1. College of Medicine Undergraduate Education
Chipper Griffith, MD
Vice Dean for Education
Professor of Internal Medicine and Pediatrics

3. Entrustable Professional Activities
Core Principle Phase: 8 activities
Obtain a complete history for a patient being admitted to the hospital
Appraise a research article for validity, importance and applicability to a patient care question
Application Phase: 33 activities
Interpret an EKG
Provide accurate and complete documentation of a hospital admission
Advanced Development Phase: 11 activities
Write, dictate, and/or enter safe and appropriate patient orders
Obtain informed consent for low-risk procedures

4. EPA Assessment Cannot perform Requires close supervision
Requires minimal supervision
Performs independently
Cannot complete even with close supervision; restricted to shadowing experiences
Requires advance preparation and/or physician guidance to successfully complete
Successfully completes with feedback and/or clarification by a supervising physician
Competent at an intern level, rarely needs feedback or clarification afterwards
Direct Supervision
Indirect Supervision
(Direct supervision immediately available)
(Direct Supervision available)
Oversight

5. Core Principle Phase

6. Clinical Anatomy & Radiology (9 weeks)
August
September
October
November
December
January
February
March
April
May
June
July
Clinical Anatomy & Radiology
(9 weeks)
Foundations of Infection, Disease & Therapeutics
(10 weeks)
Winter Break
Hematologic & Lymphatic Systems
(4 weeks)
Neurosciences
(8 weeks)
Spring Break
Behavioral Basis of Medicine
(3 weeks)
Musculoskeletal & Integumentary Systems
(5 weeks)
Research & Clinical Elective Experiences
Vacation
Introduction to Clinical Medicine
ICM (con’t)
Respiratory System
Renal & Urinary Systems
Cardiovascular System
Gastrointestinal System & Nutrition
(6 weeks)
Endocrine & Reproductive Systems
Assessment Week
Multisystem & Integrative Concepts
USMLE Step 1
Application Phase Begins
Contemporary Practice
Advanced Clinical Medicine
ACM (con’t)

7. Clinical Anatomy & Radiology
Monday
Tuesday
Wednesday
Thursday
Friday
8:00
Podcast
Musculoskeletal Development
Lecture
Hand
Case-Based
Radiology of the upper limb
Small Groups
Back & upper extremity prosection lab
Back & upper extremity ultrasound cases (SonoSim)
Physical exam practice of back & upper extremity
9:00
Superficial Back & Shoulder
Demonstration
Upper Extremity
Physical Exam
10:00
Axilla & Arm
Podcast & Quiz
Shoulder, Elbow & Hand ultrasonographic anatomy & physiology
11:00
Forearm
Independent Study

8. Introduction to Clinical Medicine
Patient Education Week
Reading: Literacy and numeracy skills of Americans
Video: Health literacy and patient safety
Class activity: Discussion and design patient education material
Assignment: Describe three approach to overcome literacy difficulties
Breaking Bad News Interview Week
Reading: Interview tips for breaking bad news and angry patients
Video: Example of diabetes diagnosis, pregnancy diagnosis
Class activity: simulated patient interviews
Breaking Bad News Interview Lab
Longitudinal Clinical Experience (LCE): students come to your clinic twice a semester; CONSIDER VOLUNTEERING FOR THIS! These students are capable of interviewing and basic physical exam; contact

9. Gastrointestinal System & Nutrition
Monday
Tuesday
Wednesday
Thursday
Friday
8:00
Podcast
Hepatobiliary & pancreatic anatomy
Viral hepatitis
Digestion
Hepatobiliary & pancreatic masses
Team-based learning cases
Liver, Biliary System, Pancreas
9:00
Lecture
Hepatobiliary physiology
Case-Based
Viral hepatitis cases
Neurohormonal control of digestion
Small Groups
Hepatobiliary ultrasound cases (SonoSim)
10:00
Pathology of acute & chronic liver failure
Complications of Cirrhosis
Biliary & pancreatic pathology
11:00
Liver pathology examples
Hepatobiliary imaging
Acute & chronic pancreatitis cases

10. Advanced Clinical Medicine
Lecture: thorax & lung cases
Workshop: advanced cardiovascular & lung exam
Workshop: cardiovascular & lung ultrasound
Small group
Interview a patient and complete focused CV/lung exam
Focused patient write-up
Patient presentation to faculty preceptor
Examination of patient with preceptor

11. Multisystem & Integrative Course
Monday
Tuesday
Wednesday
Thursday
Friday
8:00
Lecture
Approach to USMLE Step 1
Discussion
Approach to fever
Quiz & Review
Infection & immunology
Pulmonary
Clinical reasoning case
9:00
Introduction to clinical reasoning
Case-Based
Infectious disease case studies
Immunology case studies
Approach to cough & dyspnea
Small Groups
Clinical reasoning case write-up
Approach to muscle weakness
10:00
Antibiotic choice 101
Pulmonary case studies
Neurology case studies
11:00

12. Application Phase

13. Students rotate in 12 different rotation groups
June
July
August
September
October
November
December
January
February
March
April
May
Pediatrics
(8 weeks)
Surgery
Psychiatry
(4 weeks)
Neurology
Family Medicine
Winter Break
Obstetrics & Gynecology
Emergency Medicine
Internal Medicine
(12 weeks)
M3 Capstone
(2 weeks)
Students rotate in 12 different rotation groups
Each has a distinct order of rotations

14. Surgery Clerkship Monday Tuesday Wednesday Thursday Friday 6:00
Round with team
Discussion
Critical Care Topics
7:00
Lecture
Orthopedics
8:00 OR
Clinic
12:00
1:00
Independent Study
3:00
Workshop
Fractures & splinting
Conference
General Surgery Wound healing
5:00
Evening Rounds
Wise-MD module
Orthopedic Surgery Reading
Orthopedic Quiz Due

15. M3 Capstone Clinical Performance Exam (CPX)
8 simulated patients to assess students’ basic clinical skills
Preparation to take the USMLE Step 2 CS
Interactive sessions introduce advanced clinical skills
Write admit and daily orders
Write discharge notes
Provide cross‐coverage, assist with urgent/emergent medical issues
Transition patient care to another healthcare provider

16. Advanced Development Phase

17. Vacation/Interviews/USMLE Step 2
June
July
August
September
October
November
December
January
February
March
April
May
Block 1
Block 2
Block 3
Block 4
Block 5
Block 6
Block 7
Block 8
Block 9
Block 10
Transition to Residency
Required Rotations
Electives
Vacation/Interviews/USMLE Step 2
Primary Acting Internship
Secondary Acting Internship
Transition to Residency
Elective Block
Vacation Block

18. Primary Acting Internship
Perform the initial evaluation of patients assigned to the service
Write admit and daily orders
Develop their own diagnostic and therapeutic plans
Write discharge notes
Communicate care plans to the patient & family members
Coordinate care with consultants & other healthcare professionals
Provide cross‐coverage, assist with urgent/emergent medical issues
Transition patient care to another healthcare provider

19. Transition to Residency
Monday
Tuesday
Wednesday
Thursday
Friday
Podcast
Goals of care and DNR
ACLS protocol
Central line placement
PALS basics
Reading
Obtaining informed consent from patients
Simulated patient cases
Goals of care discussion
DNR discussion
Simulation
Megacode on advanced human simulator
Central line placement on task simulator
Pediatric respiratory distress on SimBaby
Pediatric bradycardia on SimBaby
Informed consent discussion

21. Curriculum Office Contacts
Associate Dean for Curriculum
Christopher A. Feddock, MD
Curriculum Research and Leadership Development Directors
Helen Garces, MSEd (859)
Michelle Lineberry, EdD (859)
Center for Excellence in Medical Education
Dorcas D. Beatty (859)
Evaluations Coordinator
Miriam Lightfoot, MSEd (859)
Assistant Dean for Clinical Education
John Ragsdale, MD, MS
Clerkship Development and Administration
Amy Murphy-Spencer, EdS (859)
M1-M2 Course Support Staff
Ben Lawson (859)
Katie Finch (859)
Porsha Thomas (859)

22. M1 & M2 Course Directors MD 810
Foundations of Infection, Disease, and Treatment
Paul Murphy, MD, Course Director
Pathology and Laboratory Medicine
MD 821
Advanced Clinical Medicine
Scott Morehead, MD
Internal Medicine/Pulmonary
MD 811
Introduction to Clinical Medicine
John Wilson, PhD
Behavioral Sciences
MD 823
Hematologic and Lymphatic Systems
Paul Murphy, MD
MD 813
Behavioral Basis of Medicine
Todd Cheever, MD
Psychiatry
MD 824
Endocrine & Reproductive Systems
Michael Kilgore, PhD
Pharmacology & Nutritional Sciences
 MD 814
Clinical Anatomy & Radiology
Wayne Cass, PhD
Anatomy and Neurobiology
MD 825
Renal and Urinary Systems
Brian Jackson, PhD
Physiology
MD 816
Hematologic & Lymphatic Systems
MD 826
Cardiovascular Systems
Mike Piascik, PhD
Pharmacology and Nutritional Sciences
MD 817
Neurosciences
Sam Franklin, PhD
Anatomy & Neurobiology
MD 827
Respiratory System
Pulmonary
MD 818
Musculoskeletal & Integumentary Systems
Brian Higgins, PhD, Course Director
Microbiology & Immunology
MD 828
Gastrointestinal System & Nutrition
Dexter Speck, PhD
MD 829
Multisystem & Integrative Concepts
Chipper Griffith, MD
Internal Medicine

23. M3 & M4 Course Directors MD 830 Pediatrics Berry Seelbach, MD
MD 837
Surgery
Joseph Iocono, MD
Pediatric Surgery
MD 831
Emergency Medicine
Jonathan Bronner, MD
MD 838
Obstetrics & Gynecology
Mark Hoffman, MD
Obstetrics and Gynecology
MD 832
Neurology
Amy Hessler, DO
MD 840
Transition to Residency
Tom McLarney, MD
Anesthesiology
MD 833
Psychiatry
Todd Cheever, MD
SUR 862
Acting Internship: Surgery
Jitesh Patel, MD
MD 834
Family and Community Medicine
Ginny Gottschalk, MD
(effective Sept. 1)
Family & Community Medicine
PED 859
Acting Internship: Pediatrics
MD 835
Internal Medicine
Andrew Hoellein, MD
MED 870
Acting Internship: Medicine
Adam Gray, MD

24. Center for Excellence in Medical Education
Faculty Development Workshop Series
Individual Workshops
Medical Education Grand Rounds
Abraham Flexner Teaching Awards given at Fall Convocation
-for achievements in Educational Leadership and Administration, Outstanding Teaching Contribution and Mentorship, Educational Innovation and Curriculum Development, Educational Evaluation and Research, Faculty Development in Education
https//meded.med.uky.edu/center-excellence-medical education

25. Source: Kentucky Health News, 2014.

26. M.D. Program Applicant Pool Increased National Interest

27. M.D. Program Total Enrollment 2011 - 2016
17% growth

28. Center for Health Education and Research Morehead, Kentucky

29. The Medical Center-WKU Health Sciences Complex Bowling Green, KY

30. Rationale: KY has a shortage of physicians.
UK COM has a deep applicant pool.
UK COM is at its enrollment capacity on the Lexington campus.
These University partnerships provide the educational space (Western KY University, Morehead State University, ?TBA). 
These clinical partnerships provide sites for clinical education (Medical Center at Bowling Green; St. Claire Regional Medical Center; King’s Daughters Medical Center, ?TBA)
These regional partnerships are the only way that UK COM can greatly expand class size to produce more doctors for KY.
This partnership provides the parameters for expansion possibility.
Details of this implementation will be worked out with faculty, staff, etc. in the coming months to years.