Optimizing Criteria for Clinical Clerkships How do we keep the experience Osteopathic?
Transitioning to Clerkships December 3rd, 2013 © 2012 University of Utah School of Medicine.
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Transcript of Transitioning to Clerkships December 3rd, 2013 © 2012 University of Utah School of Medicine.
Transitioning to Clerkships
December 3rd, 2013
© 2012 University of Utah School of Medicine
Overview
• Overview of Phase III• Phase III Lottery – Carol Stevens• Phase III Curriculum, Transition to Clerkships
Course – Dr. Dani Roussel• VA access, AOA – William Shiflett• AOA, MSPE, Career planning
© 2012 University of Utah School of Medicine
The Journey….
© 2013 University of Utah School of Medicine
March 2016 – Match Day
© 2013 University of Utah School of Medicine
Seven Third Year Clinical Clerkships
12 Week Clerkship
Internal Medicine (6 weeks fall/6 weeks spring)
6 Week Clerkships
Pediatrics
Obstetrics and Gynecology
Psychiatry
Surgery
4 Week Clerkships
Neurology
Family Medicine
2 Week Clerkship
Surgical Subspecialty
12 Week Clerkship
Internal Medicine (6 weeks fall/6 weeks spring)
6 Week Clerkships
Pediatrics
Obstetrics and Gynecology
Psychiatry
Surgery
4 Week Clerkships
Neurology
6 Week Clerkship
Surgical Subspecialty/Family Medicine
How are Clerkships Scheduled?
Fall Semester
Spring Semester
Jul Aug Sep Oct Nov Dec
Jan Feb Mar Apr May Jun
Transition to Third Year Clerkship Course
Four Clerkships in Fall Semester
Fall Semester
Spring Semester
Jul Aug Sep Oct Nov Dec
Jan Feb Mar Apr May Jun
Four Clerkships in Spring Semester
Fall Semester
Spring Semester
Jul Aug Sep Oct Nov Dec
Jan Feb Mar Apr May Jun
Fall Semester
Spring Semester
Jul Aug Sep Oct Nov Dec
Jan Feb Mar Apr May Jun
Block 1 Block 2 Block 3 Block 4
Block 5 Block 6 Block 7 Block 8
Three two-week breaks during the year
Fall Semester
Spring Semester
Jul Aug Sep Oct Nov Dec
Jan Feb Mar Apr May Jun
Neurology
Reasons to Choose When I Attend Clerkships?
Personal/family needs
Career goals (Not first, not last)
Subspecialty exposure (4th year elective)
State or military obligations
Example – Pediatrics Career Goal
Fall Semester
Spring Semester
Jul Aug Sep Oct Nov Dec
Jan Feb Mar Apr May Jun
Pediatrics
Example – Pediatrics Career Goal
Fall Semester
Spring Semester
Jul Aug Sep Oct Nov Dec
Jan Feb Mar Apr May Jun
Pediatrics
Example – Pediatrics Career Goal
Fall Semester
Spring Semester
Jul Aug Sep Oct Nov Dec
Jan Feb Mar Apr May Jun
Pediatrics
Example – Pediatrics Career Goal
Fall Semester
Spring Semester
Jul Aug Sep Oct Nov Dec
Jan Feb Mar Apr May Jun
Pediatrics
Reasons to Choose When I Attend Clerkships??
First half of Internal Medicine to prepare
OB before Surgery
Last of Internal Medicine last (Step 2)
Options within clerkships
Lots.
Later.
How to play the lottery
Carol Stevens
Example – Pediatrics Career Goal
Fall Semester
Spring Semester
Jul Aug Sep Oct Nov Dec
Jan Feb Mar Apr May Jun
Pediatrics
1
Example – Pediatrics Career Goal
Fall Semester
Spring Semester
Jul Aug Sep Oct Nov Dec
Jan Feb Mar Apr May Jun
Internal M Pediatrics
Surgery
12
3
Example – Pediatrics Career Goal
Fall Semester
Spring Semester
Jul Aug Sep Oct Nov Dec
Jan Feb Mar Apr May Jun
SS/Family OB/Gyn Internal M Pediatrics
Neurology Internal M Psychiatry Surgery
12
3
Using the “Lottery” system
To Enter the “Lottery” - • Go to - http://medicine.utah.edu/studentaffairs
To Enter the “Lottery” – • Go to - http://medicine.utah.edu/studentaffairs• Under Current Student select 3rd Year
Request your password –
• You must use your HSC email account• (check “junkmail”)
Course numbers -
12 week clerkship Course numbersInternal Medicine INTMD 7200 (Fall only)
INTMD 7201 (Spring only)
6 week clerkships
Pediatrics PED 7100
Obstetrics and Gynecology OBST 7010
Psychiatry PSYCT 7200
Surgery SURG 7200
4 week clerkships
Neurology NEURO 7900 III (adult)
NEURO 7930 III (pediatric)
6 week clerkship
SS/Family Medicine FPSURG
Rotation Start Dates -
Block 1 7/7/2014
Block 2 8/18/2014
Block 3 9/29/2014
Block 4 11/10/2014
Block 5 1/5/2015
Block 6 2/16/2015
Block 7 3/30/2015
Block 8 5/11/2015
Use Drop Down Menu to Enter Requests -
• Priority Order - Use a different “Priority Order” for each course selected
- Rankings in increments of 10, with 10 as highest priority, 20 next highest…
Use Drop Down Menu to Enter Requests - • Course Number and Date
Use Drop Down Menu to Enter Requests - • Exclusion Group
- “Give me one of these clerkship in priority order, and once I get one, exclude remaining requests”- Use same letter for all choices an exclusion group
Common Questions -
• First come, first serve? No • Can I make changes? Yes • Is there a submit button? No• What if I have a unique situation…
Special Considerations -
• Idaho or military obligation • Expected baby or planned wedding • Approved fellowship
Send me an email stating request, or schedule an appointment before the Lottery is run.
Contact -
Email for questions, or to schedule an appointment:
Appointments available: HSEB 3580, M – F from 11 AM – 2 PM
Opportunities During Unscheduled Time -
List of two-week fourth year courses available in the third year:• see SOM website/class meeting notes
Scheduling Deadlines
• January 13 All lottery requests are to be submitted• January 28 Finalized schedules will be sent to you • May 1 + Requests for Fourth Year Electives in unscheduled
time considered
Questions?
Phase III Preparation
Danielle Roussel, MDAssistant Dean, Clinical Curriculum
University of Utah SOM
MS 2016
• 2014-15 Phase III Calendar• ACLS Training• Transition to Clerkship Course• Family Medicine Clerkship Sites• Shelf Exams & OSCE’s• End of Phase III OSCE
OverviewPhase III Preparation
2014-15 PHASE III CALENDARPhase III Preparation
General DatesPhase III Calendar
6-Week ClerkshipsPhase III Calendar
INTMD 7200 & 7201: Internal Medicine OBST 7010: Obstetrics & Gynecology PED 7010: Pediatrics PSYCT 7200: Psychiatry SURG 7020: Surgery
4-Week ClerkshipsPhase III Calendar
FPMD 7180: Family Medicine
4-Week ClerkshipsPhase III Calendar
NEURO 7900: Neurology
2-Week ClerkshipPhase III Calendar
SURG 7021: Surgical Subspecialty
ACLS TRAININGPhase III Preparation
• ACLS Certification Required – Must obtain prior to starting Phase III– Must be American Heart Association ACLS
• Included in Cost of Tuition for 2014-15– ~$100
• SOM will offer course between Phase II & III– Exact Dates TBD– HeartCode CBT– Skills Practice– Skills Testing
• Must maintain certification through Phase III & IV
OverviewACLS Training
TRANSITION TO CLERKSHIPPhase III Preparation
• June 30-July 3• Detailed Schedule TBD
– Skills Development– Phase III Logistics– Tools for Success– Career Day Activities
OverviewTransition to Clerkship
FAMILY MEDICINE CLERKSHIP SITESPhase III Preparation
SHELF EXAMS & OSCE’SPhase III Preparation
• Shelf Exams– NBME vs. CLIPP (Pediatrics)– Must Pass
• Pass Line set within recommended range of NBME • Highest Score Possible on Remediation set at Pass Line
• OSCE’s– Clerkship Specific– Must Pass
• Highest Score Possible on Remediation set at Pass Line • Can not earn Honors if remediated
OverviewShelf Exams & OSCE’s
Phase III Preparation
End of Phase III OSCE Must Pass Modeled after USMLE Step 2 CS
Questions…
Bureaucracy and AOA
William ShiflettDirector, Student AffairsUniversity of Utah SOM
VA Access
A Simple Process to be Completed before July 7, 20141) Create a TMS Account2) Complete Online Trainings (~ 60 min)3) Complete and Return PIV Applicant form4) Complete and Return VA’s HR Packet5) Complete Fingerprint Process at VA6) Obtain Your PIV Badge7) Attend CPRS/VISTA Training 30 Day PRIOR to your
first rotation at the VA.
Alpha Omega Alpha – AOA
• Junior AOA ~ 5% of Class• Senior AOA ~ 15% of Class
– Average weighted clerkship final score used– Junior AOA members move into Senior AOA
• Nomination is based on more than academic performance.
MSPE
• Wide variation historically• Guidelines published by AAMC in 2002
– “Letter of evaluation” rather than letter of recommendation
– Standardized format
• Release deadline move from Nov 1st to Oct 1st
MSPE National History
• Wide variation historically• Guidelines published by AAMC in 2002
– “Letter of evaluation” rather than letter of recommendation
– Standardized format
• Release deadline move from Nov 1st to Oct 1st
© 2013 University of Utah School of Medicine
© 2013 University of Utah School of Medicine
© 2013 University of Utah School of Medicine
© 2013 University of Utah School of Medicine
© 2013 University of Utah School of Medicine
© 2013 University of Utah School of Medicine
© 2013 University of Utah School of Medicine
Summary Descriptors• Single word in your last paragraph• Outstanding, Excellent, Very Good, Good• No class rank
© 2013 University of Utah School of Medicine
© 2013 University of Utah School of MedicineNRMP.org
What to do now?• Perform well on your units• Perform well on Step 1• Complete shadowing interests• Complete service learning requirements• Complete research
• How are you going to differentiate yourself?
NRMP.org
NRMP.org
The Journey….
© 2013 University of Utah School of Medicine
We are here to help you succeed!
© 2013 University of Utah School of Medicine