Pre-Clerkship Curriculum Overview in Medical School

1. Introduction to the Pre-Clerkship Curriculum Medical School Years 1-2 David J. Karras, MD, FACEP, FAAEM Professor and Associate Chair of Emergency Medicine Associate Dean for Pre-Clerkship Education

2. Is there a doctor in the house? Am I a doctor?

3. Pre-Clerkship Curriculum Overview • Year 1: Normal human structure, function, and development • Year 2: Disease mechanisms, diagnosis, and treatment • Throughout the pre-clerkship years • Patient assessment and communication skills • Introduction to diagnostic reasoning • The physician’s role in society, medical ethics, societal impacts on health, healthcare systems, and professionalism • Culminates in readiness to participate in the care of patients in hospital and outpatient settings – the Clerkship Years

4. First Year Curriculum

5. Second Year Curriculum

6. Doctoring: Introduction to the Culture and Practice of Medicine • Spans Years 1-2 • Introduction to clinical skills • History-taking • Physical examination • Communication skills • Clinical reasoning and diagnosis • Reflections, group discussions • Coordinated with the pre-clerkship block schedule and integrated wherever possible

7. Clinical Threads • Critical issues affecting the practice of medicine, societal concerns, the role of physicians, and your development as a medical professional • Social Determinates of Health, Medical Ethics, and Population Health • Health Systems Science • Patient-Centered Care and Communication • Quality of Care and Patient Safety • Inter-Professional Education • Professionalism and Professional Identity Formation

8. Clinical Threads • Span years 1-2 • Concentrated in “Thread Focus” weeks • Introductory lectures during “Doctoring” • Cases and discussions integrated into Block and Doctoring activities

9. Year 1: Block Dates (Inclusive)

10. Year 1: Tentative Exam Dates Exam dates may change: Always check the course syllabus!

11. Learning Approaches in the Pre-Clerkship Years • Lectures • Live, all are captured on video and available later the same day • Occasionally, only a prerecorded lecture is available (no live lecture) • Small-group activities • workshops and laboratories • case-based discussions • Clinical Reasoning Conferences • clinically-focused, self-directed group problem-solving • Simulation sessions • Standardized patient sessions • Clinical mentoring and clinical correlation with real patients • Self-directed and independent learning

12. Grades in the Pre-Clerkship Years • Final grade in all courses is reported as Pass or Fail only • Numerical final grade in each course is retained by Deans’ office • utilized in determining class rank and awards • identify and counsel students • Points may be deducted from final course grade for excessive and unexcused absences or lateness, or for unprofessional behavior. • Grade components are described in the syllabus of each course

13. Attendance Expectations • Participation and engagement in the learning environment are components of your professional responsibilities • Attendance is required at all small-group activities • workshops • laboratories • conferences • simulation sessions • Attendance is required at all Doctoring activities • Attendance is encouraged, but not required, at lectures (other than Doctoring) • class capture and PowerPoint slides are available for all lectures

14. Attendance Expectations • We understand that life happens outside of school • Unexpected absences or lateness may be unavoidable • Unanticipated problems may arise • No excuse required (and no penalty) for • 2 or fewer absences/lateness in required sessions, per block • 4 or fewer absences/lateness in required sessions, per semester

15. Attendance Expectations • Excessive absences or lateness is considered • >2 unexcused absences/lateness in one Block • > 4 unexcused absences/lateness in one semester • 2 points will be deducted from the final course grade for each excessive unexcused absence or lateness • Excessive absences or lateness may be referred to Honor Board or Academic Standards and Promotions • Excessive absences or lateness may be reflected in Medical Student Performance Evaluation (MSPE) • Details of attendance polices are in each course syllabus

16. Pre-Clerkship Electives • Opportunities to enhance and enrich your education beyond the required curriculum • Grow professionally • Remind yourself why you went into medicine • Gain insight into potential specialties • Grow personally • Reflect on your experiences • Dig into the interpersonal and societal aspects of medicine

17. Pre-Clerkship Electives • Humanities • self-reflection, mindfulness, healthy cooking • narrative medicine, visual reflection • history of medicine • Clinical Experiences • addiction medicine • primary care medicine • specialty-specific electives • global medicine

18. Pre-Clerkship Electives • Optional • participation and attendance are expected once registered • Meeting times vary – check the elective description! • all are in the afternoon • most are on Fridays, will not conflict with scheduled activities • Electives scheduled for Tuesday, Wednesday, or Thursday afternoons may conflict with your Doctoring College day • do not sign up for a elective on your Doctoring College day! • these electives will be held on other days in future semesters

19. Textbooks • Mandatory and recommended references are included in the syllabus of each course • Library has reserve copies of all required texts as well as on-line access with limited user licenses

20. Textbooks List price (before discount): $226 Discount price (30% off): 158

21. Any Questions?