Upload
others
View
9
Download
0
Embed Size (px)
Citation preview
Year 1 2 3 4
Incorporated into Academic time • Longitudinal Courses I. Clinical Reasoning II. Professionalism/Doctoring III.Clinical Skills ->Community Clinics IV.Community Health/Epidemiology V. Indigenous Health VI.Scholarship in Medicine
• Themes/Disciplines Composite Clinical Presentations (CP4) 2
Year 1 2 3 4 Year 1 2 3 4
Boxes are not scaled
M0: Foundation M2: Health &
Disease Abnormal Processes- Clinical Integration
M1: Human Biology & Health Normal Processes- Clinically Applied
M2: Health& Disease
Abnormal Processes
M5: Med 3 Clinical Clerks
UGME Academic Half Day
M6: Med 4 Electives CaRMS
UGME CURRICULUM RENEWAL FRAMEWORK
M4 TTC: Transition to Clerkship
M3:Consolidation
Principle: “Fully integrated spiral scaffold curriculum through 4 years”
M7 TTR: Transition to Residency
Outline 1. Review Process ….. Keevin Bernstein
2. Transition to Clerkship (TTC …M4) ….. Nicola Matthews
3. Core Clinical Rotations (M5) ….. Eunice Gill
4. UGME Academic Half Day ….. Nicola Matthews
5. Scholarship in Medicine projects ….. Carla Ens
6. Student Evaluation ….. Keevin Bernstein
7. TTR plans (M7) ….. Keevin Bernstein
Faculty Forum #5 June 20, 2013 New UGME CuRe Clerkship : Med 3
Goals: Maintain strength of current curriculum i.e. clinical experience Facilitate integrated 4 year scaffold curriculum Develop central governance for clerkship Develop mandatory academic time Provide opportunities for self reflection Introduce key element from FMEC and TG into clerkship
• Social Accountability • Community Health Science and Public Health • Indigenous Health • Professionalism • Clinical Health Psychology • Health Care systems and Interprofessional collaboration • Information Science
Develop academic project(s)
Introduce other elements from 11 UGME CuRe TG
UGME CuRe Clerkship
UGME CURRICULUM RENEWAL GOVERNANCE UGME CuREXecutive (…..Directors) Preclerkship Keevin Bernstein Chair Clerkship Merril Pauls Ira Ripstein Associate Dean Eunice Gill Nicola Matthews Vacant Curriculum Clinical Academic(TTC/TTR) Rob Brown Simulation Catherine Moltzan Integration Karen Klym Clinical Skills Adrian Gooi Online Learning Barry Cohen Student Evaluation Joanne Hamilton Educ. Development
Preclerkship M0 & M1/2
Leaders
Longitudinal Course Leaders
Clerkship Core Rotation
Leaders
Longitudinal Theme Leaders
Preclerkship M0 & M1/2
Leaders
Longitudinal Courses Leaders
Clerkship Core Rotation
Leaders
Longitudinal Theme Leaders
Preclerkship M0 & M1/2
Leaders
Longitudinal Courses Leaders
PreClerkship M0 & M1/2
Leaders
Longitudinal Theme Leaders
UGME CURRICULUM RENEWAL GOVERNANCE
CLERKSHIP (Med 3 & 4 )
Process began in June 2012
UGME CURRICULUM RENEWAL GOVERNANCE
UGME CuRe Clerkship Executive Clinical Rotation Leaders
Anesthesia Chinniampalan Rajamohan Emergency Mona Hegdekar Family Medicine Susan Hauch Internal Medicine Mike Semus Obstetrics/Gyne Jenna McNaught Pediatrics Jeff Hyman/Diane Moddemann Psychiatry Eunice Gill Surgery Kris Milbrandt ENT Adrian Gooi Ophthalmology Lorne Bellan
UGME CuRe Clerkship Committee (35 in total)
Consumers Elizabeth Berg PGY3 Steven Promislow PGY3 Amit Kaushal PGY3
Peter Sytnik Med4
UGME CURRICULUM RENEWAL GOVERNANCE
UGME CuRe Clerkship EXecutive
Chair , CuRe Director Keevin Bernstein Associate Dean, UGME Ira Ripstein Clinical Clerkship Director Eunice Gill Academic Clerkship Director (TTC/TTR) Nicola Matthews Simulation Director Rob Brown Integration Director Catherine Moltzan Clinical Skills Director Karen Klym Student Evaluation Director Barry Cohen Education Development Director Joanne Hamilton Online Learning Director Adrian Gooi Clerkship Administrator Tara Petrychko CuRe Assistant Tina Mills
UGME CuRe Clerkship Committee (35 in total)
UGME CURRICULUM RENEWAL GOVERNANCE
Longitudinal Course/Theme Clinical Skills Karen Klym Community Health Science Carla Ens Indigenous Health Barry Lavalee Professionalism Merril Pauls/Aviva Goldberg Diagnostic Imaging Jeff Mottola Generalism Genetics Sandy Marles Geriatrics Kristel van Inevelde Health Psychology Maxine Holmqvist Health Care Systems Amanda Condon Interprofessional care “ Information Sciences Judy Littleford Palliative Care Paul Daenick Social Accountability Anne Durcan
UGME CuRe Clerkship Committee (35 in total)
Year 1 2 3 4
Incorporated into Academic time • Longitudinal Courses I. Clinical Reasoning II. Professionalism/Doctoring III.Clinical Skills ->Community Clinics IV.Community Health/Epidemiology V. Indigenous Health VI.Scholarship of Medicine
• Themes/Disciplines Composite Clinical Presentations (CP4) 10
Year 1 2 3 4 Year 1 2 3 4
Boxes are not scaled
M0: Foundation M2: Health &
Disease Abnormal Processes- Clinical Integration
M1: Human Biology & Health Normal Processes- Clinically Applied
M2: Health& Disease
Abnormal Processes
M5: Med 3 Clinical Clerks
UGME Academic Half Day
M6: Med 4 Electives CaRMS
UGME CURRICULUM RENEWAL FRAMEWORK
M4 TTC: Transition to Clerkship
M3:Consolidation
Principle: “Fully integrated spiral scaffold curriculum through 4 years”
M7 TTR: Transition to Residency
GOALS: 1. Help the student expand their focus from learning during
preclerkship years to the actual provision of care in various health care settings.
2. This includes the supervised responsibilities that accompany provision of health and management of disease.
3. Use of simulation, patient assessments, small group sessions and shadowing experiences to teach the students to translate the knowledge gained in pre-clerkship to the clinical setting and the actual provision of care.
4. Begin to facilitate achievement of UGME global objectives transitioning from the predominantly medical expert, scholar and communicator domains to include the collaborator, manager, health advocate and professionalism domains.
2. Transition to Clerkship (TTC): 5 weeks
UGME CuRe Clerkship - Med 3
Four components…..and Highlights of each: Introductory Week 1: TTC Launch with keynote speaker and hippocratic oath Metacognition learning style with guest speaker Whole group sessions scheduled for the morning to review selected generic skills Small group sessions in the afternoon. i.e mini Consolidation Modules (CM)
Weeks 2 & 4: Simulation in CLSF Small group sessions - Mini Consolidation Modules (CM) and other Introduction to the Longitudinal courses- small groups which will become the
weekly academic half day groups during M5. Comprehensive Patient Assessments (CPAs) – Internal Medicine
12
Transition to Clerkship (TTC): 5 weeks
Four components…..and Highlights of each:
Week 3: Community Week: Students will rotate through various community health care areas in diverse
settings and shadow inter-professional teams for either full or half days. • Primary Health clinics • Aboriginal Health • Geriatrics • Mental Health • Sports Medicine /Rehab • Medication Management (Polypharmacy )
Week 5: Transition to Clinical Service Students will be assigned to their first rotation where they will shadow a trainee Students will be orientated to that service with no direct responsibility. 2 buddy calls – including a night and a weekend shift.
Assessment: Formative with mandatory attendance for all sessions. 13
Transition to Clerkship (TTC): 5 weeks
Year 1 2 3 4
Incorporated into Academic time • Longitudinal Courses I. Clinical Reasoning II. Professionalism/Doctoring III.Clinical Skills ->Community Clinics IV.Community Health/Epidemiology V. Indigenous Health VI.Scholarship of Medicine
• Themes/Disciplines Composite Clinical Presentations (CP4) 14
Year 1 2 3 4 Year 1 2 3 4
Boxes are not scaled
M0: Foundation M2: Health &
Disease Abnormal Processes- Clinical Integration
M1: Human Biology & Health Normal Processes- Clinically Applied
M2: Health& Disease
Abnormal Processes
M5: Med 3 Clinical Clerks
UGME Academic Half Day
M6: Med 4 Electives CaRMS
UGME CURRICULUM RENEWAL FRAMEWORK
M4 TTC: Transition to Clerkship
M3:Consolidation
Principle: “Fully integrated spiral scaffold curriculum through 4 years”
M7 TTR: Transition to Residency
Surgery/ Anesthesia
Peds and
Obs/ Gyn
Internal & Emergency Medicine
Family Medicine /Public Health
and Psychiatry
12 weeks 6 weeks each 12 weeks 6 weeks each
2 groups 14 2 groups 14 2 groups 14 2 groups 14
15
4 Blocks of 12 weeks each in above order
8 Student Tracks – 2 per block
Each student track will consist of 14 students
Combined to facilitate joint academic time
ECP ( Essential Clinical Presentations) &
CP4 (Composite Clinical Presentations) – Not rotation specific
3. Core Clinical Rotations (M5)
UGME CuRe Clerkship - Med 3
6 week rotation split into two 3 week sections each with a MITER:
General Surgery : 3 weeks all students do GS- 1 student per service
Surgery Core Specialties: 3 weeks- 1 week each for all students; 2-3 students
Plastics, Neurosurgery & Urology
16
CLERKSHIP 2013: Year 3 (M5)
Group 2 Anesthesia
PeriOperative Care
MSK Medicine
General Surgery
Plastic
Neuro Urology
6 WEEKS 6 WEEKS
2 2 2 1 1 1 3
Group 1 General Surgery
Plastics
Neuro
Urology
Anesthesia
PeriOperative Care
MSK Medicine
3 1 1 1 2 2 2 #weeks
#weeks
Surgery Core Specialties
Surgery /Anesthesia: 2 groups- 14 students /group
Surgery: Kris Milbrandt Anesthesia : Chinniampalan Rajamohan
Anesthesia: 2 weeks Perioperative care: 2 weeks
• Follow a patient through perioperative experience in PAC & in surgery clinics • Pain management curriculum: to include Non-pharmacologic pain management-
psychology, acupuncture and Integrative med ( Joel Loiselle & Paul Daenick)
MSK medicine: 2 weeks i) Sports Med (2 days) Pan Am ii) Arthoplasty (2 days) Concordia iii)Trauma (2 days) HSC – on call iv) Physiatry (1days) HSC (v) Peds Ortho (1 or2)
17
CLERKSHIP 2013: Year 3 (M5)
Group 2 Anesthesia
PeriOperative Care
MSK Medicine
General Surgery
Plastic
Neuro Urology
6 WEEKS 6 WEEKS
2 2 2 1 1 1 3
Group 1 General Surgery
Plastics
Neuro
Urology
Anesthesia
PeriOperative Care
MSK Medicine
3 1 1 1 2 2 2 weeks
weeks
Surgery /Anesthesia: 2 groups- 14 students /group
6 weeks General Internal Medicine (CTU)
4 weeks Emergency Medicine • ~ 15 emergency medicine shifts, plus optional EMS ride along • Incorporate internal medicine ambulatory care exposure (number and type of clinics
are TBD; aim for 2 per week 1 GIM and 1 specialty ) start at 1 per week • Develop continuity between ER and IM (ex. fast track clinic, urgent consult/follow up).
2 weeks of Internal Medicine selective
Shared academic time
Integrate longitudinal Courses and Themes
18
Internal & Emergency Medicine: 2 groups- 14 students / grp #
Weeks 6 6
4 2 Group1
CTU Emergency Medicine Outpatient Internal
Subspecialty Medicine
Group2
Emergency Medicine Outpatient Internal
Subspecialty Medicine
CTU
Internal Med: Mike Semus Emergency: Mona Hegdekar
CLERKSHIP 2013: Year 3 (M5)
19
Pediatrics and Obstetrics & Gynecology #
Weeks 6 6
2 2 2 3 3
Group2
Peds Emergency & Outpatient
Peds Inpatients
Obstetrics Gyne Clinics
Obs/Gyn: Jenna McNaught Pediatrics: Jeff Hyman
Group1 Obstetrics Gyne Clinics Peds Emergency & Outpatient
Peds Inpatients
CLERKSHIP 2013: Year 3 (M5)
20
Block 4: Family Medicine & Public Health and Psychiatry # Weeks 6 6
Group1 Family Medicine & Public Health
Psychiatry
Group2 Psychiatry Family Medicine & Public Health
Family Med: Susan Hauch Psychiatry: Eunice Gill Psychiatry
• More ambulatory care - ? Shared care model with Family Med
Family Medicine • Rural Family med – incorporate rural Public health officer
CLERKSHIP 2013: Year 3 (M5)
Joint Teaching • Mood/Anxiety/Addictions • Public Health/Community Health/Geriatric seminars
21
OTHER Specialties:
1. ENT – TTC and AHD
2. Ophthalmology - 2 half day clinics Location ?
3. Dermatology - clinics ?
CLERKSHIP 2013: Year 3 (M5)
22
4. UGME Academic Half Day Scheduled Academic time every Thursday PM: Mandatory attendance Policy no “call” Wednesday past 2300 All at Bannatyne campus in small groups
UGME qThursday PM- 2 hrs: 1 - 2:50 PM Centrally governed clerkship curriculum
Block specific academic time 2 hrs: 3 - 5 PM Maintain central oversight
Developed jointly by 2 departments when feasible • Internal Medicine and Emergency • Anesthesia and Surgery
With rotation specific students
UGME CuRe Clerkship - Med 3
23
Scheduled Academic time every Thursday PM: Mandatory attendance Policy no “call” Wednesday past 2300 All at Bannatyne campus in small groups
UGME qThursday PM- 2 hrs: 1 -2:50 PM Centrally governed clerkship curriculum
Longitudinal Courses: Community Health Sciences (Public Health & Health care system), Professionalism (& Student Affairs ), Indigenous Health & Clinical Reasoning
Longitudinal Themes: Clinical Health Psychology, Diagnostic Imaging, Health Care Systems, Geriatrics, Interprofessional Collaboration & others
Mixed Student groups that are not rotation specific
Facilitate self reflection
Relate recent and relevant clinical experiences to principles
CLERKSHIP 2013:Year 3 (M5) - AHD
Each 12 week Block will have UGME AHD: Scholarship in Medicine: 3 sessions Professionalism 2 sessions (3hrs) Indigenous Health 1 session Selection from: (either already scheduled or proposed)
• Student Affairs ( Electives, wellness) • Clinical Health Psychology (Understanding Trauma, Understanding
Grief, Motivation) • Conflict Management Session (IPE) • Collaborative Patient care (IPE) • Diabetes Management • ENT • Geriatrics: Delirium and Hazards of Hospitalization in the Elderly • Palliative care • Pharmacology – Antibiotics • Radiology • Tumor Conference Rounds( proposed by pathology and oncology) • OTHERS
CLERKSHIP 2013:Year 3 (M5) - AHD
UGME AHD Schedule Block 1 (June 1 3)
BLOCK 1:Oct 1-Dec 22 UGME Topic: 1300-1500 Rotation Topic:1500-1700 Thursday, October 3 Scholarship in Medicine Project I
(Drs. Ens, Littleford & Condon )
Thursday, October 10 Antibiotics (Dr. Aoki & Dr. Zhanel)
Thursday, October 17 Professionalism - 3 hrs start 12:30 (Drs. Pauls & Goldberg)
Start Time: 3:30 pm
Thursday, October 24
Student Affairs – Boundaries/Safety
OR (Dr. Martin & Dr. Barakat) Collaborative Patient Care (IPE)
(Dr.Dean)
Thursday, October 31 Scholarship in Medicine Project I (Drs. Ens, Littleford & Condon)
Thursday, November 7 Motivation Pt. I &. II (Dr. Holmqvist)
EXAM, Friday, November 8 (4 Exams)
Family Medicine, Obstetrics & Gynecology, Pediatrics, & Psychiatry
Thursday, November 14 Radiology (Dr. Mottola)
Thursday, November 21 Inpatient Management Diabetes (Dr. Hurd)
Thursday, November 28
Indigenous Health OR (Dr. Lavallee)
Preliminary Electives Session (Dr. Lee and Dr. Libich)
Thursday, December 5 Professionalism - 3 hrs start 12:30 (Drs. Pauls & Goldberg)
Start Time: 3:30 pm
Thursday, December 12 Scholarship in Medicine Project III (Drs. Ens, Littleford & Condon)
Thursday, December 19
Motivation Pt. III (Dr. Holmqvist)
EXAM, Friday, December 20 (6 Exams)
Family Medicine, Medicine, Obstetrics & Gynecology, Pediatrics, Psychiatry & Surgery
Options Not confirmed
BLOCK 1:Oct 1-Dec 22 UGME Topic: 1300-1500 Int & Emerg Med:1500-1700 Thursday, October 3 Scholarship in Medicine Project I
(Drs. Ens, Littleford & Condon )Procedures (2hrs)
Thursday, October 10 Antibiotics (Dr. Aoki & Dr. Zhanel)
Shock (ER/ 1hr) Abdominal Pain (ER/1hr)
Thursday, October 17 Professionalism - 3 hrs start 12:30 (Drs. Pauls & Goldberg)
CNS Emergencies (ER/ 1hr) 3:30 Toxicology(ER/ 1hr)
Thursday, October 24
Student Affairs – Boundaries/Safety
OR (Dr. Martin & Dr. Barakat) Collaborative Patient Care (IPE)
(Dr.Dean)
Chest Pain ( Cardiology/1 hr) CHF( Cardiology/1 hr)
Thursday, October 31 Scholarship in Medicine Project II (Drs. Ens, Littleford & Condon)
ECG (IM/ER 1 hr) ABG (IM/Nephro 1hr)
Thursday, November 7 Motivation Pt. I &. II (Dr. Holmqvist)
Hypertension(IM/1hr) Delirium (IM/1hr)
EXAM, Friday, November 8 (4 Exams)
Family Medicine, Obstetrics & Gynecology, Pediatrics, & Psychiatry
Thursday, November 14 Radiology (Dr. Mottola)
DVT/PE (Hematology/1hr) Anemia (Hematology/1hr)
Thursday, November 21 Inpatient Management Diabetes (Dr. Hurd)
COPD/Asthma (Resp 1hr) Thyroid ( Endo 1hr)
Thursday, November 28
Indigenous Health OR (Dr. Lavallee)
Preliminary Electives Session (Dr. Lee and Dr. Libich)
Elevated Serum Creatinine Electrolytes ( Nephro 2hrs)
Thursday, December 5 Professionalism - 3 hrs start 12:30 (Drs. Pauls & Goldberg)
Diarrhea (GI/1hr) 3:30 pm Syncope (IM/1hr)
Thursday, December 12 Scholarship in Medicine Project III (Drs. Ens, Littleford & Condon)
Elevated Liver Enzymes(Hep/ 1hr) GI Bleeding (GI/1hr)
Thursday, December 19
Motivation Pt. III (Dr. Holmqvist)
Arthritis ( Rheum/1hr) MCQ Q & A (IM 1hr)
EXAM, Friday, December 20 (6 Exams)
Family Medicine, Medicine, Obstetrics & Gynecology, Pediatrics, Psychiatry & Surgery
UGME AHD Schedule Block 1: Internal & Emergency Medicine
Objectives:
The graduating medical student will be able to: 1. Judge if a particular paper is one to which they should
assign value
2. Have a sound strategy/method for answering clinical questions that arise in their practice
3. Embody the practice of evidence-based
J. Littleford, S. Bruce, A. Condon, C. Ens 5. SCHOLARSHIP in MEDICINE ACADEMIC PROJECT
UGME CuRe Clerkship - Med 3
Med 3 Med 4
Rotations Block 1 2 3 4 Health Systems and
Safety Community Health
Sciences Health Systems and
Safety Community Health
Sciences All disciplines
Observational Study: Errors and Near Misses Information Prescription In development In development Academic Paper
Information Sciences
Surgery & Anesthesia
Peds and OB
Internal / Emerg Med
FM & PH / Psych
Regardless of which rotation students are in, the assignment framework in each block is identical
Regardless of which block students are in, the focus of each assignment relates directly to their rotation
Information Sciences
Health Systems and Safety OR
Community Health
Sciences
Assignments relevant to
content areas and academic
structure
Class #1 Interactive large group
sessions
Class #2 Small group /
tutorial sessions
Class #3 Student
presentations
MED 3 EXAMPLE (CHS) SCHOLARSHIP in MEDICINE ACADEMIC PROJECT
A national study indicates that nearly half of all Canadian adults have difficulty understanding and using health information.1 Low health literacy - the inability to understand health information and to use that information to make good decisions about one’s health and medical care - is associated with more hospitalizations, greater use of emergency care, less preventive care, and poorer control of chronic illnesses.2 People with low health literacy make more mistakes with their medications, are less able to follow treatment instructions and experience more difficulties negotiating the healthcare system (filling out complex forms, locating providers & services) when compared to people with adequate literacy skills.2 According to the Pew Internet & American Life Project approximately 61% of adult Americans look online for health information and one in ten health inquiries have a major impact on someone’s health or the way they care for another.3 The situation is similar in Canada.4 Access to Internet health information has been reported to improve the way people take care of themselves, manage their illnesses, and help them make better, more informed choices.5 Physicians are in a position to direct their patients to resources containing current, reliable, consumer-friendly information about a health issue or concern.5-8 Offering an “information prescription” as a health care intervention provides a unique opportunity for patients to become more actively involved in their health and in the services they receive. Whether in the form of a pamphlet, website, noted on a prescription pad or included in a Facebook page, information prescriptions should direct patients to authoritative, high quality, and commercial-free information. They can be used to supplement face-to-face interaction and verbal/written information provided in the office or clinic. Information prescriptions have been shown to improve health literacy.9 The Public Health Association of Canada (PHAC) asserts that more emphasis needs to be placed on the promotion of health and on preventing or delaying chronic diseases, disabilities and injuries.9 To do so will “improve the quality of life of Canadians while reducing disparities in health and the impact these conditions have on individuals, families, communities, the health-care system and on society.” Five principles frame prevention activities in Canada:
1. Consider prevention is a priority 2. View prevention as a hallmark of a quality health system 3. Promote prevention as the first step in management 4. Approach health promotion in many ways 5. View health promotion as everybody’s business.10
An Information Prescription is a novel way to deliver concepts of prevention from a clinical perspective. In this block, students will learn about information prescriptions, methods to evaluate and present Internet and print media, sources of local population health data, statistics and community resources, and the role physicians can take in delivering prevention information. Students will make clinical observations to determine one event that could have been prevented in some way; they will then present their case in a small group session to broaden their scope of understanding; and they will create a Information Prescription wiki aimed at the general population to address their identified prevention issue.
SiM Med 3: Creating an Information Prescription Pamphlet
Will need to include: • Title that captures the prevention issue • Description of the prevention issue • Current policy / legislation around the issue • Local, provincial, or national statistics describing the issue • Related community organizations • Related websites, etc.
Assessment: • Material to be presented in an engaging, educational, user-friendly manner
at a grade 8 level or lower level (according to the Fry readability graph) • Text is grammatically correct, attribution is provided for pictures/graphics,
one or two references are included where applicable, tables and graphs are included where appropriate
• Content includes factual information, Manitoba data/statistics, community resources
• Only highly rated, educational consumer health websites, applicable to the prevention issue, are cited (as judged by the HON code), etc.
MED 4 SCHOLARSHIP in MEDICINE ACADEMIC PROJECT
SiM Med 4 Assignment
1. Convert a real clinical problem into an answerable (PICO) clinical question
2. Create this question from a real clinical scenario in one of the following disciplines, surgery, internal medicine, pediatrics, obstetrics, psychiatry, emergency medicine, ENT, ophthalmology, anesthesia, radiology
3. Conduct a well-constructed, focused search of the literature
4. Acquire and appraise articles. Synthesize the information. Select a relevant bibliography.
5. Prepare an academic paper, writing/citing & summarizing the findings and ANSWER the question
6. Justify a course of action based on the results – Physician to clinician experience – come to an evidence-based decision that will affect patients
7. Present the findings to colleagues in a small group – peer/facilitator evaluation according to a marking template
Students will pose a clinical question related to a scenario arising from Med IV clinical exposure and then show how the question is answered:
Students watch eight
20-30 min pre-recorded
“green screen” videos given
by Dr. S. Srinathan
4 Academic Half Days
Small group / tutorial sessions
Academic Half Day
Student presentations
SCHOLARSHIP in MEDICINE ACADEMIC PROJECT Med 4 :
Four Academic Half Days during TTR (M7) Mix of interactive whole group and small group sessions: First half hour - lecture Second/third hour - small groups of 15 members, defined by specialty of
interest
Final Session ( M7 April ) Student Presentations
Pre-viewing done online during Electives (M6) Introduction to EBM & Critical Appraisal Asking questions Finding information Systematic review #1 Systematic review #2 RCTs Observational studies Guidelines, GRADE, Diagnostic studies
6. Student Evaluation FITER for all rotations >2 weeks
• Surgery = one 6 week rotation with MITER after either 3 week general surgery or 3 week specialty rotation
NBME: Surgery and Internal Med At end of each block ( ie 1 in block )
Peds/OG and Psych /Family Med At end of each 6 week rotation ( ie 2 per block)
Academic half day /Longitudinal course/themes: Formative for class 2015 ( any new evaluation needs senate approval )
Scholarship in Medicine Academic Projects M5 & M7: passing mark (TBD )with evaluation rubrics for each assignment
CLERKSHIP 2013: Year 3 (M5)
39
7. Transition to Residency
Year 4 (M6 & M7): M6 – Electives pre CaRMS (14 weeks and 3 weeks interviews)
ie no change
M7 – Transition to Residency (11 weeks) Needs to be developed:
• Academic time with LMCC review
• Scholarship in Medicine project Med 4
• ACLS
• Consider mandatory additional Core rotations: ie selective IM/ surgery / Community care
• Selectives – palliative care, care of elderly, indigenous health, etc
• Program tailored to specific residencies
CLERKSHIP plans 2014:Year 4 (M6 & M7)
40
Questions …………..comments ?
http://umanitoba.ca/faculties/medicine/education/undergraduate/curriculum/curriculumrenewal.html
WEBSITE……UM/Faculties/Medicine/Education
UGME CuRe Clerkship - Med 3
Thank You………!