Fourth Year Orientation

Class of 2012

January 18, 2011

Dr. Robert ShreveAssociate Dean for Medical Education

http://www.uthsc.edu/Medicine/OLSEN/

NO FOOD OR DRINK IN THIS ROOM

Check your UT email regularly

Topics

• Overview of Fourth Year

• Required Clerkships (N=6)

• Electives (N=4)

• Legal Issues Elective

• Step 2CK and Step 2 CS

• Scheduling Process

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PROCESS

2010

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2011

2012

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We are here

Overview of Fourth Year – 52 weeks

Clerkships Weeks

Ambulatory Medicine (14-4-3-1) 4

Senior Clerkship JI (Med) (10-3-4-1) 4

Senior Clerkship JI (Any) 4

Surgery Specialties (16-4-8) 4

Specialty Clerkship (16-3-2) 4

Patient Safety/QI longitudinal

M4 DRS/PCC longitudinal

Electives (N=4) 16

Option (N=3+1*) 12 (+4*)

Overview of Fourth Year

• 13 Blocks (each four weeks)

• 6 Required Clerkships (+ DRS/PCC)

• 7 Electives/Option (+1)

UT system or

Visiting (3 of 4 electives)

Can be taken in any block

• Four weeks vacation

• Step 2CK & Step 2CS (NLT Dec 31)

• M.D. Degree – May 25, 2012

Calendar

2011-2012

8-WEEK

BLOCKSSTART DATE END DATE 4-WEEK BLOCKS

5/62-May-11 27-May-11 5

30-May-11 24-Jun-11 6

7/827-Jun-11 22-Jul-11 7

25-Jul-11 19-Aug-11 8

9/1022-Aug-11 16-Sep-11 9

19-Sep-11 14-Oct-11 10

11/1217-Oct-11 11-Nov-11 11

14-Nov-11 16-Dec-11 12

1/23-Jan-12 3-Feb-12 1

6-Feb-12 2-Mar-12 2

3/45-Mar-12 30-Mar-12 3

9-Apr-12 4-May-12 4

5/6 7-May-12 1-Jun-12 5

4-Jun-12 29-Jun-12 6

7/8 2-Jul-12 27-Jul-12 7

30-Jul-12 24-Aug-12 8

Holidays*

Thanksgiving: Nov 19-27, 2011

Winter Break: Dec 17, 2011-Jan 2, 2012

MLK Day: Jan 16, 2012

Spring Break: March 31-April 8, 2012

* Holidays start at 5pm on the day prior to the holiday start date listed above. Students are to report

back to their clerkships on the morning following the holiday-end date.

Senior Clerkship - Junior Internship (JI) In Medicine (MED1-3002)

• Required

Don’t confuse with JI Any in Medicine

Can do MICU or Ward

• More experience in patient care

• Available in Memphis, Chattanooga, Knoxville, and Nashville

• No written examination

• Evaluation based on clinical performance

Senior Clerkship - JI ANY

• Required

• FM, Med, Neuro, Ob, Peds, Psych, Sur

• Includes:

EM at St. Francis for FM

ICU, EM, Cardiology and Heme/Onc in Med

Ob or Gyn

Adv Surgery, Trauma and SICU in Surg

Psych - Adult and Addiction No Child Psych

• Evaluation based on clinical performance

Surgery Specialties Clerkship (SUR1-3002)Required

(“Surgical Subs”)

• Ophthalmology, Orthopedics, Otolaryngology, and Urology

One week of each

• Memphis – NOT available Blocks 1, 6, 12

• Knoxville – available all blocks

• Chattanooga – available Blocks 4, 10

• Pass/Fail

• No absences allowed for interviews

Specialty Clerkship (SPE1-3001)Required

• One week of content area during 4 wk. block

Anesthesiology

Radiology

ICU

Palliative Care (no substitutions allowed)

• Pass/Fail

• Options:

If completed one month of Rad., Anesth., or ICU can substitute week of Cardiology or Infectious Disease

• Schedule early in year

Specialty Clerkship (SPE1-3001)Required, Cont’d

• Rad., Anesth., Monday-Friday, no evenings

• ICU - seven days, no call

• Palliative Care - may be On Call

• Memphis – All blocks in calendar year

• Knoxville/Chattanooga (SPE2-3001 or SPE3-3001)

tailored for students who are full-time there

Knox. – Blocks 2,10; Chatt. – 8, 11, 2, 5

• No absences allowed

• Longitudinal format

Complete by Jan. 13, 2012 extra opt. blk.

• Two Tracks

• On-line tools and techniques, modules

• Readings and questions

• Pass/Fail

• Access information via Blackboard

• Orientation - on-line; email in April with information

Patient Safety/Quality Improvement ClerkshipRequired

M4 DRS/PCC

• Required M4 course

• Longitudinal instead of Block

• Dr. Stephanie Connelly is Course Director

Electives

• Over 230 4-week electives in UT System

• Description of electives online:http://www.uthsc.edu/Medicine/Acad_Affairs/UME/Clerkships/Catalog.doc

• Some 2-week electives

• 12 weeks of electives allowed outside UT

System

Other colleges or international

• VSAS – Visiting Student Application System

VSASVisiting Student Application System

VSAS

• AAMC application designed to assist in applying for senior electives

US LCME medical schools

Independent academic medical centers

• Students submit a single application for all institutions

• Reduces paperwork, miscommunication, and time demands for students and staff

VSAS

Important note!

• New 2011-2012 host institutions will be added in Feb.

• New electives available after that date

• Students who log in before Feb. will only see 2010-11 host institutions

Elective Form http://www.utmem.edu/Medicine/Acad_Affairs/UME/Electives.pdf

• Download form

• Complete Sections I & II

• Get Department approval

• Get Office of Medical Education approval

• Submit to visiting college

Evaluation Formhttp://www.utmem.edu/Medicine/Acad_Affairs/UME/EVAL_FORM.pdf

•Download

•Give to Preceptor

•Visiting College submits

Legal Issues Elective

Carol Schwab, J.D.

Other Issues

• Changes in Schedule

30 days before block begins

Ruby L. Bland (rlbland@uthsc.edu) or 448-5697

• Spouse Away

• Step 2CK (NLT Dec 31)

• Step 2CS (NLT Dec 31)

• No absences for interviews in required clerkships

USMLE Step 2 Exams

• Step 2 CK (Clinical Knowledge)

Class of 2010 –

100% first-time pass rate (Nat. - 97%)

Mean = 233 (Nat. 230)

Class of 2011 – 141 scores; 98% pass rate; 234 mean

Prometrics

• Step 2 CS (Clinical Skills)

Class of 2010 – 96% first-time pass rate (Nat. 97%)

Class of 2011 – 77 scores, 99% pass rate

Overall 96% first-time pass rate

NBME Testing Centers

http://www.usmle.org/Orientation/2011/Menu.html

Step 2 CS

• 3 components –

Integrated Clinical Encounter (ICE),

Data gathering, patient note

Communication and Interpersonal Skills (CIS)

Questioning skills

Information-sharing skills

Professional manner and rapport

Spoken English Proficiency (SEP)

• 12 encounters, 15 min with SP, 10 min for write-up

• Locations:

Philadelphia Atlanta

Chicago Houston

Los Angeles

Step 2 CS (cont’d)

• Cost - $1120 (plus expenses)

• Schedule early

• One-year eligibility

• Can switch dates without charge 14 days prior

• Sept.- Dec. high demand time period

• Have to pass all three components of exam (ICE,

CIS and SEP)

CS Housing Options

• AAMC has negotiated favorable hotel rates in each of the five cities. (approx. $95-$150)

• May include pick up at the airport and transportation to and from the testing center.

• The rates are found at:

https://www.aamc.org/meetings/153904/clinicalskill

s_mtgs_homepage_teaser.html

Additional Information

• Strolling through the Match – Contact Debbie Hester

• Interviews ? Not during required clerkships

• May be subject to drug/urine screening at any clerkship

site

• Feb. 11th (3-4:00 pm)– Class 2013 orientation - need

some students to talk about Chattanooga/Knoxville

clerkship

VA Policy

• Complete paperwork for criminal background

check

• Fingerprinting – 2-4 weeks in advance

• PPD Skin Test – 2 negative within 12 months

University Health available in SAC 3:00-4:00

today, Thursday in 920 Plaza for reading

• Call Bobbie Morton (577-7255) in advance to

start paperwork

Core Clerkships

MUST

be completed

by the end of

2011-08

Odd Blocks

1.3.5.7.9.11

Even Blocks

2.4.6.8.10.12

#1

Ryan Smitherman

1/25/11 @ 8:15 AM

#154

Matthew Breeden

1/28/11 @ 4:15 PM

#1

Matthew Breeden

2/1/11 @ 8 AM

#154

Ryan Smitherman

2/4/11 @ 4:00 PM

Scheduling Process

Random Time Assignment

Scheduling times available tomorrow on OLSEN

Questions

Examples of Electives

• IDE1-5050/F LEGAL ISSUES IN HEALTH CARE

Course Coordinator: Carol A. Schwab, J.D., LL.M.

Location: Classroom instruction

Size: 16 students per Block - a minimum of 3 students is needed for the class to go forward

• FME5-3033/F JI – SENIOR CLERKSHIP IN EMERGENCY MEDICINE

Course Coordinators: Drs. Gregg E. Mitchell, Keith Ellis, Mike Revelle and Emergency Medicine Fellows

Location: Jackson-Madison

Size: 2

• NSG1-4010/F NEUROSURGERY

Course Coordinator: Dr. Jon H. Robertson

Location: METH/MED/LeBonheur

Size: 1 student per Block; up to 12 per year

• MED2-4130/F CLINICAL PULMONARY DISEASE-KNOX

Course Coordinator: Dr. Richard Obenour Location: University of Tennessee Medical Center (Knoxville)

Max Size: 2 students