Ruth Levine, M.D.Assistant Dean for Educational AffairsOffice of Clinical Education

What’s in Year 3?

Clinical Skills Week 1 week

Internal Medicine 12 weeksPediatrics 8 weeksSurgery 8 weeksOb/Gynecology 6 weeksPsychiatry 6 weeksFamily Medicine 4 weeksElective period 4 weeks

December break 4 weeks

OB/Gyn – Gyn outpt, Gyn inpt and OR, Antepartum, L&D nights, OB outpt, L&D days/postpartum

Psych – 2 rotations of 3 weeks each; St. Joseph + outpatient, West Oaks + Jester

IM – 3 months – 2 inpt, 1 consult; or 1 inpt, 1 consult, 1 outpt

Surgery – 2 one month services Pedi – inpt, outpt, Nursery,

subspecialty

In years 1 and 2, everyone is in the same course at the same time

In years 3 and 4, everyone’s schedule is different

Even within a course, your schedule will be different

Period 1 2 3 4 5 6 13 7 8 9 10 11 12

4-8-12 Wk Dates

6/29/15 - 7/24/15

7/27/15-8/21/15

8/24/15-9/18/15

9/21/15-10/16/15

10/19/15-11/13/15

11/16/15-12/11/15

12/14/15-1/8/16

1/11/16 - 2/5/16

2/8/16 - 3/4/16

3/7/16 - 4/1/16

4/4/16 - 4/29/16

5/2/16-5/27/16

5/30/16-6/24/16

6 Wk Dates

6/29/15-8/7/15

8/10/15-9/18/15

9/21/15-10/30/15

11/2/15-12/11/15

12/14/15-1/8/16

1/11/16-2/19/16

2/22/16-4/1/16

4/4/16-5/13/16

5/16/16-6/24/16

Hybrid  1 Surgery  FM - Elective Pediatrics   Internal Medicine Psychiatry OB/Gyn2 Surgery Elective-FM Pediatrics   Internal Medicine OB/Gyn Psychiatry3 FM-Elective Surgery Pediatrics   Internal Medicine OB/Gyn Psychiatry4 Pedatrics Surgery  Elective-FM   Internal Medicine OB/Gyn Psychiatry5 Pedatrics Surgery Elective-FM   Internal Medicine Psychiatry OB/Gyn6 Pedatrics Surgery FM-Elective   OB/Gyn Psychiatry Internal Medicine7 Pedatrics Surgery FM-Elective   OB/Gyn Psychiatry Internal Medicine8 Pedatrics Surgery FM-Elective   OB/Gyn Psychiatry Internal Medicine9 Elective-FM Pedi Surgery   OB/Gyn Psychiatry Internal Medicine

10 OB/Gyn Psychiatry Internal Medicine   Surgery FM/Elective Pediatrics11 Psychiatry OB/Gyn Internal Medicine   Surgery Elective/FM Pediatrics12 Psychiatry OB/Gyn Internal Medicine   Surgery  FM/Elective Pediatrics13 Pediatrics Elective-FM Surgery    Internal Medicine OB/Gyn Psychiatry

 

 

Galveston Clerkship Course   LengthAustin Clerkship Family Medicine 4 weeks

Elective 4 weeks

Obstetrics/Gynecology 6 weeks

Psychiatry 6 weeks

Pediatrics 8 weeks

Surgery 8 weeks

Internal Medicine 12 weeks

Clinical Skills Week – registration automatic

Clerkships – you select a preference, Enrollment Services (ES) registers you You may need to choose preferences

within the clerkship, e.g. outpatient location

Electives – you enroll yourself Automatically enrolled in “VACA” You swap this out with the course you want

Before the “week” Mandatory Urine Drug Screen – ◦ EPIC training ◦ Online quizzes/videos

June 22-25◦ Task trainers◦ SIM Man◦ Writing notes, presenting on rounds

June 25-26◦ Houston students – Houston orientation◦ Austin students – Austin orientation

Orientation held first day – MANDATORYClinical evaluations – shared formNBME subject exams on last dayCommunication largely by emailCoordinators make schedules ~2m in

advance Log patients in New InnovationsOn-line eval of residents, faculty & courseMore course-specific info from the

clerkships when you get there

Dress professionallyBe accountable:

Answer your phone/texts/ and emails. Check your messages regularly. Keep a watch and a planner. Be on time.

Plan on being around all day every day. Never assume you are “free” until you are given permission otherwise

When you need to be absent, inform EVERYONE (e.g. your attending, resident, coordinator, and fellow students)

The NBME subject tests or “shelf exams” are national, normed tests

All clerkships use the 5th percentile nationally as passing

Failure of shelf (and nothing else) = PC

All shelf exams are web-based. Proper behavior required If you must miss, Dr. Rabek

must approve

Only your @utmb.edu address should be used Potential HIPAA violations We can’t find it/search for it Might be “spam filtered” out We can’t track email from other accounts Do you really want to be known as “sweet

cherry pie” for the rest of your life? Check it often or you’re out of luck

Clerkships are an exposure to clinical medicine

Clinical medicine is a full-time 24/7 occupation

All clerkships agree to the same policy:◦You work one day per weekend on average◦This includes holiday weekends, except Thanksgiving

◦The clerkship decides whether you can choose your off day or whether it will be assigned

Clerkship coordinators are your source of information and schedules

They are not always available after 5:00PM or on weekends

They plan far in advance They will try to accommodate all

reasonable requests made early They have difficulty with last minute

requests or changes

You are going to need a car ALL students will do

rotations off of Galveston Island-even “Galveston-based” students

“Commutable” distance can be as far as to Beltway 8

Some “Galveston based” students may be assigned to Houston or Austin for some clerkships

Probably doesn’t matter But you will worry that it does Placement of elective/VACA block may

matter Times it might:

You’re getting married You have a medical or reproductive issue

If you defer for board study or personal reason, you’ll need to have me (or Dr. Mancuso) assign your track soon

6 different tracks (plus a few hybrid options) – see http://www.utmb.edu/oce/Documents/ClerkshipTrackSequence.pdf

2 different options within each track Make selection via MyStar System opens on April 13, 2015 Deadline April 17, 2015

Track trade deadline April 23, 2015 Schedules available to view on May 1, 2015 Add/drop period for electives begins May 4,

2015

You will not be able to select a track or register if there is a hold on your account

Electives (5 blocks needed to graduate)Must take one in year 3 – may take two

Courses you may take as a third year student:◦ Senior Neurology ◦ Senior Emergency Medicine (selective)◦ Acting Internship selective

Courses you may not take as a third year student:◦ Basic Science/Humanities selective◦ Ambulatory Community Selective

Electronically (“swap”) before add/drop deadline

By paper if late◦C form, C = complete

At another school – VSAS vs. paper◦B form, B = before you go

Student-created elective – form due 30 days before

Research electives – form due 30 days before◦R form, R = research readiness

Course catalog and policies at: http://www.utmb.edu/meded/electives.asp

Be sure to show up – they won’t call you ahead

Participating in a course you have not added◦ No credit◦ No malpractice coverage

Failing to participate in a course you have not dropped◦ Failure◦ Withdrawal

If you are setting up your own site-may need LOTS of extra time (e.g. as much as possible) because of Hospital affiliation agreements May require more malpractice

St. Joseph applicationHousing issuesAmbulatory requests

Why: To get information about upcoming community-based rotations and how to fill out site preferences correctly

Where:  SON Bldg., Room 1.402

When:  March 27, 10am-12pm

Each hospital you go to may have different requirements

We plan ahead for the most common requests

We need stuff on time or the hospital may not allow you to be there at all

St. Joseph Medical – required applicationAll Galveston students - 3 week

Psychiatry rotation at St. Joseph Medical Center.

Frances Dawe will email you the forms.Observe the deadline

Failure to meet the deadline means you cannot begin the course

Miss >3days = failure.

All students must provide the following documents to the OCE office prior to the start of 3rd year. Deadline April 10, 2015

Applicant’s current Curriculum VitaePhotocopy of driver’s licensePhotocopy of current BCLS certificationProof of current health insurance coverageCompleted Confidentiality and Computer Agreement Acknowledgement form from their Orientation PacketStudents should call Student Health (X79508) to make an appointment for a TB skin test or TB questionnaire (best days are Mon, Tue or Wed)

UTMB Annual Student Required Training•http://ebizlearn.utmb.edu/psp/ps/?cmd=login

Immunization RecordsMake sure your immunizations are currentWebsite below tells you how to access your immunization records

For more information about how to access this paperwork, please visit: http://www.utmb.edu/oce/Credentialing.htm

Complete set of documents must be received in the OCE office before you can start 3rd year.

DEADLINE: April 10, 2015

Austin apartments Galveston apartments Sugarland hotel (for Jester IV placement) Corpus condo

Free to student Shared bedroom (same gender only) Please keep neat Contact Catherine Hale in OCE to

reserve

Internal Medicine – inpatient specialty preferences

Internal Medicine – ambulatory site preferences

Pediatrics – ambulatory site preferences Family Medicine - site preferences

Deadline for all site preferences: April 17

For more information about selecting your site preferences, please visit: http://www.utmb.edu/oce/SitePreference.htm

Commutable = less than one hour drive

Must justify commutable request Internal Medicine and Pediatrics

onlineThere are great sites across the

state, branch out!

Deadline April 17

Most primary care docs are in practice, not at academic centers

We have spent decades building a cadre of community faculty

This is a strength of UTMB, that you learn from real docs in practice

But they aren’t all in Galveston, Houston or Austin

You may edit your site preferences for Internal Medicine and Pediatrics until April 17. Go back to these sites to edit your preferences...

http://www.utmb.edu/meded/edaffairs/siteranking/

Select the option to Edit/Update Existing Site Preference.

Review your site preference choices by clicking View My Site Ranking/Assignments from the Main Menu.

You should be prepared for a mid-year OSCE First week of Period 13 Will cover either Pedi/FM/Surg or IM,

Psych, OB ICEE will be comprehensive

Happens summer of 4th year

Voluntary Meets once per month Free food Regular mentoring Important topics Meets in Galveston, Clear Lake area

(Houston students or folks who live on mainland), Austin

Sign up with pink form

Follow your own panel of patients Leave clerkships one ½ day per week to see

patients Half day of TEAM (Texas Excellence in

Academic Medicine) clinic per week Monthly half-days for workshops 4 Tracks to choose from (8 students

maximum) Internal Medicine, Pediatrics, Family

Medicine, St. Vincent’s Info session March 26

Professionalism ombudsmanProfessionalism “hot button”Course directorMe or Dr. Rowen

Where do I Find 3Where do I Find 3rdrd Year Scheduling Year Scheduling Information?Information?

It’s all on the web:http://www.utmb.edu/oce/

Click the Student tab!