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New Faculty Orientation Curriculum Restructuring. Phase 1 – Foundations Phase. Aug Nov Jan Mar May. CMB (8). Anatomy (7). Thanksgiving Break. MHR (3). Winter Break.
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New Faculty Orientation Curriculum Restructuring
Phase 1 – Foundations Phase Aug Nov Jan Mar May CMB (8) Anatomy(7) Thanksgiving Break MHR (3) Winter Break Pharm (4) Path (4) Break HEM-200 (3) Neurosciences -201 (7) BMH-200 (2) Epi/Bio (3) Bedside Diagnosis -201 (12) MIM (1) Health Care Ethics (7) Applied Clinical Skills 100 Longitudinal (26) APCS APCS Applied Clinical Skills 201 Longitudinal (12) M1 Electives Longitudinal Electives Electives Electives CMB = Cell and Molecular Biology Epi/Bio = Epidemiology and Biostatistics MIM = Introduction to Medical Information Management MHR = Microbes and Host Responses PHARM – Principles in Pharmacology PATH = Introduction to Pharmacology HEM = Hematology BMH = Behavorial Medicine and Health Begins Phase 2 - Core Knowledge Phase
Phase 2 – Core Knowledge Phase Aug Nov Jan Mar May Card (4) RESP (5) RENL (4) GI Thanksgiving Break GI (5) Winter Break ENDR (5) SBJ (5) MD200 – USMLE Step 1(8) Orientation Week Clerkship 1 (8) APCS Applied Clinical Skills 300 Applied Clinical Skills 200 Longitudinal (26) Applied Clinical Skills Bedside Diagnosis 200 Longitudinal (26) BD IPTS Bedside Diagnosis Death and Dying 200 Longitudinal (15) M2 Electives Longitudinal Elective Electives Begins Phase 3- Core Clinical Phase Card = Cardiovascular RESP = Respiratory RENL = Renal GI = Gastointestinal ENDR = Endocrine and Reproductive SBJ = Skin, Bone and Joint IPTS – Inter Professional Team Seminars
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 Structure • Two 24-week blocks • Internal Medicine 12 weeks • OB/Gyn6weeks • Family Medicine* 6 weeks • Surgery 8 weeks • Pediatrics 8 weeks • Neuro/ Psych 8 weeks • ACS3 • Interprofessional Team Seminars
Phase 3 – Core Clinical Phase May December April Clerkship Orientation Winter Break • Family* Med • (8 Wks) Internal Medicine (Inpt) (8 Wks) Surgery (8 Wks) • Psych/ Neuro • (4 Wks each) OB Gyn* (8 Wks) • Peds • (8 Wks) 1 Week Break • ACS 3 • Longitudinal ACS 3 Longitudinal ACS 3 Longitudinal Inter-professional Team Seminars IPTS • * Includes two weeks for career exploration
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.