Information for our Preceptors

Preceptor Manual

Course Goal and Objectives

The goal of the required Family Medicine Preceptorship is to provide third year medical students with a positive experience in a community family practice office, which will give them an opportunity to:

  1. Experience continuity of patient care in a community setting,
  2. Strengthen their patient communication skills and interact positively with patients,
  3. Participate in management of medical problems commonly seen in the family practice office,
  4. Participate in health maintenance and patient education activities,
  5. Participate in attending to the emotional as well as physical health needs of the patient and family,
  6. Learn how to become an effective member of an interdisciplinary health care team,
  7. Learn about referrals and consultations with other physicians,
  8. Observe office management practices,
  9. Explore their potential interest in family practice as a specialty choice, and
  10. Develop a relationship with a practicing community family physician.

Instructor version of discussion cases

This information is for preceptors only. Students are asked to not access this information and to respect this restriction as an honor code issue.

References: Discussion Cases

Chest Pain

McConaghy JR, Oza RS. Outpatient Diagnosis of Acute Chest Pain in Adults. Am Fam Physician. 2013 Feb 1;87(3):177-182. http://www.aafp.org/afp/2013/0201/p177.html

Barstow C, Rice M, McDivitt JD. Acute Coronary Syndrome: Diagnostic Evaluation. Am Fam Physician. 2017 Feb 1;95(3):170-177. http://www.aafp.org/afp/2017/0201/p170.html

Engberding N, Wenger NK. Acute Coronary Syndromes in the Elderly. F1000Research. 2017;6:1791. doi:10.12688/f1000research.11064.1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5627582/

Headache

Hainer BL and Matheson EM.  Approach to Acute Headache in Adults., American Family Physician, 2013;87 (10):682- 687. May be found at: http://www.aafp.org/afp/2013/0515/p682.html

Beck E.  Hard-to-Diagnose Headache: Practical Tips for Diagnosis and Treatment.  American Family Physician, 2013; 87 (10): 672-73. May be found at: http://www.aafp.org/afp/2013/0515/p672.html

Callaghan BC, et al.  Headache Neuroimaging: Routine testing when guidelines recommend against them.  Cephalalgia, 2015; 35 (13): 1144-52. May be found at: https://www.ncbi.nlm.nih.gov/pubmed/25676384

Gamboa S. Headache (Chapter 45). In: Essentials of Family Medicine, 6th ed. Philadelphia, PA: Wolters Kluwer/Lippincott, Williams and Wilkins, 2012, 533-542.

Cough

ACCP Evidence-Based Practice Guidelines, “Diagnosis and Management of Cough Executive Summary”: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3345522/

Kinkade, S. & Long, N.A. “Acute bronchitis.” Am Fam Physician, 2016 Oct 1;94(7):560-565. http://www.aafp.org/afp/2016/1001/p560.html

Benich III, J. J. & Carek, P. J. “Evaluation of patient with Chronic Cough.” Am Fam Physician, 2011 Oct 15;84(8):887-892. http://www.aafp.org/afp/2011/1015/p887.html\

Dysuria

Michels TC and Sands JE. Dysuria: Evaluation and Differential Diagnosis in Adults. American Family Physician. 2015; 92 (9): 778-788. https://www.ncbi.nlm.nih.gov/pubmed/26554471

Mody L and Juthani-Mehta M.  Urinary Tract Infections in Older Women: A Clinical Review.  JAMA, 2014; 311(8): 844-54. https://www.ncbi.nlm.nih.gov/pubmed/24570248

Bent S, Nallamothu BK, et al, Does this woman have an acute uncomplicated urinary tract infection? JAMA, May 22/29, 2002;287(20):2701-10. https://jamanetwork.com/journals/jama/fullarticle/194952

Bergus GR, Dysuria (Chapter 27). In: Essentials of Family Medicine, 6th ed. Philadelphia, PA: Wolters Kluwer/Lippincott, Williams and Wilkins, 2012, 327-336.

Dizziness

“Dizziness: Approach to Evaluation and Management”. Am Fam Physician. 2017 Feb 1;95(3):154-162. http://www.aafp.org/afp/2017/0201/p154.html

“TiTrATE: A Novel Approach to Diagnosing Acute Dizziness and Vertigo”.  Neurol Clin. 2015 Aug; 33(3): 577–599. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4522574/

“Imprecision in Patient Reports of Dizziness Symptom Quality: A Cross-sectional Study Conducted in an Acute Care Setting”. Mayo Clinic Proceedings. 2017 Nov; 82(11): 1329-1340. http://www.mayoclinicproceedings.org/article/S0025-6196(11)61411-0/fulltext

Fatigue

Rosenthal TC, Majeroni BA,  et al. Fatigue: An Overview. American Family Physician. 2008; 78 (10): 1173-79. https://www.ncbi.nlm.nih.gov/pubmed/19035066

Salmon P, Humphris GM, et al.  Why Do Primary Care Physicians Propose Medical Care to Patients with Medically Unexplained Symptoms?  A New Method of Sequence Analysis to Test Theories of Patient Pressure.  Psychosomatic Medicine 2006; 68: 570-77. https://www.ncbi.nlm.nih.gov/pubmed/16868266

Rosenthal TC and Patel V, Fatigue (Chapter 43). In: Essentials of Family Medicine, 6th ed. Philadelphia, PA: Wolters Kluwer/Lippincott, Williams and Wilkins, 2012, 513-523.

 

References: Clinical Teaching

Note: there is a vast amount of other medical information and patient information available via the Internet. However, this list is focused on clinical teaching related topics:

CCOM References and Policies

Other Preceptor Resources