T1 #meded I really like our system. Students choose a pathway to prep for a specialty (ex IM or Peds), which have some required elements but still time do rotations outside your anticipated residency.
everyone involved in designing an M4 curriculum should read this article:
https://t.co/3EcHiRsbmx
intense fourth year:
statistically significant in predicting intern performance? yes.
practically significant in predicting intern performance? no.
#meded
T1. Some required activities are after match lists go in. EM has only 14 required shifts in a month- lots of room for interviews. Students are advised not to interview during SubI, but they feel increasing pressure to squeeze interviews in then.#meded
Yes. There are pathway directors who do some advising, & MS still see Career office and student affairs etc... RT @GLBDallaghan T1 #meded Our new curriculum proposes that. Do you have specific advising in place to help the #medstudents?
T1 #meded What if the rotation offered greater responsibility for the #medstudent? Would it be considered a subi or not (even if it weren't inpatient)?
What I say to trainees is… put yourself in place of the patient, who has likely been looking forward to appt for weeks, preparing for it at least all day, & will reflect on it perhaps for a week. Recognize the moment and its importance. Not just another appointment in busy day.
T1 Academic Medicine article in 2015 on structures across schools Course Offerings in the 4th Year of Med School: How U.S. Med Schools Are Preparing Students for Internship https://t.co/W0kzjfe4CG#MedEd@mededchat
Issue isn't what opinions they hold, but whether they hold yours against you. If so, they are likely to be similarly intolerant of other differences. Fortunately I don't know many in #meded like that, so hopefully your worries are unfounded
T1 #meded I am a product of this system, so I won’t tell you exactly how long but several yrs. I think the students like it. There’s structure & guidance w/flexibility
Here is a paper on our Clinical Tracks in the 4th year. These help students work toward ACGME milestones in their specialty of choice. We hope to feed this info forward to PDs like @helenjkmorgan does at MI. https://t.co/y3RSThjVtN
Here is a paper on our Clinical Tracks in the 4th year. These help students work toward ACGME milestones in their specialty of choice. We hope to feed this info forward to PDs like @helenjkmorgan does at MI. https://t.co/y3RSThjVtN
T2 #meded So we're seeing a variety of suggestions about this. Is greater structure needed now? With the Millennial generation would structure be better or worse?
T2 #meded It would seem with the need for clear expectations, Millennials may want more guidance...but of course with flexibility built in https://t.co/oPIpslGul4
T2: flexibility to fill students knowledge gaps, go on interviews; but we don't want it to be the Wild West where people do whatever they want (don't learn). #MedEd
T2 yes structure but also flexibility. What about a coaching model where focus is on students strengths and needed area of improvement. Tailored to their needs? #meded
T2 #meded That's part of the problem with our current curriculum and why we want it to be more structured. Have had seniors go from Oct to May and never see a patient....
In reply to
@rahulpatwari, @Alliance4ClinEd, @MedEdChat
T1: 4 required rotations (4-wk EM Clerkship, 4-wk Neuro Clerkship, 4-wk Sub-I selective, 4-wk Crit Care selective) + 20 weeks of electives + 12 weeks discretionary time. 12 months total. Up to 8 weeks of electives can be non-pt care (research, independent study, etc.) #meded
T2 question is 4th year to teach generalist principles/fundamentals or specialist topics? Debatable! (does a future psychiatrist need to focus on procedures, etc)? #MedEd@MedEdChat
Research led by experts from @UCDavisMed and @UCDavis_Nursing identified gaps in pain-related education for health care providers that leave out important aspects of safe & effective pain management competencies, including #opioid safety: https://t.co/UTuwzgf9cz
T3: inquiry based curriculum that follows patients/populations/teams longitudinally based upon themes. Weave EPA’s to measure and link clinical clerkship experiences; require cohort and collaboration to strengthen meaning and prevent isolation #MedEd
Can some please reform the current nrmp match system? I know different problem/topic, but big reason 4th year is so chunked up and students lose focus #meded@MedEdChat
Balance in #meded 4th yr:
structure and flexibility
depth and breadth
home and away
individuals and systems
patients and populations
learning and serving
And what else?
A selective is required (must do both a sub-I & crit care) BUT they have their choice of specialty (ie, MICU or PICU or SICU or NICU). An elective is fully their choice, only requirement is number of credits taken. #meded
Yes and no. #healthsystemsscience needs to start in Yr1 as part of early professional development, but some content best learned in Yr4 after clinical experiences #MedEd
T3 #meded Agreed. There are foundational principles to be learned early. We're finding some of it is lost on the #medstudents right now in year 1 and may be better after more clinical exposure
All so important - what if some of these could be laced throughout traditional patient-facing rotations in MS4 - for example, each Monday - so that the concepts are incorporated instead of compartmentalized? #MedEd
