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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: Rujuta Ghandi, M.D.

Campus: Northwest-Gary

Location: North Shore Health Centers (Portage-Northwest)

Other Faculty:

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. Clinical Perfromance Evaluation Form 2. Medication barriers patient survey and reflection; (The course director will assess the student's understanding of healthcare disparities and serving the underserved population through a minimum of 4 patient surveys and reflections. Student will utilize a 'barriers to medication use survey' developed by Dr. David Marrero. The student will ask at least 4 patients the questions on the survey and then reflect upon the patient's answers. The survey will be shared with the patient's attending provider and could help improve care, the reflection becomes a learning experience and will be assessed for the competency assessment). 3. A final global assessment will be completed at the end of the rotation using the assessment tools listed below. 2. A final global assessment will be completed at the end of the rotation using the assessment tools listed below.

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@iun.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