FAMILY MEDICINE

COURSE CODE:		FAMFAMI.001.U	

Responsible Agent: 	Dr. Kent Sheets; l0l8 Fuller Street, Box 0708; 998-7138
Duration:		4 weeks
Periods Offered:		All
Enrollment/Period:	1 Maximum
Distribution of student's time:
	85% Inpatient Care
	  5% Outpatient/Primary Care
	10% Conferences/Lectures
Average number of patients seen each week:	15 Inpatient; 2 Outpatient.
On-call responsibility:	Every 4 days
Where to Report First Day of Clerkship: 	Students will be notified by mail in advance of the beginning of the clerkship

Clerkship objectives beyond comprehensive care of patients including evaluation, diagnosis and therapy:
To enhance knowledge and skills pertaining to:
	Interviewing, physical examination and other patient interactions.
	Interpretation of data.
	Clinical judgment.
To increase student involvement in conferences, journal clubs, etc. by having students:
	Present patients and/or patient data.
	Participate as a member of the audience.
To increase student use/review of the medical literature:
	As part of patient care (report to attending).
	As part of a conference or journal club.
Students will be evaluated on each of the following:
	Quality of care given (including clinical judgment).
	Participation and performance in conferences.
	Level of knowledge (including new knowledge).
	Level of skills.
Methods to be used in student evaluation include:
	Observation of performance by faculty.
	Observation of performance by house officers.
	Assessment of write-ups/reports.

Course Description:
This experience will provide students the opportunity to spend 4 weeks on the Family Practice Inpatient
 Service at University Hospital.  Students will also go on nursing home rounds and make home visits. 
 Students function under the direct supervision of Family Medicine faculty 
and residents. Any absences other than those related to illness must be approved at least one month in advance
 by Dr. Sheets. Activities are scheduled to maximize thestudent's experience and attendance is crucial and required.

JAPANESE FAMILY & COMMUNITY HEALTH, University Hospital

COURSE CODE:		FAMFAMO.001.U	

Responsible Agent: 	Dr. Kiyoshi Sano; E. Ann Arbor Health Ctr; 4260 Plymouth Rd., Ann Arbor; 647-5640
Duration:		4 weeks
Periods Offered:		All
Enrollment/Period:	1 Maximum
Distribution of student's time:
	10% Inpatient Care
	50% Outpatient/Primary Care
	10% Conferences/Lectures
	30% Research
Prerequisite:		Japanese Speaking
Average number of patients seen each week:	25
On-call responsibility:	Every 10 days
Where to Report First Day of Clerkship: 	Family Practice; 4260 Plymouth Rd., Ann Arbor; 8:00 a.m.

Clerkship objectives:
To enhance knowledge and skills pertaining to:
	Interviewing, physical examination and other patient interactions.
	Interpretation of data.
	Clinical judgment.
	Various outpatient procedures.
	Therapy and advice to patients.
Students will be evaluated on each of the following:
	Quality of care given (including clinical judgment).
	The number of patients given care.
	Participation and performance in conferences.
	Level of knowledge (including new knowledge).
	Level of skills.
	Written report of research topic.
Methods to be used in student evaluation include:
	Observation of performance by faculty.
	Logbook entries.
	Assessment of write-ups/reports.
	Assessment of research paper.

Course Description:
The student will work with two Japanese speaking family physicians, Kiyoshi Sano, M.D. and Michael Fetters, M.D, MPH, MA who
provide comprehensive primary care services to overseas Japanese patients presenting to Japanese Family Health Program 
at the East Ann Arbor Health Center.  Conversation level Japanese language skills are required since the student will be working
exclusively with Japanese speaking patients. The student will also be required to do a scholarly project relating to the health of
Japanese patients residing in the United States. The student will be expected to complete a 4,000 word paper that summarizes
the results of the studentıs scholarly project. The paper should focus on intercultural differences and the impact of culture 
on medical outcomes. Topics will be selected upon consultation 
with Drs. Sano and Fetters.