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STAYING ON COURSE Clinical Clerkship Survival Guide Class of 2014
Transcript

STAYING ON COURSE

Clinical Clerkship Survival Guide

Class of 2014

BASE HOSPITAL CONTACT LIST

BASE HOSPITAL MEDICAL EDUCATION COORDINATOR CONTACTS

Botsford (248) 471-8224 Karen Wilk [email protected]

Community Health (517) 279-5462 Shelby Arey [email protected]

Detroit Medical Center Sinai-Grace Hospital (313) 966-3053

Sonya Williams [email protected]

DMC Huron Valley-Sinai (248) 937-5085 Tracy Kotwicki [email protected]

Garden City (734) 458-4486 Susan Patterson [email protected]

Genesys Regional (810) 606-7124 Kathy Johnson [email protected]

Henry Ford Macomb (586) 263-2976 Dawn Moceri [email protected]

Henry Ford Wyandotte (734) 324-3781 Eileen Flandorfer [email protected]

Lakeland HealthCare (269) 982-4941 Michele Borre [email protected]

McLaren Bay Region (989) 894-3950

Annie Moya [email protected]

McLaren Greater Lansing (517) 975-7886 Gary Riley [email protected]

McLaren Macomb (586) 493-8141

Peggy Bommarito [email protected]

McLaren Oakland (248) 338-5392 Laura Paul [email protected]

Mercy Health Partners (231) 727-5250 Heidi Greene [email protected]

Metro Health (616) 252-7078 Julie Didion [email protected]

MSU/Kalamazoo Center (269) 337-6355 Marsha Wallace [email protected]

Munson Medical Center (231) 392-8221 Nicki Brown [email protected]

Oakwood Southshore (734) 671-3297 Gina Hoover [email protected]

Sparrow Hospital (517) 364-5890 Karlene Torres [email protected]

St. John Macomb (586) 576-4140 x1 Erin Holt [email protected]

St. John Oakland (586) 576-4146 Erin Holt [email protected]

St. John Providence (248) 849-3931

S. Michelle Brown [email protected]

St. Joseph Mercy Oakland (248) 858-3235 Deneen McCall [email protected]

PROGRAM REQUIREMENTS

CORE ROTATIONS

Core = 50 weeks of specific rotations

♦ Core Rotations cannot be changed ♦

SELECTIVE AND ELECTIVE ROTATIONS

Students must schedule, complete and pass 34 weeks:

12 weeks from the Medicine choice list

8 weeks from the Surgery choice list

14 additional weeks from Medicine and/or Surgery list

NOTE: you may NOT take more than 12 weeks of any one service (does not include PCAC or CORE rotations)

Ambulatory Care (PCAC) (OST 602)

Includes specialty and choice rotations 24 weeks

Surgery (OSS 653) 4 weeks

Obstetrics/Gynecology (OSS 651) 4 weeks

Anesthesiology (OSS 654) 2 weeks

Emergency Medicine (IM 657) 4 weeks

Internal Medicine 2 (4 wk) (IM 650) 8 weeks

Psychiatry (PCS 608) 4 weeks

OPP *(Summer 2012) (OMM 602) (watch for email from Rick Hallgren)*

On Line

Selective Rotations 14 Weeks

SELECTIVE – to be completed at any MSUCOM base hospital, post-graduate training facility and/or MSUCOM faculty member.

Application and approval required

Elective Rotations 20 Weeks

ELECTIVE – to be completed at the hospital/clinic of choice.

Application and approval required.

Note: applications for electives in a non-base hospital could take 6-10 weeks to process (so plan ahead)

1 14

CLERKSHIP RESOURCE LIST

NAME RESPONSIBILITIES ADDRESS & PHONE

SCOTT, Anita and SPRAGG, Lynn

SCHEDULE CHANGES

APPLICATIONS

ENROLLMENT

EVALUATIONS

GRADES (except PCAC)

VSAS

PH: (517) 884-0323 [email protected] PH: (517) 355-5192 [email protected]

C110 East Fee Hall FX: (517) 432-1976

An, Lydia

PCAC (including grades)

CORE

ANGEL

ENCORE

PH: (517) 432-5425 [email protected] A329 East Fee Hall FX: (517) 353-9931

GILBERT, Evita

COMAT/SHELF EXAMS

PE SIMULATION

PH: (517) 432-5423 [email protected] A331 East Fee Hall FX: (517) 353-9931

SPRAGG, Lynn

IMMUNIZATIONS

COMPLIANCES (HIPAA, BBP,

BLS/ACLS, Drug Screen, Background, Fingerprinting)

NAME CHANGES

PH: (517) 355-5192 [email protected] C110 East Fee Hall FX: (517) 432-1976

COUREY, Beth

Graduation events/ceremony

ERAS (Electronic Residency

Application Service)

Token

Letters of Recommendation

Photo

Dean’s Letter (MSPE)

PH: (517) 355-4608 [email protected] C108 East Fee Hall FX: (517) 432-1976

HASTINGS, Robin

TRANSCRIPT

COMLEX and USMLE

GRADUATION REQUIREMENTS

MATCH

RESIDENCY/LICENSURE

PH: (517) 353-7741 [email protected] C110 East Fee Hal FX: (517) 432-1976

FALLS, William

Associate Dean/Student Services

PH: (517) 355-5189 [email protected] C103 East Fee Hall FX: (517) 432-1976

RIEGLE, Gail

Associate Dean/Academic Programs

PH: (517) 353-4735 [email protected] A329 East Fee Hall FX: (517) 353-9931

CORE ROTATION INFORMATION

Core rotations are directed toward the student developing clinical competence (knowledge, procedures/skills, clinical problem-solving, and professional attitudes and behaviors) in the diagnosis and management of fundamental medical problems associated with the particular medical discipline.

All core rotations have a protocol and an ANGEL course.

All six PCAC rotations have an ANGEL group.

Rotation protocols can be found in your class ANGEL group. Information on specific rotation requirements (shift requirements, exams, logs, etc.) can be found in the rotation protocol. Be sure to familiarize yourself with these rotation requirements!

A student will have access to the rotation ANGEL course at the

ENCORE ONLINE PATIENT ENCOUNTER SYSTEM

All core rotations—except psychiatry and emergency medicine—utilize this online patient encounter logging system.

The ENCORE website is http://encore2.com.msu.edu

Students will use their Echt account username and password to access this online system. Your log-in is the same as what you use to access the computers in the resource center at your preclerkship site.

Be certain to visit your site’s resource center to make sure your Echt account is functional before leaving your site.

Each core rotation ANGEL course contains an ENCORE folder. Please review the contents of this folder prior to the start of each rotation.

Please read the ENCORE protocol found in your class ANGEL group as well as in your core rotation ANGEL course so you are familiar with your rotation logging requirements and expectations.

Trouble with logging into ENCORE?

Call HIT at 517-355-6531

2 13

HIGHLIGHTS FROM STUDENT TIMELINE

Full timeline can be found: http://www.com.msu.edu/ss/YearlyGuide.html

or by logging into the MSUCOM Clerkship ANGEL Group

January 2013

Complete Authorization of Release of Information and Extracurricular Activity Form and submit to Dr. Falls’ office for the ERAS process.

Begin collecting letters of recommendation for ERAS

April 2013 Review ERAS Application Process

June 2013

Register early, take and pass COMLEX Level 1, 2 CE and PE to graduate

Seek selective/elective rotations at hospitals where you may want to do a residency

If interested, apply for an international health rotation

Register with ERAS and on July 1, begin transmitting information to Osteopathic Residency Programs

Provide needed documents and letters of recommendation to the Office of Student Services’ staff for transmission to ERAS

July 2013 Collect/hold letters of recommendation for the ERAS

process

August 2013

Complete the OPP online

Begin transmitting ERAS applications on September 1 to allopathic residency programs

Prepare for residency interviews

January through March 2014

Deadline to apply for graduation—January 2014

Submit rank order list for osteopathic residency match

Be alert to communication from the National Matching Service (NMS) about the osteopathic match

Be prepared for possibility of the osteopathic scramble if you do not match (NOTE: The allopathic match and scramble is approximately one month after the osteopathic match and scramble)

Return family hooder and guest RSVPs to the Office of Student Services for graduation banquet and commencement ceremony

April 2014 Confirm that all ETs are cleared from your schedule

Confirm that all Clerkship requirements are met

PCAC SPECIALTY/CHOICE LIST

All students complete a PCAC Specialty and Choice experience during their 6-month Primary Care Ambulatory Clerkship. The choice and specialty rotation can not be from the same category. For a specific rotation to qualify:

It must be approximately 40% ambulatory in nature (four half-days per week in an office or other outpatient setting). Rotations in Radiology and Emergency Medicine are not allowed.

Your Specialty rotation must be completed using resources available through your base hospital.

Your Choice rotation may be completed using resources available through any base hospital; however, the student must return to his/her assigned base hospital for all scheduled didactic sessions.

The following list provides examples of rotations that would meet these requirements, but it is not inclusive. Students should check with their PCAC Coordinator concerning rotation availability.

Subspecialty Surgery General Surgery Gynecological Surgery Ophthalmology Orthopedics Otolaryngology Pain Clinic Plastic Surgery Urology Vascular Surgery

Subspecialty Medicine Allergy/Immunology Cardiology Dermatology Endocrinology Family Medicine Gastroenterology General Medicine Geriatrics Hematology Home Care Hospice Care Infectious Disease Manual Medicine Med-Peds Migrant Health Naturopathy/Alternative Medicine Medicine Nephrology Neurology Nutrition Occupational Medicine Oncology Physical Medicine & Rehabilitation Preventative Medicine Psychiatry Pulmonology Rheumatology Sports Medicine Substance Abuse Urgent Care

Subspecialty OB/GYN Ambulatory Gynecology Family Planning Maternal/Fetal Medicine Midwifery Service Obstetrics Reproductive Endocrinology

Subspecialty Pediatrics Adolescent Medicine Allergy/Immunology Cardiology Child Psychiatry Dermatology Endocrinology Gastroenterology General Pediatrics Hematology Med-Peds Nephrology Neurology Pulmonary Medicine Rheumatology

3 12

SELECTIVE / ELECTIVE CHOICE LIST

14 weeks of selective and 20 weeks of elective

Medicine (12 weeks minimum)

Surgery (8 weeks minimum)

Addiction Medicine

Allergy / Immunology Cardiology Critical Care Medicine

Dermatology

Diagnostic Radiology

Emergency Medicine

Endocrinology

Family Medicine Gastroenterology

Geriatrics Hematology / Oncology

House Nights

Intensive Care Unit

Internal Medicine (not core)

ICU, Critical Care

ICU, Medical

ICU, Pediatrics

ICU, Pulmonary

Infectious Disease

Medicine

Nephrology Neurology Neuromusculoskeletal Medicine (OMM)

Occupational Health & Medicine Pathology Pediatrics Pediatric Endocrine Pediatric Hematology / Oncology Pediatrics Intensive Care Unit Pediatric Pulmonary Pediatrics / Neonatology Physical Medicine & Rehabilitation Psychiatry

Pulmonary Medicine

Research (medicine emphasis)

Rheumatology

Sports Medicine

Urgent Care

Anesthesiology (not core)

Cardiovascular Surgery

Colon / Rectal Surgery

General Surgery (not core)

Gynecologic Oncology

Gynecology Surgery

ICU, Surgical

Maternal Fetal Medicine

Neurological Surgery

Obstetrics

Obstetrics & Gynecology (not core)

Ophthalmology

Orthopedic Hand Surgery

Orthopedic Surgery

Otolaryngology

Otolaryngology Facial & Plastic Surgery

Otorhinolaryngology

Plastic Surgery

Podiatry

Research (surgery emphasis)

Sports Medicine

Thoracic Cardiovascular Surgery

Trauma Surgery

Urological Surgery Vascular Surgery

Pain Management is enrolled under anesthesiology and cannot be used as part of the 8 week minimum for surgery.

Sports Medicine is enrolled based on the Training Physician’s Board Certification.

Reminder:

30-day advanced application

approval required

Maximum of 3 rotation changes

per semester allowed

Maximum of 4 two-week elective

and 1 two-week selective rotations allowed

COMLEX

Deadline for taking and pass score received for COMLEX Level 1 exam—January 1, 2013

Students who do not pass by this date will be pulled from the clerk-ship program and placed on a College leave of absence.

Prepare to pass COMLEX Level 2CE—by August 2013

Prepare to pass COMLEX Level 2PE—by January 2014

Check with the hospital’s Medical Education Office and course pro-tocol before scheduling a COMLEX exam or any residency inter-views during a scheduled rotation.

Seek permission for time off from both the rotation’s Clinical Super-visor and Director of Medical Education, by completing the on-line excused absence form. If seeking permission for more than 2.5 days off, you are also required to seek permission from the Office of Student Services, by completing the on-line excused absence form.

REMEMBER...

For problems that arise in your base hospital regarding in-house matters, work with the Director of Medical Education to achieve resolution.

Ask for program requirements/process advice from the appropriate clerkship team individual (see clerkship resource list) - do not seek clarity from classmates or hospital personnel—be aware that grace will not be granted for receiving wrong advice.

You will be pulled from your rotation if non-compliant for any reason

Contact the Office of Student Services when:

You have questions or are not sure who to contact

Your schedule needs to be changed

You are included in a hospital incident of any kind

You change your name and/or address

You want to verify degree requirements

4 11

TWO-WEEK ROTATION OPTIONS

Allowed Two-week rotations in the following services are allowed.

Considered Two-week rotations in the following services will be considered with

permission from both Hospital and College.

Not Allowed The following services require a four-week rotation.

Allergy/Immunization

Anesthesiology

Cardiovascular Surgery

ENT

Laboratory Medicine

Neurosurgery

Ophthalmology

Plastic Surgery

Podiatry

Radiology

Care Units

Dermatology

Manual Medicine

Nephrology

Occupational Medicine

Oncology

Pathology

Pediatric Subspecialties

Preventative Medicine

Rehabilitation

Rheumatology

Sports Medicine

Substance Abuse

Thoracic Surgery

Trauma Surgery

Urology

Vascular Surgery

Cardiology

Emergency Medicine

Endocrinology

Family Medicine

Gastroenterology

General Medicine (e.g., Inter-nal Medicine)

General Surgery

Geriatrics

Gynecology

Hematology

Infectious Disease

Neurology

Obstetrics

Orthopedics

Pediatrics

Psychiatry

Pulmonary

Reminder:

Maximum of 1 two-week selective and 4 two-week elective rotations allowed

Application approval required for each rotation

Maximum of 12 weeks of any one specialty allowed (does not include PCAC or CORE)

SAMPLE EVALUATION

Student must fill in all information at the top of the evaluations (dates, services, attending name, etc.). Rotation dates that do not match university enrollment will not be logged as received or credit given until dates are verified.

There are three parts to each attending evaluation form.

Part I: Rotation information to be completed by student.

Part II: Rating information to be completed by attending physician.

Part III: Signatures.

Students may NOT deliver evaluations to Clerkship Office.

5 10

1 2 3 4 5

If you receive below average scores in 2 or more categories (rankings of unsatisfactory or 3 and below) on any individual evaluation or any comments of unprofessional behavior, evaluation will be sent to the Department Chair for review.

EVALUATIONS SURVIVAL POINTS FOR CLERKSHIP REQUIREMENTS

(APPLIES TO ALL ROTATIONS) Students assume a major role in the clinical clerkship evaluation. The Clinical Supervisor’s evaluation of student mastery of rotation objectives is an essential component of the student’s clerkship performance. Timely completion of evaluations at the conclusion of each rotation is considered professional conduct and contributes significantly to program improvements. All rotations require the completion of both a student and a clinical supervisor evaluation. Forms can be accessed by logging into the Clerkship ANGEL Group at http://angel.msu.edu. STUDENT EVALUATION OF ROTATION, PHYSICIAN AND HOSPITAL

Students will submit their rotation evaluations electronically at the conclusion of every rotation by accessing their online schedule.

CLINICAL SUPERVISOR’S EVALUATION OF STUDENT

Students are responsible for assuring that his/her clinical supervisor receives the appropriate evaluation form. Forms can be found in the clerkship ANGEL group or in the rotation ANGEL course.

Students should assertively seek feedback on his/her performance throughout the course of the clinical rotation.

Students should sit down and discuss the formal evaluation with the clinical supervisor.

Student, clinical supervisor, and DME from rotation hospital are required to sign the evaluation form.

Students should keep a copy of the evaluation and leave the original with the Medical Education Office at the clinical training site where that office will review, sign, and forward the completed form to the Office of Student Services.

Grades are held until all rotation requirements, including evaluation forms are received. Be sure you are using the correct form.

Evaluations will not be accepted by the Office of Student Services if submitted by the student. Any evidence of tampering or modification while in the possession of the student will be considered “unprofessional behavior” resulting in an “N” grade and review by the Committee on Student Evaluation (COSE) and/or the College Hearing Committee.

Contact appropriate clerkship staff when you have questions

Read all protocols (general student and course)

Understand all rotation requirements (logs, exams, evaluations, deadlines, etc.)

Attend all orientation sessions (College and Hospital)

Check your on-line schedule often—it is your responsibility to ensure that your schedule matches your university enrollment

Be pro-active—no one will be holding your hand

You cannot change CORE rotations

30-day advance application approval required (applies to a rotation add, change or cancel)

You must notify the hospital’s DME office (verbally or in writing) if cancelling an elective/selective rotation

Three maximum (selective/elective) rotation changes per semester allowed

4 two-week elective and 1 two-week selective rotation maximums allowed

Seek advanced permission (for any reason) to be absent from a rotation by completing the on-line excused absence form

Time off for board prep is allowed only during out-time and must be scheduled as vacation

You will be pulled from your rotation if you are not compliant for any reason (e.g. immunizations, ACLS, BBP, etc.)

The Clerkship Program is a full-time commitment. Non-clerkship activities (e.g., residency interviews, COMLEX exams, vacation, graduate assistantships, teaching, volunteer activities, employment, class activity, etc.) may not supersede or conflict with your clinical duties and academic assignments.

6 9

APPLICATIONS APPLICATION DEFINITIONS

REQUIREMENTS FOR CLERKSHIP APPLICATIONS

(APPLIES TO PCAC SPECIALITY/CHOICE AND ALL SELECTIVE/ELECTIVE ROTATIONS)

All selective/elective rotations require students to complete an application. Forms can be accessed by logging into www.angel.msu.edu and following each application’s specific direction. Base Hospital and PCAC Specialty/Choice

Requests are made electronically by accessing your online schedule

Approvals are processed using web-based electronic email between hospital and Office of Student Services

Confirmation of rotation found by accessing your online schedule Non-Base Hospital

Requests are made by printing web application, completed with all required signatures, and submitted to the Office of Student Services for processing and approvals.

Allow 6-10 weeks for processing and approvals

The Clinical Training Site may require their own application

Confirmation of rotation found by accessing your online schedule. VSAS

Requests are made through the Visiting Student Application Service at www.aamc.org

International

Requests are made by printing web application, completed with all required signatures and submitted to the Office of Student Services

Allow 2-4 weeks for processing and approvals

Confirmation of rotation found by accessing your online schedule Research

Requests and approvals are made following instructions as outlined under “REQUEST FOR RESEARCH CREDITS DURING CLERKSHIP”

Clinical Enrichment Experience

Requests are made by printing web application, completed with all required signatures, and submitted to the Office of Student Services

Base Hospital application is used for rotating in any base hospital.

PCAC Specialty rotation must be completed in the student’s base hospital

PCAC Choice rotation may be completed at any base hospital, however, student is required to return to their assigned base hospital for all didactic sessions

Non-Base Hospital application is used for rotating at any clinic/hospital not listed on the Base Hospital Contact List.

May require an affiliation agreement

International application is used for rotating in another country with or without MSUCOM faculty.

Research application is used for an approved research project.

Clinical Enrichment application is used for participating in a clinical setting without enrollment but while enrolled in another service. Participation would take place evenings and/or weekends.

30-day advance application approval required (applies to an add, change or cancellation of a rotation)

An application is required for every selective/elective & PCAC choice/specialty rotation/experience

A student cannot start a rotation without submitting the proper application, receiving approvals, and enrollment completed prior to the first day of the rotation.

Be advised not adhering to this could result in approaching your graduation date with unfulfilled graduation requirements which will prevent graduating on time and could impact your postgraduate training start date.

You must notify the hospital’s DME office (verbally or in writing) if cancelling an elective/selective rotation with their hospital

3 maximum selective/elective rotation changes per semester allowed

A maximum of 4 two-week elective and 1 two-week selective rotations allowed.

An Affiliation Agreement, if required, may take 6 to 10 weeks for processing and approval. It is your responsibility to know if one is required, so plan ahead...

Schedule all out-time rotations early to avoid not receiving financial aid because you are not enrolled (aid is released one week before first enrolled rotation of the semester)

7 8

APPLICATIONS APPLICATION DEFINITIONS

REQUIREMENTS FOR CLERKSHIP APPLICATIONS

(APPLIES TO PCAC SPECIALITY/CHOICE AND ALL SELECTIVE/ELECTIVE ROTATIONS)

All selective/elective rotations require students to complete an application. Forms can be accessed by logging into www.angel.msu.edu and following each application’s specific direction. Base Hospital and PCAC Specialty/Choice

Requests are made electronically by accessing your online schedule

Approvals are processed using web-based electronic email between hospital and Office of Student Services

Confirmation of rotation found by accessing your online schedule Non-Base Hospital

Requests are made by printing web application, completed with all required signatures, and submitted to the Office of Student Services for processing and approvals.

Allow 6-10 weeks for processing and approvals

The Clinical Training Site may require their own application

Confirmation of rotation found by accessing your online schedule. VSAS

Requests are made through the Visiting Student Application Service at www.aamc.org

International

Requests are made by printing web application, completed with all required signatures and submitted to the Office of Student Services

Allow 2-4 weeks for processing and approvals

Confirmation of rotation found by accessing your online schedule Research

Requests and approvals are made following instructions as outlined under “REQUEST FOR RESEARCH CREDITS DURING CLERKSHIP”

Clinical Enrichment Experience

Requests are made by printing web application, completed with all required signatures, and submitted to the Office of Student Services

Base Hospital application is used for rotating in any base hospital.

PCAC Specialty rotation must be completed in the student’s base hospital

PCAC Choice rotation may be completed at any base hospital, however, student is required to return to their assigned base hospital for all didactic sessions

Non-Base Hospital application is used for rotating at any clinic/hospital not listed on the Base Hospital Contact List.

May require an affiliation agreement

International application is used for rotating in another country with or without MSUCOM faculty.

Research application is used for an approved research project.

Clinical Enrichment application is used for participating in a clinical setting without enrollment but while enrolled in another service. Participation would take place evenings and/or weekends.

30-day advance application approval required (applies to an add, change or cancellation of a rotation)

An application is required for every selective/elective & PCAC choice/specialty rotation/experience

A student cannot start a rotation without submitting the proper application, receiving approvals, and enrollment completed prior to the first day of the rotation.

Be advised not adhering to this could result in approaching your graduation date with unfulfilled graduation requirements which will prevent graduating on time and could impact your postgraduate training start date.

You must notify the hospital’s DME office (verbally or in writing) if cancelling an elective/selective rotation with their hospital

3 maximum selective/elective rotation changes per semester allowed

A maximum of 4 two-week elective and 1 two-week selective rotations allowed.

An Affiliation Agreement, if required, may take 6 to 10 weeks for processing and approval. It is your responsibility to know if one is required, so plan ahead...

Schedule all out-time rotations early to avoid not receiving financial aid because you are not enrolled (aid is released one week before first enrolled rotation of the semester)

7 8

EVALUATIONS SURVIVAL POINTS FOR CLERKSHIP REQUIREMENTS

(APPLIES TO ALL ROTATIONS) Students assume a major role in the clinical clerkship evaluation. The Clinical Supervisor’s evaluation of student mastery of rotation objectives is an essential component of the student’s clerkship performance. Timely completion of evaluations at the conclusion of each rotation is considered professional conduct and contributes significantly to program improvements. All rotations require the completion of both a student and a clinical supervisor evaluation. Forms can be accessed by logging into the Clerkship ANGEL Group at http://angel.msu.edu. STUDENT EVALUATION OF ROTATION, PHYSICIAN AND HOSPITAL

Students will submit their rotation evaluations electronically at the conclusion of every rotation by accessing their online schedule.

CLINICAL SUPERVISOR’S EVALUATION OF STUDENT

Students are responsible for assuring that his/her clinical supervisor receives the appropriate evaluation form. Forms can be found in the clerkship ANGEL group or in the rotation ANGEL course.

Students should assertively seek feedback on his/her performance throughout the course of the clinical rotation.

Students should sit down and discuss the formal evaluation with the clinical supervisor.

Student, clinical supervisor, and DME from rotation hospital are required to sign the evaluation form.

Students should keep a copy of the evaluation and leave the original with the Medical Education Office at the clinical training site where that office will review, sign, and forward the completed form to the Office of Student Services.

Grades are held until all rotation requirements, including evaluation forms are received. Be sure you are using the correct form.

Evaluations will not be accepted by the Office of Student Services if submitted by the student. Any evidence of tampering or modification while in the possession of the student will be considered “unprofessional behavior” resulting in an “N” grade and review by the Committee on Student Evaluation (COSE) and/or the College Hearing Committee.

Contact appropriate clerkship staff when you have questions

Read all protocols (general student and course)

Understand all rotation requirements (logs, exams, evaluations, deadlines, etc.)

Attend all orientation sessions (College and Hospital)

Check your on-line schedule often—it is your responsibility to ensure that your schedule matches your university enrollment

Be pro-active—no one will be holding your hand

You cannot change CORE rotations

30-day advance application approval required (applies to a rotation add, change or cancel)

You must notify the hospital’s DME office (verbally or in writing) if cancelling an elective/selective rotation

Three maximum (selective/elective) rotation changes per semester allowed

4 two-week elective and 1 two-week selective rotation maximums allowed

Seek advanced permission (for any reason) to be absent from a rotation by completing the on-line excused absence form

Time off for board prep is allowed only during out-time and must be scheduled as vacation

You will be pulled from your rotation if you are not compliant for any reason (e.g. immunizations, ACLS, BBP, etc.)

The Clerkship Program is a full-time commitment. Non-clerkship activities (e.g., residency interviews, COMLEX exams, vacation, graduate assistantships, teaching, volunteer activities, employment, class activity, etc.) may not supersede or conflict with your clinical duties and academic assignments.

6 9

TWO-WEEK ROTATION OPTIONS

Allowed Two-week rotations in the following services are allowed.

Considered Two-week rotations in the following services will be considered with

permission from both Hospital and College.

Not Allowed The following services require a four-week rotation.

Allergy/Immunization

Anesthesiology

Cardiovascular Surgery

ENT

Laboratory Medicine

Neurosurgery

Ophthalmology

Plastic Surgery

Podiatry

Radiology

Care Units

Dermatology

Manual Medicine

Nephrology

Occupational Medicine

Oncology

Pathology

Pediatric Subspecialties

Preventative Medicine

Rehabilitation

Rheumatology

Sports Medicine

Substance Abuse

Thoracic Surgery

Trauma Surgery

Urology

Vascular Surgery

Cardiology

Emergency Medicine

Endocrinology

Family Medicine

Gastroenterology

General Medicine (e.g., Inter-nal Medicine)

General Surgery

Geriatrics

Gynecology

Hematology

Infectious Disease

Neurology

Obstetrics

Orthopedics

Pediatrics

Psychiatry

Pulmonary

Reminder:

Maximum of 1 two-week selective and 4 two-week elective rotations allowed

Application approval required for each rotation

Maximum of 12 weeks of any one specialty allowed (does not include PCAC or CORE)

SAMPLE EVALUATION

Student must fill in all information at the top of the evaluations (dates, services, attending name, etc.). Rotation dates that do not match university enrollment will not be logged as received or credit given until dates are verified.

There are three parts to each attending evaluation form.

Part I: Rotation information to be completed by student.

Part II: Rating information to be completed by attending physician.

Part III: Signatures.

Students may NOT deliver evaluations to Clerkship Office.

5 10

1 2 3 4 5

If you receive below average scores in 2 or more categories (rankings of unsatisfactory or 3 and below) on any individual evaluation or any comments of unprofessional behavior, evaluation will be sent to the Department Chair for review.

SELECTIVE / ELECTIVE CHOICE LIST

14 weeks of selective and 20 weeks of elective

Medicine (12 weeks minimum)

Surgery (8 weeks minimum)

Addiction Medicine

Allergy / Immunology Cardiology Critical Care Medicine

Dermatology

Diagnostic Radiology

Emergency Medicine

Endocrinology

Family Medicine Gastroenterology

Geriatrics Hematology / Oncology

House Nights

Intensive Care Unit

Internal Medicine (not core)

ICU, Critical Care

ICU, Medical

ICU, Pediatrics

ICU, Pulmonary

Infectious Disease

Medicine

Nephrology Neurology Neuromusculoskeletal Medicine (OMM)

Occupational Health & Medicine Pathology Pediatrics Pediatric Endocrine Pediatric Hematology / Oncology Pediatrics Intensive Care Unit Pediatric Pulmonary Pediatrics / Neonatology Physical Medicine & Rehabilitation Psychiatry

Pulmonary Medicine

Research (medicine emphasis)

Rheumatology

Sports Medicine

Urgent Care

Anesthesiology (not core)

Cardiovascular Surgery

Colon / Rectal Surgery

General Surgery (not core)

Gynecologic Oncology

Gynecology Surgery

ICU, Surgical

Maternal Fetal Medicine

Neurological Surgery

Obstetrics

Obstetrics & Gynecology (not core)

Ophthalmology

Orthopedic Hand Surgery

Orthopedic Surgery

Otolaryngology

Otolaryngology Facial & Plastic Surgery

Otorhinolaryngology

Plastic Surgery

Podiatry

Research (surgery emphasis)

Sports Medicine

Thoracic Cardiovascular Surgery

Trauma Surgery

Urological Surgery Vascular Surgery

Pain Management is enrolled under anesthesiology and cannot be used as part of the 8 week minimum for surgery.

Sports Medicine is enrolled based on the Training Physician’s Board Certification.

Reminder:

30-day advanced application

approval required

Maximum of 3 rotation changes

per semester allowed

Maximum of 4 two-week elective

and 1 two-week selective rotations allowed

COMLEX

Deadline for taking and pass score received for COMLEX Level 1 exam—January 1, 2013

Students who do not pass by this date will be pulled from the clerk-ship program and placed on a College leave of absence.

Prepare to pass COMLEX Level 2CE—by August 2013

Prepare to pass COMLEX Level 2PE—by January 2014

Check with the hospital’s Medical Education Office and course pro-tocol before scheduling a COMLEX exam or any residency inter-views during a scheduled rotation.

Seek permission for time off from both the rotation’s Clinical Super-visor and Director of Medical Education, by completing the on-line excused absence form. If seeking permission for more than 2.5 days off, you are also required to seek permission from the Office of Student Services, by completing the on-line excused absence form.

REMEMBER...

For problems that arise in your base hospital regarding in-house matters, work with the Director of Medical Education to achieve resolution.

Ask for program requirements/process advice from the appropriate clerkship team individual (see clerkship resource list) - do not seek clarity from classmates or hospital personnel—be aware that grace will not be granted for receiving wrong advice.

You will be pulled from your rotation if non-compliant for any reason

Contact the Office of Student Services when:

You have questions or are not sure who to contact

Your schedule needs to be changed

You are included in a hospital incident of any kind

You change your name and/or address

You want to verify degree requirements

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HIGHLIGHTS FROM STUDENT TIMELINE

Full timeline can be found: http://www.com.msu.edu/ss/YearlyGuide.html

or by logging into the MSUCOM Clerkship ANGEL Group

January 2013

Complete Authorization of Release of Information and Extracurricular Activity Form and submit to Dr. Falls’ office for the ERAS process.

Begin collecting letters of recommendation for ERAS

April 2013 Review ERAS Application Process

June 2013

Register early, take and pass COMLEX Level 1, 2 CE and PE to graduate

Seek selective/elective rotations at hospitals where you may want to do a residency

If interested, apply for an international health rotation

Register with ERAS and on July 1, begin transmitting information to Osteopathic Residency Programs

Provide needed documents and letters of recommendation to the Office of Student Services’ staff for transmission to ERAS

July 2013 Collect/hold letters of recommendation for the ERAS

process

August 2013

Complete the OPP online

Begin transmitting ERAS applications on September 1 to allopathic residency programs

Prepare for residency interviews

January through March 2014

Deadline to apply for graduation—January 2014

Submit rank order list for osteopathic residency match

Be alert to communication from the National Matching Service (NMS) about the osteopathic match

Be prepared for possibility of the osteopathic scramble if you do not match (NOTE: The allopathic match and scramble is approximately one month after the osteopathic match and scramble)

Return family hooder and guest RSVPs to the Office of Student Services for graduation banquet and commencement ceremony

April 2014 Confirm that all ETs are cleared from your schedule

Confirm that all Clerkship requirements are met

PCAC SPECIALTY/CHOICE LIST

All students complete a PCAC Specialty and Choice experience during their 6-month Primary Care Ambulatory Clerkship. The choice and specialty rotation can not be from the same category. For a specific rotation to qualify:

It must be approximately 40% ambulatory in nature (four half-days per week in an office or other outpatient setting). Rotations in Radiology and Emergency Medicine are not allowed.

Your Specialty rotation must be completed using resources available through your base hospital.

Your Choice rotation may be completed using resources available through any base hospital; however, the student must return to his/her assigned base hospital for all scheduled didactic sessions.

The following list provides examples of rotations that would meet these requirements, but it is not inclusive. Students should check with their PCAC Coordinator concerning rotation availability.

Subspecialty Surgery General Surgery Gynecological Surgery Ophthalmology Orthopedics Otolaryngology Pain Clinic Plastic Surgery Urology Vascular Surgery

Subspecialty Medicine Allergy/Immunology Cardiology Dermatology Endocrinology Family Medicine Gastroenterology General Medicine Geriatrics Hematology Home Care Hospice Care Infectious Disease Manual Medicine Med-Peds Migrant Health Naturopathy/Alternative Medicine Medicine Nephrology Neurology Nutrition Occupational Medicine Oncology Physical Medicine & Rehabilitation Preventative Medicine Psychiatry Pulmonology Rheumatology Sports Medicine Substance Abuse Urgent Care

Subspecialty OB/GYN Ambulatory Gynecology Family Planning Maternal/Fetal Medicine Midwifery Service Obstetrics Reproductive Endocrinology

Subspecialty Pediatrics Adolescent Medicine Allergy/Immunology Cardiology Child Psychiatry Dermatology Endocrinology Gastroenterology General Pediatrics Hematology Med-Peds Nephrology Neurology Pulmonary Medicine Rheumatology

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CLERKSHIP RESOURCE LIST

NAME RESPONSIBILITIES ADDRESS & PHONE

SCOTT, Anita and SPRAGG, Lynn

SCHEDULE CHANGES

APPLICATIONS

ENROLLMENT

EVALUATIONS

GRADES (except PCAC)

VSAS

PH: (517) 884-0323 [email protected] PH: (517) 355-5192 [email protected]

C110 East Fee Hall FX: (517) 432-1976

An, Lydia

PCAC (including grades)

CORE

ANGEL

ENCORE

PH: (517) 432-5425 [email protected] A329 East Fee Hall FX: (517) 353-9931

GILBERT, Evita

COMAT/SHELF EXAMS

PE SIMULATION

PH: (517) 432-5423 [email protected] A331 East Fee Hall FX: (517) 353-9931

SPRAGG, Lynn

IMMUNIZATIONS

COMPLIANCES (HIPAA, BBP,

BLS/ACLS, Drug Screen, Background, Fingerprinting)

NAME CHANGES

PH: (517) 355-5192 [email protected] C110 East Fee Hall FX: (517) 432-1976

COUREY, Beth

Graduation events/ceremony

ERAS (Electronic Residency

Application Service)

Token

Letters of Recommendation

Photo

Dean’s Letter (MSPE)

PH: (517) 355-4608 [email protected] C108 East Fee Hall FX: (517) 432-1976

HASTINGS, Robin

TRANSCRIPT

COMLEX and USMLE

GRADUATION REQUIREMENTS

MATCH

RESIDENCY/LICENSURE

PH: (517) 353-7741 [email protected] C110 East Fee Hal FX: (517) 432-1976

FALLS, William

Associate Dean/Student Services

PH: (517) 355-5189 [email protected] C103 East Fee Hall FX: (517) 432-1976

RIEGLE, Gail

Associate Dean/Academic Programs

PH: (517) 353-4735 [email protected] A329 East Fee Hall FX: (517) 353-9931

CORE ROTATION INFORMATION

Core rotations are directed toward the student developing clinical competence (knowledge, procedures/skills, clinical problem-solving, and professional attitudes and behaviors) in the diagnosis and management of fundamental medical problems associated with the particular medical discipline.

All core rotations have a protocol and an ANGEL course.

All six PCAC rotations have an ANGEL group.

Rotation protocols can be found in your class ANGEL group. Information on specific rotation requirements (shift requirements, exams, logs, etc.) can be found in the rotation protocol. Be sure to familiarize yourself with these rotation requirements!

A student will have access to the rotation ANGEL course at the

ENCORE ONLINE PATIENT ENCOUNTER SYSTEM

All core rotations—except psychiatry and emergency medicine—utilize this online patient encounter logging system.

The ENCORE website is http://encore2.com.msu.edu

Students will use their Echt account username and password to access this online system. Your log-in is the same as what you use to access the computers in the resource center at your preclerkship site.

Be certain to visit your site’s resource center to make sure your Echt account is functional before leaving your site.

Each core rotation ANGEL course contains an ENCORE folder. Please review the contents of this folder prior to the start of each rotation.

Please read the ENCORE protocol found in your class ANGEL group as well as in your core rotation ANGEL course so you are familiar with your rotation logging requirements and expectations.

Trouble with logging into ENCORE?

Call HIT at 517-355-6531

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BASE HOSPITAL CONTACT LIST

BASE HOSPITAL MEDICAL EDUCATION COORDINATOR CONTACTS

Botsford (248) 471-8224 Karen Wilk [email protected]

Community Health (517) 279-5462 Shelby Arey [email protected]

Detroit Medical Center Sinai-Grace Hospital (313) 966-3053

Sonya Williams [email protected]

DMC Huron Valley-Sinai (248) 937-5085 Tracy Kotwicki [email protected]

Garden City (734) 458-4486 Susan Patterson [email protected]

Genesys Regional (810) 606-7124 Kathy Johnson [email protected]

Henry Ford Macomb (586) 263-2976 Dawn Moceri [email protected]

Henry Ford Wyandotte (734) 324-3781 Eileen Flandorfer [email protected]

Lakeland HealthCare (269) 982-4941 Michele Borre [email protected]

McLaren Bay Region (989) 894-3950

Annie Moya [email protected]

McLaren Greater Lansing (517) 975-7886 Gary Riley [email protected]

McLaren Macomb (586) 493-8141

Peggy Bommarito [email protected]

McLaren Oakland (248) 338-5392 Laura Paul [email protected]

Mercy Health Partners (231) 727-5250 Heidi Greene [email protected]

Metro Health (616) 252-7078 Julie Didion [email protected]

MSU/Kalamazoo Center (269) 337-6355 Marsha Wallace [email protected]

Munson Medical Center (231) 392-8221 Nicki Brown [email protected]

Oakwood Southshore (734) 671-3297 Gina Hoover [email protected]

Sparrow Hospital (517) 364-5890 Karlene Torres [email protected]

St. John Macomb (586) 576-4140 x1 Erin Holt [email protected]

St. John Oakland (586) 576-4146 Erin Holt [email protected]

St. John Providence (248) 849-3931

S. Michelle Brown [email protected]

St. Joseph Mercy Oakland (248) 858-3235 Deneen McCall [email protected]

PROGRAM REQUIREMENTS

CORE ROTATIONS

Core = 50 weeks of specific rotations

♦ Core Rotations cannot be changed ♦

SELECTIVE AND ELECTIVE ROTATIONS

Students must schedule, complete and pass 34 weeks:

12 weeks from the Medicine choice list

8 weeks from the Surgery choice list

14 additional weeks from Medicine and/or Surgery list

NOTE: you may NOT take more than 12 weeks of any one service (does not include PCAC or CORE rotations)

Ambulatory Care (PCAC) (OST 602)

Includes specialty and choice rotations 24 weeks

Surgery (OSS 653) 4 weeks

Obstetrics/Gynecology (OSS 651) 4 weeks

Anesthesiology (OSS 654) 2 weeks

Emergency Medicine (IM 657) 4 weeks

Internal Medicine 2 (4 wk) (IM 650) 8 weeks

Psychiatry (PCS 608) 4 weeks

OPP *(Summer 2012) (OMM 602) (watch for email from Rick Hallgren)*

On Line

Selective Rotations 14 Weeks

SELECTIVE – to be completed at any MSUCOM base hospital, post-graduate training facility and/or MSUCOM faculty member.

Application and approval required

Elective Rotations 20 Weeks

ELECTIVE – to be completed at the hospital/clinic of choice.

Application and approval required.

Note: applications for electives in a non-base hospital could take 6-10 weeks to process (so plan ahead)

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