1. Welcome to the Third Year! Warren Newton, MD MPH Executive Associate Dean for Education June 29, 2010

2.  Review the curriculum and its rationale, along with what’s new  Give pearls for surviving and thriving  Describe natural history of specialty choice--how to start thinking about it  Start planning for fourth year…

3.  Family Medicine (6 Weeks)  Internal Medicine ◦ Inpatient (8 Weeks) ◦ Outpatient (4 Weeks)  Obstetrics & Gynecology (6 Weeks)  Neurology (4 weeks)  Pediatrics (6 Weeks)  Psychiatry (6 weeks)  Surgery (8 Weeks)  Longitudinal Tracks/Asheville, Charlotte/MD-PhD  MSIII and IV: Intro to Acute Care Required MSIII Curriculum

4.  40% of Clinical Rotations  Provide: ◦ Comparable clinical experience ◦ Faculty devoted to teaching ◦ More hands on experience ◦ Exposue to different hospital systems

5.  Shelf Exam  Clinical Feedback/Evaluations  OSCE/Other Evaluations  End of Year (CPX, NBME II MK/CS)

6. Where we want you to be at the end of the year: core competencies  Medical Knowledge  Clinical Care – H/P, Technical Skills  Communication  Professionalism  Practice Based Learning  System Based Practice  Management of Populations

7.  General Clinician  Active Learning ◦ Patients → Read about ◦ Get involved in Care  Breadth of Experience ◦ Across Kinds of Patients/Specialties ◦ Across Hospital Systems

8.  Transition Course  More coordination of content across courses  OSCE’s in FM/MED/Surg--spread to OB/GYN  Developing clinical skills curriculum: ICM, Clerkships, CPX  One 45—web based evaluation  Piloting Clinical Log (tracking) and Lecture Capture  Exploring and improving comparability and appropriate differences What’s new for 2010-2011…

9. New Support for Students…  Berryhill/Exercise Lounge  Pagers/CPOE at UNC  Campus Director/Director of Undergraduate Education at Asheville (Heck), Charlotte (White), Greensboro (Fields), Wake (Perry), and Wilmington (Darrow)  Improved student services for MSIII on rotations across the state

10.  5-10% of Students  Differential Diagnosis ◦ Test Taking ◦ Clinical Skills ◦ Professionalism Issues  Get In Touch With Us

11.  Keep in touch: Advisors, Dean Dent, Student Affairs Staff; day backs  Financial Aid Check In  Student Health – Remember Waiver  Laptops—OIS walk in if here, or email Jake Achey  Physical Difficulties-- ◦ Communicate With Course Directors early if you have a chronic medical condition ◦ 80 Hour Work Rule for students ◦ Third year rotations in 2009-2010

13.  50% at Beginning of third year (1/2 will change)  75% by April Next Year  5-10% Will Apply in > 2 Specialties  5% Will change in first Year of Residency

14.  Early January 2011 – Information Session  College Advisors vs Career Advisors  MS IV Summer/Fall ◦ NBME CPX, Part II MK/CS ◦ Audition Electives  Dean’s Letter Deadline – early fall 2011—College advisors will write  Remember letters of recommendation – Identify people this year

15.  MSIII: Kinds of patients, settings, procedures  National picture – increasing numbers of applicants for stable number of slots  Look at specialty competitiveness ◦ UNC Data Available  Talk to Career Advisors  Keep current in changes in medicine: payment, GME slots, workforce and other planning Choosing Specialty

16.  Critical Care  AHEC AI  Integration Selective  Advanced Practice Selective  Electives

17.  Specialty Choice/Application  Advanced Skills  Schedule Flexibility ◦ For electives, special interests ◦ For Boards and Interviewing

18.  International Research or Service experiences  Scholarship/Research Electives  Teaching Opportunities  Unique electives