Clinical Clerkship Survival Guide Class of...

KEYS TO SUCCESS

Clinical Clerkship Survival Guide

Class of 2015

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BASE HOSPITAL MEDICAL EDUCATION COORDINATOR CONTACTS

Allegiance Health (517) 817-7060

Debie Papakonstantinou [email protected]

Botsford (248) 471-8224 Marjorie Rumbley [email protected]

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

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

DMC Sinai-Grace Hospital (313) 966-3053 Karolina Redziniak [email protected]

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

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

Henry Ford Macomb (586) 263-2971 Mariel Allor [email protected]

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

Lakeland HealthCare (269) 927-5224 Michelle 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 Hospital (616) 252-7419 Julie Didion [email protected]

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

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

St. John Providence (248) 849-5665

S. Michelle Brown [email protected]

Sparrow Hospital (517) 364-5890 Carol Hine [email protected]

St. John Macomb (586) 576-4140 x1 Melanie Compton [email protected]

St. John Oakland (586) 576-4140 x1 Melanie Compton [email protected]

St. Joseph Mercy Oakland (248) 858-3244 Maria Dopierala [email protected]

Western Michigan University (269) 337-6353 Marsha Wallace [email protected]

PROGRAM REQUIREMENTS

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 2014) (OMM 602) (watch for email from Rick Hallgren)*

On Line

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)

BASE HOSPITAL CONTACT LIST

Selective Rotations 14 Weeks

SELECTIVE – to be completed at any MSUCOM base hospital

Application and approval required

Elective Rotations 20 Weeks

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


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

mailto:[email protected]
























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Trouble with logging into ENCORE?

Call HIT at 517-355-6531

Office of Student Services SCOTT, Anita

BASE Hospital Applications process Enrollment Clinical Enrichment Experience

C110 East Fee Hall [email protected] PH: (517) 884-0323 FX: (517) 432-1976

SPRAGG, Lynn

NON BASE Hospital Applications process Enrollment VSAS Evaluations Grades Immunizations/Compliances


DOELLING, Erin

College Policy Compliance Clerkship Program Requirements Transcripts


COUREY, Beth

G raduation Ceremony/Banquet ERAS (Electronic Residency Application Service)


HASTINGS, Robin

COMLEX and USMLE Graduation Requirements Match Residency/Licensure


Office of Academic Programs AN, Lydia

ANGEL (minus Anesthesiology) ENCORE PCAC requirements/grading CORE requirements

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

GILBERT, Evita

COMAT/End of Rotation Exams PE Simulation


Department Assistants GROCHULSKI- FRIES, Shannon

OSS Rotation Grading Obstetrics & Gynecology Surgery Anesthesiology ANGEL (Anesthesiology only)

B415 West Fee Hall [email protected] PH: (517) 353-8470 FX: (517) 432-1074

STONE, Stephen

OMS Rotation Grading Internal Medicine Emergency Medicine

B315-A West Fee Hall [email protected] PH: (517) 353-3211 FX: (517) 432-1062

CLERKSHIP RESOURCE LIST 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. • Information for all six PCAC rotations can be found in the “General PCAC

Information” ANGEL Group.

• All non-PCAC core rotations have a syllabus and a corresponding ANGEL course.

• Links to all non-PCAC core rotation syllabi can be found in the “COM Clinical Clerkship” ANGEL Group.

• Information on specific rotation requirements (shift requirements, exams, logs, etc.) can be found in the rotation syllabus. Be sure to familiarize yourself with these rotation requirements prior to starting the rotation!

• All students will have access to the “COM Clinical Clerkship” and “General PCAC Information” ANGEL Groups.

ENCORE ONLINE PATIENT ENCOUNTER SYSTEM

All core rotations-except psychiatry and emergency medicine-utilize this online patient encounter logging system. Log in at: 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 so that you are familiar with your rotation logging requirements and expectations.









http://encore2.com.msu.edu/

3

Full timeline can be found by logging into the “COM Clinical Clerkship” ANGEL group

January 2014

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 2014

Review ERAS Application Process

June through July 2014

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 through December 2014

Collect/hold letters of recommendation for the ERAS Process Complete the OPP online

Begin transmitting ERAS applications on September 1 to allopathic residency programs

Prepare for residency interviews

January through March 2015

Deadline to apply for graduation—January 2015

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 2015

Confirm that all ETs are cleared from your schedule

Confirm that all Clerkship requirements are met 12

PCAC SPECIALTY/CHOICE LIST HIGHLIGHTS FROM STUDENT TIMELINE

All students complete a PCAC Specialty and Choice experience during their 6- month Primary Care Ambulatory Clerkship. The choice and specialty rotation cannot be from the same category (see below). 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, Emergency Medicine or any Care Unit 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 Medicine

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

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

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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14 weeks of selective and 20 weeks of elective required

Medicine (12 weeks minimum)

Surgery (8 weeks minimum)

Addiction Medicine Allergy / Immunology Cardiology Critical Care Medicine Dermatology Diagnostic Radiology Emergency Medicine Endocrinology Family Medicine Flight Medicine Gastroenterology Geriatrics Hematology / Oncology House Nights Intensive Care Unit (NICU, Critical Care, Medical, Pediatrics, Pulmonary) Internal Medicine (not core) Infectious Disease Medicine Nephrology Neurology Neuromusculoskeletal Medicine (OMM) Occupational Health & Medicine Pathology/Lab Medicine Pediatrics Pediatric Endocrine Pediatric Hematology / Oncology Pediatric Pulmonary Pediatrics / Neonatology Physical Medicine & Rehabilitation Psychiatry Pulmonary Medicine Research (medicine emphasis) Rheumatology Rural Medicine 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 Surgery Otolaryngology Otolaryngology Facial & Plastic Surgery Otorhinolaryngology Plastic Surgery Podiatry Research (surgery emphasis) Sports Medicine* Thoracic Cardiovascular Surgery Trauma Surgery Urological Surgery Vascular Surgery

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

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.

COMLEX • Deadline for taking COMLEX Level 1 exam and MSUCOM receiving a

pass score - January 1, 2014

SELECTIVE / ELECTIVE CHOICE LIST

• Students who have not received a pass by this date will be pulled from the clerkship program, placed on a College leave of absence, and not allowed to return until a pass score is received.

• Note: While on a college leave of absence financial aid and

university health insurance coverage will be suspended.

• Prepare to pass COMLEX Level 2CE—by August 2014 (suggested).

or audition rotation.

• Prepare to pass COMLEX Level 2PE—by January 2015 (suggested).

or audition rotation.

• Check with the hospital’s Medical Education Office and course syllabus before scheduling a COMLEX exam or any residency interviews during a scheduled rotation.

• Seek permission for time off from both the rotation’s Clinical Supervisor and Director of Medical Education, by completing the on-line excused absence form. If seeking permission for more than 3 days off, the Office of Student Services will also be required to grant permission and sign the 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

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TWO-WEEK ROTATION OPTIONS

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

SAMPLE EVALUATION

There are three parts to each attending evaluation form.

Allergy/Immunization Anesthesiology Cardiovascular Surgery ENT Laboratory Medicine Neurosurgery

Ophthalmology Plastic Surgery Podiatry Radiology

Part I: Rotation information to be completed by student.

Student must fill in all information at the top of the evaluations (dates, services, attending name, etc.).

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

permission from both Hospital and College.

Rotation dates that do not match university enrollment will not be logged as received nor credit given until dates are verified.

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

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

1 2 3 4 5

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

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, will be sent to the Department Chair for review and grade assignment.

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)

Part III: Signatures.

Students may NOT deliver evaluations to the Office of Student Services. If required signatures are missing, form will not be processed.

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

(APPLIES TO ALL ROTATIONS)

EVALUATIONS SURVIVAL POINTS FOR CLERKSHIP REQUIREMENTS

All rotations require the completion of both a student and a clinical supervisor evaluation.

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.

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 through kobiljak.

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 Angel in the “COM Clinical Clerkship” group, the “General PCAC Information” group or in the ANGEL course for non-PCAC rotations.

• 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. • 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, from Clerkship Resource List, when you have questions

• Read all syllabi (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 cancellation) • You must notify the hospital’s DME office and the Office of Student

Services, 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 either the hospital or College 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, BLS/ACLS, BBP)

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APPLICATIONS APPLICATION DEFINITIONS

(APPLIES TO PCAC SPECIALITY/CHOICE AND ALL SELECTIVE/ELECTIVE ROTATIONS) All selective/elective and PCAC specialty and choice rotations require students to complete an application. Forms can be accessed by logging into Angel and following each application’s specific direction.

Base Hospital and PCAC Specialty/Choice • Applications are submitted 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

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 its own application, or the

VSAS application, if either application is required, the MSUCOM non-base application will not be required.

• Confirmation of rotation is found by accessing your online schedule.

VSAS – Visiting Student Application Service (www.aamc.org) • You will receive an email notification when you are eligible to submit

applications through VSAS. • No MSUCOM Base Hospital will require a VSAS application, as long as

you identify yourself as an MSUCOM student

International • Requests are made by printing web application, completed with all required

signatures and submitted to the MSUCOM Institute of International Health. • Allow 2-4 weeks for processing and approvals

Research • Requests and approvals are made following instructions as outlined under

“Clerkship request for Research Credits” on the MSUCOM website at: http://www.com.msu.edu/AP/Research/Documents/Clerkship_Research_Request.pdf

Clinical Enrichment Experience • Requests are made by printing web application, completed with all

signatures, and submitted to the Office of Student Services 10 days prior to the enrichment experience beginning.

Base Hospital application is used for rotating in any base hospital. • PCAC Specialty rotation must be completed at 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 or credit.

REQUIREMENTS FOR CLERKSHIP APPLICATIONS

• 30-day advance application approval required (applies to an add,

change or cancel 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 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 and the Office of Student

Services in writing 30 days in advance of the rotation 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 ask the hospital/facility if one is required.

• Schedule all out-time rotations early to avoid not receiving financial aid

(aid is released one week before first enrolled rotation of semester).

http://www.aamc.org/

http://www.com.msu.edu/AP/Research/Documents/Clerkship_Research_Request.pdf


7 8

APPLICATIONS APPLICATION DEFINITIONS

(APPLIES TO PCAC SPECIALITY/CHOICE AND ALL SELECTIVE/ELECTIVE ROTATIONS) All selective/elective and PCAC specialty and choice rotations require students to complete an application. Forms can be accessed by logging into Angel and following each application’s specific direction.

Base Hospital and PCAC Specialty/Choice • Applications are submitted 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

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 its own application, or the

VSAS application, if either application is required, the MSUCOM non-base application will not be required.

• Confirmation of rotation is found by accessing your online schedule.

VSAS – Visiting Student Application Service (www.aamc.org) • You will receive an email notification when you are eligible to submit

applications through VSAS. • No MSUCOM Base Hospital will require a VSAS application, as long as

you identify yourself as an MSUCOM student

International • Requests are made by printing web application, completed with all required

signatures and submitted to the MSUCOM Institute of International Health. • Allow 2-4 weeks for processing and approvals

Research • Requests and approvals are made following instructions as outlined under

“Clerkship request for Research Credits” on the MSUCOM website at: http://www.com.msu.edu/AP/Research/Documents/Clerkship_Research_Request.pdf

Clinical Enrichment Experience • Requests are made by printing web application, completed with all

signatures, and submitted to the Office of Student Services 10 days prior to the enrichment experience beginning.

Base Hospital application is used for rotating in any base hospital. • PCAC Specialty rotation must be completed at 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 or credit.

REQUIREMENTS FOR CLERKSHIP APPLICATIONS

• 30-day advance application approval required (applies to an add,

change or cancel 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 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 and the Office of Student

Services in writing 30 days in advance of the rotation 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 ask the hospital/facility if one is required.

• Schedule all out-time rotations early to avoid not receiving financial aid

(aid is released one week before first enrolled rotation of semester).

http://www.aamc.org/



9 6

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

(APPLIES TO ALL ROTATIONS)

EVALUATIONS SURVIVAL POINTS FOR CLERKSHIP REQUIREMENTS

All rotations require the completion of both a student and a clinical supervisor evaluation.

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.

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 through kobiljak.

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 Angel in the “COM Clinical Clerkship” group, the “General PCAC Information” group or in the ANGEL course for non-PCAC rotations.

• 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. • 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, from Clerkship Resource List, when you have questions

• Read all syllabi (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 cancellation) • You must notify the hospital’s DME office and the Office of Student

Services, 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 either the hospital or College 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, BLS/ACLS, BBP)

5 10

TWO-WEEK ROTATION OPTIONS

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

SAMPLE EVALUATION

There are three parts to each attending evaluation form.

Allergy/Immunization Anesthesiology Cardiovascular Surgery ENT Laboratory Medicine Neurosurgery

Ophthalmology Plastic Surgery Podiatry Radiology

Part I: Rotation information to be completed by student.

Student must fill in all information at the top of the evaluations (dates, services, attending name, etc.).

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

permission from both Hospital and College.

Rotation dates that do not match university enrollment will not be logged as received nor credit given until dates are verified.

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

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

1 2 3 4 5

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

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, will be sent to the Department Chair for review and grade assignment.

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)

Part III: Signatures.

Students may NOT deliver evaluations to the Office of Student Services. If required signatures are missing, form will not be processed.

11 4

14 weeks of selective and 20 weeks of elective required

Medicine (12 weeks minimum)

Surgery (8 weeks minimum)

Addiction Medicine Allergy / Immunology Cardiology Critical Care Medicine Dermatology Diagnostic Radiology Emergency Medicine Endocrinology Family Medicine Flight Medicine Gastroenterology Geriatrics Hematology / Oncology House Nights Intensive Care Unit (NICU, Critical Care, Medical, Pediatrics, Pulmonary) Internal Medicine (not core) Infectious Disease Medicine Nephrology Neurology Neuromusculoskeletal Medicine (OMM) Occupational Health & Medicine Pathology/Lab Medicine Pediatrics Pediatric Endocrine Pediatric Hematology / Oncology Pediatric Pulmonary Pediatrics / Neonatology Physical Medicine & Rehabilitation Psychiatry Pulmonary Medicine Research (medicine emphasis) Rheumatology Rural Medicine 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 Surgery Otolaryngology Otolaryngology Facial & Plastic Surgery Otorhinolaryngology Plastic Surgery Podiatry Research (surgery emphasis) Sports Medicine* Thoracic Cardiovascular Surgery Trauma Surgery Urological Surgery Vascular Surgery

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

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.

COMLEX • Deadline for taking COMLEX Level 1 exam and MSUCOM receiving a

pass score - January 1, 2014

SELECTIVE / ELECTIVE CHOICE LIST

• Students who have not received a pass by this date will be pulled from the clerkship program, placed on a College leave of absence, and not allowed to return until a pass score is received.

• Note: While on a college leave of absence financial aid and

university health insurance coverage will be suspended.

• Prepare to pass COMLEX Level 2CE—by August 2014 (suggested). Some residency programs may require score before granting an interview or audition rotation.

• Prepare to pass COMLEX Level 2PE—by January 2015 (suggested). Some residency programs may require score before granting an interview or audition rotation.

• Check with the hospital’s Medical Education Office and course syllabus before scheduling a COMLEX exam or any residency interviews during a scheduled rotation.

• Seek permission for time off from both the rotation’s Clinical Supervisor and Director of Medical Education, by completing the on-line excused absence form. If seeking permission for more than 3 days off, the Office of Student Services will also be required to grant permission and sign the 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

3

Full timeline can be found by logging into the “COM Clinical Clerkship” ANGEL group

January 2014

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 2014

Review ERAS Application Process

June through July 2014

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 through December 2014

Collect/hold letters of recommendation for the ERAS Process Complete the OPP online

Begin transmitting ERAS applications on September 1 to allopathic residency programs

Prepare for residency interviews

January through March 2015

Deadline to apply for graduation—January 2015

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 2015

Confirm that all ETs are cleared from your schedule

Confirm that all Clerkship requirements are met 12

PCAC SPECIALTY/CHOICE LIST HIGHLIGHTS FROM STUDENT TIMELINE

All students complete a PCAC Specialty and Choice experience during their 6- month Primary Care Ambulatory Clerkship. The choice and specialty rotation cannot be from the same category (see below). 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, Emergency Medicine or any Care Unit 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 Medicine

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

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

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

13 2

Trouble with logging into ENCORE?

Call HIT at 517-355-6531

Office of Student Services SCOTT, Anita

BASE Hospital Applications process Enrollment Clinical Enrichment Experience


SPRAGG, Lynn

NON BASE Hospital Applications process Enrollment VSAS Evaluations Grades Immunizations/Compliances


DOELLING, Erin

College Policy Compliance Clerkship Program Requirements Transcripts


COUREY, Beth

G raduation Ceremony/Banquet ERAS (Electronic Residency Application Service)


HASTINGS, Robin

COMLEX and USMLE Graduation Requirements Match Residency/Licensure


Office of Academic Programs AN, Lydia

ANGEL (minus Anesthesiology) ENCORE PCAC requirements/grading CORE requirements


GILBERT, Evita

COMAT/End of Rotation Exams PE Simulation


Department Assistants GROCHULSKI- FRIES, Shannon

OSS Rotation Grading Obstetrics & Gynecology Surgery Anesthesiology ANGEL (Anesthesiology only)

B415 West Fee Hall [email protected] PH: (517) 353-8470 FX: (517) 432-1074

STONE, Stephen

OMS Rotation Grading Internal Medicine Emergency Medicine

B315-A West Fee Hall [email protected] PH: (517) 353-3211 FX: (517) 432-1062

CLERKSHIP RESOURCE LIST 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. • Information for all six PCAC rotations can be found in the “General PCAC

Information” ANGEL Group.

• All non-PCAC core rotations have a syllabus and a corresponding ANGEL course.

• Links to all non-PCAC core rotation syllabi can be found in the “COM Clinical Clerkship” ANGEL Group.

• Information on specific rotation requirements (shift requirements, exams, logs, etc.) can be found in the rotation syllabus. Be sure to familiarize yourself with these rotation requirements prior to starting the rotation!

• All students will have access to the “COM Clinical Clerkship” and “General PCAC Information” ANGEL Groups.

ENCORE ONLINE PATIENT ENCOUNTER SYSTEM

All core rotations-except psychiatry and emergency medicine-utilize this online patient encounter logging system. Log in at: 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 so that you are familiar with your rotation logging requirements and expectations.










http://encore2.com.msu.edu/

1 14

BASE HOSPITAL MEDICAL EDUCATION COORDINATOR CONTACTS

Allegiance Health (517) 817-7060

Debie Papakonstantinou [email protected]

Botsford (248) 471-8224 Marjorie Rumbley [email protected]

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

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

DMC Sinai-Grace Hospital (313) 966-3053 Karolina Redziniak [email protected]

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

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

Henry Ford Macomb (586) 263-2971 Mariel Allor [email protected]

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

Lakeland HealthCare (269) 927-5224 Michelle 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 Hospital (616) 252-7419 Julie Didion [email protected]

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

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

St. John Providence (248) 849-5665

S. Michelle Brown [email protected]

Sparrow Hospital (517) 364-5890 Carol Hine [email protected]

St. John Macomb (586) 576-4140 x1 Melissa Maule [email protected]

St. John Oakland (586) 576-4140 x1 Melissa Maule [email protected]

St. Joseph Mercy Oakland (248) 858-3244 Shelly Stewart [email protected]

Western Michigan University (269) 337-6353 Marsha Wallace [email protected]

PROGRAM REQUIREMENTS

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 2014) (OMM 602) (watch for email from Rick Hallgren)*

On Line

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)

BASE HOSPITAL CONTACT LIST

Selective Rotations 14 Weeks

SELECTIVE – to be completed at any MSUCOM base hospital


Elective Rotations 20 Weeks

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


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






















mailto: [email protected]


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