WWAMI Rural Integrated Training Experience (WRITE)

Monthly Clinical Schedule

To best utilize the time the student spends at the WRITE Site, we require the student and primary preceptor/site administrator to create a clinical schedule that details how the student will spend their time on a daily basis.

The clinical schedule should ensure the student will receive experience in all areas while balancing professional and academic requirements with their personal needs and it is recommended the student spend the first week and last four weeks of the WRITE rotation with their primary preceptor.

Specific IM teaching should be scheduled for 18 – 1/2 days minimum (mostly outpatient) over the course of WRITE*.  Ideally, students would do 16 full days of IM outpatient and ~2 weeks of inpatient.  Be sure to engage visiting specialists if they are interested in working with the student.  Family physicians at sites without teaching internists will cover IM.  *Please note that for the 2020-2021 abbreviated WRITE experience, this should be reduced by half.

A monthly clinical schedule example and template can be found here. Schedules are to be created every month and submitted to their WWAMI Regional Office by the due date noted on the student’s WRITE calendar.

The schedule should include the following:

  • The first week should include orientation to all departments, persons, and policies the student will be working with, including clinic and hospital receptions, medical records, business offices, administration, nursing, medical education coordinators, and physicians.
  • Hospital rounds, office hours, emergency calls, community visits, and on-call.
  • Locations, “specialties”, and physicians the student will spend time with.
  • A half-day per week in the clinic with the primary preceptor and consistent patient panel so the student can build on the continuity experience.
  • Scheduled time to accomplish the general and specific course requirements (student flex time).
  • Faculty visits, scheduled time off, scheduled seminars & meetings.
  • Meetings with the student, primary preceptor, and any other preceptors who have worked with the student that past month should be scheduled to complete weekly and monthly evaluations of the student’s progress.
  • And, most importantly, specific IM teaching should be scheduled for 18 – 1/2 days minimum (mostly outpatient) over the course of WRITE*.  Ideally, students would do 16 full days of IM outpatient and ~2 weeks of inpatient.  Be sure to engage visiting specialists if they are interested in working with the student.  Family physicians at sites without teaching internists will cover IM.  *Please note that for the 2020-2021 abbreviated WRITE experience, this should be reduced by half.

A monthly clinical schedule example and template can be found here. Schedules are to be created every month and submitted to their WWAMI Regional Office by the due date noted on the student’s WRITE calendar.