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M3 Curriculum

Primary Care Clerkship Home

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Goals and Objectives

Grading and Evaluation

Reading

Primary Care Clerkship Reading

This annotated listing of reference sources is meant to guide your reading on areas from the core topics list, and on problems you encounter in the office.   

Textbook

  • Goroll AH, May LA, Mulley AG. Primary Care Medicine (5th Ed).  Philadelphia, J.B. Lippincott, 2006.
         A problem oriented organization addressing adult medicine.

Reference Manual

  • Dornbrand L, Hoole AJ, Fletcher RH.  Manual of Clinical Problems in Adult Ambulatory Care.  Boston, Little, Brown and Co.  3rd edition, 1997.
         The ambulatory equivalent of the "Wash U. Manual."  An excellent quick reference for the office setting.  The annotated references are of particular help.

Required Clerkship Reading

The Goroll text is cited here as the primary reference source for most topics.  When another of the general texts is particularly good on a topic, that citation is given as an alternate reading.  For some topics, the best source is a journal article; each of these is included on the pages immediately following. Once again - these are the required readings, but we also want you to read as much as possible on other problems you may encounter in your patients, using the objectives.

Clinical preventive medicine

  • Goroll  Chapter 3 (p. 18)
  • Guide to Clinical Preventive Services: Report of the U.S. Preventive Services Task Force.  A brief introduction to the Task Force approach is followed by representative tables from the report. (Tab 1)

Common psychiatric problems in primary care

  • Goroll   Chapter 230 (p. 1371)
  • Barsky, Arthur J.  A 37 Year-Old Man with Multiple Somatic Complaints: Clinical Crossroads.  JAMA 1997;278:673-679. (Tab 9)
  • Quill TE.  Somatization disorder: one of medicine's blind spots.  JAMA 1985;254:3075-3079. (Tab 9)

Fatigue

  • Goroll   Chapter 8 (p. 47)

Headaches

  • Goroll   Chapter 165 (p. 1077)

Health Maintenance and Screening

  • Goroll Chapter 3 (p. 18)

Hyperlipidemia

  • Goroll   Chapter 27 (p. 190)
  • Gorroll Chapter 15 (p. 96)
  • Drugs for Lipids.  Treatment Guidelines for The Medical Letter. Vol. 3 (Issue 31), March 2005. (Tab 7)
  • Summary of the Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III)  JAMA 2001;285:2486-2497. (Tab 8)
  • Implications of Recent Clinical Trials for the National Cholesterol Education Program Adult Treatment Panel III Guidelines. (Tab 8)

Hypertension

  • Goroll   Chapter 14 (p. 93)
  • Goroll   Chapter 19 (p. 117)
  • Goroll   Chapter 26 (p. 175)
  • Effects on blood pressure of reduced dietary sodium and the dietary approaches to stop hypertension (Dash) diet.  NEJM 2001; Vol 344: Number 1, January 4, 2001. (Tab 6)

Immunizations in adults

  • Goroll   Chapter 6 (p. 27)

Irritable  Bowel Syndrome

  • Goroll   Chapter 74 (p. 552)

Low Back Pain

  • Goroll   Chapter 147 (p. 955)

Pharyngitis

  • Goroll   Chapter 220  (p. 1310)

Sexually Transmitted Diseases

  • Drugs for Sexually Transmitted Diseases.  Treatment Guidelines from The Medical Letter Vol. 2 (Issue 26) – October, 2004.

Sinusitis

  • Goroll   Chapter 219 (p. 1306)

Smoking cessation

  • Identification and Assessment of Tobacco Use.  Treating Tobacco Use and Dependence: Quick Reference Guide for Clinicians. October 2000.   U.S. Public Health Service (Tab 10)

The scope of primary care

  • Hughes JS.  Medical art and medical science: an exhortation to students on primary care.  J Gen Intern Med 1989;4:48-53. (Tab 3)

Thyroid Disease

  • Goroll   Chapter 95 (p. 685)
  • Goroll   Chapter 103 (p. 735)
  • Goroll   Chapter 104 (p. 745)

Urinary Tract Infection

  • Goroll   Chapter 133 (p. 883)

Vaginitis

  • Goroll   Chapter 117 (p. 801)