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

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

3. Clerkships
Years 1 & 2

4. 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.

5. 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

6. 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

7. Basics of the New Curriculum starting in 2016

8. 1 2 3
CURRICULUM STRUCTURE

9. 1 2 3
3 PHASES in 4 YEARS

10. 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 Phase 2 Phase 3

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

12. 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

13. 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

14. 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

15. 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

16. Weaving throughout each block are
THREADS

17. 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.

18. 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

19. 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

20. We need you to continue to teach our medical students!