satellite teleconference on PDAs (Personal Digital Assistants) called
“Sync or Swim:Managing
the Flood of PDAs in Health Care” will take place Wednesday,
February 6, 2002 in room E301 of the School of Medicine.
students in the Class of 2002 were recently elected into the AOA
percent of the graduating class can be elected to AOA.Research, community service, and leadership are also factors in
AOA selection besides clerkship performance.
will cancel third year core clerkship rotations including the Primary
Care Track.(CWRU students
already enrolled can complete their training.)Henry Ford will continue to allow fourth year Type B electives.The Henry Ford decision to cut academic programs is partly
related to economic exigencies.Also,
our graduates have not gone into Henry Ford residencies to the degree
that they had anticipated.Many
Year II students were planning to go to Henry Ford and are
Patient-Based Program Coordinator promised that we will accommodate
all students in the core clerkships.
The LCME site visit has been shortened by one day, a
reduction made for schools “in good shape.”The LCME site visit will
take place Sunday, March 10 through Wednesday, March 13, 2002.
Update on the
Flexible Program Advisory Committee meeting last Wednesday
– Dr. Charles Malemud, Flexible Program Co-Coordinator
formulate an evaluation of the Flexible Program
examine the objectives of the Flexible Program from scratch
Plans to have a mechanism for ongoing analysis of the
Flexible Program to show to the LCME site visitors
Program Clarifications, Explanations, and Suggestions under
are month-long rotations mainly in the fourth year.They are usually clinical rotations but may also include
research or reading electives.We needdescriptive
information about Type B electives in order to evaluate them.(We already have sufficient information on Type
A electives, which typically consist of one afternoon session a
week for six weeks.)Type
B electives can be taken here or elsewhere at any LCME-approved
medical school or institution.We
do not have real course descriptions of “unlisted”
electives, mostly Type B, which must be approved by the
Patient-Based Program Coordinator.There are 308 unlisted
CWRU students spend two months of the fourth year doing unlisted
electives.That amounts to
20% of the fourth year.(Students
take two vacation months in the fourth year, leaving eight elective
months, only two of which can be research.Students graduate in May.)
Rough breakdown of Year IV
Year IV students usually spend the first three months (July, August, and September) doing Acting
Internships (AIs), one form of a clinical rotation Type B
Students spend the
second three-month period (October,
November, December) as a residency
interviewing cycle, taking light
electives and visiting on average between 10 to 15 residency
The CME is
interested in helping students focus during the months of January,
February, March, and April before graduation in May.
Year IV “plan of study” requiring an adviser’s signature in
which every student would indicate how he/she intends to utilize
elective time might
be a reasonable place to start in refining the Flexible Program.This would allow the medical school some degree of oversight.
Concentration(AoCs) offer the student
the opportunity to pursue in-depth study in an area of his/her
choosing using both Type A and Type B credits.Between one-third to
one-half of the students will take an Area of Concentration.Areas of Concentration put some requirements on fourth year
electives.Via the Area of
Concentration, the fourth year student focuses 2 or 3 months in this
specialized study, but it does not exhaust his/her whole year.Typically, about 39% of students sign up for an Area of Concentration.Additionally, 40 students per year are in the Primary Care
Track (PCT), which is similar to an Area of Concentration.During the fourth year, the PCT student is required to do a
one-month project, but the rest of the year is free.A large number of dual degree programs also focus and center the students.
of the 12-month core clerkship third year opened up the fourth year to
every student as a
student-initiated opportunity for study with consultation from the
faculty.Reiteration of this theme of the 12-month core
clerkship third year as leading to a truly flexible fourth year
Keep the fourth year student-initiated.
oversight in some form of “advising” structure.This is of particular importance for those students not in an
Area of Concentration or a dual degree.
Under the current system, students earn Type A elective credit just by showing up.Suggestion:to
require a “product of
learning,” that could take many forms
Mention of a
past survey project sent to every program director in charge of a
residency in which members of the CWRU Class of 2000 spent their
internship year.Purpose:to obtain information about graduates’ performance using
approximately 20 different parameters for evaluation.Graduates were graded on a scale of 1 to 5 on each item, 5
being outstanding, 1 being poor.More
than a 70% response rate indicated that performance of our residents
was usually in the range, with the mean score of each parameter
being about 4.Program
directors also provided favorable comments.
Lack of a
formal step after students see the Associate Dean for Residency and
Career Planning; we need to implement such a process.CME desire to formalize the connection between the Associate
Dean for Residency and Career Planning and the Flexible Program
students decide their electives for the fourth year during March of
their third year.Consequently, students have to choose Acting Internships (AIs)
before they have finished their clerkships.
current PGYIIs in residencies who are CWRU graduates of the Class of
2000.Ask them what they
would have changed about their undergraduate medical education,
particularly, concerning choice and spectrum of courses taken during
the fourth year.Study could be published and serve to enhance educational
research on advising students.Dr.
Marti Echols and Dr.
Hue-Lee Kaung volunteered to do such a survey.
Support for using a list of faculty advisers for referral purposes.However, there is no
system to obtain feedback to see if the referrals gave good advice.Students often end up using faculty that they meet through
their courses as advisers.Spontaneous
mixing of students and faculty seems to be more successful than a
formalized pairing of student/adviser.
The Office of Student Affairs can handle advising
students during the first two years of medical school.During the third year is
when students want to meet their mentor (adviser).Brief discussion distinguishing between “mentors”
resulted in decision to use the term “adviser” to denote the
faculty member advising the third year student.
Suggestion to clarify
Flexible Program terminology for advisers
far Flexible Program updates have been included in the “CME Minutes
Summary” portion of the Web site.This material is also in the beginning stages of what will fall
under the Curriculum