clinical program orientation - university of tennessee ...€¦ · clinical program orientation...

Clinical Program OrientationM3/M4 yearsClass of 2016

Dr. Robert ShreveDr. Susan BrewerMs. Ruby Bland

Office of Medical Education

NEEDLE STICK POLICY

Evelyn Wright‐Lewis, B.S.N.Student Health Services

Occupational Health Coordinatorhttp://www.uthsc.edu/univheal/UTHSC%20employee%20health/injuriesexposures.php

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TODAY’S TOPICS

• Overview of Curriculum – April 28, 2014 ‐May 27, 2016

• Schedule• Blocks (Block 2014/05 begins May 5)• Requirements

– Core (M3) & Required (M4) Clerkships – Electives/Option Blocks

• Scheduling Scenarios• USMLE• Scheduling Process

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WHERE DO I GET INFORMATION?Clinical Curriculum Orientations:

– M‐3 year and overview, Today and Friday– M‐4 year, January 2015

• OLSEN web page includes:– Clerkship Directors– Clerkships M3 year– Clerkships M4 year – Electives Catalogue

• M‐4 students • Clerkship Faculty/Staff • USMLE web site• Today’s presentations on web site

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M3 & M4 CURRICULUM

You are here

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CALENDAR

2014‐2015

8‐WEEK BLOCKS START DATE END DATE 4‐WEEK BLOCKS

5/6 5-May-14 30-May-14 5 2-Jun-14 27-Jun-14 6

7/8 30-Jun-14 25-Jul-14 7 28-Jul-14 22-Aug-14 8

9/10 25-Aug-14 19-Sep-14 9 22-Sep-14 17-Oct-14 10

11/12 20-Oct-14 14-Nov-14 11 17-Nov-14 19-Dec-14 12

1/2 5-Jan-15 30-Jan-15 1 2-Feb-15 27-Feb-15 2

3/4 2-Mar-15 27-Mar-15 3 6-Apr-15 1-May-15 4

5/6 4-May-15 29-May-15 5 1 Jun-15 26-Jun-15 6

7/8 29-Jun-15 24-Jul-15 727-Jul-15 21-Aug-15 8

Holidays*Thanksgiving: Nov. 22‐30, 2014

Winter Break: Dec 20, 2014‐Jan 4, 2015MLK Day: Jan 19, 2015

Spring Break: March 28‐Apr 5, 2015

1 2 3 4 5 6 7 8 9 10 11 12

1 2 3 4 5 6 7 8 9 10 11 12

1 2 3 4 5 6 7 8 9 10 11 12

1 2 3 4 5 6 7 8 9 10 11 12

1 2 3 4 5 6 7 8 9 10 11 12

PROCESS2014

1 2 3 4 5 6 7 8 9 10 11 12

2015

2016

1 2 3 4 5 6 7 8 9 10 11 12

87654321

20191817161514131211109

25242322217

REQUIREMENTS Step 1 USMLE PCM (M3 & M4)25 Blocks Total

12 Core (M3) Clerkship Blocks (by 2015/08)7 Required Senior Clerkship Blocks

4 Elective Blocks 3 Option Blocks

Step 2CK USMLE (NLT Nov 1, 2015)Step 2CS USMLE (NLT Nov 1, 2015)

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CLINICAL YEARSCORE Clerkships Weeks

PCM V 1Family Medicine* 8Medicine* 8Ob & Gyn* 8Pediatrics* 8Surgery* 8Neurology* 4Psychiatry* 4

* Must be completed by 2015/08 (8/21/15)** longitudinal

OTHER Clerkships Weeks

PCM VI 4**Ambulatory Medicine 4Senior Clerkship JI Med 4Senior Clerkship JI Any 4Surgery Specialties 4Specialty 4Capstone 4LSP 4**Electives 16Option 12

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Core Clerkships and Number/Discipline at Each Site

Discipline Memphisxxx1

Chattanoogaxxx3

Knoxvillexxx2

Family Medicine 25 4 6

Medicine* 22+2* 6 (min-2) 6

Ob/Gyn 24 4 6 (min-2)

Pediatrics 24 8 4**

Psychiatry 13 6** 3**

Neurology 16 3** 3**

Surgery 24 8 7

# Slots 150 41 37

*Nashville via Memphis** certain blocks only

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Chattanooga

• NeurologyBlocks 7, 9, and 12 in 2014, and Block 3 in 2015

Maximum of 3 students per block

• Psychiatry Blocks 8, 10, and 11 in 2014, and Block 4 in 2015


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Knoxville

• Psychiatry Blocks 7, 9 in 2014, and Block 1, 3 in 2015


• NeurologyBlocks 8, 10 in 2014, and Block 2, 4 in 2015


• PediatricsBlocks 7/8, 9/10 in 2014, and Block 1/ 2, 3 /4 in 2015


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M4 Required Clerkships• Senior Clerkship (Junior Internship) – JI in Medicine• Senior Clerkship (JI Any)

– FM Med, Neuro, OB, Peds, Psych, Surgery, ENT, Uro• Surgery Specialties Clerkship

– Ophthalmology, Orthopedics, Otolaryngology, Urology• Specialty Clerkship

– Anesthesiology , ICU, Palliative Care, Radiology; Cardiology, Infectious Disease

• Capstone Clerkship• Longitudinal Scholars Program• M4 PCM

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ELECTIVES• Four 4‐week electives (16 weeks)• Some 2 week electives• Description of each online

http://www.uthsc.edu/Medicine/Acad_Affairs/UME/Clerkships/Catalog.doc

• Can do 12 weeks outside UT• Elective at UT after completing 6 core blocks; • Visiting after 10 core blocks

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PREREQUISITES• List is located at:

– https://www.uthsc.edu/Medicine/medicaleducation/clerkships/Prerequisites.pdf

– To do a JI: 10 blocks of core clerkships including one in discipline

• To do UT elective: 6 blocks of core clerkship including one in discipline

• Visiting electives: 10 blocks of core clerkships including one in discipline

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AAMC Visiting Student Application Service

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SCHEDULING PROCESS

• Random time assignments posted on OLSEN

• 1st round Web scheduling 8 AM Feb 24 – Feb 28– MUST schedule one rotation in either Knoxville or Chattanooga

• 2nd round 8 AM Mar 3 ‐Mar 7 • You will all be able to schedule all you need• Web scheduling locked until March 11• Any changes must be made NLT 30 days before beginning

of a block

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Scheduling Lottery

• Feb 24 – Feb 28First Round

• #1 – Shannon Niedermeyer

• #2 – Cosby Arnold• #3 – Spencer Conner

• #169 – Ellen Pigott• #170 – Cole Smith• #171 – Corey Duprey

Mar 3 ‐Mar 7 Second Round

• #1 – Corey Duprey• #2 – Cole Smith• #3 – Ellen Pigott

• #169 – Spencer Conner• #170 – Cosby Arnold• #171 – Shannon

Niedermeyer

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1 2 3 4 5 6 7 8 9 10 11 121 2 3 4 5 6 7 8 9 10 11 12

SCHEDULING SCENARIOSUndecided

2014

2015

1 2 3 4 5 6 7 8 9 10 11 121 2 3 4 5 6 7 8 9 10 11 12CORE

CLERKSHIPCORE

CLERKSHIP

CORE CLERKSHIP

CORE CLERKSHIP

CORE CLERKSHIP

CORE CLERKSHIP

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SCHEDULING SCENARIOSPediatrics

1 2 3 4 5 6 7 8 9 10 11 12

2014

2015

1 2 3 4 5 6 7 8 9 10 11 12121110987654321CORE

CLERKSHIP

121110987654321CORE

CLERKSHIPCORE

CLERKSHIPP E D S

CORE CLERKSHIP

CORE CLERKSHIP

JIANY/Elec.

JIMED

ELEAWAY

CORE CLERKSHIP

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SCHEDULING SCENARIOSNeurosurgery

1 2 3 4 5 6 7 8 9 10 11 12

2014

2015

1 2 3 4 5 6 7 8 9 10 11 12

121110987654321CORE

CLERKSHIPCORE

CLERKSHIPCORE

CLERKSHIPCORE

CLERKSHIP

121110987654321CORE

CLERKSHIPSURG

ELENSG

ELEAWAY

SURGSPEC

ELE/REQ 121110987CORE

CLERKSHIP

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SCHEDULING SCENARIOSSurgery

1 2 3 4 5 6 7 8 9 10 11 12

2014

2015

1 2 3 4 5 6 7 8 9 10 11 12

121110987654321CORE

CLERKSHIPCORE

CLERKSHIPSURG

CORE CLERKSHIP

CORE CLERKSHIP

121110987654321CORE

CLERKSHIPJI

SUR/ Elec.

SPEC ELEAWAY

OPTBLK 121110987CORE

CLERKSHIP

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USMLEStep 1

Eligibility:• 2.0 GPA and pass all courses• F = may be allowed to repeat course in summer program

• Take by April 25• Delays:

– Illness or emergency situations ONLY– must be approved by P&P

• Passing score Step 1 now 192

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USMLEStep 1

Class of 2015• First‐time pass rate – 87% (National 96%)• First‐time mean – 221 (National 228)



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http://usmle.org/step‐1/#overview

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USMLEFor Step 1 unauthorized items include, but not limited to:

– mechanical or electronic devices, cell phones, PDAs,

calculators, watches of any type, pagers, recording or filming

devices, radios;

– outerwear, such as coats, jackets, head wear, gloves;

– book bags, backpacks, handbags, briefcases, wallets;

– ear plugs, books, notes, written materials, or scratch paper;

– food, candy, gum, or beverages.

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USMLE

Your Schedule:• Take Step 1, USMLE NLT April 25• Introduction to Clerkship Skills Week April 28‐May 2• Do survey & CITI Training prior to May 4• Block 2014‐5/6 – May 5– June 27

– If you don’t pass USMLE, study Block 7 – Re‐take NLT July 25 to continue clerkships as of 2014‐09 (8/25/14)

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Delay Taking Step 1

Don’t even ask

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Clerkship OrientationM3/M4

Class of 2016

Susan C Brewer, MDAssistant Dean

forClinical Curriculum

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FROM THE CATALOG• http://www.uthsc.edu/registrar/students.php#catalogs

• Student Workload Policy ‐http://www.uthsc.edu/Medicine/medicaleducation/clerkships/workhourspolicy.php

• Student Mistreatment Policy ‐• http://www.uthsc.edu/Medicine/students/policies/MistreatPolicy.php

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Housing – Knoxville

• 13 students per block• Up to 6 months maximum• M3 students first priority• Submit requests on‐line• Be sure and notify Missy Maples immediately if you change schedules

• http://gsm.utmck.edu/students/housing.cfm

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Housing –Chattanooga

• 34 students per block• Up to 6 months maximum• M3 students first priority• Submit requests on‐line• Be sure and notify Pam Scott immediately if you change schedules

• $50/month cleaning charge• http://www.utcomchatt.org/subpage.php?pageId=533

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New VA requirements• Required of all students

– Even if you think you may never go to the VA– If you have had a VA appointment previously, contact Elston Howard to be

sure it is still valid

• PPD Skin Test – 2 negative/12 months of negative chest x‐ray

• Go to OLSEN to Exam Scheduler and select a VA credentialing appointment time

• Prior to your appt. time, go to OLSEN to VAMC Security Clearance– Print the application and complete– Complete the online training (45 min)

• Note: follow “TMS Instructions Template for Health Professions Trainees”

• Take your application, training completion certificate and two forms of ID to ElstonHoward at the time you selected

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EVALUATION IN CORE CLERKSHIP

• Clinical component – Subjective evaluation by residents and attendings

• Knowledge component – Written and/or oral examination – Written examination is NBME Subject [Shelf] Exam except for Neurology (computer based this year)

– R grade if fail first time, 1X repeat– R in 2 clerkships – remove from clerkships until pass– If you score low, self‐refer to SASS

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NBME Subject Exams• Required in all clerkships except Neurology• Neurology has internally developed exam• Purpose ‐ assess the educational achievement in specific content areas

• 2 ½ hours; 100 items• Must follow same testing protocol as USMLE• Count from 25‐50% of clerkship grade• Take in our testing labs• Knoxville and Chattanooga given at same time at those sites

• Scores back next week• Must be there on time!

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PUNCTUALITY, RESPONSIBILITY & RELIABILITY

• Expected to be available and present for ALL scheduled clerkship activities.

• Absences must be approved by the clerkship director in advance.

• Make‐up assignments determined by the clerkship director; absences due to illness may require a physician’s statements.

• Chronic tardiness is unacceptable. • Never lie.• Expected to conform to the culture and prevailing schedule

at the sites to which assigned. • NO ABSENCES on Surgery Specialties or Specialty Clerkship

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SASS and the M‐3 Year• Same consultation services (test‐taking, prep. for shelf exams,

test anxiety, time management, etc.) with educational specialists as in M‐1/M‐2 years

• Here in Memphis or via phone appointments and Skype in Chattanooga or Knoxville

• Clerkship Books on Reserve in Chattanooga and Knoxville

• To schedule an appointment – [email protected] or 901 448‐5056

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QUESTIONS/ISSUES• Being off: hospital or death

– Other: wedding, graduations, presenting paper at national meeting (will be denied)

– ONLY IF APPROVED WELL IN ADVANCE• Absent W/O Permission: = F

• Some clerkships don’t have weekends– FM (depending on location), Psych, Peds (outpatient)

• Do I have to commit to Chatt/Knox for entire time to go there? ‐‐ No

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Chattanooga and Knoxville Requests

Chattanooga KnoxvilleMitchell Bowman Amanda DeBuhrSean Forrest Alex Dawson

Catherine Gluszek Allan HamiltonRyan Layman Kellen GowerErika Lynch Matt MichalikCasey McCormick Danny TudorLaura Sherwood Steven Yau

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Option Block Requests

Mitchell Bowman Duncan Keegan

Matt Davis Alex Maxted

Parker Duncan Nora Puetz

Hannah Fish Daniel Sharbel

Catherine Gluszek

Casey Gorman

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Questions/Issues

• If asked off for option block/other block will be Psych or Neuro – other part plugged in 2015 Blocks 07‐08

• Nashville is one block of Memphis Medicine Core Clerkship– Schedule Medicine Memphis and then contact Ruby Bland

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FOR SCHEDULING ISSUES

Ruby L. Bland

• ([email protected])

• 448‐5697

NLT 30 days before42

Scheduling Process

Must use NetID to access scheduler.

If you do not know your NetID, please go to

http://www.utk.edu/ph/43

Clerkship Scheduler

• Demonstration

• https://devel.uthsc.edu/a107_clrk_sched.php

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TO BE CONTINUED...

• Clerkship Directors – Chattanooga, Knoxville and Memphis

‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐Friday:

• TB Skin Test Reading & Stick Info• What to Expect on Clerkships – Dr. Jameson• Career Planning ‐ Dr. Phillips • Students – Q/A re: Chatt or Knox

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USMLE Step 1 Score Plots

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2012 20112013

clinical program orientation - university of tennessee ...€¦ · clinical program orientation...

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