Year 3-4 taskforce report. Faculty Members: Jennifer Cox, Shelly Holmstrom, Laura Haubner, Drew Keister (LVHN), Barbara Lubrano, Dawn Schocken, Jamie Shutter , Frazier Stevenson, Kira Zwygert Student Members: Alicia Billington, John Emerson, Byron Moran, Nishit Patel OEA staff:
March 24, 2010
ED-13. Clinical instruction must cover all organ systems, and include the important aspects of preventive, acute, chronic, continuing, rehabilitative, and end-of-life care.
ED-14. Clinical experience in primary care must be included as part of the curriculum.
ED-15. The curriculum should include clinical experiences in family medicine, internal medicine, obstetrics and gynecology, pediatrics, psychiatry, and surgery.
ED-16. Students' clinical experiences must utilize both outpatient and inpatient settings.
Improve integration of learning exercises related to contemporary issues in medicine
Improve coherence in the design of year 4
Adopt pedagogy to:
Ensure student familiarity with:
Unplanned redundancy between clerkships
Sense that students were unable to care for undifferentiated patients
Poor communication between departments/ clerkships
Lack of mid-clerkship feedback for students
Assessment of students only involved written examinations; lack of assessment of clinical skills in many clerkships
Third Year: Six 8-week rotations
Internal Medicine, Psychiatry, Surgery, Family Medicine, Pediatrics, OB/Gyn
Fourth Year: Two required rotations
Neurology (4 weeks)
Critical Care (8 weeks)
“All health professionals should be educated to deliver patient-centered care as members of an interdisciplinary team, emphasizing evidence-based practice, quality improvement approaches, and informatics.”
IOM’s Committee on Health Professions Education
Positives: year 3
Challenges: year 3
How can we:
Students assessment should focus on material actually covered in the clerkship
Make use of NBME custom exams when available
Assessment should not detract from the clinical experience (exam fatigue)
CPX and other CACL exams should reflect actual clerkship objectives and, if possible, simulate USMLE 2CS conditions and grading.
Recommended Goals for Students
Recommendation: (for June, 2010)
Rationale for recommendations