Core Clerkships

The LMU program organizes its third year clinical rotations uniquely. Students work at three main hospitals, Hurley, McLaren and Genesys, as well as outpatient clinics around the community. Students work directly with the attending physicians and residents, benefiting from a significant amount of one-on-one attention, teaching, and learning. Many attending physicians at the Flint campus have received CHM awards for excellence in teaching and commitment to their medical students. Students are exposed to a spectrum of different clinical settings ranging from private clinics and hospitals to government-run facilities.

Family Medicine Clerkships with Rural Components

As a part of the Family Medicine clerkship, students spend three weeks in a rural community working one-on-one with family physicians in both outpatient and/or hospital settings. Rotation sites have included Cheboygan, Gaylord, Pigeon, Oscoda, Tawas, wst Branch, Clio, Alpena and Vassar. Each experience is highly individualized, as each site is unique in both its patient population and the available local resources. Living accommodations are provided to allow full immersion into the rural community. Driving is required.

Students have the opportunity to learn about:

  • Health needs that are unique to rural patient populations
  • Challenges associated with working in a rural area as a medical professional
  • Procedures and treatments not often found in other family medicine clerkships, such as vasectomies, sigmoidoscopies, skin grafts, and obstetric procedures
  • Various roles and responsibilities of a rural physician. Examples include: primary care, emergency department, medical examiner, and prison physician. Rural physicians also take on various public leadership roles as they are prominent leaders in their small communities

Underserved Required in the International or Local Urban/Rural Setting

LMU students spend eight weeks during their 4th year at international or local urban/rural underserved sites providing medical care and health education.

International Elective:

Students work in affiliation with the Foundation for International Medical Relief of Children (FIMRC). Previous sites have included: Costa Rica, Nicaragua, Peru, El Salvador, India, and Uganda.

Students have the opportunity to:

  • Learn about health disparities that afflict underserved international communities.
  • Improve medical Spanish skills through Spanish classess and daily public health and clinical interactions
  • Learn how to be resourceful and best serve an underserved population with limited means
  • Evaluate the needs of a population, and devise plans regarding how to address these needs
  • Rotate through outpatient and inpatient settings, which may include internal medicine, pediatrics, radiology, obstetrics & gynecology, surgery, and emergency care
  • Develop and implement public health initiatives

Depending on the specific needs of the the country traveled, students may be required to:

  • Conduct first aid training classes for local residents
  • Engage in retrospective research studies
  • Conduct community health surveys
  • Give vaccinations and perform well-child check-ups
  • Educate and train local residents about clean water filtration systems
  • Present health education programs about:
    • Dental Health
    • Good nutrition
    • Reproductive and sexual health
    • Hygiene
    • Safety
    • Growth and development

Housing accommodations vary based on country of stay. Previous accommodations have included hostels and home stays with local families.

Local Urban/Rural Elective:

Students who do not wish to travel internationally have the option of staying in Michigan and participating in a local clerkship instead. With the input and approval of the LMU Curriculum Development Specialist, students design their own eight-week schedules. The design of the local urban/rural elective is limited only by the practicality of finding physicians in mid-Michigan who are willing to work one-on-one with medical students, a task the Curriculum Development Specialist undertakes on the student's behalf. Emphasis on public health programming for select populations is required.

For example, one medical student's schedule was arranged as follows:

  • Migrant clinic family medicine with Spanish-speaking patients--every Monday and Wednesday (Imlay City)
  • Psychiatry at a jail, a community mental health clinic, and a free clinic--every Thursday (Bay City)
  • Urgent care clinic--one Friday (West Branch)
  • General surgery--one Friday (Saginaw)
  • Rural outpatient family medicine--every Tuesday and Friday (Owosso)
  • Emergency medicine--one Saturday (Saginaw)

This local urban/rural elective is a new feature of LMU, and thus it continues to evolve. Input from students is appreciated and encouraged!

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