Community based faculty meeting curriculum update
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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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Community based faculty meeting curriculum update

Community Based Faculty Meeting Curriculum Update

May 10, 2014


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


Randomized controlled trials in pubmed

Randomized Controlled Trials in PubMed


Meta analyses in pubmed

Meta-Analyses in PubMed


Community based faculty meeting curriculum update

“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


First year

First Year


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


Second year

Second Year


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


Curriculum comparison

Curriculum Comparison


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%


Community based faculty meeting curriculum update

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


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