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To date, the summer prematriculation and preclinical programs have allowed 150 M-1 and M-2 students to get an introduction to rural practice. At the point of the last published report, 90% of these students who had entered residencies chose primary care (2). In addition, since 1999 these students have completed a rural community assessment as part of their summer activities (). These assessment reports have formed the basis for the development of health advisory councils in the four rural counties around Madisonville. In collaboration with the UK Center for Rural Health and the Delta project, these advisory councils have functioned to guide grants for community development and further health assessments.

The 4 week summer Preclinical Program is an opportunity for U of L medical students to gain clinical experience and experience as well as learn to assess a rural site as a future practice opportunity prior to entering their M-2 academic year.

Students are involved in classroom activities that begin to prepare them for the clinical setting. This curriculum is hands-on training that teaches the students various clinical skills and the details of the physical examination. Physician preceptors provide shadowing opportunities. Recently, a focus on providing free physical exams in the community has been added.

Preclinical Group Activities

Overview of Patient Evaluation
Well Baby Exam
Pelvic Exam
Breast Exam
Suturing Lab
Prostate Exam
Heart and Breath Sounds
Eye, Ear exams

References

  1. Brooks B, Crump B, Martin D. Community Assessment Using the Key Informant Method: A Snapshot of Some Rural Communities from the Perspective of Community Leaders. Journal of the Kentucky Medical Association 2000; 98:27-30.
  2. Todini CR, Crump WJ. Building a regional clinical campus: experience with preclinical students. Fam Med. 1999; 31:6-7.