New Faculty OrientationCurriculum Restructuring

Curriculum Restructuring Goals

• Increase the amount of time for career exploration electives prior to the deadline for submitting residency applications

• Streamline pre-clinical curriculum by decreasing/eliminating unplanned redundancies and the focus on unnecessary detail

• Create a more sensical grouping of courses and clerkships• Improve medical student well-being

Cellular & Molecular Biology(8 Weeks)

MHR(7 Weeks)

Pharm(7 Weeks)

MHR

Pharm

Pathology (4 Weeks)

Clinical Anatomy(7 Weeks)

Than

ksgi

ving

Bre

ak

Epi/Bio(3 Weeks)

ACS1 (Longitudinal)Elective (Longitudinal)

ACS1

Elective

ACS1

Elective

Win

ter B

reak

August November March

Phase 1 – Foundations Phase

Neuro7 Wks

BMH2 Wks

Heme3 Wks

Cardio5 Wks

Sum

mer

Bre

ak

10 W

eeks

Resp4 Wks

Renal4 Wks

GI SBJ 3 Wks

Endo5 Wks

Than

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ving

Step 1

Study Time

8 Wks

HCE7 Wks

D&D2 Wks

ACS 2Longitudinal

ACS 2Longitudinal

ACS2

Bedside DiagnosisLongitudinal

Bedside DiagnosisLongitudinal

Phase 2 - Core Knowledge Phase March August Dec April

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reak

ACS 2

BDBD

Electives (longitudinal) Electives El Elec

GI 5Wks

Current Third-Year StructureTwo 24-week blocks• Internal Medicine 12 weeks• OB/Gyn 6 weeks• Family Medicine* 6 weeks

• Surgery 8 weeks• Pediatrics 8 weeks• Neuro/ Psych 8 weeks

• ACS3 • Interprofessional Team Seminars

Cler

kshi

p O

rient

ation

Internal Medicine(Inpt) (8 Wks)

Surgery (8 Wks)

1 W

eek

Brea

k

Psych/ Neuro(4 Wks each)

OB Gyn*(8 Wks)

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Family* Med(8 Wks)

Peds(8 Wks)

ACS 3Longitudinal

ACS 3Longitudinal

ACS 3Longitudinal

Phase 3 – Core Clinical Phase May December April

* Includes two weeks for career exploration

Inter-professional Team Seminars IPTS

Fourth-Year Requirements

• Two 3-week subinternships (at least one of which has to be in IM or Peds)• 3-week ambulatory Internal Medicine rotation• 3-week required capstone course• 2 or 3-week Emergency Medicine requirement (2-week if done in year 3, 3-week if done in year 4.

Core Recommendations to Accompany Restructuring Plan

1. Active learning needs to be a greater part of the pre-clinical and core clinical didactic curriculum. Possible strategies include team-based learning, problem-based learning, and interactive case discussions. 2. Emphasis on clinical correlations for basic science material should be enhanced and expanded. 3. Efforts to reduce unnecessary detail in the curriculum should be ongoing. One path to accomplish this would be to institute NBME subject exams as assessment tools in the pre-clinical years.

Core Recommendations to Accompany Restructuring Plan

4. Students need to have greater opportunity for early development of key clinical skills, particularly history-taking and diagnostic reasoning skills. 5. Opportunities to return to the basic sciences in the fourth year should be expanded.