Welcome to the Third Year!

1. Welcome to the Third Year! Warren Newton, MD MPH Executive Associate Dean for Education June 29, 2010

2. Objectives • Review the curriculum and its rationale, along with what’s new • Give pearls for surviving and thriving • Describe natural history of specialty choice--how to start thinking about it • Start planning for fourth year…

3. Required MSIII Curriculum • Family Medicine (6 Weeks) • Internal Medicine • Inpatient (8 Weeks) • Outpatient (4 Weeks) • Obstetrics & Gynecology (6 Weeks) • Neurology (4 weeks) • Pediatrics (6 Weeks) • Psychiatry (6 weeks) • Surgery (8 Weeks) • Longitudinal Tracks/Asheville, Charlotte/MD-PhD • MSIII and IV: Intro to Acute Care

4. AHEC • 40% of Clinical Rotations • Provide: • Comparable clinical experience • Faculty devoted to teaching • More hands on experience • Exposue to different hospital systems

5. Grading • Shelf Exam • Clinical Feedback/Evaluations • OSCE/Other Evaluations • End of Year (CPX, NBME II MK/CS)

6. Where we want you to be at the end of the year: core competencies • Medical Knowledge • Clinical Care – H/P, Technical Skills • Communication • Professionalism • Practice Based Learning • System Based Practice • Management of Populations

7. Rationale • General Clinician • Active Learning • Patients → Read about • Get involved in Care • Breadth of Experience • Across Kinds of Patients/Specialties • Across Hospital Systems

8. What’s new for 2010-2011… • Transition Course • More coordination of content across courses • OSCE’s in FM/MED/Surg--spread to OB/GYN • Developing clinical skills curriculum: ICM, Clerkships, CPX • One 45—web based evaluation • Piloting Clinical Log (tracking) and Lecture Capture • Exploring and improving comparability and appropriate differences

9. New Support for Students… • Berryhill/Exercise Lounge • Pagers/CPOE at UNC • Campus Director/Director of Undergraduate Education at Asheville (Heck), Charlotte (White), Greensboro (Fields), Wake (Perry), and Wilmington (Darrow) • Improved student services for MSIII on rotations across the state

10. Academic Difficulty • 5-10% of Students • Differential Diagnosis • Test Taking • Clinical Skills • Professionalism Issues • Get In Touch With Us

11. Rules for Living • Keep in touch: Advisors, Dean Dent, Student Affairs Staff; day backs • Financial Aid Check In • Student Health – Remember Waiver • Laptops—OIS walk in if here, or email Jake Achey • Physical Difficulties-- • Communicate With Course Directors early if you have a chronic medical condition • 80 Hour Work Rule for students • Third year rotations in 2009-2010

12. Specialty Choice

13. Natural History of Specialty Choice • 50% at Beginning of third year (1/2 will change) • 75% by April Next Year • 5-10% Will Apply in > 2 Specialties • 5% Will change in first Year of Residency

14. Choosing Your Specialty/Timeline • Early January 2011 – Information Session • College Advisors vs Career Advisors • MS IV Summer/Fall • NBME CPX, Part II MK/CS • Audition Electives • Dean’s Letter Deadline – early fall 2011—College advisors will write • Remember letters of recommendation – Identify people this year

15. Choosing Specialty • MSIII: Kinds of patients, settings, procedures • National picture – increasing numbers of applicants for stable number of slots • Look at specialty competitiveness • UNC Data Available • Talk to Career Advisors • Keep current in changes in medicine: payment, GME slots, workforce and other planning

16. Year IV Requirements • Critical Care • AHEC AI • Integration Selective • Advanced Practice Selective • Electives

17. Year IV Rationale • Specialty Choice/Application • Advanced Skills • Schedule Flexibility • For electives, special interests • For Boards and Interviewing

18. Special Interests • International Research or Service experiences • Scholarship/Research Electives • Teaching Opportunities • Unique electives