careers in medicine: developing a
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Careers in Medicine:Developing a 3rd Year Schedule
BUSM II Class MeetingJanuary 9, 2009
Plan Your Future
Lifestyle decisions Professional needs Personal needs
Check student file for 3rd year evaluations
Web Sites
Office of Student Affairs: http://www.bumc.bu.edu/busm/osa
Careers in Medicine: http://www.aamc.org/students/cim/
Office of the Registrar: http://www.bumc.bu.edu/busm/reg
INTRODUCTION TO THE RADIOLOGY CLERKSHIP
Johanne E. Dillon, M.D.,Director, Radiology ClerkshipBoston University School of MedicineJanuary 9, 2009
CLERKSHIP GOALS
Expose students to all aspects of imaging, including
Variety of imaging modalities, e.g., plain radiographs, US, CT, MRI, fluoroscopy
Image-guided diagnosis and treatment Interpretation of radiology reports Role of radiologist on multidisciplinary teams Information technology
CLERKSHIP GOALS
Encourage cost-effective utilization of technology
Develop evidence-based imaging strategies for common diagnoses
Be able to systematically approach a clinical scenario and apply evidence to select appropriate imaging
CLERKSHIP GOALS
Develop systematic approach to image interpretation emphasizing
Plain radiographs: Chest, abdomen, and musculoskeletal structures
CT: Head, chest, abdomen, and pelvis
CLERKSHIP GOALS
Be able to recognize the 25 most common diagnoses, e.g., CHF, pneumonia, pneumothorax, pneumoperitoneum, SBO, fractures, and intracranial hemorrhage.
HOW WILL WE DO THIS?
Orientation on day #1
Three lectures: -Clerkship goals and logistics -Introduction to radiology -Language of radiology
Department tour and textbook distribution
RADIOLOGY CLERKSHIP
Multiple daily lectures and conferences
Daily clinical observation in Department
Textbook and web-based learning
TYPICAL DAY
7:30-8:30 a.m.: Morning conference 8:30-9:30 a.m.: Student didactic session8:30-9:30 a.m.: Student didactic session -Week 1: Chest-Week 1: Chest -Week 2: Abdomen/Pelvis-Week 2: Abdomen/Pelvis -Week 3: Musculoskeletal-Week 3: Musculoskeletal -Week 4: Combined Neuro/Pediatric Radiology-Week 4: Combined Neuro/Pediatric Radiology 9:30-11:45 a.m.: Clinical observation (Weeks 1-3: Assigned to different department
section each week, e.g., HAC Neuro, ENC Body, Pediatric Radiology. Week 4: Elective)
TYPICAL DAY
12:00-1:00 p.m.: Noon conference, eat lunch
1:00-1:30 p.m.: Break1:00-1:30 p.m.: Break
1:30-3:00 p.m.: Lecture by radiology attending
3:00-5:00 p.m.: Self-directed learning3:00-5:00 p.m.: Self-directed learning
RADIOLOLGY CLERKSHIP
“Interesting Case” sessions: 2nd, 3rd, and 4th Wednesdays, 3:00-4:30 p.m.
Two Imaging Algorithm Tutorials: 2Two Imaging Algorithm Tutorials: 2ndnd and 3 and 3rdrd Fridays, usually 1:30-3:00 p.m.Fridays, usually 1:30-3:00 p.m.
Two Case Review sessions: Dr. Nadgir
Radiology-Pathology Correlation Conference: Radiology-Pathology Correlation Conference: Week 4, Wednesday at noonWeek 4, Wednesday at noon
EXAMINATIONS
Week 1: Friday quiz following Chest Week 2: Friday quiz following Abd/PelvisWeek 2: Friday quiz following Abd/Pelvis Week 3: Friday quiz following MSK Week 4:Week 4:
-Final examination review lecture on Thursday-Final examination review lecture on Thursday
-Final examination on Friday, 8:30 a.m.-noon-Final examination on Friday, 8:30 a.m.-noon
-Discussion of final examination, noon-1:00 p.m.-Discussion of final examination, noon-1:00 p.m.
Boston University School of MedicineMED MS314 A1
Clerkship Information 2
SiteSite TraveTravell
ResidentResidentss
ChildChild SettingSetting
BMC-ChildBMC-Child nono nono yesyes InpatientInpatient
BMC-HACBMC-HAC nono yes & noyes & no nono ConsultsConsults
BMC-ERBMC-ER nono yes & noyes & no nono EmergencyEmergency
BMC-QMCBMC-QMC yesyes yes yes nono CL, CL, InpatientInpatient
BayridgeBayridge yesyes nono nono InpatientInpatient
Bedford,VABedford,VA yesyes yes yes nono CombinatioCombinationn
BournewoodBournewood yesyes yesyes nono InpatientInpatient
CarneyCarney yesyes nono nono InpatientInpatient
West Rox, VAWest Rox, VA yesyes yesyes nono ConsultsConsults
WestwoodWestwood yesyes nono somesome InpatientInpatient
Psychiatry Clerkship
Boston Medical Center Outside Hospitals
BMC-ChildBMC-ER
BMC-HAC
BayRidgeBedford VABournewood
CarneyWestwood
WestRoxbury
Combination
BMC-QMC
Psychiatry Clerkship
Inpatient Consults
BayRidgeBournewood
CarneyWestwood
BMC-HACWest Roxbury VA
Combination and Other
Bedford VABMC-ChildBMC-QMCBMC-ER
Psychiatry Clerkship
Academic Setting Private Practice
BMC-ChildBMC-ER
BMC-HACBournewoodWestRoxbury
BayRidgeBedford VA
CarneyWestwood
Combination
BMC-QMC
Psychiatry Clerkship
Child Adult
BMC-Child
BayRidge, Bedford VABMC-ER, BMC-HAC
BournewoodCarney
WestRoxbury
Combination
Westwood
Grading Policy
Urban Legend
Sites where everyone gets honors
Sites where no one gets honors
St. ElsewhereSecond Year
of Medical School
Combination
The Kick Back Cafe
Clinical Grades: The primary attending at the clinical sites, usually in consultation with other clinical staff, determines the clinical grade. The one exception to this rule, is at the Bedford VA. At this site the clinical grade is decided by the attending and Dr. Frankenbug. A clinical grade of Honors carries a numeric weight of 90 in the tabulation of the final grade. High Pass is 80, and Pass is 70.Shelf Grades: The shelf examination is designed by the same company that produces the National Board examinations. Scores on the shelf are fairly predictive of a student’s performance on Step II of the National Boards. The local and national norms reflect the performance of the roughly 12,000 students from US and Canadian LCME-accredited medical schools who take this examination annually. The national mean is approximately 77 with a standard deviation of 8. A student’s shelf score is added to their clinical grade in the determination of the final grade.Final Grades: The final grade is based on the clinical grade plus the shelf score. The clinical grade is weighted to two-thirds of the final grade and the shelf score is weighted one-third of the final grade. Final grade cuts offs are 85 for Honors, 78 for High Pass, and 72 for Pass. Failing in this clerkship occurs when a student receives a shelf score of 61 or below (two standard deviations below the mean), regardless of the clinical grade. Marginal Pass are all scores that fall below the Passing grade and above the Failing Grade. The cut offs are whole numbers, fractions that fall below the cut off marks are not rounded up. Exceptions: There are only two exceptions to the above scoring. A student who receives a clinical grade of High Pass and a shelf score of 80 or above will receive a final grade of honors. The other exception, to receive a High Pass in this clerkship the student must have a shelf score of at least 70.
You have all already been added to the Psychiatry Clerkship CourseInfo Site, all these documents are located there in the document section
40.56
Psychiatry Clerkship
Selecting 3rd Year Clerkships January 9, 2008: Careers in Medicine class meeting
January 9 – 27: enter sequence selections on Registrar’s web site
February 13: final sequence selections appear on Registrar’s web site
February 13 – March 8: enter location selections on Registrar’s web site
April 17: Final 3rd year clerkship schedules appear on Registrar’s web site