New Blog!

In an effort to simplify access, and save fingers from excess typing, I have moved all future content to my new blog at:
www.kzoofmc.blogspot.com

Hope this makes access easier for all.

Welcome to the 2009 Summer II Clerkship!

Welcome to the Family Medicine Rotation. We want to make this the best experience it can be for you. Please give feedback at any time.

All assignment information can be found on Angel: https://angel.msu.edu

Updates to clerkship schedule and assignments will be distributed by email and posted on Twitter: http://twitter.com/kzoo_fm_clrkshp

Additional notes on written records:
A major focus of this clerkship is appropriate communication between health care providers. Inpatient H & Ps and outpatient SOAP notes, as well as oral case presentations, provide the opportunity to review this communication. Please insure that all such communication is done in a professional manner. Handwritten write-ups are acceptable if neat and readable. Dictations are not write-ups and are not acceptable. If you choose to use a write-up template, delete all inappropriate or unasked questions.

Screening and Prevention: Additional Resources

Don't forget to review the the evaluation criteria in the syllabus appendices. I will have a copy of this open while you are presenting.

Guidelines for almost any clinical subject can be found at:
The National Guideline Clearinghouse: http://www.guidelines.gov/

You should of course review any guidelines or screening materials from appropriate groups such as the National Cancer Institute, American College of Ob/Gyn...

One independent group that produces useful clinical guidelines is:
The Institute for Clinical Systems Improvement: http://www.icsi.org/

Don't forget to check what the United States Preventative Services Task Force has to say:
http://www.ahrq.gov/clinic/USpstfix.htm

Dr. Z.

Additional Resources for Informed Consent/Shared Decision Making

Braddock Article: JAMA (from MSU Electronic Library - EZ Proxy required)
http://jama.ama-assn.org.proxy1.cl.msu.edu/cgi/reprint/282/24/2313?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&fulltext=Braddock+CH&searchid=1&FIRSTINDEX=0&resourcetype=HWCIT

Foundation for Informed Medical Decisions: http://www.informedmedicaldecisions.org/

CDC Prostate Cancer: Informed Decision Making: http://www.cdc.gov/CANCER/prostate/decisionguidespotlight.htm

BRCA Gene Testing:
National Cancer Institute: http://www.cancer.gov/cancertopics/factsheet/risk/brca
Mayo Clinic (patient education): http://www.mayoclinic.com/health/brca-gene-test/MY00322
CDC Fact Sheet: http://www.cdc.gov/Genomics/training/perspectives/factshts/breastcancer.htm
USPSTF: http://www.ahrq.gov/clinic/uspstf/uspsbrgen.htm

Dr. Z

Suturing Workshop

Additional readings for the suturing workshop:

Simple: www.fpnotebook.com
Suture Material: http://www.fpnotebook.com/Surgery/Pharm/StrMtrl.htm
Wound Repair: http://www.fpnotebook.com/Surgery/DER/WndRpr.htm


Comprehensive: MD Consult (via MSU Electronic Library - EZProxy required):
Roberts: Clinical Procedures in Emergency Medicine:
Chapter 35: Priciples of Wound Management:
http://www.mdconsult.com.proxy1.cl.msu.edu/das/book/body/124876005-2/0/1193/328.html?tocnode=52354658&fromURL=328.html#4-u1.0-B0-7216-9760-7..50039-2_1662
Chapter 36: Methods of Wound Closure
http://www.mdconsult.com.proxy1.cl.msu.edu/das/book/body/124876005-2/0/1193/338.html?tocnode=52354714&fromURL=338.html#4-u1.0-B0-7216-9760-7..50040-9_1718
(both chapters written by our own Richard Lammers, MD - thank him when you see him!)

Dr. Z.

Additonal Resources for Common Problems #1

Sore Throat:
Modified Centor Criteria: http://www.aafp.org/afp/20090301/383.html (membership required)

Perimenopause:
Women's Health Initiative: http://www.nhlbi.nih.gov/whi/index.html
USPSTF (for Osteoporosis): http://www.ahrq.gov/clinic/cps3dix.htm

Depression:
Screening Tools: http://www.fpnotebook.com/Psych/Exam/PsychlgclTstng.htm

Kidney Disease:
Kidney Stone Pictures: http://www.herringlab.com/photos/
ACR Appropriateness Criteria for Hematuria: http://www.aafp.org/afp/20080801/347.html

Shoulder Pain:
Part 1: http://www.aafp.org/afp/20000515/3079.html
Part 2: http://www.aafp.org/afp/20000601/3291.html
Another Part 1: http://www.aafp.org/afp/20080215/453.html
Ditto Part 2: http://www.aafp.org/afp/20080215/493.html

Additional Resource for Dermatology

Univ of Wisconsin Peds Derm:
http://www.pediatrics.wisc.edu/education/derm/index.html

Johns Hopkins Atlas of Dermatology:
http://www.dermatlas.com/derm/

Table of Topical Steroid Potency, c/o National Psoriasis Foundation:
http://www.psoriasis.org/treatment/psoriasis/steroids/potency.php

Dr. Z