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Primary Care 3 Year Curriculum (PC 3) Cooper Medical School of Rowan University School Annette C. Reboli, MD, Camille Henry, MD, Lawrence Weisberg, MD, William Graessle, MD - Project Team Advice for Other Institutions • Provide easy transition into or out of the three year accelerated program • Implement faculty training across disciplines to align with core curriculum needs • Provide tiered mentorship • Offer a comprehensive academic support program structure to help identify possible student academic interventions • Identify the gaps in your academic support efforts • Include personal, academic and enrichment activities as into the curriculum as part of a healthy work/life balance to prevent burnout Program Status & Accomplishments • In 2015, CMSRU was awarded a $1.75 million grant from Health Resources and Services Administration (HRSA) for its PCTE. The principal goal of the project was to develop and launch the three-year accelerated program. • This year, CMSRU also received supplementary funding from HRSA for the development of an opioid/addictionscurriculum, which will be provided to the students in both the accelerated and regular MD-programs. • July 2017, CMSRU welcomed the second cohort of students into its three-year • accelerated program. • Currently seven students are enrolled in PC3 and an additional first year student will likely join at the end of the academic year. Ultimately there will be four students per class (M1-M3), and in each track: two internal medicine and two in pediatrics. Program Contact Program Director- Camille Henry, MD [email protected] Grant PI– Annette C. Reboli, MD Interim Dean Phone: (856) 361-2800 | Email: [email protected] Program Curriculum 3-Year Primary Care Track M2 – Course: Transforming Healthcare in An Urban Environment This course meets 5 weeks starting mid June – July. M2 students gain fundamental knowledge and experience delivering healthcare in urban communities. q Week 1 – Orientation to Course/Camden Community q Weeks 2-4 – Experiential learning at an urban Accountable Care Organization q Week 5 – Analyze patient survey data with Coalition Data team, summative mini-OSCE, self- directed learning and work on final paper. M1-M3 – Course: Opioid and Other Substance Abuse Disorders Longitudinal curriculum begins at matriculation. q Pain physiology/pain management q Opioid prescription/use assessment q Opioid addiction q Medication Assisted Treatment (MAT) q CDC guidelines for Opioid abuse Learning formats: Lectures, active learning groups and journal club M1-M3 – Course: Patient-Centered Medical Home (PCMH) q Patient-centered care q Coordinated / integrated care q Inter-professional practice q Emphasis on quality and safety q Enhanced access to care q Emphasis on patient self-management q Robust technological infrastructure M1 – Course: Introduction to Basic Clinical Skills 5 Week Summer Course meets daily July – Aug q Week 1 – Essentials of Communication q Week 2 – Cardiovascular/Pulmonary q Week 3 – HEENT q Week 4 – Gastrointestinal/Genitourinary q Week 5 – Neuro/Psych/ Musculoskeletal/Skin Weekly Assessment: Formative verbal feedback, quizzes and mini-OSCE. Program Overview Cooper Medical School of Rowan University’s 3-Year Accelerated Program (PC 3) is part of a Primary Care Training Enhancement (PCTE) project – An initiative designed to change primary care education and training; while also providing clear career direction with less student debt. PC3 Coursework spans 3 years including 2 summers and is divided into two phases: “Foundation and Integration” (Phase I) and “Application, Exploration and Advancement (Phase 2). M1 Students course work starts with “Introduction to Basic Clinical Skills” M2 Students begin with “Transforming Healthcare in an Urban Environment” M3 students focus on a hybrid longitudinal integrated clerkship culminating in a sub- internships M1 – M3, PC3 students are assigned: A patient-centered medical home practice, throughout their 3 yrs. of medical school and 3 yrs. of residency training After graduation: Primary care residency training at Cooper University Health Care is offered based on the track students follow, pediatrics or internal medicine Costs and Financial Aid • 1.7 million dollar HRSA grant funded program • Saves students about 25% of the cost for medical school by eliminating the 4th year plus audition electives, and interviews Student Support • Special prep for Step 2 • Special mentorship/Enrichment

Primary Care 3 Year Curriculum (PC 3) - med.nyu.edu · Primary Care 3 Year Curriculum (PC 3) ... FM Peds sub-I or 3-Year Primary Care Track. ... NBME “Shelf” Exams Winter Break

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Page 1: Primary Care 3 Year Curriculum (PC 3) - med.nyu.edu · Primary Care 3 Year Curriculum (PC 3) ... FM Peds sub-I or 3-Year Primary Care Track. ... NBME “Shelf” Exams Winter Break

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,[email protected]– AnnetteC.Reboli,MDInterimDeanPhone:(856)361-2800|Email:[email protected]

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

Page 2: Primary Care 3 Year Curriculum (PC 3) - med.nyu.edu · Primary Care 3 Year Curriculum (PC 3) ... FM Peds sub-I or 3-Year Primary Care Track. ... NBME “Shelf” Exams Winter Break

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

or

3-YearPrimaryCareTrack

Page 3: Primary Care 3 Year Curriculum (PC 3) - med.nyu.edu · Primary Care 3 Year Curriculum (PC 3) ... FM Peds sub-I or 3-Year Primary Care Track. ... NBME “Shelf” Exams Winter Break

HistoryofPrimaryCarePathwayatCooper/CMSRU

• 2011-– $3.8MPrimaryCareResidencyExpansiongrantsfromHRSA,

undertheACA• CreationofspecificprimarycaretracksforIMandPediatrics• Uniquecurriculum:

– Moreoutpatient,lessinpatient– Dedicateddidacticseries– Behavioralhealth– IntegrationwithUrbanHealthInstituteatCooperUniversity

HealthCare

• 2015-– $1.7MPrimaryCareTrainingEnhancementgrantfromHRSA

• 3-yearMDcurriculumforstudentsdedicatedtoprimarycareineitherIMorPediatrics

• 2017-– CMSRUreceivedsupplementaryfundingfromHRSA

• Todevelopofanopioid/addictioncurriculum.

Page 4: Primary Care 3 Year Curriculum (PC 3) - med.nyu.edu · Primary Care 3 Year Curriculum (PC 3) ... FM Peds sub-I or 3-Year Primary Care Track. ... NBME “Shelf” Exams Winter Break

• EnhancetheclinicaltrainingexperiencesinPrimaryCareandtrainthenextgenerationofUMEandGMEleadersinhigh-valuePC

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

• RecruitandretainstudentsofdiversebackgroundsintoPCIMandpediatricresidencyprograms,anddiverseresidentsintofacultypositionsingeneralIMandgeneralpediatrics

• PreparePCfacultytobeexceptionalrolemodelsforandeducatorsofstudentsandresidents

ProjectGoals

Page 5: Primary Care 3 Year Curriculum (PC 3) - med.nyu.edu · Primary Care 3 Year Curriculum (PC 3) ... FM Peds sub-I or 3-Year Primary Care Track. ... NBME “Shelf” Exams Winter Break

Phase1(FoundationandIntegration):Years1-2

PhaseI attheendofyearsoneandtwo,studentswillhavedevelopedthescientificbackground,knowledge,skills,andbehaviorstoimmediatelybeginintegratingthatinformationintoclinicalpractice.

M1CurriculumDiagram

M2CurriculumDiagram

Page 6: Primary Care 3 Year Curriculum (PC 3) - med.nyu.edu · Primary Care 3 Year Curriculum (PC 3) ... FM Peds sub-I or 3-Year Primary Care Track. ... NBME “Shelf” Exams Winter Break

Phase2 (ExplorationandAdvancement):Year3

PhaseII thethirdandfinalyearofthecurriculum,duringwhichPC3studentswithadvancedknowledgelearntoapplytheclinical,social,andethicalaspectsofcare.

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

Page 7: Primary Care 3 Year Curriculum (PC 3) - med.nyu.edu · Primary Care 3 Year Curriculum (PC 3) ... FM Peds sub-I or 3-Year Primary Care Track. ... 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,


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