1. The New Primary Care Scholars Pathway
An Innovative Accelerated Medical School Curriculum
Richard A. Ortoski, DO and Hershey S. Bell, MD

2. Overview
Trends
Rekindling Student Interest in Generalist Careers (Schwartz MD, et al)
Improve Satisfaction and Improve Enthusiasm
Redouble Efforts
Facilitate Pathway from UME to GME
The Primary Care Scholars Pathway
Future Steps

3. Trends Declining Student Interest Salary and Indebtedness Allopathic
Osteopathic
Salary and Indebtedness

4. Rekindling Student Interest
Schwartz MD, Basco WT, Grey MR, Elmore JG, Rubenstein A. Rekindling student interest in generalist careers. Ann Intern Med 2005;142:715-24
improving satisfaction and enthusiasm among generalist physician role models
schools of medicine should redouble their efforts to produce primary care physicians
facilitating the pathway from medical school to generalist residency
the US Government should increase funding for primary care research and training

5. Department of Primary Care Education
Improving satisfaction and enthusiasm among generalist physician role models
Department of Primary Care Education
Primary Care Physicians as Key LECOM faculty
Administration
Course and System Faculty
Clinical Faculty

6. Schools of medicine should redouble their efforts to produce primary care physicians
“Preparing the next generation of primary health care professionals”
“To educate and develop primary care physicians who will practice in the osteopathic tradition”

7. Schools of medicine should redouble their efforts to produce primary care physicians
Selection
Matriculate into LECOM
Accelerated Curriculum Application Process
Maturity, Commitment to Primary Care
Six Students to matriculate into PCSP Fall 2007
(increase toward 12 in Fall 2010)

8. The Accelerated Curriculum
SUMMER
FALL
WINTER
SPRING
Calendar Yr 1
MS I – ISP adapted MODULES
Following completion of common pathway curriculum
MS II – ISP adapted MODULES
begin late spring Calendar Yr 1
Calendar Yr 2
Calendar Yr 3
MSI
MSII
LEGEND
MSIII
MSIV

9. The Accelerated Curriculum
SUMMER
FALL
WINTER
SPRING
Calendar Yr 1
MS I – ISP adapted MODULES
Following completion of common pathway curriculum
MS II – ISP adapted MODULES
begin late spring Calendar Yr 1
MS III Core Rotations
Calendar Yr 2
MS III
Core Rotations
Calendar Yr 3
MSI
MSII
LEGEND
MSIII
MSIV

10. MS III Rotations Family Medicine Clinical Overview Pediatrics
Obstetrics/Gynecology
Internal Medicine 1 and 2
General Surgery
Medical Selective 1

11. The Accelerated Curriculum
SUMMER
FALL
WINTER
SPRING
Calendar Yr 1
MS I – ISP adapted MODULES
Following completion of common pathway curriculum
MS II – ISP adapted MODULES
begin late spring Calendar Yr 1
MS III Core Rotations
Calendar Yr 2
MS III
Core Rotations
MS IV
Core Rotations
Calendar Yr 3
MSI
MSII
LEGEND
MSIII
MSIV

12. MS IV Rotations Psychiatry Osteopathic Manipulative Medicine
Medical Selective 2
Ambulatory Medicine 1 and 2
Otorhinolaryngology/Ophthalmology
Emergency Medicine
Sub-internship
ideally at matched hospital

13. Additions and Deletions
Clinical Overview
Osteopathic Manipulative Medicine
Otorhinolaryngology/ Ophthalmology
Medical Selective 2
Sub-Internship
Deletions
Internal Medicine 3
General Surgery 2
Emergency Medicine 2
MS3 Elective 1 and 2
MS4 Elective 1,2,3 & 4
Rural Medicine
Selectives
Primary Care
Surgery
Core

14. Why A Three-Year Accelerated Model?
Prior combined MSIV/PGY1 model
LECOM Pharmacy Experience
LECOM’s articulation agreements

15. Evaluation The Teaching and Learning Center at LECOM
Office of Planning and Institutional Assessment
Matriculation Data
Undergraduate Performance
Graduate Performance
Practice Parameters

16. The Primary Care Scholars Pathway Committee
Richard A. Ortoski, DO – Chair
Richard Raymond, PhD – Pathway Director
John M. Ferretti, DO
Silvia M. Ferretti, DO
Dennis Agostini, PhD, DO
Hershey S. Bell, MD
Robert George, DO
Christine Kell, PhD
Walter Buck, PhD
Philip Hultgren, PhD
Mark A. W. Andrews, PhD

17. Endorsements American College of Osteopathic Family Physicians
Association of Osteopathic Directors and Medical Educators
American College of Osteopathic Internists
American Osteopathic Association Council on Postgraduate Training
Directors of Medical Education
Millcreek Community Hospital
Meadville Medical Center
UHHS-Richmond Heights
St. Vincent Health Center
Hamot Medical Center

18. Questions and Discussion
Thank you for your kind attention