1. Ruth Levine, M.D. Assistant Dean for Educational Affairs Office of Clinical Education

2. What’s in Year 3? Clinical Skills Week1 week Internal Medicine12 weeks Pediatrics8 weeks Surgery8 weeks Ob/Gynecology6 weeks Psychiatry6 weeks Family Medicine 4 weeks Elective period4 weeks December break4 weeks

3.  OB/Gyn – Gyn outpt, Gyn inpt and OR, Antepartum, L&D nights, OB outpt, L&D days/postpartum  Psych – 2 rotations of 3 weeks each; St. Joseph + outpatient, West Oaks + Jester  IM – 3 months – 2 inpt, 1 consult; or 1 inpt, 1 consult, 1 outpt  Surgery – 2 one month services  Pedi – inpt, outpt, Nursery, subspecialty

6.  In years 1 and 2, everyone is in the same course at the same time  In years 3 and 4, everyone’s schedule is different  Even within a course, your schedule will be different

8. Period12345613789101112 4-8-12 Wk Dates 6/29/15 - 7/24/15 7/27/15- 8/21/15 8/24/15- 9/18/15 9/21/15- 10/16/15 10/19/15- 11/13/15 11/16/15- 12/11/15 12/14/15- 1/8/16 1/11/16 - 2/5/16 2/8/16 - 3/4/16 3/7/16 - 4/1/16 4/4/16 - 4/29/16 5/2/16- 5/27/16 5/30/16- 6/24/16 6 Wk Dates 6/29/15- 8/7/15 8/10/15- 9/18/15 9/21/15- 10/30/15 11/2/15- 12/11/15 12/14/15- 1/8/16 1/11/16- 2/19/16 2/22/16- 4/1/16 4/4/16- 5/13/16 5/16/16- 6/24/16 Hybrid 1SurgeryFM - ElectivePediatrics Internal MedicinePsychiatryOB/Gyn 2SurgeryElective-FMPediatrics Internal MedicineOB/GynPsychiatry 3FM-ElectiveSurgeryPediatrics Internal MedicineOB/GynPsychiatry 4PedatricsSurgeryElective-FM Internal MedicineOB/GynPsychiatry 5PedatricsSurgeryElective-FM Internal MedicinePsychiatryOB/Gyn 6PedatricsSurgeryFM-Elective OB/GynPsychiatryInternal Medicine 7PedatricsSurgeryFM-Elective OB/GynPsychiatryInternal Medicine 8PedatricsSurgeryFM-Elective OB/GynPsychiatryInternal Medicine 9Elective-FMPediSurgery OB/GynPsychiatryInternal Medicine 10OB/GynPsychiatryInternal Medicine SurgeryFM/ElectivePediatrics 11PsychiatryOB/GynInternal Medicine SurgeryElective/FMPediatrics 12PsychiatryOB/GynInternal Medicine SurgeryFM/ElectivePediatrics 13PediatricsElective-FMSurgery Internal MedicineOB/GynPsychiatry Galveston ClerkshipCourse Length Austin Clerkship Family Medicine4 weeks Elective4 weeks Obstetrics/Gynecology6 weeks Psychiatry6 weeks Pediatrics8 weeks Surgery8 weeks Internal Medicine12 weeks

9.  Clinical Skills Week – registration automatic  Clerkships – you select a preference, Enrollment Services (ES) registers you  You may need to choose preferences within the clerkship, e.g. outpatient location  Electives – you enroll yourself  Automatically enrolled in “VACA”  You swap this out with the course you want

10. Before the “week” Mandatory Urine Drug Screen – ◦ EPIC training ◦ Online quizzes/videos June 22-25 ◦ Task trainers ◦ SIM Man ◦ Writing notes, presenting on rounds June 25-26 ◦ Houston students – Houston orientation ◦ Austin students – Austin orientation

11. Orientation held first day – MANDATORY Clinical evaluations – shared form NBME subject exams on last day Communication largely by email Coordinators make schedules ~2m in advance Log patients in New Innovations On-line eval of residents, faculty & course More course-specific info from the clerkships when you get there

12.  Dress professionally  Be accountable: Answer your phone/texts/ and emails. Check your messages regularly. Keep a watch and a planner. Be on time.

13.  Plan on being around all day every day. Never assume you are “free” until you are given permission otherwise  When you need to be absent, inform EVERYONE (e.g. your attending, resident, coordinator, and fellow students)

14.  The NBME subject tests or “shelf exams” are national, normed tests  All clerkships use the 5 th percentile nationally as passing  Failure of shelf (and nothing else) = PC  All shelf exams are web-based.  Proper behavior required  If you must miss, Dr. Rabek must approve

15.  Only your @utmb.edu address should be used  Potential HIPAA violations  We can’t find it/search for it  Might be “spam filtered” out  We can’t track email from other accounts  Do you really want to be known as “sweet cherry pie” for the rest of your life?  Check it often or you’re out of luck

16. Clerkships are an exposure to clinical medicine Clinical medicine is a full-time 24/7 occupation All clerkships agree to the same policy: ◦ You work one day per weekend on average ◦ This includes holiday weekends, except Thanksgiving ◦ The clerkship decides whether you can choose your off day or whether it will be assigned

17.  Clerkship coordinators are your source of information and schedules  They are not always available after 5:00PM or on weekends  They plan far in advance  They will try to accommodate all reasonable requests made early  They have difficulty with last minute requests or changes

18.  You are going to need a car  ALL students will do rotations off of Galveston Island-even “Galveston-based” students  “Commutable” distance can be as far as to Beltway 8  Some “Galveston based” students may be assigned to Houston or Austin for some clerkships

19.  Probably doesn’t matter  But you will worry that it does  Placement of elective/VACA block may matter  Times it might:  You’re getting married  You have a medical or reproductive issue  If you defer for board study or personal reason, you’ll need to have me (or Dr. Mancuso) assign your track soon

20.  6 different tracks (plus a few hybrid options) – see http://www.utmb.edu/oce/Documents/ClerkshipTr ackSequence.pdf http://www.utmb.edu/oce/Documents/ClerkshipTr ackSequence.pdf  2 different options within each track  Make selection via MyStar  System opens on April 13, 2015  Deadline April 17, 2015  Track trade deadline April 23, 2015  Schedules available to view on May 1, 2015  Add/drop period for electives begins May 4, 2015  You will not be able to select a track or register if there is a hold on your account

22.  Electives (5 blocks needed to graduate)  Must take one in year 3 – may take two  Courses you may take as a third year student: ◦ Senior Neurology ◦ Senior Emergency Medicine (selective) ◦ Acting Internship selective  Courses you may not take as a third year student: ◦ Basic Science/Humanities selective ◦ Ambulatory Community Selective

23. Electronically (“swap”) before add/drop deadline By paper if late ◦ C form, C = complete At another school – VSAS vs. paper ◦ B form, B = before you go Student-created elective – form due 30 days before Research electives – form due 30 days before ◦ R form, R = research readiness Course catalog and policies at: http://www.utmb.edu/meded/electives.asp http://www.utmb.edu/meded/electives.asp Be sure to show up – they won’t call you ahead

24.  Participating in a course you have not added ◦ No credit ◦ No malpractice coverage  Failing to participate in a course you have not dropped ◦ Failure ◦ Withdrawal

25.  If you are setting up your own site-may need LOTS of extra time (e.g. as much as possible) because of  Hospital affiliation agreements  May require more malpractice  St. Joseph application  Housing issues  Ambulatory requests

26.  Why: To get information about upcoming community-based rotations and how to fill out site preferences correctly  Where: SON Bldg., Room 1.402  When: March 27, 10am-12pm

27.  Each hospital you go to may have different requirements  We plan ahead for the most common requests  We need stuff on time or the hospital may not allow you to be there at all

28.  St. Joseph Medical – required application  All Galveston students - 3 week Psychiatry rotation at St. Joseph Medical Center.  Frances Dawe will email you the forms.  Observe the deadline Failure to meet the deadline means you cannot begin the course Miss >3days = failure.

29. All students must provide the following documents to the OCE office prior to the start of 3 rd year. Deadline April 10, 2015  Applicant’s current Curriculum Vitae  Photocopy of driver’s license  Photocopy of current BCLS certification  Proof of current health insurance coverage  Completed Confidentiality and Computer Agreement  Acknowledgement form from their Orientation Packet  Students should call Student Health (X79508) to make an appointment for a TB skin test or TB questionnaire (best days are Mon, Tue or Wed)

30. UTMB Annual Student Required Training http://ebizlearn.utmb.edu/psp/ps/?cmd=login Immunization Records  Make sure your immunizations are current  Website below tells you how to access your immunization records For more information about how to access this paperwork, please visit: http://www.utmb.edu/oce/Credentialing.htm http://www.utmb.edu/oce/Credentialing.htm Complete set of documents must be received in the OCE office before you can start 3 rd year. DEADLINE: April 10, 2015

31.  Austin apartments  Galveston apartments  Sugarland hotel (for Jester IV placement)  Corpus condo  Free to student  Shared bedroom (same gender only)  Please keep neat  Contact Catherine Hale in OCE to reserve

32.  Internal Medicine – inpatient specialty preferences  Internal Medicine – ambulatory site preferences  Pediatrics – ambulatory site preferences  Family Medicine - site preferences Deadline for all site preferences: April 17 For more information about selecting your site preferences, please visit: http://www.utmb.edu/oce/SitePreference.htm http://www.utmb.edu/oce/SitePreference.htm

33.  Commutable = less than one hour drive  Must justify commutable request  Internal Medicine and Pediatrics online  There are great sites across the state, branch out!  Deadline April 17

34.  Most primary care docs are in practice, not at academic centers  We have spent decades building a cadre of community faculty  This is a strength of UTMB, that you learn from real docs in practice  But they aren’t all in Galveston, Houston or Austin

35. You may edit your site preferences for Internal Medicine and Pediatrics until April 17. Go back to these sites to edit your preferences... http://www.utmb.edu/meded/edaffairs/siteranking/ Select the option to Edit/Update Existing Site Preference. Review your site preference choices by clicking View My Site Ranking/Assignments from the Main Menu.

36.  You should be prepared for a mid-year OSCE  First week of Period 13  Will cover either Pedi/FM/Surg or IM, Psych, OB  ICEE will be comprehensive  Happens summer of 4 th year

37.  Voluntary  Meets once per month  Free food  Regular mentoring  Important topics  Meets in Galveston, Clear Lake area (Houston students or folks who live on mainland), Austin  Sign up with pink form

38.  Follow your own panel of patients  Leave clerkships one ½ day per week to see patients  Half day of TEAM (Texas Excellence in Academic Medicine) clinic per week  Monthly half-days for workshops  4 Tracks to choose from (8 students maximum)  Internal Medicine, Pediatrics, Family Medicine, St. Vincent’s  Info session March 26

39.  Professionalism ombudsman  Professionalism “hot button”  Course director  Me or Dr. Rowen

40. Where do I Find 3 rd Year Scheduling Information? It’s all on the web:  http://www.utmb.edu/oce/ http://www.utmb.edu/oce/ Click the Student tab!