1. Welcome to the AAMC Building Better Curriculum Webinar Series We will begin our presentation shortly. Topic: UA COMP Clerkship Curriculum: How do we capture it & What do we report? Presenters from University of Arizona-College of Medicine, Phoenix: Paul R. Standley, Ph.D. Associate Dean Curricular Affairs & Program Evaluation Professor – Basic Medical Sciences and Physiology Cinda J. Stone, M.Ed. Director – Pre-Clerkship & Curricular Management Moderator: Angela Blood Director, Curricular Resources PLEASE NOTE: All users will be muted during the webinar but should use the chat feature to send questions to Angela Blood during the presentation. We will try to answer as many questions as possible at the end of the presentation.

2. AAMC Building a Better Curriculum Series
UA COMP
Clerkship Curriculum:
How do we capture it
&
What do we report?
Paul R. Standley, Ph.D.
Associate Dean Curricular Affairs & Program Evaluation
Professor – Basic Medical Sciences and Physiology
Cinda J. Stone, M.Ed.
Director – Pre-Clerkship & Curricular Management
February 13, 2019

3. The past (it’s the lowest hanging fruit)
The present (we are improving with a bit of struggle)
The future (we ask for your help?)

4. The Past: pre-2015 Didactic afternoons
Map SLOCLOEPO
Px/Dx log from sun-setted E*value
List in syllabi
One and done checkbox, but no objectives.

5. Map SLOCLOEPO

6. Examples of PxDx OBGYN Clerkship

7. The Present: 2015-present

8. Present – one45; beyond the didactics and simple PxDx logging!
Addition of hours of In/Out Patient Rotations
Now 2 “sessions” in one45
CCT/Discipline tagging
Threshold vs. Oversaturation
New Px/Dx logging based upon levels of participation
Observe and Discuss
Actively Participate in Care
Perform Procedure

9. Summarize In/Out-patient rotation hours

10. CCT/Discipline “Tag” List
Discipline Tags
Behavioral Science / Behavioral Health
Biochemistry
Cell Biology
Developmental Biology & Embryology
Endocrinology
Genetics
Gross Anatomy
Hematology
Histology
Immunology
Microbiology
Molecular Biology
Neuroscience
Oncology
Pathology / Pathophysiology
Pharmacology
Physiology
Public Health

11. Threshold vs. Saturation
Theme designated in “red”

13. Future – Px/Dx/Tx – develop appropriate theme content
List for each Dx:
Define the key epidemiological characteristics of Dx
List the risk factors for acquiring Dx
Describe the pathophysiology of Dx
Create a differential diagnosis algorithm for Dx
Develop and initiate an effective treatment plan for Dx
Obtain a relevant history and physical examination for Dx
WILDCARD: Reflect upon the assigned theme objective related to each Dx
List for each Px, as appropriate:
Explain the anatomy and pathophysiology related to the Px
Define relevant pharmacology to the Px
Summarize the informed consent process including risks, benefits, indications and alternatives) for the Px
Compare associated imaging modalities for the Px
Analyze potential complications and prevention or management strategies for the Px
Understand post procedural care, patient education and anticipatory guidance for the Px
WILDCARD: Reflect upon the assigned theme objective related to Px
Vertical/horizontal integration of themes, basic sciences, etc.
Opportunity for self-directed learning related to shelf exam preparation, etc.

14. Summary
There is more to capturing clerkship curricula than didactics and patient logs
Longitudinal and vertical integration of themes and basic sciences at least should be thoughtful, tracked, reported.
Many of the students’ unique clinical experiences could be codified, but at what cost and for what purpose?
Place for narrative medicine?
Place for patient portfolios
Moving to Years 1-4 Longitudinal Clinical Experiences; so much fertile ground!

15. We Desire Your Feedback
Paul R. Standley, Ph.D.
Associate Dean – Curricular Affairs & Program Evaluation
Professor – Basic Medical Sciences and Physiology
The University of Arizona
College of Medicine – Phoenix
435 N. 5th Street
Phoenix, AZ  85004
Cinda J. Stone, M.Ed.
Director, PreClerkship and Curricular Management
University of Arizona
435 North Fifth Street
Phoenix, Arizona 85004

16. Thank you and we will see you next month!
Please register for next month’s Building Better Curriculum Webinar Series on Wednesday, March 13, 2019 at 1:00 pm EST and view February’s series on AAMC’s website here: