During the required Third Year Paul L Foster School of Medicine at TTUHSC-El Paso Family Medicine--Surgery Clerkship 15 week Block Rotation each student rotates through weekly 4 hour sessions in assigned Longitudinal Selectives, a commitment honored whether the student is rotating on Family Medicine or Surgery. The goal of the Chronic Disease Management Selective is for students to develop and demonstrate competency in investigating and utilizing evidence-based clinical support systems for the chronic condition being considered and in assisting patients develop their own self-management skills. This is accomplished through clinic sessions with faculty, assigned readings, a series of home visits with a selected patient, neighborhood "windshield" tours and identification of social and community resources. Students are expected to submit a complete report by the end of the Selective to the supervising faculty for their end of selective evaluation. Any patient comments from the home visit or clinic sessions are included in the final assessment of the student. During Orientation, students review the presentation "Improving Chronic Illness Care: Chronic Care Model" (Appendix A) with faculty. The STFM Family Medicine Clerkship Curriculum (Appendix B) section on Chronic Illnesses is used for the course. Students are then paired with experienced clinicians during continuity clinics one afternoon each week at the beginning of the selective to learn chronic disease management. They receive current reading assignments on evidence-based guidelines on conditions to be covered. During the first few weeks, students choose patients that they identify as needing help in self management for a chronic condition. Faculty obtain verbal permission from the selected family. Thereafter, the student makes his/her own arrangements for the home visit. FMDRL_ID: 5128#ResourcetoShare