MDCN 330 & 430 Preceptor Information


All members of the care team extended a warm welcome and actively included me in the clinic processes and patient interactions. I immediately felt that this was a safe learning environment to ask questions and engage with the interdisciplinary team.

MDCN 330 Student - Class of 2023

MDCN 330

Students will experience the breadth, depth and variety of community Family Medicine. Whether a rural, urban or satellite location, all students will see practices that are Generalist Family Medicine (rather than specialized) and apply learning to a wide range of patients. Student experiences will be longitudinal, spacing visits over time to increase the likelihood of seeing patients seen before.

For more details please refer to the core document for your student's year. 

Learning Objectives

All students will apply relevant office practice communication and history taking skills identified in the Communications 1 Course. Skills include introducing self to the patient, identification of presenting complaint(s) and eliciting further relevant pertinent positive or negative information to help with assessment; expected only if related course work has been completed. Skilled history taking will enquire and document psychosocial contexts and environmental circumstances.

S Subjective
O Objective
A Assessment
P Plan


Document relevant history in Subjective.

As students are placed into Patient’s Medical Home clinics, awareness may include discussions with preceptors about the PMH model of care, what makes a clinic a PMH and any consideration of the 10 pillars- patient-centered care, personal Family Physician, team-based care, timely access, comprehensive care, continuity of care, electronic records and health information; education, training and research; evaluation and quality improvement, and internal and external supports.

Generalists are a specific set of physicians whose core abilities are characterized by broad practice. The Praxis of Generalism in Family Medicine involves the core concepts of Comprehensive care, Complexity, Context, Continuity of care, Collaboration, and Communication. These concepts will be both discussed and modelled in the Orientation session, Small Groups, and Patient Medical Homes where you will have your clinical experiences.


Learning Objectives

Students will apply relevant communication skills and take a focused history based upon the reason for the patient visit.


Communication skills include introducing self, use of open questions then more specific closed questions, attentive listening, recognition of verbal and non-verbal cues, avoidance of jargon and clarification.


Focused history- taking includes identifying the reason for the visit (presenting complaint), and subsequent enquiry relevant to the presenting complaint.

Documentation of subjective, the history organized by issue; and objective, focused exam findings or results on file relevant to the presenting complaint, is reviewed and expected.
Based upon the history and identifying relevant positives and negatives, and as more course work is completed, students will develop increasingly accurate assessments and plans.
Preceptor student discussion is expected to help make clinical reasoning overt.
RAPRIO is a useful way to organize thinking to develop a plan

The Patient’s Medical Home (PMH), the vision for Family Practice in Canada, identifies 10 pillars that turn a clinic into a Patient’s Medical Home. These are patient-centred care, personal family physician, team-based care, timely access, comprehensive care, continuity of care, electronic records and health information; education, training and research; evaluation and quality improvement, and internal and external supports.

MDCN 430

No longer early learners, it is expected students will increase skills such as: taking focused histories, examine patients, supervised, and document findings in a SOAP note. More emphasis is placed upon clinical reasoning and developing diagnoses and plans compared to MDCN 330. More preceptor guidance will be needed if students have not yet taken relevant courses.


Family physician guidance and student autonomy is adjusted as student skills increase.