Fourth Year Clerkships
Fourth Year Elective
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
- Students submit the ELECTIVES SITE REQUEST FORM to Darci Lieb, Director of Medical Education
Programs and Clerkship Support, located in 1131 McKim Hall.
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
- Upon approval from Ms. Lieb, 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 Darci Lieb at 924-2194 or email at
You will receive a packet of
information about your site including two evaluation forms. One is
for the preceptor to fill out about the student which is returned
to the Office of Student Affairs. The second evaluation
form is for you to complete about the preceptor. This should be
returned to the Clinical Clerkship Support Office to Darci Lieb
where it is used to support faculty appointments. We are interested in
your feeddback. Feedback will not be discussed with the
preceptor until their evaluation of you has been received.
There may also be travel directions, housing
information, and a reimbursement form in your packet of information.
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
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
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:
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,
patient that the preceptor will return with you to review the
patient's history and physical examination, reevaluate the patient with
assessment of the problem and the recommendations with the
appropriate tests and write prescriptions with he preceptor's
progress note and have the preceptor approve it,
patient in follow-up, if possible and
attention to your schedule and the patient's - try not to keep patients
observing the preceptor:
preceptor's style of interaction and interview techniques,
in the interview when appropriate,
in the physical examination with the preceptor,
interpret diagnostic tests,
in and discuss the decision making with the preceptor.
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.
B. Heald, MD, AIM Clerkship Directorebh3a@virginia.edu
Peter Ham, MD Family
Medicine Clerkship Director firstname.lastname@example.org
Clerkship Administrator AIM-& FM (434)
Leslie Stewart, Clerkship Coordinator, FM-(434)
Hill, Clinical Clerkship Support - (434) 924-9609 email@example.com.