Department of Family Medicine

FMME 401	Family Medicine And Community Fieldwork
Faculty:	Pam Frasier, Ph.D., MSPH and Dain Vines, MD
Prerequisites:	Completion of 1st year & permission of course director
Offered:	All elective periods
Max. Enrollment:	None
Duration:	One elective period
Meeting Place:	To be arranged
Meeting Times:	To be arranged
Credit Hours:	6
Learning Objectives:	Upon completion of this course, student will be able to: 1) Apply interviewing and physical exam skills to the management of primary care problems for underserved populations. 2) Identify health care needs of the underserved and outline ways that those needs may be addressed. 3) Identify and use health care resources appropriately for underserved populations. 4) Discuss the family physician's role in the community and the function of organized medicine in meeting the needs of the underserved populations.
Learning Activities:	This elective allows students to work with a family physician practicing in an ambulatory setting and observe the delivery of health care in that community. Approval will be made by the course director. Interested students should contact Dr. Pam Frasier in the Department of Family Medicine (966-4048) to arrange for interviews and credit.
Evaluation:	For pre-clinical students, credit for this course will be based upon community preceptor feedback about activities in the clinic and the completion of a community project, which is due by the end of the semester in which the student is enrolled. The project looks at factors in the community such as industry, resources in the community, and age of general population, and is designed to be completed in increments throughout the elective. For clinical students, credit will be based on the preceptor's assessment of clinical performance.
Date Updated:	4/14/2008

FMME 402	North Carolina Academy of Family Physicians
Faculty:	Robert Gwyther, MD
Prerequisites:	Completion of third year
Offered:	All elective periods
Min. Enrollment:	1
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	To be arranged
Meeting Times:	To be arranged with NCAFP prior to being scheduled
Credit Hours:	6
Learning Objectives:	Increase knowledge of organized medicine and its role in medical education including programs designed specifically for medical students, residents and practicing physicians. See first hand the interactions between the family medicine specialty society and its national organization (AAFP), state medical society (NCMS) and other specialty groups. Demonstrate understanding of the need that practicing physicians have for a specialty society which provides them with timely information re: current events in medicine and education to help them care for patients. Gain more insight into legislative events which directly affect practicing physicians and those in educational settings.
Learning Activities:	Student will be based out of the NCAFP headquarters office in Raleigh and will be provided access to standard office setup, including a computer and desk. Students should attend any state and national family practice activities during the elective time, as funding is available. Student should attend any appropriate legislative or governmental activities to which NCAFP staff is invited. Student should attend NCAFP monthly meetings such as the governmental affairs committee meeting and may participate in the NCAFP programs such as Tar Wars or FMIG meeting during the month. *Student will complete a project relevant to family medicine and will submit the finished project to his/her medical school advisor as well as the NCAFP Executive Director and President
Evaluation:	Complete a special project during this time designed with approval from the preceptor/sponsor. Evaluation and completion of the course will be based on the special project. Application: Interested students should notify one of the advisors with a topics and tentative dates for the rotation. The advisor will them contact the NCAFP to coordinate the rotation.
Special Notes:	Please contact Christy Ayscue, Student and Resident Program Coordinator at the NCAFP, at 800-872-9482 or or cayscue@ncafp.com.
Date Updated:	1/31/2006

FMME 403	Understanding Health Disparities
Faculty:	Dain Vines, M.D., Pamela Frasier; M.S.P .H., PhD
Prerequisites:	Completion of fall semester MS1 ; Permission of instructors
Min. Enrollment:	5
Max. Enrollment:	15
Duration:	Spring Semester: 10 sessions @ 2 hours each that will be held on Tuesday
Meeting Place:	William Aycock Family Medicine Building
Credit Hours:	3
Learning Objectives:	Learning Objectives: The student will: 1. Identify and describe the distribution of health inequalities and their contributing factors across vulnerable population groups and disease outcomes 2. Define types of health disparities, causal factors, and local, regional, and national strategies for their elimination 3. Describe and critique current medical care, social, environmental, or public health strategies to address health inequalities. 4. Describe innovative strategies that can contribute substantively toward the elimination of health inequalities, and articulate a specific role for the physician within that strategy.
Learning Activities:	Learning Activities: Learning will take place through readings, lecturers, guest speakers, case studies and discussion; and attendance at specific campus lectures and workshops on gender, race, ethnicity and health disparities.
Evaluation:	Evaluation: A clinician and non-clinician will evaluate the student's understanding of health disparities as they affect not only the patient but also population health. The student's understanding will be evaluated through case studies and discussion as well as brief write-ups on specific campus lectures and workshops.
Date Updated:	3/1/2007

FMME 407	Directed Studies in Family Medicine II
Faculty:	Family Medicine Faculty
Prerequisites:	Completion of second year and permission of a Family Medicine preceptor
Offered:	All elective periods
Min. Enrollment:	1
Max. Enrollment:	5
Duration:	One elective period
Meeting Place:	To be arranged
Meeting Times:	To be arranged
Credit Hours:	6
Learning Objectives:	Upon completion of this course, students should be able to work autonomously to design and conduct a basic research project and apply their clinical experience to the formulation of a clinical research question.
Learning Activities:	Students will design and conduct a project under the direction of a practicing physician. The course will emphasize, but is not limited to,the clinical relevance of social and epidemiological research methods. Alternatively, students may concentrate on refining clinical diagnosis and management. Both hospitalized and ambulatory patient care would be included. Composition (per week): Conference: 5 hours, Clinic: 20 hours, Library: 5 hours, Read: 5 hours. Interested students should contact the office of Ms. Lisa Slatt, M.Ed. or the Student Coordinator, Ms. Carolyn Joines, in the Department of Family Medicine (966-2824) to arrange an appointment.
Evaluation:	Evaluation will be based on observation by the supervising faculty physician and on completion of the assigned project.
Date Updated:	1/31/2006

FMME 410	New Models of Health Care for the Underserved - Chapel Hill
Faculty:	Beat Steiner, MD, MPH; Warren Newton, MD, MPH
Prerequisites:	Completion of Third- Year Family Medicine Clerkship
Offered:	Block 5 (Availability depends on Selective ACSM 401-47)
Max. Enrollment:	8
Duration:	One elective period
Meeting Place:	TBA
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	At end of course students will be able to: More effectively care for patients in underserved setting by incorporating advanced clinical competencies such as: effectively combining acute care, chronic care and prevention into single visits, efficient collection and use of social information about patients, comfort collecting sensitive information about financial issues from patients, providing patient education to patients with low literacy, conducting group visits, ordering tests, coordinating care for ancillaries, hospital and subspecialties and prescribing medications that are consistent with the evidence and are cost effective. Describe 1) current health disparities; 2) governmental and non-governmental systems that influence health policy; 3) safety net system in the United States including Community Health Centers, Health Departments, Academic Health Centers as well as private practices; 4) changes in Medicaid and Medicare; 5) local initiatives to improve care for the uninsured and underinsured; 6) new models of care, including approaches to improving access to care and improving the quality of care for chronic disease. Use skills in analysis and synthesis to propose a solution to improve one area of care relevant to underserved patients in our community.
Learning Activities:	This course will provide hands-on experiences and structured learning for students interested in reducing health disparities as part of a career in primary care, academic medicine, public health, or health policy. The course combines clinical care in innovative practice settings, a weekly seminar series, group work, as well as independent reading. The clinical settings all serve ethnic minorities and indigent patients and are within driving distance of Chapel Hill.
Date Updated:	3/31/2008

FMME 411	Procedures in Family Medicine - Charlotte AHEC
Faculty:	Patricia White, M.D.
Prerequisites:	Completion of Third - Year Family Medicine Clerkship plus must be planning to match in Family Medicine
Offered:	Blocks 3, 4, 5, 6, 7, 8 (Availability depends on Selective ACSM 401-48)
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Carolinas Medical Center, Dept. of Family Medicine
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	At end of course students will be able to: 1. Learn procedures commonly used in family medicine. 2. Learn proficiency in the musculoskeletal exam. 3. Use evidence-based medicine in "hands-on" manner in clinics with treadmills, colposcopy, sports medicine, dermatology and family medicine. 4. Experience the practice of family medicine in the office, student health, athletic events and at job sites. 5. If desired, work one-on-one with faculty in labor, delivery, newborn care, including circumcisions.
Learning Activities:	Get a head start on residency. We are looking for energetic and motivated 4th year medical students interested in learning a wide variety of exam and procedural skills. The student will work with experienced faculty in the following clinics: lumps/bumps, colposcopy, sports medicine at UNCC and at sporting events, dermatology and treadmills. The student will also work with a faculty mentor seeing patients in the outpatient setting of his/her choice. If desired, the student may choose a one-week sub-selective in occupational/environmental health (see sub-selective) or work in labor management and newborn care. Charlotte AHEC is offering new housing in a gated community with full amenities including high speed internet, pool and a fitness center. This elegant housing is just minutes from the hospital and uptown Charlotte. (Housing is limited for visiting students, the cost is $75.00 per week and the contact is Nicole Bayha, Student Coordinator, for further information and availability.)
Date Updated:	3/1/2007

FMME 412	Geriatrics in Family Medicine -Charlotte AHEC
Faculty:	Darlyne Menscer, MD and Sindy McCrystle
Prerequisites:	Completion of Third-Year Family Medicine Clerkship
Offered:	Blocks 3,4,5,6,7,8,9 (Availability depends on Selective ACSM 401-49)
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Carolinas Medical Center, Dept. of Family Medicine
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	At end of course students will be able to: 1. Participate in the care of older adults in multiple sites, including nursing homes, assisted living facilities and outpatient geriatric clinic, while working with a family physician/geriatrician and nurse practitioner 2. Learn to care for patients at the end of life, including working with Hospice and Palliative Care 3. Make visits to older adults in their homes and learn to coordinate their care with Home Health Agencies 4. Visit community resources who work with older adults and their families, including the Alzheimer's Association and Adult Protective Services
Learning Activities:	A four week rotation, including patient care experiences with older adults in the outpatient, nursing home, assisted living and home setting. Care of well elderly and those with chronic illness as well as end of life and palliative care is included. Opportunities to visit community agencies that serve the elderly. May be with residents in family medicine and/or internal medicine. Charlotte AHEC is offering new housing in a gated community with full amenities including high speed internet, pool and a fitness center. This elegant housing is just minutes from the hospital and uptown Charlotte. (Housing is limited for visiting students, the cost is $75.00 per week and the contact is Nicole Bayha, Student Coordinator, for further information and availability.)
Special Notes:	**Selective may be combined with Occupational Medicine in Family Medicine (also offered in Charlotte)
Date Updated:	3/1/2007

FMME 414	Rural Medicine in Family Medicine -Charlotte AHEC
Faculty:	James Wetter, MD and Karen Bartley, MD
Prerequisites:	Completion of Third-Year Family Medicine Clerkship
Offered:	Blocks 3,4,5,6,7,8,9 (Availability depends on Selective ACSM 401-50)
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Carolinas Medical Center-Union, Monroe, NC
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	At end of course students will be able to: 1. Experience In/Out-patient care, in a rural setting 2. Learn unique aspects of community and occupational medicine and how it relates to practice in a small town
Learning Activities:	Are you interested in practicing in a small town? We at Carolinas Medical Center-Union in Monroe, NC offer a selective that involves inpatient and outpatient care. Our hospital is 140 beds and is similar to the community hospitals where most family physic:ians practice. We see our clinic patients at Union Family Practice, which is a private practice of 5 physicians and our family practice residency. Monroe is a city of 25,000 within 15 miles of uptown Charlotte. It is a rapidly growing area allowing you to see plenty of interesting patients and experience family medicine in a "real practice" environment. If you are interested in more information, please contact Kay Emerson, Program Coordinator at (704) 226-5013 or email her at kay.emerson@carolinashealthcare.org.
Housing:	the student.
Special Notes:	**Selective may be combined with Occupational Medicine in Family Medicine
Date Updated:	3/1/2007

FMME 416	Western North Carolina Adventure in Family Medicine
Faculty:	Board certified Family Physicians at any of the 15 practices in Western North Carolina approved by the MAHEC Family Practice Residency Program.
Prerequisites:	Completion of third year core curriculum clinical rotations
Offered:	All elective periods except periods 0, 1 & 2 as determined by preceptor. Not all sites are available each period. Please choose two other alternative sites.
Min. Enrollment:	1 student per site
Duration:	One elective period
Meeting Place:	Individual practice sites
Meeting Times:	8:30 - 9:00 a.m.
Credit Hours:	6
Learning Objectives:	Upon completion of this course, the student will be able to: 1) Do a comprehensive out-patient history and physical 2) Have a basic knowledge of how to manage common problems 3) Write up data pertinent to diagnosing and managing common problems in ambulatory patients 4) Discuss the role of community service organizations and use area medical resources in patient care 5) Provide continuity of care, prevention, and patient education 6) Function as an active and supportive member of the health care team
Learning Activities:	This elective takes place in board certified family physician practices throughout Western North Carolina. Students actively participate in these private, family-oriented practices that incorporate hands-on experience with one-on-one teaching. Practices range from solo to group, in rural to urban settings. In addition to patient care, students interact with community services such as Health Department, home health, hospice, nursing homes, etc. Rural sites: Canton, Cashier, Franklin, Hayesville, Highlands, Murphy, Spruce Pine, Sylva, and Waynesville. Urban to semi-urban sites: Asheville and Hendersonville. A car is necessary. Composition (per week): Clinic: 36 hours, Call: Optional, Community: 4 hours. For further information, contact Carolyn Joines at the Department of Family Medicine in Chapel Hill (919)966-3711 or Norma Beaty at MAHEC in Asheville (828)771-3433 or normab@mahec.net.
Evaluation:	Evaluation is based on observation by preceptor.
Date Updated:	3/28/2008

FMME 417	Acting Internship in Family Medicine, UNC Hospitals
Faculty:	Dr. Andrew Hannapel
Prerequisites:	Completion of medicine clerkship
Offered:	All elective periods
Min. Enrollment:	1
Max. Enrollment:	3
Duration:	One elective period
Meeting Place:	A letter will be mailed to you with instructions on where and when to report on your first day.
Meeting Times:	8:00 a.m.
Credit Hours:	6
Learning Objectives:	Upon completion of the course, students will be able to: 1) Evaluate new admissions, dictate history and physical, and write admission orders. 2) Manage hospitalized patients on a daily basis including rounding, writing daily notes, writing orders, doing discharge paperwork and arranging outpatient follow-up. 3) Manage common problems encountered in the inpatient setting.
Learning Activities:	This elective gives third or fourth year medical students the opportunity to work side-by-side with Family Practice residents and faculty. This rotation is largely hospital based, but also includes some flexibility in clinic time. Students have options of doing either one week of out-patient medicine in the Family Medicine Center, one week of geriatric medicine at the nursing home, or one week of combined inpatient and outpatient time on our maternal-child health service (ante-partum, labor and deliver, post-partum, and newborn care). There will be weekly outpatient clinic time with faculty and exposure to nursing home care at least once in your four week rotation. Third or fourth year students will take primary responsibility for patients admitted to the Family Medicine Inpatient Service on general medicine, pediatric, and telemetry wards. Call will be every fourth night and will include management of telephone calls and acute care visits from Family Medicine Center patients. Basic skills necessary for care, such as interviewing, physical examination, and interpretation of basic diagnostic tests and critical appraisal of the medical literature will be emphasized. Scheduled teaching activities include regular teaching rounds, and departmental conferences. Composition (per week): Conference: 3 hours, Ward: 29 hours, Clinic: 5 hours, Call: 16 hours, Teaching Rounds: 6 hours.
Evaluation:	Evaluation is based on preceptor observation.
Date Updated:	3/1/2007

FMME 419	Urban Medicine in Family Medicine - Charlotte AHEC
Faculty:	Irene Zink, MD and Michael Dulin, MD
Prerequisites:	Completion of Third-Year Family Medicine Clerkship
Offered:	Blocks 1,3,4, 6, 8,11 (Availability depends on Selective ACSM401-51)
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Carolinas Medical Center, Dept of Family Medicine
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	At the end of this segment, students will be able to: 1. describe heath disparities and challenges that urban underserved populations face 2. diagnose and treat specific disease processes found in urban underserved populations including HIV/AIDS, other STDs, mental illness, substance abuse and addiction. 3. practice with an increased multicultural awareness and competence in the diverse population of a large metropolitan area (Charlotte) 4. describe how family physicians develop relationships with community members/leaders and use techniques of primary care research to improve health care service to a diverse community 5. identify and use community resources to improve the health of underserved populations
Learning Activities:	This selective will bring students to one of the top 5 cities in the United States in regard to population change from immigration of Latinos and other cultures. The student will be exposed to the exciting population diversity in Charlotte, NC, and observe how family physicians are working to overcome obstacles in order to provide culturally competent healthcare to this community. Through established family medicine neighborhood clinics and community resources, the student will be actively involved with caring for underserved urban populations. The option to develop and improve Spanish language skills will be available to the student if desired. In addition, other public health techniques of studying underserved populations such as Community Oriented Primary Care and geographic information systems (mapping population change) will be offered. Charlotte AHEC is offering new housing in a gated community with full amenities including high speed internet, pool and a fitness center. This elegant housing is just minutes from the hospital and uptown Charlotte. (Housing is limited for visiting students, the cost is $75.00 per week and the contact is Nicole Bayha, Student Coordinator, for further information and availability.)
Special Notes:	**Selective may be combined with Occupational Medicine in Family Medicine (also offered in Charlotte)
Date Updated:	3/1/2007

FMME 421	Acting Internship in Inpatient Family Medicine, Mission Hospitals
Faculty:	Drs. Rowe, Hicks, Hulkower, Landis, Heck, Frayne, Fagan, Latessa, Ray, and Residents
Prerequisites:	Completion of all clinical clerkships
Offered:	Not offered periods 0, 1, 4, 5, 6. Applications for this rotation must be received during the first drop/add period. Availabity depends on Selective AI AHEC 438.
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Mission Hospital, 7th floor Residents' conference Room
Meeting Times:	7:30 a.m.
Credit Hours:	6
Learning Objectives:	Upon completion of the course, students will be able to: 1) Evaluate new admissions, dictate history and physical, and write admission orders 2) Manage hospitalized patients on a daily basis including rounding, writing daily notes, writing orders, doing discharge paperwork, and arranging outpatient follow-up. 3) Manage common problems encountered in the inpatient setting.
Learning Activities:	The student will serve as an acting intern on the Family Medicine patient care team on the Family Medicine Unit and Medicine Unit at this 500 bed teaching hospital. Daily activities will include rounds, conferences, patient work-ups, supervised procedures, and other inpatient management. The student will be included in the call schedule with the Family Practice residents on service (6 total including 1 weekend call). Optional activities: area nursing homes and other community resources and patient care at the MAHEC Family Health Center on evenings/weekends. Composition (per week): Ward: 34 hours, Clinic: 3 hours, Library: 3 hours, Call: 1 weekend and 5 nights during rotation. For information about scheduling, travel, and housing, contact Ms. Carolyn Joines as the Department of Family Medicine in Chapel Hill (919)966-3711 or Norma Beaty at MAHEC in Asheville (828)771-3433 or norma.beaty@mahec.net
Evaluation:	Evaluation is based on preceptor observation.
Date Updated:	3/28/2008

FMME 425	International Fieldwork in Family Medicine
Faculty:	Martha C. Carlough, M.D. MPH
Prerequisites:	Completion of the first year of medical school for pre-clinical students (FMME 225) Completion of at least six months of clinical rotations for clinical students (FMME 425) Students are also required to obtain travel health insurance through the Office of Student Affairs
Offered:	All except 10 (for graduating students)
Max. Enrollment:	1 (independent course)
Duration:	four to six weeks
Meeting Place:	Variable according to placement; discuss with UNC course faculty
Credit Hours:	6
Learning Objectives:	This elective is intended for primary care oriented, clinical or community health experiences outside of the USA; preferably in a developing country. After completing his/her elective, the student will be able to compare and contrast the health care delivery system in their country/culture of choice with the US health care system. Students should be able to identify strengths and areas of improvement in both systems and make recommendations to improve both systems from a population health perspective.
Learning Activities:	Students are expected to take an active role in selecting and designing their elective by communicating with the course director prior to the elective to define objectives, plans for supervision and fulfillment of course requirements. Students must submit a student registration form including overseas contract information to the course director and register as well as obtain required international travel health insurance for UNC students through the Office of Student Affairs. The course advisor will assist students in finding international sponsors and appropriate elective sites if needed. Funding is not available through the department. Interested students should contact Martha Carlough.
Evaluation:	Project Guidelines: (for evaluation on P/F basis) Option 1: PAPER Length: maximum 20 pages, double-spaced Due Date: One month after completion of rotation. If receiving a grade and credits towards graduation is necessary, this assignment MUST be completed no later than March 30th of the graduation year. Suggested outline of paper: Introduction A. Brief description of the country, cultural and political situation and history B. Description of the clinic/setting in which you worked, including history, funding sources, population served and major programs and staffing. C. A Typical Day in the Clinic D. Major health care issues facing the people and health care resources available E. Summary, including a discussion of how this experience will affect your future practice of medicine F. List of references Option 2: PEER PRESENTATION This presentation can be in the form of an oral presentation at a UNC-sponsored meeting, or another state or national conference or an article submitted to a peer reviewed journal. The presentation should relate directly to the experience and demonstrate significant insights. Information about this peer presentation should be submitted to the FMME 225/425 course advisor. Commitment to this option must be made (and approval received from advisor) within one month of completion of rotation. Option 3: PHOTO JOURNAL OR WEB PAGE For interested students who are tech-savvy, the development of a e-photo journal or web page is also accepted. The intention is that this would be available for students and others to view and learn about the international health experience.
Special Notes:	Deadline for Enrollment is by April 15 for first year summer electives, on a rotating basis for third and fourth year students. UNC Course Faculty: Martha Carlough, MD, MPH (martha_carlough@med.unc.edu)
Date Updated:	4/25/2008

FMME 427	Occupational/Environmental Health in Family Medicine -Charlotte AHEC
Faculty:	Lawrence Raymond, MD
Prerequisites:	Completion of Third-Year Family Medicine Clerkship
Offered:	Blocks 3,4,5,6,7,8 (Availability depends on Selective ACSM 401-52)
Max. Enrollment:	1
Duration:	(See notes section)
Meeting Place:	Carolinas Medical Center, Dept. of Family Medicine
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	At the end of this segment, studenlts will be able to: 1. Describe the operations of a Regional Poison Center and the treatment recommended for three common toxic agents (a) to parents in the home and (b) to First Responders in the work environment. 2. Characterize health hazards to workers in a facility which repairs heavy construction equipment and ways to minimize these hazards. 3. Critique the system used by a hospital network to gauge the risks of health-care workers who have been exposed to blood-borne pathogens and airborne infectious agents.
Learning Activities:	This Sub-Selective can be chosen as part of one of the other advanced courses in family medicine offered in Charlotte. Each Student would accompany an Occupational Medicine specialist over the course of a typical week's activities in (a) Medical Center Employee Health (b) seeing patients with job-related health risks (c) observing Nurse Specialists and Medical Toxicologists in operations of a Regional Poison Center (d) taking call with urban Hazmat firefighters (e) evaluating and treating patients with (non-occupational) conditions in a Family Practice Center.
Special Notes:	** This selective is only one week long and needs to be combined with one other selective offered in Charlotte. The combined selective will still be four weeks.
Date Updated:	3/1/2007

FMME 429	Sports Medicine in Family Medicine - Greensboro AHEC
Faculty:	Bert Fields, MD
Prerequisites:	Completion of Third- Year Family Medicine Clerkship and intention to match in Family Medicine
Offered:	Blocks 2, 3, 4, 5, 7, 8, 9, 11 (Availability depends on Selective ACSM 401-18)
Max. Enrollment:	1
Duration:	One month
Meeting Place:	Greensboro AHEC/Family Practice Center
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	At end of course students will be able to: 1. Perform advanced exam of major joints injured in sports activities. 2. Give differential diagnosis of injuries to major joints. 3. Perform common sports medicine procedures such as ETT, splinting and or casting; joint injection, and orthotic preparation. 4. Assess injured athletes at sporting event.
Learning Activities:	The course should appeal to any student interested in family medicine who is contemplating pursuit of a sports medicine fellowship. The student follows the schedule of 1 of our 3 sports medicine fellows. They participate in training room evaluation, primary care sports medicine clinics, orthopedic office, student health sports medicine clinic, weekly seminar and game coverage.
Evaluation:	Outpatient write-ups, procedure observation, participation on rounds, one short oral presentation on a topic of interest from the rotation.
Date Updated:	3/28/2008

FMME 430	Ambulatory Care at MAHEC Family Practice Residency, Asheville
Faculty:	Drs. Heck, Hicks, Hulkhower, Landis, Frayne, Rowe, Fagan, Latessa, and Ray
Prerequisites:	Completion of all clinical clerkships
Offered:	All periods except 0, 1, 4, 5, 6 - By arrangement with Norma Beaty
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Family Health Center
Meeting Times:	8:30 a.m.
Credit Hours:	6
Learning Objectives:	Upon completion of this course, student should be able to: 1) Manage common problems in the outpatient setting, including the effective use of medical services such as x-ray, labs, etc. 2) Discuss key elements of practice management and how those elements contribute to a well run practice. 3) Use community health agencies and services to provide better care to their patients.
Learning Activities:	Students will see private patients in the MAHEC Family Practice Residency Clinical practice with full-time faculty. Other clinic time is spent with college health, substance abuse, nursing home, health department, hospice, community agencies, and evening/weekend residency walk-in clinic (no call). Additional exposure includes: nursing triage, laboratory, x-ray interpretation, EKG reading, and practice management. Composition (per week): Clinic: 37 hours, Library: 1 hour, Community: 2 hours, Call: optional. Evening patient care once each week and one Saturday during the month. Housing in provided at MAHEC and a car is advisable. For further information, contact Norma Beaty in Asheville at MAHEC at (828)771-3433 or normab@mahec.net.
Evaluation:	Evaluation is based on preceptor observation.
Date Updated:	3/28/2008

FMME 431	Ambulatory Care at MAHEC Hendersonville Family Practice Residency Clinic
Faculty:	Drs. Malaty, Curran, Crane and Residents
Prerequisites:	Completion of all clinical clerkships
Offered:	Periods 2, 3, 8, 9, 10 - By arrangement with Janet Swell
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	To be arranged
Meeting Times:	To be arranged
Credit Hours:	6
Learning Objectives:	Upon completion of this course, students should be able to: 1) Identify the challenges to providing care in rural communities. 2) Perform a basic home visit. 3) Identify issues in providing care to migrant populations. 4) Discuss the role of mid-wifery in providing care to rural populations.
Learning Activities:	A four week elective set in the MAHEC Family Practice Residency Rural Track Family Health Center in Hendersonville. Students round in the 200-bed hospital for two hours each morning, following several patients and working one-on-one with a third year resident and faculty. The rest of the day students work one-on-one with the full-time faculty caring for private patients in the residency clinic that has 2500 active patients/400 visits a month. Depending on season and interest, other activities include a home visit, 1/2 of out-patient laboratory skills intensive, seeing patients in a migrant community health center, community outreach, such as migrant farm worker camp visits, and working with a mid-wife. A student project is encouraged, but optional, as is call once a week with a third year resident. Composition (per week): Conference: 2 hours, Ward: 10 hours, Clinic: 28 hours. A car is required for this rotation. For further information, Norma Beaty at 828-771-3433 or norma.beaty@mahec.net.
Evaluation:	Evaluation will be based on preceptor observation.
Date Updated:	3/28/2008

FMME 433	Honduran Health Alliance
Faculty:	Beat Steiner and Bonzo Reddick
Prerequisites:	Approval of instructor
Offered:	2nd summer session July 7 - August 1
Min. Enrollment:	8
Max. Enrollment:	25
Duration:	1 month
Meeting Place:	Report to Tegucigalpa, Honduras
Credit Hours:	6
Learning Objectives:	1-Educate patients regarding aspects of both general and women's health in Spanish and English. 2-Perform a comprehensive well woman exam and patient interview in Spanish and in English. 3-Perform a problem-focused gynecologic exam and patient interview in Spanish and in English. 4-Understand the pathology, diagnosis, and treatment of common gynecologic conditions 5-Understand the geographic, cultural, and socioeconomic conditions affecting the Hondurans today 6-Students will create and implement five 1-2 hour interactive presentations on health topics such as sexually transmitted diseases, nutrition, family planning, HIV/AIDS, and menopause to community members of varying ages and literacy levels.
Learning Activities:	Students will attend classes on a weekly basis during the spring semester to prepare them for the July trip. They will travel to Honduras in July where they will remain for approximately one month. While in Honduras they will travel to rural communities and present talks on various public health topics. Students will create and implement five 1-2 hour interactive presentations on health topics such as sexually transmitted diseases, nutrition, family planning, HIV/AIDS, and menopause to community members of varying ages and literacy levels. They will participate in 6 days of our student run clinic. Their activities will include patient interviews, patient exams, patient education, presentations to attending physicians, and mentoring fellow students. Patients will also tour Honduran health facilities in the city of Choluteca. Finally, students will return to their respective rural communities to relate the results of cervical cancer screening and to counsel patients.
Evaluation:	1-Participants will be evaluated by attending physicians based on their clinic performance. 2-Clinic performance will include physical exam skills, presentation skills, patient relations, and improvement over the course of the week. 3-Students will receive either a grade of +pass" or "fail".
Date Updated:	3/28/2008

FMME 434	Obstetrics in Family Medicine - Greensboro AHEC
Faculty:	Bert Fields, MD
Prerequisites:	Completion of Third - Year Family Medicine Clerkship
Offered:	Blocks 2,3,4,5,7,8,9,11 (Availability depends on Selective ACSM 401-54)
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Greensboro AHEC/ Family Practice Center
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	At the end of the course students will be able to: 1. Develop advanced examination skills for common outpatient medical problems. 2. Learn to evaluate the patient in labor . 3. Gain some experience in management and delivery of uncomplicated obstetrics 4. Learn first degree and second degree episiotomy repair. 5. Learn basic interpretation of fetal monitoring 6. Participate in resident teaching conferences
Learning Activities:	The course should appeal to any student interested in family medicine who is contemplating pursuit of obstetrics in their practice or later completing a family medicine/obstetrics fellowship. The student is closely supervised by obstetric junior faculty (fellows). They participate in labor and delivery, obstetrics call, prepartum and postpartum rounds and obstetrics teaching conferences. This component comprises about 60% of the time. The second core component centers around work within the family medicine center. This includes walk-in clinics, prenatal clinics, and working directly in continuity clinics of residents and faculty. This comprises 40% of student time.
Date Updated:	3/28/2008

FMME 435	Aging and Public Policy
Faculty:	Susan Fletcher, MSW
Prerequisites:	Advanced undergraduate or graduate standing
Offered:	Spring Semester
Duration:	Semester course
Meeting Place:	Tate Turner Kuralt Building
Meeting Times:	Every Monday from 6:00 - 8:50 p.m.
Credit Hours:	3
Learning Objectives:	Upon completion of the course, students should be able to: 1) Discuss the challenges facing patients as they age. 2) Discuss how current economic, health, and social policy issues affect delivery of care to the elders. 3) Identify the challenges that face the nation with changing demographics patterns.
Learning Activities:	Aging and Public Policy is a three credit, interdisciplinary course sponsored by the Institute on Aging. The course is designed to provide students in all disciplines, including graduate students and upper level undergraduates, with a general background in the major economic, health, and social policy issues facing the nation and the state resulting from the aging of our society. The content is relevant to students who plan to work in programs that serve older persons, to researchers in fields related to aging and to students who want to better understand the policy environment associated with the changing demographics of the nation and state. Composition (per week): Lecture: 2 hours, Seminary/Discussion: 1 hour
Evaluation:	Evaluation will be based on student projects, and final examinations.
Date Updated:	3/28/2008

FMME 480	Aging & Health
Faculty:	Dr. Philip Sloane (psloane@med.unc.edu), Sheryl Zimmerman, Ph.D. (sheryl_zimmerman@unc.edu) and Leigh Callahan, Ph.D. (leigh_callahan@med.unc.edu)
Prerequisites:	None
Offered:	Fall Semester
Min. Enrollment:	None
Meeting Place:	Sheps Center for Health Services Research
Meeting Times:	Tuesdays. 5:00 - 7:50 p.m.
Credit Hours:	3
Learning Objectives:	Upon completion of the course, students will be able to demonstrate the following: 1) Knowledge of normal aging phenomena and experiences, including common diseases and functional problems, effects of aging on body systems and mental health and aging. 2) Appreciation for racial, cultural, socioeconomic and other differences among the elderly. 3) Understanding of components of the health care system relevant to older persons, including medication use, long-term care and health care policies. 4) Ability to apply knowledge and skills in the basic concepts that are relevant to living and working with older persons. 5) Appreciation for the multidisciplinary and interdisciplinary nature of aging and related ethical issues.
Learning Activities:	Classes consist of a mixture of lectures by experts from across campus, seminar/discussions, media presentations and demonstrations. Presenters are drawn from a variety of fields on the UNC-CH campus and represent medicine, nursing, orthopedics, pharmacy, psychology, public health, social work, sociology and other disciplines. Students will be encouraged to discuss material presented in the lecture and readings. Course directors will integrate the material across topics and sessions. Additional requirements include: 1) conduct and report in writing (3-5 pages) and verbally on site visit of a service delivery program that benefits older adults or on an interview with an elderly person; 2) completion of an academic paper (limit of ten text pages) related to the student's interests and approved by the course directors; and in-class mid-term and final examination.
Evaluation:	The course evaluatino has been modified slightly from year to year. In general, student grades have been determined as follows: site visit/interview and presentation - 10%, academic paper and presentation - 40%, class participation - 10%, examinations - 40%.
Date Updated:	3/28/2008