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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
slide5

“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%
slide33

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

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