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FAMILYMEDICINECLERKSHIPEOQHIGHLIGHTSNewsletter

October7th2016

SAVE-THE-DATE:2016-2017EndofQuarterMeetings:..............................................................................................1TopFiveTake-awayPointsfromtheOctoberEOQ.....................................................................................................1ClerkshipandSiteUpdatesandAnnouncements.......................................................................................................2

Clerkship..................................................................................................................................................................2Site...........................................................................................................................................................................2

CurriculumaboutSuffering.........................................................................................................................................3IdentifyingVictimsofHumanTrafficking....................................................................................................................3Evidence-basedShoulderExam..................................................................................................................................4TourofUWMedicine,SportsMedicineClinic,UWHuskyStadium............................................................................4FMCAwardsPresentations.........................................................................................................................................5MS4StudentPanel......................................................................................................................................................6

Take-awaypointsfromstudentpanel:...................................................................................................................6

SAVE-THE-DATE:2016-2017EndofQuarterMeetings:

WINTERMarch3,42017SPRINGJune2,2017

AUTUMNOctober13,2017

TopFiveTake-awayPointsfromtheOctoberEOQ

1) TheUWSOMpolicyonElectronicHealthRecordaccessrequiresthatstudentsareabletodocument,atminimum.PleaseensurethatallsitesreadandadheretotheUWSOMpolicy,linkedhere:

www.depts.washington.edu/fammed/wp-content/uploads/2015/03/EHR-Policy-Final-2015-041715.pdf2) Teachingaboutsufferingisimportant.Acurriculummoduleforstudentsisinprocess,asisfaculty

developmentforteachers.Ifyouareinterestedinhelpingwiththiscurriculum,pleasecontactTomEgnew.

3) “Lookbeneaththesurface:”considerhumantrafficking(sexualorlaborexploitation)whenseeingpatientsinanysetting.TheNationalHumanTraffickingResourceCenterhotlineis:1.888.373.7888andthewebsiteiswww.traffickingresourcecenter.org/

4) Forpatientsover50,“shrugtest”canruleoutfrozenshoulder,completerotatorcufftear,orosteoarthritis.

5) ThestudentpanelistshighlightedthevalueofautonomyandappreciatedthequalityoffeedbackintheFMclerkship.

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TheEOQparticipantslisteningtoDr.JohnO’KanegiveatalkonEvidence-BasedShoulderExam.

ClerkshipandSiteUpdatesandAnnouncements

Clerkship

• UpdatedFinalExamProtocol–Clickherefornewprocedure:www.depts.washington.edu/fammed/wp-content/uploads/2015/03/FM-Final-Exam-Instructions-PROCTOR.pdf

• UpdatedGradingCriteriadiscussed.www.depts.washington.edu/fammed/wp-content/uploads/2015/03/GradingCriteria-AcademicYr-2016-17.pdf• IfyouareinterestedinjoiningtheFMCSteeringCommitteeemailfmclerk@uw.edu• AnnualFMCEvaluationsdistributed.Ifyouwerenotthere,thesewillbeinthemailforyou!

Site

• Lotsofgrowthandbuildingatclerkshipsites!• SomechallengeswithEHRuseforstudents–seeofficialUWSOMEHRPolicy:

www.depts.washington.edu/fammed/wp-content/uploads/2015/03/EHR-Policy-Final-2015-041715.pdf

• Changesinhospital/clinicadministration,newsitedirectors,andnewsitesavailableorsitesnolongeravailableacrosstheregion.

• Ifyouareanewsitedirector,WELCOME,pleasefeelfreetoemailorcallwithanyquestions!

NewVenue!TheEOQMeetingwasattheWaterfrontActivitiesCenter,locatedonthewaternearHuskyStadium.

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CurriculumaboutSuffering

TomEgnew,LICSW,Ed.D

TomEgnewandEOQparticipants• Updatefromlastmeetingandbackgroundonmedicalstudents’viewofsuffering• DraftedModuleProposalPresented:

o StudenttoreadarticleprovidedàDoareflectiononpatient’snarrative(howdiditimpactthem?,questionstheystillhave,whatdidtheytalkaboutwiththepatient?)àSharereflectionwiththeirpreceptorordesignatedmentor

• Thisconversationisnotyetover,hereisalistofquestionsdiscussedatthemeeting:o Istherean“appropriatecurricularresponse”toamedstudent’sreflectiononsuffering?Response

canbepersonalforeveryphysician.o Shouldanobjectivebeadded?Thisisnottheonlysolutionandpreceptorsarealsostilllearningas

anongoingprocess.Furtherdevelopmentisneeded.o HowdoIasateacherletstudentsinonthispersonaltime?Patientstrustpreceptorandmaynot

feelas“safe”withstudents.o Optionalorrequiredmodule?Ifoptionalthendoesthatsendthemessagethatthisisnot

important?Possibletotryoneyearoptional,withthepossibilityofrequiringitthesecondyear.Majorityofstudentsmaytaketheeasierpathifoptionalbecauseitisuncomfortable,howeverthesemaybetheonesthatneeditthemost.

• Participantsvoicedthatfurtherdiscussion/trainingisneeded,thiswillbebroughtupagainattheMarchEOQ.Asareminder,pleasecontactTomEgnewifyouareinterestedindevelopingthismodule.

HereisthelinktoTomEgnew’sproposedmoduleand2-pagereading:- www.depts.washington.edu/fammed/wp-content/uploads/2015/03/T.E.Materials-on-Suffering-Curriculum.pdf

IdentifyingVictimsofHumanTrafficking

CynthiaWolfe,MD

Dr.Wolfeprovidedanexplanationofcurrentstatsissuesofhumantrafficking,abriefhistoryofhumantrafficking,nationalresourcesandhotlineavailabletovictimsandproviders,providertrainingonhowtoidentifysignsofvictimsofhumantrafficking,andshealsoprovidedmanyusefulhandoutsandprintresources.

• NationalHumanTraffickingResourceCenter(NHTRC)hotlinephonenumber:1.888.373.7888

• NHRTCwebsite:http://www.traffickingresourcecenter.org/• Text“BeFree”(233733)

HereareDr.Wolfe’shandouts,slides,andalinktoallresourcesavailableattheEOQ:

- www.depts.washington.edu/fammed/wp-content/uploads/2015/03/C.W.WAE_HCP_Training_UWMedicine_10.07.2016.pdf- www.depts.washington.edu/fammed/wp-content/uploads/2015/03/HT_PowerControl_Wheel.pdf- www.depts.washington.edu/fammed/wp-content/uploads/2015/03/NHTRC_Framework_HT_Protocol_Healthcare_Settings.pdf- www.depts.washington.edu/fammed/wp-content/uploads/2015/03/Online_Resources.pdf

- www.depts.washington.edu/fammed/wp-content/uploads/2015/03/Polaris_Victim_Identification_Medical_Exam.pdf- www.depts.washington.edu/fammed/wp-content/uploads/2015/03/ASU_Sex_Trafficking_ASU_Brochure.pdf

DigitalcopiesofprintmaterialsavailableatEOQ:- http://www.waengage.com/resources

CynthiaWolfe,MDandJeanneCawse-Lucas,MD

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Evidence-basedShoulderExam

JohnO’Kane,MD

Dr.O’Kanepresentedanevidence-basedapproachtophysicalshoulderexamaswellaschoicesfor

diagnosticimaging.Linktoslides:www.depts.washington.edu/fammed/wp-content/uploads/2015/03/J.O.Evidenced-based-shoulder-exam-sept-16.pdf

TourofUWMedicine,SportsMedicineClinic,UWHuskyStadium

AlyssaWilliamson,MBAMHA,&DaveSiebert,MD

EOQAttendee’saccompaniedClinicManager,AlyssaWilliamsonandSportMedicineFellow,DaveSiebertonatourofUWMedicine,SportsMedicineClinic.

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FMCAwardsPresentations

DistinguishedFacultyRobertWeston,MDNanetteSmith,MD

FacultyProfessionalismAwardWinnersSonjaOlson–CountryDoctorZacharyWarnock–Pocatello

TroyWitherrite–WhiteSalmon

StudentProfessionalismAwardWinnersPatrickCallahan–Ferndale

VolkmarGaussmann–SwedishFirstHillCarolinePihl–Libby

FacultyandStudentProfessionalismAwardNominees

FacultyProfessionalismAwardToddBergland–Whitefish

CatherineDinglasan–OthelloValEdwards–SitkaSueGallo–MilesCityTobeHarberd–Chelan

JenniferHyer–PetersburgMollyHong–PtTownsend

SonjaOlson–CountryDoctorPhilReilly–Seamar

MarkSchueler–BuffaloJonathanShupe–Coeurd’AleneRebeccaSiemers–Coeurd’Alene

KristenSolanaWalkinshaw–AnchorageMindyUdell–Yakima

ZacharyWarnock–PocatelloTroyWitherrite–WhiteSalmonJohnVanBuskirk–Tacoma

IrbertVega–Sitka

StudentProfessionalismAwardEricAlcid–Yakima

ErikaAllhusen–BillingsJaredBrooks–OlympiaRebeccaBriggs–OlympiaPatrickCallahan–FerndaleChrisErley–TacomaFMR

VolkmarGaussmann–SwedishFirstHillKyleenLuhrs–CountryDoctor

KelseyPetrie–NewportCarolinePihl–Libby

IlanaRoberts–LeavenworthNaveeSidhu–OlympiaEricShamp–SeaMar

JosephSteffens–Coeurd’AleneKimeshiaThomas–CountryDoctor

JoyThurman-Nguyen–CountryDoctorJustinWillis–Olympia

Thankyouallforyourhardwork!Tonominateyourstudentsfortheprofessionalismaward:https://catalyst.uw.edu/webq/survey/fmclerk/91579

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JeanneCawseLucas,MD;TomasGreer,MD;PatrickCallahan,MS4;VolkmarGaussmann,MS4;MarkJohnson,MD;MisbahKeen,MD

MS4StudentPanel

Studentfromlefttoright:BridgetMcNultyJaredBrooksVolkmarGaussmannMillieBoyd

Take-awaypointsfromstudentpanel:

1. Therewasamixofpreferencesregardingmanypreceptorsversus1-2;moststudentsfeltthattheygotalotoutofamixofpreceptors,thoughsomefeltthattheconsistencyallowedskillstogrowmore.

2. Studentsreallyvaluedtherequiredmid-clerkshipfeedback,sayingthatitimprovedthetransparencyoftheirgradingandallowedthemtofocustheireffortsmorespecifically.

3. Havinganopportunitytoshareinthedocumentationofpatientvisitswashighyield.4. Thestudentsvaluedthe“onthefly”teachingthattheygotintheFMclerkship.

Thankyouforattending!

WeareveryopentofeedbackforupcomingEOQs.Ifthereisaparticulartopicyouwouldliketoseecovered,pleaseemail:fmclerk@uw.edu

ExcellentdiscussionwithForth-YearMedicalStudents!