The required Family and Community Medicine Core Clerkship is designed to introduce students to the depth and breadth of family medicine, and the critical role it plays in the delivery of health care in the United States. Students will be exposed to a wide variety of material, some seen in other clerkships and rotations, but in the context of the core overriding principles of family medicine. These principles include provision of comprehensive, contextual care utilizing the bio-psychosocial model rooted in continuity, allowing for coordination of complex care over time. The clinical weeks will be spent in a single, family medicine office, giving the students the opportunity to experience the breadth of diagnoses and visit types seen in family medicine, and to experience continuity of care. Prior to the rotation, students will take a formative exam, giving them the opportunity to design their own study plan. Individual learning topics and case assignments will guide students through important areas of study during the rotation.

Students may develop an individualized research plan of their choice under the direction of a faculty member. Students should work with a faculty member to submit the form Elective Proposal to Educational Affairs at least eight weeks prior to the projected start date. This elective requires prior approval.

Students may develop an individualized course on a topic of their choice under the direction of a faculty member. Students should work with a faculty member to submit the form Elective Proposal to Educational Affairs at least eight weeks prior to the projected start date. This elective requires prior approval.

The purpose of this elective is to provide support to core clerkship students transitioning into the Family Medicine clerkship. Student Chiefs will orient core clerkship students to expectations of the Family Medicine clerkship and student roles. The chiefs are the student leaders expected to be available to the core clerkship students on the Family Medicine rotation for support with knowledge and skills required to successfully complete the clerkship. Students interested in being a Student Chief need to apply and will be selected by the faculty. This elective is available for Rotations 1, 2, and 3 only.

Sports Medicine is a body of knowledge and broad area of health care which includes (1) exercise as an essential component of health throughout life, (2) medical management and supervision of recreational and competitive athletes and all other who exercise, and (3) exercise for the prevention and treatment of disease.

A physician with significant specialized training in both the treatment and prevention of illness and injury, the Sports Medicine Specialist helps patients maximize function and minimize disability and time away from sports, work, or school and is a leader of the Sports Medicine team, which also may include specialty physicians and surgeons, athletic trainers, physical therapists, coaches, other personnel, and the athlete. Students have the opportunity to see patients in the outpatient setting as well as accompany attending and fellow during training room visits. Students will be expected to attend sporting events and write up appropriate cases with the assistance of the attending.

Street Medicine is the fast-growing field of medicine dedicated to providing primary care and urgent care to people experiencing homelessness-meeting patients where they live, in encampments, under bridges, and in alleys, providing safe and effective care in the field. In this two or four-week elective, students will integrate into the Street Medicine Kalamazoo (SMKz00) team and will have the opportunity to take longitudinal ownership for the care of new and existing patients on the SMKzoo patient panel for four weeks.

Students will work closely with an interprofessional team that includes physicians, pharmacists, and social workers to provide primary care and social services to precariously housed, unhoused, and unsheltered unhoused individuals in Kalamazoo. This population has unique health needs and considerations. Students will gain skills in treating common primary care concerns as well as conditions more prevalent in unsheltered unhoused individuals. They will also gain experience in utilizing point of care ultrasound and performing ambulatory procedures in the field/pop-up clinic setting.

During this elective, students are immersed in the social determinants of health of this population, helping to coordinate care and breakdown barriers to care in order to help patients achieve their health goals. Regardless of their future career goals, students will find benefit from practicing this inclusive style of medicine during this elective. Students will gain insight into social determinants of health and inclusion medicine that is sought after by residency programs.

Ambulatory Family Medicine is an opportunity for students to participate in a busy, resident-based family medicine outpatient clinic. Students will act as entry level residents with direct supervision by senior Family and Community Medicine residents or attending physicians. Participants will perform the initial evaluation of patients, review patient records, and assimilate the information they have gathered into a complete assessment of the patient's presenting problems. Finally, students will be expected to develop a plan for each problem identified. Patients will be regularly presented to supervising physicians to finalize plans and follow-up. Students expand upon competencies they developed during the third year as they team with residents and/or preceptors to provide preventive health services as well as acute and chronic illness management. The faster pace of ambulatory care provides an environment that strengthens patient and family communication skills, rapport development, and oral presentations. The use of evidence to inform treatment and counseling of patients and their caregivers are additional competencies that are highlighted in the outpatient setting.

Advanced Hospital Family Medicine is an opportunity for students to participate in a busy, family medicine oriented, academic inpatient service at Bronson Methodist Hospital. Students will act as a sub- intern on the Family Medicine Service (FMS), comprised of and supervised by residents and attendings from the Department of Family and Community Medicine.

Participants will have the opportunity to work both days and nights on the service. While on days, students can expect to be responsible for the review, evaluation and management of 1-2 admitted patients under direct supervision. They will participate in regular daily rounds, presenting each patient under their care to the attending physician with their plan for the day. Students will be expected to present regularly on medical topics pertinent to the patients under their care. On nights, students will review and evaluate admitted patients and have the opportunity to admit patients from the emergency department.

This course can be taken as a required sub-internship or an elective. Students using the rotation as an elective may choose either two or four week experiences.