New Faculty Orientation Curriculum Restructuring

Phase 1 – Foundations Phase CMB (8) Anatomy (7) Epi/Bio (3) MIM (1) Applied Clinical Skills 100 Longitudinal (26) Thanksgiving Break M1 Electives Longitudinal MHR (3) APCS Electives Winter Break Pharm (4)Path (4) Break HEM-200 (3) Neurosciences -201 (7) BMH-200 (2) Health Care Ethics (7) APCS Electives Bedside Diagnosis -201 (12) Applied Clinical Skills 201 Longitudinal (12) Electives Aug Nov Jan Mar May CMB = Cell and Molecular Biology Epi/Bio = Epidemiology and Biostatistics MIM = Introduction to Medical Information Management MHR = Microbes and Host Responses PHARM – Principles in Pharmacology PATH = Introduction to Pharmacology HEM = Hematology BMH = Behavorial Medicine and Health Begins Phase 2 - Core Knowledge Phase

Card (4)RESP (5)RENL (4) GI Thanksgiving Break GI (5) Winter Break ENDR (5)SBJ (5) MD200 – USMLE Step 1(8) Orientation Week Clerkship 1 (8) Phase 2 – Core Knowledge Phase Applied Clinical Skills 200 Longitudinal (26) Bedside Diagnosis 200 Longitudinal (26) Death and Dying 200 Longitudinal (15) M2 Electives Longitudinal APCS BD Elective Applied Clinical Skills Bedside Diagnosis Electives Aug Nov Jan Mar May Card = Cardiovascular RESP = Respiratory RENL = Renal GI = Gastointestinal ENDR = Endocrine and Reproductive SBJ = Skin, Bone and Joint IPTS – Inter Professional Team Seminars Applied Clinical Skills 300 IPTS Begins Phase 3- Core Clinical Phase

Curriculum Restructuring Goals Increase the amount of time for career exploration electives prior to the deadline for submitting residency applications Streamline pre-clinical curriculum by decreasing/eliminating unplanned redundancies and the focus on unnecessary detail Create a more sensical grouping of courses and clerkships Improve medical student well-being

Current Third-Year Structure Two 24-week blocks Internal Medicine 12 weeks OB/Gyn 6 weeks Family Medicine* 6 weeks Surgery 8 weeks Pediatrics 8 weeks Neuro/ Psych 8 weeks ACS3 Interprofessional Team Seminars

Clerkship Orientation Internal Medicine (Inpt) (8 Wks) Surgery (8 Wks) 1 Week Break Psych/ Neuro (4 Wks each) OB Gyn* (8 Wks) Winter Break Family* Med (8 Wks) Peds (8 Wks) ACS 3 Longitudinal ACS 3 Longitudinal ACS 3 Longitudinal Phase 3 – Core Clinical Phase MayDecemberApril * Includes two weeks for career exploration Inter-professional Team Seminars IPTS

Fourth-Year Requirements Two 3-week subinternships (at least one of which has to be in IM or Peds) 3-week ambulatory Internal Medicine rotation 3-week required capstone course 2 or 3-week Emergency Medicine requirement (2-week if done in year 3, 3-week if done in year 4.

Core Recommendations to Accompany Restructuring Plan 1. Active learning needs to be a greater part of the pre-clinical and core clinical didactic curriculum. Possible strategies include team-based learning, problem-based learning, and interactive case discussions. 2. Emphasis on clinical correlations for basic science material should be enhanced and expanded. 3. Efforts to reduce unnecessary detail in the curriculum should be ongoing. One path to accomplish this would be to institute NBME subject exams as assessment tools in the pre-clinical years.

Core Recommendations to Accompany Restructuring Plan 4. Students need to have greater opportunity for early development of key clinical skills, particularly history-taking and diagnostic reasoning skills. 5. Opportunities to return to the basic sciences in the fourth year should be expanded.