REVISED CLERKSHIP & SELECTIVE PLANS

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REVISED CLERKSHIP& SELECTIVE PLANSResponses to COVID-19April 1, 2020

Changes to Clinical ProgramCurrent MS2 StudentsDateDescriptionMarch 6March 9 – May 4May 4 – June 21Pre-clerkship courses endedUSMLE Step 1 Study TimeTransition to Clerkship (TTC) online course Content from 18-19 TTC Includes content pulled from shortenedclerkshipsComplete core clerkships – clinical time Clerkships shortened based on 18-19transition scheduleJune 22 - April 30

Changes to Clinical ProgramCurrent MS3 Students (1 of 3)DateMarch 13DescriptionStudents dismissed from clinical rotations Some students got one week in their last clerkship Small group was on a week break and did not starttheir last clerkshipMarch 14 – May 1 Online Material Assigned by Clerkships Pass/Fail grading for online portion Online cases, modules Streamed didactics Interactive sessions via WebExMay 1Official end of MS3 year (without finishing clerkships)

Changes to Clinical ProgramCurrent MS3 Students (2 of 3)DateDescriptionMay 4 – May 29Career Focus Tracks (CFTs) online course Content from CFTs IHI modulesComplete core clerkships – clinical time Students return to last scheduled clerkshipBreakBegin MS4 clinical rotationsJune 1 – June 19June 22 – June 26June 29

Changes to Clinical ProgramCurrent MS3 Students (3 of 3)DateDescriptionJune – JulyCCCE ExaminationJune 29Begin MS4 - Modified Requirements Three required rotations (no change) Transition to Residency (no change) Four electives instead of 7 Vacation 3 ½ blocks Increased from 2 ½ blocks Career Planning Elective Rolled into vacation for flexibility

Changes to Clinical ProgramCurrent MS4 StudentsDateDescriptionMarch 9 – March 20Transition to Residency (online)March 20Match Day (cancelled)March 22 – May 15Modified Requirements Will graduate on time Waived one elective block requirement Last rotation (block 13) will be online only;required selectives are P/F for this block only Few off cycle students who still need anadditional elective rotation will have SpecialProject created with online content

Clerkship UpdatesSummary

Clerkship updates - Overview Didactic Content Delivery– Didactic Content Details available at Canvas Virtual Patient Case Requirements– Students will be able to log completion of required patient encountersafter viewing virtual patient cases Other Activities OSCE / SP / SCSC Activities Student Time– Students required to log time on one45 Grading Changes

Clerkships – Didactic Content DeliveryClerkshipDidactic Content DeliveryFamily MedicineReview lecture PowerPoints and handouts via CanvasGeriatricsWebEx interactive lecturesInternal MedicineArchived lectures and WebEx interactive lecturesNeurologyWebEx interactive lecturesOb-GynWebEx faculty-led didactics on Monday morningsPediatricsPanopto subspecialty pediatric lectures Wednesday mornings from 8 am - noonPsychiatryReadings, online videos (OnlineMedEd and Youtube), interactive online patientsimulations, recorded lecturesSurgeryWebEx faculty-led didactics; sessions related to curriculum modulesrecommended by American College of Surgeons

Clerkships – Virtual Patient CasesClerkshipFamily MedicineVirtual Patient Cases20 Design-a-Case virtual patient casesGeriatricsAquifer virtual patient casesInternal MedicineAquifer virtual patient cases *NeurologyOb-GynAquifer, Design-a-Case, and 8 online internal casesrequiredAPGO teaching casesPediatricsAquifer virtual patient cases - Students required to do 30PsychiatryDesign-a-Case, Aquifer, and ADMSEP/MedEdPORTAL patientsimulationsSurgeryAquifer and Design-a-Case* Students will need to select two and submit written H&Ps

Clerkships – Other ActivitiesClerkshipOther ActivitiesFamily MedicineNarrative Medicine written assignment & Grand Rounds (webex)GeriatricsNarrative Medicine AssignmentInternal MedicineImmigrant Health Discussion, Online discussion posts using Canvas and WebEx, EKGPre/Post Test, IM MKSAP quizzes (3)NeurologyNarrative Medicine written assignment and Crossword Puzzles geared for Neurology andNeuro sub specialties, Neuroanatomy online review, Virtual case review with Neurology CDOb-GynWebEx with students and faculty in “oral exam” style, Weekly podcasts to clarify questionsand difficult topics, animated videos on APGO’s YouTube channel, APGO uWise Quizzes,weekly required podcasts (“CREOGs Over Coffee”), optional review podcasts by Dr. Toycorresponding with Ob/Gyn Case FilesPediatricsPoverty Module, Pediatric Board Review Outpatient Lecture SeriesPsychiatryn/aSurgeryn/a

Clerkships – OSCE /SP / SCSCClerkshipOSCE / SP / SCSCFamily MedicineThe clerkship does not include these activitiesGeriatricsThe clerkship does not include these activitiesInternal Medicine2 SP encounters - Students completed 1Simulation session - Will try to reschedule in JuneNeurologySP and a Skills Session - Scheduled for June 3rd and June 5thOb-GynSkills Session - Plan to reschedule in JunePediatricsSkills Session - Plan to reschedule in JunePsychiatrySP Exercise - Plan to reschedule in JuneSurgerySkills Session - Plan to reschedule in June

Clerkships – Student TimeClerkshipStudent TimeFamily Medicine6-8 hours dailyGeriatrics8 hrs didactics, 5 hrs Aquifer cases, 2-3 hrs narrative medicineInternal Medicine 20 hours per weekNeurology10-15 hours per weekOb-Gyn 20 hours per weekPediatrics20-25 hours per weekPsychiatry 20 hours per weekSurgery 20 hours per week

Clerkships: Family Medicine GradingOriginal - NO CHANGES 40% NBME (60 minimum score) 50% Clinical Evaluation 10% Design-A-Case

Clerkships: Geriatrics Grading ChangesNo change -remains Pass/Fail

Clerkships: Internal Medicine Grading ChangesOriginalRevised 45% National Board Exam scoreminimum NB score 58 20% Gen Ward Month #1 Attending 20% Gen Ward Month #2 Attending 4% Core Faculty Attendance &Participation 3% Didactic & Conference Attendance 3% Standardized Patient Encounters 2% Aquifer Case (4 required) 1% EKG 1% Simulation Session 1% Written H&P 45% National Board Exam score - minimum NB score is a 58. 30% Average of Evaluations (oneevaluation for 3 weeks) 10% Aquifer Cases 6% MKSAP Quizzes 2% Didactic & Conference Attendance 2% Immigrant Health Module 2% Written H & P 1% Standardized Patient Encounters 1% Simulation Session 1% EKG Quizzes 0% Core Faculty Attendance &Participation

Clerkships: Neurology Grading ChangesOriginalRevised 40% National Board Exam score - minimum NB score is a 64. 40% National Board Exam score - minimum NB score is a 64. 50% Average of Evaluations (atleast one evaluation from eachsite.) 40% Average of Evaluations (oneevaluation from each week.) 3% Didactic & ConferenceAttendance 3% Didactic & Conference Attendance 8% Online Required Cases 3% Participation in Online Cases 3% Standardized Patient Encounter 2% Core Faculty Attendance &Participation 5% Narrative medicine piece 2% Standardized PatientEncounter 3% Simulation lab encounter 0% Core Faculty Attendance &Participation

Clerkships: Ob-Gyn Grading ChangesOriginalRevised 40% NBME 40% NBME 55% Faculty Eval 40% Faculty Eval 5% participation 20% participation

Clerkships: Pediatrics Grading ChangesOriginal 25% Inpatient Evaluation 25% Outpatient Evaluation 40% National Board Exam score minimum NB score is a 63 10% Participation– 3% Aquifer Cases– 2% Bedside Teaching– 5% LecturesRevised 15% Inpatient Evaluation 15% Outpatient Evaluation 40% National Board Exam score minimum NB score is 63 30% Participation– 20% Aquifer Cases– 0% Bedside Teaching– 10% Lectures

Clerkships: Psychiatry Grading ChangesOriginal 35% NBME (69 minimum score)16.5% Clinical Evaluation #116.5% Clinical Evaluation #220% Team Based Learning10% SOAP Note Assessment2% AttendanceRevised 50% NBME (69 minimum score)33% Clinical Evaluation15% SOAP Note Assessment2% Attendance

Clerkships: Surgery Grading ChangesOriginal 48% NBME Exam 40% Rotation Evaluation 2% QuizzesRevised 48% NBME Exam 35% Rotation Evaluation 2% Quizzes 4% Completion 7% Completion 2% Patient Handover Forms 4% Patient Handover Forms 4% Core Faculty Participationand Attendance 4% Core Faculty Participationand Attendance

GradingOnline components are for a P/F completion grade.Failure to complete the online components by the end of the clerkship (5/1) willresult in failure of the clerkship.

MS4 UpdatesSummary

MS4 updates - Overview Didactic Content Delivery– Didactic Content Details available at Canvas Virtual Patient Case Requirements– Students will be able to log completion of required patient encountersafter viewing virtual patient cases Other Activities OSCE / SP / SCSC Activities Student Time– Students required to log time on one45 Grading Changes–Pass/Fail for Block 13

MS4 – Didactic Content DeliveryClerkshipDidactic Content DeliveryAMB - Fam MedPanopto - Epidemiology CourseAMB - IMPanopto - Epidemiology CourseAMB - PediPanopto - Epidemiology CourseAMB - OB/GYNPanopto - Epidemiology CourseRCCPanopto - Archived LecturesAPCN/A

MS4 – Virtual Patient CasesClerkshipVirtual Patient CasesAMB - Fam MedDesign-a-CaseAMB - IMAquiferAMB - PediAquiferAMB - OB/GYNWebex virtual mock case exercise (based on ACGMEmilestones)RCCN/AAPCWISE - OnCall

MS4 – OSCE / SP / SCSCClerkshipOSCE / SP / SCSCAMB - Fam MedN/AAMB - IMN/AAMB - PediN/AAMB - OB/GYNN/ARCCAlternatives include articles, videos, PPTs, and quizzesAPCN/A

MS4 – Student TimeClerkshipStudent TimeAMB - Fam MedN/AAMB - IMN/AAMB - PediN/AAMB - OB/GYNN/ARCC2-8 Hrs / weekAPC2-8 Hrs / week

MS4 Updates - GradingAmbulatory - Family MedicineOriginalRevised 75% Clinical evaluation Completion of all required components 25% Epidemiology– Design a Case cases– Epidemiology– EKG quiz– Evaluations and logs as assigned inone45

MS4 Updates - GradingAmbulatory - Internal MedicineOriginalRevised 65% Outpatient Rotation(preceptor evaluation) 50% Aquifer virtual patient cases 25% Epidemiology Course 10% IPE Session ECG quiz on Canvas- Pass/Fail 40% Epidemiology Course 5% Written H & P 5% ECG Quiz

MS4 Updates - GradingAmbulatory - PediatricsOriginalRevised Original Revised

MS4 Updates - GradingAmbulatory - Ob/GYNOriginalRevised Outpatient Rotation (preceptorevaluation) – 65% Completion of all required components Epidemiology Small Group –25% (Includes all assignmentsfrom small group sessions) IPE Sessions – 10% ECG quiz on Canvas – Pass/Fail– Virtual Cases– Epidemiology– Presentation to MS3 students

MS4 Updates - GradingRCCOriginalRevised (P/F, P 70%) 24% Lecture Post-Quizzes 36% Lecture Post-Quizzes 40% Skills Sessions, CaseSessions, and Patient SafetySession 64% Skills Sessions, Case Sessions,and Patient Safety 36% Final Evaluation byAttending

MS4 Updates - GradingAPCOriginalRevised (P/F) 100% Clinical Evaluation 100% Completion of online cases

April 1, 2020. Changes to Clinical Program Current MS2 Students Date Description March 6 Pre-clerkship courses ended March 9 –May 4 USMLE Step 1 Study Time May 4 –June 21 Transition to Clerkship (TTC) online course Con

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