Welcome MD2019! Dr Heather MacLean Pre-Clerkship Director

Welcome MD2019!

Dr Heather MacLeanPre-Clerkship Director

CORE PRINCIPLES

Integration

Clinical relevance

Social responsiveness

Scientist/Generalist/Specialist balance

Inter-professionalism

Professionalism

Innovation

Equivalence in both language streams

Student centered learning methods

Active multi-faceted learning

Life long learning strategies

Terminology

• Undergraduates – you are all undergraduates again! But now as students in the MD Program

• Postgraduates- residents the U of O has over 800 residents in dozens of various programs

• Graduate student- in a Masters or PhD program at the Faculty of Medicine

• Med Ed Office – where all the people who look after your academic needs work

Terminology

• Preclerkship – the first 2 years of school• Clerkship- the last 2 years of school

• Unit – A piece of the pre-clerkship• Unit Leader- Leads a Unit• Content Expert- leads a content area within a unit

• PSD-Physician Skill Development Course• SIM- Society, Individual and Medicine content• Elective- in preclerkship, an extra activity available during free

afternoons, to allow sampling of various clinical disciplines

Terminology

• CBL – Case Based Learning, groups of 8 students with tutor, runs throughout pre-clerkship

• SLM – Self Learning Modules, 1 or 2 per week throughout pre-clerkship

• TBL – Team Based Learning, learning in teams, anatomy, Unit 1, Unit 2

• OSCE – Objective Structured Clinical Examination - not until end Year 2

• Portfolio on Core Competencies – Electronic Portfolio connecting your work to the roles (competencies) related to the Educational Objectives of the MD Program – work with coach

Terminology

• Evaluation – written examinations, tutor evaluations, clinical evaluations, clinical examinations

• Transcript - a document from the University with the entire history of your academic record

• Medical Student Performance Record (MSPR) the document from the faculty

University of Ottawa Doctorate of Medicine Program (M.D.)

Pre-clerkship

Foundations Unit

Unit II

1

2

Designed by: Anjali Rajani

Sept. Jan. Mai/May Sept.

Unit IIIIntegration

Unit

Clin

ical

Wee

k

13 Weeks: •Molecular and cellular biology •Genetics, Embryology •Microbiology, Immunology•Hematology •Musculoskeletal system

13 Weeks: •Molecular and cellular biology •Genetics, Embryology •Microbiology, Immunology•Hematology •Musculoskeletal system

19 Weeks:•Neoplasia •Thrombosis•Cardiology•Respirology•Nephrology

19 Weeks:•Neoplasia •Thrombosis•Cardiology•Respirology•Nephrology

15 Weeks:•Oral health •GI & Nutrition •Endocrinology•Reproduction •Obesity

15 Weeks:•Oral health •GI & Nutrition •Endocrinology•Reproduction •Obesity

10 Weeks:•Ophthalmology•Neurology •Psychiatry

10 Weeks:•Ophthalmology•Neurology •Psychiatry

9 Weeks:•Geriatrics •Pediatrics •Dermatology•Pain Management •Palliative Care •Integrative medicine•Global health

9 Weeks:•Geriatrics •Pediatrics •Dermatology•Pain Management •Palliative Care •Integrative medicine•Global health

Unit I

Pre-clerkship

Foundations Unit

Unit II Unit III Integration Unit

Physician Skills Development (Part 2)

SIMSIM

1

2

SIMSIM

SIM= Society, the Individual, and Medicine



Clin

ical

Wee

k


Unit I

Pre-clerkship

Foundations Unit

Unit II

PSD PSD

Unit III Integration Unit


PSD PSD

SIMSIM

1

2

SIMSIM

PSD = Physician Skills Development



Clin

ical

Wee

k


Unit I

Pre-clerkship

Foundations Unit

Unit II

PSD PSD


Portfolio on Core Competencies

PSD PSD

SIMSIM

1

2

SIMSIM



Clin

ical

Wee

k


Unit I


Pre-clerkship

Foundations Unit

Unit II

PSD

Unit IIIIntegration Unit

Electives

PSD

Electives

SIMSIM

1

2

SIMSIM



Clin

ical

Wee

k


Unit I



Pre-clerkship

Foundations Unit

Unit II

PSD



Electives


DAC / SCS / PSD

Electives

ePortfolio

SIMSIM

1

2

SIMSIM


Clin

ical

Wee

k

= Mid-term exam

= Final Exam


Unit I


PSD

Pre-clerkship

Foundations Unit

Unit II

PSD

Clerkship

SurgeryMandatory

SelectivePsychiatry

OB / GYNPaediatrics Family

MedicineAcute Care

Medicine

Internal MedicineLink

Unit IIIIntegration Unit

There are several different rotation schedules

Electives

Module 1 Module 2 Module 3 Module 4

Portfolio

Portfolio

DAC / SCS / PSD

Electives

SIMSIM

1

2

3

4

SIMSIM



Clin

ical

Wee

k

Year 3


Unit I

Portfolio

Pre-clerkship

Foundations Unit

Unit II

PSD

Clerkship

SurgeryMandatory

SelectivePsychiatry

Electives


MedicineAcute CareMedicine

Internal Medicine

Link

Inte

rnal

med

. Se

lecti

veUnit III

Integration Unit

Intervi

ews

Electives


Portfolio

Portfolio

PSD

Electives

Electives

SIMSIM

1

2

3

4

SIMSIM

Back to

Basics



Clin

ical

Wee

k

Year 4


Unit I

Portfolio

Portfolio

Surg

ery

Se

lecti

ve

Pre-clerkship

Foundations Unit

Unit II

PSD

Clerkship

Surgery

Mandatory Selective

Psychiatry

Electives


MedicineAcute CareMedicine

Internal MedicineLink

Inte

rnal

med

. Se

lecti

veUnit III Integration Unit

Clin

ical

Wee

k

Intervi

ewsOSCE OSCE

Electives


Portfolio

Portfolio

PSD

Electives

Electives

SIMSIM

1

2

3

4

SIMSIM

Back to Basics



= Final Exam

= Mid term Exam‐


Unit I

Portfolio

Portfolio

Sur

gery

Se

lecti

ve

Admissions

Special Programs

Curricular Development /

Delivery

Curriculum Management

Evaluation

Assistant Dean, Admissions

Dr Gary Hollingworth

Director, Distributed Medical EducationDr Chuck Su

Director, Aboriginal ProgramDr Darlene Kitty

Director of Curricular DeliveryDr Robert Bell

Director of Curricular ContentDr G. Hollingworth

Director of IntegrationDr Ian McDowell

Preclerkship Director, Anglophone StreamDr Heather MacLean

francophonePreclerkship Director Dr John Leddy

francophoneDirector of Clinical SkillsDr Nancy St.Pierre

Director of Clinical Skills, Anglophone StreamDr Barbara Power

francophoneClerkship DirectorDr Antoine Gagnon

Director of Evaluation Dr John Leddy

Clerkship Director, Anglophone StreamDr L. McLean

Director of ElectivesDr Karl-Andre Lalonde

UGME

Student Affairs

Assistant Dean Dr Louise Laramée

Dr. Jacque Bradwejn

Dean, Faculty of Medicine Dr. Melissa Forgie

Associate Dean, Undergraduate Medical Education

http://www.medecine.uottawa.ca/Students/MD/assets/documents/medical_education_office.pdf

Etc…

* 1st year: Alexe Lalonde <[email protected]>

The Student Guide• Home Page for Undergraduate Medical Education

– http://med.uottawa.ca/undergraduate/students/undergraduate-medical-education-regulations-and-student-guide

• Professionalism• Academic Regulations• Attendance Policy and Procedures• Student Promotion• Clerkship• Examination• Evaluation• Clinical Settings• Student Support• Technology

Attendance Policy and Procedures

• Attendance is mandatory in interactive small group or clinical sessions including but not restricted to Case Based Learning (CBL), Physician Skill Development (PSD), Evidence Based Medicine (EBM), Professionalism, Year 1 Community Week, and Year 2 Mandatory Clinical Week. Every absence needs to be excused and make-up work may be required at the discretion of the pre-clerkship director.

• In addition, some key large group sessions are mandatory, as indicated in the one45 evaluation system.

• Any unexcused absence will be considered a lack of professionalism and will be brought to the attention of the Associate Dean, Undergraduate Medical Education or a delegate and could be grounds for failure.

• It is the responsibility of the student to report (in writing) all absences from mandatory sessions to the coordinator, preferably prior to or at the start of the session.* 1st year: Alexe Lalonde <[email protected]>

Academic Concerns

• Mandatory counseling with Pre-Clerkship Director for those who fail exams or are below a set cut-off

• Common issues:– Families and relationships– Illness (including mental health)– Overextended in extracurricular activities– Prioritizing electives above studying– Cramming– “Exammanship”– Learning disability

• What can I do to help?

Evaluations

• Your opportunity to provide feedback to the faculty regarding your education

• Many of the evaluations are mandatory– Please:

• Do them in a timely manner• Be constructive• Be professional• Be honest

Constructive Professional Feedback Examples

• Dr. John Doe made it fairly obvious in this lecture that he has little interest in teacinghing. He brought nothing to the table in terms of tangible teaching qualities, read directly off of the slides from the (extremely lengthy) lecture.

• Versus:• I feel Dr John Doe could benefit from making his lectures more interactive. Much

of the lecture consisted of him reading from the slides which was not engaging for students.

• A USELESS presentation! Completely disorganized! • Versus:• I found the lecture somewhat hard to follow. We tended to jump from one topic

to another. The professor was patient and knowledgeable but I wasn't able to follow and actually grasp the concepts. Perhaps a summary table comparing the topics would be helpful.

• Don't go overtime. It's annoying. Ur cute tho.• Versus:• ?

Comments will be deleted if they are

• Hurtful• Profane• All capitalized, exclamation points (unless positive remark)• Not relevant to their teaching

Class and small group behaviour

• Follow the procedures• Use electronic devices appropriately• Treat those in the Med Ed office with respect, they are there to

help you• Let us know when something is not working• Put the effort in during Pre-Clerkship, it will serve you well on

the wards

Respect

Respect yourself ….take care, seek help

Respect your colleagues….diversity, opinions

Respect your teachers……be courteous & professional, evaluate constructively

Respect your patients…..empathy, compassion

Respect your program….participate, help build

Respect your facilities…use them wisely

Respect all by telling the truth….use it always

Use Last Names & Professional

Designation (eg: Dr. MacLean, not

“Heather”)

Respect Yourself

• Seek help before it intervenes with your performance

• The Student Affairs Office is there for you

• If your health impairs your ability to learn or care for your patients we will require that you be monitored by the Wellness Program to stay in the MD program

Expect to be respected

• Every student deserves to be treated with respect at all times

• Zero tolerance policy for intimidation and harassment at U of O

• Contacts include (all confidential)– Student Affairs Office (Dr Laramée) [email protected]– Equity, Gender and Diversity Program (Dr Nahid Azad)

[email protected]– Medical Education Office (Dr Forgie) [email protected]– University Harassment Officer [email protected]

Documents

Welcome MD2019! Dr Heather MacLean Pre-Clerkship Director