Education

M3 Family Medicine Elective

The Family Medicine Elective is a 2-week rotation in which students work one-on-one in the outpatient setting with a community family physician, engage in a lifestyle medicine curriculum, practice shared-decision making and motivational interviewing communication skills with a standardized patient, practice important End of Life conversations with seniors at a local retirement facility and spend time every week volunteering with one of our many community agency partners.

Our clinical preceptors and their staff are committed to teaching future physicians. Our weekly didactic sessions also include key topics like Diabetes, Hyperlipidemia, Hypertension, Integrative Approaches to Chronic Pain, Routine Health Maintenance (Preventative Medicine) to name a few.

Advance Care Directives

Palliative Access Through Care at Home (PATCH): http://arkham.bsd.uchicago.edu/patch/index.html

Diabetes

Pippett, Karly, Li, Marlana and Gurgle, Holly. Diabetes Mellitus: diagnosis and screening. Am Fam Physician. 2016;93(2):103-109.
http://www.aafp.org/afp/2016/0115/p103.html

Steinberg, Joshua and Carlson, Lyndsay. Type 2 Diabetes Therapies: A STEPS Approach. Am Fam Physician. 2019;99(4):237-243. https://www.aafp.org/afp/2019/0215/p237.html

Howard-Thompson, Amanda, Khan, Muneeza, Jones, Morgan, and George, Christa. Type 2 Diabetes Mellitus: Outpatient Insulin Management. Am Fam Physician. 2018;97(1):29-37. https://www.aafp.org/afp/2018/0101/p29.html

Healthy Lifestyle: https://www.aafp.org/family-physician/patient-care/prevention-wellness/healthy-lifestyle.html

Domestic Violence

Articles:

Intimate Partner Violence: http://www.medicinenet.com/domestic_violence/article.htm

Screening for Intimate Partner Violence and Abuse of Elderly and Vulnerable Adults: Recommendation Statement: https://www.aafp.org/afp/2019/0515/od1.html

Websites:

Futures Without Violence: http://www.futureswithoutviolence.org

National Domestic Violence Hotline: http://www.thehotline.org

National Coalition Against Domestic Violence: http://www.ncadv.org

National Resource Center on Domestic Violence: http://www.nrcdv.org

Domestic Violence -- American Academy of Family Physicians https://www.aafp.org/afp/2016/1015/p646.html

EBM Resources

Cochrane Database of Systematic Reviews: http://www.cochrane.org/reviews/index.htm U.S. Preventive Services Task Force (USPSTF):http://www.ahrq.gov/clinic/uspstfix.htm

DynaMed: http://www.ebscohost.com/dynamed/

Trip Database: http://www.tripdatabase.com

Healthlinks: http://hsl.uw.edu/toolkits/care-provider

UpToDate: http://www.uptodate.com

PEPID PCP: http://www.pepidonline.com
login/password information in handbook

PubMed/MEDLINE: http://www.ncbi.nlm.nih.gov/sites/entrez
Off campus: https://pubmed.ncbi.nlm.nih.gov/?otool=uchicagolib

Centre for Health Evidence Users' Guide: https://gh-usersguide.usaid.gov/

SORT taxonomy: Ebell MH, Siwek J, Weiss BD, et al. Strength of recommendation taxonomy (SORT): a patient-centered approach to grading evidence in the medical literature. Am Fam Physician. 2004;69(3):548-556. https://www.aafp.org/afp/2004/0201/p548.html

Family Planning

Articles:

Contraception Choices in Women with Underlying Medical Conditions: http://www.aafp.org/afp/2010/0915/p621.html

Emergency Contraception: An Underutilized Resource: https://pubmed.ncbi.nlm.nih.gov/22754889/

Options Counseling: Techniques for Caring for Women with Unintended Pregnancies: https://pubmed.ncbi.nlm.nih.gov/15134677/

Patient Education Resources:

Your Birth Control Options: http://www.reproductiveaccess.org/resource/birth-control-choices-fact-sheet/

Early Abortion Options: http://www.reproductiveaccess.org/resource/early-abortion-options/

IUD Fact Sheet: http://www.reproductiveaccess.org/resource/iud-facts/

Additional Resources:

United States Medical Eligibility Criteria for Contraceptive Use: http://www.cdc.gov/mmwr/pdf/rr/rr59e0528.pdf

Reproductive Health Access Project: http://www.reproductiveaccess.org/

The World Health Organization Medical Eligibility Criteria for Contraception (MEC): https://www.who.int/publications/i/item/9789241549158

Emergency Contraceptive Pills (Medical and Service Delivery Guidelines): https://www.cecinfo.org/icec-publications/emergency-contraception-pills-medical-service-delivery-guidelines-fourth-edition/

Family Planning Article List from American Family Physician: https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=71

Health Maintenance and Screening:

Health Maintenance in Women: http://www.ncbi.nlm.nih.gov/pubmed/23317023

The main website for this lecture is U.S. Preventive Services Task Force (USPSTF): http://www.ahrq.gov/clinic/prevenix.htm

Students should download the electronic preventive service selector: http://epss.ahrq.gov/PDA/index.jsp

Students should also use the updated immunization recommendations from: http://www.cdc.gov/vaccines/schedules/index.html

Riley M, Locke AB, Skye EP. Health maintenance in school-aged children: Part I. History, physical examination, screening and immunizations. Am Fam Physician. 2011;83(6):683-688. http://www.aafp.org/afp/2011/0315/p683.html

Riley M, Locke AB, Skye EP. Health maintenance in school-aged children: Part II. Counseling recommendations. Am Fam Physician. 2011;83(6):689-694. http://www.aafp.org/afp/2011/0315/p689.html

Montalto NJ. Implementing the guidelines for adolescent preventive services. Am Fam Physician. 1998;57(9):2181-2188, 2189-2190. http://www.aafp.org/afp/980501ap/montalto.html

Spalding MC, Sebesta SC. Geriatric screening and preventive care. Am Fam Physician. 2008;78(2):206-215. http://www.aafp.org/afp/2008/0715/p206.htm

Hyperlipidemia

Screening and Diagnosis:

NHLBI Expert Panel Releases Guidelines for Cardiovascular Health Risk Reduction in Children (Practice Guidelines): http://www.aafp.org/afp/2012/1015/p776.html

Screening for Lipid Disorders in Adults (Putting Prevention into Practice): http://www.aafp.org/afp/2009/1201/p1281.html

AAP Clinical Report on Lipid Screening in Children (Practice Guidelines): https://www.aafp.org/afp/2009/0415/p703.html

Screening for Lipid Disorders in Adults: Recommendation Statement (US Preventive Services): https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/lipid-disorders-in-adults-cholesterol-dyslipidemia-screening-2008

Prevention:

Statins for Primary Cardiovascular Prevention (Cochrane for Clinicians): https://www.aafp.org/afp/2011/1001/p767.html

AHA Releases Scientific Statement on Cardiovascular Health in Childhood (Practice Guidelines): https://www.aafp.org/afp/2003/0201/p645.html

Treatment:

ACC/AHA Release Updated Guideline on the Treatment of Blood Cholesterol to Reduce ASCVD Risk (Practice Guidelines): http://www.aafp.org/afp/2014/0815/p260.html

Fish Oil for Treatment of Dyslipidemia (FPIN's Clinical Inquiries): http://www.aafp.org/afp/2014/0215/p288.html

Endocrine Society Releases Guidelines on Diagnosis and Management of Hypertriglyceridemia (Practice Guidelines): http://www.aafp.org/afp/2013/0715/p142.html

Pharmacologic Treatment of Hyperlipidemia: http://www.aafp.org/afp/2011/0901/p551.html

Hypertension

Screening:

Screening for Primary Hypertension in Children and Adolescents (Putting Prevention into Practice): http://www.aafp.org/afp/2015/0215/p257.html

Screening for Primary Hypertension in Children and Adolescents: Recommendation Statement (US Preventive Services Task Force): http://www.aafp.org/afp/2015/0215/od1.html

Pharmacotherapy for Mild Hypertension (Cochrane for Clinicians): https://www.aafp.org/afp/2013/0701/p21.html

Diagnosis of Secondary Hypertension: An Age-Based Approach: http://www.aafp.org/afp/2010/1215/p1471.html

Treatment:

Nonpharmacologic Management of Hypertension: What Works? http://www.aafp.org/afp/2015/0601/p772.html

Common Questions About the Initial Management of Hypertension: http://www.aafp.org/afp/2015/0201/p172.html

JNC8 Guidelines for the Management of Hypertension in Adults: http://www.aafp.org/afp/2014/1001/p503.html

First-Line Treatment for Hypertension: http://www.aafp.org/afp/2010/0601/p1333.html

Blood Pressure Treatment Targets for Uncomplicated Hypertension: http://www.aafp.org/afp/2010/0401/p848.html

Evaluation and Treatment of Severe Asymptomatic Hypertension: http://www.aafp.org/afp/2010/0215/p470.html

Complications and Special Situations:

High Blood Pressure in Children and Adolescents: http://www.aafp.org/afp/2012/0401/p693.html

Evaluation and Management of the Patient with Difficult-to-Control or Resistant Hypertension: http://www.aafp.org/afp/2009/0515/p863.html

Integrative Medicine

National Center for Complementary and Alternative Medicine: https://integrativemedicine.arizona.edu/

Arizona Center for Integrative Medicine: http://nccam.nih.gov/research/camonpubmed/

Memorial Sloan-Kettering Cancer Center: http://www.mskcc.org/mskcc/html/11570.cfm

Integrative Medicine: Improving Health Care for Patients and Health Care Delivery for Providers and Payors: http://www.bravewell.org/content/pdf/IntegrativeMedicine2.pdf

Prenatal Care

Kirkham C, Harris S, Grzybowski S. Evidence-based prenatal care: Part I. General prenatal care and counseling issues. Am Fam Physician. 2005;71(7):1307-1316. http://www.aafp.org/afp/2005/0401/p1307.html

Kirkham C, Harris S, Grzybowski S. Evidence-based prenatal care: part II. Third-trimester care and prevention of infectious diseases. Am Fam Physician. 2005;71(8):1555-1560. http://www.aafp.org/afp/2005/0415/p1555.html

Lu MC. Recommendations for preconception care. Am Fam Physician. 2007;76(3):397-400.
http://www.aafp.org/afp/2007/0801/p397.html

Prine LW, Macnaughton H. Office management of early pregnancy loss.Am Fam Physician. 2011;84(1):75-82.
http://www.aafp.org/afp/2011/0701/p75.html-->

Shared Decision Making

Elwyn G, Frosch D, Thomson T, Joseph-Williams N, Lloyd A, Kinnersley P, Cording E, Tomson D, Dodd C, Rollnic S, Edwards A, Barry M. Shared Decision Making: A Model for Clinical Practice. JGIM 27(10): 1361-1367.

Patient, help heal thyself: A case for letting patients help pick their treatments by Dr. Glyn Elwyn and Eric Weinberger. Boston Globe. October 13. 2013.

Sports Medicine

Kinkade S. Evaluation and treatment of acute low back pain. Am Fam Physician. 2007;75(8):1181-1188. http://www.aafp.org/afp/2007/0415/p1181.html

Patient, help heal thyself: A case for letting patients help pick their treatments by Dr. Glyn Elwyn and Eric Weinberger. Boston Globe. October 13. 2013.
Ivins D. Acute ankle sprain: an update. Am Fam Physician. 2006;74(10):1714-1720. http://www.aafp.org/afp/2006/1115/p1714.html

Quillen DM, Wuchner M, Hatch RL. Acute shoulder injuries. Am Fam Physician. 2004;70(10):1947-1954.
http://www.aafp.org/afp/2004/1115/p1947.html

Calmbach WL, Hutchens M. Evaluation of patients presenting with knee pain: Part I. History, physical examination, radiographs, and laboratory tests. Am Fam Physician. 2003;68(5):907-912. http://www.aafp.org/afp/2003/0901/p907.html

Calmbach WL, Hutchens M. Evaluation of patients presenting with knee pain: Part II. Differential diagnosis. Am Fam Physician. 2003;68(5):917-922. http://www.aafp.org/afp/2003/0901/p917.html

Tiemstra J. Update on Acute Ankle Sprains. Am Fam Physician. 2012;85(12):1170-1176. http://www.aafp.org/afp/2012/0615/p1170.pdf