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Community Based Faculty Meeting Curriculum Update . May 10, 2014. History of Medical Education. Prior to 1920: Apprenticeship 1920-1960: Standardization and scientific investigation Emphasis on the patient and their presentation Case studies and case series

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History of medical education
History of Medical Education

Prior to 1920: Apprenticeship

1920-1960: Standardization and scientific investigation

  • Emphasis on the patient and their presentation

  • Case studies and case series

    1960-2000: Genetic and molecular medicine

  • Emphasis on laboratory and imaging

  • Bench research and randomized controlled trials

    2000-present: Comprehensive physician

  • Integration of scientific background and patient presentation

  • Clinical productivity

  • Comparative effectiveness, patient safety, ethics




“He who studies medicine without books sails an uncharted sea, but he who studies medicine without patients does not go to sea at all.”

  • Sir William Osler


Our approach
Our Approach

  • Block schedule

    • One of the first medical schools to offer

  • Intensive, concentrated exposure to each area

    • Emphasis on patient presentations and management

  • Flexible afternoon scheduling

    • Basic science courses scheduled in the mornings


Curriculum goals
Curriculum Goals

  • Integrate biomedical and clinical science

  • Promote critical thinking

  • Develop problem-solving skills

  • Develop clinical reasoning skills

  • Apply a biopsychosocial model to patient care


Pre clinical years
Pre-Clinical Years

  • First two years of study

  • Hybrid Curriculum

    • Begin with essential principles of core knowledge

    • Integrated content based on organ systems

  • Focus on integrative thinking

    • Necessary for the clinical years of medical school

    • Successful modern physicians



Discipline specific
Discipline Specific

  • Anatomy

    • Core gross and microscopic anatomy

    • Integrated with embryology

    • Basics that will be further developed throughout the curriculum

  • Biochemistry & Genetics

    • Core biochemistry, genetics and cell biology

    • Biochemical and genetic inheritance

    • Actual patient clinical correlations of human disease


Foundations of disease infection therapeutics
Foundations of Disease, Infection & Therapeutics

  • Basis of all human disease

  • Integrated approach

    • Microbiology

    • Immunology

    • Pharmacology

    • Pathology

  • True “foundation” on which remaining courses will build


Neurosciences
Neurosciences

  • Nervous system functions in health and disease

  • Integrated approach

    • Neuroanatomy

    • Neurochemistry

    • Neurophysiology

    • Neurology

    • Neurosurgery

    • Ophthalmology

    • Otolaryngology


Behavioral basis of medicine
Behavioral Basis of Medicine

  • Introduction to psychiatric conditions

  • Integrated study

    • Psychiatry

    • Behavioral science

    • Pharmacology

  • Modes of treatment

    • Pharmacologic

    • Psychotherapeutic

    • Psychosocial


Introduction to clinical medicine 1
Introduction to Clinical Medicine 1

  • Longitudinal clinical experiences

  • Communication training and interviewing skills

    • Practice with “actor” patients, then with actual patients

  • Small-group seminars

    • Medical Humanities

    • Medical Ethics and Professionalism

    • Developmental Pediatrics

    • Geriatrics

    • Cultural and Social Aspects of Health Care

  • Evidence-Based Medicine



Organ system based courses
Organ System-Based Courses

  • Diagnostic and therapeutic approaches to disease

  • Integrative approach

    • Pathology

    • Physiology

    • Pharmacology

    • Histology

    • Radiology

    • Microbiology/Immunology


Integrative course
Integrative Course

  • Integrate knowledge among organ systems

  • Analyze multisystem diseases

  • Review material essential to licensing exam


Introduction to clinical medicine 2
Introduction to Clinical Medicine 2

  • Focus on physician skill set

  • Small group sessions

    • History-taking

    • Physical exam techniques

    • Ultrasound as an adjunct to physical exam

    • Clinical reasoning skills

  • Clinical Content

    • Medical Humanities

    • Medical Ethics and Professionalism

    • Cultural and Social Aspects of Health Care

    • Evidence-Based Medicine



Third year
Third Year

  • Broad exposure to major disciplines

  • Clinical exposure

    • Integrate pre-clinical learning into patient care

    • “Art of doctoring”

  • Balanced experiences

    • Involvement with patient care

    • Study

    • Assimilation of information


Third year curriculum
Third Year Curriculum

  • Clinical Neurosciences – Neurology & Psychiatry

    • Two separate four-week rotations

  • Family & Community Medicine

    • Four-week rotation

  • Internal Medicine and Emergency Care

    • Integrated 16-week rotation in inpatient and outpatient settings

  • Obstetrics & Gynecology

    • Four-week rotation

  • Pediatrics

    • Eight-week rotation

  • Surgery

    • Eight-week rotation


Fourth year
Fourth Year

  • Further development of clinical skills

  • Prepare for residency in their chosen specialty.

  • Curriculum

    • Acting Internships

      • Two four-week rotations, one primary and one secondary

    • Advanced Clinical Pharmacology and Anesthesiology

      • Four-week course

    • Intern Prep

      • Practical knowledge of the intern role

    • Elective rotations

      • Four four-week rotations

      • At the University of Kentucky or another approved site


Match 2014
Match 2014

  • 29, 671 residency positions in the Match

  • 17,374 US allopathic seniors in the Match

  • 1,662 previous US allopathic grads in Match

  • 2,738 US osteopathic students/grads in Match

  • 5,133 US citizens students/IMGs in the Match

  • 7,334 non-US citizens in the Match


Match 20141
Match 2014

  • 40,394 registered for the Match in 2014.

  • The Match offered 29,671 positions.

  • Overall match rate was 75%.

  • 94.4% of US seniors matched into a residency position, with 79% getting one of their top three choices.

  • 54% US seniors matched to 1st choice.

  • ~1000 unmatched US allopathic medical students at the end of the match


Uk match 2014
UK Match 2014

  • Of the graduating seniors, 37% are entering primary care specialties. Primary Care includes Family Practice, Internal Medicine, Pediatrics and Medicine-Pediatrics.

  • Of the graduating seniors, 31% elected to remain at UKMC, and another 4% are staying at programs in Kentucky.

  • Matched into 22 different specialties.


Uk match 20141
UK Match 2014

  • Top specialty choices for UK COM seniors were (listed in decreasing chronological order):

    • Internal Medicine 20%

    • Anesthesiology 12%

    • Pediatrics 8%

    • General Surgery 7%

    • Emergency Medicine 6%

    • Med/Peds, Neurology 5%

    • Radiology, Family Medicine, Orthopedic surgery 4%


Charles H. “Chipper” Griffith, MDSenior Associate Dean for Medical EducationUniversity of Kentucky College of [email protected]


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