CAREERS AND YEAR 4 2015-2016
Feb 05, 2016
CAREERS AND YEAR 4
2015-2016
Purpose of the 4th Year• Explore your interests• Strengthen your knowledge,
clinical skills and clinical reasoning
• Prepare for residency• Broaden your education
Outline of Year 4• CCX/USMLE Step 2 (CK and CS)• 4 week neurology clerkship• Doctoring Year 4• Geriatrics • Doctoring Mentoring Activities• 30 weeks of elective credit• 4 week Intensive Clinical Experience (4 weeks
filled first)• 4 weeks Basic Science Electives• Electives in 3 clinical departments (OB/Gyn,
Peds, IM, Surg, Psych, FCM)• Residency applications/interviews
CCX
• Clinical COMPETENCY Exam• Informs YOU (and SPC)• Use results to guide/alter your
curriculum• Pass is desirable• Passing all cases is most
desirable• Failing is a signal
Residency Application and Interviewing
• Session to occur in May• Date and time to be announced• Interviewing should be during
vacation time-no time off allowed during required rotations.
• Faculty may allow with adequate notice and make-up activities
Year 4 Waiver Program
• Students who pass all 14 cases on the senior CCX exam, USMLE step 1 first attempt and all clerkship----
• Waive Year 4 Requirements except Doctoring and Neurology
• Individualized coaching
USMLE
• DO NOT DELAY
Scheduling Neurology• Lottery system• OK to change with a friend• If early match or military please
take during Dec or Jan!
CHOOSE YOUR ADVISOR
• List is on Year 4 website• Ask if they are willing and
identify to Cherie before our Orientation Session in March
• You may get advice from anyone you want, but you must choose from the list to approve your schedule.
Choosing an Electives Advisor
• Choose an advisor in the same specialty as your residency choice.
• They may have connections/insight.• Choose someone you like and respect.• Consider whether you need someone
to push you to work or relax.• Remember everyone on the list is a
volunteer.
EVALUATIONS
Elective evaluations use the same criteria as ALL RESIDENCY PROGRAMS use
ACGME CORE COMPETENCIESPatient careMedical knowledgePractice based learning and improvementInterpersonal skills and communicationProfessionalismSystems based practice
Pathways• FCM, OB/GYN, IM, PEDS, PSYCH,
Pathology• Community Outreach• Surgery: ortho, general, plastic,
ENT• 12 weeks (nonconsecutive)
– 4 ICE; 4 basic science; 4 elective
• No risks/benefits • Bragging rights!
General Advice• You are paying $$$$$$$$$ per
month
• Be sure you get your money’s worth!
General Advice• Use your faculty advisor to design your
4th year curriculum• Choose electives that will provide
independence and autonomy• Choose electives in area of residency• Choose electives out of area of residency• Check out surveys of program directors
(see Y4 website)– http://www.siumed.edu/oec/Year4/
References/NRMP%20PDSurvey%202012.pdf
• INDIVIDUALLY DESIGNED ELECTIVES
• Goals/objectives/evaluations• Faculty signatures• Must be turned in 3 weeks prior
Extended Electives• Occur on Thursday pm’s.• Can NOT occur during required
clerkships or remediations.• Otherwise, Thurs pm’s not “off”.• Get credit for no more than one
and a full time elective at once.• Cannot overlap extended
electives.
RESIDENCY READINESS ELECTIVES
• Surgery• Emergency Medicine• Ob/Gyn• Pediatrics• Internal Medicine• Radiology
AWAY ELECTIVES• Helpful for certain situations, but not
for all!– If you aren’t certain about a region of the
country.– If the training at some other center is
unavailable here.– If you REALLY, REALLY, want to go to a
certain program.– Competitive regions of the country– Middle of the pack/Lower end students
• If you go, go to shine• You are coming with baggage, you don’t want to
make it worse
Away Electives in a nutshell
PROS CONS
You get to know them Can be $$
They get to know you They get to know you
VSAS
THE THE RULES!RULES!
Non-Cognitive Behavior Concern Note
Goes to Curriculum Director→meeting
Goes to Dean of Student Affairs→meeting
Goes to your fileIf a 2nd occurs, →SPC**Egregious (“deadly sins”)→SPC
directly
CONSEQUENCES!• Satisfactory with decreased weeks of
credit• Incomplete (must be completed
before April—or converts to Unsatisfactory
• Unsatisfactory-stays on transcript and triggers review by most medical licensing boards (ie. delays licensure for residency and practice each time you apply!)
PLAN TO TAKE CPR/BLS AND ACLSBEFORE YOU START
RESIDENCY