THE FOURTH YEAR Adam Stevenson MD Associate Dean of Student Affairs January 14th, 2014 (C) 2013 University of Utah School of Medicine.
Download ReportTranscript THE FOURTH YEAR Adam Stevenson MD Associate Dean of Student Affairs January 14th, 2014 (C) 2013 University of Utah School of Medicine.
Slide 1
THE FOURTH YEAR
Adam Stevenson MD
Associate Dean of Student Affairs
January 14th, 2014
(C) 2013 University of Utah School of Medicine
Slide 2
Curriculum Map
Slide 3
Match Day – March 2015
Slide 4
Commencement – May 2015
Slide 5
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(C) 2013 University of Utah School of Medicine
Slide 6
Today’s Schedule
• Step 2 requirements and Grad Review – Helen Anderson
• Financial Aid and AOA – William Shiflett
• Match and MSPE – Adam Stevenson
• Career Advising – Adam Stevenson
• Break and snacks
• 4th year Curriculum – Dr. Dani Roussel
• Lottery and Visiting Rotations – Carol Stevenson
• Class Address - Reetu and Chris
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(C) 2013 University of Utah School of Medicine
Slide 7
Graduation Checks
MD Program Requirements
1. Required Credits – Track Specific
2. Passing Scores on USMLE Step 1, Step 2 CK & Step 2 CS
3. Community Service Learning Hours
4. Scholarly Activity Fulfillment
Emailed “Quarterly”
• June 15
• November 15
• January 15
• April 15
© 2014 University of Utah School of Medicine, Office of Student Affairs
Slide 8
© 2014 University of Utah School of Medicine, Office of Student Affairs
Slide 9
USMLE Step 2
Apply for USMLE Step 2 CK & Step 2 CS by April 5, 2014, at
NBME's website
• Step 2 CK = $580
• Step 2 CS = $1230
Select exam dates by June 15, 2014 (highly recommended!)
Take Step 2 CK by October 31, 2014
Take Step 2 CS by December 31, 2014
LOA students must take both Step 2 exams by August 15, 2014.
© 2014 University of Utah School of Medicine, Office of Student Affairs
Slide 10
Senior AOA
AOA Consent to Release Academic Information will be sent to you
~ January 20th.
Regardless of assumed ability/eligibility everyone is strongly
encouraged sign and return their release.
Please return release to William Shiflett at
[email protected] or deliver to SOM 1C100.
© 2014 University of Utah School of Medicine, Office of Student Affairs
Slide 11
Financial Aid Exit Interviews
Financial Aid Exit Interviews are mandatory and each student will
have two exit interviews.
• Main Campus Financial Aid Representative (Erica Rojas)
• UUSOM Financial Aid Representative (Wendy Clark)
Exit interviews will be scheduled in Spring of your 4th year.
© 2014 University of Utah School of Medicine, Office of Student Affairs
Slide 12
(C) 2013 University of Utah School of Medicine
Slide 13
(C) 2012 University of Utah School of Medicine
2014 MATCH
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(C) 2013 University of Utah School of Medicine
Slide 14
14 months and counting…
Slide 15
National trend: 2013 Match
• 40,335 total applicants
• 17,487 US allopathic seniors
• 29,171 positions, an increase of 9%
• National match rate = 93.7%
• 78% percent match in top 3 choices
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(C) 2013 University of Utah School of Medicine
Slide 16
National trend: 2013 Match
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(C) 2013 University of Utah School of Medicine
Slide 17
Unmatched Seniors vs. Unfilled positions
NRMP 2002-2012
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(C) 2012 University of Utah School of Medicine
Slide 18
UU SOM Match 2013
• Primary Care
• Surgical
• Other
• Military Match
26
15
32
1
• San Francisco Match 4
• Urology Match
1
• NRMP only
66
95.8% Initial Match rate
97.2% Match rate after SOAP
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Slide 19
(C) 2012 University of Utah School of Medicine
UU SOM Match 2013 - Specialties
• Anesthesiology
• Ophthalmology
•
•
•
•
•
•
•
•
•
•
•
3
Dermatology
2
Emergency Medicine 9
Family Medicine
10
General Surgery
5
Internal Medicine
4
Prelim Medicine (Only)2
Medicine/Pediatrics 2
Medicine/Psychiatry 1
Neurology
2
OB/Gyn
3
•
•
•
•
•
•
•
•
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4
Orthopedic Surgery 2
Otolaryngology
3
Pathology
1
Pediatrics
4
Triple Board
1
PM&R
1
Psychiatry
3
Radiology (Diagnostic)6
Urology
1
(C) 2013 University of Utah School of Medicine
Slide 20
2013 The Un-Matched
• Record number of applicants were not fully
matched
• 13,808 total
• 2,076 US seniors
• Record number of US seniors remain un-
matched after the SOAP process
• 528 US seniors without a job!
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Slide 21
My Goal
• To get you matched!
• I need your help now to do this…..
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(C) 2013 University of Utah School of Medicine
Slide 22
What is your likelihood of Matching?
• Very little to do with how good of a student you
are
• Has everything to do with your preparation and
backup plans
• Very specialty and student specific
• NRMP CHARTING OUTCOMES DATA
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(C) 2013 University of Utah School of Medicine
Slide 23
NRMP.org
Slide 24
(C) 2013 University of Utah School of Medicine
Slide 25
NRMP “Program Director Survey”
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(C) 2012 University of Utah School of Medicine
Slide 26
(C) 2013 University of Utah School of Medicine
Slide 27
Specialty Specific Information
• NRMP “Charting Outcomes”
• NRMP “Program Director Survey”
• AAMC.org/CIM
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(C) 2013 University of Utah School of Medicine
Slide 28
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(C) 2013 University of Utah School of Medicine
Slide 29
Careers in Medicine
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(C) 2013 University of Utah School of Medicine
Slide 30
Specialty Specific Information
• NRMP “Charting Outcomes”
• NRMP “Program Director Survey”
• AAMC.org/CIM
• You need to know what your likelihood is
for matching into the specialties you are
consiering
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(C) 2013 University of Utah School of Medicine
Slide 31
What is your likelihood of Matching?
• Very little to do with how good of a student you
are
• Has everything to do with your preparation and
backup plans
• Number of applications
• Which programs to apply to
• Dual applications
• Improving LOR
• Step 2
• Rotations
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(C) 2012 University of Utah School of Medicine
Slide 32
SOAP
• Replaced the Scramble in 2012
• 8 rounds of a electronic Supplemental Offer
and Acceptance Program
• Lots of sitting and waiting for the phone to
ring
• Miserable and not very helpful
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(C) 2012 University of Utah School of Medicine
Slide 33
(C) 2012 University of Utah School of Medicine
Slide 34
(C) 2012 University of Utah School of Medicine
Slide 35
Eight Utah SOAP Students (2012-13)
• Mix of specialties
• Some had obvious difficulties
• Step 1 failure, clerkship failure, etc
• Some were strong applicants
• Average Step 1 score 234
• Too few applications
• Interview issues?
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(C) 2013 University of Utah School of Medicine
Slide 36
Where Our Students End-up?
• 1 Orthopedic surgery candidate SOAP’d into Surgery-
preliminary position
• 1 Radiology candidate SOAP’d into Anesthesia position
• 1 Radiation Oncology candidate SOAP’d into SurgeryPreliminary position
• 1 Diagnostic Radiology found a position in May outside
of the SOAP
• 2 Emergency Medicine Candidates found prelim
Medicine position in May outside of SOAP
• 1 still looking for Family Medicine position
• 1 still looking for Med/Peds position
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(C) 2013 University of Utah School of Medicine
Slide 37
Summary
• You want to be Matched!
• SOAP is miserable and is not a backup plan
• Not finding any position is extremely miserable
• Determining your specialty now helps immensely
• Use NRMP data now to determine your likelihood
of matching
• Start thinking about backup plans now if you need
them
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(C) 2013 University of Utah School of Medicine
Slide 38
What do you need to do in the next 6 months?
• Identify a specialty, Track and a Mentor (Carol)
• Complete the 4th year lottery process (Carol)
• Determine your Step 2 times
• Review your LOR options
• Ace your clerkships
• Be ready for 4th year Orientation Meeting in June
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(C) 2013 University of Utah School of Medicine
Slide 39
Electronic Residency
Application Service (ERAS)
http://www.aamc.org/students/eras/
© 2013 University of Utah School of Medicine, Office of Student Affairs
Slide 40
ERAS
• Technically optional but almost everyone uses it
• All NRMP match uses ERAS
• Military match uses ERAS
• Urology match uses ERAS and AUA
• San Francisco match uses CAS
• Very separate from NRMP and NBME
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(C) 2013 University of Utah School of Medicine
Slide 41
ERAS
• Students responsibility:
• Letters of Recommendation (shared)
• NBME scores (shared)
• Personal Statement(s)
• CV
• Photograph
• Program List
• We will talk about each one of these in the Longitudinal
Course
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Slide 42
ERAS
• Tokens
• Released end of June
• Allow students to access and input information
• Residency programs have access to their side only at
this point
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(C) 2013 University of Utah School of Medicine
Slide 43
ERAS
• Residency Programs
• Use ERAS to access all of the information from
you, SOM, and NBME
• First time available to them is Sept 15th
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(C) 2013 University of Utah School of Medicine
Slide 44
Letters of Recommendation
• Four slots in ERAS for LOR
• Few student will meet four letter writers in the next eight
months
• You need to start finding them now
• Rholinda will discuss in June the detailed process for
getting LOR into ERAS
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(C) 2013 University of Utah School of Medicine
Slide 45
Letters of Recommendation
• Qualities of a good letter writer:
• Attending (not resident or chief resident)
• Clinical exposure is my primary consideration
• I do not care about rank or national status (some specialties might)
• Research letters are the main exception to the clinical focus
• Someone that can attest to your professional identity (i.e. “brand”)
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Slide 46
Letters of Recommendation
• How to ask?
• Set up a meeting
• Bring your CV
• Be prepared to answer “What should I focus on in the
letter?”
• Provide a deadline
• For now, have them keep the letter
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(C) 2013 University of Utah School of Medicine
Slide 47
NBME
• Deadlines
• Schedule exam by June 15th (recommended)
• Take CK by October 31st (required)
• Take CS by December 31st (required)
• Disability and accommodation request must go through
main campus CDS
• SINGLE PRACTICE CK EXAM PROVIDED BY THE SOM
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Slide 48
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(C) 2013 University of Utah School of Medicine
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Step 2 timing
• More program directors are using Step 2 for initial
interview decisions
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(C) 2013 University of Utah School of Medicine
Slide 51
Word of Caution…
“Our evaluation of applicants includes the USMLE Step 2
CK score. I would be happy to further evaluate this
applicant once I have that score.”
Program Director, 2012 Match
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(C) 2013 University of Utah School of Medicine
Slide 52
Step 2 timing
• More program directors are using Step 2 for initial
interview decisions
• Clear decline in scores the further away from Clerkships
• Institutional requirement to take exam by Oct 31st
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(C) 2013 University of Utah School of Medicine
Slide 53
NBME Deadline to
take exam and
have results
available for
ERAS?
July
ERAS
due
August
NBME Deadline to
take exam and
have results
available for
MSPE?
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Sept
Oct
MSPE
released
Oct 31
Deadline
(C) 2013 University of Utah School of Medicine
Slide 54
Step 2 timing
• In general, it is nearly always better to have a CK score
posted by September 15th.
• In order to post by Sept 15th, you probably need to take
the exam by ~July 29th
• CS not typically used for granting interviews (unless you
fail it or have significant problems with clinical
evaluations)
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(C) 2013 University of Utah School of Medicine
Slide 55
Longitudinal Course - Mentoring
• ERAS
• Step 2
• Personal Statements
• Letters of Recommendation
• NRMP data
• Making a program list
• Interviews
• Making a rank list
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(C) 2013 University of Utah School of Medicine
Slide 56
What do you need to do in the next 6 months?
• Identify a specialty, Track and a Mentor (Carol)
• Complete the 4th year lottery process (Carol)
• Determine your Step 2 times
• Review your LOR options
• Be ready for 4th year Orientation Meeting in June
• Ace your clerkships
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(C) 2013 University of Utah School of Medicine
Slide 57
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(C) 2013 University of Utah School of Medicine
Slide 58
MSPE National History
• Wide variation historically
• Guidelines published by AAMC in 2002
• “Letter of evaluation” rather than letter of
recommendation
• Standardized format
• Release deadline moved from Nov 1st to Oct 1st
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Slide 59
Local history
• Excellent adherence to AAMC guidelines
• Input fields from all other areas of Dean’s Office
(OIO, PEL, Med ED, etc.)
• Compilations
• 8-10 pages in length
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Slide 60
My Vision
• Accurately portray the true consistent
performance of our students
• Provide useful information to the end user
(program directors)
• Maintain institutional integrity
• Foster student desire to excel rather than
compete
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Slide 61
First Page
IDENTIFYING INFORMATION
Chelsea Smith is a fourth-year student at the University of Utah School
of Medicine applying to your program for residency training. This letter
is meant to provide an overview of Chelsea’s academic performance
and personal characteristics to assist you in your assessment of her
application.
Chelsea came to the University Of Utah School Of Medicine in 2011
after earning a Bachelor of Science degree in Biology from University of
Notre Dame, and her PhD in Anthropology from the University of Utah.
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Slide 62
First Page
UNIQUE CHARACTERISTICS
Chelsea is a resourceful innovator, looking for opportunities in learning and
service. As a first year student, she noticed that there were plenty of
opportunities addressing global health for medical students, but none
addressing the unique needs of Utah's own population. Over the course of
the year she developed contacts within the Utah Navajo Health Service. In
doing so, she created an alternative spring break program for students
interested in volunteering for under-served populations just hours from Salt
Lake City in Montezuma Creek and Monument Valley.
Chelsea has held positions of leadership. She served as the president of
the Pediatric Medicine Interest Group. Chelsea is also very excited to be
the principal investigator for her research project, a quality improvement
study to help identify possible socio-demographic factors contributing to
poorly controlled asthma in the pediatric population. She expects to publish
her abstract and to present her research findings later this year.
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Slide 63
Unique Characteristics
• The Unique Characteristics is the first page of
your MSPE (8-10 pages total)
• You will write a Personal Statement for your
ERAS application, this is a different document.
• I will finalize and edit this statement using
material that you create.
• Remember, this is written from my perspective
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Slide 64
Second page
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Slide 65
Second page
ACADEMIC HISTORY
Combined Degree:
No
Leaves of Absences, Extensions, Gaps:
Yes. Chelsea took a
personal leave of absence from August 2012 to December 2012.
Coursework Remediated or Repeated:
Yes. Chelsea
successfully remediated her Comprehensive Clinical Skills
Examination at the end of her third year.
Disciplinary Action(s):
No
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Slide 66
ACADEMIC PROGRESS: PRE-CLERKSHIP
YEARS (Phases I and II)
• Pre-clerkship Academic Record: Chelsea successfully
passed all courses during the first two years of medical
school, including the following units:
• Foundations of Medicine (Pass/Fail only)
• Molecules, Cells and Cancer - Honors
• Host and Defense
• Life Cycle
• Brain and Behavior - Honors
• Metabolism and Reproduction
• Circulation, Respiration and Regulation
• Skin, Muscle, Bone and Joint
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Slide 67
ACADEMIC PROGRESS: PRE-CLERKSHIP
YEARS (Phases I and II)
Clinical Experiences: Chelsea successfully completed all
expectations for her Longitudinal Clinical Experience (LCE)
and Subspecialty Clinical Experience (SCE) in her first two
years of medical school, giving her over 1,700 hours of
clinical exposure before beginning her Clerkship Year,
Phase III. Details on LCE and SCE are provided in the
Appendix.
Chelsea’s LCE faculty attending physician noted the
following:
“Very professional and interested in outpatient medicine.”
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Slide 68
ACADEMIC PROGRESS: PRE-CLERKSHIP
YEARS (Phases I and II)
• Scholarly Expectation: Medical students are required to
participate in an independent program of study that
promotes students’ expertise in one or more areas of
medicine, their ability to perform inquiry-based research,
to ask scholarly questions and to effectively communicate
the rationale for and results of their scholarly work.
• Chelsea reviewed patient charts and culled data from an
Intermountain Healthcare database of infectious diseases affecting
Utah communities. She used these data to examine the
relationship between community viral infections and childhood
leukemia. Chelsea presented her work at the 2010 annual Frank
Tyler Medical Student Research Symposium in Park City, UT.
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Slide 69
ACADEMIC PROGRESS: PRECLERKSHIP YEARS (Phases I and II)
Community Service Learning Experience: All students are required to
participate in community service learning projects in the first two years of
the curriculum.
Chelsea exceeded the service requirements of the UUSOM, completed at
the following venues:
• 4th Street Clinic
• 4th Street Triathlon
• Flu Vaccines for the Homeless
• Maliheh Free Clinic
Chelsea received an “Honors” in this service-learning requirement. “Honors” is
awarded to students who completed 75+ hours directly with Utah and the
surrounding communities in clinical, education and premedical programs
supervised by the Office of Inclusion and Outreach.
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Slide 70
ACADEMIC PROGRESS: PRECLERKSHIP YEARS (Phases I and II)
• Professionalism: The professionalism of our students is
routinely addressed throughout all elements of the 4-year
curriculum. Chelsea has met the professional
expectations of the UUSOM as outlined in the Student
Handbook, including: Honesty, Confidentiality, Respect for
others and Responsibility.
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Slide 71
ACADEMIC PROGRESS: PRECLERKSHIP YEARS (Phases I and II)
MSI Comprehensive Clinical Skills Examination
(Pass/Fail):
Pass
MSII Comprehensive Clinical Skills Examination
(Pass/Fail):
Pass
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Slide 72
ACADEMIC PROGRESS: CLERKSHIP YEAR
(Phase III)
Student performance is based upon achievements in the
areas of medical knowledge, patient care and
professionalism. Each component is used to calculate an
overall clerkship score using a four point scale: 4 =
Exceptional; 3 = Above expectation; 2 = Meets Expectation;
1 = Below Expectation; 0 = Unacceptable.
Narrative comments are provided by faculty and clerkship
directors and are edited the Associate Dean of Student
Affairs only for grammar and length.
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Slide 73
Clerkship MSPE Example
Internal Medicine (12 weeks)
Score: 2.97, Pass
Chelsea’s Internal Medicine attendings
made the following comments about her:
“Chelsea had a solid performance during
this rotation and I am sure she will go on to
do well.” “Student was very engaged during
rounds, would read about her patient’s
issues and overall did a very good job on
Medicine.”
“Chelsea was a valuable
member of the Internal Medicine team
during her first third-year clerkship.”
“Chelsea was easy to work with. She
seemed to really care about her patients.
She was a hard worker and sought out
responsibility.” “Excited about patient care
and medicine.
Took responsibility for
patients and would call consultants. Very
helpful.” “Organization, willingness to learn,
works well with team (are her strengths).”
Slide 74
ACADEMIC PROGRESS: CLERKSHIP YEAR
(Phase III)
• Cumulative (year-long) performance on individual clinical
competencies required for passing the clerkships
• Clinical Knowledge
• Professionalism
• Patient Care
• Scores (0-4 scale) taken directly from Clerkship Final
Grade Form
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Slide 75
Clinical Knowledge Score
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Slide 76
3.65
3.79
3.81
Pass
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Slide 77
ACADEMIC PROGRESS: Track Curriculum
(Phase IV)
• Grades and narrative from any courses that have a grade
submitted prior to Sept 22nd.
• A list of fourth year courses scheduled to be completed
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Slide 78
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Slide 79
SUMMARY
• Chelsea is a caring professional who is dedicated to her
profession and to community advocacy. As of the
submission of this letter, she has successfully completed
the University of Utah School of Medicine curriculum.
Based on all aspects of Mary’s educational experience,
she has demonstrated competency in all of the general
domains established by the medical school and is
prepared to enter residency. She is considered to be an
excellent candidate for your residency program.
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Slide 80
AOA Calculation and Class Description
• AOA Calculated at the completion of Phase III
• Includes Junior AOA calculation and clerkship scores
• No class rank is every released or made public
• No quartile is calculated
• Descriptors are used instead of class rank or quartiles
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Slide 81
Summary Descriptor
• Descriptors of summary performance
• “Outstanding, Excellent, Very Good, Good”
• Describe the criteria needed to achieve each level
• Provide relative percentages for top descriptors (i.e.
“Outstanding”)
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Slide 82
Summary Descriptor
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Slide 83
Summary Descriptor
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Slide 84
Descriptor Criteria
• Large list of potential inclusion points
• Will includes Phase II score and honors, Phase III score
and honors, and Step 1 scores
• End of year 3 OSCE?
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Slide 85
So what do you need to do in the next month?
• (Ace your clerkships)
• Use your token to open your ERAS account
• Begin your Personal Statement
• Begin your Unique Characteristic paragraph
• Set an appointment with me to review your UCP
• Schedule your Step 2 exams
• Review your LOR options
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(C) 2013 University of Utah School of Medicine
Slide 86
What do you do if you do not know your specialty?
• Relax
• Do well on your clerkships
• Differential diagnosis approach
• Most likely, most dangerous, off the list, different paradigms
• Create opportunities to refine the list
• Shadowing, rotations, research, mentors
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(C) 2013 University of Utah School of Medicine
Slide 87
What do you do if you do not know your specialty?
• Ask your friends and family
• Ask “Why?”
• AAMC.org/CIM
• It’s OK to put your nickel down and be wrong
• It’s OK to dual apply
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(C) 2013 University of Utah School of Medicine
Slide 88
Required Courses
MD ID 7400
Session 1
Session 2
Session 3
Session 4
Session 5
Session 6
Session 7
Session 8
Session 9
Session 10
Session 11
Session 12
Session 13
Longitudinal Transition to Internship
Sessions
Date
Time
07/09/14
1300-1700
07/23/14
1300-1700
08/13/14
1300-1700
08/27/14
1300-1700
09/10/14
1300-1700
09/24/14
1300-1700
10/08/14
1300-1700
10/22/14
1300-1700
01/14/15
1300-1700
01/28/15
1300-1700
02/11/15
1300-1700
02/25/15
1300-1700
03/20/15 (Projected)
TBD
*Note: Students are not allowed to schedule USMLE Step 2 CK
Examination, USMLE Step 2 CS Examination, or related travel on
Longitudinal Transition to Internship Session Dates
MD ID 7410
03/30/15-04/24/15
Transition to Internship
Course Dates
Slide 89
Timeline
Jan
Administrative
Feb
Mar
Apr
May
June
July
Lottery
Exams
Aug
ERAS
OSCE
Sept
Oct
Nov
MSPE
Jan
Feb
Mar
Rank
Match
Apr
Interviews
Courses
Transition
Course
off
Pre-lottery
Pre-ERAS
LOR, CV,
PS
Submit
Interviews Interviews
Rank List
May
Grad
Step 2 CK (Oct 31st) and CS (Dec 31st)
Interviews
Mentoring
Dec
Slide 90
General Requirements
32 weeks total credit minimum
22 weeks in University of Utah system
4 weeks of local Sub-Internship
Minimum 8 weeks of clinical electives
Variable specialty requirements
Required courses
Longitudinal Course
Transition to Internship Course
Slide 91
Assessment
Honors, High Pass, Pass and Fail
Some courses are pass/fail only
4 week deadline for grades
Four types of evaluation forms:
Sub-Internship
Clinical Elective
Didactic Elective
Research Elective
Slide 92
Track Curriculum
Slide 93
Tracks and Specialties
Primary Care
Medical Sciences
Internal Medicine
Dermatology
Pediatrics
Medical Genetics
Family Medicine
Radiology
Psychiatry
Neurology
IM-Peds
PM&R
Triple Board
Radiation Oncology
Nuclear Medicine
Applied Anatomy
General Surgery
Specialty Surgeries
OB/Gyn
Pathology
Acute Care
Emergency Medicine
Anesthesiology
Slide 94
Track Directors
Primary Care
Applied Anatomy
Medical Sciences
Acute Care
Rick Henriksen, MD
Amalia Cochran, MD
Phil Caligiuri, MD
Megan Fix, MD
Family Medicine
Burn Surgery
Radiology
Emergency Medicine
Slide 95
Sample Track Requirements
Slide 96
Track Mentors
Specialty Specific
Required for Approval of Phase IV Initial Schedule Request
A Resource throughout the Year
Personal Statements
Program Lists
Mock Interviews
Rank Lists
Slide 97
Changing Tracks
Allowed at any time up to Transition Course
Find the right specialty for you!
Held to requirements of new track
Stay in communication with your Mentors, Track Directors, and
Student Affairs
Contact Rachael Smith to formally change tracks
Slide 98
Track Questions?
Slide 99
Longitudinal Course
Slide 100
Course Dates
MD ID 7400
Session 1
Session 2
Session 3
Session 4
Session 5
Session 6
Session 7
Session 8
Session 9
Session 10
Session 11
Session 12
Session 13
Longitudinal Transition to Internship
Sessions
Date
Time
07/09/14
1300-1700
07/23/14
1300-1700
08/13/14
1300-1700
08/27/14
1300-1700
09/10/14
1300-1700
09/24/14
1300-1700
10/08/14
1300-1700
10/22/14
1300-1700
01/14/15
1300-1700
01/28/15
1300-1700
02/11/15
1300-1700
02/25/15
1300-1700
03/20/15 (Projected)
TBD
*Note: Students are not allowed to schedule USMLE Step 2 CK
Examination, USMLE Step 2 CS Examination, or related travel on
Longitudinal Transition to Internship Session Dates
Slide 101
Longitudinal Course
Mentoring content
Choosing your specialty
ERAS application process
CV
Personal Statement
Program lists
Residency Interviews
Rank Lists
Curriculum content
Relevant to Intern Role
Effective
Communication
Risk Management
Health Care System
Navigation
DNR/DNI
Slide 102
Longitudinal Course Attendance
Attendance is Required
Excused Absences
Allowed Absences
Away Rotation
Residency Program Interviews
Not Allowed
Vacation
USMLE Step 2 CK or CS
Make-up Assignments
For Excused and Allowed Absences
Slide 103
Longitudinal Course Questions?
Slide 104
Transition to Internship
Slide 105
Transition to Internship Course
March 30-April 24, 2015
No concurrent course enrollment allowed
Class, Track, and Specialty sessions
Skills
Foundational Knowledge
Processes
Procedures
Communication
Codes, Mega-Codes
Task Trainers
Simulation Labs
Slide 106
Transition Course Questions?
Slide 107
Slide 108
Hints
Relax
Focus on your Sub-Internships
Remember you can switch tracks
Prioritize the time prior to the MSPE being
released (Oct 1st)
Begin thinking of Letters of Recommendation
now
Be mindful of deadlines
Enjoy fourth year
Slide 109
Fourth Year Scheduling Basics
January 2014
Slide 110
2014-2015 Fourth Year
Fall Semester (7/7 – 12/19)
Jul
Block 1
Aug
Block 2
Sep
Block 3
Oct
Block 4
Nov
Block 5
Dec
Block 6
Spring Semester (1/5 – 5/22)
Jan
Block 7
Feb
Mar
Apr
May
Block 8
Block 9
Block 10
Block 11
2 and 4 week rotations
1 week = 1 credit
Jun
Slide 111
2014-2015 Fourth Year
Step 2 CK deadline 10/31
ERAS app due 9/15
Step 2 CS deadline 12/31
MSPE due 10/1
Jul
7/7–8/1
Aug
8/4 –8/29
Sep
9/1–9/26
Oct
9/29-10/24
Nov
10/27-11/21
Match Day 3/20
Jan
1/5-1/30
Feb
Mar
2/2-2/27
3/2-3/27
Apr
3/30-4/24
Transitions
Dec
11/24-12/19
Graduation 5/24
May
4/27-5/23
Jun
Slide 112
Creating Your Fourth Year
Schedule
Slide 113
You will need 1.
2.
3.
4.
5.
Track Curriculum Outline
UUSOM Senior Elective Catalog
Copy of the 2014/15 Fourth Year Graphic
Faculty Mentor
UUSOM Lottery Course Scheduling system
Slide 114
1. Track Curriculum Outline
- Outlined by Dr. Dani Roussel
Track
Specialties
Acute Care
Anesthesia
Emergency
General
Surgery
Specialty
Surgeries
Internal
Medicine
Family
Medicine
Dermatology
Medical
Genetics
Track
Specialties
Physician
Scientists
Applied Anatomy
Ob-Gyn
Track
Specialties
Physician
Scientists
Primary Care
Pediatrics
Track
Specialties
Pathology
Med-Peds
Psychiatry
Triple Board
Physician
Scientists
Radiation
Oncology
Nuclear
Medicine
Medical Sciences and Specialties
Radiology
Neurology
PM&R
Physician
Scientists
Slide 115
2. UUSOM Senior Elective Catalog
- medicine.utah.edu
Slide 116
2. UUSOM Senior Elective Catalog, cont.
- 22 departments offering 160+ courses
Slide 117
2. UUSOM Senior Elective Catalog, cont.
- Description, rotation length, A/C/S/R, restricted months….
Slide 118
2. UUSOM Senior Elective Catalog, cont.
- review catalog information carefully
Slide 119
3. Copy of the Fourth Year Graphic
Slide 120
4. Faculty Mentor
- select a recommended mentor within chosen Track
- they agree to review your proposed schedule and discuss plans
Slide 121
Faculty Advisor Form
Faculty Advisor Form (return to Rachael Smith by March 3, 2014)
_____________ and I have discussed his/her plans for
the upcoming year and reviewed his/her fourth year schedule
requests. I have considered the career interests, interview schedule,
Boards requirements, and curriculum for this student. I find this
schedule request acceptable.
________________
Printed Name/Advisor signature
_________________
Date
Preliminary Track Designation
__________________________
Preliminary Specialty Designation __________________________
*Note: an alternative to this form is to have your faculty advisor email
[email protected] (from their own email account) a brief message
stating they have met with you and approved your scheduling requests.
Include Faculty Advisor Form for XXX in subject line
Slide 122
5. Lottery Course Requesting system
- previously used for third year lottery
Slide 123
5. Lottery Course Requesting system,
- select “E-mail me the password”
- HSC email account only
cont.
Slide 124
5. Lottery Course Requesting system,
- select available 2014/15 courses
cont.
Slide 125
5. Lottery Course Requesting system,
cont.
Guidelines
-10 is highest priority, 20 is second highest…
- only request ONE Sub-I in the lottery (others added later)
- try to request 20 – 24 credits*
- select coursework for blocks you anticipate away rotations
* Six credits of Transitions and Longitudinal courses work
will be added for you
Slide 126
Coursework to Consider
Slide 127
Think about 1. Course selection
- 22 departments, 160+ courses
2. Track requirements
3. Personal interests/Scheduling issues
4. Advice of faculty mentor
Slide 128
Think about - course selection
- Certificate Programs
INTMD 7036: Geriatrics (UU Graduate Certificate)
- Continuity Clinics
Family Medicine
Internal Medicine
Pediatrics
Med-Peds
- Honors courses and deadlines
DERM 7700
April 15
FPMD 7220
April 1
OBST 7090
Early Spring
OPHTHO 7600
April 1
Slide 129
Think about - course selection
- Humanities courses
INTMD 7992: Dr/Pt Relationship in Lit. –
Imagining Medicine (Fall semester)
Medicine In Arts (Spring semester)
Writing the Dr/Pt Relationship (Spring)
- Global Health Elective
- Newly created courses
Continuity Clinics
Peds ED
Vascular Surgery Sub-I
Medical Students as Teachers
*new courses announced throughout year
Slide 130
Course Registration Not
Available in Lottery
Slide 131
Courses Approved Outside of Lottery
1. Research
2. Restricted courses
3. Away rotation
Slide 132
1. Research*
- contact department regarding approval for registration
provide research proposal, preceptor name and contact information
project scope
- leave space in schedule for planned research
- 40 hours effort = 1 week = 1 credit
2. Restricted courses*
- certain courses require departmental approval prior to
registration with Student Affairs
(Palliative Care, Internal Medicine in the Community, Pediatric IV Wound
Care)
*have department contact me via email giving their approval for
registration, noting course number and month of enrollment, so the
course may be added to your schedule
Slide 133
3. Away Rotations
- Rotations must be at LCME accredited institution
- information regarding VSAS to be mailed this week
($35 for first application, $15 for additional applications)
- non VSAS institutions utilize alternate application
system
Slide 134
Other Scheduling Considerations
Slide 135
Unscheduled time 1. NBME Board Exams
- Oct. 31 for 2 CK
- Dec. 31 for 2 CS
(no enrollment for Spring 2014 if deadlines missed)
2. Interviews
- leave Nov. through Jan. unscheduled
Slide 136
Upcoming Deadlines
Slide 137
Mar. 3
Faculty Mentor form due
Mar. 10
Lottery closes
Mar. 14
Fourth-Year Schedules sent to you*
April 5
NBME 2 CK/CS registration due
May 1
Must achieve 32 weeks registration
June 15 (rec) NBME 2 CK/CS date selection due
*scheduling changes/waiting lists available after schedules sent to you
Slide 138
Questions….
THE FOURTH YEAR
Adam Stevenson MD
Associate Dean of Student Affairs
January 14th, 2014
(C) 2013 University of Utah School of Medicine
Slide 2
Curriculum Map
Slide 3
Match Day – March 2015
Slide 4
Commencement – May 2015
Slide 5
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(C) 2013 University of Utah School of Medicine
Slide 6
Today’s Schedule
• Step 2 requirements and Grad Review – Helen Anderson
• Financial Aid and AOA – William Shiflett
• Match and MSPE – Adam Stevenson
• Career Advising – Adam Stevenson
• Break and snacks
• 4th year Curriculum – Dr. Dani Roussel
• Lottery and Visiting Rotations – Carol Stevenson
• Class Address - Reetu and Chris
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(C) 2013 University of Utah School of Medicine
Slide 7
Graduation Checks
MD Program Requirements
1. Required Credits – Track Specific
2. Passing Scores on USMLE Step 1, Step 2 CK & Step 2 CS
3. Community Service Learning Hours
4. Scholarly Activity Fulfillment
Emailed “Quarterly”
• June 15
• November 15
• January 15
• April 15
© 2014 University of Utah School of Medicine, Office of Student Affairs
Slide 8
© 2014 University of Utah School of Medicine, Office of Student Affairs
Slide 9
USMLE Step 2
Apply for USMLE Step 2 CK & Step 2 CS by April 5, 2014, at
NBME's website
• Step 2 CK = $580
• Step 2 CS = $1230
Select exam dates by June 15, 2014 (highly recommended!)
Take Step 2 CK by October 31, 2014
Take Step 2 CS by December 31, 2014
LOA students must take both Step 2 exams by August 15, 2014.
© 2014 University of Utah School of Medicine, Office of Student Affairs
Slide 10
Senior AOA
AOA Consent to Release Academic Information will be sent to you
~ January 20th.
Regardless of assumed ability/eligibility everyone is strongly
encouraged sign and return their release.
Please return release to William Shiflett at
[email protected] or deliver to SOM 1C100.
© 2014 University of Utah School of Medicine, Office of Student Affairs
Slide 11
Financial Aid Exit Interviews
Financial Aid Exit Interviews are mandatory and each student will
have two exit interviews.
• Main Campus Financial Aid Representative (Erica Rojas)
• UUSOM Financial Aid Representative (Wendy Clark)
Exit interviews will be scheduled in Spring of your 4th year.
© 2014 University of Utah School of Medicine, Office of Student Affairs
Slide 12
(C) 2013 University of Utah School of Medicine
Slide 13
(C) 2012 University of Utah School of Medicine
2014 MATCH
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(C) 2013 University of Utah School of Medicine
Slide 14
14 months and counting…
Slide 15
National trend: 2013 Match
• 40,335 total applicants
• 17,487 US allopathic seniors
• 29,171 positions, an increase of 9%
• National match rate = 93.7%
• 78% percent match in top 3 choices
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(C) 2013 University of Utah School of Medicine
Slide 16
National trend: 2013 Match
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(C) 2013 University of Utah School of Medicine
Slide 17
Unmatched Seniors vs. Unfilled positions
NRMP 2002-2012
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(C) 2012 University of Utah School of Medicine
Slide 18
UU SOM Match 2013
• Primary Care
• Surgical
• Other
• Military Match
26
15
32
1
• San Francisco Match 4
• Urology Match
1
• NRMP only
66
95.8% Initial Match rate
97.2% Match rate after SOAP
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Slide 19
(C) 2012 University of Utah School of Medicine
UU SOM Match 2013 - Specialties
• Anesthesiology
• Ophthalmology
•
•
•
•
•
•
•
•
•
•
•
3
Dermatology
2
Emergency Medicine 9
Family Medicine
10
General Surgery
5
Internal Medicine
4
Prelim Medicine (Only)2
Medicine/Pediatrics 2
Medicine/Psychiatry 1
Neurology
2
OB/Gyn
3
•
•
•
•
•
•
•
•
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4
Orthopedic Surgery 2
Otolaryngology
3
Pathology
1
Pediatrics
4
Triple Board
1
PM&R
1
Psychiatry
3
Radiology (Diagnostic)6
Urology
1
(C) 2013 University of Utah School of Medicine
Slide 20
2013 The Un-Matched
• Record number of applicants were not fully
matched
• 13,808 total
• 2,076 US seniors
• Record number of US seniors remain un-
matched after the SOAP process
• 528 US seniors without a job!
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(C) 2013 University of Utah School of Medicine
Slide 21
My Goal
• To get you matched!
• I need your help now to do this…..
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(C) 2013 University of Utah School of Medicine
Slide 22
What is your likelihood of Matching?
• Very little to do with how good of a student you
are
• Has everything to do with your preparation and
backup plans
• Very specialty and student specific
• NRMP CHARTING OUTCOMES DATA
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(C) 2013 University of Utah School of Medicine
Slide 23
NRMP.org
Slide 24
(C) 2013 University of Utah School of Medicine
Slide 25
NRMP “Program Director Survey”
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(C) 2012 University of Utah School of Medicine
Slide 26
(C) 2013 University of Utah School of Medicine
Slide 27
Specialty Specific Information
• NRMP “Charting Outcomes”
• NRMP “Program Director Survey”
• AAMC.org/CIM
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(C) 2013 University of Utah School of Medicine
Slide 28
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(C) 2013 University of Utah School of Medicine
Slide 29
Careers in Medicine
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(C) 2013 University of Utah School of Medicine
Slide 30
Specialty Specific Information
• NRMP “Charting Outcomes”
• NRMP “Program Director Survey”
• AAMC.org/CIM
• You need to know what your likelihood is
for matching into the specialties you are
consiering
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(C) 2013 University of Utah School of Medicine
Slide 31
What is your likelihood of Matching?
• Very little to do with how good of a student you
are
• Has everything to do with your preparation and
backup plans
• Number of applications
• Which programs to apply to
• Dual applications
• Improving LOR
• Step 2
• Rotations
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(C) 2012 University of Utah School of Medicine
Slide 32
SOAP
• Replaced the Scramble in 2012
• 8 rounds of a electronic Supplemental Offer
and Acceptance Program
• Lots of sitting and waiting for the phone to
ring
• Miserable and not very helpful
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(C) 2012 University of Utah School of Medicine
Slide 33
(C) 2012 University of Utah School of Medicine
Slide 34
(C) 2012 University of Utah School of Medicine
Slide 35
Eight Utah SOAP Students (2012-13)
• Mix of specialties
• Some had obvious difficulties
• Step 1 failure, clerkship failure, etc
• Some were strong applicants
• Average Step 1 score 234
• Too few applications
• Interview issues?
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(C) 2013 University of Utah School of Medicine
Slide 36
Where Our Students End-up?
• 1 Orthopedic surgery candidate SOAP’d into Surgery-
preliminary position
• 1 Radiology candidate SOAP’d into Anesthesia position
• 1 Radiation Oncology candidate SOAP’d into SurgeryPreliminary position
• 1 Diagnostic Radiology found a position in May outside
of the SOAP
• 2 Emergency Medicine Candidates found prelim
Medicine position in May outside of SOAP
• 1 still looking for Family Medicine position
• 1 still looking for Med/Peds position
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(C) 2013 University of Utah School of Medicine
Slide 37
Summary
• You want to be Matched!
• SOAP is miserable and is not a backup plan
• Not finding any position is extremely miserable
• Determining your specialty now helps immensely
• Use NRMP data now to determine your likelihood
of matching
• Start thinking about backup plans now if you need
them
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(C) 2013 University of Utah School of Medicine
Slide 38
What do you need to do in the next 6 months?
• Identify a specialty, Track and a Mentor (Carol)
• Complete the 4th year lottery process (Carol)
• Determine your Step 2 times
• Review your LOR options
• Ace your clerkships
• Be ready for 4th year Orientation Meeting in June
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(C) 2013 University of Utah School of Medicine
Slide 39
Electronic Residency
Application Service (ERAS)
http://www.aamc.org/students/eras/
© 2013 University of Utah School of Medicine, Office of Student Affairs
Slide 40
ERAS
• Technically optional but almost everyone uses it
• All NRMP match uses ERAS
• Military match uses ERAS
• Urology match uses ERAS and AUA
• San Francisco match uses CAS
• Very separate from NRMP and NBME
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(C) 2013 University of Utah School of Medicine
Slide 41
ERAS
• Students responsibility:
• Letters of Recommendation (shared)
• NBME scores (shared)
• Personal Statement(s)
• CV
• Photograph
• Program List
• We will talk about each one of these in the Longitudinal
Course
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(C) 2013 University of Utah School of Medicine
Slide 42
ERAS
• Tokens
• Released end of June
• Allow students to access and input information
• Residency programs have access to their side only at
this point
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(C) 2013 University of Utah School of Medicine
Slide 43
ERAS
• Residency Programs
• Use ERAS to access all of the information from
you, SOM, and NBME
• First time available to them is Sept 15th
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(C) 2013 University of Utah School of Medicine
Slide 44
Letters of Recommendation
• Four slots in ERAS for LOR
• Few student will meet four letter writers in the next eight
months
• You need to start finding them now
• Rholinda will discuss in June the detailed process for
getting LOR into ERAS
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(C) 2013 University of Utah School of Medicine
Slide 45
Letters of Recommendation
• Qualities of a good letter writer:
• Attending (not resident or chief resident)
• Clinical exposure is my primary consideration
• I do not care about rank or national status (some specialties might)
• Research letters are the main exception to the clinical focus
• Someone that can attest to your professional identity (i.e. “brand”)
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(C) 2013 University of Utah School of Medicine
Slide 46
Letters of Recommendation
• How to ask?
• Set up a meeting
• Bring your CV
• Be prepared to answer “What should I focus on in the
letter?”
• Provide a deadline
• For now, have them keep the letter
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(C) 2013 University of Utah School of Medicine
Slide 47
NBME
• Deadlines
• Schedule exam by June 15th (recommended)
• Take CK by October 31st (required)
• Take CS by December 31st (required)
• Disability and accommodation request must go through
main campus CDS
• SINGLE PRACTICE CK EXAM PROVIDED BY THE SOM
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(C) 2013 University of Utah School of Medicine
Slide 48
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(C) 2013 University of Utah School of Medicine
Slide 49
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(C) 2013 University of Utah School of Medicine
Slide 50
Step 2 timing
• More program directors are using Step 2 for initial
interview decisions
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(C) 2013 University of Utah School of Medicine
Slide 51
Word of Caution…
“Our evaluation of applicants includes the USMLE Step 2
CK score. I would be happy to further evaluate this
applicant once I have that score.”
Program Director, 2012 Match
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(C) 2013 University of Utah School of Medicine
Slide 52
Step 2 timing
• More program directors are using Step 2 for initial
interview decisions
• Clear decline in scores the further away from Clerkships
• Institutional requirement to take exam by Oct 31st
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(C) 2013 University of Utah School of Medicine
Slide 53
NBME Deadline to
take exam and
have results
available for
ERAS?
July
ERAS
due
August
NBME Deadline to
take exam and
have results
available for
MSPE?
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Sept
Oct
MSPE
released
Oct 31
Deadline
(C) 2013 University of Utah School of Medicine
Slide 54
Step 2 timing
• In general, it is nearly always better to have a CK score
posted by September 15th.
• In order to post by Sept 15th, you probably need to take
the exam by ~July 29th
• CS not typically used for granting interviews (unless you
fail it or have significant problems with clinical
evaluations)
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(C) 2013 University of Utah School of Medicine
Slide 55
Longitudinal Course - Mentoring
• ERAS
• Step 2
• Personal Statements
• Letters of Recommendation
• NRMP data
• Making a program list
• Interviews
• Making a rank list
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(C) 2013 University of Utah School of Medicine
Slide 56
What do you need to do in the next 6 months?
• Identify a specialty, Track and a Mentor (Carol)
• Complete the 4th year lottery process (Carol)
• Determine your Step 2 times
• Review your LOR options
• Be ready for 4th year Orientation Meeting in June
• Ace your clerkships
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(C) 2013 University of Utah School of Medicine
Slide 57
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(C) 2013 University of Utah School of Medicine
Slide 58
MSPE National History
• Wide variation historically
• Guidelines published by AAMC in 2002
• “Letter of evaluation” rather than letter of
recommendation
• Standardized format
• Release deadline moved from Nov 1st to Oct 1st
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Slide 59
Local history
• Excellent adherence to AAMC guidelines
• Input fields from all other areas of Dean’s Office
(OIO, PEL, Med ED, etc.)
• Compilations
• 8-10 pages in length
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Slide 60
My Vision
• Accurately portray the true consistent
performance of our students
• Provide useful information to the end user
(program directors)
• Maintain institutional integrity
• Foster student desire to excel rather than
compete
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Slide 61
First Page
IDENTIFYING INFORMATION
Chelsea Smith is a fourth-year student at the University of Utah School
of Medicine applying to your program for residency training. This letter
is meant to provide an overview of Chelsea’s academic performance
and personal characteristics to assist you in your assessment of her
application.
Chelsea came to the University Of Utah School Of Medicine in 2011
after earning a Bachelor of Science degree in Biology from University of
Notre Dame, and her PhD in Anthropology from the University of Utah.
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Slide 62
First Page
UNIQUE CHARACTERISTICS
Chelsea is a resourceful innovator, looking for opportunities in learning and
service. As a first year student, she noticed that there were plenty of
opportunities addressing global health for medical students, but none
addressing the unique needs of Utah's own population. Over the course of
the year she developed contacts within the Utah Navajo Health Service. In
doing so, she created an alternative spring break program for students
interested in volunteering for under-served populations just hours from Salt
Lake City in Montezuma Creek and Monument Valley.
Chelsea has held positions of leadership. She served as the president of
the Pediatric Medicine Interest Group. Chelsea is also very excited to be
the principal investigator for her research project, a quality improvement
study to help identify possible socio-demographic factors contributing to
poorly controlled asthma in the pediatric population. She expects to publish
her abstract and to present her research findings later this year.
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Slide 63
Unique Characteristics
• The Unique Characteristics is the first page of
your MSPE (8-10 pages total)
• You will write a Personal Statement for your
ERAS application, this is a different document.
• I will finalize and edit this statement using
material that you create.
• Remember, this is written from my perspective
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Slide 64
Second page
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Slide 65
Second page
ACADEMIC HISTORY
Combined Degree:
No
Leaves of Absences, Extensions, Gaps:
Yes. Chelsea took a
personal leave of absence from August 2012 to December 2012.
Coursework Remediated or Repeated:
Yes. Chelsea
successfully remediated her Comprehensive Clinical Skills
Examination at the end of her third year.
Disciplinary Action(s):
No
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Slide 66
ACADEMIC PROGRESS: PRE-CLERKSHIP
YEARS (Phases I and II)
• Pre-clerkship Academic Record: Chelsea successfully
passed all courses during the first two years of medical
school, including the following units:
• Foundations of Medicine (Pass/Fail only)
• Molecules, Cells and Cancer - Honors
• Host and Defense
• Life Cycle
• Brain and Behavior - Honors
• Metabolism and Reproduction
• Circulation, Respiration and Regulation
• Skin, Muscle, Bone and Joint
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Slide 67
ACADEMIC PROGRESS: PRE-CLERKSHIP
YEARS (Phases I and II)
Clinical Experiences: Chelsea successfully completed all
expectations for her Longitudinal Clinical Experience (LCE)
and Subspecialty Clinical Experience (SCE) in her first two
years of medical school, giving her over 1,700 hours of
clinical exposure before beginning her Clerkship Year,
Phase III. Details on LCE and SCE are provided in the
Appendix.
Chelsea’s LCE faculty attending physician noted the
following:
“Very professional and interested in outpatient medicine.”
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Slide 68
ACADEMIC PROGRESS: PRE-CLERKSHIP
YEARS (Phases I and II)
• Scholarly Expectation: Medical students are required to
participate in an independent program of study that
promotes students’ expertise in one or more areas of
medicine, their ability to perform inquiry-based research,
to ask scholarly questions and to effectively communicate
the rationale for and results of their scholarly work.
• Chelsea reviewed patient charts and culled data from an
Intermountain Healthcare database of infectious diseases affecting
Utah communities. She used these data to examine the
relationship between community viral infections and childhood
leukemia. Chelsea presented her work at the 2010 annual Frank
Tyler Medical Student Research Symposium in Park City, UT.
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Slide 69
ACADEMIC PROGRESS: PRECLERKSHIP YEARS (Phases I and II)
Community Service Learning Experience: All students are required to
participate in community service learning projects in the first two years of
the curriculum.
Chelsea exceeded the service requirements of the UUSOM, completed at
the following venues:
• 4th Street Clinic
• 4th Street Triathlon
• Flu Vaccines for the Homeless
• Maliheh Free Clinic
Chelsea received an “Honors” in this service-learning requirement. “Honors” is
awarded to students who completed 75+ hours directly with Utah and the
surrounding communities in clinical, education and premedical programs
supervised by the Office of Inclusion and Outreach.
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Slide 70
ACADEMIC PROGRESS: PRECLERKSHIP YEARS (Phases I and II)
• Professionalism: The professionalism of our students is
routinely addressed throughout all elements of the 4-year
curriculum. Chelsea has met the professional
expectations of the UUSOM as outlined in the Student
Handbook, including: Honesty, Confidentiality, Respect for
others and Responsibility.
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Slide 71
ACADEMIC PROGRESS: PRECLERKSHIP YEARS (Phases I and II)
MSI Comprehensive Clinical Skills Examination
(Pass/Fail):
Pass
MSII Comprehensive Clinical Skills Examination
(Pass/Fail):
Pass
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Slide 72
ACADEMIC PROGRESS: CLERKSHIP YEAR
(Phase III)
Student performance is based upon achievements in the
areas of medical knowledge, patient care and
professionalism. Each component is used to calculate an
overall clerkship score using a four point scale: 4 =
Exceptional; 3 = Above expectation; 2 = Meets Expectation;
1 = Below Expectation; 0 = Unacceptable.
Narrative comments are provided by faculty and clerkship
directors and are edited the Associate Dean of Student
Affairs only for grammar and length.
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Slide 73
Clerkship MSPE Example
Internal Medicine (12 weeks)
Score: 2.97, Pass
Chelsea’s Internal Medicine attendings
made the following comments about her:
“Chelsea had a solid performance during
this rotation and I am sure she will go on to
do well.” “Student was very engaged during
rounds, would read about her patient’s
issues and overall did a very good job on
Medicine.”
“Chelsea was a valuable
member of the Internal Medicine team
during her first third-year clerkship.”
“Chelsea was easy to work with. She
seemed to really care about her patients.
She was a hard worker and sought out
responsibility.” “Excited about patient care
and medicine.
Took responsibility for
patients and would call consultants. Very
helpful.” “Organization, willingness to learn,
works well with team (are her strengths).”
Slide 74
ACADEMIC PROGRESS: CLERKSHIP YEAR
(Phase III)
• Cumulative (year-long) performance on individual clinical
competencies required for passing the clerkships
• Clinical Knowledge
• Professionalism
• Patient Care
• Scores (0-4 scale) taken directly from Clerkship Final
Grade Form
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Slide 75
Clinical Knowledge Score
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Slide 76
3.65
3.79
3.81
Pass
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Slide 77
ACADEMIC PROGRESS: Track Curriculum
(Phase IV)
• Grades and narrative from any courses that have a grade
submitted prior to Sept 22nd.
• A list of fourth year courses scheduled to be completed
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Slide 78
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Slide 79
SUMMARY
• Chelsea is a caring professional who is dedicated to her
profession and to community advocacy. As of the
submission of this letter, she has successfully completed
the University of Utah School of Medicine curriculum.
Based on all aspects of Mary’s educational experience,
she has demonstrated competency in all of the general
domains established by the medical school and is
prepared to enter residency. She is considered to be an
excellent candidate for your residency program.
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Slide 80
AOA Calculation and Class Description
• AOA Calculated at the completion of Phase III
• Includes Junior AOA calculation and clerkship scores
• No class rank is every released or made public
• No quartile is calculated
• Descriptors are used instead of class rank or quartiles
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Slide 81
Summary Descriptor
• Descriptors of summary performance
• “Outstanding, Excellent, Very Good, Good”
• Describe the criteria needed to achieve each level
• Provide relative percentages for top descriptors (i.e.
“Outstanding”)
t
Slide 82
Summary Descriptor
t
Slide 83
Summary Descriptor
t
Slide 84
Descriptor Criteria
• Large list of potential inclusion points
• Will includes Phase II score and honors, Phase III score
and honors, and Step 1 scores
• End of year 3 OSCE?
t
Slide 85
So what do you need to do in the next month?
• (Ace your clerkships)
• Use your token to open your ERAS account
• Begin your Personal Statement
• Begin your Unique Characteristic paragraph
• Set an appointment with me to review your UCP
• Schedule your Step 2 exams
• Review your LOR options
t
(C) 2013 University of Utah School of Medicine
Slide 86
What do you do if you do not know your specialty?
• Relax
• Do well on your clerkships
• Differential diagnosis approach
• Most likely, most dangerous, off the list, different paradigms
• Create opportunities to refine the list
• Shadowing, rotations, research, mentors
t
(C) 2013 University of Utah School of Medicine
Slide 87
What do you do if you do not know your specialty?
• Ask your friends and family
• Ask “Why?”
• AAMC.org/CIM
• It’s OK to put your nickel down and be wrong
• It’s OK to dual apply
t
(C) 2013 University of Utah School of Medicine
Slide 88
Required Courses
MD ID 7400
Session 1
Session 2
Session 3
Session 4
Session 5
Session 6
Session 7
Session 8
Session 9
Session 10
Session 11
Session 12
Session 13
Longitudinal Transition to Internship
Sessions
Date
Time
07/09/14
1300-1700
07/23/14
1300-1700
08/13/14
1300-1700
08/27/14
1300-1700
09/10/14
1300-1700
09/24/14
1300-1700
10/08/14
1300-1700
10/22/14
1300-1700
01/14/15
1300-1700
01/28/15
1300-1700
02/11/15
1300-1700
02/25/15
1300-1700
03/20/15 (Projected)
TBD
*Note: Students are not allowed to schedule USMLE Step 2 CK
Examination, USMLE Step 2 CS Examination, or related travel on
Longitudinal Transition to Internship Session Dates
MD ID 7410
03/30/15-04/24/15
Transition to Internship
Course Dates
Slide 89
Timeline
Jan
Administrative
Feb
Mar
Apr
May
June
July
Lottery
Exams
Aug
ERAS
OSCE
Sept
Oct
Nov
MSPE
Jan
Feb
Mar
Rank
Match
Apr
Interviews
Courses
Transition
Course
off
Pre-lottery
Pre-ERAS
LOR, CV,
PS
Submit
Interviews Interviews
Rank List
May
Grad
Step 2 CK (Oct 31st) and CS (Dec 31st)
Interviews
Mentoring
Dec
Slide 90
General Requirements
32 weeks total credit minimum
22 weeks in University of Utah system
4 weeks of local Sub-Internship
Minimum 8 weeks of clinical electives
Variable specialty requirements
Required courses
Longitudinal Course
Transition to Internship Course
Slide 91
Assessment
Honors, High Pass, Pass and Fail
Some courses are pass/fail only
4 week deadline for grades
Four types of evaluation forms:
Sub-Internship
Clinical Elective
Didactic Elective
Research Elective
Slide 92
Track Curriculum
Slide 93
Tracks and Specialties
Primary Care
Medical Sciences
Internal Medicine
Dermatology
Pediatrics
Medical Genetics
Family Medicine
Radiology
Psychiatry
Neurology
IM-Peds
PM&R
Triple Board
Radiation Oncology
Nuclear Medicine
Applied Anatomy
General Surgery
Specialty Surgeries
OB/Gyn
Pathology
Acute Care
Emergency Medicine
Anesthesiology
Slide 94
Track Directors
Primary Care
Applied Anatomy
Medical Sciences
Acute Care
Rick Henriksen, MD
Amalia Cochran, MD
Phil Caligiuri, MD
Megan Fix, MD
Family Medicine
Burn Surgery
Radiology
Emergency Medicine
Slide 95
Sample Track Requirements
Slide 96
Track Mentors
Specialty Specific
Required for Approval of Phase IV Initial Schedule Request
A Resource throughout the Year
Personal Statements
Program Lists
Mock Interviews
Rank Lists
Slide 97
Changing Tracks
Allowed at any time up to Transition Course
Find the right specialty for you!
Held to requirements of new track
Stay in communication with your Mentors, Track Directors, and
Student Affairs
Contact Rachael Smith to formally change tracks
Slide 98
Track Questions?
Slide 99
Longitudinal Course
Slide 100
Course Dates
MD ID 7400
Session 1
Session 2
Session 3
Session 4
Session 5
Session 6
Session 7
Session 8
Session 9
Session 10
Session 11
Session 12
Session 13
Longitudinal Transition to Internship
Sessions
Date
Time
07/09/14
1300-1700
07/23/14
1300-1700
08/13/14
1300-1700
08/27/14
1300-1700
09/10/14
1300-1700
09/24/14
1300-1700
10/08/14
1300-1700
10/22/14
1300-1700
01/14/15
1300-1700
01/28/15
1300-1700
02/11/15
1300-1700
02/25/15
1300-1700
03/20/15 (Projected)
TBD
*Note: Students are not allowed to schedule USMLE Step 2 CK
Examination, USMLE Step 2 CS Examination, or related travel on
Longitudinal Transition to Internship Session Dates
Slide 101
Longitudinal Course
Mentoring content
Choosing your specialty
ERAS application process
CV
Personal Statement
Program lists
Residency Interviews
Rank Lists
Curriculum content
Relevant to Intern Role
Effective
Communication
Risk Management
Health Care System
Navigation
DNR/DNI
Slide 102
Longitudinal Course Attendance
Attendance is Required
Excused Absences
Allowed Absences
Away Rotation
Residency Program Interviews
Not Allowed
Vacation
USMLE Step 2 CK or CS
Make-up Assignments
For Excused and Allowed Absences
Slide 103
Longitudinal Course Questions?
Slide 104
Transition to Internship
Slide 105
Transition to Internship Course
March 30-April 24, 2015
No concurrent course enrollment allowed
Class, Track, and Specialty sessions
Skills
Foundational Knowledge
Processes
Procedures
Communication
Codes, Mega-Codes
Task Trainers
Simulation Labs
Slide 106
Transition Course Questions?
Slide 107
Slide 108
Hints
Relax
Focus on your Sub-Internships
Remember you can switch tracks
Prioritize the time prior to the MSPE being
released (Oct 1st)
Begin thinking of Letters of Recommendation
now
Be mindful of deadlines
Enjoy fourth year
Slide 109
Fourth Year Scheduling Basics
January 2014
Slide 110
2014-2015 Fourth Year
Fall Semester (7/7 – 12/19)
Jul
Block 1
Aug
Block 2
Sep
Block 3
Oct
Block 4
Nov
Block 5
Dec
Block 6
Spring Semester (1/5 – 5/22)
Jan
Block 7
Feb
Mar
Apr
May
Block 8
Block 9
Block 10
Block 11
2 and 4 week rotations
1 week = 1 credit
Jun
Slide 111
2014-2015 Fourth Year
Step 2 CK deadline 10/31
ERAS app due 9/15
Step 2 CS deadline 12/31
MSPE due 10/1
Jul
7/7–8/1
Aug
8/4 –8/29
Sep
9/1–9/26
Oct
9/29-10/24
Nov
10/27-11/21
Match Day 3/20
Jan
1/5-1/30
Feb
Mar
2/2-2/27
3/2-3/27
Apr
3/30-4/24
Transitions
Dec
11/24-12/19
Graduation 5/24
May
4/27-5/23
Jun
Slide 112
Creating Your Fourth Year
Schedule
Slide 113
You will need 1.
2.
3.
4.
5.
Track Curriculum Outline
UUSOM Senior Elective Catalog
Copy of the 2014/15 Fourth Year Graphic
Faculty Mentor
UUSOM Lottery Course Scheduling system
Slide 114
1. Track Curriculum Outline
- Outlined by Dr. Dani Roussel
Track
Specialties
Acute Care
Anesthesia
Emergency
General
Surgery
Specialty
Surgeries
Internal
Medicine
Family
Medicine
Dermatology
Medical
Genetics
Track
Specialties
Physician
Scientists
Applied Anatomy
Ob-Gyn
Track
Specialties
Physician
Scientists
Primary Care
Pediatrics
Track
Specialties
Pathology
Med-Peds
Psychiatry
Triple Board
Physician
Scientists
Radiation
Oncology
Nuclear
Medicine
Medical Sciences and Specialties
Radiology
Neurology
PM&R
Physician
Scientists
Slide 115
2. UUSOM Senior Elective Catalog
- medicine.utah.edu
Slide 116
2. UUSOM Senior Elective Catalog, cont.
- 22 departments offering 160+ courses
Slide 117
2. UUSOM Senior Elective Catalog, cont.
- Description, rotation length, A/C/S/R, restricted months….
Slide 118
2. UUSOM Senior Elective Catalog, cont.
- review catalog information carefully
Slide 119
3. Copy of the Fourth Year Graphic
Slide 120
4. Faculty Mentor
- select a recommended mentor within chosen Track
- they agree to review your proposed schedule and discuss plans
Slide 121
Faculty Advisor Form
Faculty Advisor Form (return to Rachael Smith by March 3, 2014)
_____________ and I have discussed his/her plans for
the upcoming year and reviewed his/her fourth year schedule
requests. I have considered the career interests, interview schedule,
Boards requirements, and curriculum for this student. I find this
schedule request acceptable.
________________
Printed Name/Advisor signature
_________________
Date
Preliminary Track Designation
__________________________
Preliminary Specialty Designation __________________________
*Note: an alternative to this form is to have your faculty advisor email
[email protected] (from their own email account) a brief message
stating they have met with you and approved your scheduling requests.
Include Faculty Advisor Form for XXX in subject line
Slide 122
5. Lottery Course Requesting system
- previously used for third year lottery
Slide 123
5. Lottery Course Requesting system,
- select “E-mail me the password”
- HSC email account only
cont.
Slide 124
5. Lottery Course Requesting system,
- select available 2014/15 courses
cont.
Slide 125
5. Lottery Course Requesting system,
cont.
Guidelines
-10 is highest priority, 20 is second highest…
- only request ONE Sub-I in the lottery (others added later)
- try to request 20 – 24 credits*
- select coursework for blocks you anticipate away rotations
* Six credits of Transitions and Longitudinal courses work
will be added for you
Slide 126
Coursework to Consider
Slide 127
Think about 1. Course selection
- 22 departments, 160+ courses
2. Track requirements
3. Personal interests/Scheduling issues
4. Advice of faculty mentor
Slide 128
Think about - course selection
- Certificate Programs
INTMD 7036: Geriatrics (UU Graduate Certificate)
- Continuity Clinics
Family Medicine
Internal Medicine
Pediatrics
Med-Peds
- Honors courses and deadlines
DERM 7700
April 15
FPMD 7220
April 1
OBST 7090
Early Spring
OPHTHO 7600
April 1
Slide 129
Think about - course selection
- Humanities courses
INTMD 7992: Dr/Pt Relationship in Lit. –
Imagining Medicine (Fall semester)
Medicine In Arts (Spring semester)
Writing the Dr/Pt Relationship (Spring)
- Global Health Elective
- Newly created courses
Continuity Clinics
Peds ED
Vascular Surgery Sub-I
Medical Students as Teachers
*new courses announced throughout year
Slide 130
Course Registration Not
Available in Lottery
Slide 131
Courses Approved Outside of Lottery
1. Research
2. Restricted courses
3. Away rotation
Slide 132
1. Research*
- contact department regarding approval for registration
provide research proposal, preceptor name and contact information
project scope
- leave space in schedule for planned research
- 40 hours effort = 1 week = 1 credit
2. Restricted courses*
- certain courses require departmental approval prior to
registration with Student Affairs
(Palliative Care, Internal Medicine in the Community, Pediatric IV Wound
Care)
*have department contact me via email giving their approval for
registration, noting course number and month of enrollment, so the
course may be added to your schedule
Slide 133
3. Away Rotations
- Rotations must be at LCME accredited institution
- information regarding VSAS to be mailed this week
($35 for first application, $15 for additional applications)
- non VSAS institutions utilize alternate application
system
Slide 134
Other Scheduling Considerations
Slide 135
Unscheduled time 1. NBME Board Exams
- Oct. 31 for 2 CK
- Dec. 31 for 2 CS
(no enrollment for Spring 2014 if deadlines missed)
2. Interviews
- leave Nov. through Jan. unscheduled
Slide 136
Upcoming Deadlines
Slide 137
Mar. 3
Faculty Mentor form due
Mar. 10
Lottery closes
Mar. 14
Fourth-Year Schedules sent to you*
April 5
NBME 2 CK/CS registration due
May 1
Must achieve 32 weeks registration
June 15 (rec) NBME 2 CK/CS date selection due
*scheduling changes/waiting lists available after schedules sent to you
Slide 138
Questions….