Transcript Your actions do make a difference in patient care!

Introduction to the
Junior Year
WELCOME!!!
KEY MESSAGE
for the
CLINICAL YEARS
Your actions make
a difference
in patient care!
Clinical years are
radically different from
prior schooling!
Expect to be more like a
physician rather than a
student!
Critical features include:
• being able to adapt
• being part of the team
• demonstrating professional
behavior
• communicating effectively
We’re talking radically
different!
M3 & M4 years are an
“apprenticeship.”
You learn the art and science
of medicine by assisting the
health care team in providing
care to patients.
Essentially, this is your first job
as a physician!
The bad news
You will work extremely hard.
You will work many more hours
than ever before.
You are at the bottom rung of the
health care ladder.
This is a very unfamiliar
situation.
The good news!!
Providing care for patients is
extremely rewarding!!
The participation in patient care
promotes very active learning.
You will learn more about
medicine (and yourself) than
ever before.
You will be extremely well
prepared for internship and
beyond.
Clinical Years
Students simultaneously both
learn and practice the roles
inherent in the profession of
medicine.
• Science and Art
• Academic and Professional
Spend your time on
clerkships, which are very
different from “school”
Spend full days in the hospital or
outpatient clinic (physically &
emotionally demanding, but very
rewarding)
Rotations go year-round
Often present 7 days a week
On call or overnight shifts
Study time remains intense, but you must
learn to work it into your busy schedule
Self education is critical
What is expected
Faculty will be looking for:
• reading
• weighing evidence
• ability to make decisions
and justify them
• core personal &
professional values
• acceptance of responsibility
• large amounts of
self- learning
all in the context of
patient care.
Advice
• anticipate a major shift in
responsibility
• prepare for self-monitoring &
self-education
• actively look for opportunities to
develop the skills the faculty
are seeking
M3 Year has Grades!!
Honors
High Pass
Pass
Fail
Grades in M3 Year
• Society and the Faculty expect
excellence.
• A pass grade signifies
excellence and indicates that
the student is appropriately
progressing to the high
expectations that society
places on our profession.
• Pass is the majority grade in
the M3 year.
Grading Components
Performance based evaluations
are the core of the profession:
“Clinical Evaluations”
Formal quantitative evaluations are
supplementary:
e.g. exams, papers
Primary responsibility for grading
rests with faculty
Residents/Interns have input in
grading
Clinical Evaluations
The considered judgment of
your performance level.
• Application of
Knowledge
• Skills
• Attitudes
• Level of Professionalism
Recommended
Percentages
• Honors and High Pass
grades are awarded based
on performance that is above
the excellence level.
• 15% - 20% - Honors
• 40% -45% - High Pass
Clinical training takes
place in many hospitals
and other outpatient
sites
Major sites for M3 clerkships:
University of Michigan Hospitals
Veterans Administration Hospital
UMMC Outpatient Sites
Chelsea Community Hospital
St. Joseph Mercy Hospital
Transportation
Reliable transportation is necessary
in the 3rd and 4th years (the bus
system is not adequate)
Lack of transportation is not a
rationale for placement in Ann
Arbor
During a clerkship, you may be
required to go to a site that is not
your “home” site
Parking
Parking is difficult for everyone
–
–
–
–
Patients
Faculty
Staff
As well as students
Parking for students at the University
of Michigan is very LIMITED
URL:
http://www.med.umich.edu/medstudents/
Under: Student Life; Parking
Sometimes there are parking coupons available for
off-site (out of Ann Arbor) students returning for
required lectures. More information on these will
be given during your clerkship orientations.
Housing at
Off-Site Locations
Family Medicine sites
Toledo provides housing and meals
Grand Rapids provides limited housing (no meals)
Students generally request Grand Rapids if they have
family/friends in the area. (Students are not placed at
any sites until housing arrangements have been
worked out.)
None – Commute to these sites:
St. Joseph Mercy Hospital
Neurology @ Jackson
Remember: You are a guest!
M1 & M2 Experiences
have begun to prepare
you for the Clerkships:
Physical Diagnosis Fundamentals
SPI Exercises
Family Centered Experience
Clinical Educator Sessions
Cardiac, Pulmonary,
Musculoskeletal and Neurological
“Classics”
M2 CCA – Feb 1,2,4,5, (2013)
Help is Available
Attending Physician
Senior Resident
Clerkship Director/
Depart. Education Office
Office of Medical Student
Education:
– Tamara Gay, M.D.
– Eric Middleton, Ph.D.
– Amy Tschirhart, M.A., LPC
Professional Behavior
is Paramount
Examples of unprofessional
behavior might include:
• Inappropriate interactions
•
•
•
•
•
•
with patients
Drugs and alcohol
Inappropriate dress (ppt)
Tardiness
Breach of patient confidentiality
Inappropriate interactions with
staff and team
Untimely response to
email/pages
Extracurricular
Activities
M3 Clerkship Directors agree that
the M3 year is a core year, and
Clerkship time is essential. Time
off for other extracurricular
activities is not allowed:
regardless of the merit of the
activity.
Societies/Volunteering
Medical Meetings
Extracurricular Educational
Activities
Guidelines for
Absences
• It is expected that you are
present for all clerkship activities
(the standard is 100% attendance)
• It is your responsibility to notify
the attending faculty of an
absence
• An absence should be arranged
3 months in advance
(complete policy in handbook)
Caveat: Progression
through the clinical
years is not automatic;
progression depends
on both academic
adequacy and
professional behavior
You must convince
the faculty that you
are ready and able to
be a competent
physician in order to
graduate in
May, 2015
Overview of the 3rd Year
M3 year is devoted to required
rotations on major disciplines
Internal Medicine
Surgery
Pediatrics
Obstetrics/Gynecology
Psychiatry
Family Medicine
Neurology
48 weeks
12 weeks
8 weeks
8 weeks
6 weeks
6 weeks
4 weeks
4 weeks
2013-14 Clinical
Calendar
Perio
ds
4/8/12 Week
Experiences
Periods
6 Week Experiences
Introduction to the Clinical Years (M3) - Tue, 5/7/13 - Fri, 5/10/13
1
5/13/13 - 6/9/13
2
6/10/13 - 7/7/13
3
7/8/13 - 8/4/13
4
8/5/13 - 9/1/13
5
9/2/13 - 9/29/13
6
9/30/13 - 10/27/13
7
10/28/13 - 11/24/13
8
11/25/13 - 12/22/13
1/13/14 - 2/9/14
10
2/10/14 - 3/9/14
11
3/10/14 - 4/6/14
12
4/7/14 - 5/4/14
5/13/13 - 6/23/13*
2.5
6/24/13 - 8/4/13*
4
8/5/13 - 9/15/13*
5.5
9/16/13 - 10/27/13
7
10/28/13 - 12/8/13*
• Weekends that occur during a clerkship will be scheduled by the department
• Some clerkships have overnight call/shifts
Official Medical School Holidays/Breaks
Holiday Period Begins
Holiday Period Ends
Memorial Day
11 PM, Sun 5/26/13
5 AM, Tue 5/28/13
Independence Day
11 PM, Wed 7/3/13
5 AM, Fri 7/5/13
Labor
Day
11 PM, Sun 9/1/13
5 AM, Tue 9/3/13
Thanksgiving
5 PM, Wed 11/27/13
5 AM, Mon 12/2/13
Winter Break
5 PM, Fri 12/20/13
5 AM, Mon 1/13/14
MLK, Jr. Day
11 PM, Sun 1/19/14
5 AM, Tue 1/21/14
M3 Vacation
5 PM, Fri 5/2/14
7 AM, Mon 5/12/14
Holiday Scheduling Notes
Winter Break 12/23/13 1/12/14
9
1
General Scheduling Notes
12/9/13- 2/9/14*
8.5
Winter Break
12/23/13-1/12/14
10
2/10/14 - 3/23/14
Some clerkships may allow a bit more time off, but the listed times will be the
minimum time that you will have for each of these holidays/breaks.
Subinternships
• Because of the increased level of patient care responsibilities on subinternship
experiences, the student's responsibiliites may take precedence over holiday time
• Students on subinternships must discuss any time off with the attending staff
MLK, Jr. Day
11.5
3/24/14 - 5/4/14*
M3 Vacation May 5-11, 2014
• The University and the Medical Center will host programs throughout the day,
and all students are excused from classes and clinical responsibilities so that they
may partake in these programs, except for subinterns, as noted above
*Please see schedule: "Official Medical School Holidays/Breaks"
Other Important Dates:
Senior Year Ends
Friday, May 2, 2014
Graduation
M4 CCA 2013
Friday, May 16, 2014
May 29th -31st, and June 3rd-4th
M4 CCA Makeup
Dates
TBA
This calendar found on Page 22 of your M3 Handbook
Clinical Calendar:
by Period
Periods
4/8/12 Week Experiences
Periods
6 Week Experiences
Introduction to the Clinical Years (M3) - Tue, 5/7/13 - Fri, 5/10/13
1
5/13/13 - 6/9/13
2
6/10/13 - 7/7/13
3
7/8/13 - 8/4/13
4
8/5/13 - 9/1/13
5
9/2/13 - 9/29/13
6
9/30/13 - 10/27/13
7
10/28/13 - 11/24/13
8
11/25/13 - 12/22/13
Winter Break 12/23/13 - 1/12/14
9
1/13/14 - 2/9/14
10
2/10/14 - 3/9/14
11
3/10/14 - 4/6/14
12
4/7/14 - 5/4/14
1
5/13/13 - 6/23/13*
2.5
6/24/13 - 8/4/13*
4
8/5/13 - 9/15/13*
5.5
9/16/13 - 10/27/13
7
10/28/13 - 12/8/13*
12/9/13- 2/9/14*
8.5
Winter Break
12/23/13-1/12/14
10
2/10/14 - 3/23/14
11.5
3/24/14 - 5/4/14*
M3 Vacation May 5-11, 2014
Holidays
Memorial Day
Independence Day
Labor Day
Thanksgiving weekend (Thursday
through Sunday)
Martin Luther King Day
By default Holidays will begin at 11
PM the night before and end at 5
AM the day after
M3 Longitudinal
Curriculum
Seminars in Medicine Series
Feedback on Clinical Skills
Seminars in Medicine
Most Fridays 3-5 p.m.
FORD AUDITORIUM
• Allow multi-departmental
presentations of material that
crosses disciplines
• Allow for classmate contact
• Examples:
–Acid-Base
–Demystifying Malpractice
–Management of Fluids and
Electrolytes
M3 Feedback on
Clinical Skills (FCS)
Designed to simulate a real clinical
encounter
– H&P with an SPI, ordering labs and
radiology, writing a note, presenting
the patient
You will be observed by a faculty member
and will receive feedback from both the
faculty member and the SPI
2 sessions during the M3 Year
You will be excused from clinical
responsibilities to participate
Other Curricular
Considerations
M4 CCA:
May 2014
USMLE:
Step 2 CK
(Clinical Knowledge – 1 day multiple choice)
Step 2 CS
(Clinical Skills – ½ day practical)
Summer/Fall 2014
M4 CCA
Comprehensive Clinical
Assessment
Early in M4 Year
A practical exam that tests
the art and science of
being a competent
physician
Component III
48 Week Calendar
This calendar found on Page 23 of your M3 Handbook
There will be a 3 week break following Period 8
(December 23, 2013– January 12, 2014)
COMPONENT III CLERKSHIP
SCHEDULING FORM 2013-14
Schedules
Preference work sheets are available today
and will be available on line, Wednesday,
December 12, at 8 AM
Cindy Murphy in the Office of Student
Programs will be available for questions
tomorrow morning
Submission is via the internet
Deadline is TUESDAY, December 18 @ 5:00 p.m.
URL: https://www.umms.med.umich.edu/srsched/
Commencement of
Junior Year, 2013
M3 Year begins with training
sessions:
Tues, May 7 – Friday, May 10
Specific orientation sessions for
some Clerkships will also occur
during that time (Neurology,
Pediatrics and Internal Medicine)
If you wish to start Period 1,
attendance is REQUIRED.
Period 1 begins:
Mon., May 13, 2013
Questions?
Sequence of clerkships does
not affect academic
performance
There will be an informal
Lunch at noon,
Tuesday, December 18th
in MSI 3330.
• Cyril Grum, M.D.
• Cindy Murphy
• Current M3 and/or M4 students
Questions??
There is not a sign in sheet for
today.