transitioning to clerkships december 3rd, 2013 © 2012 university of utah school of medicine

Transitioning to Clerkships

December 3rd, 2013

© 2012 University of Utah School of Medicine

Overview

• Overview of Phase III• Phase III Lottery – Carol Stevens• Phase III Curriculum, Transition to Clerkships

Course – Dr. Dani Roussel• VA access, AOA – William Shiflett• AOA, MSPE, Career planning

© 2012 University of Utah School of Medicine

The Journey….

© 2013 University of Utah School of Medicine

March 2016 – Match Day

© 2013 University of Utah School of Medicine

Seven Third Year Clinical Clerkships

12 Week Clerkship

Internal Medicine (6 weeks fall/6 weeks spring)

6 Week Clerkships

Pediatrics

Obstetrics and Gynecology

Psychiatry

Surgery

4 Week Clerkships

Neurology

Family Medicine

2 Week Clerkship

Surgical Subspecialty

12 Week Clerkship

Internal Medicine (6 weeks fall/6 weeks spring)

6 Week Clerkships

Pediatrics

Obstetrics and Gynecology

Psychiatry

Surgery

4 Week Clerkships

Neurology

6 Week Clerkship

Surgical Subspecialty/Family Medicine

How are Clerkships Scheduled?

Fall Semester

Spring Semester

Jul Aug Sep Oct Nov Dec

Jan Feb Mar Apr May Jun

Transition to Third Year Clerkship Course

Four Clerkships in Fall Semester

Fall Semester

Spring Semester

Jul Aug Sep Oct Nov Dec

Jan Feb Mar Apr May Jun

Four Clerkships in Spring Semester

Fall Semester

Spring Semester

Jul Aug Sep Oct Nov Dec

Jan Feb Mar Apr May Jun

Fall Semester

Spring Semester

Jul Aug Sep Oct Nov Dec

Jan Feb Mar Apr May Jun

Block 1 Block 2 Block 3 Block 4

Block 5 Block 6 Block 7 Block 8

Three two-week breaks during the year

Fall Semester

Spring Semester

Jul Aug Sep Oct Nov Dec

Jan Feb Mar Apr May Jun

Neurology

Reasons to Choose When I Attend Clerkships?

Personal/family needs

Career goals (Not first, not last)

Subspecialty exposure (4th year elective)

State or military obligations

Example – Pediatrics Career Goal

Fall Semester

Spring Semester

Jul Aug Sep Oct Nov Dec

Jan Feb Mar Apr May Jun

Pediatrics

Example – Pediatrics Career Goal

Fall Semester

Spring Semester

Jul Aug Sep Oct Nov Dec

Jan Feb Mar Apr May Jun

Pediatrics

Example – Pediatrics Career Goal

Fall Semester

Spring Semester

Jul Aug Sep Oct Nov Dec

Jan Feb Mar Apr May Jun

Pediatrics

Example – Pediatrics Career Goal

Fall Semester

Spring Semester

Jul Aug Sep Oct Nov Dec

Jan Feb Mar Apr May Jun

Pediatrics

Reasons to Choose When I Attend Clerkships??

First half of Internal Medicine to prepare

OB before Surgery

Last of Internal Medicine last (Step 2)

Options within clerkships

Lots.

Later.

How to play the lottery

Carol Stevens

Example – Pediatrics Career Goal

Fall Semester

Spring Semester

Jul Aug Sep Oct Nov Dec

Jan Feb Mar Apr May Jun

Pediatrics

1

Example – Pediatrics Career Goal

Fall Semester

Spring Semester

Jul Aug Sep Oct Nov Dec

Jan Feb Mar Apr May Jun

Internal M Pediatrics

Surgery

12

3

Example – Pediatrics Career Goal

Fall Semester

Spring Semester

Jul Aug Sep Oct Nov Dec

Jan Feb Mar Apr May Jun

SS/Family OB/Gyn Internal M Pediatrics

Neurology Internal M Psychiatry Surgery

12

3

Using the “Lottery” system

To Enter the “Lottery” - • Go to - http://medicine.utah.edu/studentaffairs

To Enter the “Lottery” – • Go to - http://medicine.utah.edu/studentaffairs• Under Current Student select 3rd Year

Request your password –

• You must use your HSC email account• (check “junkmail”)

Course numbers -

12 week clerkship Course numbersInternal Medicine INTMD 7200 (Fall only)

INTMD 7201 (Spring only)

6 week clerkships

Pediatrics PED 7100

Obstetrics and Gynecology OBST 7010

Psychiatry PSYCT 7200

Surgery SURG 7200

4 week clerkships

Neurology NEURO 7900 III (adult)

NEURO 7930 III (pediatric)

6 week clerkship

SS/Family Medicine FPSURG

Rotation Start Dates -

Block 1 7/7/2014

Block 2 8/18/2014

Block 3 9/29/2014

Block 4 11/10/2014

Block 5 1/5/2015

Block 6 2/16/2015

Block 7 3/30/2015

Block 8 5/11/2015

Use Drop Down Menu to Enter Requests -

• Priority Order - Use a different “Priority Order” for each course selected

- Rankings in increments of 10, with 10 as highest priority, 20 next highest…

Use Drop Down Menu to Enter Requests - • Course Number and Date

Use Drop Down Menu to Enter Requests - • Exclusion Group

- “Give me one of these clerkship in priority order, and once I get one, exclude remaining requests”- Use same letter for all choices an exclusion group

Common Questions -

• First come, first serve? No • Can I make changes? Yes • Is there a submit button? No• What if I have a unique situation…

Special Considerations -

• Idaho or military obligation • Expected baby or planned wedding • Approved fellowship

Send me an email stating request, or schedule an appointment before the Lottery is run.

Contact -

Email for questions, or to schedule an appointment:

carol.stevens@hsc.utah.edu

Appointments available: HSEB 3580, M – F from 11 AM – 2 PM

Opportunities During Unscheduled Time -

List of two-week fourth year courses available in the third year:• see SOM website/class meeting notes

Scheduling Deadlines

• January 13 All lottery requests are to be submitted• January 28 Finalized schedules will be sent to you • May 1 + Requests for Fourth Year Electives in unscheduled

time considered

Questions?

Phase III Preparation

Danielle Roussel, MDAssistant Dean, Clinical Curriculum

University of Utah SOM

MS 2016

• 2014-15 Phase III Calendar• ACLS Training• Transition to Clerkship Course• Family Medicine Clerkship Sites• Shelf Exams & OSCE’s• End of Phase III OSCE

OverviewPhase III Preparation

2014-15 PHASE III CALENDARPhase III Preparation

General DatesPhase III Calendar

6-Week ClerkshipsPhase III Calendar

INTMD 7200 & 7201: Internal Medicine OBST 7010: Obstetrics & Gynecology PED 7010: Pediatrics PSYCT 7200: Psychiatry SURG 7020: Surgery

4-Week ClerkshipsPhase III Calendar

FPMD 7180: Family Medicine

4-Week ClerkshipsPhase III Calendar

NEURO 7900: Neurology

2-Week ClerkshipPhase III Calendar

SURG 7021: Surgical Subspecialty

ACLS TRAININGPhase III Preparation

• ACLS Certification Required – Must obtain prior to starting Phase III– Must be American Heart Association ACLS

• Included in Cost of Tuition for 2014-15– ~$100

• SOM will offer course between Phase II & III– Exact Dates TBD– HeartCode CBT– Skills Practice– Skills Testing

• Must maintain certification through Phase III & IV

OverviewACLS Training

TRANSITION TO CLERKSHIPPhase III Preparation

• June 30-July 3• Detailed Schedule TBD

– Skills Development– Phase III Logistics– Tools for Success– Career Day Activities

OverviewTransition to Clerkship

FAMILY MEDICINE CLERKSHIP SITESPhase III Preparation

SHELF EXAMS & OSCE’SPhase III Preparation

• Shelf Exams– NBME vs. CLIPP (Pediatrics)– Must Pass

• Pass Line set within recommended range of NBME • Highest Score Possible on Remediation set at Pass Line

• OSCE’s– Clerkship Specific– Must Pass

• Highest Score Possible on Remediation set at Pass Line • Can not earn Honors if remediated

OverviewShelf Exams & OSCE’s

Phase III Preparation

End of Phase III OSCE Must Pass Modeled after USMLE Step 2 CS

Questions…

Bureaucracy and AOA

William ShiflettDirector, Student AffairsUniversity of Utah SOM

VA Access

A Simple Process to be Completed before July 7, 20141) Create a TMS Account2) Complete Online Trainings (~ 60 min)3) Complete and Return PIV Applicant form4) Complete and Return VA’s HR Packet5) Complete Fingerprint Process at VA6) Obtain Your PIV Badge7) Attend CPRS/VISTA Training 30 Day PRIOR to your

first rotation at the VA.

Alpha Omega Alpha – AOA

• Junior AOA ~ 5% of Class• Senior AOA ~ 15% of Class

– Average weighted clerkship final score used– Junior AOA members move into Senior AOA

• Nomination is based on more than academic performance.

MSPE

• Wide variation historically• Guidelines published by AAMC in 2002

– “Letter of evaluation” rather than letter of recommendation

– Standardized format

• Release deadline move from Nov 1st to Oct 1st

MSPE National History

• Wide variation historically• Guidelines published by AAMC in 2002

– “Letter of evaluation” rather than letter of recommendation

– Standardized format

• Release deadline move from Nov 1st to Oct 1st

© 2013 University of Utah School of Medicine

© 2013 University of Utah School of Medicine

© 2013 University of Utah School of Medicine

© 2013 University of Utah School of Medicine

© 2013 University of Utah School of Medicine

© 2013 University of Utah School of Medicine

© 2013 University of Utah School of Medicine

Summary Descriptors• Single word in your last paragraph• Outstanding, Excellent, Very Good, Good• No class rank

© 2013 University of Utah School of Medicine

© 2013 University of Utah School of MedicineNRMP.org

What to do now?• Perform well on your units• Perform well on Step 1• Complete shadowing interests• Complete service learning requirements• Complete research

• How are you going to differentiate yourself?

NRMP.org

NRMP.org

The Journey….

© 2013 University of Utah School of Medicine

We are here to help you succeed!

© 2013 University of Utah School of Medicine