1 / 43

Introduction to the Junior Year

Introduction to the Junior Year. WELCOME !!!. KEY MESSAGE for the CLINICAL YEARS. Your actions make a difference in patient care!. Clinical years are radically different from prior schooling!. Expect to be more like a physician rather than a student! Critical features include:

scott
Download Presentation

Introduction to the Junior Year

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Introduction to the Junior Year WELCOME!!!

  2. KEY MESSAGEfor the CLINICAL YEARS Your actions make a difference in patient care!

  3. Clinical years are radically different from prior schooling! Expect to be more like a physician rather than a student! Critical features include: • being able to adapt • being part of the team • demonstrating professional behavior • communicating effectively

  4. We’re talking radically different! M3 & M4 years are an “apprenticeship.” You learn the art and science of medicine by assisting the health care team in providing care to patients. Essentially, this is your first job as a physician!

  5. The bad news You will work extremely hard. You will work many more hours than ever before. You are at the bottom rung of the health care ladder. This is a very unfamiliar situation.

  6. The good news!! Providing care for patients is extremely rewarding!! The participation in patient care promotes very active learning. You will learn more about medicine (and yourself) than ever before. You will be extremely well prepared for internship and beyond.

  7. Clinical Years Students simultaneously both learn and practice the roles inherent in the profession of medicine. • Science and Art • Academic and Professional

  8. Spend your time on clerkships, which are very different from “school” Spend full days in the hospital or outpatient clinic (physically & emotionally demanding, but very rewarding) Rotations go year-round Often present 7 days a week On call or overnight shifts Study time remains intense, but you must learn to work it into your busy schedule Self education is critical

  9. What is expected Faculty will be looking for: • reading • weighing evidence• ability to make decisions and justify them • core personal & professional values • acceptance of responsibility • large amounts of self- learning all in the context of patient care.

  10. Advice • anticipate a major shift in responsibility • prepare for self-monitoring & self-education • actively look for opportunities to develop the skills the faculty are seeking

  11. M3 Year has Grades!! Honors High Pass Pass Fail

  12. Grades in M3 Year • Society and the Faculty expect excellence. • A pass grade signifies excellence and indicates that the student is appropriately progressing to the high expectations that society places on our profession. • Pass is the majority grade in the M3 year.

  13. Grading Components Performance based evaluations are the core of the profession: “Clinical Evaluations” Formal quantitative evaluations are supplementary: e.g. exams, papers Primary responsibility for grading rests with faculty Residents/Interns have input in grading

  14. Clinical Evaluations The considered judgment of your performance level. • Application of Knowledge • Skills • Attitudes • Level of Professionalism

  15. Recommended Percentages • Honors and High Pass grades are awarded based on performance that is above the excellence level. • 15% - 20% - Honors • 40% -45% - High Pass

  16. Clinical training takes place in many hospitals and other outpatient sites University of Michigan Hospitals Veterans Administration Hospital UMMC Outpatient Sites Chelsea Community Hospital St. Joseph Mercy Hospital Major sites for M3 clerkships:

  17. Transportation Reliable transportation is necessary in the 3rd and 4th years (the bus system is not adequate) Lack of transportation is not a rationale for placement in Ann Arbor During a clerkship, you may be required to go to a site that is not your “home” site

  18. Parking Parking is difficult for everyone • Patients • Faculty • Staff • As well as students Parking for students at the University of Michigan is very LIMITED URL: http://www.med.umich.edu/medstudents/ Under: Student Life; Parking Sometimes there are parking coupons available for off-site (out of Ann Arbor) students returning for required lectures. More information on these will be given during your clerkship orientations.

  19. Housing at Off-Site Locations Family Medicine sites Toledo provides housing and meals Grand Rapids provides limited housing (no meals) Students generally request Grand Rapids if they have family/friends in the area. (Students are not placed at any sites until housing arrangements have been worked out.) None – Commute to these sites: St. Joseph Mercy Hospital Neurology @ Jackson Remember: You are a guest!

  20. M1 & M2 Experiences have begun to prepare you for the Clerkships: Physical Diagnosis Fundamentals SPI Exercises Family Centered Experience Clinical Educator Sessions Cardiac, Pulmonary, Musculoskeletal and Neurological “Classics” M2 CCA – Feb 1,2,4,5, (2013)

  21. Help is Available Attending Physician Senior Resident Clerkship Director/Depart. Education Office Office of Medical Student Education: • Tamara Gay, M.D. • Eric Middleton, Ph.D. • Amy Tschirhart, M.A., LPC

  22. Professional Behavior is Paramount Examples of unprofessional behavior might include: • Inappropriate interactions with patients • Drugs and alcohol • Inappropriate dress (ppt) • Tardiness • Breach of patient confidentiality • Inappropriate interactions with staff and team • Untimely response to email/pages

  23. Extracurricular Activities M3 Clerkship Directors agree that the M3 year is a core year, and Clerkship time is essential. Time off for other extracurricular activities is not allowed: regardless of the merit of the activity. Societies/Volunteering Medical Meetings Extracurricular Educational Activities

  24. Guidelines for Absences • It is expected that you are present for all clerkship activities (the standard is 100% attendance) • It is your responsibility to notify the attending faculty of an absence • An absence should be arranged 3 months in advance (complete policy in handbook)

  25. Caveat: Progression through the clinical years is not automatic; progression depends on both academic adequacy and professional behavior

  26. You must convince the faculty that you are ready and able to be a competent physician in order to graduate in May, 2015

  27. Overview of the 3rd YearM3 year is devoted to required rotations on major disciplines Internal Medicine 12 weeks Surgery 8 weeks Pediatrics 8 weeks Obstetrics/Gynecology 6 weeks Psychiatry 6 weeks Family Medicine 4 weeks Neurology 4 weeks 48 weeks

  28. 2013-14 Clinical Calendar This calendar found on Page 22 of your M3 Handbook

  29. Clinical Calendar: by Period

  30. Holidays Memorial Day Independence Day Labor Day Thanksgiving weekend (Thursday through Sunday) Martin Luther King Day By default Holidays will begin at 11 PM the night before and end at 5 AM the day after

  31. M3 Longitudinal Curriculum Seminars in Medicine Series Feedback on Clinical Skills

  32. Seminars in MedicineMost Fridays 3-5 p.m.FORD AUDITORIUM • Allow multi-departmental presentations of material that crosses disciplines • Allow for classmate contact • Examples: • Acid-Base • Demystifying Malpractice • Management of Fluids and Electrolytes

  33. M3 Feedback on Clinical Skills (FCS) Designed to simulate a real clinical encounter • H&P with an SPI, ordering labs and radiology, writing a note, presenting the patient You will be observed by a faculty member and will receive feedback from both the faculty member and the SPI 2 sessions during the M3 Year You will be excused from clinical responsibilities to participate

  34. Other Curricular Considerations M4 CCA: May 2014 USMLE: Step 2 CK (Clinical Knowledge – 1 day multiple choice) Step 2 CS (Clinical Skills – ½ day practical) Summer/Fall 2014

  35. M4 CCAComprehensive Clinical Assessment Early in M4 Year A practical exam that tests the art and science of being a competent physician

  36. Component III 48 Week Calendar This calendar found on Page 23 of your M3 Handbook There will be a 3 week break following Period 8 (December 23, 2013– January 12, 2014)

  37. COMPONENT III CLERKSHIP SCHEDULING FORM 2013-14

  38. Schedules Preference work sheets are available today and will be available on line, Wednesday, December 12, at 8 AM Cindy Murphy in the Office of Student Programs will be available for questions tomorrow morning Submission is via the internet Deadline is TUESDAY, December 18 @ 5:00 p.m. URL: https://www.umms.med.umich.edu/srsched/

  39. Commencement of Junior Year, 2013 M3 Year begins with training sessions:Tues, May 7 – Friday, May 10 Specific orientation sessions for some Clerkships will also occur during that time (Neurology, Pediatrics and Internal Medicine) If you wish to start Period 1, attendance is REQUIRED. Period 1 begins:Mon., May 13, 2013

  40. Questions? Sequence of clerkships does not affect academic performance There will be an informal Lunch at noon, Tuesday, December 18th in MSI 3330. • Cyril Grum, M.D. • Cindy Murphy • Current M3 and/or M4 students

  41. There is not a sign in sheet for today. Questions??

More Related