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This 4th-year elective will consist of a month-long rotation at a critical access hospital (CAH) at one of the above sites. Under the supervision of family physicians and other specialists, the student will participate in all aspects of health care delivery provided by this CAH. The student will also participate in health care delivery at local nursing homes as well as in a mental health facility located in an adjacent county. A student�s typical day would include: � Participating in morning rounds � Clinical experiences, in half-day increments, with the site�s Physician assigned. � Reflections will be required.

Elective Details:

Primary Contact for Add/Drops: Heather LeBrun (heather.lebrun@indstate.edu)

Director: Stephanie Laws, M.S.N., R.N.

Campus: Terre Haute

Location: Union Hospital (Clinton), Sullivan County Community Hospital (Sullivan), Greene County General Hospital (Linton), St. Vincent Clay Hospital (Brazil), Putnam County Hospital (Greencastle), Mary Margaret Hospital (Batesville), Community Hospital of Bremen,

Learning Objectives

  • 1) Discuss the uniqueness and role of CAH in a rural community (SBP1)
  • 2) Discusse issues of accessibility, availability, and affordability in rural health care (SBP3)
  • 3) Discuss and describe the organization and delivery of health care in a rural setting based on clinical rotations in different departments within the CAH and other health care facilities (SBP1)
  • 4) Perform simple minor surgery procedures commonly conducted in the out-patient setting (PC5)
  • 5) Implement chronic disease management techniques with patients in the rural setting (PC4)
  • 6) Diagnose and manage common undifferentiated medical problems presenting in the rural setting (PC2)
  • 7) Participate in available patient advocacy programs to learn the value of preventative health measures (SBP5)


  • Clinical Performance Evaluation Form; (Clinical Observation, logbook entries, Oral Presentation, written essay, and discussion with faculty).

Enrollment Information

Prerequisites: MS4 (Mandatory elective for Rural Health Students)

Availability with Max Students per Month:


Duty Hours: 40, There will be one weekend of call coverage coordinated with the course director and the on-call weekend physician. There will be no night call through the week.

Time Distribution: 80% Clinical, 10% Research/Library, 10% Presentations

Elective Type Category: AC- Advanced Clinical

Notes and Enrollment Information:

Add/Drop Contact Person: Heather LeBrun (heather.lebrun@indstate.edu) THIS ELECTIVE DOES NOT PARTICIPATE IN THE INITIAL SENIOR MATCH Must check with Clinical Coordinator, Heather LeBrun , for availability at (heather.lebrun@indstate.edu), 812-237-8763.

Third Year Elective? No

Interprofessional Skills and Service Learning

Interprofessional Collaborative Skills: None

Service Learning Included: None