MedLaunch - College of Medicine and Life Sciences

Clinical


M3

University of Toledo College of Medicine Policies
  • Absence Policy
  • Grade Dispute
    • Communicate with the residents and attendings you are working with to determine which days are appropriate to be absent. Formal absence requests are reviewed by the clerkship director and will be honored or denied.
  • Professionalism
Objective Structured Clinical Examinations (OSCE)
  • OSCEs are standardized exams designed to evaluate your history taking skills, physical exam technique, differential diagnosis and medical work up relative to the pathology frequently encountered within the respective clerkship.
    • These will be conducted in the Hillebrand Skills Center. The structure is identical to the Step 2 Clinical Skills examination.
    • Information about the structure of Step 2 CS can be found in a useful video here
  • Each clerkship (with the exception of Neurology and electives) will require an OSCE as a component of your final grade.
  • Preparation for OSCEs
    • Review the common pathologies relative to each clerkship including presentation, differential diagnosis and necessary laboratory or imaging exams.
    • First Aid Step 2 CS also has example cases that may be helpful in preparing for OSCEs.
Area Health Education Centers (AHEC)
  • Through a network of 250 doctors UT College of Medicine students are provided office practice, ambulatory and hospital clinical experience throughout Northwest Ohio in predominantly rural areas.
  • All students are required to complete a minimum of 8 weeks at a designated AHEC center
  • For more information about the AHEC program and locations visit the AHEC website
CLERKSHIP GRADING POLICIES
  • All clerkships function on the same grading template. Each clerkship, however, has different thresholds for earning Honors and High Pass marks.
  • Grade Composition
    • Clinical evaluations are responsible for 50% of your final grade
      • Failure to achieve 25 points of the possible 50 will result in a grade of defer being submitted to the Registrar.
    • The NBME is responsible for 30% of your final grade
      • The NBME minimum score is different for each clerkship
    • The Departmental Educational Program is 20% of your final grade
      • Failure to achieve 10 points of the possible 20 will result in a grade of defer being submitted to the Registrar
  • The official UTCOM Policy on clerkship grading is located here.
Family Medicine
  • Course Coordinator: Lindsey Brillhart (lindsey.brillhart@utoledo.edu | 419.383.5557)
  • Clerkship Structure
    • 4 weeks. Orientation will be the first two days of the rotation.
      • An optional Knee Exam Workshop is held after orientation. This is not required, but should be required. It is highly beneficial for your education and success.
    • Didactic lectures will be held the 3rd Thursday of the rotation
    • A debriefing will be held prior to the NBME where your OSCE and project grades will be reviewed.
  • Department Educational Program
    • OSCE: Will be held the 3rd Thursday of the rotation after the morning didactics
    • Nutrition Project, Exercise Project and Geriatric Assessment. All of these are due the 3rd Thursday of the rotation
    • Family Medicine Cases online modules will be required
      • Blackboard Quiz: There is a required Blackboard quiz the Monday of the final week. This quiz will be based on the material contained in the Family Medicine Cases.
  • Resources
Internal Medicine
  • Course Coordinator: Dawn Jagodzinski (dawn.jagodzinski@utoledo.edu | 419.383.5022)
  • Clerkship Structure
    • 9 weeks. Three total 3-week rotations. Two of the rotations will be at an area hospital in services including but not limited to: Cardiology, Hospitalist, Nephrology and Pulmonology. You will be able to rank your preferences. The third rotation will be a local ambulatory service or Area Health Education Center (AHEC) rotation.
  • Department Educational Program
    • OSCE: 15 points of the 20 Department Educational Program points
    • 5 points for attendance at required conferences, online SIMPLE case completion, participation and case logging
  • Resources
Neurology
  • Course Coordinator: Teresa Behm (teresa.behm@utoledo.edu | 419.291.6590)
  • Clerkship Structure
    • 4 weeks. Orientation will be the first day of the rotation. Combination of inpatient (Neurology Primary, Neurology Consults, Stroke) and outpatient services.
    • Every day begins with an education conference on both inpatient and outpatient services
  • Department Educational Program
    • Team Based Learning Session: After completing preparatory materials, students participate in a Team Based Learning Session by taking Individual and Team Readiness Assurance Tests for 5 points each and 10% of the total grade.
    • Neurology Vignettes: After the NBME exam there will be two Neurology Vignettes. You will be given 30 minutes to read the cases and answer the clinically relevant questions. Each Vignette composes 5 points of your Department Educational Program grade.
  • Resources
    • The Department provides access to the American Academy of Neurology Online Self Assessment
      • This is a non-graded requirement of highly beneficial and informative practice questions. 
    • UWorld QBank Neurology questions
    • Recorded lectures, slides, videos and cases are on Blackboard NEUR701. Two video presentations on Aging and End of Life are required on Blackboard
Obstetrics and Gynecology
  • Course Coordinator: Denise Scarlato (denise.scarlato@utoledo.edu | 419.383.4536)
  • Clerkship Structure
    • 4 weeks. Inpatient and outpatient services.
  • Department Educational Program
    • OSCE
  • Resources
    • UWorld QBank OB/GYN questions
Pediatrics
  • Course Coordinator: Tyrone Layson (tyrone.layson@utoledo.edu | 419.291.0158)
  • Clerkship Structure
    • 4 weeks. Combination of both inpatient and outpatient services. 
  • Department Educational Program
    • OSCE.
    • Team Based Learning exercises.
  • Resources
Psychiatry
  • Course Coordinator: Jenelle Thurn (jenelle.thurn@utoledo.edu | 419.383.5694)
  • Clerkship Structure
    • 4 weeks. Combination of inpatient and outpatient services.
    • Orientation will be held the first two days of the rotation. The OSCE will be administered on Tuesday of the 3rd week.
  • Department Educational Program
    • Two quizzes will constitute 10 points (5 each).
    • The OSCE will constitute the remaining 10 points. The diagnostic criteria in the DSM-V for commonly encountered psychiatric conditions are critically important for success on the OSCE.
  • Resources
    • First Aid for Psychiatry is a sufficient stand alone resource for success on the NBME
    • UWorld QBank Psychiatry questions
Surgery
  • Course Coordinator: Claudia Davis (claudia.davis@utoledo.edu | 419.383.3580)
  • Clerkship Structure
    • 9 weeks. Three 3-week rotations between different surgical services including but not limited to: Cardiothoracic Surgery, General Surgery, Neurosurgery, Orthopedic Surgery, Plastic Surgery, Surgical Oncology, Trauma Surgery, Vascular Surgery and Urology. You will be able to rank your preferences.
  • Department Educational Program
    • Case Logs and Diagnostic Category Requirements
    • Attendance at required conferences such as Ethics and Professor Conferences.
    • Ethics Paper: You will be required to write a 1-2 page paper describing an ethical dilemma you encountered while on service. A template for the paper will be provided during orientation.
    • Green Skills Card: You will be required to perform patient care procedures and H&P under the direct supervision of a nurse, resident or attending. Take pictures of the card as you complete each task in case you lose it. Be proactive in completing these procedures. Be honest with the medical staff about your skill level.
    • Surgery Oral Exam: On the same day you complete the OSCE an Oral Exam will be administered covering a predefined set of topics. It is at the discretion of the attending administering the exam whether to go discuss all topics superficially or certain topics in depth.
  • Resources

M4

curriculum requirements
  • The 4th year curriculum is 40 weeks in duration. You are granted 8 weeks of Flex Time to use at your discretion in 2 week blocks. Of the remaining 32 weeks, 24 must be clinical electives as opposed to basic science or research. Within the 24 weeks at least 1 Acting Internship of 4 weeks duration must be completed at UTMC or Toledo Hospital. At least 12 of the 24 weeks must be completed at UTMC or affiliate hospitals. No more than 12 weeks may be completed within a single ACGME core discipline. Successful completion of the Capstone course is required.
  • An incredibly valuable resource for determining 4th year requirements and Graduation eligibility is the Degree Audit
    • MyUT → My Records → Run Degree Audit
  • The University of Toledo College of Medicine Policy regarding 4th year requirements is available here
Capstone
  • The Capstone course provides online learning modules and a supervised patient encounter to enhance preparation for residency. 
  • The Capstone course is only available in the Fall and Summer. It will occupy a 2 week block of time on your schedule.
  • Requirements 
    • Completion of online learning modules, completion of standardized patient encounter and attendance at one of several skills courses.
      • The patient encounter and skills course will not necessarily be during this 2 weeks. Skills sessions last approximately one half day and teach skills centered around the following clusters: Emergency Medicine, Internal Medicine, OB/GYN, Orthopaedics, Pediatrics, PM&R, Surgery and Ultrasound.
      • You have until the end of the semester to complete the online learning modules.
ELECTIVES
  • The ability to individually design your 4th year curriculum is a great strength of UTCOM. Information regarding 4th year electives is located here. You need to be aware that the 3rd year clerkship directors may or may not be responsible for scheduling 4th year electives. There also may, or may not, be prerequisite requirements such as email permission in order to register for 4th year electives.

honor societies

Gold humanism honor society (GHHS)
  • Induction into the Gold Humanism Honor Society is a multi-faceted process that begins with peer nominations. Students who are nominated are invited to complete a series of essays which will be read by active Gold Humanism Honor Society members, primarily students. A panel of physicians and administrators then utilize these reviews and other criteria to evaluate each students candidacy for induction

alpha omega alpha (AOA)
  • Candidacy for induction into Alpha Omega Alpha is initially determined by each students' Grade Point Average. Students who achieve a certain threshold are invited to complete a series of essays regarding the core values of Alpha Omega Alpha. These essays in combination with the GPA are used as criteria to determine candidacy for induction into AOA. More detailed information about induction into AOA can be found here

USMLE Step 2

USMLE step 2 ck
  • General Insight
    • This exam is increasing in importance every year. 
  • When to take Step 2 CK
    • Generally, students will take Step 2 CK the month after concluding M3 year. There are certain specialties, however, where scheduling away rotations early take priority over Step 2 CK.
  • Resources
    • Most Common: UWorld, First Aid for Step 2 CK, Master the Boards Step 2 CK, Step Up to Medicine, Step Up to Step 2 CK
    • Supplemental: Pharmacology Flash Cards, Firecracker, MedBullets, USMLERx, Kaplan
  • How to structure dedicated time
    • There are many different study plans that students use for dedicated time, you will have to determine which schedule works best for your needs and study style.
  • Number of practice tests to take.
    • Requires an individual assessment, but in general one at the beginning of dedicated time baseline score, one halfway through and one approximately one week prior to test day.
 
USMLE step 2 cs
  • General Format
    • The video found here is incredibly valuable for learning about the general structure and requirements of the exam.
  • When to take Step 2 CS
    • Personal preference as long as the score report will be available at the time of rank list submission. Some students take Step 2 CS during Step 2 CK dedicated study time, but this is not expected or required.
    • Sign up for Step 2 CS as early as possible. Available dates for the Chicago location fill rapidly.
  • Resources
    • First Aid for Step 2 Clinical Skills. This resource alone is sufficient. The information regarding the structure of the exam and the mini-cases are especially beneficial.
    • Practice. If you have not, or have, taken an OSCE recently it is advisable to meet with other students and practice physical exam techniques and note writing in the same format as the Step 2 CS exam.
  • Time required to study
    • This requires honest self-reflection of your OSCE experience and comfort level. Most students will take 1-3 days prior to the exam to prepare.
 

 

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Last Updated: 2/12/20