Orientation August 26-28, 2014

1. The MDCM Curriculum PATIENT AT HEART, SCIENCE IN HAND OrientationAugust 26-28, 2014 Dr. Robert Primavesi Associate Dean Undergraduate Medical Education (UGME)

2. Official Welcome

3. Orientation

4. Wednesday, August 27

5. The MDCM Curriculum PATIENT AT HEART, SCIENCE IN HAND An Overview of the McGill Medical Curriculum Robert Primavesi, MDCM, FCRP(EM) Associate Dean Undergraduate Medical Education (UGME)

6. Objectives • About the Class of 2018 • About the Associate Dean UGME • About the Curriculum • About Fundamentals of Medicine & Dentistry • About Evaluation • About Academic Policies • About Professionalism

7. McGill Medicine Class of 2018

8. McGill Medicine Class of 2018 BORN IN 28 COUNTRIES • Algeria (1) • Brazil (1) • Canada (130) • China (15) • Congo (1) • Egypt (2) • France (4) • Haiti (1) • Hong Kong (1) • India (1) • Iran (5) • Iraq (1) • Ireland (1) • Lebanon (1) • Nigeria (1) • Romania (2) • Russia (1) • Saudi Arabia (1) • Senegal (1) • Singapore (2) • Slovakia (1) • South Africa (1) • South Korea (3) • Syria (2) • Taiwan (1) • UAE (1) • Uruguay (1) • USA (6)

9. McGill Medicine Class of 2018 DEGREES • B SC (Kinesiology) • B SC (Nutritional Science) • B SC (Physical Therapy) • B SC (Rehabilitation Science) • Bachelor of Agricultural Sci. • Bachelor of Agriculture • Bachelor of Arts • Bachelor of Arts and Science • Bachelor of Biochemistry • Bachelor of Biology • Bachelor of Bio-science • Bachelor of Commerce • Bachelor of Electrical Eng. • Bachelor of Engineering • Bachelor of Fine Arts • Bachelor of Kinesiology • Bachelor of Laws • Bachelor of Medical Science • Bachelor of Medicine • Bachelor of Nursing • Bachelor of Physio.Therapy • Bachelor of Sci (Engineering) • Bachelor of Science • Bachelor of Science (Nursing) • Bachelor of Social Sciences • Doctor of Philosophy • Doctor of Science • French Baccalaureate • Master of Arts • Master of Biology • Master of Business Admin • Master of Health Science • Master of Medicine • Master of Public Health • Master of SciAppl, PhysTher • Master of Science • Master of Science Applied

10. Robert Primavesi, MDCM, FCFP(EM) • BSc Physiology (McGill 1981) • MDCM (McGill 1985) • Ronald Douglas Naymark Memorial Award, 1985 • Established by the McGill Medical Class of 1984 to recognize the member of the graduating class who in the eyes of his/her peers most enriches the life of the class • Family Medicine (MGH 1987) • Senior House Officer (New Zealand 1987/88) • CCFP(EM) (McGill 1990)

11. Robert Primavesi, MDCM, FCFP(EM) • Assistant Physician, Department of Family Medicine, 1990 – • Assistant Physician, Department of Pediatrics, 1994 – • Director, Department of Emergency Medicine MGH, 1998 – 2007 • Faculty Development, Department of Family Medicine, 1992 – 2011 • Faculty Honour List for Educational Excellence, 2010 • Interim Accreditation Review Coordinator, 2010 • Associate Dean UGME, 2011 - • Emergency Program Committee CFPC, 1999 - • Chair CME, Canadian Association of Emergency Physicians (CAEP), 2010 - 2014

12. Robert Primavesi, MDCM, FCFP(EM) Bangkok 2013 Wilderness Tours 2014

13. Associate Dean UGME Student advocate

14. Associate Dean UGME Public safety Student advocate

15. Associate Dean UGME • To help you become the best possible physicians and dentists

16. What is a Good Physician?

18. Why curricular renewal? 1994 - Nelson Mandela Elected President of South Africa 1997 - Scientists Clone Sheep 1997 - Princess Diana killed in an automobile crash 1999 - Global population reaches 6 billion 2000 - AT&T Introduces Text Messaging 2001 - The launch of Wikipedia 2002 - The Euro enters circulation 2003 - Human Genome Project Completed 2004 - Google Goes Public 2004 - Facebook is launched 2006 - Twitter is launched 2007 - Launch of Apple's iPhone 2009 - The mouse genome is fully sequenced 2010 – Earthquake hits Haiti 2010 - Apple debuts the iPad 2011 - Global population reaches 7 billion 2013 – Nelson Mandela dies

19. 2010

20. Toward a New Curriculum Recommendations • Address societal needs • Ensure educational excellence • Require teaching by physicians with McGill appointments • Promote life-long learning • Provide early clinical exposure • Counter the “hidden curriculum” • Develop centrally managed curriculum • Learn interprofessional teamwork

21. The Future of Medical Education in Canada (FMEC-MD) 10 recommendations for UGME education • Address Individual and Community Needs • Enhance Admissions Processes • Build on the Scientific Basis of Medicine • Promote Prevention and Public Health • Address the Hidden Curriculum • Diversify Learning Contexts • Value Generalism • Advance Inter- and Intra-Professional Practice • Adopt a Competency-Based and Flexible Approach • Foster Medical Leadership

22. Objectives • Accreditation Requirement: A balanced, standardized curriculum with central oversight • MCC Clinical Presentations • Knowledge and skills common to all physicians • Identify attributes expected of medical graduates • Defined in behavioural terms • Reflect the MCC’s expectations of competent physicians based on CanMEDS roles • Adopted as MD CM Medical Expert learning objectives • http://apps.mcc.ca/Objectives_Online/

23. Toward a New Curriculum Attributes of The McGill Medical Graduate • Stage-appropriate clinical expertise • Physicianship (healing and professionalism) • Effective communication skills • Interprofessional skills & the ability to be part of a team • Critical thinking and decision-making • Adaptation to changes in practice, technology and societal needs • Understanding of the health care system and the role of public health • Through independent work the understanding of scholarship

24. Curriculum Components • Fundamentals of Medicine & Dentistry (FMD) • Transition to Clinical Practice (TCP) • Clerkship • Physicianship / Physician Apprenticeship http://www.mcgill.ca/new-mdcm/

25. Curriculum Themes • Basic Sciences • Diversity • Evidence Based Medicine • Family Medicine Longitudinal Experience • Indigenous Health • Interprofessionalism Learning • Patient Safety • Physicianship • Public Health • Research • Student Wellness and Career Advising

26. The MDCM CurriculumFundamentals of Medicine & Dentistry • Block A: Molecules to Global Health • Normal and abnormal presented in tandem • Integration of Physicianship topics • Teaching of clinical skills (Clinical Method) • Longitudinal Family Medicine Experience (LMFE) • Quintile organization of the class • Reflection and Evaluation (R&E) weeks

27. Fundamentals of Medicine & Dentistry (FMD)

28. Fundamentals of Medicine & Dentistry (FMD-1) Dr. Colin Chalk Component Director Anna Lee Senior Administrative Coordinator colin.chalk@mcgill.ca fmd.med@mcgill.ca

29. Fundamentals of Medicine & Dentistry (FMD-2) Dr. Colin Chalk Component Director Sunita Mathew Administrator colin.chalk@mcgill.ca fmd2.med@mcgill.ca

30. EvaluationFundamentals of Medicine & Dentistry • Pass/Fail is the only mark that appears on your transcript • We keep track of numerical grades for prizes, scholarships, & identifying students in difficulty • Each unit has its own grading scheme • Attendance at lectures is usually not compulsory • Attendance at labs and small groups is usually mandatory and usually forms part of your mark

31. EvaluationFundamentals of Medicine & Dentistry • You must have > 60% in each Block /course to pass FMD-1 • and> 60% in each component of a Block / course (e.g. exam, small group, assignment) to pass the Block / course • You will be invited to meet with the Associate Dean UGME if you fail any component of any Block / course

32. Student Affairs Dr. Namta Gupta Assistant Dean for Student Affairs Elizabeth Lefebvre Career Advisor namta.gupta@mcgill.ca careeradvisor.med@mcgill.ca

33. Leave of Absence Policy • For absences < 1 day resulting absence from non-mandatory lectures, it is the student's responsibility to cover the material; • For any absence that would involve missing a small group session or examination, the student must • request an absence by following the procedure outlined on the UGME website: http://www.medicine.mcgill.ca/ugme/academicpolicies/evalpromo_leaves_en.htm • Phone (514-398-8358) or e-mail Anna Lee • Supplemental learning activities or make-up assignments are usually required.

34. For Anglophone Students • All formal courses are conducted in English • Many patients are primarily French-speaking • You may be assigned to hospitals where the language of work is French (e.g. Douglas, LaSalle, Gatineau) • You will be expected to be functional in French by the time clinical rotations begin (January of second year) • Saturday morning workshops are available for medical French – see your orientation package or UGME website http://www.medicine.mcgill.ca/ugme/curriculum/frenchcourse_en.htm

35. Bienvenueà nosétudiants/étudiantesfrancophones • Tous les étudiants on le droit de rédigerleursexamens, leursthèses et mémoiresdansl’uneoul’autre langue, saufdans les coursdontl’un des objectifsprimordiauxest la connaissanced’une langue • Extracurricular English language courses are recommended if your English language skills are weak http://www.medicine.mcgill.ca/ugme/studentservices/languagecourse_en.htm

36. Immunizations • To assure that students are not exposed to undue health risks and do not pose a risk to their patients, upon starting medical and dental school students must provide evidence of appropriate vaccination according to the information provided by the McGill Student Health Service: http://www.mcgill.ca/studenthealth/forms/medicalstudents

37. Student Records • Medical Students: You must register with the Collège des médecins du Québec (CMQ) as a studentmember and you are bound by its Code of Ethics. Deadline for registration isSeptember 30. • A schedule for witnessing of documents (birthcertificate) has been included in your orientation bag. Wewill have a Commissioner of Oaths on site.

38. Student Records Silvana DiLolloSenior Administrative Officer Student Records Coordinator silvana.dilollo@mcgill.ca studentrecords.med@mcgill.ca

39. Top 10 Most Trusted Professions • Firefighters: 89% • Pharmacists: 82% • Airline Pilots: 82% • Nurses: 81% • Doctors: 74% • Teachers: 67% • Veterinarians: 67% • Armed Forces: 64% • Dentists: 63% • Daycare Workers: 60% Readers Digest Canada, May 2013

40. Professionalism Importance of factors in determining trustworthiness Ipsos-Reid poll December 2006

41. Professionalism • Physicians and dentists have to be trustworthy • Our faculties take academic integrity and behaviour very seriously • Unprofessional behaviour is recorded and can appear on your student record and/or letters required for residency application • We do not distinguish between academic and conduct probation, because conduct is as important as your knowledge and technical skill • Falsification of data, stealing, chronic tardiness and irresponsibility have been reasons for students to be requested to leave the Faculty

42. We Want You to Enjoy Being a Medical or a Dental Student • The human body and mind are fascinating topics • There are many varied careers in medicine • It is a privilege to be a physician and to be able to care for others • The good times are far outweigh the bad times

43. Get Involved

44. It’s all on the UGME website! • www.medicine.mcgill.ca/ugme • UGME Adminstrative Staff: http://www.medicine.mcgill.ca/ugme/staff/admin_en.htm • Associate Dean UGME: adugme.med@mcgill.ca

45. Not Sure Where to Start? Dannie Moronval Student Affairs Coordinator Jessica Ward Receptionist studentaffairs.med@mcgill.ca 514-398-3519 recep.med@mcgill.ca 514-398-1768

46. Welcome ~ Bienvenue Reception 514-398-1768

48. Orientation

49. Orientation

50. Orientation