The New Primary Care Scholars Pathway An Innovative Accelerated Medical School Curriculum Richard A. Ortoski, DO and Hershey S. Bell, MD

Overview Trends Rekindling Student Interest in Generalist Careers (Schwartz MD, et al) Improve Satisfaction and Improve Enthusiasm Redouble Efforts Facilitate Pathway from UME to GME The Primary Care Scholars Pathway Future Steps

Trends Declining Student Interest Salary and Indebtedness Allopathic Osteopathic Salary and Indebtedness

Rekindling Student Interest Schwartz MD, Basco WT, Grey MR, Elmore JG, Rubenstein A. Rekindling student interest in generalist careers. Ann Intern Med 2005;142:715-24 improving satisfaction and enthusiasm among generalist physician role models schools of medicine should redouble their efforts to produce primary care physicians facilitating the pathway from medical school to generalist residency the US Government should increase funding for primary care research and training

Department of Primary Care Education Improving satisfaction and enthusiasm among generalist physician role models Department of Primary Care Education Primary Care Physicians as Key LECOM faculty Administration Course and System Faculty Clinical Faculty

Schools of medicine should redouble their efforts to produce primary care physicians “Preparing the next generation of primary health care professionals” “To educate and develop primary care physicians who will practice in the osteopathic tradition”

Schools of medicine should redouble their efforts to produce primary care physicians Selection Matriculate into LECOM Accelerated Curriculum Application Process Maturity, Commitment to Primary Care Six Students to matriculate into PCSP Fall 2007 (increase toward 12 in Fall 2010)

The Accelerated Curriculum SUMMER FALL WINTER SPRING Calendar Yr 1 MS I – ISP adapted MODULES Following completion of common pathway curriculum MS II – ISP adapted MODULES begin late spring Calendar Yr 1 Calendar Yr 2 Calendar Yr 3 MSI MSII LEGEND MSIII MSIV

The Accelerated Curriculum SUMMER FALL WINTER SPRING Calendar Yr 1 MS I – ISP adapted MODULES Following completion of common pathway curriculum MS II – ISP adapted MODULES begin late spring Calendar Yr 1 MS III Core Rotations Calendar Yr 2 MS III Core Rotations Calendar Yr 3 MSI MSII LEGEND MSIII MSIV

MS III Rotations Family Medicine Clinical Overview Pediatrics Obstetrics/Gynecology Internal Medicine 1 and 2 General Surgery Medical Selective 1

The Accelerated Curriculum SUMMER FALL WINTER SPRING Calendar Yr 1 MS I – ISP adapted MODULES Following completion of common pathway curriculum MS II – ISP adapted MODULES begin late spring Calendar Yr 1 MS III Core Rotations Calendar Yr 2 MS III Core Rotations MS IV Core Rotations Calendar Yr 3 MSI MSII LEGEND MSIII MSIV

MS IV Rotations Psychiatry Osteopathic Manipulative Medicine Medical Selective 2 Ambulatory Medicine 1 and 2 Otorhinolaryngology/Ophthalmology Emergency Medicine Sub-internship ideally at matched hospital

Additions and Deletions Clinical Overview Osteopathic Manipulative Medicine Otorhinolaryngology/ Ophthalmology Medical Selective 2 Sub-Internship Deletions Internal Medicine 3 General Surgery 2 Emergency Medicine 2 MS3 Elective 1 and 2 MS4 Elective 1,2,3 & 4 Rural Medicine Selectives Primary Care Surgery Core

Why A Three-Year Accelerated Model? Prior combined MSIV/PGY1 model LECOM Pharmacy Experience LECOM’s articulation agreements

Evaluation The Teaching and Learning Center at LECOM Office of Planning and Institutional Assessment Matriculation Data Undergraduate Performance Graduate Performance Practice Parameters

The Primary Care Scholars Pathway Committee Richard A. Ortoski, DO – Chair Richard Raymond, PhD – Pathway Director John M. Ferretti, DO Silvia M. Ferretti, DO Dennis Agostini, PhD, DO Hershey S. Bell, MD Robert George, DO Christine Kell, PhD Walter Buck, PhD Philip Hultgren, PhD Mark A. W. Andrews, PhD

Endorsements American College of Osteopathic Family Physicians Association of Osteopathic Directors and Medical Educators American College of Osteopathic Internists American Osteopathic Association Council on Postgraduate Training Directors of Medical Education Millcreek Community Hospital Meadville Medical Center UHHS-Richmond Heights St. Vincent Health Center Hamot Medical Center

Questions and Discussion Thank you for your kind attention