Second Year Elective and Selectives

The Department of Community and Family Medicines offers several selective and elective opportunities for second year students. Contact Jody Crabtree at 681-3066 for information regarding enrollment.

This selective provides hands-on experiences in the broad, interdisciplinary field of Occupational Medicine. The focus is to apply key principles of Preventive Medicine, Population Health Management, and Prospective Health through participating in a broad range of occupational medicine activities. In clinic visits students will examine patients, interpret multiple types of information (beyond typical medical data), and communicate with key parties. Throughout the Durham area, they will assess worksite/environmental hazards and assist in reporting on them. . Working with Faculty mentors, they will find and draw upon information resources (many of which may be new to them) to address complex questions. All students will engage in interactive learning modules on prevention; attend didactic sessions on key aspects of Occupational Medicine, and perform problem/project-base learning. Students will complete their own health risk assessments, as well as helping with health promotion activities and health risk communications to patients. Brian Caveney and Carol Epling

COMMFAM-221C. PRACTICAL CLINICAL NUTRITION. This course will cover the topics in clinical nutrition that will be of most use to medical students interested in primary care. Participants will have a chance to observe and practice interviewing and counseling skills. Topics will include weight management, eating disorders, diabetes, hypertension, cancer, pregnancy, middle age, elderly, and addictive behaviors, and population-based nutrition. Enrollment Max. 10. Murphy,G. and Alphin, F.

COMMFAM-222C. PROSPECTIVE HEALTH PLANNING AND INTEGRATIVE MEDICINE. This selective will provide an evidence-based and experiential understanding of prospective health planning using the Duke Center for integrative Medicine (DCIM), Domains of Health. Methods include literature reviews, clinic visits, practitioner and patient interviews, and observation of lifestyle programs at the Center for Living. Students will receive faculty mentoring, Mindfulness-Based Stress Reduction training, and health coaching. They will set personal health goals, develop their own health plans, and give presentations about their experiences. Permission of the instructor is required. Enrollment Max. 8. Sam Moon and Carol Epling

COMMFAM-253C. OCCUPATIONAL AND ENVIRONMENTAL MEDICINE. This elective is designed to enhance the student's basic science skills in several important areas related to occupational medicine: occupational injury and illness prevention, and epidemiology, health management for employee populations, industrial toxicology, worksite wellness and prevention programs During this four week rotation, students will complete readings related to these areas, observe surveillance exams and prospective health planning visits in clinics, participate in lectures and seminars, learn to conduct computerized database searches concerning industrial toxicology, and (as available) visit industrial sites as part of the experience. Students will also be given at least one project which will involve one of the topics described above. Upon completion of the rotation, students can expect to have practical and useful skills applicable to occupational medicine and worksite health programs. Credit: 4. Enrollment: max 1. Two months advance notice and permission from instructor is required. All interested students should contact the coordinator of Medical Student Programs at 681-3066, or call the course director, Dr. Epling at 286-1722, ext 279. Epling, Darcey and Moon , MD and Sam Moon, MD MPH

COMMFAM-263C. COMMUNITY HEALTH. This elective will introduce students to the concepts and practice of community-based and population-based health care. Population-based health care is becoming increasingly important in addressing the health care needs of this nation. This elective will help students understand how Duke serves communities through collaborative, innovative, interdisciplinary clinical services, educational programs, and applied research. By allowing students to participate in actual programs, role modeling and experiential learning are used to supplement and apply what is learned in the required text-based materials of the course. Because the specific course activities will depend upon the student's particular interests and the community health activities ongoing at the time of the elective, each student's experience will be individually designed. To participate in this course, students must contact Michelle J. Lyn, Director, Educational Programs, Division of Community Health at least six weeks prior to the start of the course. At that time, Ms. Lyn and the student, along with appropriate community programming faculty and staff, will plan the specific activities that will be undertaken by that student, and the requirements for the student's successful completion of the course. Credit: 4; Enrollment max: 1 Lyn, Sheline, Yaggy

COMMFAM-269C. COMMUNITY AND FAMILY MEDICINE PRECEPTORSHIP. An individually tailored preceptorship which allows students to observe and participate in aspects of the broad scope of Community and Family Medicine, including delivery of care to individuals, families, and populations within the context of the community in which they live. The rotation supplements and complements the second-year core clerkship, and allows the student further exploration of specific areas of interest. Interested students should call 919-681-3066. Drops are not accepted. Prerequisites: permission of instructor and completion of COMMFAM 205C. Credit: 4. Enrollment max: 1. Copeland and staff

COMMFAM-270C. PRIMARY CARE SPORTS MEDICINE. This elective is designed to introduce students to the concepts and practice of primary care sports medicine. Over the past several years there has been an increased focus on physical fitness. More people are engaging in regular physical activity and the average life expectancy has increased to 77.6 years. This increase in activity has also resulted in an increased number of musculoskeletal injuries. In order to provide good care to these patients’ physicians need to be well versed in treatment of these musculoskeletal problems as well as the common medical problems that physically active people face. During this month long elective, students will become familiar with the diagnosis, treatment, and prevention of musculoskeletal injuries as well as treatment of primary care issues such as HTN, Hypertrophic Cardiomyopathy, asthma, and mononucleosis. During this rotation students will see patients in the sports medicine and Family medicine clinics. The students will also participate in the care of college and high school athletes. To participate in this rotation students must contact Jody Crabtree, Staff Specialist at least 6 weeks prior to the course. Credit: 4. Enrollment Max: 3 per month. Bytomski, Boggess, Stafford. This is a very popular rotation ...so...the earlier you enroll the better.