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UGME Curriculum Renewal Framework: Fully Integrated Spiral Scaffold Curriculum

This framework aims to create a fully integrated curriculum through four years of undergraduate medical education. The curriculum includes foundation courses, clinical integration, consolidation, and transition to residency, among other components.

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UGME Curriculum Renewal Framework: Fully Integrated Spiral Scaffold Curriculum

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  1. UGME CURRICULUM RENEWAL FRAMEWORK Principle: “Fully integrated spiral scaffold curriculum through 4 years” Boxes are not scaled Year 1 2 3 4 Year 1 2 3 4 Year 1 2 3 4 M0: Foundation • M6: • Med 4 Electives • CaRMS M2: Health&Disease Abnormal Processes- Clinical Integration M4TTC: Transition to Clerkship • M1: Human Biology & Health • Normal Processes- • Clinically Applied • M5: Med 3 Clinical Clerks • UGME • Academic Half Day M7 TTR:Transition to Residency M2: Health& DiseaseAbnormal Processes M3:Consolidation Incorporated into Academic time • Longitudinal Courses • Clinical Reasoning • Professionalism • Clinical Skills • Community Health • Indigenous Health • Scholarship in Medicine • Themes/Disciplines Composite Clinical Presentations (CP4)

  2. CuRe PreClerkship Course Development (PCD) Meetings Keevin Bernstein • Plan: January 2014 • Review Iterative Process to date • Update Changes to Schedule & Nomenclature • Proposed UGME Governance • Timelines and Plans • Course Leader Presentations: • M0, M1 & M2 Course Objectives • M1 & M2 Course Outlines • M1 Weekly schedule • Proposed CP4 • Proposed M3 – Consolidation topics

  3. UGME CURRICULUM RENEWAL MILESTONES April 2013 ACHIEVED: Created: April 2011 Forum #1 Forum #2 Forum #3 Forum #4 Modified : Oct 2012 Modified : Dec 2012 Stakeholder Engagement : Faculty- Student-Post Graduate - Government - RHAs - Public May – June 2013 Mar 2012 April 2012 Aug 2013 Clerkship April 2011 Oct 2011 Dec 2011 April 2011 June 2011 Oct 2011 Dec 2011 Feb 2012 June 2012 Feb 2013 Dec 2012 Dec 2012 Jan 2013 Aug 2013 Mar 2012 Dec 2012 Oct 2012 Mar 2013 April 2012 Aug 2014 PreClerkship New Curriculum Content Development Appoint Curriculum “Leaders” Retreat Task Specific Groups Task Specific Reports Create Curriculum Template Present Curriculum Template Faculty Development Senate I Approval Inaugural Transformational Curriculum FEC Approval Undergraduate Medical Education 3

  4. UGME CuRe Process • CuRe Steering Committee (Working Group)Sept 2010 • CuRe UGME Faculty Survey- FMEC Dec 2010 • CuRe Faculty Retreat #1 and Report April 2011 • CuRe UGME Course & Clerkship Director Survey June 2011 • CuRe Department Representative Focus Group July 2011 • LCME/CACMS Accreditation Oct 2011 • Student surveys/Report • CuRe Task Group (11) Creation & Reports Nov 2011 • CuRe Framework Development Feb 2012 • Governance UGME Leadership Appointments Jan 2013

  5. CuRe PreClerkship Course Development (PCD) June 2013 SELF RFLECTION ! • PCD Accomplishments through June 2013 : • Each Module Course Leader: • Created Course committee • Considered the new curriculum, and how their content may be accommodated • Presented Course Ideas, Objectives and/or Outlines • All Longitudinal Course Leaders and many Theme Leaders presented outlines, ideas and/or their approach to curriculum • All UGME leaders interacted with exchange of ideas • Cross discussion with LC/T leaders • Some resolution to selected ownership areas

  6. CuRe PreClerkship Course Development (PCD) June 2013 SELF RFLECTION ! • PCD Accomplishments through June 2013 : • Introduction to robust MCQ exam • Full day workshop with MCC • External Review • Senior Associate Dean, Stanford 2 day visit • Review assigned hours and overall schedule • Review all pedagogical approaches: • Workshop Pedagogical approaches – TBL • Allocate hours to each course • Provide each course with outline & suggested integration

  7. CuRe PreClerkship Course Development (PCD) Dec 2013 SELF RFLECTION ! PCD Accomplishments through Sept – Dec 2013: • All Modular & Longitudinal Course Leaders Presented to CuRex: • M1 and M2 objectives • M1 and M2 Course outlines • M1 schedule • Longitudinal Course proposals • Converted to M1 weekly schedule for M1 & Longitudinal courses • PSEC q monthly meetings: • Review MCQ questions as both F/D and question preparation. • Revised Governance Organization - draft • Create PCD Timelines

  8. DRAFT 6 Dec 1, 2013 CuRe Preclerkship M0, 1/2: Human Biology, Health and Disease • Human Biology and HealthWeeks (brackets are reminder) M0 M1 • 4 ---- 2014 Aug 25 - Sept 19 • 3----------- Sept 22 - Oct 11 • 6 ----------- Oct 14 - Nov 21 • 4 ------------ Nov 24 - Dec 19 Dec break • 2------2015 Jan 5 - Jan 16 • 4------------- Jan 19 - Feb 13 • 4------------- Feb 17 - Mar 13 • TOTAL 271------------ Mar 16 –20 ……Reading week • Foundation • Blood & Immunology 1 • CV1 and Resp(+ ET) 1 • NeuroScience 1 (Psych, Neuro + Opth) • Musculoskeletal 1 • Endocrine 1 and Woman’sReproductive Health 1 • GI/Hep/Nutrition 1 and Urinary Tract 1 Y1 M2 M3 • Health and Disease • 2--------------Mar23- April 2 ( Good Friday April 4 ) • 7--------------April7- May 22 (Easter Monday April 6) • 1--------------May25-29 ……….. Rural week • 4--------------Aug 24 - Sept 18 • 7--------------Sept 21 - Nov 6 • 3--------------Nov 9 - Nov 27 • 3--------------Nov 30 - Dec 18 Dec break • 3 -----2016 Jan 4 - Jan 22 • 3---------------Jan 25 - Feb 12 • 4---------------Feb 16 - Mar 11 • 1--------------Mar 14 - 18 ...Reading week • Intro to Infectious Disease & Therapeutics • CV 2 • Resp(+ ET) 2 • Introduction to Oncology • Blood & Immunology (+ autoimmune diseases)2 • NeuroScience (Psych, Neuro, Opth) 2 • Woman’sReproductive Health (WRP) 2 • Endocrine 2 • GI/Hep/Nutrition 2 • Urinary Tract 2 • Musculoskeletal 2 Y2 • Consolidation10-------------Mar 24 - May 27

  9. CuRe PreClerkship Course Development (PCD) Jan 2014 • Changes since June 2013 : • Course Order: • 1. Swapped Blood 2 & Intro Oncology with Resp 2 • Derm– 10 hours will be first week of M3 • Pain Management- ? First week M3 • Course Nomenclature • Course Session Number for Modular courses • M0: M01, M02,etc • M1: eg for CV - CV101, CV102, etc • M2: CV201, CV202 , etc

  10. CuRe PreClerkship Course Development (PCD) Jan 2014 • Changes since June 2013 : • Session Designation Nomenclature: • WGS - whole group session – ie lecture • WGS/A - interactive whole group session ie T1, TBL, flipped classroom, audience response (TopHat) • SGS/T - small group session - tutorial • SGS/LP - small group session – lab practical • AS - Assignment to be reviewed in subsequent tutorial or online ie not free or study time • IT - Instructional Test (as opposed to summative midterm)

  11. CuRe PreClerkship Course Development (PCD) Jan 2014 • Scheduled Hours Longitudinal Courses: • Scheduled M0/M1 • CHS 41 • Professionalism 50 • Indigenous Health 37 • Unscheduled Proposed M2/M3 85 52 43

  12. UGME Curriculum Governance Organization

  13. UGME Curriculum Governance Organization

  14. UGME Curriculum Governance Organization

  15. UGME Curriculum Governance Organization

  16. UGME Curriculum Governance Organization

  17. 2014 CuRe PRECLERKSHIP COURSE LEADER PRESENTATION MEETINGS Revised Jan 9, 2014

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