Incorporated into Academic time • Longitudinal Courses I. Clinical Reasoning II. Professionalism/Doctoring III. Clinical Skills ->Community Clinics IV.Community Health/Epidemiology V. Indigenous Health VI.Scholarship in Medicine • Themes/Disciplines Composite Clinical Presentations (CP 4 ) 1 Year 1 2 3 4 Boxes are not scaled M0: Foundation M2: Health & Disease Abnormal Processes- Clinical Integration M1: Human Biology & Health Normal Processes- Clinically Applied M2: Health& Disease Abnormal Processes M5: Med 3 Clinical Clerks UGME Academic Half Day M6: Med 4 Electives CaRMS UGME CURRICULUM RENEWAL FRAMEWORK M4 TTC: Transition to Clerkship M3:Consolidation Principle: “Fully integrated spiral scaffold curriculum through 4 years” M7 TTR: Transition to Residency
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Year 1 2 3 4
Incorporated into Academic time • Longitudinal Courses I. Clinical Reasoning II. Professionalism/Doctoring III.Clinical Skills ->Community Clinics IV.Community Health/Epidemiology V. Indigenous Health VI.Scholarship in Medicine
M1: Human Biology & Health Normal Processes- Clinically Applied
M2: Health& Disease
Abnormal Processes
M5: Med 3 Clinical Clerks
UGME Academic Half Day
M6: Med 4 Electives CaRMS
UGME CURRICULUM RENEWAL FRAMEWORK
M4 TTC: Transition to Clerkship
M3:Consolidation
Principle: “Fully integrated spiral scaffold curriculum through 4 years”
M7 TTR: Transition to Residency
Presenter
Presentation Notes
“Titles” of preclerkship, clerkship, systems, year etc may not be maintained Applied Contextualized Linked Relevance
LC /Theme Committees Not practical to have reps from every course/department/discipline • Create with interested parties • “Generalism” • Students • PGY resident
2013 CuRe Preclerkship Course Development (PCD)
Integrated Scaffold Spiral Curriculum •Identify Gaps and Redundancy •Identify Areas of overlap and Repetition •Concepts for Consolidation Module M3
M1/M2 Course Committees Include representation from: • Relevant department /disciplines • Diagnostic Imaging •“Generalism” • Students-ie last year’s course rep • PGY resident
M1/M2 Course Leaders Identify LC/Theme Topics from: • LC/Theme presentations or • Committee members
LC /Theme Leaders Topics : •Assign to M1/2 Courses or •Identify from M1/M2 presentations
3
Process for each M0, M1/2 I. Faculty development- 7 sessions….today =8 !
1. Review CuRe process 2. Explanation for CuRe Framework 3. Discussion on pedagogical approaches
i. Fewer lectures ii. Fewer lecturers iii. More online modules
II. Leaders create curriculum committee 1. Review existing systems block course 2. Create concept map 3. Create M1 and M2 course outline
CuRe June 2013
PreClerkship Course Development –SELF RFLECTION !
4
FD Accomplishments to date through June 17:
Each M Course Leaders created their committee Broadened faculty engagement to total ( >125 )
Each M1/2 course Leader considered the new curriculum, and how their content may be accommodated
Each M1/2 Leader provided broad outlines Some with more details
All Longitudinal course leaders and many theme leaders presented outlines , idea and their approach to curriculum
All UGME leaders interacted with exchange of ideas Cross discussion with LC/T leaders Some resolution to selected ownership areas
CuRe June 2013
PreClerkship Course Development –SELF RFLECTION !
5
FD Accomplishments to date through June 17:
Introduction to robust MCQ exam
• Full day workshop with MCC
External Review
Senior Associate Dean, Stanford 2 day visit
Workshop Pedagogical approaches - TBL
CuRe June 2013
PreClerkship Course Development –SELF RFLECTION !
6
CuRe preclerkship curriculum: NEXT STEPS 1 for CuREX :
….Occurring in parallel….
Review assigned hours and overall schedule
Allocate hours to each course
• Provide each course with outline & suggested integration
Review all pedagogical approaches
Revise governance
Create timelines for each component of PCD Step 2 through Jan.
aiming for completion by 14th for senate submission
CuRe June 2013
PreClerkship Course Development (PCD)
7
CuRe PreClerkship curriculum: NEXT STEPS 2: 2a- June through Sept 2013:
Each course provided with hours and rough outline based upon their presentations and others’ suggestions ( ….electronically).
• Develop courses with fewer hours (up to 10 % less) for first iteration (…...presented in step 2b).
This will facilitate modifications to accommodate additional topics and longitudinal themes or courses
• M0 & M2 courses will “OWN” the mornings of weeks allocated • M1 courses will share weeks with other M1 course scheduled
Each M1/2 Leader should contact assigned librarian
Deliberate with own committees through Sept to create course objectives, outline and learning strategies
CuRe June 2013
PreClerkship Course Development
8
CuRe June 2013
PreClerkship Course Development
CuRe PreClerkship curriculum: NEXT STEPS 2: 2b- Sept through Nov. 2013:
Commence weekly ( or more often) CuReX meetings in late Sept: With each course leader and/or committee to review specific outlines
and active learning strategies for M0, M1/M2.
After meeting with all the M1/2 leaders, CuReX will meet with: • Clinical Reasoning Leaders(s) to review topics to coincide with each M
course . This will ensure linkage, or use of CR time to highlight a topic either if very important or insufficient time to cover in M course.
• All other Longitudinal Course and Theme Leaders to identify any gaps
These are all individual meetings with specific course and CuReX …….Iterative process ….!
In parallel, PSEC ( to be defined by Barry !)commence ( >qmonthly) meetings to review MCQ questions as both F/D and question preparation.
9
CuRe June 2013
PreClerkship Course Development
CuRe PreClerkship curriculum: NEXT STEPS 2: 2c – Nov through Jan. 2014
Each course leader and/or committee returns ( 2nd time ): • MO followed by all M1/M2s
• Completed objectives , outline, proposed schedule with learning strategies and evaluation blueprint
All completed by deadline for senate submission(early Jan): • Each course should have final course objectives, outline and syllabus
• Begin development of session objectives
Cross reference meetings with CP4 draft
During Step 2b & 2c will also have monthly CuRe Integration meetings : • To identify any global issues, keep communication lines open and
faculty development
Y1
M0M1
Y2
Health and Disease
• FOUNDATION of MEDICINE 1.Blood & Immunology I (+ Skin I) 2.CV I & Resp (+ ET) I 3.Neuroscience I(Psych, Neuro + Opth) 4.Musculoskeletal I 5.Endocrine I & Woman’s Reproduction I
6.GI/ Nutrition I & Urinary Tract I
M2
M3
4 ---- 2014 Aug 25 - Sept 19 3------------ Sept 22 - Oct 10
5 ------------ Oct 13 - Nov 14 4.6 --------- Nov 17 - Dec 17… Dec break 2------2015 Jan 5 - Jan 16 4------------- Jan 19 - Feb 13
4------------- Feb 17 - Mar 13 TOTAL 26.6 ……………….Mar 16 - 20………Reading week
2-------------Mar 23 - April 3 3-------------Apri 6 - April 24 4-------------Apri 27 - May 22 -----------May 25- 29 …………. Rural week 4--------------Aug 24 - Sept 18 3--------------Sept 21 - Oct 9 3--------------Oct 12 - Oct 30 3 -------------Nov 2 - Nov 20 3 +3d------- -Nov 23 - Dec 17…… Dec break 6 -----2016- Jan 4 - Feb 12 4--------------Feb 18 - Mar11 ----------------Mar 14 - 18 ……. Reading week
Each Unit 5 hours for student evaluation: Midterm 2 hours Final Friday 3 hours; PM- free
M0 and M1 Course Hour Allocation June 25, 2013
Note: Old KB =K.Bernstein analysis; Old AK = A.Kaushal analysis; Composite = average
Y1
M0M1
Y2
Health and Disease
• FOUNDATION of MEDICINE 1.Blood & Immunology I (+ Skin I) 2.CV I & Resp (+ ET) I 3.Neuroscience I(Psych, Neuro + Opth) 4.Musculoskeletal I 5.Endocrine I & Woman’s Reproduction I
6.GI/ Nutrition I & Urinary Tract I
M2
M3
2-------------Mar 23 - April 3 3-------------Apri 6 - April 24 4-------------Apri 27 - May 22 -----------May 25- 29 …………. Rural week 4--------------Aug 24 - Sept 18 3--------------Sept 21 - Oct 9 3--------------Oct 12 - Oct 30 3 -------------Nov 2 - Nov 20 3 +3d------- -Nov 23 - Dec 17…… Dec break 6 -----2016- Jan 4 - Feb 12 4--------------Feb 18 - Mar11 ----------------Mar 14 - 18 ……. Reading week
• FOUNDATION of MEDICINE 1.Blood & Immunology I (+ Skin I) 2.CV I & Resp (+ ET) I 3.Neuroscience I(Psych, Neuro + Opth) 4.Musculoskeletal I 5.Endocrine I & Woman’s Reproduction I 6.GI/ Nutrition I & Urinary Tract I
M2
M3
4 ---- 2014 Aug 25 - Sept 19 3------------ Sept 22 - Oct 10
6 ------------ Oct 13 - Nov 21 3.7 --------- Nov 24 - Dec 17… Dec break 2------2015 Jan 5 - Jan 16 4------------- Jan 19 - Feb 13
4------------- Feb 17 - Mar 13 TOTAL 26.6 ……………….Mar 16 - 20………Reading week
2-------------Mar 23 - April 3 3-------------Apri 6 - April 24 4-------------Apri 27 - May 22 -----------May 25- 29 …………. Rural week 4--------------Aug 24 - Sept 18 5--------------Sept 21 - Oct 23 6--------------Oct 26 - Dec 4 1.7 -----------Dec 7 – Dec 16 Dec break 6 -----2016- Jan 4 - Feb 12 4--------------Feb 18 - Mar11 ----------------Mar 14 - 18 ……. Reading week
14 Consolidation 10-------------Mar 21 - May 27
5
Human Biology and Health wks.days ( w. 2 days eval ) Approximate dates
CuRe Preclerkship M0, 1/2: Human Biology , Health and Disease OPTION 1a
1. Intro to ID/Intro Oncology 2. Blood & Immunology (+ autoimmune diseases) II 3. CV II
4. Resp ( + ET) II 5. Endocrine II / Woman’s Repro II 6. GI & Nutrition II / Urinary system II 7. NeuroScience II (Psych, Neuro, Ophth)
8. Musculoskeletal II & Skin II Lose concept of individual courses M2 NS 1 & 2 overlap Splits up NS over break after 1.5 weeks
Note : Options 1a &1b replace 1 presented June 25 which had an error
Y1
M0M1
Y2
Health and Disease
• FOUNDATION of MEDICINE 1.Blood & Immunology I (+ Skin I) 2.CV I & Resp (+ ET) I 3.Neuroscience I(Psych, Neuro + Opth) 4.Musculoskeletal I 5.Endocrine I & Woman’s Reproduction I
6.GI/ Nutrition I & Urinary Tract I
M2
M3
4 ---- 2014 Aug 25 - Sept 19 3------------ Sept 22 - Oct 10
6 ------------ Oct 13 - Nov 21 3.7 --------- Nov 24 - Dec 17… Dec break 2------2015 Jan 5 - Jan 16 4------------- Jan 19 - Feb 13
4------------- Feb 17 - Mar 13 TOTAL 26.6 ……………….Mar 16 - 20………Reading week
2-------------Mar 23 - April 3 3-------------Apri 6 - April 24 4-------------Apri 27 - May 22 -----------May 25- 29 …………. Rural week 4--------------Aug 24 - Sept 18 5--------------Sept 21 - Oct 23 3--------------Oct 26 - Nov 13 3 -------------Nov 16 - Dec 4 1.7-----------Dec 7 – Dec 16 Dec break 6 -----2016- Jan 4 - Feb 12 4--------------Feb 18 - Mar11 ----------------Mar 14 - 18 ……. Reading week
15 Consolidation 10-------------Mar 21 - May 27
5
Human Biology and Health wks.days ( w. 2 days eval ) Approximate dates
CuRe Preclerkship M0, 1/2: Human Biology , Health and Disease OPTION 1b
1. Intro to ID/Intro Oncology 2. Blood & Immunology (+ autoimmune diseases) II 3. CV II
4. Resp ( + ET) II 5. Endocrine II / Woman’s Repro II 6. GI & Nutrition II 7. Urinary system II 8. NeuroScience II (Psych, Neuro, Ophth)
9. Musculoskeletal II & Skin II
NS 1 & 2 overlap Splits up NS over break after 1.5 weeks
Note : Options 1a &1b replace 1 presented June 25 which had an error
Y1
M0M1
Y2
Health and Disease
• FOUNDATION of MEDICINE 1.Blood & Immunology I (+ Skin I) 2.CV I & Resp (+ ET) I 3.Neuroscience I(Psych, Neuro + Opth) 4.Musculoskeletal I 5.Endocrine I & Woman’s Reproduction I
6.GI/ Nutrition I & Urinary Tract I
M2
M3
2-------------Mar 23 - April 3 3-------------Apri 6 - April 24 4-------------Apri 27 - May 22 -----------May 25- 29 …………. Rural week 4--------------Aug 24 - Sept 18 3--------------Sept 21 - Oct 9 3--------------Oct 12 - Oct 30 4 -------------Nov 2 - Nov 27 2.7--------- -Dec4 - Dec 17…… Dec break 6 -----2016- Jan 4 - Feb 12 4--------------Feb 18 - Mar11 ----------------Mar 14 - 18 ……. Reading week
Human Biology and Health wks.days ( w. 2 days eval ) Approximate dates
CuRe Preclerkship M0, 1/2: Human Biology , Health and Disease
4 ---- 2014 Aug 25 - Sept 19 3------------ Sept 22 - Oct 10
6 ------------ Oct 13 - Nov 21 3.7 --------- Nov 24 - Dec 17… Dec break 2------2015 Jan 5 - Jan 16 4------------- Jan 19 - Feb 13
4------------- Feb 17 - Mar 13 TOTAL 26.6 ……………….Mar 16 - 20………Reading week
OPTION 2
Doesn’t address NS
Y1
M0M1
Y2
Health and Disease
• FOUNDATION of MEDICINE 1.Blood & Immunology I (+ Skin I) 2.CV I & Resp (+ ET) I 3.Neuroscience I(Psych, Neuro + Opth) 4.Musculoskeletal I 5.Endocrine I & Woman’s Reproduction I
6.GI/ Nutrition I & Urinary Tract I
M2
M3
2-------------Mar 23 - April 3 3-------------Apri 6 - April 24 4-------------Apri 27 - May 22 -----------May 25- 29 …………. Rural week 4--------------Aug 24 - Sept 18 7--------------Sept 21 - Nov 6 3--------------Nov 9 - Nov 27 2.7--------- -Nov 30 - Dec 16…… Dec break 3 -----2016- Jan 4 - Jan 22 3----------------Jan 25 - Feb 12 4--------------Feb 15 - Mar11 ----------------Mar 14 - 18 ……. Reading week
17 Consolidation 10-------------Mar 21 - May 27
5
Human Biology and Health wks.days ( w. 2 days eval ) Approximate dates
CuRe Preclerkship M0, 1/2: Human Biology , Health and Disease
4 ---- 2014 Aug 25 - Sept 19 3------------ Sept 22 - Oct 10
6 ------------ Oct 13 - Nov 21 3.7 --------- Nov 24 - Dec 17… Dec break 2------2015 Jan 5 - Jan 16 4------------- Jan 19 - Feb 13
4------------- Feb 17 - Mar 13 TOTAL 26.6 ……………….Mar 16 - 20………Reading week
OPTION 3
1. Intro to ID/Intro Oncology 2. Blood & Immunology (+ autoimmune diseases) II 3. CV II
4. Resp (+ ET) II 5. NeuroScience II (Psych, Neuro, Opth) 6…… 6. WRP II 3 7. Endocrine II 3….. 8. GI & Nutrition II 3 9. Urinary system II 3.7… 10. Musculoskeletal II & Skin II
M Course Old KB Old AK Old CuRe 90% Weeks TOTAL Available SurplusComponentsCurriculum Curriculum Composite HOURS HOURS HOURS Avail-90%
• FOUNDATION of MEDICINE 1.Blood & Immunology I (+ Skin I) 2.CV I & Resp (+ ET) I 3.Neuroscience I(Psych, Neuro + Opth) 4.Musculoskeletal I 5.Endocrine I & Woman’s Reproduction I
6.GI/ Nutrition I & Urinary Tract I
M2
M3
2-------------Mar 23 - April 3 3-------------Apri 6 - April 24 4-------------Apri 27 - May 22 -----------May 25- 29 …………. Rural week 4--------------Aug 24 - Sept 18 7--------------Sept 21 - Nov 6 3--------------Nov 9 - Nov 27 2.7--------- -Nov 30 - Dec 16…… Dec break 3 -----2016- Jan 4 - Jan 22 3----------------Jan 25 - Feb 12 4--------------Feb 15 - Mar11 ----------------Mar 14 - 18 ……. Reading week
19 Consolidation 10-------------Mar 21 - May 27
5
Human Biology and Health wks.days ( w. 2 days eval ) Approximate dates
CuRe Preclerkship M0, 1/2: Human Biology , Health and Disease
4 ---- 2014 Aug 25 - Sept 19 3------------ Sept 22 - Oct 10
6 ------------ Oct 13 - Nov 21 3.7 --------- Nov 24 - Dec 17… Dec break 2------2015 Jan 5 - Jan 16 4------------- Jan 19 - Feb 13
4------------- Feb 17 - Mar 13 TOTAL 26.6 ……………….Mar 16 - 20………Reading week
OPTION 3
1. Intro to ID/Intro Oncology 2. Blood & Immunology (+ autoimmune diseases) II 3. CV II
4. Resp (+ ET) II 5. NeuroScience II (Psych, Neuro, Opth) 6. WRP II 7. Endocrine II 8. GI & Nutrition II 9. Urinary system II 10. Musculoskeletal II & Skin II
DRAFT 5 June 25, 2013
M CuRe 90% Available Surplus Allocated FLEX 1st Iteration