UGME CURRICULUM RENEWAL FRAMEWORK

Year 1 2 3 4

Incorporated into Academic time • Longitudinal Courses I. Clinical Reasoning II. Professionalism/Doctoring III.Clinical Skills ->Community Clinics IV.Community Health/Epidemiology V. Indigenous Health VI.Scholarship in Medicine

• Themes/Disciplines Composite Clinical Presentations (CP4) 1

Year 1 2 3 4 Year 1 2 3 4

Boxes are not scaled

M0: Foundation M2: Health &

Disease Abnormal Processes- Clinical Integration

M1: Human Biology & Health Normal Processes- Clinically Applied

M2: Health& Disease

Abnormal Processes

M5: Med 3 Clinical Clerks

UGME Academic Half Day

M6: Med 4 Electives CaRMS

UGME CURRICULUM RENEWAL FRAMEWORK

M4 TTC: Transition to Clerkship

M3:Consolidation

Principle: “Fully integrated spiral scaffold curriculum through 4 years”

M7 TTR: Transition to Residency

Presenter

Presentation Notes

“Titles” of preclerkship, clerkship, systems, year etc may not be maintained Applied Contextualized Linked Relevance

LC /Theme Committees Not practical to have reps from every course/department/discipline • Create with interested parties • “Generalism” • Students • PGY resident

2013 CuRe Preclerkship Course Development (PCD)

Integrated Scaffold Spiral Curriculum •Identify Gaps and Redundancy •Identify Areas of overlap and Repetition •Concepts for Consolidation Module M3

M1/M2 Course Committees Include representation from: • Relevant department /disciplines • Diagnostic Imaging •“Generalism” • Students-ie last year’s course rep • PGY resident

M1/M2 Course Leaders Identify LC/Theme Topics from: • LC/Theme presentations or • Committee members

LC /Theme Leaders Topics : •Assign to M1/2 Courses or •Identify from M1/M2 presentations

3

Process for each M0, M1/2 I. Faculty development- 7 sessions….today =8 !

1. Review CuRe process 2. Explanation for CuRe Framework 3. Discussion on pedagogical approaches

i. Fewer lectures ii. Fewer lecturers iii. More online modules

II. Leaders create curriculum committee 1. Review existing systems block course 2. Create concept map 3. Create M1 and M2 course outline

CuRe June 2013

PreClerkship Course Development –SELF RFLECTION !

4

FD Accomplishments to date through June 17:

Each M Course Leaders created their committee Broadened faculty engagement to total ( >125 )

Each M1/2 course Leader considered the new curriculum, and how their content may be accommodated

Each M1/2 Leader provided broad outlines Some with more details

All Longitudinal course leaders and many theme leaders presented outlines , idea and their approach to curriculum

All UGME leaders interacted with exchange of ideas Cross discussion with LC/T leaders Some resolution to selected ownership areas

CuRe June 2013


5

FD Accomplishments to date through June 17:

Introduction to robust MCQ exam

• Full day workshop with MCC

External Review

Senior Associate Dean, Stanford 2 day visit

Workshop Pedagogical approaches - TBL

CuRe June 2013


6

CuRe preclerkship curriculum: NEXT STEPS 1 for CuREX :

….Occurring in parallel….

Review assigned hours and overall schedule

Allocate hours to each course

• Provide each course with outline & suggested integration

Review all pedagogical approaches

Revise governance

Create timelines for each component of PCD Step 2 through Jan.

aiming for completion by 14th for senate submission

CuRe June 2013

PreClerkship Course Development (PCD)

7

CuRe PreClerkship curriculum: NEXT STEPS 2: 2a- June through Sept 2013:

Each course provided with hours and rough outline based upon their presentations and others’ suggestions ( ….electronically).

• Develop courses with fewer hours (up to 10 % less) for first iteration (…...presented in step 2b).

This will facilitate modifications to accommodate additional topics and longitudinal themes or courses

• M0 & M2 courses will “OWN” the mornings of weeks allocated • M1 courses will share weeks with other M1 course scheduled

Each M1/2 Leader should contact assigned librarian

Deliberate with own committees through Sept to create course objectives, outline and learning strategies

CuRe June 2013

PreClerkship Course Development

8

CuRe June 2013


CuRe PreClerkship curriculum: NEXT STEPS 2: 2b- Sept through Nov. 2013:

Commence weekly ( or more often) CuReX meetings in late Sept: With each course leader and/or committee to review specific outlines

and active learning strategies for M0, M1/M2.

After meeting with all the M1/2 leaders, CuReX will meet with: • Clinical Reasoning Leaders(s) to review topics to coincide with each M

course . This will ensure linkage, or use of CR time to highlight a topic either if very important or insufficient time to cover in M course.

• All other Longitudinal Course and Theme Leaders to identify any gaps

These are all individual meetings with specific course and CuReX …….Iterative process ….!

In parallel, PSEC ( to be defined by Barry !)commence ( >qmonthly) meetings to review MCQ questions as both F/D and question preparation.

9

CuRe June 2013


CuRe PreClerkship curriculum: NEXT STEPS 2: 2c – Nov through Jan. 2014

Each course leader and/or committee returns ( 2nd time ): • MO followed by all M1/M2s

• Completed objectives , outline, proposed schedule with learning strategies and evaluation blueprint

All completed by deadline for senate submission(early Jan): • Each course should have final course objectives, outline and syllabus

• Begin development of session objectives

Cross reference meetings with CP4 draft

During Step 2b & 2c will also have monthly CuRe Integration meetings : • To identify any global issues, keep communication lines open and

faculty development

Y1

M0M1

Y2

Health and Disease

• FOUNDATION of MEDICINE 1.Blood & Immunology I (+ Skin I) 2.CV I & Resp (+ ET) I 3.Neuroscience I(Psych, Neuro + Opth) 4.Musculoskeletal I 5.Endocrine I & Woman’s Reproduction I

6.GI/ Nutrition I & Urinary Tract I

M2

M3

4 ---- 2014 Aug 25 - Sept 19 3------------ Sept 22 - Oct 10

5 ------------ Oct 13 - Nov 14 4.6 --------- Nov 17 - Dec 17… Dec break 2------2015 Jan 5 - Jan 16 4------------- Jan 19 - Feb 13

4------------- Feb 17 - Mar 13 TOTAL 26.6 ……………….Mar 16 - 20………Reading week

2-------------Mar 23 - April 3 3-------------Apri 6 - April 24 4-------------Apri 27 - May 22 -----------May 25- 29 …………. Rural week 4--------------Aug 24 - Sept 18 3--------------Sept 21 - Oct 9 3--------------Oct 12 - Oct 30 3 -------------Nov 2 - Nov 20 3 +3d------- -Nov 23 - Dec 17…… Dec break 6 -----2016- Jan 4 - Feb 12 4--------------Feb 18 - Mar11 ----------------Mar 14 - 18 ……. Reading week

1. Intro to ID/Intro Oncology 2. Blood & Immunology (+ autoimmune diseases) 2 3. CV 2

4. Resp + ET 2 5. Endocrine 2 6. Woman’s Reproduction 2 7. GI & Nutrition 2 8. Urinary Tract 2 9. Neuroscience 2 (Psych, Neuro, Opth) 10. Musculoskeletal 2 (+Skin 2) 10 Consolidation 10-------------Mar 21 - May 27

5

Human Biology and Health wks.days ( w. 2 days eval ) Approximate dates

CuRe Preclerkship M0, 1/2: Human Biology , Health and Disease CuReX DRAFT 4 May 15, 2013

M Course Old KB Old AK Old CuRe 90% Weeks TOTAL Available SurplusComponentsCurriculum Curriculum Composite HOURS HOURS HOURS Avail-90%

MO MO 63 57 4 68 63 6

M1B/I 55 16 36skin 3 3 3

B/I1 58 19 39 52 3 51 46 -6

CV1 CV1 45 60 53 48 39 -9RESP1 RESP1 42 45 43 39 37 -2

ET1 10 10 10 9 6 -3

Combo 92 115 106 96 5 85 80 -16

NS1 NS 52 49 51 47 73psych 7 4 6

Op 6 5 5 5 5

NS1 65 61 60 58 4.6 78 73 15

MS 1 MS1 35 41 38 34 2 29 -5

EM1/ EM1 34 28 31 28 30 2WRP1 WRP1 43 changed39 27 33 30 33 3COMBO 77 55 66 58 4 68 63 5

GI1/ GI1 42 41 41 37 34 -3UT1 UT1 33 changed37 35 36 33 29 -4COMBO 75 76 75 70 4 68 63 -7

Each Unit 5 hours for student evaluation: Midterm 2 hours Final Friday 3 hours; PM- free

M0 and M1 Course Hour Allocation June 25, 2013

Note: Old KB =K.Bernstein analysis; Old AK = A.Kaushal analysis; Composite = average

Y1

M0M1

Y2

Health and Disease



M2

M3

2-------------Mar 23 - April 3 3-------------Apri 6 - April 24 4-------------Apri 27 - May 22 -----------May 25- 29 …………. Rural week 4--------------Aug 24 - Sept 18 3--------------Sept 21 - Oct 9 3--------------Oct 12 - Oct 30 3 -------------Nov 2 - Nov 20 3 +3d------- -Nov 23 - Dec 17…… Dec break 6 -----2016- Jan 4 - Feb 12 4--------------Feb 18 - Mar11 ----------------Mar 14 - 18 ……. Reading week



5


CuRe Preclerkship M0, 1/2: Human Biology , Health and Disease

4 ---- 2014 Aug 25 - Sept 19 3------------ Sept 22 - Oct 10



Was: 5 … 4.7..

DRAFT 5 June 25, 2013

Each Unit 5 hours for student evaluation: Midterm 2 hours Final Friday 3 hours; PM- free


M2 ID 22 2ONC 6

28 25 32B/L 39 40 3

Rheum 11 11BI2 50 45 48COMBO BI2 & ID/Onc 78 70 5 85 80 10

CV2 CV2 61 51 56 50 4 68 63 13

YEAR 2 RS2 51 54 52 46 4 68 63ET ET2 7 10 8 8RS2 RESP2 58 64 60 54 68 63 9

EM2 40 44 42 38 3 51 46 8

WRP2 46 52 49 44 3 51 46 2GI2 61 48 55 50 3 51 46 -4

UT2* *3 xtra days 47 36 42 38 3 61 56 18

NS2 NS2 121 61Psych2 60

OP2 8 8

NS2 129 129 129 116 6 102 96 -20

MSK2 MSK2 46 67 56 56skin SKIN2 6 8 7 7MSK2 52 75 63 63 4 68 63 0

M2 Course Hour Allocation June 25, 2013

Y1

M0M1

Y2

Health and Disease

• FOUNDATION of MEDICINE 1.Blood & Immunology I (+ Skin I) 2.CV I & Resp (+ ET) I 3.Neuroscience I(Psych, Neuro + Opth) 4.Musculoskeletal I 5.Endocrine I & Woman’s Reproduction I 6.GI/ Nutrition I & Urinary Tract I

M2

M3

4 ---- 2014 Aug 25 - Sept 19 3------------ Sept 22 - Oct 10



2-------------Mar 23 - April 3 3-------------Apri 6 - April 24 4-------------Apri 27 - May 22 -----------May 25- 29 …………. Rural week 4--------------Aug 24 - Sept 18 5--------------Sept 21 - Oct 23 6--------------Oct 26 - Dec 4 1.7 -----------Dec 7 – Dec 16 Dec break 6 -----2016- Jan 4 - Feb 12 4--------------Feb 18 - Mar11 ----------------Mar 14 - 18 ……. Reading week

14 Consolidation 10-------------Mar 21 - May 27

5


CuRe Preclerkship M0, 1/2: Human Biology , Health and Disease OPTION 1a

1. Intro to ID/Intro Oncology 2. Blood & Immunology (+ autoimmune diseases) II 3. CV II

4. Resp ( + ET) II 5. Endocrine II / Woman’s Repro II 6. GI & Nutrition II / Urinary system II 7. NeuroScience II (Psych, Neuro, Ophth)

8. Musculoskeletal II & Skin II Lose concept of individual courses M2 NS 1 & 2 overlap Splits up NS over break after 1.5 weeks

Note : Options 1a &1b replace 1 presented June 25 which had an error

Y1

M0M1

Y2

Health and Disease



M2

M3

4 ---- 2014 Aug 25 - Sept 19 3------------ Sept 22 - Oct 10



2-------------Mar 23 - April 3 3-------------Apri 6 - April 24 4-------------Apri 27 - May 22 -----------May 25- 29 …………. Rural week 4--------------Aug 24 - Sept 18 5--------------Sept 21 - Oct 23 3--------------Oct 26 - Nov 13 3 -------------Nov 16 - Dec 4 1.7-----------Dec 7 – Dec 16 Dec break 6 -----2016- Jan 4 - Feb 12 4--------------Feb 18 - Mar11 ----------------Mar 14 - 18 ……. Reading week


5


CuRe Preclerkship M0, 1/2: Human Biology , Health and Disease OPTION 1b


4. Resp ( + ET) II 5. Endocrine II / Woman’s Repro II 6. GI & Nutrition II 7. Urinary system II 8. NeuroScience II (Psych, Neuro, Ophth)

9. Musculoskeletal II & Skin II

NS 1 & 2 overlap Splits up NS over break after 1.5 weeks

Note : Options 1a &1b replace 1 presented June 25 which had an error

Y1

M0M1

Y2

Health and Disease



M2

M3

2-------------Mar 23 - April 3 3-------------Apri 6 - April 24 4-------------Apri 27 - May 22 -----------May 25- 29 …………. Rural week 4--------------Aug 24 - Sept 18 3--------------Sept 21 - Oct 9 3--------------Oct 12 - Oct 30 4 -------------Nov 2 - Nov 27 2.7--------- -Dec4 - Dec 17…… Dec break 6 -----2016- Jan 4 - Feb 12 4--------------Feb 18 - Mar11 ----------------Mar 14 - 18 ……. Reading week



5



4 ---- 2014 Aug 25 - Sept 19 3------------ Sept 22 - Oct 10



OPTION 2

Doesn’t address NS

Y1

M0M1

Y2

Health and Disease



M2

M3

2-------------Mar 23 - April 3 3-------------Apri 6 - April 24 4-------------Apri 27 - May 22 -----------May 25- 29 …………. Rural week 4--------------Aug 24 - Sept 18 7--------------Sept 21 - Nov 6 3--------------Nov 9 - Nov 27 2.7--------- -Nov 30 - Dec 16…… Dec break 3 -----2016- Jan 4 - Jan 22 3----------------Jan 25 - Feb 12 4--------------Feb 15 - Mar11 ----------------Mar 14 - 18 ……. Reading week


5



4 ---- 2014 Aug 25 - Sept 19 3------------ Sept 22 - Oct 10



OPTION 3


4. Resp (+ ET) II 5. NeuroScience II (Psych, Neuro, Opth) 6…… 6. WRP II 3 7. Endocrine II 3….. 8. GI & Nutrition II 3 9. Urinary system II 3.7… 10. Musculoskeletal II & Skin II


M2 ID 22 2ONC 6

28 25 32B/L 39 40 3

Rheum 11 11BI2 50 45 48COMBO BI2 & ID/Onc 78 70 5 85 80 10

CV2 CV2 61 51 56 50 4 68 63 13

YEAR 2 RS2 51 54 52 46 4 68 63ET ET2 7 10 8 8RS2 RESP2 58 64 60 54 68 63 9

option3 EM2 40 44 42 38 2.7 44 39 1

WRP2 46 52 49 44 3 51 46 2GI2 61 48 55 50 3 51 46 -4

UT2 47 36 42 38 3 51 46 8NS2 121 61

Psych2 60

OP2 8 8

NS2 NS2 129 129 129 116 7 119 114 -2

MSK2 MSK2 46 67 56 56skin SKIN2 6 8 7 7MSK2 52 75 63 63 4 68 63 0

M2 Course Hour Allocation- proposed change June 25, 2013 OPTION 3

Y1

M0M1

Y2

Health and Disease



M2

M3

2-------------Mar 23 - April 3 3-------------Apri 6 - April 24 4-------------Apri 27 - May 22 -----------May 25- 29 …………. Rural week 4--------------Aug 24 - Sept 18 7--------------Sept 21 - Nov 6 3--------------Nov 9 - Nov 27 2.7--------- -Nov 30 - Dec 16…… Dec break 3 -----2016- Jan 4 - Jan 22 3----------------Jan 25 - Feb 12 4--------------Feb 15 - Mar11 ----------------Mar 14 - 18 ……. Reading week


5



4 ---- 2014 Aug 25 - Sept 19 3------------ Sept 22 - Oct 10



OPTION 3


4. Resp (+ ET) II 5. NeuroScience II (Psych, Neuro, Opth) 6. WRP II 7. Endocrine II 8. GI & Nutrition II 9. Urinary system II 10. Musculoskeletal II & Skin II

DRAFT 5 June 25, 2013

M CuRe 90% Available Surplus Allocated FLEX 1st Iteration

HOURS HOURS Avail-90% HOURS HOURS HOURS

MO MO 57 63 6 57 6M1 B/I1 52 46 -6 43 3

CV1 48 47 -1 44 3RESP1 39 38 -1 35 3ET 9 9 0 7 2COMBO 96 94 -2 86 8

47 5665 5

NS1 58 56 -2 50 6MS 1 34 29 -5 29 0EM1/ 28 30 2 26 4WRP1 30 33 3 29 4COMBO 58 63 5 55 8GI1/ 37 34 -3 32 2UT1 33 29 -4 26 3COMBO 70 63 -7 58 5

M0 and M1 Course Hour Allocation June 25, 2013

M CuRe 90% Available Surplus Allocated FLEX 1st Iteration

HOURS HOURS Avail-90% HOURS HOURS HOURS

M2 IDONC

25 32 28 4

BI2 45 48 42 6COMBO 70 80 10 70 10CV2 50 63 13 55 8

YEAR 2 RS2 46 63ET 8RS2 54 63 9 54 9EM2 38 39 1 36 3WRP2 44 46 2 42 4GI2 50 46 -4 46 0UT2 38 46 8 36 10NS2 116 114 -2 105 9MSK2 56 56 52 4skin 7 7 6 1MSK2 63 63 0 58 5

M2 Course Hour Allocation June 25, 2013

13-14 14-15 15-16

Break

Monday Tuesday Wednesday Thursday Friday

Longitudinal courses:

4 hrs

(<2 hr didactic

lecture)

Break Clinical Skills 50%

CR 50%

Longitudinal course 1 hr

Longitudinal courses

2hrs

15-16

Draft3 UGME WEEKLY TEMPLATE: YEAR 1 AM and PM JUNE 2013

9-10

10-11

11-12

12-13

9-10

10-11

Whole group sessions:

11-12

12-13

Small group session: ( 2hrs)

Course specific Activity

Whole group session

Small group session( SGS) ( 2hrs)


Break

Whole group session

Break

Labs: anatomy or Sim.

Small group 180 minutes divided by 2, 3 or 4

Course specific Activity ( 2hrs)


Break

Whole group session(WGS)

17 hour week WGS 4 25%

SGS 6 35%

CSA 4 25%

Lab 3 17%

Free 8

WGS

CSA

SGS

Labs

LONGITUDINAL COURSES: Clinical Skills (3 hrs) Professionalism Community Health Sciences Clinical Reasoning (3 hrs) Indigenous Health

If all CSA = WGS = 25-50%

Free

Clinical Reasoning 2hrs


2hrs

Break

Break Longitudinal courses:2 hrs

(<1 hr didactic lecture)


9-10

10-11

Whole group sessions

11-12

12-13

Break

Break

Clinical Skills (4 hrs) 50 %

Clinical Reasoning (1hr)

50 % Unscheduled

Clinical Reasoning (2 hrs)


2hrs

Break Clinical Skills

(3 hrs) 50%

50 % Unscheduled

Clinical Skills (3 hrs) 50%

50 %

Unscheduled



2hrs





50 % Unscheduled

Break

9-10

10-11



11-12

12-13

Break


Small group sessions: ( 2hrs)







Break


LONGITUDINAL COURSES: Clinical Skills (4 hrs) Professionalism Community Health Sciences Clinical Reasoning (3 hrs) Indigenous Health


If all CSA = WGS = 25-50%

12-13 12-13

Break

17 hour week WGS 4 25%

SGS 6 35%

CSA 4 25%

Lab 3 17%

Free 8

WGS

CSA

SGS

Labs

Free

9-10

10-11

11-12

12-13

Draft3 UGME WEEKLY TEMPLATE: YEAR 1 AM JUNE 2013


9-10

Whole group session(WGS)

Whole group sessions:



Break

Whole group session

Small group session( SGS) ( 2hrs)


Break

Whole group session

Break





Break

9-10

10-11


11-12

12-13

Break

9-10

10-11



11-12

12-13

Break









Break


Draft3 UGME WEEKLY TEMPLATE: YEAR 2 AM JUNE 2013



3 hrs (<1 hr didactic

lecture)




2hrs

13-14

14-15

15-16

16-17

Break Clinical Skills (3 hrs) 50%

50 %

Unscheduled

Break



50 %

Unscheduled

9-10

10-11

11-12

12-13

9-10

10-11

11-12

12-13

Break

Break

Break

WGS CSA SGS

Labs Free




2hrs



13-14

15-16

16-17


9-10

10-11

11-12

12-13

Break

Break

Break



50 % Unscheduled

50 % Unscheduled


3 hrs (<1 hr didactic

lecture)




2hrs

14-15

Break Clinical Skills

(3 hrs) 50%

50 % Unscheduled

Break


50 %

Unscheduled




2hrs

Longitudinal courses:2 hrs


Break



50 % Unscheduled

50 % Unscheduled

Break

9-10

10-11

11-12

12-13

Break

)

Break


WGS CSA SGS

Labs Free

Modular: M0 M1 and M2 Course Hour Allocation June 25, 2013

1. Hours ( …..plus flex hours)

2. Blank weekly templates to complete

3. Outlines with integration points per FD sessions and CuReX (electronically)

CuRe PreClerkship curriculum: NEXT STEPS 2:

2a- June through Sept 2013:

UGME CURRICULUM RENEWAL FRAMEWORK

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