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Scheduling of Clerkship/Courses for Years 3 and 4 Advisor Selection/Responsibilities

Practical Information. Scheduling of Clerkship/Courses for Years 3 and 4 Advisor Selection/Responsibilities. Scheduling of Clerkships. Core Goals To successfully navigate the web site for scheduling of Year 3 and 4 clerkships/courses and selection of an advisor

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Scheduling of Clerkship/Courses for Years 3 and 4 Advisor Selection/Responsibilities

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  1. Practical Information Scheduling of Clerkship/Courses for Years 3 and 4 Advisor Selection/Responsibilities

  2. Scheduling of Clerkships Core Goals To successfully navigate the web site for scheduling of Year 3 and 4 clerkships/courses and selection of an advisor To successfully craft with your advisor both a preferred and an alternate clerkship schedule for Years 3 & 4 of clinical education which includes all required courses/clerkships and the necessary “hands-on” elective credits

  3. Scheduling of Clerkships Core Objectives for Scheduling/Advisor Selection • Outline requirements to start rotations in Year 3 • Describe requirements for graduation from Medical School • List all required clerkships with number of weeks/credits needed for graduation • Describe requirements for elective credits needed for graduation and what constitutes “hands-on” credits • Outline dates for RPAP application, advisor selection, scheduling using the lottery, and Transition Day • List four main responsibilities of a Clinical Program Advisor

  4. Specialty series Advisor selection Schedule selection (lottery) Advisor approval required Transition Course (required) USMLE Step 1 Board Exam Fall (Sept), Year 2 January, Year 2 February (late), March Year 2 April, Year 2 May, June (Year 23)  end of Period 2 (mid-August) Overview of Important Dates — Years 3, 4

  5. Beginning of Year 3 or 4 (Intersession) Last Monday (May) or First Monday (June) Required clerkships Year 3 (Medicine I, Pediatrics) Residency Information day March-April, Year 3 Career selection – residency Spring, Year 3-Summer, Year 4 Overview of Important Dates — Years 3, 4

  6. Interviews-residency programs Fall  Year 4 MSPE (Dean’s letter) Summer  Sept 1, Year 4 ERAS, letter – complete November 1(submit),Year 4 Clinical Competence June-October, Year 4 Assessment (CCA)-OSCE Residency interviews Regular Match: November thru early Jan (December)Year 4; Early Match:October- November,Year 4 Overview of Important Dates — Years 3, 4

  7. USMLE Step 2 CK, CS Match Day Transition to residency Graduation Before February 1 (CK) or December 31(CS), Year 4 Third Thurs of March, Year 4 During Graduation week First Friday of May, Year 4 Overview of Important Dates — Years 3, 4

  8. Important Upcoming DatesClass of 2013 EventDate RPAP Application - Submitted November, 2010 - Interviews Jan (D), Jan (TC) - Selection February, 2011 Advisor Selection January 17-21, 2011 Select/Schedule Clerkships March 7-11(R), 21-25 (E), 2011 (Independent Learning Times) Advisors Approve Schedules March28-April 4, 2011 Transition Day (Required) April 15 , 2011 (Friday) • Must register for USMLE Step 1 exam before access to on-line scheduling system • Must take USMLE Step 1 exam before end of Period 2 (Year 3)-mid August

  9. Curriculum Requirements for Graduation • Required Courses/Clerkships – Must pass ALL Courses/Clerkships • Must pass all Year 1 and 2 Courses before entering into Year 3 • Must have 76 Credits for Graduation (Maximum of 85 Credits for non-RPAP, 95 Credits for RPAP Students) • 56 Credits –Required Clerkships • 20 Credits –Elective (at least 8 “hands-on”) • Must pass USMLE Step I, Step II CK and CS Board Examinations to graduate

  10. Required Courses/Clerkships Years 3 and 4 Courses Length MED 7500 (Medicine I)6 weeks MED 7501 (Advanced Medicine/Medicine II)6 weeks ADPY 7500 (Psychiatry)6 weeks OBST 7500 (Obstetrics/Gynecology)6 weeks PED 7501 (Pediatrics)6 weeks

  11. Required Courses/Clerkships Years 3 and 4 Courses Length SURG 7500 (Surgery) 6 weeks FMCH 7600/ Dept-7700 or 7701 8 weeks Family Medicine Clerkship (FMCH 7600) 4 weeks Primary Care Selective Clinics in Family Med, Medicine, Pediatrics, Med/Peds, MNCEP-NO 4 weeks NEUR 7510 (Neurology) (adult) 4 weeks EMMD 7500 (Emergency Medicine) 4 weeks Medicine or Surgery pre-requisite

  12. Required Courses/Clerkships Years 3 and 4 Courses Length Surgical Specialty Selective(s) (4-week block) 4 weeks 4 weeks in one or 2 weeks in two of four: (sequential, non-sequential) Neurosurgery (7200) Otolaryngology (ENT) (7200) Urology (7200) Orthopaedic surgery (7200) (general, pediatrics, sports) TOTAL 56 weeks 1 week = 1 credit

  13. Required Clerkships – Twin Cities, Duluth Campuses • Both • Medicine I • Obstetrics/Gynecology • Surgery • Pediatrics • Family Medicine Course, Primary Care Selective Clinics • Orthopaedic Surgery • Neurology • Emergency Medicine • Twin Cities only • Medicine II • Psychiatry • Neurosurgery • Otolaryngology • Urology

  14. Clerkship SchedulesSuggestions/Hints

  15. Family Medicine Clerkship (FMCH 7600) (4 weeks) Primary Care Selective Clinics (4 weeks) Fam Med (FMCH 7700) Medicine (MED 7700) Med-Peds (MED 7701) Peds (PED 7700) MNCEP--NO Primary Care Clerkship

  16. Family Medicine Clerkship (FMCH 7600), Clinics in the Primary Care Selective • Each is 4 weeks, Each is Required, Each is a Separate Lottery Selection • Do NOT need to take sequentially, may take in Year 3 or 4 • Sites: Twin Cities, Duluth, Greater Minnesota • Clinics: Family Medicine (FMCH 7700), , Medicine (MED 7700), Med/Peds (MED 7701), Pediatrics (PED 7700) • MNCEP (rural ambulatory clinic)-NO longer available • Do NOT need a prerequisite but recommend Med I or Peds • Take one or both before Step 2 CS if possible • RPAP students- opt out of both • May take UCAM (12 weeks: 3 four week periods sequentially) • Sign up for UCAM as the UC site (FMCH 7600, FMCH 7700) and FMCH 7511 as elective (third month)

  17. Scheduling Required Clerkships 6 Weeks Medicine I-10:00pm Pediatrics-Call Medicine II-10:00pm Ob/Gyn-Call Psychiatry-no call Surgery-Call 4 Weeks Emergency Medicine (Block hours including nights) Neurology-site specific call Surgical Specialties (NSG, OTO, Ortho Surgery, Urology) One (four weeks) or Two (two weeks each)-no or minimal call 8 Weeks Family Medicine Course (4weeks), Clinic(4 weeks) inPrimary Care Selective-no call TOTAL: 56 Weeks = 56 Credits Be careful with scheduling clerkships back to back that have call Note—Sub-internships (electives)—Call is common

  18. Curriculum PlanningSchedulingElectives in Year 3 and 4 • 20 weeks (20 credits) = electives (over 180 courses) • 8 weeks direct patient interaction or “hands-on” in Twin Cities greater Minnesota or Duluth (hospital, clinic/office) • Does NOT include radiology, laboratory medicine, research, elective away for credit, international rotation • 12 weeks available for research • Can NOT earn credits and be paid • 6-12 weeks available for Elective Away for Credit including international electives (flexible) • RPAP students • 2-8 weeks for electives

  19. Subinternships Dermatology Anesthesiology Radiology Ophthalmology Cardiology Research Orthopaedic surgery International medicine Family medicine rotations UCAM Indian Health Service Elective away Laboratory - data interpretation Common Electives (over 180 available)

  20. Curriculum PlanningSchedulingYear 3 and 4 Medical Students • 23 weeks of Free Time - leave time in fourth year (interviews, USMLE Step 2, special projects, electives away, international) • Medical education • Research • Other • Two weeks vacation

  21. “Tracks” or Pathways-Flexibility • Second degree (e.g., MD/PhD, MD/MPH, MD/MBA, MD/MS-informatics, MD/MS - biomedical engineering- -all 1 year; MD/JD (2 years) • RPAP (36 credits total)-MetroPAP (pilot) • Required courses (all students) - 22 credits: • Medicine I (before RPAP) – 6 weeks • Advanced Medicine/Medicine II – 6 weeks • Psychiatry – 6 weeks • Neurology – 4 weeks

  22. Rural Physician Associate Program (RPAP) • 35-40 students (2 students-MetroPAP) per year, 9 months with preceptor in Greater Minnesota (North Memorial-Broadway Family Medicine) • Period 4 (Year 3) through Period 1 (Year 4) • Apply in November-December, Year 2 • Must take at least two required clerkships (12 credits strongly recommended, 10 credits ifextenuating circumstances and permission of Directors of RPAP and ClinicalAdvising) before RPAP begins (October) • Medicine I plus second required clerkship • Lottery for Duluth students at Duluth sites – 12 students (Medicine I) • Contacts: Bonnie Peterson, Genne Fritts; Kathleen Brooks, MD (MetroPAP) • Third elective rotation in Duluth (B. Peterson), in Twin Cities (lottery) MUST OBTAIN CREDIT FOR ALL REQUIRED CLERKSHIPS TO GRADUATE MUST PASS STEP 1(score “in hand”) BEFORE RPAP BEGINS

  23. RPAP • May opt out—24 credits (weeks) maximum*: • Family Medicine Clerkship/Primary Care Selective Clinic—8 weeks (all) • Surgery – 6 weeks (most) • Pediatrics* – 6 weeks (selected sites)-not MetroPAP • Ob/Gyn* – 6 weeks (selected sites, otherwise before RPAP) • Orthopaedics and/or Urology* – 2 or 4 weeks (selected sites) – both or one – counts as one opt out-not MetroPAP • Emergency Medicine* – 4 weeks (selected sites) *Note: Opt out courses dependent on site, educational experience and approval of RPAP director, preceptor, advisor, department head and Director of Clinical Advising

  24. Required Courses in the Twin CitiesYear 3 and 4 • RPAP students • Medicine II (Advanced Medicine) (6 weeks) • Psychiatry (6 weeks) • Neurology (4 weeks) • Pediatrics, Ob/Gyn, Surgical Specialties, Emergency Medicine-Twin Cities or Duluth if not taken at site • Take courses with specialty residents when possible • Encourage 8 weeks of elective credits in the Twin Cities • “Hands on” requirement waived for RPAP, MetroPAP students

  25. RPAP Applicants Applications Due: Nov-Dec., 2010 Interviews: January, 2011 (Duluth) January, 2011 (Twin Cities)

  26. Evaluation System - 2008 • Competencies • Patient care • Interpersonal and communication skills • Professionalism • Medical knowledge • Practice-based learning • Systems-based practice • Competence – overall (50-60% of grade) Rating scale Below expectations, Meets expectations , Above expectations, Far exceeds expectations

  27. Areas to Address or Discuss with Advisees Update — GRADES • Review evaluations - grades • Residency selection: grades/evaluations in required courses • Grading (required courses only)-annual • Honors: up to 30% • Excellent: 30-60% • Satisfactory: 20-30% • Evaluation (faculty of student; student of faculty, rotation) • Electronic • Linked to scheduling system

  28. Years 3 and 4 Scheduling System • Accessible from any PC that has Internet access — available, flexible, fast, efficient and effective • Guards against favoritism when students select periods, sites for setting up their clerkship (lottery system) • Empowers students to design their own experience in medical school - FLEXIBILITY • Ensures that students schedule courses correctly (all required clerkships are to be scheduled before electives) • Provides staff an easy way to track students’ locations

  29. Access to Course Scheduling www.meded.umn.edu Current Students, Years 3, 4 Course Registration Demonstration / Instruction

  30. Scheduling LotteryMarch, 2011 • Number of groups: 10 • Students per group: 20-24 • Time period per group: 15 Minutes • Independent Learning Times-3 half days • March 7-11 (required), 21-25 (elective), 2011 • Number of rounds: 15 • Select one REQUIRED course per round 11 rounds • Select remaining electives 4-5 rounds

  31. Clerkship Schedules-Suggestions/Hints • Year 3 usually begins last Monday in May-excludes 3 week intersession (May) • Transition Workshop – April • STRONGLY ENCOURAGE you to take required clerkship(s) during Period 1 and/or 2 of Year 3 (before or after taking Step I)-DONOTneed to take USMLE Step 1 first • USMLE Step 1: take end of Year 2, early year 3 but MUST TAKEBEFORE end of Period 2 (early to mid-August) • To Take Step l exam after Period 2 concluded –need extenuating circumstances plus advisor’s signature and permission of Director of Clinical Advising or Associate Dean for Students and Student’s Learning • MUST Register for Step I before access to on-line scheduling system • MUST have score “in hand” to extend beyond 18 credits (weeks)--cannot start course/rotation if 18 weeks falls within course. • MUST pass all courses plus USMLE Step I, Step II CK and CS exams to graduate

  32. Other Scheduling Suggestions/Hints • Take Required Courses/Clerkships in Year 3 (as many as possible): • Career specialty selection--maximal information • Take required clerkship(s) in Period 1and/or Period 2 of Year 3-strongly encouraged-do NOT need to take USMLE Step 1 first • Allows time for interviews (Year 4) – December, early January (Oct, Nov-early Match) • Grades, evaluations available for residency interviews (Year 4) • Letters of recommendation--easier to obtain • Electives, research projects, electives away for credit, international health in Year 4--Flexibility • USMLE Step 2 CK, 2 CS preparation (Year 4)

  33. Scheduling for Years 3 and 4 • Take REQUIRED courses/clerkships in periods 1 and 2 of year 3 • Better site selection • Avoids problems at the end of 4th year • May assist in USMLE Step 1 Examination • Stable numbers of students across periods is valuable to the sites and faculty for educational experiences • Goal is to have a full complement of students in all the required clerkships during periods 1-2 • Drs. Thompson/ Watson will consider exceptions for educational reasons or personal emergencies (in writing)

  34. Scheduling Suggestions/Hints Step 2 CK, CS Exams • Take USMLE Step 2 CK and CS after most required courses are completed, but beforeFebruary 1 (CK) or December 31 (CS) of Year 4 • Medicine I & II(?), Pediatrics, Surgery, Ob/Gyn, Family Medicine Clerkship/Primary Care Selective (before 2 CS), Neurology/Psychiatry, Emergency Medicine (if possible, before 2CS) • Military students – mid-September, early October, Year 4 • MUST pass both exams to graduate • - Difficult tests – take seriously and prepare

  35. Clerkship SchedulesSuggestions/Hints • Regular Match--Leave time for residency interviewing from mid Nov-early Jan (DECEMBER) of Year 4 • Early Match--Leave time for residency interviewing in Oct-Nov of Year 4 (Neurosurgery, Ophthalmology, Urology) • 0.5 day/week (3days per 6 weeks) off allowed in REQUIRED COURSES for interviewing, illness days– preceptor permission; NOT personal holidays • NOT ALLOWED to take any required course/clerkship with or without shelf exam in Period 8 of Year 4 without permission from Dr. Watson, Perkowski or Thompson.

  36. Clerkship Scheduling Suggestions/Hints • Adhere to cancel/add deadlines (5-7 weeks before each period begins) • No changes two weeks prior to the start of a course/ clerkship except in extreme emergencies • Do NOTplan to change schedule past the deadline to accommodate interview time — time is built into the schedule specifically for that purpose

  37. Clerkship SchedulingSuggestions/Hints • Research, elective away for credit • To receive credit for these courses, the course MUST be on your schedule prior to participation and the correct forms must be COMPLETED and filed with the Curriculum Office

  38. Forms to be Downloaded for Completion www.meded.umn.edu • INMD application/evaluation (elective away for credit) • Research application/evaluation - elective • Change of advisor • ERAS

  39. Please complete and submit the forms EARLY for electives away for credit, research and international rotations— retroactive credit will NOT be given

  40. Student Swapping of Clerkships/Courses • Student run • Scott Davenport, G. Fritts, T. Thompson do NOTdo swaps • Will help with required clerkship swaps if difficulty and if submit: • ID numbers of both students needed • Swap periods, sites, and course numbers for both courses • e-mail from BOTH students approving swap

  41. Clerkship SchedulingSuggestions/Hints • CANNOT take same course twice  University policy (unless failed course) • CANNOT vary length of course/clerkship predetermined for educational purposes • Encourage you to take required course(s) in Period 1 and/or 2 of Year 3--do NOT need to take USMLE Step I first. • MUST take required courses, direct patient care or hands-onelectives at University of Minnesota Medical School (Twin Cities, Duluth, greater Minnesota) • CANNOT take Med I and Med II in sequence or at same site • CANNOT receive retroactive credit for research, elective away — turn in forms at least six weeks early • Clinical Competence Assessment (CCA)-required (Pass, Fail)-June-Oct, Year 4

  42. Clerkship Scheduling - Lottery • Clerkship, site of choice, period: Put in first (often MedI) • “Come prepared with several schedules –clerkships may be filled” • Family Medicine Clerkship and Clinics in Primary Care Selective replace Primary Care Clerkship (PCC); both are required courses; do NOT need to be sequential (similar to surgical specialties); MNCEP-not available • UCAM: Select FMCH 7600 and FMCH 7700 early (if strong desire to take UCAM-- sign up for it as the UC site and FMCH 7511 as elective (3rd month) • Grading at sites now more similar with more central oversight • Follow cancel-add deadlines. • Monitor the scheduling system for openings—multiple “hits” or changes; contact colleagues to switch (student run swap)

  43. Clerkship Scheduling – Lottery “You will get the courses you need to graduate”! “You will get into your career specialty residency, despite your schedule”! Take time off for interviews “ALL WILL WORK OUT IN THE END”!!! Do NOT stress out

  44. Curriculum Changes for 2010-2011 • NO required courses in period 8 unless approved by Drs. Perkowski, Watson, or Thompson. • MNCEP (Rural Ambulatory Specialty Clinic)—NOT Available • MetroPAP (pilot)-2 students • Clinical Competence Assessment (CCA), OSCE-Required in Year 4 (June-October, Pass/Fail) • New Advisor System for incoming Year 1 students • Emergency Medicine— Remains Required Course • Scheduling (required)—Shorter time period (1.5 days)-independent learning times; electives (1.5 days)

  45. Medicine I (6 weeks), II (6 weeks) (Advanced) Sites—2011/2012 Medicine I ONLY: Abbott Northwestern Duluth (SMDC, St. Luke’s) Medicine I, II BOTH: HCMC Regions UMMC, Fairview VAMC

  46. Obstetrics/Gynecology (6 weeks) Sites2011/2012 Duluth (SMDC, St. Luke’s) Allina (Coon Rapids-Mercy) CentraCare – St. Cloud HCMC John Haugen and Associates – Edina Methodist Ridgeview – Waconia North Memorial Regions UMMC, Fairview Unity

  47. Pediatric Sites (6 weeks)2011/2012 Duluth (SMDC) Children’s – St. Paul Children’s – Minneapolis HCMC UMMC, Fairview (UMACH)

  48. Psychiatry Sites (6 weeks)2011/2012 Anoka HCMC Regions UMMC, Fairview VAMC

  49. Surgery Sites (6 weeks)2011/2012 Duluth (SMDC, St. Luke’s) Abbott Northwestern Children’s – Minneapolis HCMC Methodist North Memorial Regions UMMC, Fairview VAMC

  50. Surgery Specialty (2 or 4 weeks) – Orthopedic Surgery, 2011/2012 Duluth (SMDC) Gillette Regions TRIA UMMC, Fairview

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