Fourth Year Orientation

Class of 2011

January 20, 2010Dr. Robert Shreve

Associate Dean for Medical Education

http://www.utmem.edu/Medicine/OLSEN/

Check your UT email regularly!

New email address as of March1

abcd1@uthsc.edu

Topics

• Overview of Fourth Year

• Required Clerkships (N=6)

• Electives (N=4)

• Legal Issues Elective

• Step 2CK and Step 2 CS

• Scheduling Process

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PROCESS

2009

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2010

2011

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We are here

Overview of Fourth Year – 52 weeks

Clerkships Weeks

Ambulatory Medicine (14-4-3-1) 4

Senior Clerkship JI (Med) (10-3-4-1) 4

Senior Clerkship JI (Any) 4

Surgery Specialties (16-4-8) 4

Specialty Clerkship (16-3-2) 4

Patient Safety/QI (longitudinal or block) 4*

M4 DRS/PCC longitudinal

Electives (N=4) 16

Option (N=3+1*) 12 (+4*)

Overview of Fourth Year

• 13 Blocks (each four weeks)

• 6 Required Clerkships (+ DRS/PCC)

• 7 Electives/Option (+1)

UT system or

Visiting (3 of 4 electives)

Can be taken in any block

• Step 2CK & Step 2CS (NLT Dec 31)

• M.D. Degree – May 27, 2011

Calendar

2010-2011

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

5/63-May-10 28-May-10 5

31-May-10 25-Jun-10 6

7/828-Jun-10 23-Jul-10 7

26-Jul-10 20-Aug-10 8

9/1023-Aug-10 17-Sep-10 9

20-Sep-10 15-Oct-10 10

11/1218-Oct-10 12-Nov-10 11

15-Nov-10 17-Dec-10 12

1/23-Jan-11 28-Jan-11 1

31-Jan-11 25-Feb-11 2

3/428-Feb-11 25-Mar-11 3

28-Mar-11 29-Apr-11** 4

5/6 2-May-11 27-May-11 5

30-May-11 24-Jun-11 6

7/8 27-Jun-11 22-Jul-11 7

25-Jul-11 19-Aug-11 8

*** For Students in Class of 2012, Block 2011/04 ends Apr 27. Apr 28-29 required sessions in Memphis.Holidays*

Thanksgiving: Nov 20-28, 2010Winter Break: Dec 18, 2010-Jan 2, 2011

MLK Day: Jan 17, 2011 Spring Break: April 16-24, 2011 (**Tentative)

* Holidays start at 5pm on the day prior to the holiday start date listed above. Students are to report back to their clerkships on the morning following the holiday-end date.

Senior Clerkship - Junior Internship (JI) In Medicine (MED1-3002)

• Required Don’t confuse with JI Any in Medicine

Can do Med ICU or Ward

• More experience in patient care

• Available in Memphis, Chattanooga, Knoxville, and Nashville

• No written examination

• Evaluation based on clinical performance

Senior Clerkship - JI ANY

• Required

• FM, Med, Neuro, Ob, Peds, Psych, Sur

• Includes: EM at St. Francis for FM

ICU, EM, Cardiology and Heme/Onc in Med

Ob or Gyn

Adv Surgery, Trauma and SICU in Surg

Psych - Adult and Addiction No Child Psych

• Evaluation based on Clinical performance

Surgery Specialties Clerkship (SUR1-3002)Required

(“Surgical Subs”)

• Ophthalmology, Orthopedics, Otolaryngology, and Urology

One week of each

• Memphis – NOT available Blocks 1, 6, 12

• Knoxville – available all blocks

• Chattanooga – available Blocks 4, 10

• Pass/Fail

• No absences for interviews

Specialty Clerkship (SPE1-3001)Required

• One week of content area during 4 wk. block

Anesthesiology

Radiology

ICU

Palliative Care (no substitutions allowed)

• Pass/Fail

• Options:

If completed one month of Rad., Anesth., or ICU can substitute week of Cardiology or Infectious Disease

• Schedule early in year

Specialty Clerkship (SPE1-3001)Required, Cont’d

• Rad., Anesth., Monday-Friday, no evenings

• ICU - seven days, no call

• Palliative Care - may be On Call

• Memphis – All blocks in calendar year

• Knoxville/Chattanooga (SPE2-3001 or SPE3-3001)

tailored for students who are full-time there

Knox. – Blocks 2,10; Chatt. – 8,11, 2, 5

• No absences allowed

• Longitudinal format Complete by Jan. 14, 2011 extra opt. blk.

If not, Block 3 2011

• Two Tracks

• On-line tools and techniques, modules

• Readings and questions

• Pass/Fail

• Access information via Blackboard

• Orientation - April 30, 2010

Patient Safety/Quality Improvement ClerkshipRequired

M4 DRS/PCC• Required on-line orientation on Blackboard (info via email)

• Required and elective components

• Based on the CME/adult learning model - Total credits: 26

• Requirements: 14 credits Teaching Skills Workshop: 4

Teaching clinical skills (Monday): 4

SOAP Note Observation: 4

Course Evaluation Survey: 2

Electives: 12 credits Medicine and the arts book (4 each)

Health Policy modules (2 each)

Journal Club (2 each)

Legal Issues lectures (1 each)

CME if approved in advance

CPR instruction, etc.

Electives

• Over 230 4-week electives in UT System

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

• Some 2-week electives

• 12 weeks of electives allowed outside UT System

Other colleges or international

• VSAS – Visiting Student Application System

VSASVisiting Student Application System

www.aamc.org/vsas

VSAS

• AAMC application designed to assist in applying for senior electives US LCME medical schools

Independent academic medical centers

• Students submit a single application for all institutions

• Reduces paperwork, miscommunication, and time demands for students and staff

VSAS

Important note!

• New 2010-2011 host institutions will be added on Feb. 3rd

• New electives available after that date

• Students who log in before Feb. 3rd will only see 2009-10 host institutions

Elective Form http://www.utmem.edu/Medicine/Acad_Affairs/UME/Electives.pdf

• Download form• Complete Sections

I & II• Get Department

approval• Get Office of

Medical Education approval

• Submit to visiting college

Evaluation Formhttp://www.utmem.edu/Medicine/Acad_Affairs/UME/EVAL_FORM.pdf

•Download

•Give to Preceptor

•Visiting College submits

Legal Issues Elective

Carol Schwab, J.D.

Other Issues

• Changes in Schedule

30 days before block begins

Ruby L. Bland (rlbland@uthsc.edu) or 448-5697

• Spouse Away

• Step 2CK (NLT Dec 31)

• Step 2CS (NLT Dec 31)

• No absences for interviews in required clerkships

USMLE Step 2 Exams

• Step 2 CK Class of 2009 –

97% first-time pass rate (Nat. - 96%)

Mean = 232 (Nat. 229)

Class of 2010 – 140 scores; 100% pass rate; 232 mean

Prometrics

• Step 2 CS (7th class) Class of 2009 – 96% first-time pass rate (Nat. 97%)

Class of 2010 – 91 scores, 97% pass rate

Overall 96% first-time pass rate

NBME Testing Centers

http://www.usmle.org/Orientation/2010/Menu.html

Step 2 CS

• 3 components – Integrated Clinical Encounter (ICE),

Data gathering, patient note

Communication and Interpersonal Skills (CIS)

Questioning skills

Information-sharing skills

Professional manner and rapport

Spoken English Proficiency (SEP)

• 12 encounters, 15 min with SP, 10 min for write-up

• Locations:Philadelphia Atlanta

Chicago Houston

Los Angeles

Step 2 CS (cont’d)

• Cost - $1075 (plus expenses)

• Schedule early

• One-year eligibility

• Can switch dates without charge 14 days prior

• Sept.- Dec. high demand time period

• Have to pass all three components of exam (ICE,

CIS and SEP)

CS Housing Options

• AAMC has negotiated favorable hotel rates in each of the five cities. (approx. $95-$150)

• May include pick up at the airport and transportation to and from the testing center.

• The rates are found at:

http://www.aamc.org/meetings/clinicalskills/hotelrates/start.htm

Additional Information

• Integrative Medicine Workshop Apr 29, 8:00 am, SAC

• Strolling through the Match – Apr. 30, 2010

• Ps/QI Orientation – Apr. 30, 2010

• Interviews ? Not during required clerkships

• May be subject to drug/urine screening at any clerkship

site

• Feb. 12th – Class 2012 orientation - need some students

to talk about Chattanooga/Knoxville clerkship

VA Policy

• Complete paperwork for criminal background

check

• Fingerprinting – 2-4 weeks in advance

• PPD Skin Test – 2 negative within 12 months

• Call Bobbie Morton (577-7255) in advance to

start paperwork

Core Clerkships

MUST

be completed

by the end of

2010-08

Odd Blocks1.3.5.7.9.11

Even Blocks

2.4.6.8.10.12

#1Amerson Pegram

1/25/10 @ 8 AM

#144Heidi Griffith

1/28/10 @ 1:45 PM

#1Heidi Griffith

2/1/10 @ 8 AM

#144Amerson Pegram

2/4/10 @ 1:45 PM

Scheduling Process

Random Time Assignment

Scheduling times available tomorrow on OLSEN

Questions