Clinical Program Orientation Class of No food or drink in this room, please.

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Clinical Program Orientation Class of 2013 No food or drink in this room, please.

Clinical Program Orientation M3/M4 years Class of 2013 Dr. Robert Shreve Associate Dean for Medical Education

NEEDLE STICK POLICY Evelyn Wright-Lewis, B.S.N. Student Health Services Occupational Health Coordinator http://www.uthsc.edu/medicine/acad_affairs/students/blood_and_body.htm 3

TODAY S TOPICS Overview of Curriculum April 25, 2011 - May 31, 2013 Schedule Blocks (Block 2011/05 begins May 2) Requirements Core (M3) & Required (M4) Clerkships Electives/Option Blocks Scheduling Scenarios USMLE Scheduling Process 4

WHERE DO I GET INFORMATION? Clinical Curriculum Orientations: M-3 year and overview, Today and Friday M-4 year, January 2012 OLSEN web page includes: Clerkship Directors Clerkships M3 year Clerkships M4 year Electives Catalogue M-4 students Clerkship Faculty/Staff USMLE web site Today s presentations on web site 5

M3 & M4 CURRICULUM You are here 6

CALENDAR 8-WEEK BLOCKS START DATE END DATE 4-WEEK BLOCKS 2011-2012 5/6 7/8 9/10 11/12 1/2 3/4 2-May-11 27-May-11 5 30-May-11 24-Jun-11 6 27-Jun-11 22-Jul-11 7 25-Jul-11 19-Aug-11 8 22-Aug-11 16-Sep-11 9 19-Sep-11 14-Oct-11 10 17-Oct-11 11-Nov-11 11 14-Nov-11 16-Dec-11 12 3-Jan-12 3-Feb-12 1 6-Feb-12 2-Mar-12 2 5-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

PROCESS 2011 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 2012 1 2 3 4 5 6 7 8 9 10 11 12 9 10 11 12 13 14 15 16 17 18 19 20 2013 1 2 3 4 5 6 7 8 9 10 11 12 21 22 23 24 25 8

REQUIREMENTS Step 1, USMLE DRS/PCC (M3 & M4) 25 Blocks Total 12 Core (M3) Clerkship Blocks (by 2012/08) 6 Required Senior Clerkship Blocks 4 Elective Blocks 3 Option Blocks Step 2CK, USMLE (NLT Dec 31, 2012) Step 2CS, USMLE (NLT Dec 31, 2012) 9

CLINICAL YEARS CORE Clerkships Weeks OTHER Clerkships Weeks DRS/PCC - III 1 Family Medicine* 8 Medicine* 8 Ob & Gyn* 8 Pediatrics* 8 Surgery* 8 Neurology* 4 Psychiatry* 4 * Must be completed by 2012/08 (8/24/12) DRS/PCC - IV Ambulatory Medicine 4 Senior Clerkship JI Med 4 Senior Clerkship JI Any 4 Surgery Specialties 4 Specialty 4 Patient Safety/QI 4 Electives 16 Option 12 10

Core Clerkships and Number/Discipline at Each Site Discipline Memphis Chattanooga Knoxville xxx1 xxx3 xxx2 Family Medicine 25 4 8 Medicine* 22+2* 4 (min -2) 6 Ob/Gyn 25 3 6(min -2) Pediatrics 24 6 0 Psychiatry 13 3** 4** Neurology 16 3** 0 Surgery 24 8 7 # Slots 151 31 31 *Nashville via Memphis ** certain blocks only 11

Chattanooga Neurology Blocks 7, 9, and 12 in 2011, and Block 3 in 2012 Psychiatry Blocks 8, 10, and 11 in 2011, and Block 4 in 2012 Maximum of 3 students per block 12

Knoxville Psychiatry Blocks 5, 6, in 2011, and Block 1, 2 in 2012 Maximum of 4 students per block Minimum of 2 13

EVALUATION IN CORE Clinical component Subjective evaluation by residents and attendings Knowledge component Written and/or oral examination Written examination is NBME Subject [Shelf] Exam except for Neurology R grade if fail first time, 2X repeat R in 2 clerkships remove from clerkships until pass If you score low, self-refer to SASS 14

M4 Required Clerkships Senior Clerkship (Junior Internship) JI in Medicine Senior Clerkship (JI Any) FM Med, Neuro, OB, Peds, Psych, Surgery Surgery Specialties Clerkship Ophthalmology, Orthopedics, Otolaryngology, Urology Specialty Clerkship Anesthesiology, Radiology, ICU, and Palliative Care Patient Safety/Quality Improvement M4 DRS/PCC 15

ELECTIVES Four 4-week electives (16 weeks) Some 2 week electives Description of each online http://www.uthsc.edu/medicine/acad_affairs/ume/clerkships/catalog.doc Can do 12 weeks outside UT Elective at UT after completing 6 core blocks; Visiting after 10 core blocks 16

List is located at: PREREQUISITES http://www.uthsc.edu/medicine/acad_affairs/ UME/Clerkships/prerequisites.pdf To do a JI: 10 blocks of core clerkships including one in discipline To do UT elective: 6 blocks of core clerkship including one in discipline Visiting electives: 10 blocks of core clerkships including one in discipline 17

AAMC Visiting Student Application Service 18

New VA requirements Complete paperwork for criminal background check Fingerprinting 2-4 weeks in advance Call VA contacts in advance to start paperwork PPD Skin Test 2 negative within 12 months 19

SCHEDULING PROCESS Random time assignments posted on OLSEN 1 st round Web scheduling 8 AM Feb 21 - Feb 24 2 nd round 8AM Feb 28 - Mar 3 You will all be able to schedule all you need Web scheduling locked until March 10 Any changes must be made NLT 30 days before beginning of a block 20

Scheduling Lottery First Round #1 Candace Style #2 Amie Cahill #3 Rupert Stanborough #159 - Cayce Nawaf #160 Jennifer Crawford #161 Ethan Stranch 21

SCHEDULING SCENARIOS Undecided 2011 CORE CORE CORE CORE 1 2 3 4 5 6 7 8 9 10 11 12 CORE CORE 2012 1 2 3 4 5 6 7 8 9 10 11 12 22

SCHEDULING SCENARIOS Pediatrics 2011 CORE CORE P E D S CORE CORE 1 2 3 4 5 6 7 8 9 10 11 12 2012 1 2 3 4 ELE 5 6 7 8 9 10 11 12 1 CORE JI ANY JI MED AWAY CORE 23

SCHEDULING SCENARIOS Neurosurgery 2011 CORE CORE CORE CORE 1 2 3 4 5 6 7 8 9 10 11 12 2012 1 2 ELE 3 ELE SURG ELE/ 4 5 6 7 8 9 10 11 12 1 CORE SURG NSG AWAY SPEC REQ 7 CORE 12 24

SCHEDULING SCENARIOS Surgery 2011 CORE CORE SURG CORE CORE 1 2 3 4 5 6 7 8 9 10 11 12 2012 1 CORE JI OPT 2 3 4 SPEC 5 ELE 6 7 CORE 8 9 10 11 12 SUR BLK AWAY 25

Eligibility: USMLE Step 1 2.0 GPA and pass all courses F = may be allowed to repeat course in summer program Take by April 23 Any delays must be approved by P&P Passing score Step 1 now 188 26

http://www.usmle.org/orientation/2011/menu.html 27

USMLE For Step 1 unauthorized items include, but not limited to: mechanical or electronic devices, cell phones, PDAs, calculators, watches of any type, pagers, recording or filming devices, radios; outerwear, such as coats, jackets, head wear, gloves; book bags, backpacks, handbags, briefcases, wallets; ear plugs, books, notes, written materials, or scratch paper; food, candy, gum, or beverages. 28

USMLE Your Schedule: Take Step 1, USMLE NLT April 23 DRS/PCC Skills Week April 25-29 Do survey & CITI Training prior to April 29 Block 2011-5/6 - May 2 June 24 If you don t pass USMLE, study Block 7 Re-take NLT July 26 to continue clerkships as of 2011-09 (8/22/10) Register at UTHSC by July 1, 2011 29

FROM THE CENTERSCOPE http://www.uthsc.edu/centerscope/ Student Workload Policy - http://www.uthsc.edu/medicine/acad_affairs/ume/ Clerkships/index.php?doc=specifics.htm 30

PUNCTUALITY, RESPONSIBILITY & RELIABILITY Expected to be available and present for ALL scheduled clerkship activities. Absences must be approved by the clerkship director in advance. Make-up assignments determined by the clerkship director; absences due to illness may require a physician s statements. Chronic tardiness is unacceptable. Expected to conform to the prevailing schedule at the sites to which assigned. 31

SASS and the M-3 Year Same consultation services (test-taking, prep. for shelf exams, test anxiety, time management, etc.) with educational specialists as in M-1/M-2 years Here in Memphis or via phone appointments and Skype in Chattanooga or Knoxville Clerkship Books on Reserve in Chattanooga and Knoxville To schedule an appointment SASS@uthsc.edu or 901 448-5056 32

Chattanooga and Knoxville Requests Chattanooga Stephen Greer Valerie King Josh Lawson Catherine McGill Andrew Mundy Michael Myers Matt Neal Patrick Siler Knoxville Jennifer Allison Andrew Harris Rupert Stanborough 33

Special requests (weddings, etc.) Charles Allderdice Jennifer Allison Kevin Daniels Stuart Deadrick Stephen Greer Valerie King Josh Lawson Michael Myers 34

Being off: hospital or death QUESTIONS/ISSUES Other: wedding, graduations, presenting paper at national meeting (may be denied) ONLY IF APPROVED WELL IN ADVANCE Absent W/O Permission: = F Some clerkships don t have weekends FM (depending on location), Psych, Peds (outpatient) Do I have to commit to Chatt/Knox for entire time to go there? No 35

Questions/Issues If asked off for option block/other block will be Psych or Neuro other part plugged in 2012 Blocks 07-08 Nashville is one block of Memphis Medicine Core Clerkship Schedule Medicine Memphis and then contact Ruby Bland 36

FOR SCHEDULING ISSUES (rlbland@uthsc.edu) 448-5697 Ruby L. Bland NLT 30 days before 37

TO BE CONTINUED... Clerkship Directors Chattanooga, Knoxville and Memphis --------------------------------------------------- Friday: TB Skin Test Reading & Stick Info What to Expect on Clerkships Dr. Jameson Career Planning - Dr. Phillips Students Q/A re: Chatt or Knox 38

Scheduling Process Must use NetID to access scheduler. If you do not know your NetID, please go to http://www.utk.edu/ph/ 39

Clerkship Scheduler Demonstration https://devel.uthsc.edu/a107_clrk_sched.php 40