Fourth Year Clerkships

Fourth Year Clerkships

Fourth Year Elective Rotations

Students are asked NOT to contact any preceptors directly
regarding a 4thYear Elective in Family Medicine or IM
until approved to do so by the Clinical Clerkship Support Staff.

  • Students submit the ELECTIVES SITE REQUEST FORM to Sylvie Moore, Medical Education Program Administrator for the AIM and Family Medicine Clerkships, located in Health Sciences Library Room 1307G. The form is checked and submitted to the AIM or FM Clerkship Director for approval. The form will ask if the student has a doctor they would like to request, or if they want the Clinical Clerkship Support Office to assign a preceptor already in the system.

  • There is a limited budget allocated for these clerkships. They are granted on a first-come, first served basis.

    • Upon approval from Ms. Moore, the student then calls and works directly with the preceptor to set up the elective. Call your preceptor again shortly before the rotation to arrange arrival times and other important information. If you have problems contacting the preceptor's office, call Sylvie Moore at 982-2516 or email at
      • At the end of the rotation, your preceptor will receive and electronic Oasis evaluation to complete for you.  You, in turn, will receive an electronic request to complete an evaluation for your preceptor.

      • Travel directions, housing information, and a reimbursement form will be provided to you prior to the start of your rotation.  Please be sure you understand this paperwork and let the Clinical Clerkship Support Office know if anything is unclear. Not all sites are eligible for housing support. Check with our office if you are unclear about whether or not you qualify for reimbursement. Note that no refunds are possible without a RECEIPT.

      • Guidelines for Students Working in Office Practices

        1. Students are encouraged to participate in all activities of the practice.
          Assume an active, interested role as a partner in the group practice. Participate not only in the office evaluation of patients, but also in administrative and economic planning, hospital rounds and emergency room visits night and weekend call (to be scheduled), laboratory testing, and home and nursing home visits
        2. In the office, students are encouraged to work independently as well as observe the preceptor. When working independently, let the following steps be a guide:
          • see patient alone, introduce yourself, informing the patient that you are a medical student, working with the patient's permission,
          • perform a focused interview and physical examination, determined by the patient's symptoms and concerns, formulate a differential diagnosis, decide on the diagnostic and therapeutic strategies needed,
          • tell the patient that the preceptor will return with you to review the situation,
          • present the patient's history and physical examination, reevaluate the patient with the preceptor,
          • discuss the assessment of the problem and the recommendations with the patient,
          • order appropriate tests and write prescriptions with he preceptor's approval,
          • write a progress note and have the preceptor approve it,
          • see the patient in follow-up, if possible and
          • pay attention to your schedule and the patient's - try not to keep patients waiting.
        3. When observing the preceptor:
          • observe the preceptor's style of interaction and interview techniques,
          • participate in the interview when appropriate,
          • participate in the physical examination with the preceptor,
          • perform and interpret diagnostic tests,
          • participate in and discuss the decision making with the preceptor.
        4. Students are encouraged to be independant learners. Get involved in the care of patients and read about the problems that you see.
          • note in a log patients who were difficult or interesting for you,
          • talk with your preceptor about preventive medicine, cost containment, insurance and billing, staff relations, being on call, balancing the professional and personal aspects of your life, and so on.

        Evan B. Heald, MD, AIM Clerkship
        Peter Ham, MD Family Medicine Clerkship                   Sylvie Moore, Clerkship Administrator AIM/FM (434)
        Minerva Hill, Clinical Clerkship Support - (434) 924-9609