Council on Curriculum Student Updates
- New course director for the Pathology: Dr. Soheila Hamidpour
- New course director for Clinical Practice of Medicine I: Dr. Kativa Jadhav
- New course director for Medical Terminology: Dr. Amit Patel
- In order to help improve student scores on the NBME examination, the clerkship will now be offering two NBME self-assessments to all students over the course of the block. The number of lectures has also been increased from seven to 12. The structure of the clerkship has also been modified for the 2017-18 academic year in order to ensure that the experience is more uniform. All students will now spend one week in the acute-care inpatient setting, one week in chronic care, and two weeks in the outpatient clinics. The outpatient clinic weeks will include both adult and child psychiatry. The clinical evaluation form has also been modified to be more user-friendly for the residents and faculty.
- Emily Haury was appointed as clerkship director. She plans to continue enhancing the Sub-Internship experience for Year 6 students and implement Core Entrustable Professional Activities into the curriculum. Required assignments were also modified. Year 4 students will now complete five H&P’s observed by their senior partner and one observed by faculty. Year 5 students will have three H&P notes reviewed and one mini-CEX observed, all by faculty. Year 6 students will complete two handoffs observed by residents and one mini-CEX observed by faculty.
- The grading matrix was also updated to simplify cut off scores and be consistent across all three years. In addition, one45 requirements have been updated to reflect suggestions made by the clerkship directors of Internal Medicine.
- A Clinical Reasoning course has been implemented, which includes review modules via iTunes University and weekly lectures/group discussions during the inpatient month. To account for the extra time in these lectures, the number of CLIPP cases/summary statements to be completed during the inpatient month has been decreased. In addition, due to the change to block scheduling, students will now spend one day instead of two in the TMC NICU. However, in order to ensure an adequate number of deliveries and newborn resuscitation experiences, one short call while on Newborn Nursery (until 7 p.m.) has been added for each student in its place. The grading scale was also adjusted for the 2017-18 academic year to ensure an appropriate distribution of grades among students.
- Study hours, including four hours of protected study time per week on the clerkship, has been met with positive feedback. The clerkship reading list was also cut down to give students a more focused guide of texts and resources. In addition, the council has recommended utilizing residents to reinforce student attendance and utilization of non-clinical time (such as study hours). A suggestion box has been implemented at both Saint Luke’s and TMC for students to provide anonymous feedback. For the 2017-18 academic year, the grading cut offs were also adjusted to ensure an appropriate distribution of grades among students.
- An OSCE/Clinical Performance Assessment (separate from the Year 4 CPA) has been incorporated into the clerkship. The first assessment will give students the opportunity to give a “bad diagnosis” to a patient and the second assessment will involve a motivational interview pertaining to weight loss.
- In order to allow students to gain more hands-on experience in research, the course will now dedicate one hour per week of pre-existing lecture time to cover neurological research and methodology. Students will also work in groups of four with a mentor to submit project proposals and prepare a poster that will be presented to faculty for grading. This assignment will account for just under 10 percent of the student’s overall grade in the course.
Student Workload Policy
- An updated Student Workload and Clinical Duty Hours Policy was approved by the council. The new policy indicates that a student’s clinical duty hours must not exceed 60 hours per week, averaged over a four-week period. This is a decrease from the previous limit of 80 hours per week. In addition, students must have an average of one day out of seven free from clinical responsibilities. Workload contact hours, defined as periods of scheduled instruction or formal assessment (such as lectures, presentations, assignments, assigned readings) should not exceed an average of 12 hours per week, averaged over the entire clerkship, with no single week exceeding 15 hours. These guidelines have been set to encourage a balance of academic responsibilities with time outside of clerkship duties.