Years 3 and 4

Third Year

Established in 2005, the FSU Rural Program in Marianna, Florida is an exciting learning experience for students. It offers students the opportunity to spend their third year of medical school integrated into a rural medical community. However, what makes the program unique is that the students are engaged in Longitudinal Integrated Clerkships (LIC). This approach to medical education uses continuity as the organizing principle.
At our Regional Campuses, students spend their third year in “block style” clerkship rotations. In the “block" model each student spend six weeks on individual clerkships to fulfill their requirements. The LIC differs in that it offers medical students the opportunity to participate in the comprehensive care of patents over time. The program begins with an intense “boot camp” to reinforce clinical skills learned in the first two years. The students then begin all their required clerkships simultaneously, and continue them for the full third year. After 10 years in the traditional style, our inaugural LIC class began in the summer of 2015.
As a result of the LIC experience our Rural Program students have the opportunity to develop relationships with patients and gain a better understanding of not only their health issues, but their values and social determinants of health. This model also gives students the opportunity to build longer more meaningful relationships with their clerkship faculty. In this setting, students develop clinical and professional skills on a much deeper level.
 

Sample LIC Rotation Schedule

Fall Semester

Monday Tuesday Wednesday Thursday Friday

Hospital

6:30 - 8 AM

Hospital

6:30 - 8 AM

Hospital

6:30 - 8 AM

Hospital

6:30 - 8 AM

Hospital

6:30 - 8 AM

Internal Medicine

8 - 12

Psychiatry

8 - 12

OBGYN

8 -12

OBGYN

8 -12

Pediatrics

8 - 12

Independent Learning

1 - 5

Family Medicine

1 - 5

D3

Independent Learning

1 - 5

Independent Learning

1 - 5

 

Spring Semester

Monday Tuesday Wednesday Thursday Friday

Hospital

6:30 - 8 AM

Hospital

6:30 - 8 AM

Hospital

6:30 - 8 AM

Hospital

6:30 - 8 AM

Hospital

6:30 - 8 AM

Internal Medicine

8 - 12

Psychiatry

8 - 12

Surgery

8 -12

Surgery

8 -12

Pediatrics

8 - 12

Independent Learning

1 - 5

Family Medicine

1 - 5

D3

Independent Learning

1 - 5

Independent Learning

1 - 5

This is the typical layout of the M3 year for one student. Note, because of the need for both Operative and Office time for Surgery and OBGYN, each rotation is limited to a single semester. However, during their respective semesters, each specialty has two half days per week of dedicated time. During Independent Learning, students arrange time in any area of the hospital that they would like to have extra instruction. This includes, ER, Lab, Radiology, or time with Sub-Specialists. A reflection of the activities is then sent to the Director for review. D3 is a weekly standardized didactic session time with the Clerkship Administrator. 

Family Medicine Sub-Internship

The Family Medicine Sub-Internship is a four-week competency-based clerkship in family medicine, through which the students are expected to actively participate in care of hospitalized patients. Students will be exposed to the full spectrum of care provided by family physicians with an opportunity to provide inpatient care to patients of all ages and a broad range of conditions. Students are expected to assume an expanded level of clinical responsibility for evaluation and management, consistent with an acting intern. Students will participate as a member of inter-professional teams and will work effectively in that capacity to facilitate the optimal care of patients in the hospital setting. Students will be exposed to, and have the opportunity to participate in, a variety of procedures commonly performed by family physicians. Students will be assigned to the inpatient family medicine service of a residency program or hospital-based rural site. Where appropriate, students may also participate in ambulatory encounters that provide additional exposure to the full scope of family medicine and augment their learning. Students are expected to participate in morning report, noon conferences and other available educational offerings.