new faculty orientation curriculum restructuring
TRANSCRIPT
New Faculty OrientationCurriculum Restructuring
Phase 1 – Foundations Phase
CMB (8) Anatomy(7)
Epi/Bio (3)
MIM (1)
Applied Clinical Skills 100 Longitudinal (26) Th
anks
givi
ng B
reak
M1 ElectivesLongitudinal
MHR (3)
APCS
Electives
Win
ter B
reak
Pharm (4) Path (4)
Brea
k
HEM-200 (3)
Neurosciences -201 (7)
BMH-200 (2)
Health Care Ethics (7)
APCS
Electives
Bedside Diagnosis -201 (12)
Applied Clinical Skills 201 Longitudinal (12)
Electives
Aug Nov Jan Mar May
CMB = Cell and Molecular BiologyEpi/Bio = Epidemiology and BiostatisticsMIM = Introduction to Medical Information ManagementMHR = Microbes and Host ResponsesPHARM – Principles in PharmacologyPATH = Introduction to PharmacologyHEM = HematologyBMH = Behavorial Medicine and Health
Begins Phase 2 -Core Knowledge Phase
Card (4) RESP (5) RENL (4) GI
Than
ksgi
ving
Bre
ak
GI (5)
Win
ter B
reak
ENDR (5) SBJ (5) MD200 – USMLE Step 1(8)
Orie
ntati
on W
eek
Clerkship 1 (8)
Phase 2 – Core Knowledge Phase
Applied Clinical Skills 200 Longitudinal (26)
Bedside Diagnosis 200 Longitudinal (26)
Death and Dying 200 Longitudinal (15)
M2 Electives Longitudinal
APCS
BD
Elective
Applied Clinical Skills
Bedside Diagnosis
Electives
Aug Nov Jan Mar May
Card = CardiovascularRESP = RespiratoryRENL = RenalGI = GastointestinalENDR = Endocrine and ReproductiveSBJ = Skin, Bone and JointIPTS – Inter Professional Team Seminars
Applied Clinical Skills300
IPTS
Begins Phase 3-
Core Clinical Phase
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
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)
Win
ter B
reak
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.