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Case Presentation During the Faculty Site Visit

During the faculty visit you will be expected to present a patient in whose care you participated during your Family Medicine Clerkship. Continuity is a principle in Family Medicine, so hopefully you will have had more than one encounter with the patient, be that as in-patient, ambulatory care, home visits, or all of the previous. Because some of you have split rotations this might be a challenge, so select a patient early in your clerkship. Unusual or rare diagnoses are not the focus of this presentation - rather we are looking for your understanding of the entire patient and their system. The presentation should be concise but include significant facets of a medical history, physical findings, treatment, and follow-up. Specifics of expectations during the presentation are noted below, and should address five general areas. Where appropriate, a portion of the presentation should address issues raised in context of the family. Be prepared to respond to questions regarding some of these issues if they are not addressed during your oral presentation.

1. Data Collection and Problem Solving ___/14 points
-focused, logical progression
-appropriate history and physical findings
-problem identification/prioritization
-logical assessment/DDx
-appropriate plan for problem(s)

2. Health Promotion/Disease Prevention ___/7 points
-age & gender specific primary prevention
-age & gender specific secondary prevention
-efficacy (sensitivity/specificity/PPV, etc) of prevention activity

3. Reciprocal Impact of Family and Culture ___/7 points
(may include any appropriate for this patient)
-family structure and function
-life cycle issues
-impact of culture
-family/community resources
-coping mechanisms
-complementary/alternative efforts

4. Scope of Practice (where appropriate) ___/6 points
-short and long term course of problem
-assessment of resources
-consultation/referral
-patient education
-doctor/patient relationship
-physician role on team
-financial issues (may include charges/insurance/etc)

5. Learning Issues ___/6 points
-problem focused
-learning resources
-ethical issues

6. Flow, Delivery of Presentation ___/10 points
TOTAL ___/50 points


 
 
 
 
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University of North Dakota
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Department of Family Medicine
School of Medicine & Health Sciences
PO Box 9037, Grand Forks, ND 58202
TELEPHONE 701-777-3200
FAX 701-777-3849
EMAIL family@medicine.nodak.edu