Primary Care Clerkship Site Descriptions

P&S PRIMARY CARE CLERKSHIP:   Site Descriptions for MCY-2017

 This clerkship will bring you to the frontlines of health care, and is jointly hosted by Family Medicine and General Internal Medicine primary care practices.

 What to consider before the lottery:

1.    Given the diverse missions and patient populations each of our facilities serves, it is important for students to know that no one site/experience will be the same as another. Learn about the sites by joining the pre-lottery meeting and reading this packet.

2.    Location is one major consideration; some of our sites require driving while others are so far away that you will need to stay there for the entire rotation.  Current training locations span NYC, Westchester, Connecticut, Upstate NY, and the Southwestern United States. Do know that due to the unpredictable nature of site staffing, your site assignment may change.

3.    Also consider the  patient population  and the clinical experiences you want to develop.  Generally speaking, family medicine sites will have more opportunities for pediatrics and gynecology, while internal medicine sites see a more elderly population and tend to have more on-site subspecialty experiences.

4.    Please review details of transportation/reimbursement to the off-sites. For example, all Westchester and Bassett sites require a valid driver’s license and daily driving. A few other sites will require residence and more extensive travel.

5.    Once the post-lottery assignments are made, we are open to student swapping (one for one).

6.    IHS spots are awarded by lottery. MCY Students are welcome to rank IHS sites if they:

§  Are strongly considering primary care or rural medicine career (per IHS guidelines).  N.B, IHS also offers 4th year electives for students interested in primary care or rural medicine.

§  Have reviewed and accept costs that may be incurred. Airfare can be expensive and is may only partially be reimbursed. ‘Young’ drivers tend to pay more for car rentals; transportation and food at the site is not reimbursed.

 Internal Medicine Sites

 Stamford Hospital Internal Medicine:  2 students/block

The Stamford Hospital primary care experience occurs at the Optimus Health Care Clinic, a Federally Qualified Health Center (FQHC).  FQHC’s were developed over 40 years ago to address the needs of the medically underserved. These centers target the medically indigent populations such as those with Medicaid, or the “working poor.”  Optimus cares for an incredibly diverse patient population; our patients come from Central and South America, the Caribbean, Asia, Eastern Europe, and even parts of Africa.  About 60% of our patients are Spanish speaking only, and medical interpretation is provided by language line service.  The clinic has a strong collaboration with Stamford Hospital which is located a 5 minute car ride/20 minute walk away.  The ambulatory faculty responsible for precepting students and residents are all meaningfully involved in the Internal Medicine Residency Program at Stamford Hospital. This ensures that teaching and supervision all are firmly grounded in the principles of medical education.  

Primary care clerks enjoy a rich didactic experience as they are expected to attend medical, cardiology and neurology grand rounds at Stamford Hospital; and are invited to participate in IM morning reports and noon conferences.  In addition, at times they may join preceptors on inpatient rounds.  There is also an ambulatory morning report on Monday mornings at which student attendance is required.    Out of the possible ten sessions per week (5 AM sessions and 5 PM sessions), six of those are primary patient care sessions where medical students learn about acute, chronic, and preventative medicine care in adult patients.  Primary care clerks will see patients independently, and rarely shadow residents, allowing them the opportunity to become truly integrated into the medical team. Other sessions will be spent in subspecialty clinics such as endocrinology, infectious disease, gastroenterology, cardiology, dermatology, and pulmonary; and students will be precepted by specialists in these fields.  This provides the student multiple opportunities to interact with faculty members from different fields of medicine.  Stamford Hospital provides housing for students on rotation, or you may take the Metro North train from Harlem.

**On-site housing provided (strongly recommended) or shuttle transportation provided by Stamford Hospital from CUMC. Reimbursement is provided for a Metronorth pass only if student opts out of housing option. 

Bronx VA Integrated Longitudinal Clerkship: 4 students/12 week block (16 students per year)

This site will only be used by students in the 12 week longitudinal program at the Bronx VA. See Dr. Nickerson or Dr. Chang for full description of program. The longitudinal clerkship at the VA is a 12 week integrated clerkship in primary care, inpatient medicine (medicine ‘away’), urology and orthopedics. The James J. Peters VA Medical Center is a tertiary care facility, providing a full range of patient care services. Comprehensive health care is provided through primary care, tertiary care, and long-term care in areas of medicine, surgery, psychiatry, physical medicine and rehabilitation, neurology, oncology, dentistry, geriatrics, and extended care. The James J. Peters VAMC hosts a broad range of inpatient and outpatient health care services. At clerkship completion, students will meet all requirements for primary care, medicine away, urology and orthopedics on this rotation.  They will additionally benefit from exposure to Veteran’s Health, the advanced VA EMR that facilitates population management, and longer continuity relationship with a panel of longitudinal patients.  Students will also work one on one with attending physicians in the context of a Medical Home team care model.  Although most patients are male, there are opportunities for women’s health. Students can travel to the Bronx VA via CUMC shuttle to the Allen, and then walking up 225th street to the hospital.  There is some travel reimbursement.

 Scarsdale Medical Group/Harrison, NY : 2 students/block

Driver’s License required/rental car is provided

The Scarsdale Medical Group (SMG) is a 30 doctor multi-specialty group located in Scarsdale and nearby Harrison. The practice delivers general internal medicine care as well as multi-subspecialty care. Each medical student works with 6-8 doctors during the rotation. They also spend time with nutritionists, case managers, and nurse-practitioners, who make house calls on homebound patients. Students are encouraged to take a history and physical on their own, and then present the patient to the attending with the patient in the room. Students have the opportunity to see a wide variety of acute and chronic illnesses in all age groups. They also have the opportunity, if interested, to observe office based procedures, such as GI endoscopy, echocardiography, and thyroid biopsies. The patient population is mostly middle and upper middle class and tends to be medically sophisticated. Most of the patients enjoy working with the students (many have family members who are doctors or medical students). Students travel to the site via rental car provided by P&S, so must have a valid driver’s license and be willing to drive. You may share driving with student at a nearby site .

Harlem Hospital Internal Medicine Outpatient Clinic: 2-3 students/block

Harlem Hospital's Medical Clinic serves the primary care needs of the Harlem community, it is also a teaching site for the Harlem Hospital Internal Medicine Residency. Students will have hands on experience in primary care, and work alongside specialists in adolescent clinic, endocrinology, GI, cardiology, and diabetes clinics. The student will be provided opportunities to interview, examine and present cases to primary care and specialty attending physicians. They will have the opportunity to analyze the results of laboratory tests and participate in the formulation of the evaluation and management plan. Students will be encouraged to counsel their patient about disease management as well as document in the electronic medical record.   Students will meet weekly with the site director to discuss teaching topics.   

 White Plains/ColumbiaDoctors Medical Group: 1 student/block

  • Driver’s License required/Stamford Gen Med

 car is provided

This is a large multi-disciplinary practice with both adult family medicine and internal medicine experience. Students will work with a group of enthusiastic primary care faculty (both IM and FM), seeing adult patients with a variety of acute and chronic conditions. They will have opportunities to work-up urgent complaints, as well as deliver chronic disease management.  The patients are generally a mix of working and retired patients—all adults.  You will have opportunities to see ambulatory practices of cardiologists, gastroenterologists, and endocrinologists. There are on-site cardiac imaging labs; the practice has an advanced cardiac imaging suite which the student can participate in if interested.  

Students travel to the site via rental car provided by P&S, so must have a valid driver’s license and be willing to drive. You may share driving with student at a nearby site.

Eastchester/ ColumbiaDoctors Medical Group:  Dr. Susan Campanile:  1 student/block

Driver’s License required

Columbia Doctors medical Group Eastchester is a busy and growing internal medicine practice in lower Westchester County serving approximately 5,000 patients. They see a wide range of acute and chronic illness as well perform many work or school physicals for young patients. Students will have plenty of opportunity to work with geriatric patients, as well as those who need ongoing care for chronic illnesses like diabetes, hypertension, high cholesterol and thyroid disease. Students will work with an enthusiastic general internist and several subspecialists including a gastroenterologist, endocrinologist, and cardiologist. Students will be expected to perform H&Ps on patients, present cases to attendings, and write the clinic note in the EMR.  Students travel to the site via rental car provided by P&S, so must have a valid driver’s license and be willing to drive. You may share driving with student at a nearby site.

Infectious Disease Clinic at NYPH / Student Health:  1 student/block

Students with a strong interest in HIV primary care/ Infectious Disease are strongly encouraged to consider working here. This practice delivers highly coordinated primary care to patients with chronic infectious conditions like HIV.  The practice is staffed by faculty and fellows in the Columbia University infectious diseases division. Students assigned to this site will  spend most of their time in the ID/HIV Clinic   in NYP’s Harkness Pavilion 6th floor, and also will spend  one day/ week at the Morningside Heights Student Health clinic in John Jay Hall (see next description for more information). Students will learn principles of the medical home, and work with a multi-disciplinary team. 

Student Health Service, Columbia Morningside Campus/Rangel Clinic:  1 student/block

This is a large student service at 116th street serving the entire Morningside campus. The practice delivers care to the undergraduate and graduate student population.  The site offers opportunity to evaluate patients with acute symptoms, reproductive health concerns, travel medicine. There are patients who present for management of chronic conditions.  The health center is a high functioning patient-centered medical home with enthusiastic teachers and an interdisciplinary team.   Students will learn a lot of preventive health and women’s health care. Faculty at the Morningside campus include both family medicine and internal medicine providers. In addition, the students will spend two half days a week with Dr. Mary Anne Nidiry, a clinician-educator and a general internist at Rangel Clinic, a NYPH affiliated primary care site. (534 W 135th St, New York, NY 10031)

Family Medicine Sites

 Farrell Family Medicine NYPH-CUMC  : 2 students/block

The Farrell Family Medicine primary care clerkship takes place at the Denny Farrell Community Health Center located at 610 W 158th St in Manhattan, a short walk down Broadway from the Columbia University Medical Center.  Farrell Family Medicine is part of the Ambulatory Care Network of New York Presbyterian Hospital and the home of the NYPH’s Family Medicine Residency program. This primary care program was developed 20 years ago both to provide care to the medically underserved (such as the uninsured, Medicare/ Medicaid, unemployed, recent immigrants and the “working poor”) as well as  to train physicians who are dedicating their future career to care for an urban underserved population. The surrounding community includes a large patient base from the Dominican Republic as well as growing immigrant populations from Mexico, Central America, Yemen and West African nations as well as some long time African American and white residents.  Many of the patients prefer to communicate in Spanish, and phone interpreter services are available. We provide students the opportunity to learn about the skills and challenges in immigrant underserved health care delivery.  The ambulatory care faculty and residents responsible for precepting medical students at Farrell are firmly grounded in the principles of medical education andhealth care delivery to the underserved.

Primary care clerks will enjoy a rich didactic experience and are expected to attend morning report at 7:30am on Wednesdays, interprofessional rounds led by our Pharm D on Tuesday afternoons and Thursday afternoon and Friday lunch timeresidency teaching conferences, as well as lecture modules taught by faculty and chief residents specifically for the clerkship students. There are occasional opportunities to participate in community health screenings/fairs. Additionally, our primary care clerks are expected to participate in 25 to 29 patient care sessions where medical students experientially learn the principles of preventive medicine, well care, and the management of common chronic diseases. Students also participate in specific clinics offered by Family Medicine attendings at Farrell including Early Options (Family Planning), Musculoskeletal, Skin Procedures, Home Visitsand a few off site sessions at the Al Hirshfeld Actors Fund, Labor and Delivery and morning rounds on the Family Medicine Inpatient Service at the Allen Hospital. Medical students are expected to evaluate patients independently, construct treatment plans for the patients they encounter and document the visit in Eclipsys. This provides primary care clerks with multiple opportunities to interact with our faculty members and senior residents. Our primary care clerks are considered integral members of our medical team/patient centered medical home.

Bassett Health Care Systems: 1-4 students/group

Driver’s License required, reimbursement provided

The Bassett Medical Center Primary Care experience affords students the opportunity to explore the uniqueness of rural practice set in Cooperstown NY, which is part of the Bassett Healthcare Network. Basset is an integrated health care system that provides care and services to people living in an eight county region covering 5,600 square miles in upstate New York. The system has gained national recognition as a model for rural health care delivery which is integrated, efficient, and economical. Students are assigned to one preceptor at one of many rural health centers located within a 50 mile radius of Bassett Medical Center in Cooperstown. This requires daily commuting (a vehicle is provided) from Cooperstown where medical student housing is located. Although each clinic site has its unique aspects with respect to size, location, and population served, there is a consistent focus on meeting the preventative, acute, and chronic medical needs of patients of all ages and genders.  A variety of medical and surgical subspecialists based in Cooperstown visit many of these clinics on a regular basis providing on-site consultation services. The student experience may include visits with preceptors to patients in the smaller community hospitals and ERs, nursing homes, patients' own homes, and jails. The population served demonstrates great socioeconomic diversity. Most are English speaking.

The student spends four full days per week, working closely with his/her assigned preceptor, who is the main provider of feedback and evaluation. On Wednesdays students remain in Cooperstown to attend appropriate conferences and meet as a group with the Bassett Clerkship Director for formal case presentations. On the last Wednesday of the rotation, each student presents to the Bassett Clerkship Director a synopsis of his/her Preventive Medicine project. The Preventative Medicine project is also presented to the providers at the site of their assigned preceptor. Students are expected to participate in other conferences unique to the assigned sites and to attend Bassett Medical Grand Rounds on Friday mornings at 7:30 either in Cooperstown or via teleconference at the assigned sites.

**Students are responsible for the cost of gas while at Cooperstown, but will be reimbursed upon return to campus.  Please provide receipts.   Students will take a train and pick up the rental car upstate.

 Community League Health Center: 1 student/block

Community League Health Center is one of 11 health centers in Community Healthcare Network. Community League has been serving the Washington Heights community since 1968. Located on 157th Street, between Broadway and Amsterdam, Community League opened its doors at their new location to better serve the underserved, uninsured and immigrant populations in the most heavily populated neighborhood in New York City. Expanding from 1,500 square feet to a brand new 5,500 square feet space, Community League provides Primary Care, Pediatrics, Family Planning, Prenatal, OB/GYN, Infectious Disease, Podiatry, Health Education and Nutritional services. Co-located on the ground floor of Community Health Academy of the Heights, a 6 through 12th grade public school and next to Community League of the Heights, a social service and advocacy non-profit, Community League is in close partnership with both entities to provide comprehensive care to the families they serve in addition to the center’s already existing client base. Most clients are from the Washington Heights and South Bronx neighborhoods and are Spanish speaking but phone interpreter services are available.

Primary Care Clerks will work closely with the Associate Medical Director and other providers through a comprehensive didactic experience. The health center is open 10:00 am to 6:00 pm Mondays, 11:00 am to 7:00 pm on Wednesdays and 9:00 am to 5:00pm Tuesday, Thursday through Saturday. Clerks are expected to report 15 minutes before the start of the day to participate in morning briefings and team conferencing. There will be participation in the assessment and evaluation of 18 to 22 patients a day for a wide-range of visit types and conditions seen with the Associate Medical Director and other providers during their time at Community League.  Clerks have the opportunity to work with a multi-disciplinary team and interact with the community at large, participating in a medical team model.

 Heritage HealthCare Center: 1-2 student(s)/block

Heritage HealthCare Center (HHC) has been proudly serving the Upper Manhattan communities for over 30 years, offering convenient, comfortable and comprehensive medical and dental care. While the majority of the services are offered at fourth floor clinic on 1727 Amsterdam Avenue, we also serve children at two school-based health centers, at Harlem Village and PS 192. Services at HHC include pediatrics, adolescent health, adult medicine, women's health, geriatrics, nutrition, HIV/AIDS, medical, psychosocial and case management, dental care, podiatry and vision care. Most clients are from the Washington Heights and South Bronx neighborhoods and are Spanish speaking but phone interpreter services are available.

A primary care rotation at HHC offers a wide spectrum of experiences in serving the underserved. Each day, the primary care clerk is assigned with a preceptor from a rotating panel of providers with Tuesday mornings dedicated to women’s health and Thursday mornings focusing on pediatrics at the school-based health center at PS 192. Students are invited to attend the 8:30am HHC meetings on the first and last Wednesday of the month where we discuss continuous quality improvement and other current issues relevant to primary care providers.  The 5 week rotation allows the student to develop the skills and knowledge base to deliver acute, chronic, and preventive care to patients ranging from newborn to the elderly. If a student is interested, a portion of the rotation can be devoted to case management, nutrition, and/or HIV management in the primary care setting.  The primary care clerk will become a part of our medical team and how involved you choose to be is how involved you can be in the patient centered home here at HHC.

 Stamford Hospital, Family Medicine: 1 student/block

The Stamford Hospital Primary care (Family Medicine) experience occurs at the Family Medicine Center. It is both an FQHC (Federally Qualified Health Center) and a residency training outpatient clinic which offers a unique look at the family medicine approach to care.  The FQHC designation was developed several years ago as one of the solutions devised by the federal government to address the needs of the medically underserved. 

 This center targets a diverse population such as those who are uninsured, with Medicaid, as well as those with private insurance. We also care for a diverse patient population from Central and South America, Haiti, and Eastern Europe.  About 35% of our patients are Spanish speaking only, and medical interpretation is provided by language line services.  The facility is affiliated with Stamford Hospital. The ambulatory faculty responsible for precepting medical students are all meaningfully involved and firmly grounded in the principles of medical education.  Primary care clerks will enjoy a supplementary didactic experience as they are expected to attend medical, cardiology and pediatric grand rounds and other conferences held at Stamford Hospital.  Out of the possible ten clinical care outpatient sessions per week (5 AM sessions and 5 PM sessions), at least seven of those are primary care sessions where medical students experientially learn the principles of preventative medicine, and the approach to well care as well as the management of chronic diseases in our patient population. Students may have opportunities to interact with faculty members from different fields of medicine as well as work with and learn from members of our allied health and interdisciplinary teams.  Primary care clerks see patients independently with direct supervision. After orientation to the office, rarely do students function as “shadows”, allowing them the opportunity to become truly integrated into the medical team as a Physician provider. Stamford Hospital provides housing for students on rotation, or you may take the Metro North train from Harlem.

**On-site housing provided or shuttle transportation provided by Stamford Hospital from CUMC. Reimbursement is provided for a Metro North pass if student opts out of housing option.

 Northern Navajo Medical Center /Shiprock

Northern Navajo Medical Center in Shiprock, New Mexico provides health care to approximately 50,000 Native American people from the Four Corners Area of New Mexico, Colorado, Utah and Arizona. The majority of the populations served are from the Navajo, Hopi, and Ute tribes. The hospital, opened February 1995, is a 50 bed facility accredited by Joint Commission on Accreditation of Health Care Organization (JCAHO). It is a Level II Trauma Center and has a five bed Special Care Unit. The inpatient service is quite active, and the Outpatient Department provides more than 120,000 ambulatory visits per year.

 The medical staff includes fifteen residency-trained family practitioners, nine internists, eight pediatricians, four general surgeons, five obstetrician/gynecologists, three anesthesiologists, three radiologists, three optometrists, and five nurse midwives. With this team of providers, the hospital is able to meet most of its patients’ needs, ranging from routine health maintenance to intensive care. The IHS requests students have a strong interest in primary care or rural medicine, so please only rank this site if you are considering a career in primary care or rural medicine. 

 Travel/Housing/Meals

 If you plan to fly, the closest airport is in Farmington, NM which is thirty miles east of Shiprock. It has many commuter flights to and from Albuquerque, Denver, and Phoenix. If you plan to rent a car, it might be wise to fly into Albuquerque and drive the four hours to Shiprock, since there is a greater and less expensive variety of rental agencies there than in Farmington. All the roads leading to Shiprock (US 65 from the east or west, US 491 north from the north and south) are paved, in good shape, and well-traveled but driving after dark is discouraged for safety reasons. For those planning to drive to Shiprock, virtually all routes through New Mexico, Colorado and Arizona are quite scenic.

  Single students usually end up sharing one of the rooms in the Field Health Building with other same-sex students. All housing is within walking distance of the hospital.  Rooms have a microwave and mini-fridge. The hospital cafeteria is open from 9:30 AM until 1:30 PM.. Shiprock has several fast-food establishments and a grocery store about 2 miles from the hospital.

**Students are provided up to $1200.00 for transportation costs including flights and a possible rental car.  Reimbursement will be based upon receipts provided at the conclusion of the clerkship.

 Whiteriver Indian Health Service (Whiteriver, Arizona): 

Driver’s License helpful, reimbursement provided as below

The Whiteriver United States Public Health Service Indian Health Service Hospital is a 40 bed inpatient and outpatient facility serving the 14,000 members of the White Mountain Apache Tribe.  Whiteriver Hospitalis accredited by the Joint Commission on Health Care Organization (JCAHO), and its satellite clinic, Cibecue Health Center (50 miles South West) is also JCAHO accredited.

 The primary care teaching staff at Whiteriver consists of eighteen physicians in the specialties of family practice, internal medicine, pediatrics and medicine/pediatrics.  The medical staff also includes five mid-level providers, a podiatrist, a part-time orthopedist, and part time general surgeon.  We provide inpatient and outpatient adult and pediatric care, obstetrical services, and emergency care.  Whiteriver has an average inpatient census of 17 adults and children, an average daily clinic load of 100-200 patients, and approximately 12 vaginal deliveries per month.  The Whiteriver Emergency Department sees 17,000 patients annually, and the facility transports over 400 patients by air to in-state metropolitan areas each year.

 Schedules are determined upon arrival. They are usually organized to include a week each on the inpatient service (including OB), the clinic, the emergency room, and in Cibecue.  This schedule is flexible depending on student interest and on the number of rotating students/residents in each block.  Students are asked to work one to two weekends (with most weekends available to explore the Southwest), and special schedule requests will be considered.  You are not expected to work overnight, but ER shifts are usually 4pm-12 midnight since that is the busiest time in the ER.  The IHS requests students have a strong interest in primary care or rural medicine, so please only rank this site if you are considering a career in primary care or rural medicine. 

 You will be working with the people of the White Mountain Apache tribe and living on their reservation, a 1.6 million acre area covered by forested mountain terrain.  Please take the opportunity to experience the culture of the Apache people. One such opportunity is the traditional Apache Sunrise dance, which celebrates the coming-of age of young Apache women, and takes places most weekends from April to September.  The tribe also hosts a large rodeo Labor weekend.  Students are asked to visit the tribe’s Cultural Center and Museum near historic Fort Apache.  Additionally, a collection of cultural readings are available in the student housing.

 Travel/Housing/MealsThe hospital is 180 miles from Phoenix and most out-of-state students choose to fly into Phoenix Sky Harbor International Airport, which is serviced by many major airlines and then renting a car for a 3 to 3 ½ hour drive. Car rentals are available inside the airport but it is always better to reserve in advance. We have used AVIS in a recent trip.  Enterprise Rent-a-Car is the only national company with an office in nearby Show Low (40 minutes from Whiteriver), and they can be reached by calling 800-325-8007 or 928-537-5144.  You might try to coordinate with another student rotating simultaneously in Whiteriver to reduce cost.Students will be housed, free of charge, in a three bedroom house near the hospital.  You will be asked to share accommodations, but not a room, with a member of the opposite sex.

 The house is equipped with simple furniture, a kitchen, and most of the items you need to cook.  Two meals per day are provided in the hospital cafeteria.

**Students are provided up to $1200.00 for transportation costs including flights and a possible rental car.  Reimbursement will be based upon receipts provided at the conclusion of the clerkship.

 Zuni Community Comprehensive Health Center, Zuni, NM: 

Driver’s License helpful, reimbursement provided as below

The Zuni Public Health Service Hospital is a facility of the Indian Health Service, providing comprehensive health care to the Zuni Indian and neighboring members of the Navajo tribe.  We care for approximately 1200 admissions per year in general medicine, pediatrics and obstetrics.  The inpatient area includes telemetry, but not ICU.  Approximately 100 low risk deliveries take place here, with another 10 women referred for delivery at larger centers.  Outpatient procedures such as vacuum curettage, simple biopsies, and paracentesis are done here but anyone requiring surgery, including C-section, is transferred to out referral center 35 miles away.

 The outpatient clinic handles about 45,000 visits per year, about two thirds of which are scheduled appointments.  Weekly clinics are held for prenatal, well child, and diabetic care.  Specialty clinics in OB/GYN, nephrology, cardiology, ENT, and rheumatology occur less frequently.  In addition, we provide coverage at a teen clinic in the Zuni pueblo.  Reflecting the high prevalence of end stage renal disease there is a dialysis unit located in the hospital that currently treats 90 patients.

 The hospital has excellent 24 hour support services in laboratory, pharmacy and radiology.  There is full time staff in departments of optometry, physical therapy, nutrition, health education, dentistry, psychology and social services.  Outreach is facilitated by community health nurses and an active Home Health Care Agency.

 The medical staff is composed of 13 physicians, 3 physician assistants.  There are currently 9 board certified family physicians, one pediatrician, one internal medicine/pediatric physician, one infectious disease consultant and one psychiatrist on staff.  All of the staff have a strong interest in teaching.

 We function on a family practice model with all of our physicians working as generalists.  In an effort to maintain good continuity of care, the medical staff is divided into three health teams.  Each team primarily cares for patients residing in one of three distinct geographic locales.

 Students work in the outpatient setting, primarily seeing emergency and walk-in patients.  Additionally students can spend time working with areas that interest them, such as home visits, procedures, specialty clinics, etc.  The IHS requests students have a strong interest in primary care or rural medicine, so please only rank this site if you are considering a career in primary care or rural medicine. 

 Housing in a furnished trailer near the hospital is provided free of charge, including heat and utilities, linen and a kitchen with basic cookware. Depending on scheduling, students may be asked to share accommodations, but not a room, with a member of the opposite sex.  Internet is not available in the housing.

**Students are provided up to $1200.00 for transportation costs including flights and a possible rental car.  Reimbursement will be based upon receipts provided at the conclusion of the clerkship.

 

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