1. Community Based Faculty Meeting Curriculum Update
May 10, 2014

2. History of Medical Education
Prior to 1920: Apprenticeship
: Standardization and scientific investigation
Emphasis on the patient and their presentation
Case studies and case series
: Genetic and molecular medicine
Emphasis on laboratory and imaging
Bench research and randomized controlled trials
2000-present: Comprehensive physician
Integration of scientific background and patient presentation
Clinical productivity
Comparative effectiveness, patient safety, ethics

3. Randomized Controlled Trials in PubMed

4. Meta-Analyses in PubMed

5. “He who studies medicine without books sails an uncharted sea, but he who studies medicine without patients does not go to sea at all.”
Sir William Osler

6. Our Approach Block schedule
One of the first medical schools to offer
Intensive, concentrated exposure to each area
Emphasis on patient presentations and management
Flexible afternoon scheduling
Basic science courses scheduled in the mornings

7. Curriculum Goals Integrate biomedical and clinical science
Promote critical thinking
Develop problem-solving skills
Develop clinical reasoning skills
Apply a biopsychosocial model to patient care

8. Pre-Clinical Years First two years of study Hybrid Curriculum
Begin with essential principles of core knowledge
Integrated content based on organ systems
Focus on integrative thinking
Necessary for the clinical years of medical school
Successful modern physicians

9. Introduction to Clinical Medicine 1
First Year
Anatomy
Introduction to Clinical Medicine 1
Biochemistry & Genetics
Foundations of Disease, Infection & Therapeutics
Neurosciences
Behavioral Basis of Medicine

10. Discipline Specific Anatomy Biochemistry & Genetics
Core gross and microscopic anatomy
Integrated with embryology
Basics that will be further developed throughout the curriculum
Biochemistry & Genetics
Core biochemistry, genetics and cell biology
Biochemical and genetic inheritance
Actual patient clinical correlations of human disease

11. Foundations of Disease, Infection & Therapeutics
Basis of all human disease
Integrated approach
Microbiology
Immunology
Pharmacology
Pathology
True “foundation” on which remaining courses will build

12. Neurosciences Nervous system functions in health and disease
Integrated approach
Neuroanatomy
Neurochemistry
Neurophysiology
Neurology
Neurosurgery
Ophthalmology
Otolaryngology

13. Behavioral Basis of Medicine
Introduction to psychiatric conditions
Integrated study
Psychiatry
Behavioral science
Pharmacology
Modes of treatment
Pharmacologic
Psychotherapeutic
Psychosocial

14. Introduction to Clinical Medicine 1
Longitudinal clinical experiences
Communication training and interviewing skills
Practice with “actor” patients, then with actual patients
Small-group seminars
Medical Humanities
Medical Ethics and Professionalism
Developmental Pediatrics
Geriatrics
Cultural and Social Aspects of Health Care
Evidence-Based Medicine

15. Introduction to Clinical Medicine 2
Second Year
Musculoskeletal & Integumentary Systems
Introduction to Clinical Medicine 2
Hematologic & Lymphatic Systems
Endocrine & Reproductive Systems
Renal & Urinary Systems
Cardiovascular System
Respiratory System
Gastrointestinal System & Nutrition
Multisystem & Integrative Concepts

16. Organ System-Based Courses
Diagnostic and therapeutic approaches to disease
Integrative approach
Pathology
Physiology
Pharmacology
Histology
Radiology
Microbiology/Immunology

17. Integrative Course Integrate knowledge among organ systems
Analyze multisystem diseases
Review material essential to licensing exam

18. Introduction to Clinical Medicine 2
Focus on physician skill set
Small group sessions
History-taking
Physical exam techniques
Ultrasound as an adjunct to physical exam
Clinical reasoning skills
Clinical Content
Medical Humanities
Medical Ethics and Professionalism
Cultural and Social Aspects of Health Care
Evidence-Based Medicine

19. Curriculum Comparison
M1 Year
M2 Year
Anatomy
Histology
Biochemistry
Genetics
Neuroscience
Physiology
Infection, Immunity & Disease
Pathology
(included Psychiatry)
Pharmacology
Introduction to Clinical Medicine 1
ICM 2
ICM 3
M1 Year
M2 Year
Anatomy
Biochemistry &
Genetics
Foundations of Disease, Infection & Therapeutics
Neuroscience
Behavioral Basis of Medicine
Musculoskeletal & Integumentary
Hematologic & Lymphatic
Endocrine & Reproductive
Renal & Urinary
Cardiovascular
Respiratory
Gastrointestinal & Nutrition
Multisystem/
Integrative
Introduction to Clinical Medicine 1
Introduction to Clinical Medicine 2

20. Third Year Broad exposure to major disciplines Clinical exposure
Integrate pre-clinical learning into patient care
“Art of doctoring”
Balanced experiences
Involvement with patient care
Study
Assimilation of information

21. Third Year Curriculum Clinical Neurosciences – Neurology & Psychiatry
Two separate four-week rotations
Family & Community Medicine
Four-week rotation
Internal Medicine and Emergency Care
Integrated 16-week rotation in inpatient and outpatient settings
Obstetrics & Gynecology
Pediatrics
Eight-week rotation
Surgery

22. Fourth Year Further development of clinical skills
Prepare for residency in their chosen specialty.
Curriculum
Acting Internships
Two four-week rotations, one primary and one secondary
Advanced Clinical Pharmacology and Anesthesiology
Four-week course
Intern Prep
Practical knowledge of the intern role
Elective rotations
Four four-week rotations
At the University of Kentucky or another approved site

24. Match 2014 29, 671 residency positions in the Match
17,374 US allopathic seniors in the Match
1,662 previous US allopathic grads in Match
2,738 US osteopathic students/grads in Match
5,133 US citizens students/IMGs in the Match
7,334 non-US citizens in the Match

25. Match 2014 40,394 registered for the Match in 2014.
The Match offered 29,671 positions.
Overall match rate was 75%.
94.4% of US seniors matched into a residency position, with 79% getting one of their top three choices.
54% US seniors matched to 1st choice.
~1000 unmatched US allopathic medical students at the end of the match

26. UK Match 2014
Of the graduating seniors, 37% are entering primary care specialties. Primary Care includes Family Practice, Internal Medicine, Pediatrics and Medicine-Pediatrics.
Of the graduating seniors, 31% elected to remain at UKMC, and another 4% are staying at programs in Kentucky.
Matched into 22 different specialties.

27. UK Match 2014
Top specialty choices for UK COM seniors were (listed in decreasing chronological order):
Internal Medicine %
Anesthesiology %
Pediatrics %
General Surgery %
Emergency Medicine %
Med/Peds, Neurology %
Radiology, Family Medicine, Orthopedic surgery 4%

33. Charles H. “Chipper” Griffith, MD Senior Associate Dean for Medical Education University of Kentucky College of Medicine