1. CUSOM Curriculum Overview
Accepted Students Day
April 7, 2018
Robert R. Terreberry, PhD
Associate Dean for Biomedical Affairs
Room Ext. 1767
David Tolentino, DO, FACOI, FACP
Associate Dean for Clinical Affairs
Room Ext. 1772

2. CUSOM Class of 2022
CONGRATULATIONS

3. CUSOM Mission
“Educate and prepare community-based osteopathic physicians in a Christian environment to care for the rural and underserved populations in North Carolina, the Southeastern United States and the nation”

4. General Overview of Curriculum
Years 1 and 2
At CUSOM in Lillington (July/August – May)
Years 3 and 4
At one of 6 Clinical Sites around NC (June – May)
GME – Residency Programs
After graduation, number of CUSOM-related sites possible

5. Academic Calendar Blocks typically 8 weeks + exam week = 9 weeks
Blocks 4 & 8 = 10 weeks
Remediation / Break week (Gold) after each Block
Mission trips scheduled here

6. Block Schedules Activities color-coded
Courses, lectures, labs, exams, quizzes, Grand Rounds, etc…
M-F 8a-5:30p
Availability expected, check travel plans

7. Curriculum Oversight Curricular Cycle
Dean
Course Directors / Clerkship Directors
Office of Assessment
Faculty
Curriculum Committee
CC Subcommittee
Initial Review Committee (IRC)
Block Leaders / Regional Deans
Students, Peers, End of Rotation Evaluations, COMAT, COMBANK, COMSAE, COMLEX, USMLE, GME Assessment
Biomedical / Clinical Department Chairs
Block Teams / Affiliated Regional Teams
Curricular
Cycle
Delivery
Review
Approval
Assessment
Development
Curriculum Oversight
Rather traditional systems-based curriculum
Two Blocks of Basic Science
Six Blocks of System-based Courses with Integrated Basic Science and Clinical Science
Curriculum is faculty-driven
Strong core of biomedical principles & solid foundation in clinical sciences
Integrated exams (3 per Block)
Exams taken on computer

8. Integrated Basic Science and Clinical Courses Musculoskeletal System
Year 1: Blocks 1-4
YEAR 1
SEMESTER 1
SEMESTER 2
Block 1
Block 2
Block 3*
Block 4*
Integrated Basic Science and Clinical Courses
Musculoskeletal System
Neuroscience
Psychiatry
OMED 511 Cell Bio/Biochemistry
OMED 522 Pharmacology
OMED 570 Musculoskeletal System
OMED 579 Neuroscience
OMED 524 Micro/Immunology
OMED 540 Physiology
OMED 590 Anatomy
OMED 583 Psychiatry
OMED 530 Anatomy
OMED 550 Pathology
OMED 508 OMM
OMED 594 Anatomy
OMED 500 OMM
OMED 560 Anatomy
OMED 509 Clinical Skills
OMED 515 OMM
OMED 501 Clinical Skills
OMED 504 OMM
OMED 513 FMP
OMED 516 Clinical Skills
OMED 502 FMP
OMED 505 Clinical Skills
OMED 514 PCC
OMED 517 FMP
OMED 503 PCC
OMED 506 FMP
OMED 518 PCC
OMED 507 PCC
Clinical Courses Threads

9. Year 2: Blocks 5-8 YEAR 2 SEMESTER 1 SEMESTER 2 Block 5* Block 6*
Cardiovascular System
Respiratory System
Hematology
Dermatology
Renal System
Gastrointestinal System
Endocrine System
Reproductive System
Clinical Applications of Biomedical Sciences
OMED 610 Cardiovascular System
OMED 630 Hematology
OMED 670 Endocrine System
OMED 690 CABS II
OMED 611 CABS I
OMED 640 Renal System
OMED 680 GI System
OMED 695 Repro System
OMED 620 Respiratory System
OMED 650 Dermatology
OMED 608 OMM
OMED 615 OMM
OMED 600 OMM
OMED 604 OMM
OMED 609 Clinical Skills
OMED 616 Clinical Skills
OMED 601 Clinical Skills
OMED 605 Clinical Skills
OMED 613 FMP
OMED 618 FMP
OMED 602 FMP
OMED 606 FMP
OMED 614 PCC
OMED 619 PCC
OMED 603 PCC
OMED 607 PCC
Clinical Courses Threads

10. National Board Examinations
Mandatory exams at prescribed points in the curriculum
COMLEX vs USMLE
Osteopathic (DO) students must take COMLEX exams
Allopathic (MD) students must take USMLE exams
DO students may, and some CUSOM students take USMLE
Passing COMLEX-USA Levels 1, 2-CE, 2-PE mandatory for graduation

11. National Board Preparations
Clinical Applications of Biomedical Science Courses
CABS I - Summer between Year 1 and Year 2
CABSII - During Block 8 in Year 2 
COMBANK Questions
Kaplan Materials
COMSAE (College of Osteopathic Medicine Self- Assessment Exam) Diagnostic Tests
Simulation Month prior to Year 3

12. National Board Examinations
COMLEX-USA Level 1
Written exam at end of Second Year
COMLEX-USA Level 2-CE
Written exam at end of Third Year
COMLEX-USA Level 2-PE
Practical exam at end of Third Year (Chicago, IL or Conshohocken,PA)
COMLEX-USA Level 3
Written exam in first year of Residency

13. COMLEX-USA Level 1 Performance*
* One student took Level 1 & 2 in early cycles due to military commitment.
**Some Level 1 & 2 scores have not yet been reported by the NBOME.
Class of 2017 had mean discipline score of : CUSOM ranks #11 out of all 33 COMS (48 COMs)
CUSOM students above 600 (average): Level 1 (25% over 3 years, nearly 37% Class of 2019 above 600)

14. USMLE Step 1 Performance*
*Some Step 1 scores have not yet been reported by the NBME.

15. USMLE First-time Pass Rates*
Step 1
(National average)
CUSOM
(3-year average)
MD’s
96%
DO’s
93%
98.24%
(n= 182 students over 3 years, or an average of 61 students per class, or about 40%)
FMG’s
78%
*Some Step 1 scores have not yet been reported by the NBME.

16. Meeting the CUSOM Mission
North Carolina
Regional Clinical Campuses
Rural and Underserved
Health shortage areas
Medically underserved areas
Early Clinical Experiences
Service Projects
Student Run Community Care Clinic
Local Community Clinics
Health Screening Bus
Migrant Workers
International Opportunities
Guatemala
Honduras
Ecuador
Haiti
Jamaica
Armenia
Student Organizations
North Carolina is facing a critical shortage of primary care physicians because of the significant growth of residents and an increase in its aging population.
North Carolina’s population has grown from 5.5 million in 1980 to 9.5 million in 2010 with virtually no increase in the number of doctors graduating from the state’s four medical schools each year.
According to a 2010 study published by the Association of American Medical Colleges Center for Workforce Studies, the populations that will be most impacted by a decreasing supply of physicians include rural and underserved populations. 20% of Americans live in rural or inner-city populations.
Campbell University is strategically positioned to serve the medical needs of eastern North Carolina.
Students will gain early clinical experience beginning in the first year and will continue through all four years of their education. Early clinical experiences will emphasize the importance of developing the student’s ability to generate a robust differential diagnosis.
Campbell University has always had a strong commitment to service, and this is no different for the School of Osteopathic Medicine. The support to local service projects will nurture our commitment to the community and serve those people in need in Harnett County.

17. Clinical Campuses
New Region #6:
Carteret Hospital
in Morehead City 6

18. Goals of Clinical Education
Provide exceptional clinical education in the art and science of osteopathic medicine
Through hands-on training in rural and medically underserved areas, students will gain an appreciation for the many rewards of rural and community based medicine
Be recognized for continued excellence in clinical medical education
Maintain high academic standards and consistency
Collaborate with our regional partners to support outstanding Osteopathic experiences and meet CUSOM’s Mission
To be recognized for excellence in graduate medical education.
Achieving and maintaining full compliance with AOA standards
Achieving and maintaining high student, resident and graduate retention rates
Maintain high academic standards
Meeting local, state, and regional workforce needs (i.e. Primary Care)
Offer placement services for graduates that want to contribute to the programs
Collaboration with our regional partners to support Osteopathic graduate learning experiences in medical education and medical education research
Student and resident rotations, mentoring, research and rotations for all specialties
To develop a robust research operation:
Emphasis on hypothesis-driven and outcomes research
Research infrastructure supported by the university and our teaching affiliates
Emphasizes collaborative research between clinicians, basic scientists, residents and students – lead by example

19. Years 3 and 4: Clinical Campus Locations
Site
Location
Assigned
3rd Year Students
4th Year Students 1
Lumberton (Southeastern Health) 33 44 2
Fayetteville
(Cape Fear Valley) 3a
Raleigh
(WakeMed) 22 3b
Dunn/Lillington (Harnett Health) 11 4
Salisbury
(Novant Health) 5
Goldsboro
(Wayne Memorial) 6
Morehead City (Carteret Health)

20. Clinical Rotations YEAR 3 YEAR 4 CORE CORE
Internal Medicine I, II (8 weeks)
Medical Selective (4 weeks)
Medical/Surgery Selective (4 weeks)
Surgery (4 weeks)
Obstetrics/Gynecology (4 weeks)
Pediatrics (4 weeks)
Psychiatry/Behavioral Science (4 weeks)
Family Medicine (4 weeks)
Rural/Underserved (4 weeks)
Simulation Lab (4 weeks)
Clinical Academic Assessment (4 weeks)
YEAR 4
Medical Selective (4 weeks)
Primary Care Selective (4 weeks)
Surgical Selective (4 weeks)
Geriatrics (4 weeks)
Emergency Medicine (4 weeks)
Electives I, II, III, IV, V (20 weeks)
Sub-internship
Residency Development (4 weeks)
CORE
CORE

21. Example Third Year Schedule
MS-3
Student
Block 1
Block 2
Block 3
Block 4
Block 5
Block 6
Block 7
Block 8
Block 9
Block 10
Block 11
Block 12
Block 13 A
SIM Month
Hosp Orientation IM MS
Sur
R/U
OBG
Ped
Psy FM
MS/SS
Vac B
M/S
PSY C D E F G
Surg H I J K
KEY: VAC = Vacation; IM = Internal Medicine; MS = Medical Selective; SUR = Surgery; R/U = Rural/Underserved; OBG = Obstetrics/Gynecology; PED = Pediatrics;
PSY = Psychiatry; FM = Family Medicine; MS/SS = Medical/Surgical Selective; SIM = Simulation Medicine

22. Example Fourth Year Schedule
MS-4
Student
Block 1
Block 2
Block 3
Block 4
Block 5
Block 6
Block 7
Block 8
Block 9
Block 10
Block 11
Block 12 A
Residency Development MS
Elec
PCS ER SS
Ger
Vac B C D E F G H I J K
KEY: VAC = Vacation; MS = Medical Selective; ELEC = Elective – one of the electives must be completed as a Sub-Internship (SUB I), EM = Emergency Medicine;
PCS = Primary Care Selective; GER = Geriatrics; SS = Surgical Selective

23. High Quality Standardized Clinical Curriculum
The standardized curriculum ensures that all students, regardless of the geographic location of their clinical rotation, will complete the same clinical objectives and didactic lessons.
In order to ensure a high quality, standardized curriculum, the Associate Dean works with the Clinical Chairs to develop:
Online syllabus
Clerkship objectives
Required textbooks and reading assignments
Clinical cases to enhance student learning
Supplemental instructional videos

24. COMLEX-USA Level 2 Performance*
Level 2CE**
* One student took Level 1 & 2 in early cycles due to military commitment.
**Some Level 1 & 2 scores have not yet been reported by the NBOME.
CUSOM students above 600 (average): Level 2CE (36.7%)

25. COMLEX-USA Level 2PE Performance

26. COMLEX-USA Level 2PE Performance
Biomedical Domain
Humanistic Domain

27. COMLEX-USA Level 2CE Mean Performance
June 2016 – May 2017
First Time Takers Only

28. COMLEX Level 2CE First-time Pass Rates
What about the USMLE?

29. USMLE Step 2 Performance*
USMLE Step 2CK
*Some Step 2CK scores have not yet been reported by the NBME.

30. USMLE Step 2 First-time Pass Rates*
2 CK
(National average)
Step 2CK
CUSOM
(2-year average)
Step 3
MD’s
96%
98%
DO’s
92%
99.37%
(n= 96 students over 2 years, or an average of 48 students per class, or about 31%)
91%
FMG’s
75%
89%
*Some Step 2CK scores have not yet been reported by the NBME.

31. Community-Based Campus Advantages
Students are part of the community - remain “local”; establish connections and roots
Students become integral part of healthcare team
Better tracking of student progress over the course of the year
Students often pursue residency spots at their sites of training and increase chances of them practicing in the community
Consistency for students in relationship to Regional Dean/DSME, site coordinator, educational activities, computer systems, policies/procedures etc
CUSOM-appointed faculty delivering a standardized curriculum
Financial support for Regional Dean/ DSME and Site Coordinator

32. General Teaching Service
Students with a CUSOM-appointed teaching physician who manage patients by the team.
The interdisciplinary team
A faculty-appointed teaching physician
A senior resident (PGY-2 or PGY-3)
1 or 2 junior resident(s) (PGY-1)
1 or 2 Medical student(s)
1 Physician Assistant and/or Pharmacy student
Responsibilities
Management of the patients
Morning report
Daily teaching rounds
Students & residents gain broad experiences in the management of a diverse population of patients

33. Assuring Clinical Knowledge/Competency
3rd Year
NBOME discipline exam at the end of each core rotation (COMAT)
The preceptor completes a performance evaluation of each student based on the 7 core competencies
Osteopathic Philosophy & OMM
Medical Knowledge
Patient Care
Interpersonal & Communication Skills
Professionalism
Practice-based Learning & Improvement
Stystems-based Practice
Students participate in Call Back Fridays - practice and are evaluated in Osteopathic Principles and hands-on techniques
Students participate in weekly educational sessions with board review questions, case presentations, and review of journal articles
Students take the NBOME COMSAE exam in order to ensure preparedness for their COMLEX Level 2-CE exam
Comprehensive Osteopathic Medical
Self-Assessment Examination

34. Assuring Clinical Knowledge/Competency
4th Year
Residency Development
Students evaluated in a number of Standardized Patient encounters to ensure proficiency and preparedness for COMLEX-PE exam
Students take the COMLEX Level 2-CE and PE exam
The preceptor completes a performance evaluation of each student based on the 7 core competencies
Students participate in Call Back Fridays
CE – cognitive evaluation
PE – performance evaluation

35. Match Outcomes from 2018

36. 2018 Match Results – Offered Positions
San Francisco 1
Military

37. Primary Care Specialties
Number Matched
Internal Medicine 33
Family Medicine 35
Pediatrics 12
OBGYN 5
Primary Care
56%

38. Target Specialties Target Specialties Number Matched Other Specialties
Family Medicine 35
Internal Medicine 33
Pediatrics 12
Emergency Medicine 11
Psychiatry 8
OBGYN 5
General Surgery 4
Med Peds 2
Other
Specialties
Number Matched
Internships 16
Neurology 7
Anesthesiology 5
Orthopedic Surgery
Research 1
Child Neurology
Pathology
Urology
ENT
PM&R

39. Class of 2018 Location 43% Matched in the Southeast Number Matched
State
Number Matched
North Carolina 33
Florida 10
Virginia 6
South Carolina
Georgia 4
Tennessee 5
Alabama 1
Total 65
“The mission of Campbell University Jerry M. Wallace School of Osteopathic Medicine is to educate and prepare community based osteopathic physicians in a Christian environment to care for the rural and underserved populations in North Carolina, the Southeastern United States, and the nation.”
43% Matched in the Southeast

40. Type of Training Program Entered
University Based Programs
69%

41. North Carolina Programs
Campbell University Programs
University of North Carolina
Wake Forest University
East Carolina University
Cone Health
Novant Huntersville
New Hanover

42. University Programs University of North Carolina Emory University
Thomas Jefferson University
University of Southern California
The Ohio State University
Penn State University
University of Tennessee
East Tennessee State University
Campbell University
East Carolina University
Wake Forest University
University of Arizona
University of Florida
University of Central Florida
SUNY
University of South Dakota
University of Minnesota
Indiana University
University of Oklahoma
University of Louisville
UC Davis
Wright State University
Western Michigan University
University of Missouri
Wayne State University
University of Iowa
Medical College of Georgia
Hofstra University

43. Total First Year Positions
Campbell Programs Matched
Program
Total First Year Positions
Open Positions
Sampson FM 6
Sampson Dermatology 2
Sampson TRI 4
Harnett FM 5
Harnett IM 8
Harnett TRI 11
Southeastern FM
Southeastern IM 13
Southeastern EM
Southeastern TRI
Cape Fear IM
Cape Fear EM 7
Cape Fear Surgery
Cape Fear OB
Cape Fear TRI 17
Total
119

44. Congratulations to the Match Class of 2018!!!!
2018 Match Results
Congratulations to the Match Class of 2018!!!!

45. Questions?