Year III Clinical Curriculum

…and other essential information

The George Washington University School of Medicine and Health Sciences

Special Issues

• Hepatitis B immunization status– must complete series by 7/1/077/1/07– provide documentation to student

health– if you fail to do so, must sign a waiver

• OSHA Recertification- Mandatory– Must be completed on Blackboard by

April 15April 15

• HIPAA Certification-done in Year I

Special Issues

• IV-Phlebotomy training sessions– Dates to be announced

Third Year Curriculum and Scheduling

• SEVENSEVEN Core Clerkships, SIXSIX completed during the third year

Medicine(8wks)Surgery: (8wks)Pediatrics(8wks)Primary Care (8wks)Psychiatry(8wks)Obstetrics and Gynecology(8wks)Neuroscience(4wks)/Elective-

Vacation(4wks)

Must be completed YIII

Internal Medicine Must Be Completed in the Third Year

• All 8 weeks are done on the inpatient services

• 2 one month rotations– one month at GWUH– one month at Fairfax, or the

VA

Primary Care

• 8 week clerkship

• 2 clinical sites, 2 days per week for 8 weeks– Internal medicine faculty

practice in ACC– Community practices in

IM/Peds/FP– Community clinic practices-

various sites– Primary care apprenticeship

revisit if desired/feasible

Psychiatry

• 2 one month rotations

• Mostly inpatient sites– CNMC- child/adolescent units– 6-South GWUH– St. Elizabeth’s Hospital– Northern Virginia Mental Health

Institute– Psychiatric Institute of Washington– Arlington Hospital

OB/GYN

• 2 One month rotations

• Sites– GWUH

– Fairfax Hospital

– Holy Cross Hospital

Surgery Must Be Completed in the Third

Year• One month of General Surgery

– GWUH– Holy Cross Hospital

• 2 Two week surgical subspecialties– Orthopedics, ENT, CT, Peds

Surg, Urology,– Anesthesiology (space

available basis)

Pediatrics

• One month of inpatient service– Children’s National Medical Center– Anne Arundel Hospital– Holy Cross Hospital

• One month of outpatient– various CNMC clinics– various community/private

practice offices

NeuroscienceElective/vacation

• Neuroscience (4 wks with Multiple options)

– Adult or pediatric neurology

– Adult or pediatric neurosurgery

– A mixture of two of the above

Vacation/Elective4weeks

• 2-4 weeks of an approved elective (most)– (Not EMED)

or • 2-4 weeks of vacation

– If you take all as elective, you have 1313 weeks of vacation in year 4.

– If you take 2 weeks as elective, you have 1111 weeks vacation in year 4.

– If you take no elective, you have 99 weeks of vacation in year 4.

Important Dates/Issues

• Mandatory Orientation– July 2nd ALL DAY– July 3rd ALL DAY

• Vacation – two week winter break

12/14/07 through 1/1/08

– one week spring break 4/18/08 through 4/27/08

– Up to four additional weeks if you select neuroscience/elective/vacation block

Guaranteed Holidays

• Labor Day

• Thanksgiving – Thursday and Friday– NOTNOT Saturday and Sunday

• MLK Day

• President’s Day

• Memorial Day

Scheduling Clerkships

• Step 1: Clerkship Order LotteryMarch 19th - March 29th Enter preferences for ORDER

of 6 clerkships

• Step 2: Site Match LotteryApril 9th -April 19thEnter preferences for SITES

within clerkships (not Primary Care or Neuroscience)

Special Strategies(it really doesn’t matter!)

However, if you want………

• Don’t schedule ‘hard’ rotations back to back (eg. surgery, internal medicine, OB)

• Don’t schedule things you think you are interested in first or last

Why do Neuroscience Clerkship in Year 3 instead of Year 4?

• If you think you might be interested in neurology or neurosurgery as a career choice

• If you want elective time to try out other specialties that you don’t see in Year 3 (eg. Radiology, Surgical specialties, Pathology, etc. but NOT emed)

• If you need more vacation time in year 3 for something (eg. Weddings, babies, etc.)

Disadvantages of Doing Neuroscience in Year 3

• You commit yourself to an 8wk clerkship during the 4th year that must be completed by Jan/Feb of your senior year

• It could “clutter” up important parts of Year 4 (eg. Specialty surveying, application period, extramural electives, interviewing, board study, etc.)

POM III/IV

• POM III is composed of 6 full day sessions during the year, one during each clerkship block.

• POM III/IV requires a ‘research project’– start in Year III– finish at time of POM IV in

Year IV (March)

The EEEEE’s• E-value

– An electronic program designed for multiple purposes including tracking the diagnosis of patients you are seeing and procedures you are performing

– An LCME requirement!

• Evaluations of Clerkships– Provides invaluable information– Has resulted in many curricular

changes over the years

• Evaluations of Students– Shelf exams/Practical

exams/quizzes– Faculty evaluations

Clerkship Evaluation Form

• Cognitive Skills• Clinical Skills• Information Presentation• Professionalism

– Honesty/Integrity– Responsibility/Reliability/

Dependability– Teamwork– Empathy– Commitment to Competence and

Excellence– Respect for Patients

• Global Rating

What else do you want to know?