods Avail: 1-12, full-time for two or four weeks. Maximum number of students is 4 per period.
Reporting Instructions: Call coordinator two to three months ahead, if possible, for arrangements.
Units: 3 or 6 DropCode: T Call Code: 0
Director: Samuel LeBaron, M.D. & Marita Grudzen.
Other Faculty: Stanford Faculty in Women's Health.
Coord: Marita Grudzen (650-725-4480).
INDE 344E. Family Medicine Elective Clerkship - S1 Open to Visitors
Offers the student a flexible learning experience as part of a team of family physicians working closely with Stanford's Family Practice Medicine Program at O'Connor Hospital. With faculty guidance, the student develops an individually tailored mix of inpatient and ambulatory patient care responsibilities, supplemented by conferences and tutorials in family medicine topics. Special faculty interests include sports medicine, school health, HIV, and geriatrics. Emphasis is given to providing comprehensive, continuity family orientated care to patients of all ages from multiple ethnic groups in an inner city community hospital setting and physician offices. Students must register to this clerkship before May 1st of each year. After this date, students wishing to do this clerkship must first contact the clerkship coordinator to set it up before registering.
Prereq: Medicine 301A. Fourth year medical students only.
Periods Avail: 1-12, full-time for four weeks. 1 student per period (one additional slot scheduled by Diane Jarosz at O'Connor Hospital). Rotations are scheduled up to one year in advance on a first come, first serve basis.
Reporting Instructions: Where: Program Office, 455 O'Connor Drive, Ste 250 , San Jose , CA 95128 ; Time: 10:00 a.m.
Units: 6 DropCode: T Call Code: 2 (night call optional)
Director: Daljeet Rai, M.D.
Other Faculty: Staff
Coord: Diane Jarosz (408-283-7767), 455 O'Connor Drive, Ste 250 , San Jose , CA 95128 .
INDE 345E. Family Medicine Office Clerkship - S1 Closed to Visitors
Family medicine preceptorship under physicians in family practice, in a model family practice unit (other than O'Connor Hospital), located in urban, suburban, or rural areas. The preceptor may be in private practice or in a health care center. Special opportunities are available in Indian Health Service settings, especially in South Dakota and New Mexico . The experience includes health supervision and primary medical care. It may include minor surgery and obstetrics under the supervision of the preceptor. The focus is family-oriented ambulatory care with minimal hospital experience. Team functioning and home visits are desirable. Visits with other health professionals and to community resources are important parts of the clerkship.
Prereq: Medicine 300A or Pediatrics 300A. Consent of coordinator 6 weeks before clerkship.
Periods Avail: 1-12, full-time for two or four weeks.
Reporting Instructions: Call coordinator two to three months ahead, if possible, for arrangements. Time: TBA.
Units: 3 or 6 DropCode: T Call Code: 0
Director: Samuel LeBaron, M.D.
Other Faculty: Stanford Family Practice Group
Coord: Marita Grudzen (650-725-4480).
INDE 354I. International Clerkship in Family and Community Medicine - Open to Visitors
This clerkship includes clinical, academic, and experiential components. The clinical component provides students an opportunity to interact with physicians, community leaders, health care workers, and patients in international settings. The emphasis of the clerkship is on rural, community health. Students will spend some time in one or more primary care clinics under the supervision of a medical preceptor, developing and practicing clinical skills, conducting health screening, and patient interviews. Participants are also encouraged to gain knowledge of local institutions, including medical schools, health departments, and local community governments. The academic portion of the clerkship will include the study of the social, political, historical, and economic background of the country and of the local region; local, non-western attitudes, beliefs, and practices regarding health care, including herbal and other complementary medicine; local institutions and infrastructure, including schools, social services, and the public health care system; and policies (local, regional, federal, and global) that impact health and the provision of medical care. In some sites students will have an opportunity to learn to effectively communicate health care issues in an appropriate manner in the local language. They will also have exposure to indigenous languages. Students will be expected to participate in projects that have direct benefit to the community, that may include: clinic intake interviews; assistance with child care in clinic; public health surveys; neighborhood needs assessment; basic English classes; basic health, hygiene, and/or nutrition classes; school health screening and education projects; and home visits to elders. The clerkships in Mexico and South Africa are cosponsored in partnership with International Alliance in Service and Education (IASE). The clerkships in India , China and Tibet are cosponsored in partnership with Volunteers in Asia (VIA) and organizations in the respective country. Students are required to participate in an eight-hour preparation course prior to departure, and a four-hour formal debriefing session upon their return. Location: Mexico (state of Morelos) and South Africa (Transvaal region), India ( New Delhi ), China ( Hangzhou and Shihaze), and Tibet ( Lhasa ).
Prereq: Clinical students may enroll at any time upon approval from the director (and IASE for the Mexico and South Africa sites); however, prior participation in core clerkships in Family Medicine, Internal Medicine, and Pediatrics is strongly recommended. Conversational Spanish is required for the Mexico site. Preclinical students may also participate in all of these sites (cf. INDE 284).
Periods Avail: 1-12, full-time for 4-8 weeks. A commitment of 8 weeks is strongly recommended.
Reporting Instructions: N/A
Units: 6-12 DropCode: T Call Code: No call, but may include some weekend work
Director: Sam LeBaron, M.D. (650) 725-5339.
Other Faculty: Christine Gabali, M.D. (415) 982-1296), & Sakti Srivastava, M.D. (650) 725-5339.
Coord: 415-982-1296 or 650-725-5339.
INDE 398A. Clinical Elective in Family Medicine Closed to Visitors
Provides an opportunity for a student in the clinical years to have a clinical experience in one of the fields of Family Medicine, of a quality and duration to be decided upon by the student and a faculty preceptor in Family Medicine. Please note: Students cannot add 398A clerkships directly to their fishbowl schedules through the regular shuffles. Please contact Caroline Cheang in the Office of Student Affairs at cheang@stanford.edu or 650-498-7619 with the faculty preceptor's name and email address to add this clerkship.
Prereq: MED 208 or INDE 206.
Periods Avail: 1-12.
Reporting Instructions: Where: TBA (designated faculty preceptor); Time: TBA
Units: 1 to 12 DropCode: T Call Code: 0
Director: Sam LeBaron, M.D.
Other Faculty: Staff
Coord: Marita Grudzen (650-725-4480)
* "S1"=Selective Clerkship Category I (Basics in Clinical Care)
"S2"=Selective Clerkship Category II (Subinternship)
