Clinical content of the WAMI community clerkship in family medicine. 1982

W R Phillips, and R A Rosenblatt, and M J Gordon, and R M Fletcher

Student experience with diagnostic encounters and clinical procedures was documented in the WAMI Program's Community Clerkship in Family Medicine from 1974 to 1978. This six-week senior clerkship was completed by 234 students and taught in six family practicees across the four-state WAMI (Washington, Alaska, Montana, Idaho) region. Students encountered a mean of 83 diagnostic problems and 22 procedures weekly. The average student saw 56 percent of the diagnoses common in family practic and performed 26 percent of the common procedures. The mean level of student responsibility (self-rated with 3 = independent management, 2 = assisted, and 1 = observed) was 2.7 for diagnostic encounters and 2.4 for procedures and increased over the four years. Despite the wide geographic separation and diversity of teaching sites, few differences were observed among the sites; this suggests that a community-based family medicine clerkship can be taught in a widely scattered network of rural teaching practices with uniformity of clinical content and educational quality.

UI MeSH Term Description Entries
D007061 Idaho State bounded on the north by Canada, on the east by Montana and Wyoming, on the south by Nevada and Utah, and on the west by Oregon and Washington.
D007396 Internship and Residency Programs of EDUCATION, MEDICAL, GRADUATE training to meet the requirements established by accrediting authorities. House Staff,Internship, Dental,Residency, Dental,Residency, Medical,Dental Internship,Dental Internships,Dental Residencies,Dental Residency,Internship,Internship, Medical,Internships, Dental,Medical Residencies,Medical Residency,Residencies, Dental,Residencies, Medical,Residency,Residency and Internship,Internships, Medical,Medical Internship,Medical Internships,Residencies,Staff, House
D009009 Montana State bounded on the north by Canada, on the east by North Dakota and South Dakota, on the south by Idaho and Wyoming, and on the west by Idaho and Utah.
D003933 Diagnosis The determination of the nature of a disease or condition, or the distinguishing of one disease or condition from another. Assessment may be made through physical examination, laboratory tests, or the likes. Computerized programs may be used to enhance the decision-making process. Diagnose,Diagnoses and Examination,Antemortem Diagnosis,Diagnoses and Examinations,Examinations and Diagnoses,Postmortem Diagnosis,Antemortem Diagnoses,Diagnoses,Diagnoses, Antemortem,Diagnoses, Postmortem,Diagnosis, Antemortem,Diagnosis, Postmortem,Examination and Diagnoses,Postmortem Diagnoses
D005194 Family Practice A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family. Family Practices,Practice, Family,Practices, Family
D000413 Alaska State of the UNITED STATES OF AMERICA bounded on the east by Canada and on the north, west, and south by the Pacific Ocean and the Bering Sea. Aleutian Islands
D012423 Rural Health The status of health in rural populations. Health, Rural
D014861 Washington State bounded by on the north by Canada, on the east by Idaho, on the south by Oregon, and on the west by the Pacific Ocean.

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