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This comprehensive restructuring of the medical curriculum aims to enhance student experience and learning outcomes. Key goals include increasing career exploration elective opportunities prior to residency application deadlines, streamlining pre-clinical courses by reducing redundancy, and grouping courses more logically. Emphasis will be placed on improving student well-being and ensuring early exposure to vital clinical skills. Active learning will be incorporated throughout, and a focus on clinical correlations for basic science will be enhanced. Further recommendations encourage ongoing assessment and opportunities for fourth-year students to revisit basic sciences.
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New Faculty Orientation Curriculum Restructuring
Curriculum Restructuring Goals • Increase the amount of time for career exploration electives prior to the deadline for submitting residency applications • Streamline pre-clinical curriculum by decreasing/eliminating unplanned redundancies and the focus on unnecessary detail • Create a more sensical grouping of courses and clerkships • Improve medical student well-being
Phase 1 – Foundations Phase • August November March Winter Break MHR Cellular & Molecular Biology(8 Weeks) Clinical Anatomy(7 Weeks) Thanksgiving Break MHR(7 Weeks) Pathology (4 Weeks) Pharm(7 Weeks) Pharm Epi/Bio(3 Weeks) ACS1 ACS1 (Longitudinal) ACS1 Elective (Longitudinal) Elective Elective
Phase 2 - Core Knowledge Phase March August Dec April Neuro 7 Wks BMH 2 Wks Heme 3 Wks Summer Break 10 Weeks • Cardio • 5 Wks • Resp • 4 Wks • Renal • 4 Wks • GI • 5Wks Thanksgiving Winter Break SBJ 3 Wks Endo 5Wks Step 1 Study Time 8 Wks • GI • HCE • 7 Wks • D&D • 2 Wks • ACS 2 • Longitudinal • ACS2 • ACS 2 • ACS 2 • Longitudinal • Bedside Diagnosis • Longitudinal • Bedside Diagnosis • Longitudinal BD BD Electives (longitudinal) Electives El Elec
Current Third-Year Structure • Two 24-week blocks • Internal Medicine 12 weeks • OB/Gyn 6 weeks • Family Medicine* 6 weeks • Surgery 8 weeks • Pediatrics 8 weeks • Neuro/ Psych 8 weeks • ACS3 • Interprofessional Team Seminars
Phase 3 – Core Clinical Phase May December April Clerkship Orientation Winter Break • Family* Med • (8 Wks) Internal Medicine (Inpt) (8 Wks) Surgery (8 Wks) • Psych/ Neuro • (4 Wks each) OB Gyn* (8 Wks) 1 Week Break • Peds • (8 Wks) • ACS 3 • Longitudinal ACS 3 Longitudinal ACS 3 Longitudinal Inter-professional Team Seminars IPTS • * Includes two weeks for career exploration
Fourth-Year Requirements • Two 3-week subinternships (at least one of which has to be in IM or Peds) • 3-week ambulatory Internal Medicine rotation • 3-week required capstone course • 2 or 3-week Emergency Medicine requirement (2-week if done in year 3, 3-week if done in year 4.
Core Recommendations to Accompany Restructuring Plan • 1. Active learning needs to be a greater part of the pre-clinical and core clinical didactic curriculum. Possible strategies include team-based learning, problem-based learning, and interactive case discussions. • 2. Emphasis on clinical correlations for basic science material should be enhanced and expanded. • 3. Efforts to reduce unnecessary detail in the curriculum should be ongoing. One path to accomplish this would be to institute NBME subject exams as assessment tools in the pre-clinical years.
Core Recommendations to Accompany Restructuring Plan • 4. Students need to have greater opportunity for early development of key clinical skills, particularly history-taking and diagnostic reasoning skills. • 5. Opportunities to return to the basic sciences in the fourth year should be expanded.