1. Transitioning to Clerkships December 3rd, 2013 © 2012 University of Utah School of Medicine

2. Overview Overview of Phase III Phase III Lottery – Carol Stevens Phase III Curriculum, Transition to Clerkships Course – Dr. Dani Roussel VA access, AOA – William Shiflett AOA, MSPE, Career planning © 2012 University of Utah School of Medicine

3. The Journey…. © 2013 University of Utah School of Medicine

4. March 2016 – Match Day © 2013 University of Utah School of Medicine

5. Seven Third Year Clinical Clerkships

6. 12 Week Clerkship Internal Medicine (6 weeks fall/6 weeks spring) 6 Week Clerkships Pediatrics Obstetrics and Gynecology Psychiatry Surgery 4 Week Clerkships Neurology Family Medicine 2 Week Clerkship Surgical Subspecialty

7. 12 Week Clerkship Internal Medicine (6 weeks fall/6 weeks spring) 6 Week Clerkships Pediatrics Obstetrics and Gynecology Psychiatry Surgery 4 Week Clerkships Neurology 6 Week Clerkship Surgical Subspecialty/Family Medicine

8. How are Clerkships Scheduled?

9. Fall Semester Spring Semester JulAugSepOctNovDec JanFebMarAprMayJun Transition to Third Year Clerkship Course

10. Four Clerkships in Fall Semester Fall Semester Spring Semester JulAugSepOctNovDec JanFebMarAprMayJun

11. Four Clerkships in Spring Semester Fall Semester Spring Semester JulAugSepOctNovDec JanFebMarAprMayJun

12. Fall Semester Spring Semester JulAugSepOctNovDec JanFebMarAprMayJun Block 1Block 2Block 3Block 4 Block 5Block 6Block 7Block 8

13. Three two-week breaks during the year Fall Semester Spring Semester JulAugSepOctNovDec JanFebMarAprMayJun Neurology

14. Reasons to Choose When I Attend Clerkships? Personal/family needs Career goals (Not first, not last) Subspecialty exposure (4 th year elective) State or military obligations

15. Example – Pediatrics Career Goal Fall Semester Spring Semester JulAugSepOctNovDec JanFebMarAprMayJun Pediatrics

16. Example – Pediatrics Career Goal Fall Semester Spring Semester JulAugSepOctNovDec JanFebMarAprMayJun Pediatrics

17. Example – Pediatrics Career Goal Fall Semester Spring Semester JulAugSepOctNovDec JanFebMarAprMayJun Pediatrics

18. Example – Pediatrics Career Goal Fall Semester Spring Semester JulAugSepOctNovDec JanFebMarAprMayJun Pediatrics

19. Reasons to Choose When I Attend Clerkships?? First half of Internal Medicine to prepare OB before Surgery Last of Internal Medicine last (Step 2)

20. Options within clerkships Lots. Later.

21. How to play the lottery Carol Stevens

22. Example – Pediatrics Career Goal Fall Semester Spring Semester JulAugSepOctNovDec JanFebMarAprMayJun Pediatrics 1

23. Example – Pediatrics Career Goal Fall Semester Spring Semester JulAugSepOctNovDec JanFebMarAprMayJun Internal MPediatrics Surgery 1 2 3

24. Example – Pediatrics Career Goal Fall Semester Spring Semester JulAugSepOctNovDec JanFebMarAprMayJun SS/FamilyOB/GynInternal MPediatrics NeurologyInternal MPsychiatrySurgery 1 2 3

25. Using the Lottery system

26. To Enter the Lottery - Go to - http://medicine.utah.edu/studentaffairshttp://medicine.utah.edu/studentaffairs

27. To Enter the Lottery – Go to - http://medicine.utah.edu/studentaffairshttp://medicine.utah.edu/studentaffairs Under Current Student select 3 rd Year

28. Request your password – You must use your HSC email account (check junkmail)

29. Course numbers - 12 week clerkshipCourse numbers Internal Medicine INTMD 7200 (Fall only) INTMD 7201 (Spring only) 6 week clerkships PediatricsPED 7100 Obstetrics and GynecologyOBST 7010 PsychiatryPSYCT 7200 SurgerySURG 7200 4 week clerkships NeurologyNEURO 7900 III (adult) NEURO 7930 III (pediatric) 6 week clerkship SS/Family MedicineFPSURG

30. Rotation Start Dates - Block 17/7/2014 Block 28/18/2014 Block 39/29/2014 Block 411/10/2014 Block 51/5/2015 Block 62/16/2015 Block 73/30/2015 Block 85/11/2015

31. Use Drop Down Menu to Enter Requests - Priority Order - Use a different Priority Order for each course selected - Rankings in increments of 10, with 10 as highest priority, 20 next highest…

32. Use Drop Down Menu to Enter Requests - Course Number and Date

33. Use Drop Down Menu to Enter Requests - Exclusion Group - Give me one of these clerkship in priority order, and once I get one, exclude remaining requests - Use same letter for all choices an exclusion group

34. Common Questions - First come, first serve?No Can I make changes?Yes Is there a submit button?No What if I have a unique situation…

35. Special Considerations - Idaho or military obligation Expected baby or planned wedding Approved fellowship Send me an email stating request, or schedule an appointment before the Lottery is run.

36. Contact - Email for questions, or to schedule an appointment: carol.stevens@hsc.utah.edu Appointments available: HSEB 3580, M – F from 11 AM – 2 PM

37. Opportunities During Unscheduled Time - List of two-week fourth year courses available in the third year: see SOM website/class meeting notes

38. Scheduling Deadlines January 13 All lottery requests are to be submitted January 28 Finalized schedules will be sent to you May 1 +Requests for Fourth Year Electives in unscheduled time considered

39. Questions?

40. Phase III Preparation Danielle Roussel, MD Assistant Dean, Clinical Curriculum University of Utah SOM MS 2016

41. 2014-15 Phase III Calendar ACLS Training Transition to Clerkship Course Family Medicine Clerkship Sites Shelf Exams & OSCEs End of Phase III OSCE Overview Phase III Preparation

42. 2014-15 PHASE III CALENDAR Phase III Preparation

43. General Dates Phase III Calendar

44. 6-Week Clerkships Phase III Calendar INTMD 7200 & 7201: Internal Medicine OBST 7010: Obstetrics & Gynecology PED 7010: Pediatrics PSYCT 7200: Psychiatry SURG 7020: Surgery

45. 4-Week Clerkships Phase III Calendar FPMD 7180: Family Medicine

46. 4-Week Clerkships Phase III Calendar NEURO 7900: Neurology

47. 2-Week Clerkship Phase III Calendar SURG 7021: Surgical Subspecialty

48. ACLS TRAINING Phase III Preparation

49. ACLS Certification Required – Must obtain prior to starting Phase III – Must be American Heart Association ACLS Included in Cost of Tuition for 2014-15 – ~$100 SOM will offer course between Phase II & III – Exact Dates TBD – HeartCode CBT – Skills Practice – Skills Testing Must maintain certification through Phase III & IV Overview ACLS Training

50. TRANSITION TO CLERKSHIP Phase III Preparation

51. June 30-July 3 Detailed Schedule TBD – Skills Development – Phase III Logistics – Tools for Success – Career Day Activities Overview Transition to Clerkship

52. FAMILY MEDICINE CLERKSHIP SITES Phase III Preparation

53. SHELF EXAMS & OSCES Phase III Preparation

54. Shelf Exams – NBME vs. CLIPP (Pediatrics) – Must Pass Pass Line set within recommended range of NBME Highest Score Possible on Remediation set at Pass Line OSCEs – Clerkship Specific – Must Pass Highest Score Possible on Remediation set at Pass Line Can not earn Honors if remediated Overview Shelf Exams & OSCEs

55. Phase III Preparation End of Phase III OSCE Must Pass Modeled after USMLE Step 2 CS

56. Questions…

57. Bureaucracy and AOA William Shiflett Director, Student Affairs University of Utah SOM

58. VA Access A Simple Process to be Completed before July 7, 2014 1)Create a TMS Account 2)Complete Online Trainings (~ 60 min) 3)Complete and Return PIV Applicant form 4)Complete and Return VAs HR Packet 5)Complete Fingerprint Process at VA 6)Obtain Your PIV Badge 7)Attend CPRS/VISTA Training 30 Day PRIOR to your first rotation at the VA.

59. Alpha Omega Alpha – AOA Junior AOA~ 5% of Class Senior AOA~ 15% of Class – Average weighted clerkship final score used – Junior AOA members move into Senior AOA Nomination is based on more than academic performance.

60. MSPE Wide variation historically Guidelines published by AAMC in 2002 – Letter of evaluation rather than letter of recommendation – Standardized format Release deadline move from Nov 1 st to Oct 1 st

61. MSPE National History Wide variation historically Guidelines published by AAMC in 2002 – Letter of evaluation rather than letter of recommendation – Standardized format Release deadline move from Nov 1 st to Oct 1 st

65. © 2013 University of Utah School of Medicine

72. Summary Descriptors Single word in your last paragraph Outstanding, Excellent, Very Good, Good No class rank

73. © 2013 University of Utah School of Medicine

74. NRMP.org

75. What to do now? Perform well on your units Perform well on Step 1 Complete shadowing interests Complete service learning requirements Complete research How are you going to differentiate yourself?

76. NRMP.org

78. The Journey…. © 2013 University of Utah School of Medicine

79. We are here to help you succeed! © 2013 University of Utah School of Medicine