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As told by past SJSM student currently in AICM

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1 As told by past SJSM student currently in AICM
What to Expect in AICM As told by past SJSM student currently in AICM ?

2 Before you Arrive The following must be received prior to starting AICM: one page resume liability insurance paperwork filled out immunization form filled out and signed by MD PPD test Physical exam on physician letterhead signed by MD proof of health insurance form filled out with emergency contacts signed clinical contract criminal background check (can be completed online) *the office sends the paperwork by mail that needs to be filled out by you and your MD ****You also need up to date CPR, HIPPA, and OSHA. These are offered through AICM though on the first day if you don’t have them - at a cost. The cost is comparable to everywhere else (it’s around $100 for all three). If you have any of these three bring proof of this. Be sure to check with SJSM head office to see if the CPR/HIPPA/OSHA you have are recognized by Jackson Park****

3 Visas for Canadians You will be granted a 4 month VISA that lasts for the duration of AICM (you will be provided a letter from the school that will be required to get the VISA) If you want to stay to study in the US you must go back to Canada for a day, surrender your VISA and apply for a visitors VISA (can last up to 6 months) Saint James will give you more paperwork once you’ve passed step and are signed up for rotations indicating that you will be a student for 2 years from start date of clinicals. You have to go back to Canada (or you could likely do it at the USA Embassy) show this documentation and get another student visa that allows you to stay here for rotations.

4 Where to live/ how to look
Most students live in Hyde Park Area– safe and close to the hospital ~$1000 for a studio, $1200 for 1 bed, $1500 for 2 bed on average Living downtown is much more expensive Travel in groups when near the hospital. Not recommended to live near the hospital due to safety problems People tend to do one of 3 things as far as leases: 1. Sublet for 4 or 5 months while you do AICM and then either find another place, go home and study, or renew the lease. This can be beneficial because you have the opportunity to see what else is around as far as housing and aren’t tied down to a place for as long. 2. Sign a lease and stay after AICM to study and take step and then you’re still here for the cores once step is done 3. Sign a lease and then sublet your place after AICM and go home and study

5 First Part of AICM- first Day
Consists of orientation First day is very busy and long– 8am- 7:30pm You will show up and spend the first couple hours filling out paperwork You will need to bring $300 cash with you (180 for Kaplan Qbank, 20 for drug screen, OSHA + HIIPA + CPR = $100). You pay for all of those things the first day - if you already have OSHA/HIPPA/CPR you can opt out). If you already have the up to date Kaplan Qbank and want to avoid paying again, contact Chicago head office and see if they will accept that On the first day you will get a general orientation to how things will run, do your drug screen and CPR/HIPPA/OSHA happens in the afternoon

6 First part of AICM– first 3 weeks
Seminars around the hospital 5 days a week (varying schedule) for 4-5 hours per day The following are the seminars you will attend: History and Physical, SOAP Notes, Physical Examination Clinical Skills, IV Insertion, Blood Draws, NG Tube insertion, Foley Catheter insertion, Suturing, How to Scrub In to Surgeries, X-ray interpretation, CT/MRI Interpretation, EKG Interpretation, Respiratory Care, Pediatric growth and development, Stages of Labor, Gynecologic Problems, Lab Interpretation USMLE 1 question sessions for 3 hours once a week - questions as a class and discuss them. Dr. Bledar is very good and gives lots of good pointers.

7 Concluding the first 3 weeks
Upon completion of the first 3 weeks there is a final Clinical Skills exam You are given a patient and you have to take an H+P and then write up your findings, give your diagnoses and plan. Also around this time everyone does an individual presentation (5-10 mins only) - this is basically just to make sure you can speak in front of people Don’t worry-- they aren’t tough about it.

8 Clinical Rotations Follow the first 3 weeks
Consist of 5 weeks of rotations in different specialties 1-2 days in each of the following: Internal Med- required to do overnight on call shifts Surgery Pediatrics OBGYN Family Practice Psych-  off site at an inpatient mental health rehab facility During clinicals you are only at hospital 2-3x/week – lots of study time!!! During the course of your rotations you are responsible for completing 2 complete history and physicals, 5 SOAP notes, a review of each rotation, and a patient log.

9 The final 8 weeks– in class Basic Science
Overall, very positive feedback. Monday-Saturday from 8am-2pm-- review by system Expect to be home by 3pm each day, lots of time to study

10 Examinations throughout AICM
You do 3 diagnostic exams throughout AICM In the first week- 150 questions At 8 Weeks- full length At 16 weeks- full length You must get 50% average (they drop your lowest one) class average for Nicole’s group was 38% on the first exam *they are Kaplan exams. If you can work on the Kaplan Qbank early this will help you a lot.

11 After AICM Prepare for Step1
Must take a qualifying exam on Moodle and score 75%+ to allow for SJSM to approve you to sit in on the Step1 Takes 2-3 weeks to get results Call head office and tell them you have passed and they will start to set up rotations 5 of the 6 core rotations are at Jackson Park Hospital and you can do 1 of 6 at Mercy (depending on availability) They prefer you to do core rotations before electives You can set up your own electives (in US) as long as they are teaching hospitals If you are Canadian, you can do up to 12 weeks of elective rotations in Canada under a physician who is affiliated with a Canadian Medical school

12 Dress Code Rotations: Business casual with white coat make sure you have a stethoscope and pen light Nothing else is needed to carry around They also like you to wear business casual for the seminars You will do two on call rotations where you are at the hospital all night(usually 6pm-9am but some residents/attendings let you go early). You need to wear scrubs for these shifts as well as your surgery rotation. If you bring one set of scrubs with you that is probably plenty because you only wear ‘em 3-4 times in total. In class review: dress code not as strict. Jeans are fine, you just can’t look like a hobo basically.

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