3rd and 4th Year Clinical Rotations Planning for Residency Training Oliver W. Hayes, DO March 15, 2017

Objectives Introductions Understand the concept of Regional Hubs. Become familiar with process of transition from classroom to clinic. Learn more about 3rd year and 4th year education. Provide general information about planning for residency training. Answer questions.

Introductions Oliver W. Hayes, DO, FACEP Graduate of MSU-COM ACGME Emergency Medicine Residency Training Board Certified by American Board of Emergency Medicine (ABMS) and by American Osteopathic Board of Emergency Medicine Previous faculty member - MSU-COM and VCOM Residency program director and DIO

Introductions Suresh Antony, MD. PhD New Assistant Dean for Undergraduate Clinical Education Begins May 1, 2017 Clinical Professor, Department of Medicine, Texas Teach University Health Sciences Center, El Paso Internal Medicine Residency – East Carolina School of Medicine Infectious Disease Fellowship – Vanderbilt University School of Medicine

Concept of Regional Hubs As a community-based medical school, BCOM will provide required 3rd and some 4th clinical training in southwestern region through affiliations with physicians, ambulatory care sites, and hospitals. Regional Assistant Dean and Coordinator direct the students‘ required 3rd year rotations in family medicine, internal medicine, pediatrics, surgery, obstetrics/gynecology, psychiatry and 4th year emergency medicine. BCOM is setting up the Regional Hubs, recruiting Regional Assistant Dean and Coordinators.

REGIONAL CLERKSHIP HUBS Albuquerque Affiliated Institutions: ABQ Health Partners Lovelace Health System NM Department of Health Presbyterian Healthcare San Miguel Hospital and others REGIONAL CLERKSHIP HUBS Eastern New Mexico Affiliated Institutions: Artesia General Hospital Carlsbad Medical Center Lea Regional Medical Center Eastern NM Medical Center and others Four Corners Affiliated Institutions: Navajo Area Indian Health Service Rehobeth McKinley Christian San Juan Regional Medical Center and others Las Cruces Affiliated Institutions: 49th Medical Group Holloman AFB Ben Archer Health Center La Clinica de Familia Memorial Medical Center Mesilla Valley Hospital Mountain View Regional Medical Center Rehabilitation Hospital of Southern NM and others Tucson Affiliated Institutions: Marana Health Center Northwest Medical Center Oro Valley Hospital and others El Paso Affiliated Institutions: University Medical Center/El Paso Childrens’ Hosp. Emerus Emergency Hospitals Las Palmas/Del Sol Medical Centers Tenet Hospitals of Providence Ysleta Del Sur Pueblo Health Services and others Ciudad Juarez Affiliated Institutions: StarmedicCuidad Juarez Angeles Hospital De Cuidad Juarez (elective international clerkships)

Teaching Institutions Las Cruces affiliated teaching institutions: A slide on each hospital, important clinic, FQHC and other affiliated teaching institutions with a description

Classroom to Clinic Transition Classroom Learning Environment Lectures, laboratories, and small group sessions Similar to college but more intense Focus on the student with learner often in passive role Clinical Learning Environment Organizations are service oriented with actions on patient needs and satisfaction being major priorities. High quality/safe patient care is institutional mission. Focus is on the patient with learner in active role TAKE AWAY – VERY DIFFERENT CULTURES

First Two Years of Medical School Activities for Clinical Education OMS I Presentation “Exploring Options” Shadowing Experience Student Portfolio Creation in “New Innovations” Presentation “Meet the Hubs” OMS II Presentation “Approaches to Selecting a Specialty Presentation on “Scheduling Clinical Rotations” AAMC Careers in Medicine program Students start working on CVs Finalized Core Rotation Schedules ICE Course TAKE AWAY – STUDENT DECISION MAKING

Important Issues for Years 1 and 2 Learn about Regional Hubs – Regional Hub Day Method for allocating students to regional hub Determine student preferences Consider mitigating circumstances Lottery system with Supplemental Swap Number of BCOM students per hub Largest student #s in hubs with more facilities – e.g. El Paso Generally one BCOM student per rotation with exceptions on in-patient services

Introduction to Clinical Experience Bridging course - pre-clerkship curriculum with clerkships with the goal to provide knowledge and skills training to enable students to function in the clerkships from day one. Topics: procedural skills; professionalism; accessing medical literature; and ACLS. Interact effectively with patients as part of a team. Perform specific procedures and interpret findings. Manage information/seek evidence to solve clinical problems. Summarize, present and document clinical cases. Software programs – New Innovations, Med U, ERAS, NMRP

Clinical Years OMS III Start of Core Clinical Rotations Students narrow down the choice of career options Highly competitive specialties refer student to Career Advising Committee Students complete following: Specialty Choice, unique characteristic sketch/CV and choice of electives for year four Presentation on residency application and final career planning Documents uploaded to the advisors and reviewed

Important Issues for Years 3 Determining your post-graduation plans Better understanding of your residency choice Audition Rotations Getting to know the residency program Getting the residency program to know you In fall of third year, begin to think about your elective rotations Residency training in _______? Best programs for me in ______?

Clinical Years OMS IV Register for Electronic Residency Application Service and uploaded all documents Register for the Match - NMRP Presentation – “How to Interview “ Dress, questions to expect, plan travel, manage expenses Interviews – schedule and complete Match Week – meet w/Career Advising Committee, determine Supplemental Offer and Acceptance Process (SOAP) strategy GRADUATION!

Other Issues Longitudinal Osteopathic Principles and Practice Curriculum COMLEX and USMLE International Rotations Selecting 4th Year Electives Advising

Questions ?