STAYING ON COURSE Clinical Clerkship Survival Guide Class of 2014
PROGRAM REQUIREMENTS CORE ROTATIONS Ambulatory Care (PCAC) (OST 602) Includes specialty and choice rotations Surgery (OSS 653) Obstetrics/Gynecology (OSS 651) Anesthesiology (OSS 654) Emergency Medicine (IM 657) Internal Medicine 2 (4 wk) (IM 650) Psychiatry (PCS 608) OPP *(Summer 2012) (OMM 602) (watch for email from Rick Hallgren)* 24 weeks 4 weeks 4 weeks 2 weeks 4 weeks 8 weeks 4 weeks On Line Core = 50 weeks of specific rotations Core Rotations cannot be changed SELECTIVE AND ELECTIVE ROTATIONS Students must schedule, complete and pass 34 weeks: 12 weeks from the Medicine choice list 8 weeks from the Surgery choice list 14 additional weeks from Medicine and/or Surgery list NOTE: you may NOT take more than 12 weeks of any one service (does not include PCAC or CORE rotations) Selective Rotations 14 Weeks SELECTIVE to be completed at any MSUCOM base hospital, postgraduate training facility and/or MSUCOM faculty member. Application and approval required Elective Rotations 20 Weeks ELECTIVE to be completed at the hospital/clinic of choice. 1 Application and approval required. Note: applications for electives in a non-base hospital could take 6-10 weeks to process (so plan ahead)
CORE ROTATION INFORMATION Core rotations are directed toward the student developing clinical competence (knowledge, procedures/skills, clinical problem-solving, and professional attitudes and behaviors) in the diagnosis and management of fundamental medical problems associated with the particular medical discipline. All core rotations have a protocol and an ANGEL course. All six PCAC rotations have an ANGEL group. Rotation protocols can be found in your class ANGEL group. Information on specific rotation requirements (shift requirements, exams, logs, etc.) can be found in the rotation protocol. Be sure to familiarize yourself with these rotation requirements! A student will have access to the rotation ANGEL course at the ENCORE ONLINE PATIENT ENCOUNTER SYSTEM All core rotations except psychiatry and emergency medicine utilize this online patient encounter logging system. The ENCORE website is http://encore2.com.msu.edu Students will use their Echt account username and password to access this online system. Your log-in is the same as what you use to access the computers in the resource center at your preclerkship site. Be certain to visit your site s resource center to make sure your Echt account is functional before leaving your site. Each core rotation ANGEL course contains an ENCORE folder. Please review the contents of this folder prior to the start of each rotation. Please read the ENCORE protocol found in your class ANGEL group as well as in your core rotation ANGEL course so you are familiar with your rotation logging requirements and expectations. Trouble with logging into ENCORE? Call HIT at 517-355-6531 2
PCAC SPECIALTY/CHOICE LIST All students complete a PCAC Specialty and Choice experience during their 6- month Primary Care Ambulatory Clerkship. The choice and specialty rotation can not be from the same category. For a specific rotation to qualify: It must be approximately 40% ambulatory in nature (four half-days per week in an office or other outpatient setting). Rotations in Radiology and Emergency Medicine are not allowed. Your Specialty rotation must be completed using resources available through your base hospital. Your Choice rotation may be completed using resources available through any base hospital; however, the student must return to his/her assigned base hospital for all scheduled didactic sessions. The following list provides examples of rotations that would meet these requirements, but it is not inclusive. Students should check with their PCAC Coordinator concerning rotation availability. Subspecialty Medicine Allergy/Immunology Cardiology Dermatology Endocrinology Family Medicine Gastroenterology General Medicine Geriatrics Hematology Home Care Hospice Care Infectious Disease Manual Medicine Med-Peds Migrant Health Naturopathy/Alternative Medicine Medicine Nephrology Neurology Nutrition Occupational Medicine Oncology Physical Medicine & Rehabilitation Preventative Medicine Psychiatry Pulmonology Rheumatology Sports Medicine Substance Abuse Urgent Care Subspecialty Surgery General Surgery Gynecological Surgery Ophthalmology Orthopedics Otolaryngology Pain Clinic Plastic Surgery Urology Vascular Surgery Subspecialty OB/GYN Ambulatory Gynecology Family Planning Maternal/Fetal Medicine Midwifery Service Obstetrics Reproductive Endocrinology Subspecialty Pediatrics Adolescent Medicine Allergy/Immunology Cardiology Child Psychiatry Dermatology Endocrinology Gastroenterology General Pediatrics Hematology Med-Peds Nephrology Neurology Pulmonary Medicine Rheumatology 3
SELECTIVE / ELECTIVE CHOICE LIST 14 weeks of selective and 20 weeks of elective Medicine (12 weeks minimum) Addiction Medicine Allergy / Immunology Cardiology Critical Care Medicine Dermatology Diagnostic Radiology Emergency Medicine Endocrinology Family Medicine Gastroenterology Geriatrics Hematology / Oncology House Nights Intensive Care Unit Internal Medicine (not core) ICU, Critical Care ICU, Medical ICU, Pediatrics ICU, Pulmonary Infectious Disease Medicine Nephrology Neurology Neuromusculoskeletal Medicine (OMM) Occupational Health & Medicine Pathology Pediatrics Pediatric Endocrine Pediatric Hematology / Oncology Pediatrics Intensive Care Unit Pediatric Pulmonary Pediatrics / Neonatology Physical Medicine & Rehabilitation Psychiatry Pulmonary Medicine Research (medicine emphasis) Rheumatology Sports Medicine Urgent Care Surgery (8 weeks minimum) Anesthesiology (not core) Cardiovascular Surgery Colon / Rectal Surgery General Surgery (not core) Gynecologic Oncology Gynecology Surgery ICU, Surgical Maternal Fetal Medicine Neurological Surgery Obstetrics Obstetrics & Gynecology (not core) Ophthalmology Orthopedic Hand Surgery Orthopedic Surgery Otolaryngology Otolaryngology Facial & Plastic Surgery Otorhinolaryngology Plastic Surgery Podiatry Research (surgery emphasis) Sports Medicine Thoracic Cardiovascular Surgery Trauma Surgery Urological Surgery Vascular Surgery Reminder: 30-day advanced application approval required Maximum of 3 rotation changes per semester allowed Maximum of 4 two-week elective and 1 two-week selective rotations allowed Pain Management is enrolled under anesthesiology and cannot be used as part of the 8 week minimum for surgery. Sports Medicine is enrolled based on the Training Physician s Board Certification. 4
TWO-WEEK ROTATION OPTIONS Allowed Two-week rotations in the following services are allowed. Allergy/Immunization Anesthesiology Cardiovascular Surgery ENT Laboratory Medicine Neurosurgery Ophthalmology Plastic Surgery Podiatry Radiology Considered Two-week rotations in the following services will be considered with permission from both Hospital and College. Care Units Dermatology Manual Medicine Nephrology Occupational Medicine Oncology Pathology Pediatric Subspecialties Preventative Medicine Rehabilitation Rheumatology Sports Medicine Substance Abuse Thoracic Surgery Trauma Surgery Urology Vascular Surgery Not Allowed The following services require a four-week rotation. Cardiology Emergency Medicine Endocrinology Family Medicine Gastroenterology General Medicine (e.g., Internal Medicine) General Surgery Geriatrics Gynecology Hematology Infectious Disease Neurology Obstetrics Orthopedics Pediatrics Psychiatry Pulmonary Reminder: Maximum of 1 two-week selective and 4 two-week elective rotations allowed Application approval required for each rotation Maximum of 12 weeks of any one specialty allowed (does not include PCAC or CORE) 5
SURVIVAL POINTS FOR CLERKSHIP REQUIREMENTS Contact appropriate clerkship staff when you have questions Read all protocols (general student and course) Understand all rotation requirements (logs, exams, evaluations, deadlines, etc.) Attend all orientation sessions (College and Hospital) Check your on-line schedule often it is your responsibility to ensure that your schedule matches your university enrollment Be pro-active no one will be holding your hand You cannot change CORE rotations 30-day advance application approval required (applies to a rotation add, change or cancel) You must notify the hospital s DME office (verbally or in writing) if cancelling an elective/selective rotation Three maximum (selective/elective) rotation changes per semester allowed 4 two-week elective and 1 two-week selective rotation maximums allowed Seek advanced permission (for any reason) to be absent from a rotation by completing the on-line excused absence form Time off for board prep is allowed only during out-time and must be scheduled as vacation You will be pulled from your rotation if you are not compliant for any reason (e.g. immunizations, ACLS, BBP, etc.) The Clerkship Program is a full-time commitment. Nonclerkship activities (e.g., residency interviews, COMLEX exams, vacation, graduate assistantships, teaching, volunteer activities, employment, class activity, etc.) may not supersede or conflict with your clinical duties and academic assignments. 6
APPLICATIONS (APPLIES TO PCAC SPECIALITY/CHOICE AND ALL SELECTIVE/ELECTIVE ROTATIONS) All selective/elective rotations require students to complete an application. Forms can be accessed by logging into www.angel.msu.edu and following each application s specific direction. Base Hospital and PCAC Specialty/Choice Requests are made electronically by accessing your online schedule Approvals are processed using web-based electronic email between hospital and Office of Student Services Confirmation of rotation found by accessing your online schedule Non-Base Hospital Requests are made by printing web application, completed with all required signatures, and submitted to the Office of Student Services for processing and approvals. Allow 6-10 weeks for processing and approvals The Clinical Training Site may require their own application Confirmation of rotation found by accessing your online schedule. VSAS Requests are made through the Visiting Student Application Service at www.aamc.org International Requests are made by printing web application, completed with all required signatures and submitted to the Office of Student Services Allow 2-4 weeks for processing and approvals Confirmation of rotation found by accessing your online schedule Research Requests and approvals are made following instructions as outlined under REQUEST FOR RESEARCH CREDITS DURING CLERKSHIP Clinical Enrichment Experience Requests are made by printing web application, completed with all required signatures, and submitted to the Office of Student Services 7
APPLICATION DEFINITIONS Base Hospital application is used for rotating in any base hospital. PCAC Specialty rotation must be completed in the student s base hospital PCAC Choice rotation may be completed at any base hospital, however, student is required to return to their assigned base hospital for all didactic sessions Non-Base Hospital application is used for rotating at any clinic/ hospital not listed on the Base Hospital Contact List. May require an affiliation agreement International application is used for rotating in another country with or without MSUCOM faculty. Research application is used for an approved research project. Clinical Enrichment application is used for participating in a clinical setting without enrollment but while enrolled in another service. Participation would take place evenings and/or weekends. REQUIREMENTS FOR CLERKSHIP APPLICATIONS 30-day advance application approval required (applies to an add, change or cancellation of a rotation) An application is required for every selective/elective & PCAC choice/ specialty rotation/experience A student cannot start a rotation without submitting the proper application, receiving approvals, and enrollment completed prior to the first day of the rotation. Be advised not adhering to this could result in approaching your graduation date with unfulfilled graduation requirements which will prevent graduating on time and could impact your postgraduate training start date. You must notify the hospital s DME office (verbally or in writing) if cancelling an elective/selective rotation with their hospital 3 maximum selective/elective rotation changes per semester allowed A maximum of 4 two-week elective and 1 two-week selective rotations allowed. An Affiliation Agreement, if required, may take 6 to 10 weeks for processing and approval. It is your responsibility to know if one is required, so plan ahead... Schedule all out-time rotations early to avoid not receiving financial aid because you are not enrolled (aid is released one week before first enrolled rotation of the semester) 8
(APPLIES TO ALL ROTATIONS) EVALUATIONS Students assume a major role in the clinical clerkship evaluation. The Clinical Supervisor s evaluation of student mastery of rotation objectives is an essential component of the student s clerkship performance. Timely completion of evaluations at the conclusion of each rotation is considered professional conduct and contributes significantly to program improvements. All rotations require the completion of both a student and a clinical supervisor evaluation. Forms can be accessed by logging into the Clerkship ANGEL Group at http://angel.msu.edu. STUDENT EVALUATION OF ROTATION, PHYSICIAN AND HOSPITAL Students will submit their rotation evaluations electronically at the conclusion of every rotation by accessing their online schedule. CLINICAL SUPERVISOR S EVALUATION OF STUDENT Students are responsible for assuring that his/her clinical supervisor receives the appropriate evaluation form. Forms can be found in the clerkship ANGEL group or in the rotation ANGEL course. Students should assertively seek feedback on his/her performance throughout the course of the clinical rotation. Students should sit down and discuss the formal evaluation with the clinical supervisor. Student, clinical supervisor, and DME from rotation hospital are required to sign the evaluation form. Students should keep a copy of the evaluation and leave the original with the Medical Education Office at the clinical training site where that office will review, sign, and forward the completed form to the Office of Student Services. Grades are held until all rotation requirements, including evaluation forms are received. Be sure you are using the correct form. Evaluations will not be accepted by the Office of Student Services if submitted by the student. Any evidence of tampering or modification while in the possession of the student will be considered unprofessional behavior resulting in an N grade and review by the Committee on Student Evaluation (COSE) and/or the College Hearing Committee. 9
SAMPLE EVALUATION There are three parts to each attending evaluation form. Part I: Rotation information to be completed by student. Student must fill in all information at the top of the evaluations (dates, services, attending name, etc.). Rotation dates that do not match university enrollment will not be logged as received or credit given until dates are verified. Part II: Rating information to be completed by attending physician. 1 2 3 4 5 If you receive below average scores in 2 or more categories (rankings of unsatisfactory or 3 and below) on any individual evaluation or any comments of unprofessional behavior, evaluation will be sent to the Department Chair for review. Part III: Signatures. Students may NOT deliver evaluations to Clerkship Office. 10
COMLEX Deadline for taking and pass score received for COMLEX Level 1 exam January 1, 2013 Students who do not pass by this date will be pulled from the clerkship program and placed on a College leave of absence. Prepare to pass COMLEX Level 2CE by August 2013 Prepare to pass COMLEX Level 2PE by January 2014 Check with the hospital s Medical Education Office and course protocol before scheduling a COMLEX exam or any residency interviews during a scheduled rotation. Seek permission for time off from both the rotation s Clinical Supervisor and Director of Medical Education, by completing the on-line excused absence form. If seeking permission for more than 2.5 days off, you are also required to seek permission from the Office of Student Services, by completing the on-line excused absence form. REMEMBER... For problems that arise in your base hospital regarding in-house matters, work with the Director of Medical Education to achieve resolution. Ask for program requirements/process advice from the appropriate clerkship team individual (see clerkship resource list) - do not seek clarity from classmates or hospital personnel be aware that grace will not be granted for receiving wrong advice. You will be pulled from your rotation if non-compliant for any reason Contact the Office of Student Services when: You have questions or are not sure who to contact Your schedule needs to be changed You are included in a hospital incident of any kind You change your name and/or address You want to verify degree requirements 11
HIGHLIGHTS FROM STUDENT TIMELINE Full timeline can be found: http://www.com.msu.edu/ss/yearlyguide.html or by logging into the MSUCOM Clerkship ANGEL Group January 2013 Complete Authorization of Release of Information and Extracurricular Activity Form and submit to Dr. Falls office for the ERAS process. Begin collecting letters of recommendation for ERAS April 2013 Review ERAS Application Process June 2013 July 2013 August 2013 January through March 2014 April 2014 Register early, take and pass COMLEX Level 1, 2 CE and PE to graduate Seek selective/elective rotations at hospitals where you may want to do a residency If interested, apply for an international health rotation Register with ERAS and on July 1, begin transmitting information to Osteopathic Residency Programs Provide needed documents and letters of recommendation to the Office of Student Services staff for transmission to ERAS Collect/hold letters of recommendation for the ERAS process Complete the OPP online Begin transmitting ERAS applications on September 1 to allopathic residency programs Prepare for residency interviews Deadline to apply for graduation January 2014 Submit rank order list for osteopathic residency match Be alert to communication from the National Matching Service (NMS) about the osteopathic match Be prepared for possibility of the osteopathic scramble if you do not match (NOTE: The allopathic match and scramble is approximately one month after the osteopathic match and scramble) Return family hooder and guest RSVPs to the Office of Student Services for graduation banquet and commencement ceremony Confirm that all ETs are cleared from your schedule Confirm that all Clerkship requirements are met 12
CLERKSHIP RESOURCE LIST NAME RESPONSIBILITIES ADDRESS & PHONE SCOTT, Anita and SPRAGG, Lynn An, Lydia SCHEDULE CHANGES APPLICATIONS ENROLLMENT EVALUATIONS GRADES (except PCAC) VSAS PCAC (including grades) CORE ANGEL ENCORE PH: (517) 884-0323 lakean@msu.edu PH: (517) 355-5192 spraggl@msu.edu C110 East Fee Hall FX: (517) 432-1976 PH: (517) 432-5425 anl@msu.edu A329 East Fee Hall FX: (517) 353-9931 GILBERT, Evita COMAT/SHELF EXAMS PE SIMULATION PH: (517) 432-5423 gilber10@msu.edu A331 East Fee Hall FX: (517) 353-9931 SPRAGG, Lynn IMMUNIZATIONS COMPLIANCES (HIPAA, BBP, BLS/ACLS, Drug Screen, Background, Fingerprinting) NAME CHANGES PH: (517) 355-5192 spraggl@msu.edu C110 East Fee Hall FX: (517) 432-1976 COUREY, Beth HASTINGS, Robin FALLS, William RIEGLE, Gail Graduation events/ceremony ERAS (Electronic Residency Application Service) Token Letters of Recommendation Photo Dean s Letter (MSPE) TRANSCRIPT COMLEX and USMLE GRADUATION REQUIREMENTS MATCH RESIDENCY/LICENSURE Associate Dean/Student Services Associate Dean/Academic Programs PH: (517) 355-4608 courey@msu.edu C108 East Fee Hall FX: (517) 432-1976 PH: (517) 353-7741 hasting3@msu.edu C110 East Fee Hal FX: (517) 432-1976 PH: (517) 355-5189 falls@msu.edu C103 East Fee Hall FX: (517) 432-1976 PH: (517) 353-4735 riegle@msu.edu A329 East Fee Hall FX: (517) 353-9931 13
BASE HOSPITAL CONTACT LIST BASE HOSPITAL MEDICAL EDUCATION COORDINATOR CONTACTS Botsford (248) 471-8224 Karen Wilk kwilk@botsford.org Community Health (517) 279-5462 Shelby Arey sarey61@yahoo.com Detroit Medical Center Sinai-Grace Hospital Sonya Williams slwilliams@dmc.org (313) 966-3053 DMC Huron Valley-Sinai (248) 937-5085 Tracy Kotwicki tkotwicki@dmc.org Garden City (734) 458-4486 Susan Patterson spatterson@gchosp.org Genesys Regional (810) 606-7124 Kathy Johnson kjohnson@genesys.org Henry Ford Macomb (586) 263-2976 Dawn Moceri dmoceri1@hfhs.org Henry Ford Wyandotte (734) 324-3781 Lakeland HealthCare (269) 982-4941 McLaren Bay Region (989) 894-3950 McLaren Greater Lansing (517) 975-7886 McLaren Macomb (586) 493-8141 McLaren Oakland (248) 338-5392 Mercy Health Partners (231) 727-5250 Metro Health (616) 252-7078 MSU/Kalamazoo Center (269) 337-6355 Munson Medical Center (231) 392-8221 Oakwood Southshore (734) 671-3297 Sparrow Hospital (517) 364-5890 St. John Macomb (586) 576-4140 x1 St. John Oakland (586) 576-4146 St. John Providence (248) 849-3931 St. Joseph Mercy Oakland (248) 858-3235 Eileen Flandorfer eflando1@hfhs.org Michele Borre mborre@lakelandregional.org Annie Moya annie.moya@mclaren.org Gary Riley gary.riley@mclaren.org Peggy Bommarito peggy.bommarito@mclaren.org Laura Paul laura.paul@mclaren.org Heidi Greene greeneh@trinity-health.org Julie Didion Julie.didion@metrogr.org Marsha Wallace mawall@kcms.msu.edu Nicki Brown nbrown7@mhc.net Gina Hoover gina.hoover@oakwood.org Karlene Torres torresk@msu.edu Erin Holt erin.holt@stjohn.org Erin Holt erin.holt@stjohn.org S. Michelle Brown Sonja.brown@providence-stjohnhealth.org Deneen McCall mccalld@trinity-health.org 14