Primary Care 3 Year Curriculum (PC 3) - med.nyu.edu · Primary Care 3 Year Curriculum (PC 3) ... FM...

PrimaryCare3YearCurriculum(PC3)CooperMedicalSchoolofRowanUniversitySchoolAnnetteC.Reboli,MD,CamilleHenry,MD,LawrenceWeisberg,MD,WilliamGraessle,MD- ProjectTeam

AdviceforOtherInstitutions• Provideeasytransitionintooroutofthethreeyearacceleratedprogram• Implementfacultytrainingacrossdisciplinestoalignwithcorecurriculumneeds• Providetieredmentorship• Offeracomprehensiveacademicsupportprogramstructuretohelpidentifypossiblestudentacademicinterventions• Identifythegapsinyouracademicsupportefforts• Includepersonal,academicandenrichmentactivitiesasintothecurriculumaspartofahealthywork/lifebalancetopreventburnout

ProgramStatus&Accomplishments• In2015,CMSRUwasawardeda$1.75milliongrantfromHealthResourcesandServices

Administration(HRSA)foritsPCTE.Theprincipalgoaloftheproject wastodevelopandlaunchthethree-yearacceleratedprogram.

• Thisyear,CMSRUalsoreceivedsupplementaryfundingfromHRSAforthedevelopmentofanopioid/addictionscurriculum,whichwillbeprovidedtothestudentsinboththeacceleratedandregularMD-programs.

• July2017,CMSRUwelcomedthesecondcohortofstudentsintoitsthree-year• acceleratedprogram.• CurrentlysevenstudentsareenrolledinPC3andanadditionalfirstyearstudentwill

likelyjoinattheendoftheacademicyear.Ultimatelytherewillbefourstudentsperclass(M1-M3),andineachtrack:twointernalmedicineandtwoinpediatrics.

ProgramContactProgramDirector- CamilleHenry,MDhenry-camille@cooperhealth.eduGrantPI– AnnetteC.Reboli,MDInterimDeanPhone:(856)361-2800|Email:reboli@rowan.edu

ProgramCurriculum

3-YearPrimaryCareTrack

M2– Course:TransformingHealthcareinAnUrbanEnvironmentThiscoursemeets5weeksstartingmidJune– July.M2studentsgainfundamentalknowledgeandexperiencedeliveringhealthcareinurbancommunities.q Week1– OrientationtoCourse/CamdenCommunityq Weeks2-4– Experientiallearningatanurban

AccountableCareOrganizationq Week5– AnalyzepatientsurveydatawithCoalition

Datateam,summativemini-OSCE,self-directedlearningandworkonfinalpaper.

M1-M3– Course:OpioidandOtherSubstanceAbuseDisordersLongitudinalcurriculumbeginsatmatriculation.

q Painphysiology/painmanagementq Opioidprescription/useassessmentq Opioidaddictionq MedicationAssistedTreatment(MAT)q CDCguidelinesforOpioidabuse

Learningformats:Lectures,activelearninggroupsandjournalclub

M1-M3– Course:Patient-CenteredMedicalHome(PCMH)

q Patient-centeredcareq Coordinated/integratedcareq Inter-professionalpracticeq Emphasisonqualityandsafetyq Enhancedaccesstocareq Emphasisonpatientself-managementq Robusttechnologicalinfrastructure

M1– Course:IntroductiontoBasicClinicalSkills5 WeekSummerCoursemeetsdailyJuly– Aug

q Week1– EssentialsofCommunicationq Week2– Cardiovascular/Pulmonaryq Week3– HEENTq Week4– Gastrointestinal/Genitourinaryq Week5– Neuro/Psych/Musculoskeletal/Skin

WeeklyAssessment:Formativeverbalfeedback,quizzesandmini-OSCE.

ProgramOverviewCooperMedicalSchoolofRowanUniversity’s3-YearAcceleratedProgram(PC3)ispartofa PrimaryCareTrainingEnhancement(PCTE)project– Aninitiativedesignedtochangeprimarycareeducationandtraining;whilealsoprovidingclearcareerdirectionwithlessstudentdebt.

PC3Courseworkspans3yearsincluding2summers andisdividedintotwophases:“FoundationandIntegration”(PhaseI)and“Application,ExplorationandAdvancement(Phase2).

M1Students courseworkstartswith“IntroductiontoBasicClinicalSkills”

M2Students beginwith“TransformingHealthcareinanUrbanEnvironment”

M3students focusonahybridlongitudinalintegratedclerkshipculminatinginasub-internships

M1– M3,PC3studentsareassigned:Apatient-centeredmedicalhomepractice,throughouttheir3yrs.ofmedicalschooland3yrs.ofresidencytraining

Aftergraduation:PrimarycareresidencytrainingatCooperUniversityHealthCareisofferedbasedonthetrackstudentsfollow,pediatricsorinternalmedicine

CostsandFinancialAid• 1.7milliondollarHRSAgrantfunded

program• Savesstudentsabout25%ofthecostfor

medicalschoolbyeliminatingthe4thyearplusauditionelectives,andinterviews

StudentSupport• SpecialprepforStep2• Specialmentorship/Enrichment

IntrotoBasicClinicalSkills

M1 Curriculum

Patient-centered MedicalHome(PCMH)

VacationTransformingHCinanUrbanEnvironment

M2 Curriculum PrepforUSMLEStep1Patient-centered MedicalHome(PCMH)

M3 CurriculumSub-I

Patient-centered MedicalHome(PCMH)

FirstYear:

SecondYear:

ThirdYear:

ProgramCurriculum

FM IMsub-I

FM Pedssub-I

3-YearPrimaryCareTrack

HistoryofPrimaryCarePathwayatCooper/CMSRU

• 2011-– $3.8MPrimaryCareResidencyExpansiongrantsfromHRSA,

undertheACA• CreationofspecificprimarycaretracksforIMandPediatrics• Uniquecurriculum:

– Moreoutpatient,lessinpatient– Dedicateddidacticseries– Behavioralhealth– IntegrationwithUrbanHealthInstituteatCooperUniversity

HealthCare

• 2015-– $1.7MPrimaryCareTrainingEnhancementgrantfromHRSA

• 3-yearMDcurriculumforstudentsdedicatedtoprimarycareineitherIMorPediatrics

• 2017-– CMSRUreceivedsupplementaryfundingfromHRSA

• Todevelopofanopioid/addictioncurriculum.

• EnhancetheclinicaltrainingexperiencesinPrimaryCareandtrainthenextgenerationofUMEandGMEleadersinhigh-valuePC

• Developamodelprogramthatispatient-centered,interdisciplinaryandinter-professional,andwhichpreparesPCtraineesandfacultytobesttransformthehealthcaresystemtoimprovepatientaccess,qualityofcare,andcosteffectiveness

• RecruitandretainstudentsofdiversebackgroundsintoPCIMandpediatricresidencyprograms,anddiverseresidentsintofacultypositionsingeneralIMandgeneralpediatrics

• PreparePCfacultytobeexceptionalrolemodelsforandeducatorsofstudentsandresidents

ProjectGoals

Phase1(FoundationandIntegration):Years1-2

PhaseI attheendofyearsoneandtwo,studentswillhavedevelopedthescientificbackground,knowledge,skills,andbehaviorstoimmediatelybeginintegratingthatinformationintoclinicalpractice.

M1CurriculumDiagram

M2CurriculumDiagram

Phase2 (ExplorationandAdvancement):Year3

PhaseII thethirdandfinalyearofthecurriculum,duringwhichPC3studentswithadvancedknowledgelearntoapplytheclinical,social,andethicalaspectsofcare.

Orientation Outpatient Continuity ElectivesStudy WeekOSCE Formative and Summative: NBME “Shelf” Exams Winter Break

CooperMedicalSchoolofRowanUniversityProjectTeam

PC3Team

§ AnnetteC.Reboli,MD,§ CamilleHenry,MD,§ AmandaSevrin,MD,§ BrianGable,MD,§ LawrenceWeisberg,MD,§ WilliamGraessle,MD,§ JennyMelli,MD,

§ Aubri M.Milano,DO§ SeanP.Krulish,DO§ KennedyU.Ganti,MD,§ HarryMazurek,MD,§ Susan Cavanaugh,MPH,§ MaryPileggi,BSN,

Primary Care 3 Year Curriculum (PC 3) - med.nyu.edu · Primary Care 3 Year Curriculum (PC 3) ... FM...

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