1. The Majors and Masteries Program
INNOVATION
FLEXIBILITY
EXCELLENCE

2. What are “Majors and Masteries”?
Residents make training choices
Pursue “passions”
Advanced training (MBA, MPH, OB)
4-year residency model
More longitudinal educational elements
Evaluation based on competency
Residents develop life-long learning skills
Life-long Electronic Physician Portfolio

3. How?: Major Changes

4. How?: Major Changes

5. How?: Major Changes

6. How?: Major Changes Revamped core rotational experiences
Created major and mastery curricula
Introduced Exploration Days
Individualized instruction plans
Computerized Learner’s Portfolios

7. Majors and Masteries Timeline
Block 1 2 3 4 5 6 7 8 9 10 11 12 13
Selection date
PG1 Core
PG2 Core
PG2 Major/Mastery
PG3 Major/Mastery
PG4 Mastery

8. Majors and Masteries Curriculum
First “1/2” will consist of core rotational training
Full “basket of services”
Residents will choose a Major or a Mastery:
Majors
Women’s Health
Community Health/International Medicine
Sports Medicine
Hospital Medicine
Traditional
Individualized
Masteries (must apply and be accepted)
Advanced Obstetrics
Community Health – MPH
Practice Management - MBA

9. Majors and Masteries Curriculum
What we’ve learned so far…
Choosing is hard
Have already had someone change their major
Variety is good
4 Women’s health majors
4 Community health majors
2 Sports medicine majors
1 Traditional major
1 Practice Management/MBA Master
Individualized curricula seem very popular

10. Exploration Days ½ day per week during each rotation
Devoted to longitudinal topics
Protected time
Specific assignments/long term projects
Required tasks/projects
Early exposure to potential majors
e.g., Sports med, Community health

11. Exploration Days What we’ve learned so far… Residents need structure
Need a good orientation & clear objectives
Scheduling is difficult

12. Individualized Instruction Plans
Provide guidance for resident choices
Involves closer relationships with advisor
Inventories of skills and competencies
Residents develop and track individual goals for every rotation
Teaches goal setting
Models life-long learning

13. Individualized Instruction Plans
What we’ve learned so far…
We all need to learn how to create clear and effective goals and objectives
Life coaching is difficult
Good advisor/advisee relationships are crucial

14. Electronic Learner’s File (ELF)
Document competence
Track experiences
Document competency assessments
Document diagnoses, procedures, CME, etc.
Collect products
Online collection of accomplishments, projects, talks
Some public, some private
Store knowledge
Permanent online storage for readings, lectures, resources, etc.

15. Questions?