Education

Family Medicine Undergraduate Education

Clinical clerkship (3rd year)

The first week of this rotation is spent in orientation, core lectures and electronic chart training with the clerkship director. Two weeks are spent in a family practitioner’s office in the community. Most of these physicians are graduates of our program and have practices that include all ages, from newborn to geriatric patients. Two weeks are spent seeing patients in our Family Medicine Center with a faculty member or residents, and also reviewing charts to determine if our patients qualify for preventive care action. One week is spent in some of the following activities:

  • Home visits, rounds in a nursing home and observing a geriatric assessment with our geriatrician.
  • Rotations in the Infectious Disease Clinic at Wilmington Hospital, the Wound Care Center at Riverside Pavilion, and the Diabetes and Metabolic Diseases Center.
  • Seeing patients at the Wellness Centers located in several high schools, juvenile detention facilities and the Wilmington Job Corps facility.
  • Observing at an urgent care facility.
  • Assisting the physical therapists at Christiana Care Physical Therapy Plus.

Friday mornings are spent in the Medical Student Clinic at the Wilmington Hospital Annex, where students see patients themselves and then present the cases to attending staff. Supervision is provided by attending physicians and residents.

Friday afternoons are spent in formal lectures and practical sessions. The lecture series, given by faculty and residents, revolves around common, evidence-based topics in family medicine. Students are also required to present a 15-minute case report in the POEM (Patient Oriented Evidence that Matters) format to other students, residents and faculty.

There are multiple other opportunities for learning, including weekly half-day conferences and frequent family medicine conferences at Wilmington Hospital. A car is strongly advised for this rotation.

Director Lisa Maxwell, M.D.
Student Coordinator Lindsay Green: 302-477-3323, lgreen@christianacare.org
Anita Bergh: 302-477-3324, abergh@christianacare.org
Location Variable locations
Duration 6 weeks
Students 7-8 (reserved for students from our affiliated medical institutions

Family medicine outpatient subinternship (4th year)

This rotation includes two weeks in a family practitioner’s office in the community. This includes urban and suburban settings. Rotations are generally with graduates of our program. One week of inpatient services is provided on our own floor at the Wilmington Hospital in an urban setting. We care for patients from our Family Medicine Center and other Family Medicine community sites, including nursing homes, juvenile detention facilities, community attending physician practices that use our service as their admitting hospitalist group, and also unassigned patients. This service is provided by a team that includes a faculty member, two upper-year residents and three interns. A 4th year student would function in this setting as a subintern with basically the same responsibilities as an intern.

One week is spent seeing patients in our Family Medicine Center with a faculty member or residents. A car is strongly advised for this rotation.

Director Lisa Maxwell, M.D.
Student Coordinator Lindsay Green: 302-477-3323, lgreen@christianacare.org
Anita Bergh: 302-477-3324, abergh@christianacare.org
Location Variable locations
Duration 4 weeks
Students 2

Family medicine inpatient subinternship (4th year)

Inpatient services are provided on our own floor at the Wilmington Hospital in an urban setting. We care for patients from our Family Medicine Center and other Family Medicine community sites, including nursing homes, juvenile detention facilities, community attending physician practices that use our service as their admitting hospitalist group, and also unassigned patients. This service is provided by a team that includes a faculty member, two upper-year residents and three interns. A 4th year student would function in this setting as a subintern with basically the same responsibilities as an intern. Night call is required once per week during this rotation. Students are not expected to stay overnight but can leave between 8:30 and 9 p.m.

Educational opportunities during this rotation include daily teaching rounds run by the faculty attending. Daily ICU rounds are attended by a board-certified intensivist. Noontime conferences are presented three times per week.

Housing can be arranged for those who qualify. A car is not required for this rotation. If a student needs to miss more than one full day on the rotation due to illness, interviews, etc., the missed time can be made up by working a Saturday or Sunday from
7 a.m. to 5 p.m. This arrangement should be discussed with the floor staff in advance.

Director Lisa Maxwell, M.D.
Student Coordinator Lindsay Green: 302-477-3323, lgreen@christianacare.org
Anita Bergh: 302-477-3324, abergh@christianacare.org
Location Wilmington Hospital
Duration 4 weeks
Students 2

Combined emergency medicine / family medicine elective (4th year)

Christiana Care Health System Departments of Family and Community Medicine and Emergency Medicine offer a combined emergency medicine/family medicine outpatient elective rotation. This rotation includes:

  • One week spent seeing patients in our Family Medicine Center with a faculty member or resident physician.
  • One week spent on the Family Medicine inpatient service at Wilmington Hospital. We care for patients from our Family Medicine Center and other family medicine community sites including nursing homes, juvenile detention facilities, community attending physician practices that use our service as their admitting hospitalist group, and also unassigned patients. This service is provided by a team that includes a faculty member, two upper year residents and three interns. A fourth-year student would function in this setting as a subintern with basically the same responsibilities as an intern.
  • Two weeks spent in the Emergency Medicine Departments at Wilmington and Christiana Hospitals.

This elective rotation would be beneficial to those students interested in pursuing a combined training in family and emergency medicine. Our residency program is the first of its kind in the country, offering a comprehensive and cohesive curriculum that synthesizes the best of these two strong departments.

Training will take place under the supervision of both specialties and is designed to provide the optimal educational experience for those seeking to practice in both specialties.

A car is recommended for this rotation. Housing during the rotation may be available if the student meets criteria established by Christiana Care.

Director Lisa Maxwell, M.D.
Student Coordinator Lindsay Green: 302-477-3323, lgreen@christianacare.org
Anita Bergh: 302-477-3324, abergh@christianacare.org
Location Variable locations
Duration 4 weeks
Students 2