New Faculty OrientationCurriculum Restructuring

Phase 1 – Foundations Phase

CMB (8) Anatomy(7)

Epi/Bio (3)

MIM (1)

Applied Clinical Skills 100 Longitudinal (26) Th

anks

givi

ng B

reak

M1 ElectivesLongitudinal

MHR (3)

APCS

Electives

Win

ter B

reak

Pharm (4) Path (4)

Brea

k

HEM-200 (3)

Neurosciences -201 (7)

BMH-200 (2)

Health Care Ethics (7)

APCS

Electives

Bedside Diagnosis -201 (12)

Applied Clinical Skills 201 Longitudinal (12)

Electives

Aug Nov Jan Mar May

CMB = Cell and Molecular BiologyEpi/Bio = Epidemiology and BiostatisticsMIM = Introduction to Medical Information ManagementMHR = Microbes and Host ResponsesPHARM – Principles in PharmacologyPATH = Introduction to PharmacologyHEM = HematologyBMH = Behavorial Medicine and Health

Begins Phase 2 -Core Knowledge Phase

Card (4) RESP (5) RENL (4) GI

Than

ksgi

ving

Bre

ak

GI (5)

Win

ter B

reak

ENDR (5) SBJ (5) MD200 – USMLE Step 1(8)

Orie

ntati

on W

eek

Clerkship 1 (8)

Phase 2 – Core Knowledge Phase

Applied Clinical Skills 200 Longitudinal (26)

Bedside Diagnosis 200 Longitudinal (26)

Death and Dying 200 Longitudinal (15)

M2 Electives Longitudinal

APCS

BD

Elective

Applied Clinical Skills

Bedside Diagnosis

Electives

Aug Nov Jan Mar May

Card = CardiovascularRESP = RespiratoryRENL = RenalGI = GastointestinalENDR = Endocrine and ReproductiveSBJ = Skin, Bone and JointIPTS – Inter Professional Team Seminars

Applied Clinical Skills300

IPTS

Begins Phase 3-

Core Clinical Phase

Curriculum Restructuring Goals

• Increase the amount of time for career exploration electives prior to the deadline for submitting residency applications

• Streamline pre-clinical curriculum by decreasing/eliminating unplanned redundancies and the focus on unnecessary detail

• Create a more sensical grouping of courses and clerkships• Improve medical student well-being

Current Third-Year StructureTwo 24-week blocks• Internal Medicine 12 weeks• OB/Gyn 6 weeks• Family Medicine* 6 weeks

• Surgery 8 weeks• Pediatrics 8 weeks• Neuro/ Psych 8 weeks

• ACS3 • Interprofessional Team Seminars

Cler

kshi

p O

rient

ation

Internal Medicine(Inpt) (8 Wks)

Surgery (8 Wks)

1 W

eek

Brea

k

Psych/ Neuro(4 Wks each)

OB Gyn*(8 Wks)

Win

ter B

reak

Family* Med(8 Wks)

Peds(8 Wks)

ACS 3Longitudinal

ACS 3Longitudinal

ACS 3Longitudinal

Phase 3 – Core Clinical Phase May December April

* Includes two weeks for career exploration

Inter-professional Team Seminars IPTS

Fourth-Year Requirements

• Two 3-week subinternships (at least one of which has to be in IM or Peds)• 3-week ambulatory Internal Medicine rotation• 3-week required capstone course• 2 or 3-week Emergency Medicine requirement (2-week if done in year 3, 3-week if done in year 4.

Core Recommendations to Accompany Restructuring Plan

1. Active learning needs to be a greater part of the pre-clinical and core clinical didactic curriculum. Possible strategies include team-based learning, problem-based learning, and interactive case discussions. 2. Emphasis on clinical correlations for basic science material should be enhanced and expanded. 3. Efforts to reduce unnecessary detail in the curriculum should be ongoing. One path to accomplish this would be to institute NBME subject exams as assessment tools in the pre-clinical years.

Core Recommendations to Accompany Restructuring Plan

4. Students need to have greater opportunity for early development of key clinical skills, particularly history-taking and diagnostic reasoning skills. 5. Opportunities to return to the basic sciences in the fourth year should be expanded.