Northwestern University Feinberg School of Medicine
MD Education

ECMH Phase 2

Welcome to the ECMH Phase 2. The next year of your medical school career will be both
challenging and immensely rewarding. By continuing to immerse yourself in the longitudinal
care of patients with the continued guidance of expert faculty and resident educators, you will
emerge with the core skills that will make you a successful resident and future physician. And,
we hope that you will continue to experience the challenges and rewards of a life as a primary
care physician.

Phase 2 ECMH has two major components, the continuation of your 4-year longitudinal
experience in a primary care office as well as the Integrated Primary Care block. You will
continue your bi monthly attendance at your ECMH. The focus in Phase 2 ECMH is the
continued care of patients longitudinally, focusing more on patients with complex chronic
medical and psychosocial issues. You will move your focus from gathering data via the history,
physical and EHR, but also independently developing the assessment and care plans, with
feedback from your preceptor. You will be the manager of ‘your’ patients EHR, managing their
problem list, keeping them up to date on health maintenance issues and coaching them to
improved health. To supplement this year you will take the 2 week IPC block. This block will be
compromised of attendance at your ECMH as well as an alternate primary care clinic to be
exposed to the breadth of primary care. Other clinical experiences will be in geriatrics, lifestyle
medicine and chronic specialty care clinics e.g. heart failure, copd, diabetes. There will also be
case based conferences on important topics in the ambulatory care of patients. Patient care
conferences focusing on the issues of High Value care, Equity and Advocacy and MDM will
round out the experience.

In addition to the above activities, students will be responsible for completing and actively
maintain their online clerkship log to ensure they are completing the clinical requirements of the
clerkship; they will also take the end of rotation Objective Structured Clinical Examination
(OSCE) and the NBME Subject Examination at the end of the year.

 Goals & Objectives

Detailed Goals and Objectives

Find comprehensive ECMH Phase 2 Clerkship Goals and Objectives.

 Assessment and EPAs

EPAs

ECMH Phase 2 CPA form

Mobile Observation Forms (eMerg)

The breakdown of grading is:

Clinical performance40%
Weekly report25%
Exam20%
LCLG15%

Any clinical performance score less than 4 is sufficient to mandate a failure. Failure may also be linked to substandard LCLG projects, an exam score of less than 65% or a cumulative score less than 65. Students may also fail for professionalism issues such as dishonesty, unexcused absences or other inappropriate behavior.

For a high pass, scores must be greater than 80 with an exam score of at least 80%. For honors, scores must be greater than 83 with an exam score of at least 85%.

If you have a question about your grade, please reach out directly to the clerkship director.  

  Required Clerkship Clinical Experiences (Clerklog)

Download the Clerkship Clerklog

Access the Clerklog online (requires NetID)

Students will be provided with a list of articles and textbook which cover common general medicine topics. They will also have case based conferences on outpatient management of key disease processes and care of the patient with chronic diseases The Aquifer IM casesare also available for students to use throughout the year, and cover core knowledge issues.  The Aquifer HVC and the Dell High Value Care modules are available as well. 

 Frequently Asked Questions

What are the daily expectations for a M3 on this clerkship?

Students will be seeing patients almost exclusively in an outpatient setting.  They will need to be efficient as often the entire visit is 20-30 minutes and patients may often more than one concern.  They will be doing multiple succinct bedside presentations daily.  They should move beyond reporting the history and physical during their oral presentations and focus on creating a detailed assessment and plan. 

What is the typical schedule (number of days worked/hours per day) for this clerkship?

Each ECMH is on a Monday through Friday, generally 1 pm to 5:30 pm however a few clinics start later in the day.  Each student attends approximately every other week from August – May and intermittently in June or July.

What is pre-rounding? Rounding? Note writing expectations for this particular clerkship?

For many ECMH there is a POW or scheduler who assigns students to each patient.  Each student should remotely review the patient’s charts they will be seeing in ECMH the night prior.  The day or two after clinic they also should review labs/tests they ordered on patients they saw in the previous session, discuss the plan with their attending and follow up with the patient.  Students are also expected to write a note on every patient they see in ECMH. 

What does “Call” mean on this particular clerkship?

No call

What do I do if I have a question about my clerkship grade?

If you have a question about your clerkships grade you should discuss this directly with the clerkship director.  

What do I do if I have experienced or witnessed Student Mistreatment during this clerkship?

If you have experienced or witnessed student mistreatment, there are many avenues to report this.  You can discuss this with the clerkships director, mentor, any of the deans or Lisa Rone, MD, the ombudsperson. 

What do I do if I feel burnt out or overwhelmed during this clerkship?

If you feel burnt out or overwhelmed during a clerkship there are a number of people you can speak with. The clerkship director, your mentor or anyone in the dean’s office are available to talk. CAPS can also be extremely helpful in this situation.  You can contact CAPS at 847-491-2151.

Who do I contact if I am sick or have a personal appointment?

Contact the Clerkship Director, clerkship coordinator and preceptor. The student needs to let all three know. Each missed session needs to be made up on an alternate week or a different day at the preceptors discretion.

Any required equipment?

Stethoscope.

Contacts

Jennifer Bierman, MD
Director

Molly McCahill
Coordinator
Phone: 312-926-7251
Fax: 312-926-6905