1. Case Western Reserve Univ. SOM
Revised third year in 2006, further changes to be implemented Mar. 08
Integrated “basic core” blocks, rather than separate discipline-based clerkships for the entire class of 150 students
Required “advanced core” rotations follow the “basic cores”: Undifferentiated Care; Aging Adult; Peri-operative medicine and pain; Chronic Disease
Required research - 16 wks
“Third-year” starts March of second year

2. Integrated Basic Core Blocks
I. 16 wks. Surgery, Internal Medicine, Family Medicine
II. 16 wks. Pediatrics, Obstetrics-gynecology, Psychiatry, Neuroscience
Three main teaching hospitals implement the integration utilizing their unique strengths

3. Block One Hospital 1 Hospital 2 Hospital 3
5 wks IM in-pt; 5 wks Surgery; 4 wks FM+1 wk elective; 1 wk interdisciplinary
Hospital 2
5 wks IM in-pt; 5 wks Surgery; 3 wks FM; 3 wks IM out-pt
Hospital 3
4 wks IM in-pt; 4 wks Surgery; 8 wks ambulatory, 1/2 FM

4. New Curriculum (starting Mar ‘09)
3 basic cores
I. 16 wks. Surgery, Internal Medicine
II. 16 wks. Pediatrics, Obstetrics-gynecology, Family Medicine
III. 8 wks. Psychiatry, Neuroscience
2 advanced cores - 4 wks each
Undifferentiated patient (ED and Urgent Care)
Elderly

5. Successes and Challenges
Increased opportunities for students to develop learning relationships with faculty over time
Forced interdisciplinary collaboration
NBME part 2 CK results similar to before curriculum change
Further evaluation still in progress