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Carver College of Medicine Guide to Specialty-based Pathways

2018-2019

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Table of Contents

Topic Pages Introduction 3 CCOM Doctor of Medicine Curriculum 5 CCOM Clinical Years (Phases II and III) Requirements 6 Phase III Events, Timing and Sequence: The CCOM Perspective 7 Faculty Contacts by Specialty 8-11 Specialty-based Curricular Pathways 12-46

Anesthesia 12-13 Cardiothoracic Surgery 14 Dermatology 15 Emergency Medicine 16-17 Family Medicine 18-19 Internal Medicine 20-21 Neurology 22-23 Neurosurgery 24 Obstetrics and Gynecology 25-26 Ophthalmology 27-28 Orthopedics 29-30 Otolaryngology 31-32 Pathology 33-34 Pediatrics 35-36 Pediatric Neurology 37

Physical Medicine and Rehabilitation 38 Plastic Surgery 39 Psychiatry 40-41 Radiology 42 Radiation Oncology 43 Surgery 44 Urology 45

Vascular Surgery 46

CCOM Student Performance by Choice of Specialty: 2018 47-48 Residency Interview Period by Specialty: 2016, 2017, 2018 49-63

Last revised 7/27/18

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Introduction

The Clinical Experiences Committee (CEC) has developed this document to assist in student career planning and advising as well as student planning and scheduling for Phase III of the College of Medicine curriculum. This information will also be useful for the Office of Student Affairs and Curriculum (OSAC) and individuals in different specialties involved in student career advising. In addition, it helps guide the development and implementation of the continuously evolving Phase III curriculum components. The CEC intends that this should be a living document that is updated annually in June of the academic year. The material in each specialty section is presented in a standardized format consisting of three components: recommended specialty-specific electives, broad-based education electives and special considerations. These components are sub-divided into different types of elective experiences. The document is not intended to provide a comprehensive listing of all CCOM electives but rather to provide examples of the types of electives students should consider. Administrators, faculty and students using this document should understand that the elective recommendations contained herein should be used as a guide. There is no single path to successful preparation for a residency in any specialty. Many factors, in addition to the courses and electives that students complete, determine the outcome of the match process. Students should feel free to consider other electives and to discuss these with OSAC deans, faculty directors of the learning communities and faculty in the specialties under consideration. In mapping out the selection of advanced electives as well as the timing of these experiences, students are encouraged to meet with and discuss their selections with the Faculty Directors of their Learning Communities and with the faculty contacts for the specialties under consideration (see the Faculty Contact List by Specialty). Understandably, both parties are likely to focus on the menu of electives in the “Specialty Specific Experiences” (most of these will be identified by capitalized letters of the specific specialty, e.g. DERM). A major goal for the CCOM is that all graduating students receive a broad based medical education. To this end, the CEC has developed “traffic rules” stipulating that student selection of specialty specific courses be limited to no more than four experiences. In choosing an elective, students should consider how a given selection will help them continue to grow. This determination is best achieved through self-assessment of individual gaps in knowledge or skills. Data available to students for this purpose include:

• topic performance on practice examinations, shelf-examinations and USMLE Step 1; • core and selective clerkship clinical performance forms; • academic record maintained by OSAC; • PBA performance as well as performance on other Integrated Clinical Assessment Program

(ICAP) assessments to date (Semester I, II and III, PBA and M4 year assessments); • E*Value patient inventory.

Entrustable Professional Activities (EPAs) and Exemplars: Attention should also be given to how a specific elective might help students progress toward competency in one or more of the 13 EPAs identified and developed by the Association of American Medical Colleges (AAMC) as well as the 14 clinical exemplars developed by the college to date.

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AAMC Entrustable Professional Activities (EPAs)

#1: Gather a history and perform a physical examination

#6: Provide an oral presentation of a clinical encounter

#10: Recognize a patient requiring urgent or emergent care and initiate evaluation and management

#2: Prioritize a differential diagnosis following a clinical encounter

#7: Form clinical questions and retrieve evidence to advance patient care

#11: Obtain informed consent for tests and/or procedures

#3: Recommend and interpret common diagnostic and screening test

#8: Give or receive handover to transition care responsibility

#12: Perform general procedures of a physician

#4: Enter and discuss orders and prescriptions

#9: Collaborate as a member of an interprofessional team

#13: Identify system failures and contribute to a culture of safety and improvement

#5: Document a clinical encounter in the patient record

Carver College of Medicine Exemplars (https://intercome.medicine.uiowa.edu/Curriculum/Exemplars/html)

Acute Abdomen/Abdominal Pain Heart Failure Pain

Altered Mental Status Hypertension Pneumonia

Bleeding and Thrombosis Ischemia Seizures

Cancers Obstructive Airway Diseases Shock

Diabetes Mellitus

In addition, collegiate data is provided in the tables at the end of the document and is complementary to that provided in the NRPM Program Directors’ survey. (http://www.nrmp.org/wp-content/uploads/2016/09/NRMP-2016-Program-Director- Survey.pdf)

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http://www.nrmp.org/wp-content/uploads/2016/09/NRMP-2016-Program-Director-

Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun

Vaca

tion

Vaca

tion

SummerPrograms

Sub-I, ER/ICU, Advanced Electives, Selectives*

Mech. of Health & Dis. I

MOHD IV MOHD Keystone

MOHD II MOHD IIIFoundations

1 wkTransition

to Clerkships

Clinical and Professional Skills I

Anatomy

Medicine and Society ISummer

Programs

4 wkUSMLE

Step 1 BlockVa

catio

nVa

catio

n

Match Graduation

Phase I: Preclinical Curriculum

Phase II: Core Clerkships

M2

M3

M4

M1

Residency InterviewsUSMLE Step 2 CK & CS by Dec. 31

Phase III: Advanced Clerkships

OBG+SURG; IM+PEDS; NEUR+PSYC+Selectives*; APM**

OBG+SURG; IM+PEDS; NEUR+PSYC+Selectives*; APM**

Sub-I, ER/ICU, Advanced Electives, Selectives* Advanced Electives

Carver College of Medicine - Doctor of Medicine Curriculum

**APM=Ambulatory Practice Module (Outpatient IM+Community Primary Care+Family Med)

MAS II

CAPS II

CAPS III

MAS III

*Selectives=ANES, DERM, OPHT, ORTH, OTO, RAD, or URO

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CLINICAL YEARS (PHASE II and III) REQUIREMENTS University of Iowa Carver College of Medicine

Class of 2021

Transition to Clerkships 1 week: January 7 - 11, 2019 (attendance is mandatory) 2019 Core Clinical Year 48 schedulable weeks Step 1 Study Block 4 weeks: January 13 - February 9, 2020 2020 - 2021 Advanced Clinical Years 62 schedulable weeks 115 Total Weeks

Requirements: 1 @ 1 weeks Transition to Clerkships

Core Clerkships = 44 weeks 4 @ 6 weeks Inpatient Internal Medicine & Pediatrics (12 weeks scheduled together) Obstetrics/Gynecology & Surgery (12 weeks scheduled together) 5 @ 4 weeks Ambulatory Practice Module consisting of Outpatient Internal Medicine & Community-Based Primary Care & Family Medicine (12 weeks scheduled together) Psychiatry & Neurology (12 weeks scheduled together w/selectives)

Selective Clerkships = 10 weeks (must complete 10 weeks between the Core and Advanced years) 5 @ 2 weeks Choose 5: Anesthesia, Dermatology, Ophthalmology, Orthopaedics, Otolaryngology, Radiology, Urology

Advanced Clerkships = 40 weeks 1 @ 4 weeks Sub-Internship 1 @ 4 weeks Emergency Medicine or Critical Care 32 weeks Electives

110 Total schedulable weeks 94 Total weeks of Core & Advanced Clerkships 16 Flexible Weeks Over the 2 1/2 clinical years, a total of 16 flex weeks are available to prepare for and schedule USMLE Step 2 Clinical Knowledge and Clinical Skills exams, residency interviews, conferences, or other personal events. Students usually reserve these 16 weeks for their Advanced Clinical years. The Ambulatory Practice Module (APM) is an integrated 12-week block consisting of three four-week clerkships. Each of the clerkships has its own evaluation system resulting in separate grades. Final exams are given at the end of the twelve weeks which includes a shared Performance Based Assessment exam. The APM includes required didactic Education Days held in Iowa City as well as weekly teaching sessions held at the clerkship sites. The Outpatient Internal Medicine clerkship sites are Iowa City and Des Moines. The Family Medicine clerkship sites are throughout the state of Iowa. The Community-Based Primary Care clerkship sites are the six Regional Medical Education Centers (Cedar Rapids, Davenport, Des Moines, Mason City, Sioux City and Waterloo). All other core and selective clerkships must be done at UIHC or the Des Moines campus. The Sub-Internship must be done in the state of Iowa from the approved Sub-I list. The Emergency Medicine or Critical Care clerkship and the elective requirements may be done anywhere in the United States/world if the necessary paperwork and requirements are met. Scheduling of the Advanced Clinical years will be done in September 2019.

Graduation: Friday, May 14, 2021 of 63

Phase III Events, Timing and Sequence: The CCOM Perspective

January-June M3 year

• January 1 to about the end of the first week in February: o M3s study for and take Step 1

• Around the second week of February to the end of June o Confirm career choice through elective selections o Aim to complete at least two 2-week electives

• May-June o Begin taking intense, high level of supervised independence electives (cf. Specialty –

based Pathways section of this document) o Students interested in EM should consider completing at least one of their required

away rotations June-December M4 year

• Complete any remaining 2-week selectives • Step 2 CK and CS must be completed by the end of December • June- gearing up for Match process

o Two biggest challenges: Letters of Recommendation Writing personal statements

• June-July: Students interested in EM must complete standardized online video interview • June-mid-August: Schedule and complete MSPE Interview • July and August:

o Complete material for Match ERAS CV and personal statement Letters of Recommendation+

• September o Students upload ERAS portfolio by September 14th o Programs download applications starting September 15th

• October 1st: MSPE uploaded • Second-half of October through mid-December: interview season • December: results of military Match

January-May M4 year

• Complete remaining graduation requirements: CCOM goals is that M4s should NOT be taking 2-week selectives during this block

• January: o Final interviews may continue (Dermatology in particular) o Early Match results: Ophthalmology and Urology

• January-February: Phase III ICAP OSCE • February: Rank order lists due • Mid-March: Match Week • Mid-May: Graduation

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Faculty Contacts by Specialty Department & Department Career Advisors Advisor Contact Information

Anesthesiology Dr. Andrew Feider [email protected]

319-467-6790 Dr. Sapna Ravindranath [email protected]

319-467-6791 Cardiothoracic Surgery

Dr. John Keech [email protected] 319-356-1133

Dr. Mohammad Bashir [email protected] 319-356-4087 Dermatology

Dr. Vince Liu [email protected] 319-384-6845

Ms. Cheryl Moores [email protected] 319-356-1694 Emergency Medicine

Dr. Olivia Bailey [email protected] 319-353-6360

Dr. Chris Buresh [email protected] 319-356-4519

Dr. Hans House [email protected] 319-384-6511

Dr. Dan Runde [email protected] 319-384-5399

Dr. Mike Takacs [email protected] 319-356-1484

Dr. Jon Van Heukelom [email protected] 319-384-8275 Family Medicine

Dr. Jill Endres [email protected] 319-353-7175 Internal Medicine

Dr. Joe Szot [email protected] 319-467-5337

Dr. Manish Suneja [email protected] 319-356-1734

Dr. Lisa Antes [email protected] 319-384-6437

Dr. M. Lee Sanders [email protected] 319-384-8927

Dr. Katie White [email protected] 319-467-2000

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mailto:[email protected]














Department & Department Career Advisors Advisor Contact Information Neurological Surgery

Dr. Jeremy Greenlee [email protected] 319-356-2771 Neurology

Dr. Harold (Hal) Adams [email protected] 319-356-8755

Dr. Tracey Cho [email protected] (phone number)

Dr. Laurie Gutmann [email protected]

319-384-6362

Dr. George Richerson [email protected] 319-384-4296

Dr. Andrea Swenson [email protected] 319-384-9805

Dr. Teri Thomsen [email protected] 319-356-8755

Obstetrics-Gynecology Dr Sarah Shaffer [email protected]

319-353-7384 Dr. Stephanie Radke [email protected]

319-384-8668 Dr. Marygrace Elson [email protected]

319-356-3053

Dr. Colleen Stockdale [email protected] 319-384-6849

Dr. Sarina Martini [email protected] 319-353-9093

Dr. Kelly Ward [email protected]

319-356-7128

Dr. Emily Hill [email protected] 356-2015

Dr. Nina Nuangchamnong [email protected] 319-356-0703

Dr. Eyup Duran [email protected] 319-356-4645

Dr. Catherine Bradley [email protected] 319-356-1534

Dr. Abbey Hardy-Fairbanks [email protected] Ophthalmology

Dr. Tom Oetting [email protected] 319-384-9958

Dr. Pavlina Kemp [email protected] 319-356-2921

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Department & Department Career Advisors Advisor Contact Information Orthopaedics

Dr. Charles Clark [email protected] 319-356-2332

Dr. Jose Morcuende [email protected] 319-384-8041

Dr. Larry Marsh [email protected] 319-356-0430

Dr. Matthew Karam [email protected] 319-353-6747

Dr. Heather Kowalski [email protected] 319-354-8614

Dr. Jody Buckwalter V [email protected] Otolaryngology

Dr. Kristi Chang [email protected] 319-384-6657 Pathology

Dr. Amani Bashir [email protected] 319-467-5706

Dr. Leslie Bruch [email protected] 319-483-8871

Dr. Matt Krasowski [email protected] 319-384-9380

Dr. Anthony Snow [email protected] 319-353-8986 Pediatrics

Dr. Vanessa Curtis [email protected] 319-467-5679

Dr. Jennifer Jetton [email protected] 319-353-6906 Pediatric Neurology

Dr. Leah Zhorne [email protected] 319-384-9041

Physical Medicine and Rehabilitation Dr. Joe Chen [email protected]

319-384-6026 Plastic Surgery

Dr. Jerrod Keith [email protected] 319-356-7941 Psychiatry

Dr. Donald Black [email protected] 319-353-4431

Dr. Vicki Kijewski [email protected] 319-353-8647

Dr. Tony Miller [email protected] 319-688-3375

Dr. Michelle Weckmann [email protected] 319-384-7538

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Department & Department Career Advisors Advisor Contact Information Radiology

Dr. Maheen Rajput [email protected] 319-384-9828

Dr. Shawn Sato [email protected] 319-356-7980

Dr. Bruno Policeni [email protected] 319-356-3767 Radiation Oncology

Dr. John Buatti [email protected] 319-356-2699

Dr. Carryn Anderson [email protected] 319-353-8836 Surgery

Dr. Julia Shelton [email protected] 319-356-1766

Dr. Lillian Erdahl [email protected] 319-356-1727

Dr. Munee Kapadia [email protected] 319-384-7359

Dr. Luis Garcia [email protected] 319-356-3457

Urology Dr. Chad Tracy [email protected]

319-384-9183 Dr. Christopher Cooper

[email protected]

319-335-8435 Dr. Doug Storm [email protected]

319-353-8917 Dr. Gina Lockwood [email protected]

319-353-8673 Dr. Kenneth Nepple [email protected]

319-356-2114 Vascular Surgery

Dr. Rachael Nicholson [email protected] 319-356-8242

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Partial list of relevant Clerkships

ACB:8401 Advanced Human Anatomy

ANES:8401 Clinical Anesthesia Senior Elective (4 week)**

ANES:8498 Anesthesia On-Campus (4 wk Research Elective) (Recommended)

ANES:8499 Anesthesia Off-Campus (4 wk)

ANES:8402 Intensive Care (4 week SNICU)

IM:8424 Pulmonary Disease- MICU (4 wk)

IM:8401 Internal Medicine Sub-Internship (4 wk)

SURG:8402 Surgery Sub-Internship (4 wk)

Anesthesiology PathwayElective Category:

Focus/Developmental area Broad Rationale Timing

Recommended Specialty Specific Electives

Specialty Specific Experiences

Understanding airway, neuraxial, upper/lower extremity neuro-vascular anatomy is vital in the field of anesthesiology

Feb M3 year through Aug M4 year

Timing will varyFoundational Areas Relevant

to Specialty

Will increase student exposure to field of anesthesiology, provide opportunity to see subspecialty cases and write an academic project. The student may choose to work with a mentor to get letter of recommendation

Will help student understand management of critically ill patients. The student can work with a mentor to get letter of recommendation

This elective will help student understand the process of research. It will also provide opportunity to publish and present their work at the national conference. Student may request mentor to provide letter of recommendation.

(Recommend high priority/preference be given to

ANES: 8401. See Special Considerations section

relative to ANES: 8498 and 8499.)

(Recommend one of the ICU rotations and one of the

subinternships consistent with CCOM requirements.)

Experiences that provide intensity and a high level of supervised independence

This rotation will provide preparation for intern year and improve judgement skills

Feb M3 year through May M4 year

May M3 year through October M4 year

These rotations will provide preparation for residency and teach skills of patient care and time management

Ideally, student would complete at least one

of these during the block of time May of

the M3 through August of the M4

year.

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NEUR:8401 NeurologyIM:8428 Nephrology OTO:8301 Otolaryngology PEDS:8301 Pediatrics OBG:8301 Obstetrics and Gynecology PSYC:8411 Substance Abuse PATH:8404 Blood Bank

IM:8413 EKG/Ultrasound (2 wk)

EM:8401 Introduction to ALS (4 wk)

MED:8480 Global health clerkship (4 wk)

MED:8410 Patient Safety (2 wk)

EM:8409 Transition to Residency

Comments A Must

Timing will vary

Spring M4 year

Anesthesia Externship:a year-long work experience during M4 year paid for by the Anesthesia department. Several opportunities for academic achievement awards.Apply for Externship in February-March (as per dates provided by department) of M3 year. Externship is from May-May during M3-M4 year

Anesthesiology PathwayElective Category:


Research x

x

Special RecommendationsHighly Recommended Student Choice

Away Rotation x

Experiences Complementary to Specialty

Advanced Skills These rotations will prepare student for residency

Other These electives can be taken as per the student's interests.

Broad-based Education Electives

Timing will vary

Fall M4 year

These rotations will increase student acumen and prepare them to take care of a wide range of patients.

Timing will vary

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ACB:8402 Teaching Elective in Regional Anatomy

SURG:8406 General Surgery, Iowa Methodist

SURG:8401 Advanced General Surgery

CTS:8401 Subinternship Cardiothoracic Surgery

ANES:8402 Intensive Care (SNICU)


IM:8412 Clinical CardiologyIM:8426 Pulmonary Disease - Consultation Service

IM:8413 EKG & Vascular UltrasoundRAD:8401 Advanced Clinical RadiologyNone

Comments A Must

Advanced Skills

Foundational Areas Relevant to Specialty

anatomy of the thorax is central to cardiothoracic surgery Spring M3 or M4 year




May M3 through August M4 year


provides exposure to the full spectrum of cardiothoracic surgery


Critical care is an essential component of cardiothoracic surgical practice

M4 year

Cardiothoracic Surgery PathwayElective Category:



Cardiothoracic PathwayElective Category:


Other


CTS:8499 CTS off-campus XCTS:8497 Research Cardiothoracic Surgery X

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im:8412%20Clinical%20Cardiology

im:8413%20EKG%20&%20Vascular%20Ultrasound



PATH:8402 Hematopathology Clerkship

PATH:8403 Surgical Pathology

DERM:8401 Dermatology Elective**

DERM:8497 Research in Dermatology**

DERM:8499 Dermatology Off-Campus

IM:8401 or IM 8451 or IM:8452 Sub-Internship Internal Me

SURG:8402 Sub-Internship Surgery

FAM:8401, FAM:8406, FAM:8409, FAM:8412 or FAM:8417 Sub-Internship Family Medicine

EM:8402 Emergency Medicine UIHC

PEDS: 8406 Pediatric Allergy & Pulmonology

IM:8410 Clinical Allergy-Immunology

IM:8434 Clinical Rheumatology

IM:8418 Hematology Oncology

IM:8422 Clinical Infectious Disease

SURG:8401 Advanced General Surgery (e.g., Plastic Surgery Elective)

Comments A MustAway Rotation XResearch X


Provide an understanding of importance of general medicine in dermatology; appreciation of interface of skin and systemic disease, or additional surgical skills.

Advanced Skills


(** =High Priority/Preference)


Feb (3rd yr) - Oct (4th yr)

Feb (3rd yr) - Jun (4th yr)

Ability to engage in patient care at a high level of supervised independence +/- suturing skills.

Experiences that provide intensity and a high level of supervised independence Per CCOM requirements, students must complete 1

Sub-Internship and either a EM or ICU rotation. EM is

preferred.)

Dermatology PathwayElective Category:



(recommend; 1 of 3)

Foundational Areas Relevant to Specialty Timing can vary

Provides students with an understanding cutaneous anatomy, pathology, and pathophysiology

Other None

Timing can vary

Feb (3rd yr) - Jun (4th yr)


None

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EM: 8402 Emergency Medicine UIHC

EM: 8499 Emergency Medicine Off-Campus

EM: 8401 Intro to Advanced Life Support Skills

PEDS: 8405 Peds Emergency Room, Blank Children’s Hosp

EM: 8403 Wilderness Medicine

EM: 8411 Medical Toxicology, UIHC

EM: 8410 Medical Toxicology, Sioux City

ANES: 8402 Intensive Care (SNICU)

Spring M3 or very early M4

M4 year prior to Oct

July of M4 year

Timing willl varyProvide a foundation for common calls to Eds.

Any sub-internship Timing will vary

Timing will vary

The CCOM requires students to complete an ICU or an EM clerkship but not both ; this requirement is met by the completion of the EM clerkships required by the specialty (see explanatory note in Special Considerations sectionz0.

Before Oct if planning on doing Anesthesia

externship

See explanatory note in Special Considerations section.

Emergency Medicine PathwayElective Category:


Recommended Specialty Specific ElectivesFoundational Areas Relevant

to Specialty


None


(See column 3 - broad rationale)


(EM: 8402, and 8499 are required for students intending to go into

Emergency Medicine and 8401 is highly recommended. Selection

of any of the 4 remaing EM electives is optional but limited to

one by CCOM policy.)


Collegiate requirement - EM has no preferred recommendation.

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IM: 8412 Clinical CardiologyORTH: 8402 Musculoskeletal TraumaPSYC: 8414 Consultation PsychiatryANES: 8401 Clinical Anesthesia Senior Rotation

IM: 8413 EKG and Vascular Ultrasound

RAD: 8401 Advanced Clinical Radiology

EM: 8409 Transition to Residency

Comments A Must

For EM, 2 Standard Letters of Evaluation (SLOEs) are necessary. Departmental SLOEs carry the most weight. One letter needs to be from UIHC. This can be obtained from UIHC EM Clerkship and/or from the ALS rotation. Students need an away rotation in EM to obtain a 2nd SLOE. Ideally the away rotation occurs after the ALS rotation at UIHC.

X

X


Away Rotation

Research X

Other Per student interest. Students may not take course if you already took ALS EM; 8401

Emergency Medicine PathwayElective Category:


Advanced Skills Timing will vary These electives will provide exposure to skills that are important for success in residency.


These rotations will increase students' acument and prepare them to take care of a wide range of patients.

Timing will vary

Spring M4 year


The AAMC launched a Standardized Video interview in EM. This online, video-taped interview occurs June-July.

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Family Medicine Clerkship: Iowa City - 8419; Cedar Rapids - 8407; Broadlawns - 8408; Davenport - 8411; Sioux City - 8416 ; Waterloo - 8418; Mason City - 8420; Off Campus - 8499.

FAM: 8450 Continuity of Care

FAM: 8421 Primary Care Sports Medicine

FAM: 8405 Geriatrics

FAM: 8422Family Medicine/Psychiatry

FAM Med Sub-internship: Iowa City - 8401; Cedar Rapids - 8406; Iowa Lutheran - 8409; Davenport - 8412; Sioux City - 8415; Waterloo - 8417.

Family Medicine PathwayElective Category:


Recommended Specialty Specific ElectivesFoundational Areas

Relevant to Specialty

Outpatient clinic electives (in longitudinal or block format) will provide educational experiences that allow students to explore the common presentations in a family medicine clinic, establish relationships with preceptors and patients, and explore the field of family medicine as a career option.

Caring for hospitalized patients with a wide array of illnesses and conditions allows students to explore the scope of family medicine while attending to the biopsychosocial factors that impact health and disease.

Musculoskeletal complaints and their management are common presentations in family medicine clinics. This rotation uniquely allows students to learn about the medical and procedural management of common musculoskeletal problems in athletes, children, and adults. It also introduces students to optional HS and collegiate team coverage.

Caring for elderly patients provides enhanced experiences in management of complex patients, multiple comorbidities, and polypharmacy while learning about the aging process.

Family physicians provide a majority of the mental health care in the outpatient setting. This rotation allows students to learn about the management of common mental health conditions.

Feb-June


(Recommend; 1 or more of 5)

Timing will varyExperiences that provide

intensity and a high level of supervised independence

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Emergency Medicine (EM: 8402, 8404-8, 8499)Family Planning (OBG:8407) Global Health (MED: 8480)Women's Wellness and Counseling (PSYCH: 8404)Occupational Medicine (OEH: 8610)Urogynecology (OBG: 8405) Outpatient Pediatrics (PEDS: 8417)Outpatient Psychiatry (PSYCH: 8403)Palliative Care Internal Medicine Subspecialty (IM:)Nephrology (8428)Pulmonary (8424, 8426)Gastroenterology (8416)Allegy/Immunology (8410)Endocrine (8414)cardiology (8412)Infectious Disease (8422)Substance Abuse (PSYCH: 8411)Physical Medicine & Rehabilitation (ORTH: 8405)MED:8411 Foundational Science & Drug Therapy

IM:8413 EKG & Vascular Ultrasound

Prioritized Selectives: Dermatology, Otolarygngology, RadiologyMED:8410 Patient SafetyMED:8405 Leadership for Future PhysiciansMED:8401 Medicine, Literature, and WritingMED:8403 Teaching Skills for Medical Students

Comments A Must

Special Recommendations

Away Rotation

Research

Highly Recommended Student Choice

XX

Other Timing will vary

Advanced Skills

Experiences Complementary to

Specialty

Timing will vary

Timing will vary

Family Physicians provide comprehensive care to patients using a holistic approach. A wide variety of educational experiences will prepare students for residency training in family medicine. Students are encouraged to select electives that fulfill knowledge or skill deficits and/or align with individual interests or career plans within the diverse field of family medicine.

Family Medicine PathwayElective Category:



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None

IM: 8435 Palliative Care (4 weeks)IM: 8410 Clinical Allergy/Immunology (2 or 4 weeks)IM:8412 Clinical Cardiology (4 weeks)IM: 8414 Clinical Endocrinology (2 or 4 weeks)IM: 8416 Clinical Gastroenterology Hepatology (2 or 4 weeks)IM: 8418 Hematology Oncology (2 or 4 weeks)IM: 8422 Clinical Infectious Disease (2 or 4 weeks)IM: 8426 Pulmonary Disease- Consult Service (2 or 4 weeks)IM: 8428 Adult Nephrology (2 or 4 weeks)IM: 8434 Clinical Rheumatology (2 or 4 weeks)IM: 8454 Internal Medicine Consult Service, Iowa Methodist, Des Moines (4 weeks)IM:8456 Clinical Cardiology, Iowa Methodist, Des Moines (4 weeks)IM: 8457 Clinical Nephrology, Iowa Methodist, Des Moines (4 weeks)IM: 8450 Continuity of Care in Outpatient Internal Medicine (arr)

Sub-Internship in Internal Medicine (4 weeks)

IM: 8401 Sub-Internship in Internal Medicine (4 weeks)

IM: 8451 Sub-Internship Internal Medicine, Iowa Methodist Medical Center, Des Moines (4 weeks)

ICU

IM: 8424 Pulmonary Disease- Medical Intensive Care Unit (4 weeks) IM: 8453 Medical ICU, Iowa Methodist, Des Moines (4 weeks) IM: 8495 Internal Medicine Critical Care Off-Campus (4 weeks)

EM:8402 Emergency Medicine UIHC (4 weeks)

Internal Medicine PathwaysElective Category:



Complete by September of M4 year


Specialty Specific Experiences Experiences in specialty areas of

internal medicine will help students further develop the knowledge and skills required to care for complex patients in both the inpatient and ambulatory settings. These experiences may also provide insight into career choices as well as result in mentorship opportunities. Outpatient clinic electives (in longitudinal or block format) will provide educational experiences that allow students to explore common, and establish relationships with preceptors and patients.


Subinternship: CCOM requirement recommend in IM. Recommend

either ICU or EM

(Recommend 2-4)

These rotations allow for graduated responsibility in caring for hospitalized and critically ill patients as well as interactions with interprofessional healthcare providers.

Complete subinternship by

August of M4 year

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IM: 8437 Multidisciplinary Cancer Care (2 weeks)

ANES:8401 Clinical Anesthesia Senior Rotation (4 weeks)

DERM:8401 Dermatology Elective (4 weeks)

FAM:8405 Family Medicine Geriatrics (2 or 4 weeks)

FAM:8421 Primary Care Sports Medicine (4 weeks)

NEUR:8401 Advanced Inpatient Neurology (2 or 4 weeks)NEUR:8402 Advanced Outpatient Neurology (2 or 4 weeks)

OEH:8610 Occupational Medicine (2 or 4 weeks)

ORTH:8404 Intro to Physical Medicine and Rehabilitation (2 weeks)

PSYC:8401 Adult Inpatient Psychiatry (4 weeks)

PSYC:8403 Adult Outpatient Psychiatry (2 or 4 weeks)

PSYC:8404 Women's Wellness and Counseling Service (4 weeks)

IM: 8413 EKG & Vascular Ultrasound (2 weeks)

RAD:8401 Advanced Clinical Radiology (2 or 4 weeks)

EM:8401 Intro to Advanced Life Support Skills (4 weeks)

IM: 8455 Public Health Medicine, Des Moines (4 weeks)

IM: 8498 Internal Medicine On-Campus (research) (4 weeks)IM: 8499 Internal Medicine Off-Campus (4 weeks)

MED: 8405 Leadership for Future Physicians (2 weeks)

MED: 8480 Global Health Clerkship (4, 6 or 8 weeks)

MED:8403 Teaching Skills for Medical Students (4 weeks)MED: 8404 Advanced Teaching Skills for Medical Students (2 weeks)MED: 8410 Quality Improvement/Patient Safety (2 weeks)

Comments A Must


Broad Rationale Timing


Internal Medicine Pathways

Timing will vary

Elective Category: Focus/Developmental area

Timing will vary

Fall M4 year

Student Choice

Advanced Skills

EKG and Xray interpretation are two skills necessary for the practice of internal medicine. Point of care ultrasound is increasingly being used to assist with diagnosis and to perform bedside procedures. These rotations promote the development of advanced skills.

X


X

Other

As general internists, residents will encounter a diverse set of patient problems and need to effectively communicate with others involved in the care of patients, including consultants. These rotations will help further develop the clinical and communication skills and deepen the knowledge needed to effectively care for patients.

Timing will vary

These rotations offer experiences in leadership, research and service as well as opportunities to engage in different practice settings.

Research

Highly Recommended

Away Rotation

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NEUR:8401 Adv Inpt

NEUR:8402 Advanced Outpatient Neurology

NEUR:8498 Neurology On-Campus

NEUR:8499 Neurology Off-Campus

PEDS: 8410 Pediatric Neurology

NEUR:8404 Neurology Sub-Internship


Intensive course on inpatient stroke service. Serves to increase experience and confidence in localization, neurological exam skills, care of complicated medical patients, and development of in-depth understanding of neurological ailments.

Neurology PathwayElective Category:



(Recommend NEUR:8404 AND either EM:8402 or

ANES:8402)

January-June of M3 year

Recommended for students interested in entering pediatric neurology or gaining more experience in pediatric neurology.

Spring M4 year

The practice of neurology requires a strong knowledge of neuroanatomy in addition to the understanding of mechanisms of illness. A more in-depth neuroanatomy review prior to entering a neurology residency supports this goal.


Experiences that provide intensity and a high level of supervised independence.


January of 3rd year to June of 4th year

(Recommend 1 of 5)

ACB:8401 Adv human Anatomy

Offers a blend of both stroke and non-stroke, customized to the student. Serves to increase experience and confidence in localization, neurological exam skills, care of complicated medical patients, and development of in-depth understanding of neurological ailments.


Customized for very specific neurology exposure experience (IE neurological research or outpt experience). These courses should not be used to help with career decision, but instead used for additional learning if other recommended experiences are already completed

The schedule for the student is tailored to fields the student is interested in order to achieve this goal.

January-June of M3 year

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IM:8428 Adult Nephrology

IM:8414 Clinical Endocrinology

IM:8412 Clinical Cardiology

Preferred Selectives: Ophthalmology; Otolaryngology; Radiology

Comments A Must


XAway Rotation

Research


Neurology PathwayElective Category:

Focus/Developmental area

X

Feb M3 year-June of M4 year


Broad Rationale

A broad medical knowledge base is crucial for the neurologist as well. It is common for a neurologically ill patient to have many medical problems or have a medical illness that affects neurological tissue. Thus, a broad base of knowledge aids not only in the care of your patient, but also in the formation of the neurological differential diagnosis.

None

Other

Advanced Skills


Timing

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NSG:8497 Research Neurological Surgery

NSG:8499 Neurosurgery Off-Campus (Away Sub-I)

NSG:8401 Sub-Internship Neurosurgery

EM:8402 Emergency Medicine UIHCANES:8402 Intensive Care (SNICU)SURG:8401 Advanced General Surgery

IM:8435 Palliative CareNEUR:8401 Advanced Inpatient NeurologyNEUR:8402 Advanced Outpatient NeurologyORTH:8401 Advanced Clinical OrthopedicsORTH:8402 Musculoskeletal TraumaPATH:8401 Autopsy Pathology ClerkshipPATH:8403 Surgical PathologyPEDS: 8403 Neonatal Intensive Care UnitPEDS: 8410 Pediatric NeurologyRAD:8401 Advanced Clinical RadiologyPlastic Surgery - individually arrangedORTH:8401 Advanced Clinical OrthopedicsOPHT:8402 Neuro-OphthalmologyOTO:8402 Advanced OtolaryngologyRAD:8401 Advanced Clinical Radiology

MED:8404 Advanced Teaching Skills for Medical Students

MED:8480 Global Health Clerkship

Comments A Must

Advanced Skills

July / August 4th yearIntensive, immersive experience into Neurosurgery

(Recommend both)


Opportunity for valuable, neuroscience-specific basic science and clinical research experiences

Sept - Nov 4th year

(Recommend; Sub-Internship and 1 of 3)







Teaching, leadership, and global health skills are helpful for neurosurgeons

August / Sept 4th yearOpportunity to see Neurosurgery in a different practice environment

Neurosurgery PathwayElective Category:



Knowledge of normal and abnormal anatomy is critical for surgery Timing will vary

Opportunities to gain urgent, critical, and peri-operative care experiences Timing will vary

Timing will vary

Timing will vary

Rotations available to gain knowledge and skills pertinent to clinical neuroscience and patient management in a typical, diverse neurosurgical practice, covering all ages of patients and acuity of illness

Other

Special Considerations

MED:8403 Teaching Skills for Medical Students

Research

Away Rotation XX

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OBG:8407 Family Planning

OBG:8405 Urogynecology

OBG:8403 Reproductive Endocrinology

OBG:8498 Ob/Gyn On-Campus

OBG:8499 Ob/Gyn Off-Campus

(Family Medicine Sub-Internship options)

OBG:8402 Gynecologic Oncology Sub-Internship

OBG:8401 High Risk Obstetrics Sub-Internship

OBG:8409 Night Float Sub-Internship


ANES:8495 Intensive Care Off-Campus


EM:8405 Rural Emergency Medicine Burlington

IM: 8453 Medical ICU, Iowa Methodist

OB-Gyn PathwayElective Category:





Abdominal and pelvic anatomy are an important foundation for the field of OBGyn

Dec-June

Specialty Specific Experiences Increase exposure to the field of

OBGyn- augment depth of knowledge and breadth of exposure.

Feb-June

(Recommend 1-2 of 5)

Preparation for general intern-year duties including skill development in patient care, priortization and time management.

OBG options provide specialty-specific experiences.

Timing will varyPreparation for intern year including call responsibilities, management of consultations from the ER & ICU as well as skill development in patient care, prioritzation and time management.

Recommend one of the subinternships in Ob/Gyn and one of either the listed ICU or

EM electives)

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RAD:8401 Advanced Clinical Radiology


URO:8401 Advanced General Urology

EM:8401 Intro to Advanced Life Support Skills

MED:8401 Medicine, Literature, and Writing

MED:8403 Teaching Skills for Medical StudentsMED:8404 Advanced Teaching Skills for Medical Students

MED:8405 Leadership for Future Physicians

MED:8410 Patient Safety


Comments A Must

Timing will vary

Fall M4 year

Elective Category: Focus/Developmental Broad Rationale Timing

Advanced SkillsPreparation for intern year including management of consultations, skill development in patient care, prioritization and time management.



Specialty

DERM:8401 Dermatology ElectiveFAM:8402 University of Iowa Family Medicine(other Family Medicine options)IM:8410 Clinical Allergy-ImmunologyIM:8422 Clinical Infectious DiseaseIM:8434 Clinical RheumatologyIM:8414 Clinical Endocrinology IM:8428 Adult NephrologyNEUR:8401 Advanced Inpatient NeurologyNEUR:8402 Advanced Outpatient Neurology

OB-Gyn Pathway

Research X


OtherOptional electives - tailor to student interest to individualize & enrich experience.

Preparation to consider, work-up and manage diverse pathology and disease processes commonly seen in women, as well as development of fundamental skills to provide global care for women of all ages.

Exposure to specialties that are complementary to the care Generalist ObGyn and specialist ObGyn physicians provide to women of all ages; exposure, experience as well as development of knowledge and skills in these complementary specialties.

SURG:8411 Multidisciplinary Breast EM:8403 Wilderness Medicine PATH:8403 Surgical Pathology PATH:8401 Autopsy Pathology ClerkshipPEDS:8403 Neonatal Intensive Care UnitIM:8455 Public Health Medicine, Des MoinesPSYC:8404 Women’s Wellness & Counseling ServicePSYC:8411 Substance Abuse


Away Rotation X

Timing will vary

Timing will vary

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OPHT:8401 External Eye DiseaseOPHT:8402 Neuro-OphthalmologyOPHT:8405 Advanced Ophthalmology - VAOPHT:8406 Ophthalmic Plastic & Reconstructive Surgery (with special permission from faculty)OPHT:8404 Ocular pathology (with special permission from faculty)OPHT:8403 Molecular Ophthalmology (with special permission from faculty)

OPHT:8498 Ophthalmology On-Campus

OPHT:8499 Ophthalmology Off-Campus

IM:8401 Sub-Internship Internal Medicine


ANES:8402 Intensive Care (SNICU)**

IM:8424 Pulmonary Disease - Medical Intensive Care Unit**

Feb M3 year - through Aug M4 year

Will provide preparation for intern year, as well as prepare the student for call responsibilities, in which many consults will come from the ER.

Will provide preparation for intern year, as well as provide skills in patient care and time management.

Will provide preparation for intern year, as well as provide skills in patient care and time management.


Timing will vary

Ophthalmology PathwayElective Category:



Feb - May M3 year; Dec-June M4 year


Ocular, orbital and neurology anatomy are an important foundation for the field of ophthalmology. Not required.

Increase the student's exposure of the field of ophthalmology and depth of knowledge. Additionally, students may find a mentor and develop a relationship for letters of recommendation

(The CCOM requires students to complete a subinternship and either

an ICU or EM elective. Ophthalmology recommeds

completing a subinternship in Internal Medicine and an EM

rotation. If the student elects to complete an ICU rotation instead of the EM, the department recomends

either of the two ICU rotations shown here.)

Generally a research oriented rotation


(Recommend 3-4)

Away rotation

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MED:8403 Teaching Skills for Medical StudentsMED:8404 Advanced Teaching Skills for Medical StudentsMED:8405 Leadership for Future PhysiciansMED:8401 Medicine, Literature, and WritingGlobal health clerkship (4wk)

Preferred Selectives: Anesthesiology, Dermatology, Otolaryngology

Comments A Must

OPTH:8498 Ophthalmology On-Campus

Highly Recommended


These rotations will prepare the student for work in the OR, as well as learn skills which will be integrated into their future career

Timing

Timing will vary

Timing will vary

Fall M4 yearThis rotation will provide preparation for intern year, as well as train the student to be prepared for residency

Ophthalmology has much overlap with neurology

Ophthalmology has overlap with rheumatology

Opthalmology is an early match specialty

Advanced Skills

Away Rotation X

NA

Research X

This rotation will provide preparation for intern year

Other

Student Choice

These are optional electives that should be tailored to the student's interests.

Timing will vary

Ophthalmology Pathway

Timing will vary


Important clinical skill at all stages of career


Broad Rationale


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ORTH:8401 Advanced Clinical Orthopedics

ORTH:8402 Musculoskeletal TraumaORTH:8404 Intro to Physical Medicine & RehabilitationORTH:8405 Physical Medicine & Rehabilitation

ORTH:8498 Orthopedics On-Campus

ORTH:8499 Orthopedics Off-Campus


ORTH:8403 Sub-Internship Orthopedics



Dec-June

Subinternship: recommend IM. Recommend either ICU or EM

Timing will vary

will provide preparation for intern year, as well as prepare the student for call responsibilities, in which many consults will come from the ER

will provide preparation for intern year, as well as provide skills in patient care

Orthopedics PathwayElective Category:



to Specialty



Feb-June

Timing will vary

Feb-June

(Recommend 3 of 9)

Exposes the student to similar responsibilities of an R1 with perioperative assessment and management with assisting in procedures and diagnoses of radiological studies. Students may find a mentor and develop a relationship for letter of recommendation.

will provide preparation for intern year, as well as provide skills in patient care and time management

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MED:8403 Teaching Skills for Medical StudentsMED:8404 Advanced Teaching Skills for Medical StudentsMED:8405 Leadership for Future Physicians


Global Health Clerkship (4 wk)Preferred selectives: Anesthesiology, Dermatology, Otolaryngology

Comments A Must Highly Recommended Student Choice

Timing will vary

Orthopedics PathwayElective Category:

Focus/Developmental area Broad Rationale

Special Considerations


Away Rotation X

Research X

Other

Timing

Timing will vary

Timing will vary


Advanced Skills

Orthopedics has overlap with rheumatology.

This rotation will provide preparation for intern year

Orthopedics has much overlap with neurology .

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None

Oto:8401 Advanced Clinical Otolaryngology**

Oto: 8499 Otolaryngology Off-Campus (cf. below)



SURG:8402 Sub-Internship Surgery**

NSG:8401 Sub-Internship Neurosurgery

Otolaryngology PathwayElective Category:


Recommended Specialty Specific ElectivesFoundational Areas

Relevant to Specialty


provide advanced clinical experience in Otolaryngology

avoid times when our chair, vice chair or residency director are on vacation

Timing will vary

These provide opportunities to manage the emergent airway and the critically ill patient in arrival in the ED. Of the choices for a critical care rotation, a rotation in the SNICU will have the most relevance for future otolaryngologists as many of our patients stay in the SNICU post op.

Experiences that provide intensity and a high level

of supervised independence

First half of Advanced Years. The medical expertise and technical skills you will gain from these rotations will also prepare you well for your advanced otolaryngology elective

overlap with Otolaryngology (i.e. neurology) and many of our patients will have similar post operative problems

First half of Advanced Years Your advanced Otolaryngology elective includes inpatient care and working in the OR, and an early surgical sub I will prepare you well for this

Will improve student surgical skills and prepare students to manage post-operative patients

(Recommend priority/preference be given to Oto *8401 but can

do both)

(Recommend; preference/priority given to subinternship in surg 8402)

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ANES:8401 Clinical Anesthesia Senior Rotation

DERM:8401 Dermatology Elective

OPHT:8401 External Eye Disease

IM:8426 Pulmonary Disease - Consultation Service

PEDS: 8406 Pediatric Allergy & Pulmonology

None

None

Comments A Must

Advanced Skills

Other

Research

Away Rotation

Timing will vary

NAOto has a personal statement requirement

Student Choice

X

X

Elective Category: Focus/Developmental area Broad Rationale

Management of patients with sinus disease will often require treating coexisting allergies and reactive airway disease. The differentiation of upper airway obstruction from primary pulmonary processes will be an important skill to acquire for an otolaryngologist


Timing


Specialty (consider the anesthesia, ophthalmology and

dermatology electives if they were unable to complete

selectives in these specialties)

Skin cancer, vascular malformations and inflammatory skin disorders often present to Otolaryngology if they occur in the head and neck

Management of facial trauma/plastics and sinus disease will require a solid baseline knowledge of ophthalmology disease processes

Special ConsiderationsHighly Recommended

Otolaryngology Pathway

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None

PATH:8403 Surgical Pathology (AP)**

PATH:8402 Hematopathology Clerkship (CP)

PATH:8401 Autopsy Pathology Clerkship (AP)**

PATH:8404 Transfusion Medicine (CP)

PATH:8498 Pathology On-Campus

PATH:8499 Pathology Off-Campus

ANES:8402 Intensive Care (SNICU)IM:8424 Pulmonary Disease - Medical Intensive Care Unit

IM:8453 Medical ICU, Iowa Methodist


FAM:8401 Sub-Internship Family Medicine

FAM:8406 Sub-Internship Family Medicine, Cedar RapidsFAM:8409 Sub-Internship Family Medicine, Iowa Lutheran

FAM:8412 Sub-Internship Family Medicine, Davenport


PEDS: 8404 Pediatric Intensive Care UnitIM:8451 Sub-Internship Internal Medicine, Iowa Methodist

NEUR:8404 Sub-Internship in Neurology


PEDS: 8401 Pediatric Inpatient Sub-Internship


EM:8404 Emergency Medicine St. Luke's, Cedar Rapids

Timing will vary

(Recommend 3 of 4 **Recommend high priority/preference)

2.Students who have completed the pathology externship see note at end

of document


CCOM requires students to complete a subinternship as well

as a critical care rotation.**

These specialty specific AP and CP pathology rotations will provide exposure and insight into pathology as a career choice as well as providing mentorship opportunities. **It is strongly recommended that students considering pathology as a career do both surgical and autopsy pathology as well as one of the other rotations.

Complete at least the AP rotations by end of

August M4 year.


Pathology-Based PathwaysElective Category:



to Specialty

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DERM:8401 Dermatology ElectiveIM:8414 Clinical EndocrinologyIM:8416 Clinical Gastroenterology-HepatologyIM:8418 Hematology OncologyIM:8422 Clinical Infectious DiseaseIM:8434 Clinical RheumatologyRADO:8401 Radiation OncologyURO:8403 Urology OncologySURG:8411 Multidisciplinary BreastNEUR:8402 Advanced Outpatient NeurologyOBG:8403 Reproductive EndocrinologyPEDS: 8409 Pediatric Hematology/OncologyPEDS: 8415 Medical Genetics for the Senior StudentPEDS: 8408 Pediatric GastroenterologyRAD:8401 Advanced Clinical RadiologyEM:8411 Medical Toxicology, UIHCNone


MED:8404 Advanced Teaching Skills for Medical Student

MED:8405 Leadership for Future Physicians


Comments A Must

Surgical pathology and autopsy rotations are not necessary for former pathology externs who would already have experience in these areas. Former externs are advised to consult with pathology faculty for input on rotations in other areas of pathology

Pathology-Based Pathways

Timing will vary

As pathologists, residents will encounter a diverse set of diseases and need to effectively communicate with others involved in the care of patients, particularly other physicians. These rotations represent disciplines which frequently interact with pathology and will help further develop the clinical and communication skills and deepen the knowledge needed to effectively care for patients.

X

Broad Rationale Timing

Timing will vary


Away Rotation

Highly Recommended

X


Pathology Externship


These rotations offer experiences in leadership, research and service as well as opportunities to engage in different practice settings.

Advanced Skills


Other

Student Choice

X

Students who have completed the Pathology Externship

Research

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None

PEDS:8406 Pediatric Allergy and Pulmonology PEDS8407 Pediatric Cardiology PEDS:8408 Pediatric Gastroenterology PEDS:8409 Pediatric Hematology/Oncology PEDS:8410 Pediatric Neurology PEDS:8411 Child Abuse and Neglect PEDS:8412 Developmental & Behavioral Pediatrics PEDS:8415 Medical Genetics for the Senior Student PEDS:8417 Community Pediatric Outpatient PEDS:8420 Pediatric Palliative Care PEDS:8421 Pediatric Endocrinology PEDS:8421 Pediatric Nephrology PEDS:8450 Continuity of Care Outpatient Gen Pediatrics

PEDS:8499 Away rotation (Pediatrics Off-Campus)

PEDS:8303 Neonatal Intensive Care Unit

PEDS:8404 Pediatric Intensive Care Unit

PEDS:8416 Neonatal Intensive Care Unit- Blank Children’s

PEDS8:418 Pediatric Intensive Care Unit- Blank Children’s

PEDS:P8405 Blank Pediatrics Emergency Room

various EM:840X Emergency room

PEDS:8401 UIHC Pediatric Sub-Internship

PEDS:8402 Blank General Pediatrics Subinternship

(Recommend one Sub-I experience and either the Critical Care OR the EM

elective.)

Complete at least one during fourth semester or early in fifth semester (Feb-August) to facilitate LOR Remainder may vary in timing.

CCOM requires students to complete a sub internship as well as a critical care rotation OR an EM elective. These rotations allow for graduated responsibility in caring for hospitalized and critically ill patients as well as interactions with interprofessional healthcare providers.

Timing can vary. Not necessary (or practical) for all students to do before interviewing. Recommend doing early if still trying to confirm/refute career goals.

(Recommend 1 to 3 advanced 4 week electives)



These electives will help students explore academic side of pediatrics, provide in-depth experience, and to allow mentoring and reliable opportunity for Letters of Recommendation.

Continuity of Care rotations can be helpful for flexibility and allow mentorship by general pediatrician.

Pediatrics PathwayElective Category:



to Specialty

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Anesthesia, Radiology, Ophthalmology as a Selective, during Phase III if not already done


FAM8402 University of Iowa Family Medicine

FAM:8499 Family Medicine Off-Campus

FAM8421 Primary Care Sports Medicine

OBG 8598 OB/Gyn On-Campus

OBG:8407 Family Planning

OTO:8498 Otolaryngology On Campus

PSYC:8402 Child Psychiatry

RAD:8498 Radiology On-Campus

SURG:(Various) General Surgery

URO:8402 Pediatric Urology

FAM:8401 Family Medicine Sub-Internship


None

MED 8480 Global HealthClerkship

Comments A Must

Timing will varyOther International Health if interested

Research: Recommend considering research project (does not have to be in pediatrics) if anticipate future academic career

X


Away Rotation X



Pediatrics PathwayElective Category:


Advanced Skills

Students should perform a self-assessment to identify past experience, current deficiencies, and future goals. Students interested in pediatrics should spend majority of Phase III doing complementary experiences to allow for a well-rounded student and to provide in-depth experience with conditions likely to be encountered in the pediatric patient requiring consultation with outside services

Timing will vary

Elective Category: Focus/Developmental area Broad Rationale Timing


Pediatrics Pathway

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PEDS: 8410 Pediatric Neurology

NEURO: 8401 Advanced Inpatient Neurology

NEURO: 8402 Advanced outpatient Neurology

PEDS: 8415 Medical Genetics for the Senior Student

PEDS:8401 UIHC Pediatric Sub-Internship**

NEUR:8404 Neurology Sub-Internship

PEDS:8303 Neonatal Intensive Care Unit

PEDS:8404 Pediatric Intensive Care Unit

PEDS:8412 Developmental & Behavioral Pediatrics


OPHT:8402 Neuro-OphthalmologyRAD:8402 Vascular & Interventional Radiology

MED:8401 Medicine, Literature and Writing



EM: 8409 Transition to Residency

Prioritized Selectives: Opthalmology, Orthopedics, Otolaryngology, Radiology.

Comments A Must

(Recommend Pediatric Neurology; 1 of the 2 Advanced

Neurology electives, and the Medical Genetics elective.)

Students should perform a self-assessment to identify past experience, current deficiencies, and future goals and to provide a well-rounded in-depth educational experience.

Complete at least one of these

electives by the end of September of the

M4 year

Jan - May M4 year

Recommended for students interested in entering pediatric neurology or gaining more experience in pediatric neurology.


Intensive course on inpatient stroke service. Serves to increase experience and confidence in localization, neurological exam skills, care of complicated medical patients, and development of in-depth understanding of neurological ailments.

ACB:8401 Adv human Anatomy

These rotations offer experiences in leadership and service as well as opportunities to engage in different practice settings.

Feb - May M3 year or Jan - May M4 year

Timing will vary

Spring M4 year

Timing will vary

X

Other

This elective will provide exposure to skills that are important for success in residency.

Student Choice

EM: 8401 Intro to Advance Life Support Skills

Highly Recommended


Timing will vary


These experiences will provide students with sufficient exposure and experience for both career decision planning and preparation for the Match and a residency in Pediatric Neurology.


This elective provides graduated responsibility in caring for hospitalized and critically ill patients as well as interactions with interprofessional healthcare providers.

Thess electives provide graduated responsibility in caring for hospitalized and critically ill patients as well as interactions with interprofessional healthcare providers.

Research X

Advanced Skills

Away Rotation

Pediatric Neurology PathwayElective Category:




Complete at least one of these

electives by the end of September of the

M4 year.

(Recommend; **=High priority/preference. The CCOM requires that students complete

either an ICU or an EM rotation. One of the ICU rotations is preferred by

Pediatric Neurology.)

The practice of neurology requires a strong knowledge of neuroanatomy in addition to the understanding of mechanisms of illness. A more in-depth neuroanatomy review prior to entering a neurology residency supports this goal.


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ORTH:8406 PM&R Acute Inpatient Rehab (2 week)

IM:8401 Sub-Internship Internal Medicine, 8451 Sub-I, Iowa Methodist


FAM:8405 Family Medicine Geriatrics

IM:8435 Palliative Care

PEDS: 8412 Developmental & Behavioral Pediatrics


MED:8403 Teaching Skills for Medical StudentsMED:8404 Advanced Teaching Skills for Medical StudentsMED:8405 Leadership for Future PhysiciansMED:8401 Medicine, Literature, and WritingGlobal Health Clerkship (4 wk)

Comments A Mustnot required but may be helpful if considering specific PM&R residencies

Physical Medicine & Rehabilitation PathwayElective Category:


Recommended Specialty Specific ElectivesRegional and Musculoskeletal anatomy are important foundations for PM&R


(Recommend both)



Dec-June

Inpatient rehab is a core part of residency training

Timing will vary

Understanding mechanism of chronic inflammatory joint conditions


Feb-June

ORTH: 8405 Physical Medicine & Rehabilitation

Elective PM&R away rotation X

Physical Mediine & Rehabilitation encompasses a broad range of conditions across inpatient and outpatient settings

(IM subinternship preferred, but not absolute)

Chronic disease and disability

Focus on improving function and quality of life despite prognosis


Other Timing will vary

Timing will vary

Advanced Skills Timing will varyCorrelation of advanced musculoskeletal imaging with function

Disability in children


Attend or presentation at Annual Iowa Academy of Physical Medicine & Rehabilitation Conference X

Research X

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SURG:8401 Advanced General Surgery (Plastic Surgery)

SURG:8498 Surgery On-Campus (Research)

SURG:8499 Surgery Off-Campus (away)





ORTH:8401 Advanced Clinical Orthopedics

ORTH:8402 Musculoskeletal Trauma

SURG:8401 Advanced Clinical Surgery (Burn Service)

SURG:8407 Surgical Trauma Critical Care, Iowa Methodist

SURG:8411 Multi-disciplinary Breast


RAD:8401 Advanced Clinical RadiologyMED:8410 Patient SafetyMED:8403 Teaching Skills for Medical StudentsMED:8405 Leadership for Future Physicians

Comments A Must

X

per student interest Timing will vary


Away Rotation

Research


X

Skills in radiology and ACLS are important for students applying to plastic surgery or general surgery.

Timing will vary

Other

Research experience is highly recommended for students applying directly to Plastic Surgery as is an away rotation.

February through August M3/M4 year

May through August M3/M4 year

Experiences that provide intensity and a high level of supervised independence These electives provide students a

high level of responsibility in an intense learning environment.

Timing will vary

(Recommend a sub-internship in Surgery. No preference for ICU vs

EM.)

Plastic Surgery Based- PathwaysElective Category: Broad Rationale Timing



These rotations will increase students' acument and prepare them to take care of a wide range of patients.

Timing will vary

Advanced Skills


Plastic Surgery requires a strong knowledge of anatomy. Jan - May M4 yearACB:8401 Adv human Anatomy



The advanced surgery clerkship in Plastic Surgery will acquaint students with the breadth of the field, surgical techniques and the opportunity to work closely with individual faculty which is essential for obtaining letters of recommendation.

May through August M3/M4 year

(Recommend; 3 of 3)

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PSYC:8401 Adult Inpatient Psychiatry


PSYC:8403 Adult Outpatient Psychiatry

PSYC:8404 Women’s Wellness & Counseling Service

PSYC:8409 Eating Disorders

PSYC:8411 Substance Abuse

PSYC:8498 Psychiatry On-Campus

PSYC:8499 Psychiatry Off-Campus

PSYC:8414 Consultation Psychiatry

FAM:8422 Family Medicine/Psychiatry

FAM:8401 Sub-Internship Family Medicine


NEUR:8404 Sub-Internship in Neurology


PSYC:8405 Sub-Internship Medical Psychiatry

PSYC:8408 Sub-Internship Mood/Psychotic Disorders

EM:8402 Emergency Medicine UIHC**

IM:8424 Pulmonary Disease - Medical Intensive Care Unit

Feb-June

Timing will varyDevelop patient care skills related to emergency conditions. Become familiar with operation of the emergency department, a common entry point of persons with acute psychiatric illness into the healthcare system.

Psychiatry PathwayElective Category:



(Recommend 1-3 of 8)

Some psychiatry electives are useful to broaden exposure to general psychiatry (our psychiatry clerkship is only 4 weeks; 6 week psychiatry clerkships are modal at US medical schools), confirm specialty choice, and secure letters of recommendation from faculty. Beyond that, students are encouraged to give a higher priority to learning medicine broadly, rather than developing specialty expertise in psychiatry. Psychiatric or other research is not required but may be appropriate for students interested in a career in academic psychiatry.


(Recommend 1 of 2) (**=Highly Recommended)

(Recommend 1 of 6)

Experiences that provide intensity and a high level of supervised independence Develop patient care skills needed in

residency.

Critical care management, including complications of psychiatric illness or treatment (overdose, neuroleptic malignant syndrome, catatonia, delirium, etc.)


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IM:8414 Clinical Endocrinology**

PEDS: 8411 Child Abuse and Neglect

PEDS: 8412 Developmental & Behavioral Pediatrics

EM:8410 Medical Toxicology, Sioux City

EM:8411 Medical Toxicology, UIHC


MED:8411 Foundational Science & Drug Therapy

IM:8413 EKG & Vascular Ultrasound**



MED:8404 Advanced Teaching Skills for Medical Students



PSYC:8413 The Thriving Physician

Comments A Must

Endocrine conditions can impact mental status. Psychiatric medications can have adverse endocrine effects. Diabetes management is a pervasive clinical issue in inpatient psychiatric settings.

Develop ability to practice healthcare in cross-cultural setting.

Developmental, behavioral, and abuse/neglect issues in children are directly relevant to child psychiatry and also have continued impacts on adult mental / behavioral health.

Timing will vary

Highly Recommended

Directly relevant to students interested in medical education; skills are also generalizable to other teaching opportunities (working with other healthcare disciplines, educating patients, community awareness events, etc) that arise in psychiatric practice.

Timing will vary

Reinforce basic and clinical science relevant to psychopharmacologic practice.

Spring M4 year

X


Develop patient care skills related to emergency conditions. Fall M4 year

Timing will vary

Psychiatry PathwayTiming

Develop understanding of QI/PS process, interdisciplinary skills. Overdoses related to suicide attempts or use of addictive substances are common emergencies in the care of psychiatric patients. Other toxidromes like serotonin syndrome and neuroleptic malignant syndrome are serious potential complications of psychiatric management.

Being well-rounded human beings makes us better able to understand patients, their problems, and their psychosocial milieu.

Other

Broad Rationale

Research


Student Choice

XAway Rotation

Advanced Skills

Many psychiatric medications have cardiac effects for which EKG monitoring is recommended.



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RAD:8401 Advanced Clinical Radiology**

RAD:8402 Vascular & Interventional Radiology*

RAD:8498 Radiology On-Campus

RAD:8499 Radiology Off-Campus

IM:8401 Sub-Internship Internal Medicine*





EM:8402 Emergency Medicine UIHC*


NEUR:8401 Advanced Inpatient Neurology


FAM:8402 University of Iowa Family Medicine

Comments A Must

Feb - June M3 year

Other MED:8403 Teaching Skills for Medical Students


Timing will vary


Promotes the development of advanced skills.

Offers experience in leadership, teaching and service.

These are all great to supplement Radiology Timing will vary


Specialty Specific Experiences (Recommend; 2 of 4 **= highest

priority/preference for RAD 8401.)

Radiology PathwayElective Category:



ACB:8401 Advanced Human Anatomy Anatomy is key to understanding Radiology

Timing will vary

Timing will vary



Provide students with increased autonomy and exposure to procedures.

These provide broad exposure to and experience in Radiology.

Timing will vary

Away Rotation X


(Recommend one of the subinternships with preference for IM: 8401 and an EM or ICU experience with preference for

EM: 8402.)

Research X

Advanced Skills

Radiology Externship XPathology Externship X

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RADO: 8401 Radiation Oncology**

RADO:8498 Radiation Oncology Special Study On Campus (research)

RADO:8499 Radiation Oncology Special Study Off Campus

RADO:8498 Radiation Oncology Special Study On Campus

Any sub-internship; slight preference for Internal Medicine (IM:8401)

IM: 8424 Pulmonary Disease-Medical Intensive Care UnitANES: 8402 Intensive Care (SNICU)

SURG:8411 Multidisciplinary BreastPEDS: 8409 Pediatric Hematology/OncologyIM:8418 Hematology OncologyIM:8435 Palliative Care

MED: 8405 Leadership for Future Physicians (2 weeks)

MED: 8480 Global Health Clerkship (4, 6 or 8 weeks)MED: 8410 Patient Safety

Preferred Selectives: Dermatology, Ophthalmology, Orthopedics, Otolaryngology, Radiology, Urology Selectives that are preferred

Comments A Must

Radiation Oncology PathwaysElective Category:




Understanding cross sectional anatomy is key to understanding the field design to target tumors for raditation while minimizing injury to surrounding tissues.

Feb - May M3 year or January - May M4

year. Ideally students will have taken RADO:

8401 prior to this experience.

Specialty Specific ExperiencesEarly in Feb-May M3 year but after RADO:

8401

Important for career decision and as a gate way experience for the other specialty experiences

Research experience valued highly in match process

Early in Feb-May M3 year

student works with faculty to design a curriculum to study tumor biology, tumor genetics and tumor markers

(Recommend; either MICU or SNICU in that order)

Provide student with experience recognizing, stabilizing and caring for critically ill patients

Student Choice

Jan - May M4 year


(Recommend RADO:8401 with high priority/preference and 2 of the remaining 3 specialty-based

electives.)

Cf. Special Considerations May - Sep/Oct M4 year

Highly RecommendedSpecial Recommendations

Timing will vary

Research x

Timing will vary

Away Rotation x

Timing will vary

Other


May M3 year - May M4 year

These rotations offer experiences in leadership and service as well as opportunities to engage in different practice settings.


Advanced Skills

provide a broad based medical education as well as additional experiences pertinent to Radiation Oncology


of 63


None


SURG:8411 Multidisciplinary Breast


SURG:8409 General Surgery, Genesis/Davenport

SURG:8498 Surgery On-Campus

SURG:8499 Surgery Off-Campus (away)



SURG:8407 Surgical Trauma Critical Care, Iowa Methodist


IM:8435 Palliative Care

PATH:8403 Surgical Pathology






Comments A Must

Spring M3 or Summer M3/4 (June, July, Aug)

(Recommend 1-2)

Summer /Fall M4

Spring M3 or Summer M3/4 (June, July, Aug)

Experiences that provide intensity and a high level of supervised independence.

(Recommend subinternship in Surgery and either an ICU or EM

elective)

Specialty Specific Experiences Thess advanced surgical electives provide students with a broad exposure to general surgery. Students may spend time with our faculty on a research elective.

Research X


Away Rotation X

Other



Timing will vary

Advanced SkillsSkills in radiology and ACLS are important for students applying to general surgery.

Timing will vary

per student interest Timing will vary

These rotations will help students further develop the clinical and communication skills and deepen the knowledge needed to effectively care for patients.


Surgery PathwayElective Category:



These electives provide students a high intensity learning environment with added independence.

of 63



PATH:8401 Autopsy Pathology Clerkship

URO:8401 Advanced General Urology

URO:8402 Pediatric Urology

URO:8403 Urology Oncology

URO:8499 Urology Off-Campus



PEDS: 8404 Pediatric Intensive Care Unit

PEDS: 8403 Neonatal Intensive Care Unit




OBG:8403 Reproductive Endocrinology

PEDS: 8421 Pediatric Endocrinology

OBG:8405 Urogynecology

IM:8428 Adult Nephrology

PEDS: 8431 Pediatric Nephrology

ANES:8401 Clinical Anesthesia Senior Rotation

NEUR:8401 Advanced Inpatient Neurology


RAD:8402 Vascular & Interventional Radiology



Comments A Must

(Recommend 1 of 2)

Understanding of anatomy and pathology as it relates to intra-abdominal pathology

April M3 year through September M4 year

Feb - June of M3 year or January - May of

M4 year


(Recommend 2 of 4)

Urology PathwayElective Category:



NA

Experiences that provide intensity and a high level of supervised

independence

(Urology recommends students select SURG:8402 to complete the CCOM

requirement for a subinternship. The CCOM requires students to complete

an ICU or an EM clerkship but not both. Urology suggests prioritizing one of the indicated ICU options.)



December-June

Timing will vary

Feb - June of M3 year or January - May of

M4 year


December-June

Jan-June or December-June

Timing will vary

Feb-March/April M3 year


Advanced Skills RAD:8401 Advanced Clinical Radiology

Research X

Will help with procedural skills and care of post-operative patients

These rotations will help students further develop the clinical and communication skills and deepen the knowledge needed to effectively care for patients.

Urology is an early match specialty

Interpreting radiographic images is a critical skill for all physicians


Away Rotation X

Other per student interest Spring M4 year

of 63



PATH:8401 Autopsy Pathology Clerkship



Surg:8402 Subinternship (Vascular) Surgery


IM:8412 Clinical Cardiology

IM:8426 Pulmonary Disease - Consultation Service

IM:8413 EKG & Vascular UltrasoundRAD:8401 Advanced Clinical Radiology

None

Comments A Must

Foundational Areas Relevant to Specialty anatomy of the vascular system is

central to vascular surgery Spring M3 or M4 year



Experiences that provide intensity and a high level of supervised

independence

advanced surgical training is important for residency in surgery specialties


Vascular Surgery PathwayElective Category:



Advanced Skills



Other

Surg:8497 Research Surgery X

provides exposure to the full spectrum of vascular surgeryCritical care is an essentialcomponent of vascular surgical practice

M4 year


SURG:8499 Surgery off-campus X

of 63

im:8412%20Clinical%20Cardiology

im:8413%20EKG%20&%20Vascular%20Ultrasound

These data represent mean percentage of possible honors points and range by the end of the M3 year, mean first attempt Step 1 scores and range, and mean first attempt Step 2 CK scores and range for the last three to five years of Carver College of Medicine students matching into various specialties. The percentage of applicants not directly matching in a specialty is also given. These data are only meant as a guide. There are many factors that determine if and where a student matches, including where a student interviews, how well they do on their interviews, the length of their rank order list, and application items, such as their CV, extra-curricular activities, personal statement, and letters of reference.

Anesthesiology % of Honors Points Step 1 Step 2 CK

Mean Range Mean Range Mean Range 24.6% 2.0% – 74.6% 230.8 189 – 266 235.6 207 – 266 3% of applicants did not match in this specialty.

Child Neurology % of Honors Points Step 1 Step 2 CK

Mean Range Mean Range Mean Range 27.6% 9.4% – 84.8% 234.2 208 – 255 242.2 213 – 255

Dermatology % of Honors Points Step 1 Step 2 CK


Emergency Medicine % of Honors Points Step 1 Step 2 CK


Family Medicine % of Honors Points Step 1 Step 2 CK


Internal Medicine % of Honors Points Step 1 Step 2 CK


Neurological Surgery % of Honors Points Step 1 Step 2 CK


Neurology % of Honors Points Step 1 Step 2 CK


Carver College of Medicine Residency Match Student Data – 2018 Update

of 63

Obstetrics and Gynecology % of Honors Points Step 1 Step 2 CK


Ophthalmology % of Honors Points Step 1 Step 2 CK


Orthopedics % of Honors Points Step 1 Step 2 CK


Otolaryngology % of Honors Points Step 1 Step 2 CK


Pathology % of Honors Points Step 1 Step 2 CK


Pediatrics % of Honors Points Step 1 Step 2 CK


Physical Medicine and Rehabilitation % of Honors Points Step 1 Step 2 CK


Psychiatry % of Honors Points Step 1 Step 2 CK


Radiology % of Honors Points Step 1 Step 2 CK


Radiation Oncology % of Honors Points Step 1 Step 2 CK


Surgery % of Honors Points Step 1 Step 2 CK


Urology % of Honors Points Step 1 Step 2 CK


of 63

Interview Dates by Specialty

Data collected from theUniversity of Iowa

Carver College of MedicineClasses of 2016, 2017, and 2018

(as reported by students)

0

50

100

150

200

250

300

350

Prior to 09/25

09/25 ‐ 10/01

10/02 ‐ 10/08

10/09 ‐ 10/15

10/16 ‐ 10/22

10/23 ‐ 10/29

10/30 ‐ 11/05

11/06 ‐ 11/12

11/13 ‐ 11/19

11/20 ‐ 11/26

11/27 ‐ 12/03

12/04 ‐ 12/10

12/11 ‐ 12/17

12/18 ‐ 12/24

12/25 ‐ 12/31

01/01 ‐ 01/07

01/08 ‐ 01/14

01/15 ‐ 01/21

After 01/22

Number of Interviews by Week

All Specialties

2016 ‐ 120 2017 ‐ 112 2018 ‐ 145

of 63

0

2

4

6

8

10

12

14

Prior to 09/25

09/25 ‐ 10/01

10/02 ‐ 10/08

10/09 ‐ 10/15

10/16 ‐ 10/22

10/23 ‐ 10/29

10/30 ‐ 11/05

11/06 ‐ 11/12

11/13 ‐ 11/19

11/20 ‐ 11/26

11/27 ‐ 12/03

12/04 ‐ 12/10

12/11 ‐ 12/17

12/18 ‐ 12/24

12/25 ‐ 12/31

01/01 ‐ 01/07

01/08 ‐ 01/14

01/15 ‐ 01/21

After 01/22


Anesthesiology

2016 ‐ 2 2017 ‐ 8 2018 ‐ 5

0

1

2

3

4

5

Prior to 09/25

09/25 ‐ 10/01

10/02 ‐ 10/08

10/09 ‐ 10/15

10/16 ‐ 10/22

10/23 ‐ 10/29

10/30 ‐ 11/05

11/06 ‐ 11/12

11/13 ‐ 11/19

11/20 ‐ 11/26

11/27 ‐ 12/03

12/04 ‐ 12/10

12/11 ‐ 12/17

12/18 ‐ 12/24

12/25 ‐ 12/31

01/01 ‐ 01/07

01/08 ‐ 01/14

01/15 ‐ 01/21

After 01/22


Child Neurology

2016 ‐ 2 2017 ‐ 0 2018 ‐ 1

of 63

0

1

2

3

4

5

6

7

8

Prior to 09/25

09/25 ‐ 10/01

10/02 ‐ 10/08

10/09 ‐ 10/15

10/16 ‐ 10/22

10/23 ‐ 10/29

10/30 ‐ 11/05

11/06 ‐ 11/12

11/13 ‐ 11/19

11/20 ‐ 11/26

11/27 ‐ 12/03

12/04 ‐ 12/10

12/11 ‐ 12/17

12/18 ‐ 12/24

12/25 ‐ 12/31

01/01 ‐ 01/07

01/08 ‐ 01/14

01/15 ‐ 01/21

After 01/22

Number of Intervews by Week

Dermatology

2016 ‐ 3 2017 ‐ 3 2018 ‐ 1

0

5

10

15

20

25

Prior to 09/25

09/25 ‐ 10/01

10/02 ‐ 10/08

10/09 ‐ 10/15

10/16 ‐ 10/22

10/23 ‐ 10/29

10/30 ‐ 11/05

11/06 ‐ 11/12

11/13 ‐ 11/19

11/20 ‐ 11/26

11/27 ‐ 12/03

12/04 ‐ 12/10

12/11 ‐ 12/17

12/18 ‐ 12/24

12/25 ‐ 12/31

01/01 ‐ 01/07

01/08 ‐ 01/14

01/15 ‐ 01/21

After 01/22


Emergency Medicine

2016 ‐ 9 2017 ‐ 13 2018 ‐ 10

of 63

0

1

2

Prior to 09/25

09/25 ‐ 10/01

10/02 ‐ 10/08

10/09 ‐ 10/15

10/16 ‐ 10/22

10/23 ‐ 10/29

10/30 ‐ 11/05

11/06 ‐ 11/12

11/13 ‐ 11/19

11/20 ‐ 11/26

11/27 ‐ 12/03

12/04 ‐ 12/10

12/11 ‐ 12/17

12/18 ‐ 12/24

12/25 ‐ 12/31

01/01 ‐ 01/07

01/08 ‐ 01/14

01/15 ‐ 01/21

After 01/22

Number of Interviews per Week

Emergency Medicine/Family Medicine

2016 ‐ 0 2017 ‐ 1 2018 ‐ 0

0

5

10

15

20

25

30

35

40

45

Prior to 09/25

09/25 ‐ 10/01

10/02 ‐ 10/08

10/09 ‐ 10/15

10/16 ‐ 10/22

10/23 ‐ 10/29

10/30 ‐ 11/05

11/06 ‐ 11/12

11/13 ‐ 11/19

11/20 ‐ 11/26

11/27 ‐ 12/03

12/04 ‐ 12/10

12/11 ‐ 12/17

12/18 ‐ 12/24

12/25 ‐ 12/31

01/01 ‐ 01/07

01/08 ‐ 01/14

01/15 ‐ 01/21

After 01/22


Family Medicine

2016 ‐ 19 2017 ‐ 14 2018 ‐ 19

of 63

0

5

10

15

20

25

30

Prior to 09/25

09/25 ‐ 10/01

10/02 ‐ 10/08

10/09 ‐ 10/15

10/16 ‐ 10/22

10/23 ‐ 10/29

10/30 ‐ 11/05

11/06 ‐ 11/12

11/13 ‐ 11/19

11/20 ‐ 11/26

11/27 ‐ 12/03

12/04 ‐ 12/10

12/11 ‐ 12/17

12/18 ‐ 12/24

12/25 ‐ 12/31

01/01 ‐ 01/07

01/08 ‐ 01/14

01/15 ‐ 01/21

After 01/22


Internal Medicine

2016 ‐ 18 2017 ‐ 8 2018 ‐ 20

0

1

2

3

4

5

Prior to 09/25

09/25 ‐ 10/01

10/02 ‐ 10/08

10/09 ‐ 10/15

10/16 ‐ 10/22

10/23 ‐ 10/29

10/30 ‐ 11/05

11/06 ‐ 11/12

11/13 ‐ 11/19

11/20 ‐ 11/26

11/27 ‐ 12/03

12/04 ‐ 12/10

12/11 ‐ 12/17

12/18 ‐ 12/24

12/25 ‐ 12/31

01/01 ‐ 01/07

01/08 ‐ 01/14

01/15 ‐ 01/21

After 01/22

Internal Medicine/Pediatrics

2016 ‐ 1 2017 ‐ 0 2018 ‐ 0

of 63

0

1

2

3

Prior to 09/25

09/25 ‐ 10/01

10/02 ‐ 10/08

10/09 ‐ 10/15

10/16 ‐ 10/22

10/23 ‐ 10/29

10/30 ‐ 11/05

11/06 ‐ 11/12

11/13 ‐ 11/19

11/20 ‐ 11/26

11/27 ‐ 12/03

12/04 ‐ 12/10

12/11 ‐ 12/17

12/18 ‐ 12/24

12/25 ‐ 12/31

01/01 ‐ 01/07

01/08 ‐ 01/14

01/15 ‐ 01/21

After 01/22

Internal Medicine/Psychiatry

2016 ‐ 1 2017 ‐ 0 2018 ‐ 1

0

1

2

3

4

5

6

Prior to 09/25

09/25 ‐ 10/01

10/02 ‐ 10/08

10/09 ‐ 10/15

10/16 ‐ 10/22

10/23 ‐ 10/29

10/30 ‐ 11/05

11/06 ‐ 11/12

11/13 ‐ 11/19

11/20 ‐ 11/26

11/27 ‐ 12/03

12/04 ‐ 12/10

12/11 ‐ 12/17

12/18 ‐ 12/24

12/25 ‐ 12/31

01/01 ‐ 01/07

01/08 ‐ 01/14

01/15 ‐ 01/21

After 01/22


Neurological Surgery

2016 ‐ 1 2017 ‐2 2018 ‐ 1

of 63

0

1

2

3

4

5

6

7

8

Prior to 09/25

09/25 ‐ 10/01

10/02 ‐ 10/08

10/09 ‐ 10/15

10/16 ‐ 10/22

10/23 ‐ 10/29

10/30 ‐ 11/05

11/06 ‐ 11/12

11/13 ‐ 11/19

11/20 ‐ 11/26

11/27 ‐ 12/03

12/04 ‐ 12/10

12/11 ‐ 12/17

12/18 ‐ 12/24

12/25 ‐ 12/31

01/01 ‐ 01/07

01/08 ‐ 01/14

01/15 ‐ 01/21

After 01/22


Neurology

2016 ‐ 2 2017 ‐ 2 2018 ‐ 4

0

2

4

6

8

10

12

14

16

18

20

Prior to 09/25

09/25 ‐ 10/01

10/02 ‐ 10/08

10/09 ‐ 10/15

10/16 ‐ 10/22

10/23 ‐ 10/29

10/30 ‐ 11/05

11/06 ‐ 11/12

11/13 ‐ 11/19

11/20 ‐ 11/26

11/27 ‐ 12/03

12/04 ‐ 12/10

12/11 ‐ 12/17

12/18 ‐ 12/24

12/25 ‐ 12/31

01/01 ‐ 01/07

01/08 ‐ 01/14

01/15 ‐ 01/21

After 01/22


Obstetrics and Gynecology

2016 ‐ 8 2017 ‐ 5 2018 ‐ 9

of 63

0

2

4

6

8

10

12

14

Prior to 09/25

09/25 ‐ 10/01

10/02 ‐ 10/08

10/09 ‐ 10/15

10/16 ‐ 10/22

10/23 ‐ 10/29

10/30 ‐ 11/05

11/06 ‐ 11/12

11/13 ‐ 11/19

11/20 ‐ 11/26

11/27 ‐ 12/03

12/04 ‐ 12/10

12/11 ‐ 12/17

12/18 ‐ 12/24

12/25 ‐ 12/31

01/01 ‐ 01/07

01/08 ‐ 01/14

01/15 ‐ 01/21

After 01/22


Ophthalmology

2016 ‐ 3 2017 ‐ 4 2018 ‐ 3

0

2

4

6

8

10

12

14

Prior to 09/25

09/25 ‐ 10/01

10/02 ‐ 10/08

10/09 ‐ 10/15

10/16 ‐ 10/22

10/23 ‐ 10/29

10/30 ‐ 11/05

11/06 ‐ 11/12

11/13 ‐ 11/19

11/20 ‐ 11/26

11/27 ‐ 12/03

12/04 ‐ 12/10

12/11 ‐ 12/17

12/18 ‐ 12/24

12/25 ‐ 12/31

01/01 ‐ 01/07

01/08 ‐ 01/14

01/15 ‐ 01/21

After 01/22


Orthopaedic Surgery

2016 ‐ 1 2017 ‐ 6 2018 ‐ 4

of 63

0

2

4

6

8

10

12

14

Prior to 09/25

09/25 ‐ 10/01

10/02 ‐ 10/08

10/09 ‐ 10/15

10/16 ‐ 10/22

10/23 ‐ 10/29

10/30 ‐ 11/05

11/06 ‐ 11/12

11/13 ‐ 11/19

11/20 ‐ 11/26

11/27 ‐ 12/03

12/04 ‐ 12/10

12/11 ‐ 12/17

12/18 ‐ 12/24

12/25 ‐ 12/31

01/01 ‐ 01/07

01/08 ‐ 01/14

01/15 ‐ 01/21

After 01/22


Otolaryngology

2016 ‐ 3 2017 ‐ 0 2018 ‐ 4

0

2

4

6

8

10

12

Prior to 09/25

09/25 ‐ 10/01

10/02 ‐ 10/08

10/09 ‐ 10/15

10/16 ‐ 10/22

10/23 ‐ 10/29

10/30 ‐ 11/05

11/06 ‐ 11/12

11/13 ‐ 11/19

11/20 ‐ 11/26

11/27 ‐ 12/03

12/04 ‐ 12/10

12/11 ‐ 12/17

12/18 ‐ 12/24

12/25 ‐ 12/31

01/01 ‐ 01/07

01/08 ‐ 01/14

01/15 ‐ 01/21

After 01/22


Pathology

2016 ‐ 2 2017 ‐ 3 2018 ‐ 7

of 63

0

1

2

3

4

Prior to 09/25

09/25 ‐ 10/01

10/02 ‐ 10/08

10/09 ‐ 10/15

10/16 ‐ 10/22

10/23 ‐ 10/29

10/30 ‐ 11/05

11/06 ‐ 11/12

11/13 ‐ 11/19

11/20 ‐ 11/26

11/27 ‐ 12/03

12/04 ‐ 12/10

12/11 ‐ 12/17

12/18 ‐ 12/24

12/25 ‐ 12/31

01/01 ‐ 01/07

01/08 ‐ 01/14

01/15 ‐ 01/21

After 01/22

Pediatric Psychiatry2016 ‐ 0 2017 ‐ 0 2018 ‐ 1

0

5

10

15

20

25

30

35

Prior to 09/25

09/25 ‐ 10/01

10/02 ‐ 10/08

10/09 ‐ 10/15

10/16 ‐ 10/22

10/23 ‐ 10/29

10/30 ‐ 11/05

11/06 ‐ 11/12

11/13 ‐ 11/19

11/20 ‐ 11/26

11/27 ‐ 12/03

12/04 ‐ 12/10

12/11 ‐ 12/17

12/18 ‐ 12/24

12/25 ‐ 12/31

01/01 ‐ 01/07

01/08 ‐ 01/14

01/15 ‐ 01/21

After 01/22


Pediatrics

2016 ‐15 2017 ‐ 7 2018 ‐ 17

of 63

0

1

2

3

Prior to 09/25

09/25 ‐ 10/01

10/02 ‐ 10/08

10/09 ‐ 10/15

10/16 ‐ 10/22

10/23 ‐ 10/29

10/30 ‐ 11/05

11/06 ‐ 11/12

11/13 ‐ 11/19

11/20 ‐ 11/26

11/27 ‐ 12/03

12/04 ‐ 12/10

12/11 ‐ 12/17

12/18 ‐ 12/24

12/25 ‐ 12/31

01/01 ‐ 01/07

01/08 ‐ 01/14

01/15 ‐ 01/21

After 01/22

Pediatrics/Medical Genetics

2016 ‐ 1 2017 ‐ 0 2018 ‐ 1

0

1

2

3

4

5

6

7

Prior to 09/25

09/25 ‐ 10/01

10/02 ‐ 10/08

10/09 ‐ 10/15

10/16 ‐ 10/22

10/23 ‐ 10/29

10/30 ‐ 11/05

11/06 ‐ 11/12

11/13 ‐ 11/19

11/20 ‐ 11/26

11/27 ‐ 12/03

12/04 ‐ 12/10

12/11 ‐ 12/17

12/18 ‐ 12/24

12/25 ‐ 12/31

01/01 ‐ 01/07

01/08 ‐ 01/14

01/15 ‐ 01/21

After 01/22


Physical Medicine and Rehabilitation

2016 ‐ 1 2017 ‐ 1 2018 ‐ 3

of 63

0

2

4

6

8

10

12

Prior to 09/25

09/25 ‐ 10/01

10/02 ‐ 10/08

10/09 ‐ 10/15

10/16 ‐ 10/22

10/23 ‐ 10/29

10/30 ‐ 11/05

11/06 ‐ 11/12

11/13 ‐ 11/19

11/20 ‐ 11/26

11/27 ‐ 12/03

12/04 ‐ 12/10

12/11 ‐ 12/17

12/18 ‐ 12/24

12/25 ‐ 12/31

01/01 ‐ 01/07

01/08 ‐ 01/14

01/15 ‐ 01/21

After 01/22


Psychiatry

2016 ‐ 6 2017 ‐ 4 2018 ‐ 7

0

1

2

3

4

5

6

7

8

9

10

Prior to 09/25

09/25 ‐ 10/01

10/02 ‐ 10/08

10/09 ‐ 10/15

10/16 ‐ 10/22

10/23 ‐ 10/29

10/30 ‐ 11/05

11/06 ‐ 11/12

11/13 ‐ 11/19

11/20 ‐ 11/26

11/27 ‐ 12/03

12/04 ‐ 12/10

12/11 ‐ 12/17

12/18 ‐ 12/24

12/25 ‐ 12/31

01/01 ‐ 01/07

01/08 ‐ 01/14

01/15 ‐ 01/21

After 01/22


Radiation Oncology

2016 ‐ 0 2017 ‐ 3 2018 ‐ 0

of 63

0

1

2

3

4

5

6

7

8

Prior to 09/25

09/25 ‐ 10/01

10/02 ‐ 10/08

10/09 ‐ 10/15

10/16 ‐ 10/22

10/23 ‐ 10/29

10/30 ‐ 11/05

11/06 ‐ 11/12

11/13 ‐ 11/19

11/20 ‐ 11/26

11/27 ‐ 12/03

12/04 ‐ 12/10

12/11 ‐ 12/17

12/18 ‐ 12/24

12/25 ‐ 12/31

01/01 ‐ 01/07

01/08 ‐ 01/14

01/15 ‐ 01/21

After 01/22


Radiology‐Diagnostic

2016 ‐ 2 2017 ‐ 2 2018 ‐ 3

0

2

4

6

8

10

12

14

16

18

Prior to 09/25

09/25 ‐ 10/01

10/02 ‐ 10/08

10/09 ‐ 10/15

10/16 ‐ 10/22

10/23 ‐ 10/29

10/30 ‐ 11/05

11/06 ‐ 11/12

11/13 ‐ 11/19

11/20 ‐ 11/26

11/27 ‐ 12/03

12/04 ‐ 12/10

12/11 ‐ 12/17

12/18 ‐ 12/24

12/25 ‐ 12/31

01/01 ‐ 01/07

01/08 ‐ 01/14

01/15 ‐ 01/21

After 01/22


Surgery ‐ General

2016 ‐ 9 2017 ‐ 10 2018 ‐ 7

of 63

0

1

2

3

Prior to 09/25

09/25 ‐ 10/01

10/02 ‐ 10/08

10/09 ‐ 10/15

10/16 ‐ 10/22

10/23 ‐ 10/29

10/30 ‐ 11/05

11/06 ‐ 11/12

11/13 ‐ 11/19

11/20 ‐ 11/26

11/27 ‐ 12/03

12/04 ‐ 12/10

12/11 ‐ 12/17

12/18 ‐ 12/24

12/25 ‐ 12/31

01/01 ‐ 01/07

01/08 ‐ 01/14

01/15 ‐ 01/21

After 01/22

Thoracic Surgery

2016 ‐ 0 2017 ‐ 0 2018 ‐ 1

0

2

4

6

8

10

12

14

Prior to 09/25

09/25 ‐ 10/01

10/02 ‐ 10/08

10/09 ‐ 10/15

10/16 ‐ 10/22

10/23 ‐ 10/29

10/30 ‐ 11/05

11/06 ‐ 11/12

11/13 ‐ 11/19

11/20 ‐ 11/26

11/27 ‐ 12/03

12/04 ‐ 12/10

12/11 ‐ 12/17

12/18 ‐ 12/24

12/25 ‐ 12/31

01/01 ‐ 01/07

01/08 ‐ 01/14

01/15 ‐ 01/21

After 01/22


Transitional Year

2016 ‐ 7 2017 ‐ 13 2018 ‐ 12

of 63

0

2

4

6

8

10

12

Prior to 09/25

09/25 ‐ 10/01

10/02 ‐ 10/08

10/09 ‐ 10/15

10/16 ‐ 10/22

10/23 ‐ 10/29

10/30 ‐ 11/05

11/06 ‐ 11/12

11/13 ‐ 11/19

11/20 ‐ 11/26

11/27 ‐ 12/03

12/04 ‐ 12/10

12/11 ‐ 12/17

12/18 ‐ 12/24

12/25 ‐ 12/31

01/01 ‐ 01/07

01/08 ‐ 01/14

01/15 ‐ 01/21

After 01/22


Urology

2016 ‐ 3 2017 ‐ 2 2018 ‐ 3

of 63

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