The Role Clerkship Coordinators Can Play in Curriculum

The Role Clerkship Coordinators Can Play in Curriculum Development and Implementation A Lecture-Discussion Maria M. Cotera, MA Maryann B. Dennis, BA Texas Tech University Health Sciences Center El Paso

• Maria M. Cotera, MA, Community Faculty Coordinator (HRSA Grant-funded) • Maryann B. Dennis, BA, Clerkship Coordinator

• Brand-new Medical School – Class of 2013 – 40 Students – Class of 2014 – 60 Students – Class of 2015 & 2016 – 80 Students – Class of 2017 – 100 Students

Clerkships are 16 Week “Paired Blocks”

Family Medicine Clerkship • Texas Tech Family Medicine Clinic w/ Faculty, PGY 2 & PGY 3 • Community Faculty • Weekly Didactics • Longitudinal Selective in Family Medicine • Self-Directed Learning

– HRSA – Health Resources and Services Administration http: //www. hrsa. gov/ • Primary Federal agency for improving access to health care services for people who are uninsured, isolated or medically vulnerable • Works to strengthen the health care workforce, build healthy communities, and improve health equity. HRSA’s grantees provide health care to uninsured people, people living with HIV/AIDS, and pregnant women, mothers, and children. • Supports the training of health professionals, the distribution of providers to areas where they are needed most, and improvements in health care delivery.

HRSA Pre-Doctoral Grant in Primary Care at TTUHSC – PLFSOM Dept. of Family Medicine

OBJECTIVES Objective 1 Expand, implement and evaluate a new required 6 week FM clerkship in a new medical school which teaches the principles of family medicine in the context of our underserved, predominantly Hispanic Border Community. • 1 a Develop seven FM Longitudinal Selectives • 1 b Develop 12 interactive web cases on common FM topics

OBJECTIVES Objective 2 Identify, recruit and train 22 community faculty and enhance teaching skills of current campus faculty. Objective 3 Develop, implement and evaluate a Family Medicine department-led Service Learning Track, and four new Electives for the fourth year medical school that are tailored to an underserved, vulnerable, and predominantly Hispanic US/Mexico border populations.

GRANT ACTIVITIES • Develop, Implement, and Evaluate 7 Longitudinal Selectives: 1. Native American Medicine 2. Integrative Medicine on the Border 3. Pharmacotherapeutics in Primary Care 4. HIV Medicine 5. Patient Education 6. Occupational Medicine 7. Telemedicine Year 1 Year 2 Year 3

GRANT ACTIVITIES • Develop 12 interactive Design-A-Case web cases http: //www. designacase. org/ • Identify, recruit and train 22 Community Faculty Physicians • Develop, implement and evaluate twice yearly Faculty Training Workshops • Develop, implement and evaluate a Service Learning Track

GRANT ACTIVITIES • Develop, implement and evaluate four new Electives: 1. Native American Health 2. Integrative Medicine on the Border 3. Community Medicine and Public Health 4. Community Geriatrics Year 1 Year 2

Project and Community Clerkship Coordinator Role • “Work with the PD and Associate PD to achieve overall objectives of the project, run and enter reports, maintain databases, set up meetings and ensure overall smooth running of the project and assist with preparation for dissemination of project. ” • “Identify, recruit and train community faculty, monitor clinical sites and train staff at those sites. ”

Challenges Faced 2013 -2014

FM/Surgery Schedule: AY 2012 -2013

Challenges AY 2012 -2013 to AY 2013 -2014 • 30% more students – no additional resources

Challenges: Longitudinal Selectives • Longitudinal Selectives accommodated 21 students/Block – Approx. 27 students/Block expected 20132014

How the HRSA Grant Helped Longitudinal Selectives: • HIV Medicine (2 students in July 2013) • Patient Education (4 students in October 2013)

Challenges: Clinic Space • FM Clinic comfortably accommodates 4 -5 students/rotation – 7+ students/rotation expected July 2013 • Preceptors want 3 patient rooms each

Solution: Community Opportunities • Aliviane http: //www. aliviane. org/ – HIV Medicine Selective • Centro de Salud Familiar La Fe http: //lafe-ep. org/ – HIV Medicine Selective • Center Against Family Violence http: //www. cafv. org – Civic Engagement Selective • Concentra Urgent Care Clinics http: //www. concentra. com/ – Occupational Medicine Selective

Solution: Innovative Scheduling Redesigning the Family Medicine Clerkship

Clerkship Redesigned: AY 2013 -2014

In Development • Fort Bliss Clinics • Wilderness Medicine Selective course being developed; to be implemented July, 2014. • http: //www. wms. org/

Conclusions • HRSA’s Positive Impact • Clerkship Coordinators’ Expanded Role – Thanks to mentoring and trust of our Chair, Director, and many faculty!

A Special Thanks To: Gurjeet S. Shokar, MD, Chairman Charmaine A. Martin, MD, Director of Education/Clerkship Director Mary C. Spalding, MD, Medical Director Jennifer C. Molokwu, MD, MPH, Assistant Director of Medical Student Education

Discussion Thank you for your time!