INTRODUCTION to the THIRD YEAR

1. INTRODUCTIONto theTHIRD YEAR CLASS OF 2012 February 11, 2010 Office of Student Affairs Stritch School of Medicine

2. CLERKSHIP TRACK SYSTEM (CTS) Third year course requirements and options

3. MEETING’S GOALS • To de-mystify the process of clinical scheduling • To build positive anticipation • To allow you to plan

4. OBJECTIVES • To describe the clinical calendar • To explain the CTS and year 3 requirements and options • To review the track assignment process • To give you some guidance on ranking tracks • To provide an overview of the site assignment process

5. Today’s Meeting • NOT intended to prepare you for your role and responsibilities as a junior clerk • NOT intended to tell you what to expect on the floor

6. Third Year Calendar • Four Quarters/12 months total • Each Qtr = 12 weeks • One week vacation between quarters (end of Sept, December, March and June) • Christmas holiday break shorter than Yrs 1 & 2 • Participation in clerkships on day 1 and final exam date mandatory (plan travel accordingly)

7. First Week of Year Three • Tuesday, June 29 – Friday July 2nd • 3rd Year Orientation/Clinical Tools Workshops • Attendance required • Note this is a revision: week begins one day earlier than previously posted on SSOM calendar • Tuesday, July 6th • Clerkships start (attendance required). • Sat/Sun/Mon July 3/4/5 = holiday/free days

8. Handout Contents • Calendar of Important Events/Dates • CTS General Info • Lottery #’s • Chart of Clerkship Tracks • Past CTS Lottery Results • Third Year Calendar

9. CTS General Information • Third Yr CTS governs the order students take their required clerkships • Tracks assigned via a lottery process • Changes possible but very limited • CTS does NOT include site placement

10. CTS Chart

11. CTS FEATURES • Starts with orientation & a clinical skills workshop course prior to clerkship start • 16 tracks permit randomized sequence across clerkships • 9 or 10 Students per track: permits enrollment to be distributed evenly

12. Third Yr Core Clerkship Requirements • Medicine (12 wks) • Surgery (12 wks) • Fam Med (6 wks) • OB-Gyn (6 wks) • Pediatrics (6 wks) • Psychiatry (6 wks)

13. Required Clerkship Sequencing • Any core clerkship may occur first • None are prerequisite to any other • Sequencing not directed toward specific career paths • Each track guarantees all 6 core clerkships • Peds/OB & FM/Psy coupled

14. Third Year Elective Option • Available to a limited number of students • Limited to certain specialties • Details later in program

15. Other Yr 3 Requirements • PCM-3 Seminars (Approx 8 offered/ dates TBA) Representative Topics (subject to change): • Business, Professionalism & Justice I & II • Physicians & Hospitals • US Health Care System • Professional Development • Global Health • Law & Medicine • US Health System • End of Life Care I & II

16. Other 3rd Yr Requirements (Continued) • Medical Humanities • Ethics Grand Rounds (four required for graduation) • Ethics Case Paper (due in first week of fourth year, July 2011)

17. CTS Lottery Rules and Process • Lottery numbers computer generated • You cannot sell or trade your number! • Track ranking form is on myLUMEN • Rank Form due Thurs, March 11th. • Assignments posted in late March

18. Lottery process (continued) • Rank all tracks • Once the lottery is drawn, trading of complete tracks or individual clerkships is allowed for a limited time - see “CTS General Info” for rules • Changes in sequence also may be possible by petition to Reg. & Records

19. Ranking Tracks... • Different tracks fit different individuals’ needs • You can do well in any track • Every core Dept. is prepared for rookies • All trainees are new in July (UG and Grad) • Clinical skills & knowledge are evaluated on sliding scale during the year

20. Ranking… (continued) • Summer: You’re learning the ropes • Fall & Winter: Work well for interest areas • Spring: Planning fourth year courses; performance should show solid growth & ability

21. You might consider • The ebb and flow of rigor & type of work • More challenging/more inspiring sequencing • With whom do you study/share study resources • Personal issues (partner’s schedule, commitments) • Avoiding crowd mentality about “perfect” tracks • Talking to your advisor

22. Myth:There are easier/ harder rotations • Reality: • It differs by season (everything may be difficult in the summer) • It differs by site, pt. load, acuity level • It differs because of team work ethic & style • It differs by your own motivation & what you put in to each clerkship

23. Good advice • Be prepared to make the most of every rotation - even those that seem sub-optimal • Plan to stay focused and involved every month - you can’t turn commitment and enthusiasm on/off during 3rd yr and be successful • Don’t pick a track around your ski trip dates or good weather activities

24. Focus on “big picture” • The track sequence is NOT critical • Don’t get hung up about when every clerkship falls • Pick one or two key points relevant and important to your own needs and work those features into your top track picks

25. Special Situations to consider in Yr 3 scheduling • Touch base with Dean Mendez or Dean Wronski if you are • in the military scholarship program • seeking to transfer to another school • anticipating a yr 2 remediation schedule • dealing with other significant academic commitments or concerns • attempting to juggle personal priorities and school • Faculty advisors and SAS advisors are good resources for advice

26. Lottery chances based on lottery number • Past track placements: • 65-75% of the class typically receives 1st, 2nd or 3rd choice track • Students with lower lottery numbers have captured top choice tracks in the past

27. Site Assignment Process • Clerkships must be taken at sites specified by SSOM • Sites assigned by lottery, with one Wild Card option: • Peds, Psych, Fam Med, OB-Gyn and Medicine (for 1 of the months) • Assignments done by placement: • Surgery & 2 of the 3 Medicine months • TRACK LOTTERY NUMBER DOES NOT APPLY TO SITE LOTTERIES

28. Site Assignments... • July assignments made approx. in May • Students submit site preference; once made, assignments are BINDING • Subsequent lotteries occur about 3 - 6 weeks prior to start of each clerkship • Follow policies governing site placements (provided in late March)

29. Site Assignments... • You will need good, reliable personal transportation. Your daily schedule may not permit car pooling. • Your decrepit, rusted-out, 1997 car with four bald tires will not exempt you from being assigned to more distant sites.

30. Site Requirements... Your immunization must be current This includes Heptavax completed and titer drawn TB must be current Drug testing may be required (we pay) CBC may be required (student pays)

31. Site Requirements... Hines VA ID Do before end of June Complete necessary paperwork and go over there for photo ID if you have not already done so

32. Third Year Elective Option • Purpose: to offer exposure to certain specialties for students considering these disciplines as a career • Electives offered for specialties that don’t exist in required clerkship program

33. Elective Fields • Otolaryngology Diagnostic Radiology • Neurology Emergency Medicine • Neurosurgery Orthopedics • Ophthalmology Pathology • Urology Physical Med & Rehab • Anesthesia Plastic Surgery • Dermatology Radiation Oncology (Some of these also may be options within the Surgery clerkship)

34. Eligibility & Ground Rules • Good standing/no clerkship deficiencies • Applications must be filed; available in November • Must be taken in 2nd half of 3rd year • Limited space in each elective • Must be taken within Loyola, not away

35. Where does the elective fit? • Bumps a 3rd year clerkship or part of a 3rd year clerkship to the summer of year 4: • 4 wks of Surgery Clerkship OR • 4 wks of Medicine Clerkship OR • One six week required clerkship (fam med, peds, OB, psych)

36. OTHER IMPORTANT INFO • Don’t say you weren’t told…

37. Please Note: • Exams must be taken at their assigned time No exceptions (Christmas cheap airfare dates included!) • Exam times float – may be in A.M. or P.M. • Daily attendance in Yr 3 & 4 is MANDATORY • Day one on each clerkship is crucial • Sat/Sun attendance may be expected on some services at some sites (i.e. 6 day work week) • On-Call every 4th night, often less frequently

38. Other Important Info • Booklist will be published • Third year clerks will need both long and short white coats worn according to the service assignment

39. E-documents to follow • Site assignment procedures & wild card process • List of course directors and staff, sites, specialty services

40. Important Dates • March 11th: Track Rank Form due • LateMarch: Assignments posted • Approx May 2010: Submit site choices for July assignment (stay connected with SSOM email!)

41. Important Dates • Tuesday, July 6th: • Clerkships start (Attendance required) • Tues., June 29th – Fri., July 2nd: • 3rd Yr Orientation/Clinical Tools Workshops (Attendance required) Please note this is revision: orientation begins a day earlier than previously posted on calendar.

42. Submitting your Track Preferences • Go to myLUMEN> myInformation> Clerkship Tracking Sys.> Third Year Track Ranking Form Ranking Form due March 11th • If you encounter any problems, contact Julie Steinecker (jsteinecker@lumc.edu)

43. Questions? Advice/suggestions: Faculty Advisors Best wishes as you plan for Year Three! Office of Student Affairs