1. Hofstra North Shore-LIJ School of Medicine Curriculum Committee Presentation October 22, 2012

3.  Spring Break: 3/25 – 4/1/13  Comprehensive Basic Science Test: 4/2 – 4/5  Step 1 Study Time: 4/6– 5/31/13  Deadline to Take Step 1: Friday May 31 st To the best of our knowledge i.e. subject to change  Transitions: 6/1 – 6/30/13  3 rd Year ACE: 7/8 – 6/29/14 ◦ Includes 3 weeks vacation and 9 weeks selective  4 th Year ACE: Starts 6/30

4.  Recertify in BLS  Acclimate to hospital settings  Navigate hospital systems and EMR  Refresh basic skills- CXRs, EKGs, phlebotomy, IV placement, suturing, knot tying  Learn new skills- new procedures, inpatient and outpatient notes, the 1min/3min/15min presentation  Experience new horizons- e.g. anesthesia  Pick up some longitudinal patients

8.  Lack of meaningful responsibility or an authentic role  Insufficient development of clinical reasoning skills  Conflicting interests between learning and getting a good grade  Inadequate information to make an informed career decision  Inadequate assessment data

10.  Give students authentic responsibility for patients and place them where the thinking occurs  Cultivate “whole illness” relationships with patients and develop longitudinal coaching relationships with faculty  Assess students in a way that drives learning and integrates science into clinical education  Give students better insight into careers in medicine and facilitate “differentiation” through self-directed learning time and electives We CAN

11.  to be feasible as tracks in leading medical schools (a decade of experience)  to improve long term retention and capacity for learning  to provide students with a superior clinical experience in terms of depth and volume of core diseases (by orders of magnitude)  to create patient-centered doctors

12.  Feasibility for our class size  Considerable multi-tasking for students

14.  Keeps the discipline-specific focus of traditional clerkships while  Integrating cumulative and longitudinal features of a Longitudinal Integrated Clerkship

15.  6-week cycles focused on one discipline  Discipline-specific morning “ACE” rounds  Discipline-specific class time, one full half day per week  Shelf exams (national multiple choice exam-one for each specialty) every 6 weeks

16.  Self-directed time for follow-up of patients  Ongoing, cumulative experiences in Internal Medicine and Surgery  Longitudinal continuity clinic experiences in Internal Medicine  Highly select group of longitudinal patients to follow  Week-long “Reflection, Integration, and Assessment” (RIA) weeks at the end of each trimester

19.  ACE Manager – combo course manager and student affairs – at both campuses  ACE Directors – at least one for each discipline – paid to dedicate half of their time to you  Me – office on campus with candy

20.  Grades will be given for each discipline ◦ Honors, High Pass, Pass, Fail ◦ Assigned at the end of the year (though will have tentative grades at the end of each trimester) ◦ Will reflect achievement of real milestones  Dean’s letters will not only look familiar but will include more robust data  We will have AOA and Gold Humanism chapters