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Chair – Michael Sitorius, M.D.
Medical Student Education Director – Mindy Lacey, M.D.
Scheduling Coordinator – Jolene Wees
Room 2520 MSB
402-559-9327

The objective of this department is to prepare students to carry out their functions as leaders and coordinators of health care teams as they provide access to the health system and assume continuing responsibility for the management of patients over a long period of time.  More specifically, the program is designed to do the following: 

  1. Provide a stimulating experience in a model of family medicine, which will infuse the student with a philosophy of family medicine and an understanding of the role of the family physician. 
  2. Help the student acquire excellent skills in diagnosis, treatment and management of patients and technical procedures appropriate for family medicine. 
  3. Help the student acquire the knowledge and appropriate depth in various fields of medicine encompassed by family medicine. 
  4. Provide opportunity for the student to develop mature clinical judgment and appreciation of the limitation of his or her competence. 
  5. Provide understanding of research and methodology in problems relating to the delivery of health services. 
  6. Encourage students to develop life-long habits of learning and an understanding of the role of continuing education in maintaining professional excellence. 
  7. Encourage students to examine the viability of rural family medicine. 

Electives offered are directed at offering varying experiences in Family Medicine for those interested in the career field or others who are choosing more restricted fields and wish to broaden their experiences.

FMED 720 FMLY HLTH CNTR-UNMC 4 Credit Hours

ELECTIVE

This is a clinical experience in the Family Health Center at UNMC. Includes experience in treating adults and children with acute and chronic illnesses. This rotation covers all aspects of Family Medicine in an outpatient setting in addition to exposure to preventive medicine and surgical procedures done in the Family Medicine office and alternative health care systems. Students are also welcome to participate in Family Medicine seminars. Activity-Hours/Week. Rounds-0 during Inpatient Week. Didactic conferences-5. Independent learning-5. Independent patient care-30. NOTE: Addition of inpatient, OB, geriatric, or procedural experience could be arranged on an individual basis.

Instructor: Dr. Douglas Wheatley and staff.

Contact: Jolene Wees; jolene.wees@unmc.edu; 402-559-9327; MSB 2520 (Zip 3075).

Typically Offered: Each four weeks except July and August.

Capacity: 1. Location: Durham Outpatient Clinic.

Visiting Student Information: Visiting Students are not to contact faculty or clinical departments prior to acceptance through VSAS. Doing so is considered a professional breach and may disqualify the student from being offered a rotation.

FMED 722 HEALTH CENTER/BELLEVUE MEDICAL CENTER 4 Credit Hours

ELECTIVE

A clinical experience at the University satellite clinic located at 36th Street and Highway 370. This rotation covers all aspects of Family Medicine in an outpatient setting in addition to exposure to preventive medicine and surgical procedures done in the Family Medicine office and alternative health care systems. Full-time and volunteer faculty. Activity-Hours/Week. Rounds-0. Didactic conferences-5. Independent learning-5. Independent patient care-30. NOTE: Addition of inpatient, OB, geriatric, or procedural experience could be arranged on an individual basis.

Contact: Jolene Wees; jolene.wees@unmc.edu; 402-559-9327; MSB 2520 (Zip 3075).

Typically Offered: Each four weeks except July and August.

Capacity: 1. Location: Bellevue Medical Center.

Visiting Student Information: Visiting Students are not to contact faculty or clinical departments prior to acceptance through VSAS. Doing so is considered a professional breach and may disqualify the student from being offered a rotation.

FMED 723 FMLY HLTH CNTR-OAKVIEW 4 Credit Hours

ELECTIVE

An exposure to all aspects of Family Medicine in a private office setting based at the Oakview Medical Associates.  This rotation covers all aspects of Family Medicine in an outpatient setting in addition to exposure to preventive medicine and surgical procedures done in the Family Medicine office and alternative health care systems.  Located at 2727 South 144th Street, Suite 140, Omaha, Nebraska. NOTE: Addition of inpatient, OB, geriatric, or procedural experience could be arranged on an individual basis. Activity-Hours/Week. Rounds-0. Didactic conferences-5. Independent learning-5. Independent patient care-30.

Instructor: Dr. Douglas Inciarte and Staff.

Contact: Jolene Wees; jolene.wees@unmc.edu; 402-559-9327; MSB 2520 (Zip 3075).

Typically Offered: Each four weeks except June, July and August.

Capacity: 1. Location: Oakview Medical Associates.

Visiting Student Information: Visiting Students are not to contact faculty or clinical departments prior to acceptance through VSAS.  Doing so is considered a professional breach and may disqualify the student from being offered a rotation.

FMED 727 INPT SERVICE-UNMC 4 Credit Hours

ELECTIVE

Students are given externship responsibilities commensurate with experience under the direct supervision of the Family Medicine Chief Resident and inpatient attending physician. The inpatient service admits patients from the three Family Medicine Clinics, from the E.R. or Family Medicine referral patients from outstate Nebraska. Activity-Hours/Week. Rounds-20. Didactic conferences-5. Independent learning-5. Research project-0. Independent patient care-20. NOTE: Addition of inpatient, OB, geriatric, or procedural experience could be arranged on an individual basis.

Contact: Jolene Wees; jolene.wees@unmc.edu; 402-559-9327; MSB 2520 (Zip 3075).

Typically Offered: Each four weeks except July and August.

Capacity: 1. Location: UNMC.

Visiting Student Information: Visiting Students are not to contact faculty or clinical departments prior to acceptance through VSAS. Doing so is considered a professional breach and may disqualify the student from being offered a rotation.

FMED 730 LINCOLN GEN HOSPITAL 4 Credit Hours

ELECTIVE

A clinical experience, both inpatient and outpatient, in Family Medicine. This rotation is coordinated through the Department of Family Medicine with the Lincoln Residency Program. For housing information only, contact Susan Vrbka at the Lincoln Family Practice Program (402-327-6911). To begin the application process, contact Jolene Wees. Activity-Hours/Week. Rounds-15. Didactic conferences-5. Independent learning-2. Research project-1. Independent patient care-20.

Prerequisite:  Pre-arranged with Susan Vrbka; 402-327-6911.

Contact: Jolene Wees; jolene.wees@unmc.edu; 402-559-9327; MSB 2520 (Zip 3075).

Typically Offered: Each four weeks.

Capacity: 1. Location: Lincoln Family Medicine.

Visiting Student Information: Visiting Students are not to contact faculty or clinical departments prior to acceptance through VSAS. Doing so is considered a professional breach and may disqualify the student from being offered a rotation.

FMED 732 FAM MED-CLARKSON 4 Credit Hours

ELECTIVE

This is a four-week clinical experience, both inpatient and outpatient, in Family Medicine. This rotation is coordinated through the Department of Family Medicine with the Clarkson Family Medicine Residency Program. The purpose of this rotation is to allow senior students the opportunity to experience the daily practice of clinical community based Family Medicine through care of patients in the inpatient setting under the guidance of Family Medicine residents and faculty. Activity-Hours/Week. Rounds-Approximately 1.5 hours per day. Didactic conferences-3 days per week. Independent learning-Optional. Research project-No. Independent patient care-Variable: initial contact with supervision.

Prerequisite:  Pre-arranged with Bev Hilburn; 402-552-2042.

Instructor: Dr. Roger Massie.

Contact: Jolene Wees; jolene.wees@unmc.edu; 402-559-9327; MSB 2520 (Zip 3075).

Typically Offered: Each four weeks.

Capacity: 1. Location: Clarkson Family Medicine.

Visiting Student Information: Visiting Students are not to contact faculty or clinical departments prior to acceptance through VSAS. Doing so is considered a professional breach and may disqualify the student from being offered a rotation.

FMED 733 RURAL TRAINING TRACK 4 Credit Hours

ELECTIVE

This is a four-week campus clinical experience, both inpatient and outpatient, in Family Medicine at one of the existing Family Medicine rural training track Family Medicine residency sites. The purpose of this course is to allow senior medical students who are interested in the rural training track residency program to perform a clinical rotation at one of these sites. Questions regarding the elective -Contact Dr. Jeff Harrison at 402-559-8252. Activity-Hours/Week. Rounds-6. Didactic conferences-4. Independent learning-5. Research project-0. Independent patient care-25-30.

Instructor: Dr. Jeff Harrison.

Contact: Jolene Wees; jolene.wees@unmc.edu; 402-559-9327; MSB 2520 (Zip 3075).

Typically Offered: Each four weeks.

Capacity: 1. Location: Variable.

Visiting Student Information: This course is NOT available to visiting students.

FMED 735 ONE WORLD 4 Credit Hours

ELECTIVE

This is a four week course for senior medical students who have basic conversational ability in Spanish. Students will be vetted by a OneWorld employee via telephone prior to rotation to ensure their Spanish capabilities are adequate to ensure a fulfilling rotation. This elective is a community health center based Family Medicine rotation with greater than 50% of the patients speaking Spanish. Students will interview and examine patients, practicing and improving their Spanish while being supervised by the OneWorld attendings. Grade is based on attendance, enthusiasm, discretion and professionalism with patients and support staff, written notes, and final case report (done in Spanish). OneWorld (Contact Tay Orr at 402-502-8860 or by e-mail at torr@oneworldomaha.org). Activity-Hours/Week. Rounds-1-2. Didactic conferences-2. Independent learning-4. Research project-10. Patient care-20.

Prerequisite:  Spanish Proficiency via telephone interview.

Instructor: Dr. Alex Dworak.

Contact: Jolene Wees; jolene.wees@unmc.edu; 402-559-9327; MSB 2520 (Zip 3075).

Typically Offered: Each four weeks.

Capacity: 1. Location: OneWorld Community Health Center.

Visiting Student Information: This course is NOT available to visiting students.

FMED 737 DOMESTIC VIOLENCE 4 Credit Hours

ELECTIVE

A four-week immersion experience in domestic violence, prevention and treatment using a bio-psychosocial community health model. During this course the student will: Define domestic violence. Describe the history, prevalence, incidence, prevention and treatment of domestic violence. Complete a literature search on domestic violence and read selected journal articles and other material prior to starting other course activities (first week of rotation). Participation in observational activities, including, but not limited to: Two nights on call with domestic violence medical advocates in the UNMC Emergency Room. Two eight-hour shifts with officers of the Omaha Police Department (OPD) Domestic Violence Unit. One day with professionals and victims in the YWCA Women Against Violence (WAVE) program. One day in a domestic violence shelter.Two days attending court cases (Court Watch) involving victims of domestic violence and meeting with members of the Douglas County Attorney's Office who deal with domestic violence. Participating in at least one meeting of a batterer's treatment group. Prepare a written report or A-V presentation to be presented at an appropriate venue in the Department of Family Medicine. Follow at least one domestic violence victim through the initial treatment and referrals.

Instructor: Dr. Paul Paulman.

Contact: Jolene Wees; jolene.wees@unmc.edu; 402-559-9327; MSB 2520 (Zip 3075).

Typically Offered: Variable.

Capacity: 2.

Visiting Student Information: This course is NOT available to visiting students.

FMED 738 PREVENTIVE MEDICINE 4 Credit Hours

ELECTIVE

The overall goal of the preventive medicine elective is to enhance the student's knowledge, attitudes, and skills in preventive medicine at both the individual patient and population/community levels. This foal will be achieved by in-depth review and discussion of the guidelines of the U.S. Preventive Services Task Force and the Community Preventive Services Task Force using a Preventive Problem-Based Learning format. Additional learning activities include patient care with an emphasis on clinical prevention and visits to the Douglas County Health Department, Nebraska Health and Human Services, and private community agencies. The student will: Develop skills in the following areas: Performing a prevention-focused history, including identification of age and gender specific risk factors and previous screening tests/exams and immunizations; Performing an appropriate prevention-focused physical exam; and Ordering appropriate screening tests, preventive medications and immunization. Improve communication skills, specifically motivational and behavioral change counseling skills incorporating social and cultural environmental factors to improve the overall health of patients. Discuss the risk factors and evidence-based interventions for the following topics and conditions: Immunizations, preventive medications, cardiovascular disease, cancer, infectious diseases, metabolic diseases, cognitive function, depression, sexually transmitted diseases, contraception, substance use, physical activity, nutrition, injury prevention, and dental/oral health. Obtain/critique/develop patient education materials. Identify and utilize resources, as needed, including the full range of social, educational, civic, religious, and health care organizations (both formal and informal, private and public) that relate directly or indirectly to prevention and public health.

Prerequisite:  Re-arranged with Dr. James Medder.

Instructor: Dr. James Medder.

Contact: Jolene Wees; jolene.wees@unmc.edu; 402-559-9327; MSB 2520 (Zip 3075).

Typically Offered: July.

Capacity: Variable.

Visiting Student Information: This course is NOT available to visiting students.

FMED 739 SHARING 4 Credit Hours

ELECTIVE

During the fourth year, the student will participate in a student run clinic for the underserved by assisting the student administrators and by providing patient care. The student will also attend SHARING Board meetings and complete a clinical quality improvement project mutually agreeable to the student and the Board. Methods of Instruction:1 to 1 clinical precepting and mentoring CQI project Faculty facilitated clinic administration. Independent research and study of CQI project. During the senior year, the student will attend one evening clinic session (3-4 hours) for each of three SHARING clinics during eight four-week elective periods for a minimum of 24 visits during the year; additional visits may be required during some months to compensate for off-campus elective time and when these activities conflict with required activities of other electives, such as night call. In addition, students will attend SHARING Student and Faculty Board Meetings (2-3 hours per month over the noon hour) and complete the quality improvement project (approximately 4-6 hours per month) by the end of March. Responsibilities to the SHARING Clinic throughout the M4 year DO NOT take precedence over the elective for which the student is registered in each of the other months. Students are responsible for arranging their SHARING visits each month after they have received the schedule for their elective that month.

Instructor: Dr. Paul Paulman and Dr. James Medder.

Contact: Jolene Wees; jolene.wees@unmc.edu; 402-559-9327; MSB 2520 (Zip 3075).

Typically Offered: April.

Capacity: 4.

Visiting Student Information: This course is NOT available to visiting students.

FMED 750 INTERNATIONAL HEALTH 4 Credit Hours

ELECTIVE

The course offers students the opportunity to participate in a health care setting in a foreign country. Students' responsibilities, performed under the supervision of trained medical personnel, may include work in clinics and hospitals; home visits with community health workers, and health education. In addition, the student will also participate in a brief orientation and debriefing on campus. Elective in China (FMED-750) ~ 6 students per month. Questions regarding the China experience ~ Please call Lenal Bottoms at (402-559-3791). This elective is designed to give students experience in practicing in the unique environment of China. This one-month elective is based at the University Hospital of Shanghai Jiao Tong University School of Medicine, a 1,600-bed hospital and the principal teaching hospital of SJTUSM. The focus of this elective is to learn about the differences between the health care systems of the US and China. Students will work alongside Chinese medical students and attending faculty. The city of Shanghai is the "hotspot of modern China", with a population of 17,000,000. There are many sightseeing opportunities available in China, also, including the Great Wall, Xian City, as well as several areas within Shanghai. This experience must be pre-approved and set up through the Asia Pacific Rim Development Program Office.

Prerequisite:  Pre-arranged with Sara Pirtle, International Health and Medical Education (402-559-2924).

Contact: Jolene Wees; jolene.wees@unmc.edu; 402-559-9327; MSB 2520 (Zip 3075).

Typically Offered: Each four weeks.

Capacity: Variable. Location: Variable.

Visiting Student Information: This course is NOT available to visiting students.

FMED 753 COMPETENT CARE FOR LGBT 4 Credit Hours

ELECTIVE

Lesbian, gay, bisexual, and transgendered (LGBT) individuals have a set of unique health concerns and problems, including higher rates of depression, suicide attempts, alcoholism, cardiovascular disease, some cancers, and sexually transmitted diseases. Their special needs are often overlooked or ignored due to transparency of LGBT individuals and their avoidance of routine healthcare due to a real or imagined fear of discrimination and rejection by physicians. Although a significant segment of society is gay or lesbian, physicians receive minimal formal training in their care. The goal of this elective is to provide the specific training needed for physicians to effectively deal with the healthcare concerns and to provide medically and culturally competent healthcare to this sexual minority and vulnerable population. At the end of this four-week elective, students will be able to: * Define psychosocial issues and risks of self-disclosure by LGBT individuals. * Identify barriers to healthcare for LGBT individuals and methods to overcome those barriers. * Demonstrate appropriate history taking and interviewing skills to foster patient trust. * Identify and successfully address the unique healthcare problems facing LBGT individuals. Learning activities include patient care experiences with the LGBT population, assigned readings, lectures, case discussions, simulations, and visits to LGBT agencies and organizations. Faculty permission is required prior to registration. Instructional methods: Through assigned readings, didactic lectures, seminars and panel discussions, students will learn about the healthcare issues of the LGBT community that impact their health, such as coming out, non-normative stressors, family planning, etc. A series of case discussions and simulations will be conducted to demonstrate comprehension of didactic material. Clinical practice opportunities will be held during the elective for direct patient encounters with members of this population, including clinics with Dr. Mark Goodman and Dr. Susan Swindells (HIV/ID Clinic). (Dr. Goodman's patient population varies from 25-90% LGBT patients on any given day; students will be directed to the care of LGBT patients while in these practices/clinics.) Each student will keep a reflective journal in which the student will record his/his observations and analysis of patients seen and sites visited. This journal will be reviewed with the student by faculty. Visits to various agencies will be arranged and include the following: * PFLAG (Parents, Families, and Friends of Lesbians and Gays) meeting. * GSA (Gay Straight Alliance) meeting at Creighton/UNO. * Meeting with legal counsel to address access to care and others concerns regarding insurance coverage. * Weekend training with NAP (Nebraska AIDS Project) and counseling/testing site experience at either NAP or Douglas County Health Department. * Palliative care for those with AIDS. Activity-Hours/Week. Didactic conferences-6. Independent learning-12. Reflective journal-2. Patient care-12. Agency site visits-8.

Prerequisite:  Pre-arranged with Dr. James Medder.

Instructor: Dr. James Medder and Dr. Gary Beck Dallaghan.

Contact: Jolene Wees; jolene.wees@unmc.edu; 402-559-9327; MSB 2520 (Zip 3075).

Typically Offered: March.

Capacity: Variable.

Visiting Student Information: This course is NOT available to visiting students.

FMED 760 PRIV PRACTICE OFFICE 4 Credit Hours

ELECTIVE

This elective offers a chance to participate in and observe private practice in family physicians' offices in Omaha. An off-campus elective application form must be submitted for this experience. (See Off-Campus Elective Application procedures). Please note: you will need to contact the Family Medicine Department and let them know where you plan to complete this rotation before you begin this rotation.

Prerequisite:  Off-Campus Approval form completed.

Contact: Jolene Wees; jolene.wees@unmc.edu; 402-559-9327; MSB 2520 (Zip 3075).

Typically Offered: Each four weeks.

Capacity: Variable. Location: Omaha area Private Practice offices.

Visiting Student Information: This course is NOT available to visiting students.

FMED 761 OFF CAMPUS ELECTIVE 4 Credit Hours

ELECTIVE

This elective offers a chance to participate in and observe an off-campus elective in an out of state locale of the students' choice. An off-campus elective application form must be submitted for this experience. (See Off-Campus Elective Application procedures). Please note: you will need to contact the Family Medicine Department and let them know where you plan to complete this rotation before you begin this rotation.

Prerequisite:  Off-Campus Approval form completed

Contact: Jolene Wees; jolene.wees@unmc.edu; 402-559-9327; MSB 2520 (Zip 3075)

Typically Offered: Each four weeks

Capacity: Variable Location: Variable

Visiting Student Information: This course is NOT available to visiting students.

FMED 799 RESEARCH 4 Credit Hours

ELECTIVE

The student may select a project in which he is particularly interested and with the approval of the faculty, may pursue this project intensively for four weeks. Such projects might be concerned with the delivery of health care or with the value of screening procedures. Faculty advice will be given and the research project will be structured.

Prerequisite:  Pre-arranged with faculty advisor through Jenenne Geske; 402-559-6758.

Contact: Jolene Wees; jolene.wees@unmc.edu; 402-559-9327; MSB 2520 (Zip 3075).

Typically Offered: Each four weeks.

Capacity: Variable.

Visiting Student Information: This course is NOT available to visiting students.