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UW school of Medicine Curriculum 2013

Michael J. Ryan. MD

Associate Dean for Curriculum

Required Basic Science Courses in the First Two Years

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First Year Courses

Microscopic Anatomy

Nervous System

Introduction to Clinical Medicine

Anatomy and Embryology

Medical Information for Decision Making (MIDM)

Microbiology and Infectious Disease

Mechanisms in Cell Physiology

Musculoskeletal System

Introduction to Immunology

Biochemistry

Systems of Human Behavior

Additional Coursework

Preceptorships8 week (4 hours/week)

mentoring experience

in a clinical site

required in year 1,

elective in year 2.

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Summer between years 1,2

June - September Independent Investigative Inquiry (III)

Independent Investigative Inquiry (III)Selective 1: Data Gathering/Hypothesis-driven Inquiry

a basic laboratory study, a survey, secondary analysis of an existing dataset, a chart review, a qualitative study or a prospective clinical trial.

Selective 2: Critical Review of the LiteratureA critical review of the literature -a hypothesis then published material to derive an answer.

Selective 3: Experience-driven inquiryAn experience-driven investigation of an issue while participating in either the R/UOP, IHOP, programs.

Selective 4: Special Simulation Selectivework with the Institute for Surgical & Interventional Simulation (ISIS).

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Second Year CoursesPathology

Introduction to Clinical Medicine

Cardiovascular System

Urinary System

Respiratory System

Cases in Clinical Ethics

Principles of Pharmacology

Clinical Epidemiology

Hematology

Molecular and Cellular Basis of Disease

Genetics

Medicine Health & Society

Hormones and Nutrients

Brain and Behavior

Reproduction

Gastrointestinal System

Skin System

White Coat Ceremony

Transition to Clerkships

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Clinical Curricular Requirements

Clinical Curriculum Family Medicine (6 weeks) Internal Medicine (12 weeks) Obstetrics/Gynecology (6 weeks) Pediatrics (6 weeks) Psychiatry (6 weeks) Surgery (6 weeks)Required clinical clerkships ( third or fourth year): Emergency Medicine (4 weeks) Rehabilitation Medicine/Chronic Care (4 weeks) Neurology (4 weeks)

Surgery Selectives (4 weeks)Other electives (16 weeks)

UWSOM: three options

Traditional program

Track

WRITE

BonnersFerry

Note: Alaska not to scale

Sandpoint

SaintMaries

Moscow

Grangeville

Salmon

Driggs

Mountain Home

Jerome

ShoshoneRupert

Preston

Blackfoot

American Falls

Council

EmmettCaldwell

Nampa

BoiseFam

IntMdOb/GPsychSurg

IntMdFam

Orofino

X

A

X

McCallW

Hailey

W

Plummer

Payette

Cascade Challis

Mud Lake

Arco

Gooding

Fam

Bozeman

Superior

RonanLibby

Whitefish

Cut Bank

Shelby

Choteau

Havre

HelenaDeerLodge

DillonEnnis

Livingston

Red Lodge

Big Timber

Harlowton

Columbus

Lewistown

Glasgow

Sidney

Wolf Point

Glendive

Miles City

Fam

Peds

Fam

IntMd

Missoula

XBillings

IntMdFam

Fam

ABelgrade

Butte

Kalispell

Laramie

Cheyenne

CasperFam

Fam

Rawlins

Newcastle

Graybull/ BasinSheridan

Torrington

Green River

Thermopolis

Montpelier

FerndaleBellinghamAnacortes

Darrington

EverettForks Pt. Townse

ndShelton

Bremerton

E. Grays Harbor

ShoalwaterBay Tribe

Cathlamet

Mt. Vernon

Vancouver

Toppenish

Wenatchee

Othello

OdessaEllensburg

YakimaWapato

Grandview

Tonasket

Omak

Chewelah

Friday Harbor

OlympiaMadiganUS Army

Tacoma

Spokane

Pullman

Fam

Ob/G

IntMd

X Ob/G

IntMdPeds

IntMd

Psych

Ob/GPeds

X A

Fam

Fam

Fam

5 x

Seattle

PsychFam

7 x

FamFam Fam

Moses Lake

Tulalip Tribes

Garfield County

South Bend

Federal Way

Sunnyside

Cle Elum

ColvilleFam

X

ColumbiaCounty

Asotin County

Colfax

White SalmonFam

Puyullap

Republic

ARenton

Pt. Angel

es

FamGoldendale

Fam2 x

Pasco

MortonOb/GPeds

Fam

Fam

A

PedsPeds

Peds

PocatelloFamFamPeds

Peds

Powell

IntMd

IntMd

Jackson

Buffalo

Afton

Lander

Riverton

Saratoga

Ob/G

Rock Springs

Wheatland

Juneau

Kodiak Island

Kotzebue

Metlakatla

Petersburg

Sitka

HainesCordova

Glennallen

Seward

Valdez

PalmerWasilla

KenaiSoldotna

Naknek

Fam

Dillingham

Nome

Homer

AFamOb/G

PsychInt

Md

Peds

FamBethel

W

Plains

Ob/G

Stevensville

Fam

Fam

W

WW

Mossy Rock

GilletteWor

land

Cottonwood

Lewiston

Weiser

Fam

Wrangell

Surg

W

W

W

Cody

Kemmerer

Coeur d’Alene

Sun Valley

Prince of Wales Is.

White Sulphur Springs

Sundance

Malad City

Conrad

Ephrata

Ekalaka

BonnersFerry

Meridian

Ob/G

Ob/G

Douglas

Galena Fairbanks

PolsonThompson Falls

Colstrip

Poplar

Fort BentonChattaroy

Walla Walla

MattawaWestport

Longview

Woodland

AuburnEnumclaw

KettleFalls

Great Falls

Heart Butte

Eureka

Fam

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The W.R.I.T.E. Program

five-month program with a primary care preceptor in a rural area

Longitudinal experience

First set of rotation done at other sites

 

 

Write Third Year Schedule 

               

BREA

K             

BREA

K             

     

BREA

K                       

BREAK             

                             

BREA

K 

BREA

K             

Medicine  8  Peds  3  OB/Gyn   6  Family Medicine  6  Peds  3 Medicine 4  Electives 4 PBSCI 3

Electives Medicine 4 Peds 3PBSCI 3  Family Medicine  6 OB/Gyn   6 Peds  3  Medicine  8 

Electives Medicine 4 Peds 3PBSCI 3 Family Medicine  6OB/Gyn  6  Medicine  8 Peds 3 

Surgery  6 

Surgery  6 

Surgery  6 

PBSCI 3

PBSCI 3

PBSCI 3

Traditional Third Year Schedule

 

07‐04‐11 

07‐11‐11 

07‐18‐11 

07‐25‐11 

08‐01‐11 

08‐08‐11 

08‐15‐11 

08‐22‐11 

08‐29‐11 

09‐05‐11 

09‐12‐11 

09‐19‐11 

09‐26‐11 

10‐03‐11 

10‐10‐11 

10‐17‐11 

10‐24‐11 

10‐31‐11 

11‐07‐11 

11‐14‐11 

11‐21‐11 

11‐28‐11 

12‐05‐11 

12‐12‐11 

01‐02‐11 

01‐09‐11 

01‐16‐12 

01‐23‐12 

01‐30‐12 

02‐06‐12 

02‐13‐12 

02‐20‐12 

02‐27‐12 

03‐05‐ 12 

03‐12‐12 

03‐19‐12 

03‐26‐12 

04‐02‐12 

04‐09‐12 

04‐16‐12 

04‐23‐12 

04‐30‐12 

05‐07‐12 

05‐14‐12 

05‐21‐12 

05‐28‐12 

06‐04‐12 

06‐11‐12 

                                         

                                         

                                         

Family Medicine   6  Surgery  6  Pediatrics  6 OB/Gyn  6 Psychiatry  6 Medicine  12 Elective Period  6 

Pediatrics  6  OB/Gyn  6  Psychiatry  6 Medicine  12 Elective Period  6 Family Medicine  6 Surgery  6 

Surgery  6  Pediatrics  6  Psychiatry  6 Elective Period  6 Family Medicine  6 Medicine  12OB/Gyn  6

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Sample weekly WRITE schedule

Mon Tues Wed Thurs Fri Sat Sunday

Internal med

Surgery Internal med

Fam med Ob-gyn ED call ED call

Psych Fam med Off Pediatrics Pediatrics Ed call ED call

Match Day

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Recent efforts

Increased focus on USMLE step 1

Integration of courses address any potential gaps

reduce unnecessary redundancies

Increase active learning

Spokane 2nd year pilot

Curriculum Renewal

USMLE Step 1 Efforts

Funding for all 2nd year students have access to Q Bank

Funding a full time learning specialist

Board prep course Majority taught by students how have taken the test

Review all final exams with the course chairs for quality. Goal: test items in board format

Integration of courses path, pharm incorporated into other course

Schedule earlier finish to increase time for board prep

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UW SOM USMLE Step 1 results: 98.8% pass rate

Spokane Pilot: Guiding Principles

1. Learning objectives inspired by USMLE list of topics

2. Emphasis on professionalism and pre‐class preparation

3. Enlightened use of high‐quality textbooks

4. Optimize classroom time with active learning in small‐groups

5. Few lectures, if any

6. Group of 10 students escorted throughout the year by 2 alternating clinicians (Guides)

7. Integration of Pathology and Pharmacology into systems courses

8. Daily use of clinical cases

9. Daily use of USMLE‐style questions

10. Emphasis on meaningful clinical experience

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Spokane: Course layout

First Semester

Week 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Block Introductory Blood and Vasulature Urinary and Pulmonary

Than

ksgiving

GI and Nutrition

Course

Ethics

Clin

ical Epi

Pharmacology

Pathology

Heme

CV

Urinary

Pulm

onary

GI / Nutrition

Second Semester

Week 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Block Endo  and Repro Derm and Rheum

Spring Break

Neuro and Psych Gen PH

Course

Endocrinology

Rep

roduction

Derm

Rheu

m

Neuro

Brain & 

Behavior

Gen

etics

MHS

Reasons for curriculum renewal

Last curriculum review 1998; implemented 2002 Changes in medical school admissions exam

(MCAT) and medical licensing exam (USMLE) Changes in residency admission

requirements Continuous changes in biomedical

knowledge, medical information technology, and patient care

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Curriculum Renewal

What we teach Explosion of medical and

scientific information Explosion of information

technology Enhanced patient

knowledge and understanding

Changes in the roles of physicians in rapidly evolving healthcare system

How we teach Increase active learning Increase curricular

flexibility Integrate the curriculum

vertically and horizontally Allow students to

individualize their training Integrate critical thinking,

information management, techniques for lifelong learning throughout the curriculum

Some Recommended Changes Starting with an immersion experience Shortened Foundations phase Block courses incorporating multiple disciplines and themes A meaningful longitudinal clinical experience during Foundations Potential changes as to where Foundations is taught A defined boards review block Earlier entry into clerkships Competency-based rather than purely specialty-based clerkships Increased participation in longitudinal integrated clerkships Intersessions in Foundations and Patient Care Re-examination of scholarly project requirement Expansion of specialty specific components

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Current UWSOM curriculum

1st year 2nd year 3rd year 4th year

11 Basic Science Courses

Introduction to clinical medicine (ICM) I

Preceptorships

At UW:17 organ- systemscience courses

ICM II

Preceptorships

Required clerkships:

6 clerkships over 42 weeks

Required clerkships:

4 clerkships over 16 weeks

Elective clerkships –4 clerkships over 16 weeks

New UWSOM curriculum

ScientificFoundations Phase

Clinical Foundations Phase

Career Preparation & Scholarship Phase

Medical sciences w/ clinical integration 15 months

Meaningful clinical experience

Our UW Culture

Required clerkships

Integrated basic science

Specific rotations in Seattle

Career exploration

Specialty- specific preparation

Research & scholarship

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Thank you