%202009%20june%202008.ppt" classsenior clerkship

Senior Clerkship

Class of 2009

June 16, 2008

Dr. Joyce Pickering

Agenda:

Electives policy Surgical subspecialty rotation Physicianship/Professionalism on Dean’s letter Medicine and Society Month Basic Science Seminar vs. clinical elective Residency applications:

• Missing time for interviews

• American match

MCCQE 1 review sessions

Electives policy

Total 20 weeks electives in the curriculum (4 weeks in core clerkship, 16 weeks in senior clerkship)

This does not count summer vacations or the winter vacation/CaRMS interviews month.

You must complete a minimum of 18 weeks of electives to graduate

This “18 week minimum rule” is intended to accommodate students who may only be able to get three week electives and are left with one week that they can’t “fill”, or other scheduling difficulties.

Suggestion: Do electives “up front”, in case scheduling difficulties arise.

Electives policy

Reminder

Electives must be done from at least 3 different disciplines.

Minimum length of elective is two weeks – (maximum 4 of two week electives).

General Rule: choose electives so that you also appear attractive to your second choice specialty.

Senior Clerkship - Class 2009 2008/2009 Sequences June 30-July 27 Vacation

Jul 28- Aug 24 2008

Aug 25- Sept 21

Sept 22 Oct 19

Oct20 Nov16

Nov17-Dec14

Dec 15 Jan 11 2009

Jan12- Feb8

Feb9- Mar 8

Mar9- Apr 5

Apr 6 Apr 26* 2009 (3 weeks)

1.

SS Elec 1 GERI Elec 2 Elec 3 ER Vacation/ Interviews

Phys. 4 (Med and Society, Public Health)

TMS/ Seminar option Anat. For Surg./ Elective 4

Study Time

2.

Elec 1 SS Elec 2 ER. GERI Elec 3 Vacation/ Interviews


TMS/ Seminar option Anat. For Surg./ Elec 4

Study Time

3.

ER Elec 1 SS Elec 2 Elec 3 GERI Vacation/ Interviews



Study Time

4.

Elec 1 ER Elec 2 GERI SS Elec 3 Vacation/ Interviews


TMS/ Seminar option Anat. For Surg./ Elect 4

Study Time

5. Research proposal required, open to

MD/PHD. Must

commit to 8 weeks of research.

Elec 1 / Research

Research/ Elec 2

Research/Elec 3

SS ER Elec 4 Vacation/ Interviews

Phys.4 (Med and Society, Public Health,)

GERI Study Time

6.

Elec 1 GERI Elec 2 Elec 3 Elec 4 SS Vacation/ Interviews

Phys.4(Med and Society, Public Health)

ER Study Time

7.

GERI Elec 1 ER Elec 2 Elec 3 Elec 4 Vacation/ Interviews

Physi. 4 (Med and Society, Public Health)

SS Study Time

Physician Apprenticeship 4

Cdn lettersUS letters

Surgical subspecialty rotation

Reminder: exam at the end of your surgical subspecialty month covers all of surgery, including some surgical obs/gyn.

Exam will be the NBME “shelf” exam, similar in style to the internal medicine clerkship exam.

The undergraduate surgery website has 1200 multiple choice questions (600 from general surgery, 600 from subspecialties). You can create your own quizzes.

This is excellent preparation for the exam. Any difficulties with logging onto the site –

email [email protected]

Surgical subspecialty rotation

mailto:[email protected]

Comments on the Dean’s letter

Comments from the physicianship sections of your clerkship evaluations will be edited.

Any major issues occurring once or minor issues occurring more than once are included.

Comments from the clinical performance sections are not edited.

STUDENT CLERKSHIP (POM) EVALUATION FORM

Student Name: __John Doe_________________Dates of Rotation:05/11/22 to 06/01/16 Rotation: ________General Surgery______ Site(s): ___RVH__________________ Physicianship Behaviours Consistently Not

Consistently

listened to the patient X demonstrated respect for the patient X recognized and met patient needs X respected patient confidentiality X maintained appropriate boundaries with patients X functioned well as a member of a team X was on time X completed tasks in a reliable fashion X maintained appropriate appearance and attire X demonstrated awareness of limitations X admitted errors/omissions X addressed gaps in knowledge and/or skills X accepted feedback X Narrative Comments: Late on 2 occasions to rounds, but no further tardiness after being spoken to.

Knowledge and Clinical Method

N/A U BE ME EE S

knowledge of basic sciences x knowledge of clinical sciences x communication skills x data collection x physical examination skills x hypothesis generation and Differential Dx. x clinical judgment x formulation of a treatment plan x written skills (medical dossier) x organizational skills x technical skills x skills that are discipline-specific ( ) x Narrative Comments: Satisfactory rotation. Able to function well in team. Would need more initiative, but progressed well during the rotation. Knowledge as expected for level.

Instructions

Physicianship Behaviours: If you observed that a student did not always demonstrate the expected behaviour(s), indicate this by placing a checkmark in the appropriate box and elaborate in the narrative comment section. Please indicate if steps were taken to address areas of concern and/or if the student demonstrated improvement during the rotation. Demonstration of exceptional abilities in professionalism and/or humanism can also be indicated in the narrative. Behaviors are monitored longitudinally throughout clerkships; your assessments in this section do not necessarily appear in the Medical Student Performance Evaluation document (i.e. Dean’s Letter) that is used for residency application. If certain issue(s) appear to be of a serious nature, are repetitive and/or irremediable, your assessment may be included in the Dean’s Letter. Knowledge and Clinical Method: Assess student performance using the following five descriptors: Unsatisfactory (U) (<59) = Not acceptable for a student at this level of training. Below Expectations (BE) (60-69) = Falls short of reasonable expectations but acceptable. Meets Expectations (ME) (70-79) = Equal to the majority of students at this level; 80% of students usually meet expectations. Exceeds Expectations (EE) (80-89) = Unusually strong; often exceeds reasonable expectations; only 5-10% of students exceed expectations. Superior (S) (90-100) = Far exceeds expectations; only occasionally observed in students at this level. This is an exceptional student. The overall Clinical Mark will be a composite of the clinical supervisor(s) assessment(s) of student performance based on all criteria: in behaviours, knowledge and clinical method. Please provide narrative comments. Checkmark in the “BE” or “U” columns must be accompanied by a detailed narrative, based on observations.

DERIVATION OF GRADE: % Contribution Numerical Grade CLINICAL MARK ( 50 ) ___73_______ ORAL EXAM MARK ( ) ____________ WRITTEN MARK ( ) ____________ OSCE MARK ( 50 ) ___72_______ OTHER: _____________ ( ) ____________ FINAL GRADE 100% ___73_______ GLOBAL EVALUATION:

Unsatisfactory _ Below Expectations _ Meets Expectations X Exceeds Expectation _ Superior _

Clerkship Coordinator: __________________ Date: _________________

Academic Progress

Core Clinical Clerkships The following evaluations are presented in chronological order.

Narrative Comments

Surgery – MEETS EXPECTATIONS Satisfactory rotation. Able to function well in team. Would need more initiative, but progressed well during the rotation. Knowledge as expected for level. Psychiatry – MEETS EXPECTATIONS – Student A is a pleasant and motivated student whose interest fluctuated on this rotation. He needs to keep up his psychiatry knowledge. He did improve as the rotation progressed. Medicine – EXCEEDS EXPECTATIONS – Student A has an outstanding ability to manage and communicate with difficult patients and families. He is enthusiastic and keen to look things up. He is resourceful and independent. Student A is good-hearted, ethical, and principled. Student A could improve his knowledge base, but this will likely grow quickly since he is eager to learn. His synthesis is improving, but needs further work. Family Medicine – EXCEEDS EXPECTATIONS – Student A’s notes were very clear and he has good communication skills. He shows a lot of interest in pediatrics. He could demonstrate more initiative toward case management. His written assignment on Infant Support Services – Enfance Famille program was well done. Pediatrics – EXCEEDS EXPECTATIONS – Student A tends to be somewhat quiet in the group setting, but he is one of those students who gets everything done without a lot of fanfare. His histories and physicals were complete and accurate. He was excellent with patients and their families, and it was obvious that they liked and respected him. In addition he interacted very well with all members of the healthcare team, and was a willing worker and a real team player. On his weekends on call, he was able to work independently, showing good judgment and the ability to know when to call for help. His written documentation was well done. Student A’s clinical evaluations were above average and excellent. Obstetrics & Gynecology – EXCEEDS EXPECTATIONS – Student A’s performance exceeds expectations. He is a conscientious student who is hard working and motivated. He functions above the level of most of his peers and was a real pleasure to work with.

Appendix C: Professional Attributes

Professional conduct is currently evaluated during clinical rotations; relevant comments are included under the “Physicianship Behaviour” heading of each clerkship evaluation located in the “Academic Progress” sections of this document. Professionalism issues of concern are noted in the following circumstances: 1. a minor problem occurring more than once 2. a major problem occurring once or more. No professionalism issues related to Student A’s ethical or professional conduct have been identified.


Jul 28- Aug 24 2008

Aug 25- Sept 21

Sept 22 Oct 19

Oct20 Nov16

Nov17-Dec14

Dec 15 Jan 11 2009

Jan12- Feb8

Feb9- Mar 8

Mar9- Apr 5

Apr 6 Apr 26* 2009 (3 weeks)

1.




Study Time

2.




Study Time

3.




Study Time

4.




Study Time


MD/PHD. Must


Elec 1 / Research

Research/ Elec 2

Research/Elec 3



GERI Study Time

6.



ER Study Time

7.



SS Study Time


Cdn lettersUS lettersPhysicianship 4

Physicianship 4 Block – Feb 9 – Mar 6 (for all students)

Mornings: Medicine and Society course (4 mornings per week)• Electives to choose within the medicine and

society course Afternoons:

• Public health 2 x/week (7 sessions)

• Professionalism – 2 sessions

• Communications plus – 2 sessions

• Note: there is a public health exam

Basic Science Seminars (for some students) vs. Clinical Electives

Generally excellent evaluations – “the best course I’ve taken in med school” etc.

Most courses will be two weeks. Excellent review for USMLE or MCCQE1 exams If you are planning a career in a surgical specialty, you should

take “Anatomy for Surgeons”, a 4 week course. We will send out a listing of courses in the fall. Please send us your choices by Dec. 1st.

• You will receive an email with on line registration

Topics in Medical Sciences – e.g. of courses

Anatomy for Surgeons Physiology of Kidney and Electrolytes Neurophysiology and pharmacologic management of pain People and their problems – psychiatry and medicine Tropical Medicine/International Health The facts behind the fiction - ER – “The True Story” Applied Physiology in the Critical Care setting HIV/AIDS

If you wish to do a clinical electives during March . . .

Book and confirm your clinical elective with Eva Pilla by Jan 1st, copy to Nicole Guedon ([email protected])

Otherwise we will automatically register you for basic science options.


Jul 28- Aug 24 2008

Aug 25- Sept 21

Sept 22 Oct 19

Oct20 Nov16

Nov17-Dec14

Dec 15 Jan 11 2009

Jan12- Feb8

Feb9- Mar 8

Mar9- Apr 5

Apr 6 Apr 26* 2009 (3 weeks)

1.




Study Time

2.




Study Time

3.




Study Time

4.




Study Time


MD/PHD. Must


Elec 1 / Research

Research/ Elec 2

Research/Elec 3



GERI Study Time

6.



ER Study Time

7.



SS Study Time


CaRMS Interviews

Missing time for Interviews

The CaRMS official interview period is Jan 25 – Feb 15th.

(You are on vacation/interviews Jan 12 to Feb. 8th)

Canadian programs are asked to give all their interviews during this time period.

McGill may interview local candidates earlier. US interviews are generally earlier.

For missed sessions in the first week of the Medicine and Society block, we will ensure that you can cover the material without being there.

Missing time from other rotations:• Should only be relevant for US interviews or “out of

schedule” interviews.

• Need to specifically request the time, both from the rotation director and Dr. Tellier.

• Will have to be made up.

American match

Meet with Tamara Lütz or Andrea McDaniel (as of June 28th) ASAP

[email protected](514)398-5557.

Do USMLE step 2 CK sooner rather than later

Applying to the U.S. If you are Canadian and applying for the US match, you should apply

only for:

• Family medicine• Internal medicine• Pediatrics (General)• General Surgery• Orthopedic Surgery• Anatomic Pathology• Anesthesia• Psychiatry (incl. Peds-Psych)• Diagnostic Radiology• Radiation Oncology

The Quebec Ministry of Health will only support applications for J-1 visas for the above specialties • Tentative list, based on 2008 list

MCCQE Step 1 review sessions

Exams usually happen during the first two weeks of May.

Review sessions will be held tentatively during the weeks of April 13 and April 20th.

Requirement to have USMLE Step 2 CK OR MCCQE 1, OR internal MCQ exam in order to graduate is SUSPENDED for your class, due to scheduling difficulties.

These exams are, however, required for licensure.

Move to WebCT

Due to technical difficulties with the Molson Medical Informatics (MMI) site, we will be gradually moving the material on that site to WebCT.

We will send you an email when move is completed.

McGill MDCM Curriculum Schema (class 2009) Basis of Medicine (BOM)

Introduction to Clinical Medicine (ICM)

September October November December January February March April May June July August Pathobiology, Treatment &

Prevention of Disease

(14 wks)

Physicianship-2

Physician ship-2b*

ICS EBM

(4 wks)

Introduction to Internal Medicine, Intro to Pediatrics

(7 wks)

Introduction to Surgery,

Anesthesia, Ophthalmology

(7 wks)

Introduction to Family Medicine,

Oncology, Neurology, Radiology,

Dermatology, Psychiatry

(7 wks)

Intro Clerk

(1wk)

Fam Med- Rural

(4wks)


Vacation (4 wks)

Core Clerkships *

September October November December January February March April May June July August Fam Med- Urban

(4 wks)

Medicine

(8 wks)

Obstetrics & Gynecology

(8 wks)

General Surgery

(4 wks)

Elective 1

(4 wks)

Pediatrics

(8 wks)

Psychiatry

(8 wks)

Vacation

(4 wks)

Emerg. Medicine

(4 wks)

Physicianship-3 Physician Apprenticeship 3

Senior Clerkships ** September October November December January February March April

Elective 2

(4 wks)

Geriatric Medicine (4 wks)

Surgery Sub-

Specialty (4 wks)

Elective 3

(4 wks)

Elective 4

(4 wks)

Vacation

(4 wks)

Medicine& Society/ Physician ship-4 (4 wks)

Topics in Medical Science /

Elec 5 (4 wks)

Study Time / Elec

(2 wks)


2007/ Aug 17

September October November December January February March April May June July August Molecules,

Cells & Tissues (4 wks)

Gas, Fluids & Electrolytes

(9 wks)

Life Cycle

(3 wks)

Endocrinology, Metabolism & Nutrition

(7 wks)

Musculo-skeletal &

Blood (4 wks)

Nervous System & Special Senses (7 wks)

Host Defense &

Host Parasite (6 wks)

Physicianship-1


Vacation or Research or

Community Project

You are here !

And finally…

You’re almost there!

Have a great summer

%202009%20june%202008.ppt" classsenior clerkship

Documents

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