Family Medicine Pathway (curriculum as of Class of 2025) Introduction Sites and Personnel Goals and Objectives Description of Pathway Textbooks and Learning Resources Evaluation

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REVIEW FOR PATHWAY 2024-2025:

Introduction

 The Department of Family Medicine offers a discipline-based pathway for members of the senior class.

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Drexel University College of Medicine
Jennifer Hamilton, M.D.
Department of Family, Community and Preventive Medicine
10 Shurs Lane, Suite 203
Philadelphia, PA 19127
(215) 482-4744 Phone
(215) 482-1095 Fax
jlh88@drexel.edu
Preferred method of contact is email; students are asked to contact Ms. Scott.

Coordinator: Ashlee Scott
(215) 991-8517 Phone
(215) 843-7738 Fax
ads49@drexel.edu

Associate Pathway Directors/Site Preceptors, Site Coordinators and Teaching Sites:

Site	Associate Director/Site Preceptor	Site Coordinator
Drexel University College of Medicine	Leon McCrea, M.D. 10 Shurs Lane, Suite 301 Philadelphia, PA 19127 (215) 482-4744 Phone (215) 482-1095 Fax	Lindsey Gripenburg (215) 967-1632 Phone
Chestnut Hill Hospital Family Hospital	Amanda Zavodnick, M.D. 8815 Germantown Avenue, 5th Floor Philadelphia, PA  19118 (215) 248-8907 Phone (215) 248-8852 Fax	Amanda Zavodnick (215) 248-8872 Phone (215) 248-8852 Fax
Crozer-Chester Medical Center	Gary Zane, M.D. Department of Family Medicine 1260 E. Woodland Avenue, Suite 200 Springfield, PA  19064 (610) 690-4471 Phone (610) 690-4479 Fax	Donna Collins (610) 690-4488 Phone (610) 690-4479 Fax
Forbes	Mary Cooper, M.D. Forbes Family Practice 2550 Mosside Boulevard, Ste #500 Monroeville, PA 15146 (412) 457-1050 Phone (412) 457-0255 Fax	Gina Sacco-Tucker (412) 457-1050 Phone
St. Vincent Family Practice	Timothy Pelowski, M.D. 2314 Sassafras Street, Suite 306 Erie, PA  16502 (814) 452-5101 Phone (814) 452-5097 Fax	Mary Wassell (814) 452-5106 Phone
Washington Hospital	Paul Slomiany, M.D. Department of Family Medicine 95 Leonard Avenue Washington, PA  15301 (724) 223-3604 Phone (724) 229-2178Fax	Stacy Thomas (724) 223-3604 Phone (724) 229-2178Fax
York	Nancy Nagib,M, M.D. 1001 S. George Street York, PA 17403 (717) 851-3038 Phone (717) 851-5852 Fax	Christie Colon (717) 851-3038 Phone Email ccolon@wellspan.org

The above clinical campuses and affiliates have offered to provide the ambulatory experience. These are competitive and priorities will be given based on a first come basis and request from the clinical site.

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The objectives of this pathway will be:

1. To provide the students with a broad experience in both hospital-based and ambulatory medicine.
2. To build on the clinical and cognitive skills learned during the preceding three years of medical school
3. To prepare students for residency training in a primary care discipline.

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The essential components of the pathway are:

Required Courses

1. Take ownership of their patients and be the primary point person regarding their care.
2. Demonstrate the ability to care for patients with increasing independence while seeking help when appropriate
3. Handle the daily tasks of an intern including preparing for rounds, presenting on rounds, interprofessional knowledge and communication skills, and patient interactions, histories and physicals, note writing of all varieties, and sign-out in a proficient and efficient manner.
4. Apply their knowledge towards diagnosis and management of common acute complaints and chronic conditions, creating care plans and communicating with consultants as necessary.
5. Perform general procedures through demonstration of the necessary preparation and key issues required for the performance of procedures, including understanding patient-specific factors, indications, contraindications, risks, benefits, and alternatives. 
6. Demonstrate reliable mechanical skills in performing procedures in most situations and knows when to seek help for procedures or situations beyond the learner’s abilities.
7. Perform safe transitions of care, coordination of care, and discharge planning.

3. Family Medicine rotation at a U.S. residency program, Armed Services site, or Indian Health Services site

All Family Medicine 4^th Year Pathway courses must be scheduled directly through the Family Medicine Pathway Office. Declared Pathway students have priority for available affiliate sites. Non-pathway students will be assigned to accessible sites. Students may contact the affiliate sites directly, or they may make arrangements with the Coordinator in the Department of Family Medicine for 4^th Year Pathway. Please call (215) 482-4744. Students who are pursuing Family Medicine residencies outside Pennsylvania should contact the Pathway Director, Dr. Hamilton, for options.

Subinternships
A. Introduction

One Emergency Medicine subinternship experience will be at a Drexel University College of Medicine home site.

One four-week required subinternship in Internal Medicine.

B. Goals and Objectives

The two subintern experiences are meant to build on skills previously obtained during third-year clerkships, as well as understand the complexities of providing both inpatient and ambulatory care and the interrelation between the two.

The subintern will be expected to be an integral part of inpatient and ambulatory services. The subinternship should provide the student with sufficient number of patients and educational opportunities for their academic growth.

C. Subintern Responsibilities

The expectations of the senior student will be to fulfill the requirements set forth by the individual departments which are providing the subinternship.

Family Medicine Rotation - Required
The outpatient experience in Family Medicine is an essential component of the fourth-year pathway. This rotation ideally will permit the senior student to understand the interrelation of ambulatory and inpatient care based on the current realities of medicine.

Electives
A. Required Electives

The required electives are to broaden and enhance skills, to practice medicine in a system whose future is clearly ambulatory based.

Electives may be chosen from the following list of medical or surgical specialties:
· Cardiology
· Dermatology
· ENT
· Gynecology (ambulatory)
· Infectious Disease
· Ophthalmology
· Orthopedics (ambulatory)
· Pediatrics (ambulatory)
· Psychiatry
· Pulmonary
· Radiology
· Rheumatology
· Renal

B. Free Electives

The student may choose three free electives at either "home" or "away" clinical sites. These electives should be used to:
1. broaden or pursue an interest
2. strengthen any perceived weakness or deficiencies
3. evaluate a potential residency program

Free electives need to be approved by the Department of Family Medicine.

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As required for specific rotations.

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Evaluation of the Student
The student's performance in each rotation will be evaluated by supervising physicians, and residents when appropriate, using the standard Drexel University College of Medicine clinical evaluation form. Students not receiving a grade of satisfactory or higher will be counseled and provided with remediation.

Evaluation of 4th year Courses
Upon completion of each rotation, students are encouraged to complete the end-of-rotation evaluation form in DOCSS. Students have the opportunity to provide feedback on the rotation as well as on specific faculty (and residents) with whom they worked in DOCSS. All feedback is de-identified.

Evaluation of the Pathway
Students are encouraged to complete an end-of-year Pathway evaluation for the Pathway. The feedback from this evaluation will help in advising future students more effectively.

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