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Welcome to the Third Year!. Warren Newton, MD MPH Executive Associate Dean for Education June 29, 2010. Objectives. Review the curriculum and its rationale, along with what’s new Give pearls for surviving and thriving

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Welcome to the third year

Welcome to the Third Year!

Warren Newton, MD MPH

Executive Associate Dean for Education

June 29, 2010


Objectives
Objectives

  • Review the curriculum and its rationale, along with what’s new

  • Give pearls for surviving and thriving

  • Describe natural history of specialty choice--how to start thinking about it

  • Start planning for fourth year…


Required msiii curriculum
Required MSIII Curriculum

  • Family Medicine (6 Weeks)

  • Internal Medicine

    • Inpatient (8 Weeks)

    • Outpatient (4 Weeks)

  • Obstetrics & Gynecology (6 Weeks)

  • Neurology (4 weeks)

  • Pediatrics (6 Weeks)

  • Psychiatry (6 weeks)

  • Surgery (8 Weeks)

  • Longitudinal Tracks/Asheville, Charlotte/MD-PhD

  • MSIII and IV: Intro to Acute Care


AHEC

  • 40% of Clinical Rotations

  • Provide:

    • Comparable clinical experience

    • Faculty devoted to teaching

    • More hands on experience

    • Exposue to different hospital systems


Grading
Grading

  • Shelf Exam

  • Clinical Feedback/Evaluations

  • OSCE/Other Evaluations

  • End of Year (CPX, NBME II MK/CS)


Where we want you to be at the end of the year core competencies
Where we want you to be at the end of the year: core competencies

  • Medical Knowledge

  • Clinical Care – H/P, Technical Skills

  • Communication

  • Professionalism

  • Practice Based Learning

  • System Based Practice

  • Management of Populations


Rationale
Rationale competencies

  • General Clinician

  • Active Learning

    • Patients → Read about

    • Get involved in Care

  • Breadth of Experience

    • Across Kinds of Patients/Specialties

    • Across Hospital Systems


What s new for 2010 2011
What’s new for 2010-2011… competencies

  • Transition Course

  • More coordination of content across courses

  • OSCE’s in FM/MED/Surg--spread to OB/GYN

  • Developing clinical skills curriculum: ICM, Clerkships, CPX

  • One 45—web based evaluation

  • Piloting Clinical Log (tracking) and Lecture Capture

  • Exploring and improving comparability and appropriate differences


New support for students
New Support for Students… competencies

  • Berryhill/Exercise Lounge

  • Pagers/CPOE at UNC

  • Campus Director/Director of Undergraduate Education at Asheville (Heck), Charlotte (White), Greensboro (Fields), Wake (Perry), and Wilmington (Darrow)

  • Improved student services for MSIII on rotations across the state


Academic difficulty
Academic Difficulty competencies

  • 5-10% of Students

  • Differential Diagnosis

    • Test Taking

    • Clinical Skills

    • Professionalism Issues

  • Get In Touch With Us


Rules for living
Rules for Living competencies

  • Keep in touch: Advisors, Dean Dent, Student Affairs Staff; day backs

  • Financial Aid Check In

  • Student Health – Remember Waiver

  • Laptops—OIS walk in if here, or email Jake Achey

  • Physical Difficulties--

    • Communicate With Course Directors early if you have a chronic medical condition

    • 80 Hour Work Rule for students

    • Third year rotations in 2009-2010


Specialty choice

Specialty Choice competencies


Natural history of specialty choice
Natural History of Specialty Choice competencies

  • 50% at Beginning of third year (1/2 will change)

  • 75% by April Next Year

  • 5-10% Will Apply in > 2 Specialties

  • 5% Will change in first Year of Residency


Choosing your specialty timeline
Choosing Your Specialty/Timeline competencies

  • Early January 2011 – Information Session

  • College Advisors vs Career Advisors

  • MS IV Summer/Fall

    • NBME CPX, Part II MK/CS

    • Audition Electives

  • Dean’s Letter Deadline – early fall 2011—College advisors will write

  • Remember letters of recommendation – Identify people this year


Choosing specialty
Choosing Specialty competencies

  • MSIII: Kinds of patients, settings, procedures

  • National picture – increasing numbers of applicants for stable number of slots

  • Look at specialty competitiveness

    • UNC Data Available

  • Talk to Career Advisors

  • Keep current in changes in medicine: payment, GME slots, workforce and other planning


Year iv requirements
Year IV Requirements competencies

  • Critical Care

  • AHEC AI

  • Integration Selective

  • Advanced Practice Selective

  • Electives


Year iv rationale
Year IV Rationale competencies

  • Specialty Choice/Application

  • Advanced Skills

  • Schedule Flexibility

    • For electives, special interests

    • For Boards and Interviewing


Special interests
Special Interests competencies

  • International Research or Service experiences

  • Scholarship/Research Electives

  • Teaching Opportunities

  • Unique electives


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