INTRODUCTION to the THIRD YEAR

1. INTRODUCTIONto theTHIRD YEAR CLASS OF 2018 February 8, 2016 Office of Student Affairs Stritch School of Medicine

2. CLERKSHIP TRACK SYSTEM (CTS) Third year course requirements and options

3. MEETING’S GOALS • To de-mystify the process of clinical scheduling • To build positive anticipation • To allow you to plan

4. OBJECTIVES • To describe the clinical calendar • To explain the CTS and year 3 requirements and options • To review the track assignment process • To give you some guidance on ranking tracks • To provide an overview of the site assignment process

5. Today’s Meeting • NOT intended to prepare you for your role and responsibilities as a junior clerk • NOT intended to tell you what to expect on the floor

6. Handout Contents • Calendar of Important Events/Dates • CTS General Info • Lottery Numbers • Chart of Clerkship Tracks • Third Year Calendar • M3 Elective Options Spreadsheet • Elective Opening Registration Dates

7. Third Year Calendar • Two semesters/12 months total • One week vacation in each semester + winter break • Winter break is Thursday, December 23th through Monday, January 2nd (Both Tracks A & B) • Participation in clerkships on day 1 and final exam date mandatory (plan travel accordingly)

8. First Week of Year Three • Tuesday, June 28 – Friday, July 1 • 3rd Year Orientation/Clinical Skills Workshops • Attendance required • You must have sat for Step 1 no later than Monday, June 27, 2016 • Tuesday, July 5: Clerkships start • Attendance required • Monday, July 4 is a holiday/free day

9. CTS General Information • Third Yr CTS governs the order students take their required clerkships • Tracks assigned via a lottery process • Changes possible but very limited • CTS does NOT include site placement

10. CTS Chart: Schedule A

11. CTS Chart: Schedule B

12. CTS FEATURES • Starts with orientation & a clinical skills workshop course prior to clerkship start • Two semester schedules (A & B), 24 tracks per schedule permit randomized sequence across clerkships • 3-4 Students per track: permits enrollment to be distributed evenly

13. Third Yr Core Clerkship Requirements • One of the semesters: • Medicine (8 wks) • Surgery (8 wks) • Neurology (4 wks) • Elective (4 wks)* • Other semester: • Family Med (6 wks) • OB/Gyn (6 wks) • Pediatrics (6 wks) • Psychiatry (6 wks) *In the Schedule A tracks with the elective block in May or June, the elective has been replaced by Sub-I Wards (May) or Emergency Medicine (June).

14. Required Clerkship Sequencing • Any core clerkship may occur first • None are prerequisite to any other • Sequencing not directed toward specific career paths • Each track guarantees all core clerkships

15. Third Year Elective Option • Limited to certain clinical specialties or a research experience • Details later in program

16. Other Yr 3 Requirements • PCM-3 Seminars (8 sessions throughout year, dates on academic calendar) Representative Topics (subject to change): • Business, Professionalism & Justice I & II • Inter-professional teamwork • Challenging physician/patient relationships • Disaster Preparedness • Global Health • End of Life Care I & II

17. Other 3rd Yr Requirements (Continued) • TCM-3 (Topics in Clinical Medicine – aka vertical curriculum) • End of Life • Nutrition • Prevention and Screening • Quality and Patient Safety • Radiology • Comprehensive year end exam (Wednesday June 8, 2016) • Medical Humanities • Ethics Grand Rounds (four required for graduation) • Ethics Case Paper (due in spring of 3rd yr)

18. CTS Lottery Rules and Process • Lottery numbers are computer generated at random • You cannot sell or trade your number! • Track ranking form will be on myLUMEN • Lottery numbers are in your handout and Track Rank Form is due Wednesday, March 9th.

19. Lottery process (continued) • Once the track assignment is completed, trading of complete tracks or individual clerkships is allowed for a limited time - see “CTS General Info” for rules • Changes in sequence also may be possible by petition to Reg. & Records

20. Ranking Tracks... • Different tracks fit different individuals’ needs • You can do well in any track • Every core Dept. is prepared for rookies • All trainees are new in July (UG and Grad) • Clinical skills & knowledge are evaluated on sliding scale during the year

21. Ranking… (continued) • Summer: You’re learning the ropes • You can do well in any track • Fall & Winter: Work well for interest areas • Spring: Planning for fourth year electives starts; performance should show solid growth & ability

22. You might consider • The ebb and flow of rigor & type of work • More challenging/more inspiring sequencing • With whom do you study/share study resources • Personal issues (partner’s schedule, commitments) • Avoiding crowd mentality about “perfect” tracks • Talking to your advisor

23. Myth:There are easier/ harder rotations • Reality: • It differs by season (everything may be difficult in the summer) • It differs by site, patient load, acuity level • It differs because of team work ethic & style • It differs by your own motivation & what you put in to each clerkship

24. Good advice • Be prepared to make the most of every rotation - even those that seem sub-optimal • Plan to stay focused and involved every month - you can’t turn commitment and enthusiasm on/off during 3rd yr and be successful • Don’t pick a track around your ski trip dates or good weather activities

25. Focus on “big picture” • The track sequence is NOT critical • Don’t get hung up about when every clerkship falls • Pick one or two key points relevant and important to your own needs and work those features into your top track picks

26. Special Situations to consider in Yr 3 scheduling • Touch base with Dean Mendez or Dean Sonntag if you are • in the military scholarship program • anticipating a yr 2 remediation schedule • dealing with other significant academic commitments or concerns • attempting to juggle personal priorities and school • seeking to transfer to another school • Faculty advisors and SAS advisors are good resources for advice

27. Site Assignment Process • Clerkships must be taken at sites specified by SSOM • Sites assigned by lottery, with one Wild Card option: • Peds, Psych, Fam Med, OB-Gyn and Medicine (for 1 of the months) • Assignments done by placement: • Surgery & 1 of the 2 Medicine months • TRACK LOTTERY NUMBER DOES NOT APPLY TO SITE LOTTERIES

28. Site Assignments... • July assignments tentatively made in May • Students submit site preference; once made, assignments are BINDING • Subsequent lotteries occur about 5 - 6 weeks prior to start of each clerkship • Follow policies governing site placements (provided in late March)

29. Site Assignments... • You will need good, reliable personal transportation. Your daily schedule may not permit car pooling. • Your decrepit, rusted-out, 2006 car with four bald tires will not exempt you from being assigned to more distant sites.

30. Site Requirements... Your immunizations must be current This includes Heptavax completed and titer drawn TB must be current Other requirements per site Drug screening is required before the start of the M3 year. This is MANDATORY! You will receive additional information about this from Dean Nakae. Criminal Background Check may be required (student pays)

31. Third Year Elective Option • Purpose: to offer exposure to certain specialties or subspecialties for students considering these disciplines as a career • You can take one 4-week elective or two 2-week electives within your one month elective block • Pay attention to elective prerequisites when selecting your preferred track and elective (e.g., if you plan to take the Orthopaedic Surgery elective, you should take your Surgery clerkship before your elective block) • See list of elective options in packet; course descriptions online in SSOM Elective Catalog • Timetable for when to register in packet; and how to register to follow

32. Third Year Elective Option (cont.) • Several tracks (30 students) REPLACE the 3rd-year elective with Sub-I Wards in May or EM in June of M3 year • Anyone considering EM should consider EM at end of 3rd year • You will be prepared for Sub-I Wards in May • Will open up interview and elective options in M4 year

33. OTHER IMPORTANT INFO • Don’t say you weren’t told…

34. Please Note: • Day one on each clerkship is crucial • Exams must be taken at their assigned time No exceptions (Christmas cheap airfare dates included!) • Exam times float – may be in A.M. or P.M. • Sat/Sun attendance may be expected on some services at some sites (i.e., 6-day work week) • On-Call every 4th night, very often less frequently

35. Please Note (cont.): • Daily attendance in year 3 & 4 is MANDATORY • Unexpected/Emergency Absences from Required Activities • During years three and four, any unexpected absence due to illness or other serious emergency requires prompt notification by the student to the clerkship/elective director and to the Associate Dean or Assistant Dean for Student Affairs. This notification constitutes a request for an excused absence due to a legitimate extenuating reason. Student Affairs will alert the clerkship or elective department of the absence if the student is unable to do so. • Non-Emergent Absences from Required Activities • Petitions for approved absences for non-emergent reasons are reviewed by the course director and Associate Dean or Assistant Dean for Student Affairs and a decision is made to approve the request or not. A student must have a serious reason for an excused absence in years three and four (e.g., wedding of a sibling, research presentation, etc.). Should a student have a serious reason for wishing to take a day or two off, a written petition must be submitted at least one month prior to the start of the elective in which the absence would occur.

36. Other Important Info • Booklist will be published • Third year clerks will need both long and short white coats worn according to the service assignment

37. E-documents to follow • Electronic copy of today’s handout and PowerPoint • Site assignment procedures & wild card process • List of course directors and staff, sites, specialty services

38. Important Dates • March 9: Track Ranking Due (instructions for submitting will be emailed to you) • Late March: Tracks assigned • Early April: First elective registration date (for July electives only) • Mid May: Submit site choices for July assignment (stay connected with SSOM email!)

39. Important Dates (cont. • Tuesday, June 28th – Friday, July 1st: • 3rd Year Orientation/Clinical Tools Workshops (Attendance required) • Homework will be required to be done in advance • Tuesday, July 5th: • Clerkships start (Attendance required) Please Note: You are required to sit for Step 1 no later than Monday, June 27, 2016

40. Questions? Advice/suggestions: Faculty Advisors Best wishes as you plan for Year Three! Office of Student Affairs