Family & Community Medicine
Predoctoral education in Family Medicine is a major priority of the Department of Family and Community Medicine at TTUHSC. A Family Medicine Clerkship has always been required at the Texas Tech School of Medicine. The present pre-doctoral curriculum that under direction by faculty members from the Department of Family and Community Medicine includes following:
- Clinical Experience I,Foundations of Medical Science and Biostatistics required of all first-year medical students
- Clinical Experience II and Assessing Medical Evidence longitudinal experiences required of all second-year medical students
- Eight-week clerkship required of all third-year medical students
- Four-week senior clerkship in Family Medicine--medical students are required to choose two selectives in their fourth year of training among the following departments: Family Medicine, Pediatrics, Obstetrics/Gynecology, and Psychiatry.
- Fourth-year elective preceptorships in Family Medicine
Fourth-Year elective in Family Medicine, including such options as
- Geriatric Medicine
- Community Medicine
- Student Health-Adolescent Medicine
- Sports Medicine
The Clinical Experience I course focuses on learning the art and science of applied clinical care by exposure to clinical models and repeated skills practice through participating actively in the care of patients. Students learn and develop appropriate communication and examination skills while becoming familiar with the operations of the entire clinic health service team. This course is administered by the Department of Family and Community Medicine and taught by Master Clinical Teachers who reflect and emphasize professionalism in their teaching, application of evidence based medicine, clinical care of patients, and modes of communication with patients and colleagues. Additionally, faculty from the Department of Family and Community Medicine administer the Foundations of Medical Science and Biostatistics, two components of the Foundations of Medical Science Bloc I.
The Early Clinical Experience II course is designed to teach second-year medical students the necessary skills to obtain an accurate history and perform a comprehensive physical examination, continuing the experiences begun in the ECE I course. ECE II is entirely administered by the Department of Family and Community Medicine and involves lectures, small group discussions, and monthly clinical activities in the offices of community physicians.
The Assessing Medical Evidence course is also directed by departmental faculty. This course involves learning to read the medical literature critically.
All third-year medical students at TTUHSC School of Medicine must successfully complete a eight-week required clerkship in Family Medicine. The clerkship provides a broad-based experience in Family Medicine and is primarily based in the Family & Community Medicine Clinic of TTUHSC. Community-based experiences may include rotations at a local hospice, the Grand Expectations obstetric clinic, the Senior House Calls program and other area health care sites.
Students provide the first contact with patients and their families, evaluate the total health care needs, participate in the coordination of longitudinal health care, develop health promotion and preventive strategies for patients, participate in the clinical experience in the management of the undifferentiated patient, and understand the impact of the society in family environment on patient illness.
Additionally, students complete an Objective Structured Clinical Examination (OSCE) which is a standardized patient encounter developed to assess competency in clinical skills. By using simulated patients and standardized scenarios, the student's abilities are evaluated in an environment that is more realistic. Clinical skills such as communication, professionalism, history taking, and physical examination can be assessed. The students are given immediate feedback on their performance by the standardized patient.
All fourth-year medical students are required to successfully complete two 1-month rotations in any of the following specialties: Family Medicine, Pediatrics, Obstetrics/Gynecology, and Psychiatry. The Senior Clerkship in Family Medicine includes ambulatory and inpatient experience in Family Medicine. Students participate in the ambulatory care clinics which include the Family Medicine Center at the TTUHSC with community-based experiences with a local hospice, Grand Expectations and the Senior House Calls program.
The students are supervised directly by full-time faculty of the Department of Family and Community Medicine. The students also rotate on the Family Medicine Inpatient Service at the University Medical Center and Covenant Health Center. In this component of the selective, students are assigned patients on the Inpatient Service and are directly supervised by the senior resident and the attending faculty member in the Department of Family and Community Medicine. This allows students to become familiar with the expertise and approach of family physicians in the care of hospitalized patients.
Medical students have the opportunity to elect a four-week preceptorship in Family Medicine twice during their medical school training. The preceptorship experience is offered between the first- and second-year of medical school training as a preclinical preceptorship and provides students with the opportunity to work with a family physician in a community setting and understand the principles of Family Medicine and community medicine.
A fourth-year clinical preceptorship also provides students with the opportunity to actively participate in the management of patients in a private practice setting with a clinical faculty member. The preceptors used for the preceptorship are all board-certified family physicians in practice within the state of Texas.
All fourth-year medical students have the option of taking an elective in clinical specialties. The elective in Family Medicine, which is also available to fourth-year students at other medical schools, is flexible to allow students to design a curriculum that fits their interests—academic, urban, suburban, rural, or a combination.
This four-week program is designed to provide the student with an opportunity to:
- experience an active family practice in a variety of settings
- advance medical knowledge
- further explore family medicine as a career
- broaden practical clinical experience
- improve procedural skills
The Family Medicine Elective curriculum exposes the fourth-year medicine student to the full breadth of family practice through clinical, reading, and didactic experiences. Supervision is provided by faculty and residents from the Department of Family and Community Medicine at TTUHSC in Lubbock. The composition of the rotation is flexible to allow students to design a curriculum that fits their interests—academic, urban, suburban, rural, or a combination.
Family Medicine at Texas Tech
The faculty and residents in the Department of Family and Community Medicine at Texas Tech University Health Sciences Center in Lubbock enjoy the advantages of working in both community-based and university-based hospitals.
Rotations for medical students and residents take place at University Medical Center, a modern county teaching hospital that adjoins the Health Sciences Center, and at Covenant Medical Center, a community acute care facility. The Family Medicine Center is housed within the Health Sciences Center; its features include fully equipped exam and procedure rooms, offices, laboratory and conference facilities. A variety of procedures are performed under the auspices of the program, ranging from minor surgery to endoscopy.
Our 25 faculty members include 14 full-time physicians, 7 non-physicians, and 4 part-time faculty who also serve as staff physicians at Texas Tech Student Health Services. The Family Medicine Residency Program currently has 26 residents from medical schools around the country.
Lubbock (pop.206,290) traces its origin to hearty people with a frontier spirit. Today it is the major center of the South Plains as a leader in medicine, industry, education, oil, agriculture, warehousing, and technology. Lubbock has not lost its small-town charm; the crime rate is low and the people are friendly.
Texas Tech University and Texas Tech University Health Sciences Center, with a combined enrollment of more than 28,000, add vitality and culture to the South Plains area. The weather in Lubbock is mild year-round with more than 300 sunny days per year. Recreational activities in the Lubbock area abound. From the Lubbock Symphony Orchestra to Mackenzie State Park, Lubbock offers something for everyone
Travel & Accommodations
Travel expenses to and from Lubbock up to $250.00 will be reimbursed, and an apartment is also available where students can stay without cost during the rotation.
Applicants will be selected on a first-come basis. E-mail Education Coordinator or write to:
Karen Brownmiller, Department of Family and Community Medicine
Texas Tech University Health Sciences Center
Lubbock, Texas 79430
Phone: (806) 743-2644
FAX: (806) 743-3955