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. 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)

6. 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

7. 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

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

9. M3 Clerkships Students rotate in 12 different rotation groups
EPA Week
Internal Medicine / Emergency Medicine
Surgery
Break
Pediatrics
Obstetrics & Gynocology
Psychiatry
Family Medicine
Neurology
Students rotate in 12 different rotation groups
Each has a distinct order of rotations

10. Transition to Residency Vacation/Interviews/USMLE Step 2
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

11. 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

12. Transition to Residency
Monday
Tuesday
Wednesday
Thursday
Friday
Podcast
Goals of care and DNR
Reading
Obtaining informed consent from patients
ACLS protocol
Central line placement
PALS basics
Assessment
OSCE
Special Topics Workshop
Goals of care discussion & Informed consent
DNR discussion
Simulation
Megacode on advanced human simulator
Central line placement on task simulator
Pediatric respiratory distress on SimBaby
Pediatric bradycardia on SimBaby

13. Office of Medical Education Contacts
Senior Associate Dean for UME
Christopher A. Feddock, MD
Curriculum Research and Leadership Development Director
Helen Garces, MSEd (859)
Administrative Coordinator
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)

14. M1 & M2 Course Directors MD 810
Foundations of Infection, Disease, and Therapeutics
Paul Murphy, MD
Pathology and Laboratory Medicine
MD 820
Contemporary Practice
Christopher Feddock, MD
Internal Medicine
MD 811
Introduction to Clinical Medicine
John Wilson, PhD
Behavioral Sciences
MD 821
Advanced Clinical Medicine
Scott Morehead, MD
Internal Medicine/Pulmonary
MD 813
Behavioral Basis of Medicine
Raven Piercey, PhD
Behavioral Science
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 System
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
Microbiology & Immunology
MD 828
Gastrointestinal System & Nutrition
Dexter Speck, PhD
MD 829
Multisystem & Integrative Concepts
Chipper Griffith, MD

15. M3 & M4 Course Directors MD 830 Pediatrics Allen Hall, MD
MD 838
Obstetrics & Gynecology
Mark Hoffman, MD
Obstetrics and Gynecology
MD 831
Emergency Medicine
Jonathan Bronner, MD
MD 840
Transition to Residency
Tom McLarney, MD
Anesthesiology
MD 832
Neurology
Amy Hessler, DO
SUR 862
Acting Internship: Surgery
Jitesh Patel, MD
Surgery
MD 833
Psychiatry
James Hawthrone, MD
PED 859
Acting Internship: Pediatrics
Berry Seelbach, MD
MD 834
Family and Community Medicine
Ginny Gottschalk, MD
Family & Community Medicine
MED 870
Acting Internship: Internal Medicine
Adam Gray, MD
Internal Medicine
MD 835
MED 872
Acting Internship: Med-Peds
Anthony Lile, MD
MD 837
Joseph Iocono, MD
Pediatric Surgery
FM 850 Acting Internship in Family & Community Medicine
Archana Kudrimoti, MD

16. Academy of Medical Educators
Clinical Teaching
Classroom Teaching
Resident Teaching
Master Educator Awards Program
Abraham Flexner Teaching Awards 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

17. Source: Kentucky Health News, 2014.

18. 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, Northern Kentucky University). 
These clinical partnerships provide sites for clinical education (Medical Center at Bowling Green; St. Claire Regional Medical Center; St. Elizabeth’s Healthcare System)
The goal is to provide the same high quality education at the regional sites as in Lexington, “first class medical education close to home”
UK COM-Bowling Green to open July 2018
Morehead already has a 2 year clinical campus, the Rural Physician Leadership Program; 4 year campus in Morehead/ Northern KY possibly in 2019