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The entire American healthcare industry is undergoing a dramatic change, and physicians will have to know more than the technical aspects of their profession to participate meaningfully in shaping this change. Federally-Qualified Health Centers (FQHC�s) have expanded beyond their traditional role of providing basic healthcare services to the underserved to being laboratories for designing changes in how primary healthcare is delivered. Students in this elective will learn about the economic, cultural, and sociological context of American healthcare, and will get an introduction to the managerial challenges of re-designing healthcare systems to produce good outcomes effectively and efficiently to patients in an urban setting.

Elective Details:

Primary Contact for Add/Drops: Amy Han, PhD (amyhan@iu.edu)

Director: Tim Ames, M.D.

Campus: Northwest-Gary

Location: Healthlinc Community Health Center (Valparaiso)

Learning Objectives

  • 1) Discuss the uniqueness and role of a FQHC in the community (SBP1)

  • 2) Discuss issues of accessibility, availability, and affordability in Urban Healthcare and have a greater understanding about the causes of health care disparities (SBP5)
  • 3) Describe the organization and delivery of health care in an urban setting based on clinical rotations in different departments within the FQHC and other health care facilities (SBP5)
  • 4) Implement chronic disease management techniques with patients in the urban setting (MK4)
  • 5) Diagnose and manage common undifferentiated medical problems presenting in the urban setting (PC3)
  • 6) Value preventive health measures in quality of care by participating in an available patient advocacy program (SBP5)


  • 1. Oral Case Presentation Assessment; (The course director will assess the student's understanding of healthcare disparities and serving the underserved population through an oral presentation of a problem/topic specific to underserved patients (ie, identified that patient cannot afford prescription - come up with ways to help like

  • 4 generic drugs at Walmart, pharmaceutical company plans, physician samples, etc.). The presentation should be 10 minutes in length and include the history of the problem, prevelance and supporting data, remedies, and how this will positively impact patient and the community). 2. H&P Checklist; (Demonstration of both a focused and complete exam of a patient in the outpatient clinic) 3. Clinical Perfromance Evaluation Form; (A final global assessment will be completed at the end of the rotation using the assessment tools listed).

Enrollment Information

Prerequisites: 3rd or 4th year status

Availability with Max Students per Month:


Duty Hours: 40

Time Distribution: 80% Clinical; 20% Library/Research

Elective Type Category: CP - Clinical Practice

Notes and Enrollment Information:

Add/Drop Contact Person: Amy Han, PhD (amyhan@iu.edu) THIS ELECTIVE DOES NOT PARTICIPATE IN THE INITIAL SENIOR MATCH All Northwest electives must go thru the Northwest campus coordinators.� Contact Amy Han, PhD �(amyhan@iu.edu or 219-980-6561) or Brittany Miller (millerby@iun.edu or 219-980-6525).�

Third Year Elective? Yes

Interprofessional Skills and Service Learning

Interprofessional Collaborative Skills: None

Service Learning Included: None