required basic science courses in the first two years basic science courses in the first two ......
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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