Clinical Program Orientation M3/M4 years Class of 2014

Dr. Robert Shreve Associate Dean

for

Medical Education

NEEDLE STICK POLICY

Evelyn Wright-Lewis, B.S.N. Student Health Services

Occupational Health Coordinator

http://www.uthsc.edu/Medicine/Acad_Affairs/Students/blood_and_body.htm

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TODAY’S TOPICS

• Overview of Curriculum – April 23, 2012 - May 30, 2014

• Schedule

• Blocks (Block 2012/05 begins April 30)

• Requirements – Core (M3) & Required (M4) Clerkships

– Electives/Option Blocks

• Scheduling Scenarios

• USMLE

• Scheduling Process

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WHERE DO I GET INFORMATION? Clinical Curriculum Orientations:

– M-3 year and overview, Today and Friday – M-4 year, January 2013

• OLSEN web page includes: – Clerkship Directors – Clerkships M3 year – Clerkships M4 year – Electives Catalogue

• M-4 students • Clerkship Faculty/Staff • USMLE web site • Today’s presentations on web site

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M3 & M4 CURRICULUM

You are here

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CALENDAR

2012-2013

8-WEEK BLOCKS START DATE END DATE 4-WEEK BLOCKS

5/6 30-Apr-12 25-May-12 5

28-May-12 22-Jun-12 6

7/8 25-Jun-12 20-Jul-12 7

23-Jul-12 17-Aug-12 8

9/10 20-Aug-12 14-Sep-12 9

17-Sep-12 12-Oct-12 10

11/12 15-Oct-12 9-Nov-12 11

12-Nov-12 14-Dec-12 12

1/2 7-Jan-13 1-Feb-13 1

4-Feb-13 1-Mar-13 2

3/4 4-Mar-13 28-Mar-13 3

8-Apr-13 3-May-13 4

5/6 6-May-13 31-May-13 5

3-Jun-13 28-Jun-13 6

7/8 1-Jul-13 26-Jul-13 7

29-Jul-13 23-Aug-13 8

Holidays*

Thanksgiving: Nov 17-25, 2012

Winter Break: Dec 15, 2012-Jan 6, 2013

MLK Day: Jan 21, 2013

Spring Break: March 29-April 7, 2013

1 2 3 4 5 6 7 8 9 10 11 12

1 2 3 4 5 6 7 8 9 10 11 12

1 2 3 4 5 6 7 8 9 10 11 12

1 2 3 4 5 6 7 8 9 10 11 12

1 2 3 4 5 6 7 8 9 10 11 12

PROCESS 2012

1 2 3 4 5 6 7 8 9 10 11 12

2013

2014

1 2 3 4 5 6 7 8 9 10 11 12

8 7 6 5 4 3 2 1

20 19 18 17 16 15 14 13 12 11 10 9

25 24 23 22 21

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REQUIREMENTS Step 1, USMLE

DRS/PCC (M3 & M4)

25 Blocks Total

12 Core (M3) Clerkship Blocks (by 2013/08)

6 Required Senior Clerkship Blocks

4 Elective Blocks

3 Option Blocks

Step 2CK, USMLE (NLT Dec 31, 2013)

Step 2CS, USMLE (NLT Dec 31, 2013)

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CLINICAL YEARS

CORE Clerkships Weeks

DRS/PCC - III 1

Family Medicine* 8

Medicine* 8

Ob & Gyn* 8

Pediatrics* 8

Surgery* 8

Neurology* 4

Psychiatry* 4

* Must be completed by 2013/08 (8/17/13)

OTHER Clerkships Weeks

DRS/PCC – IV 4**

Ambulatory Medicine 4

Senior Clerkship JI Med 4

Senior Clerkship JI Any 4

Surgery Specialties 4

Specialty 4

Patient Safety/QI 4**

Electives 16

Option 12

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Core Clerkships and Number/Discipline at Each Site

Discipline Memphis

xxx1

Chattanooga

xxx3

Knoxville

xxx2

Family Medicine 25 4 8

Medicine* 22+2* 6 (min-2) 6

Ob/Gyn 25 6 6 (min-2)

Pediatrics 24 8 0

Psychiatry 13 6** 0

Neurology 16 3** 0

Surgery 24 8 7

# Slots 151 41 27

*Nashville via Memphis

** certain blocks only

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Chattanooga

• Neurology

Blocks 7, 9, and 12 in 2012, and Block 3 in 2013

Maximum of 3 students per block

• Psychiatry

Blocks 8, 10, and 11 in 2012, and Block 4 in 2013

Maximum of 6 students per block

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Housing – Knoxville

• 13 students per block

• Up to 6 months maximum

• M3 students first priority

• Submit requests on-line

• Be sure and notify Missy Maples immediately if you change schedules

• http://gsm.utmck.edu/students/housing.cfm

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Housing –Chattanooga

• 40 students per block

• Up to 6 months maximum

• M3 students first priority

• Submit requests on-line

• Be sure and notify Pam Scott immediatley if you change schedules

• http://www.utcomchatt.org/subpage.php?pageId=533

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EVALUATION IN CORE CLERKSHIP

• Clinical component

– Subjective evaluation by residents and attendings

• Knowledge component

– Written and/or oral examination

– Written examination is NBME Subject [Shelf] Exam except for Neurology (computer based this year)

– R grade if fail first time, 2X repeat

– R in 2 clerkships – remove from clerkships until pass

– If you score low, self-refer to SASS

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M4 Required Clerkships

• Senior Clerkship (Junior Internship) – JI in Medicine

• Senior Clerkship (JI Any)

– FM Med, Neuro, OB, Peds, Psych, Surgery

• Surgery Specialties Clerkship

– Ophthalmology, Orthopedics, Otolaryngology, Urology

• Specialty Clerkship

– Anesthesiology , Radiology, ICU, Palliative Care, Cardiology, Infectious Disease

• Patient Safety/Quality Improvement

• M4 DRS/PCC

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ELECTIVES

• Four 4-week electives (16 weeks)

• Some 2 week electives

• Description of each online http://www.uthsc.edu/Medicine/Acad_Affairs/UME/Clerkships/Catalog.doc

• Can do 12 weeks outside UT

• Elective at UT after completing 6 core blocks;

• Visiting after 10 core blocks

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PREREQUISITES

• List is located at: – http://www.uthsc.edu/Medicine/Acad_Affairs/

UME/Clerkships/prerequisites.pdf

• To do a JI: 10 blocks of core clerkships including one in discipline

• To do UT elective: 6 blocks of core clerkship including one in discipline

• Visiting electives: 10 blocks of core clerkships including one in discipline

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AAMC Visiting Student Application Service

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New VA requirements

• Required of all students

– Even if you think you may never go to the VA

– If you have had a VA appointment previously, contact Elston Howard to be sure it is still valid

• PPD Skin Test – 2 negative/12 months of negative chest x-ray

• Go to OLSEN to Exam Scheduler and select a VA credentialing appointment time

• Prior to your appt. time, go to OLSEN to VAMC Security Clearance

– Print the application and complete

– Complete the online training (45 min)

• Note: when you register for the training, use “VA Other”

• Take your application, training completion certificate and two forms of ID to Elston Howard at the time you selected

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SCHEDULING PROCESS

• Random time assignments posted

on OLSEN

• 1st round Web scheduling 8 AM Feb 20 - Feb 24 – MUST schedule one rotation in either Knoxville or Chattanooga

• 2nd round 8AM Feb 27 - Mar 1

• You will all be able to schedule all you need

• Web scheduling locked until March 12

• Any changes must be made NLT 30 days before beginning of a block

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Scheduling Lottery

Feb 20-24

First Round

• #1 - Albert Vaughn

• #2 - Rebecca Weller

• #3 - Scott Brown

• #160 - Karen Rhea

• #161 - Sumaiya Hossain

• #162 - Christopher Knight

Feb 27-Mar 1

Second Round

• #1 - Christopher Knight

• #2 - Sumaiya Hossain

• #3 - Karen Rhea

• #160 - Scott Brown

• #161 - Rebecca Weller

• #162 - Albert Vaughn

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1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12

SCHEDULING SCENARIOS

Undecided

2012

2013

1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 CORE

CLERKSHIP CORE

CLERKSHIP

CORE CLERKSHIP

CORE CLERKSHIP

CORE CLERKSHIP

CORE CLERKSHIP

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SCHEDULING SCENARIOS

Pediatrics

1 2 3 4 5 6 7 8 9 10 11 12

2012

2013

1 2 3 4 5 6 7 8 9 10 11 12 12 11 10 9 8 7 6 5 4 3 2 1 CORE

CLERKSHIP

12 11 10 9 8 7 6 5 4 3 2 1 CORE

CLERKSHIP CORE

CLERKSHIP P E D S

CORE CLERKSHIP

CORE CLERKSHIP

JI ANY/Elec.

JI MED

ELE AWAY

CORE CLERKSHIP

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SCHEDULING SCENARIOS

Neurosurgery

1 2 3 4 5 6 7 8 9 10 11 12

2012

2013

1 2 3 4 5 6 7 8 9 10 11 12

12 11 10 9 8 7 6 5 4 3 2 1 CORE

CLERKSHIP CORE

CLERKSHIP CORE

CLERKSHIP CORE

CLERKSHIP

12 11 10 9 8 7 6 5 4 3 2 1 CORE

CLERKSHIPSURG

ELE NSG

ELE AWAY

SURG

SPEC

ELE/ REQ 12 11 10 9 8 7

CORE CLERKSHIP

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SCHEDULING SCENARIOS

Surgery

1 2 3 4 5 6 7 8 9 10 11 12

2012

2013

1 2 3 4 5 6 7 8 9 10 11 12

12 11 10 9 8 7 6 5 4 3 2 1 CORE

CLERKSHIP CORE

CLERKSHIP SURG

CORE CLERKSHIP

CORE CLERKSHIP

12 11 10 9 8 7 6 5 4 3 2 1 CORE

CLERKSHIP

JI SUR/ Elec.

SPEC ELE AWAY

OPT BLK

12 11 10 9 8 7 CORE CLERKSHIP

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USMLE Step 1

Eligibility:

• 2.0 GPA and pass all courses

• F = may be allowed to repeat course in summer program

• Take by April 20

• Any delays must be approved by P&P

• Passing score Step 1 now 188

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USMLE Step 1

Class of 2013 • First-time pass rate – 92% (National 94%) • First-time mean – 223 (National 225)

Class of 2012

• First-time pass rate – 93% (National 1%) • First-time mean – 222 (National 222)

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http://usmle.org/step-1/#overview

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USMLE

For Step 1 unauthorized items include, but not limited to:

– mechanical or electronic devices, cell phones, PDAs,

calculators, watches of any type, pagers, recording or filming

devices, radios;

– outerwear, such as coats, jackets, head wear, gloves;

– book bags, backpacks, handbags, briefcases, wallets;

– ear plugs, books, notes, written materials, or scratch paper;

– food, candy, gum, or beverages.

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USMLE

Your Schedule:

• Take Step 1, USMLE NLT April 20

• Introduction to Clerkship Skills Week April 23-27

• Do survey & CITI Training prior to April 27

• Block 2011-5/6 – Apr 30 – June 22 – If you don’t pass USMLE, study Block 7

– Re-take NLT July 20 to continue clerkships as of 2012-09 (8/20/12)

• Register at UTHSC by July 1, 2012

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FROM THE CENTERSCOPE

• http://www.uthsc.edu/centerscope/

• Student Workload Policy - http://www.uthsc.edu/Medicine/Acad_Affairs/UME/Clerkships/index.php?doc=specifics.htm

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PUNCTUALITY, RESPONSIBILITY & RELIABILITY

• Expected to be available and present for ALL scheduled clerkship activities.

• Absences must be approved by the clerkship director in advance.

• Make-up assignments determined by the clerkship director; absences due to illness may require a physician’s statements.

• Chronic tardiness is unacceptable.

• Expected to conform to the prevailing schedule at the sites to which assigned.

• NO ABSENCES on Surgery Specialties or Specialty Clerkship

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SASS and the M-3 Year • Same consultation services (test-taking, prep. for shelf exams,

test anxiety, time management, etc.) with educational specialists as in M-1/M-2 years

• Here in Memphis or via phone appointments and Skype in Chattanooga or Knoxville

• Clerkship Books on Reserve in Chattanooga and Knoxville

• To schedule an appointment – SASS@uthsc.edu or 901 448-5056

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Chattanooga and Knoxville Requests

Chattanooga Knoxville

Oran Basel Scott Brown

Joshua Donegan Sumaiya Hossain

Sean Dunn Matt Kemp

Jordan Halsey Tyler Koestner

Sneha Kemkar Steven Massaro

Jacob Lepard Nathan Miller

Julie Worthington Wissam Tobea

Shane White

McLean House

Peter Coulson

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Special requests (weddings, etc.)

Oran Basel Austin Davidson

Andy Boucher Doug Taylor

Christine Brough Cyrus Adams

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QUESTIONS/ISSUES • Being off: hospital or death

– Other: wedding, graduations, presenting paper at national meeting (may be denied)

– ONLY IF APPROVED WELL IN ADVANCE

• Absent W/O Permission: = F

• Some clerkships don’t have weekends

– FM (depending on location), Psych, Peds (outpatient)

• Do I have to commit to Chatt/Knox for entire time to go there? - - No

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Questions/Issues

• If asked off for option block/other block will be Psych or Neuro – other part plugged in 2013 Blocks 07-08

• Nashville is one block of Memphis Medicine Core Clerkship

– Schedule Medicine Memphis and then contact Ruby Bland

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FOR SCHEDULING ISSUES

Ruby L. Bland

• (rlbland@uthsc.edu)

• 448-5697

NLT 30 days before

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TO BE CONTINUED...

• Clerkship Directors – Chattanooga, Knoxville

and Memphis

---------------------------------------------------

Friday:

• TB Skin Test Reading & Stick Info

• What to Expect on Clerkships – Dr. Jameson

• Career Planning - Dr. Phillips

• Students – Q/A re: Chatt or Knox

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Scheduling Process

Must use NetID to access scheduler.

If you do not know your NetID, please go to

http://www.utk.edu/ph/ 40

Clerkship Scheduler

• Demonstration

• https://devel.uthsc.edu/a107_clrk_sched.php

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