Byron J Crouse, MD Associate Dean for Rural and Community Health UW School of Medicine and Public Health September 16, 2016

Thanks to: Shobhina Chheda, MD, MPH Assistant Dean for Medical Education Christie Seibert, MD Associate Dean for Medical Student Education and Services

Clerkships Years 1 & 2

Residencies require that graduates are better prepared for competency-based educational milestones. National changes in residency application deadlines created significant time pressures on SMPH 4th year students.

Why SMPH Should Change Need Preparation for Being a 21st Century Physician Interprofessional Education Quality Improvement Health Care Financing/Economics Insufficient content and lack of deliberate sequencing or planned reinforcement

What We Need Competency-based curriculum with longitudinal sequencing requiring collaboration between basic scientist and clinicians Earlier entry into clinical clerkships to facilitate career exploration and competitiveness for residency selection Enhanced preparation to work in both complex health systems and communities

Basics of the New Curriculum starting in 2016

1 2 3 CURRICULUM STRUCTURE

1 2 3 3 PHASES in 4 YEARS

3-Phase Model Phase 1 Phase 2 Phase 3 Core basic science content integrated with community and clinical experiences 16 months Core clinical training with integrated basic science and public health content 15 months Advanced learning and training in basic and clinical science 14 months Phase 1 Phase 2 Phase 3

Phases are made up of BLOCKS (i.e. integrated courses)

Phase 1 August September October November December January February Fall, Year 1 August September October November December Patients, Professionalism and Public Health (PPP) Body In Balance: Cellular Physiology, Heme, CV, Pulmonary, Renal, Pharmacology Core Patient Care Skills, Case-based Learning and Community Clinical Experience Spring, Year 1 January February March April May Food, Fasting and Fitness: Nutrition, GI, Biochemistry, Hormone Control, Lipids Human Family Tree: Molecular Bio, Genetics, Repro Endo, Embryology, Childhood, Pregnancy, Aging Core Patient Care Skills, Case-based Learning and Community Clinical Experience August September October November December Fall, Year 2 Invaders and Defense: Immunity, Infection, Neoplasia, Rheumatology (Autoimmunity) Mind and Motion: Psychiatry, Behavioral Science, Neurology, Musculoskeletal Core Patient Care Skills, Case-based Learning and Community Clinical Experience

Phase 1 Preceptorship Each student is paired with the same physician/site throughout Phase 1 (first 18 months) Learn how to be a part of an interprofessional clinic team Develop relationships with patients over time Another key SMPH strength

Phase 2 January February March April May June July August September Spring, Year 2 January February March April May June Integrated Clinical Block 1* Integrated Clinical Block 2* Longitudinal Curriculum (dedicated ½ day per week): Basic Science, Public Health Fall, Year 3 July August September October November December Integrated Clinical Block 3* Integrated Clinical Block 4* Longitudinal Curriculum (dedicated ½ day per week): Basic Science, Public Health Spring, Year 3 January February March USMLE Step 1, Clinical Skills Evaluation Individualized Learning Plans, Electives

4 Integrated Blocks Surgical and Procedural Care (theme: Team-based Care) General Surgery, Procedural/Surgical Specialties (i.e. ENT, Ophthalmology, Urology, Interventional Radiology), Surgical Gyn, Anesthesia Care Across the Life Cycle (theme: Vulnerable Populations) Obstetrics, Newborn Care, Pediatrics, Outpatient Gyn, Geriatrics Chronic and Preventive Care (theme: Community Health) Longitudinal Ambulatory Care, Family Medicine, General Internal Medicine, Psychiatry and Behavioral Health Acute Care (theme: Health Systems) Inpatient Medicine and Critical Care, Inpatient and Consultative Neuro and Psych, Emergency Medicine, Rehabilitation Medicine, Palliative Care

Weaving throughout each block are THREADS

Longitudinal Learning Threads Each Thematic Block integrates relevant Public Health Scientific Inquiry, Evidence-based Medicine Patient Care, Interpersonal and Communication Skills Health Information Technology Quality Improvement, Patient Safety Ethics, Professionalism and Lifelong Learning Interprofessional Health/Team-Based Care Faculty to student teaching in this course is quite remarkable compared to other medical schools. Also the involvement of EVERY clinical department is a major distinguishing factor and strength. Provides diverse points of view and opportunities for role modeling.

Phase 3 April May June July August September October November December Spring, Year 3 April May June Career Exploration Electives, Specialty-Recommended Basic Science and Clinical Experiences Fall, Year 4 July August September October November December Career Exploration Electives, Specialty-Recommended Basic Science and Clinical Experiences Residency Interviews, Electives (including online), Research USMLE Step 2 Spring, Year 4 January February March April May Continued Interviews, Electives (including online), Research, Match Specialty-Specific Internship Preparation

Phase 3 Acting Internships Pubic Health Selectives Spring, Year 3 April May June Career Exploration Electives, Specialty-Recommended Basic Science and Clinical Experiences Acting Internships Pubic Health Selectives Basic Science Selectives Fall, Year 4 July August September October November December Career Exploration Electives, Specialty-Recommended Basic Science and Clinical Experiences Residency Interviews, Electives (including online), Research USMLE Step 2 Spring, Year 4 January February March April May Continued Interviews, Electives (including online), Research, Match Specialty-Specific Internship Preparation

We need you to continue to teach our medical students!