The Goals and Objectives of the ROME program are as follows:
- Provide the student with a comprehensive, broad-based primary care medical education
- Provide the student an opportunity to experience the lifestyle of rural health care providers
- Develop data collection and problem-solving skills
- Learn principles and interventions for health promotion and disease prevention
- Develop an awareness of the impact of family and culture on health care
- Experience the scope of care provided in a rural setting, including experiences appropriate to family medicine, internal medicine, obstetrics/gynecology, pediatrics and surgery
- Learn about patients/families in the context of continuous care in the rural environment
- Learn principles of community-oriented primary care (COPC)
- Address course requirements and expectations for traditional Year 3 clerkships in Family Medicine, Internal Medicine, Obstetrics/Gynecology, Pediatrics and Surgery
The ROME track, a 24-28-week experience that is equivalent to 24-28 credit hours, is an option for medical students during their third year. The other 20 to 24 hours for Year 3 are completed on the previously selected Year 3 campus. Course selection for campus clerkships will be directed by the campus dean and campus course directors, and be dependent upon student educational needs that might not be fulfilled at the ROME site. Campus clerkships will include eight weeks of neuroscience, and four weeks each in internal medicine, pediatrics, obstetrics/gynecology and four weeks for general surgery on the home campus, with the exception of Jamestown, where eight weeks of credit are given to surgery and the ROME experience in Jamestown gives 28 weeks of credit to reflect that, instead of 24 weeks of credit as given at the other sites.
After successfully meeting all third-year course requirements, ROME students will have completed the equivalent of eight weeks (credits) for Family Medicine at the ROME site, eight credits in Internal Medicine, Pediatrics, and Obstetrics and Gynecology (the later three equivalent to four weeks on campus and four weeks at the ROME site), eight Surgery credits which may all be earned at the ROME site or split between four weeks in ROME and four weeks on campus, and eight weeks of Neuroscience on campus. Comprehensive care and continuity of care are underlying concepts for ROME. Learning will be facilitated by understanding specific course objectives and/or requirements for each of the six core disciplines. Each discipline will identify educational objectives for the ROME months, and further identify learning objectives for the on-campus rotations. Use of the learning objectives identified by the courses will help focus learning.
The patient database will be important to assess learning, document experiences and identify/document learning issues. Other mechanisms to focus learning include interactive (video or audio transmitted) case presentations with identified learning issues, course-specific quizzes or exams, on-site presentations to both clinical and academic faculty, and other potential activities or opportunities provided by the various departments.
Prior to or during the first week with a new preceptor, an orientation meeting should occur between the student, the site coordinator and the identified preceptor(s) to discuss your educational needs and expectations for the forthcoming weeks. Completion of the Learner Contract, including weekly review, may assist in monitoring progress or pursuing necessary changes. Review progress, using both the learner contract and the student evaluation form, midway through and at the end of each clinical rotation.
Other issues for discussion include:
- Expectations for case presentations, plus patient evaluation and management responsibilities
- The preceptor's approach to:
- Health care
- Interaction with the health care system
- Continuing education
- Community responsibilities
- The daily patient schedule for the clinic and hospital
- The on-call schedule (every third night is the accepted norm)
- Allotted time to study and complete research (allow one-half day per week)
- Set time and expectations for mid-clerkship formative evaluation