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Edward Via College of Osteopathic Medicine. An Overview of the Preclinical Curriculum. M. Renee Prater, DVM, MS, PhD Spring, 2014. The mission of VCOM.
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Edward Via College of Osteopathic Medicine An Overview of the PreclinicalCurriculum M. Renee Prater, DVM, MS, PhD Spring, 2014
The mission of VCOM “…is to prepare globally minded, community-focused physicians for the rural and medically underserved areas of Virginia, North Carolina, South Carolina and the Appalachian Region, and to improve human health especially of those most in need.”
Years 1 and 2: Blocks vs. Semesters Our main goal is to provide an integratedpre-clinical curriculumto prepare our students for a career in osteopathic medicine, with primary care focus. To accomplish this, we use interdisciplinary blocks based on body systems, rather than semesters based on disciplines.
Most Med Schools teach by discipline in Semesters This makes “connecting the dots” difficult
We have developed an integrated preclinical curriculum, based on the organ systemsBlock 1: FoundationsBiochemistryMicrobiologyImmunologyGeneticsPathologyProfessionalism and EthicsIntroduction to Principles of Primary Care This helps get the whole class “on the same page”, despite their undergraduate training
Blocks 2-7: Integrated Systems BlocksThis helps the student learn how to clinically apply medical knowledge 2: Musculoskeletal 3. Neuropsychology 4. Cardiopulmonary 5. Gastrointestinal and Renal Obstetrics, Gynecology, Endocrine Hematology, Oncology, Dermatology
Blocks 2-7: Teaching/Learning Strategy • Each topic is carefully sequenced and integrated for better interdisciplinary assimilation by students: Anatomy/Histology/Physiology Pathology, Radiology/Diagnostics Principles of Primary Care, Clinical Med Pharmacology, Surgery, OMM
Blocks 2-7: Teaching Formats, Testing We also use a variety of teaching formats: Small group discussions / clinical cases / independent learning modules / clinical skills labs / simulations And a variety of testing formats: Medical knowledge: multiple choice exams (ExamSoft) Clinical competency: procedural skills labs, simulations, SP encounters, osteopathic manipulation labs, etc.
Additionally, we integrate opportunities to work real patients, physicians, and other health care professionals in the 2nd year: Clinical Experiences • Free Clinics • EMS ride-along • Clinical Skills Labs • Surgical Scrub Lab • Suture Lab • Mini Medical School • Remote Medical Screenings • Appalachian Medical Missions • Resident Shadowing • Day with an athletic trainer • Day with ICU nurse • Day with hospital pharmacist • Day with geriatrician in a nursing home • Virtual Radiology • Simulation Med Lab • OB/GYN pelvic model • Disaster Training
Clinical Rotations Year Three • Ten 4-week rotations. • 4-5 days per week as an active participant in patient care. • Experiences occur in both the ambulatory and hospital settings. • 50% of rotations are in urban or large community hospital sites. • 50% of rotations are spent in ruralhospitals & ambulatory practices.
3rd Year Curriculum: Focus on Primary Care • Family Medicine x 2 • Underserved Care • Internal Medicine • Surgery • Obstetrics/Gynecology • Pediatrics • Psychiatry • Medical Selective • Geriatrics
4th Year curriculum: More student-driven • 1 month ER rotation • 2 medicine rotations • 2 surgery rotations • 4 elective rotations • Electives can be as short as 2 weeks • Electives often conducted as residency auditions