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M4 Orientation 2016 · – LOR’s and Chair letter – CK and CS • Schedule Interviews$$$ ... ,...

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Fourth Year Orientation Class of 2017 Susan C Brewer, MD, FACP January 21, 2016
Transcript
Page 1: M4 Orientation 2016 · – LOR’s and Chair letter – CK and CS • Schedule Interviews$$$ ... , Ob, Peds, Psych, Sur, Uro • Includes: – EM at MUH – EM at St. Francis for

FourthYearOrientationClassof2017

SusanCBrewer,MD,FACPJanuary21,2016

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CollegeofMedicine

Youareresponsiblefor:

CheckingyourUTemailregularly

Cleaningyourmailbox

ReplyingtomessagesaddressedtoYoutheindividual

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CollegeofMedicine

DemandsonanM4• Schedulerequiredandelectiveclerkships

• Decideonaspecialty

• VisitingElectiveshavePre-requisites

• TakeUSMLEStep2CKandCS$$$– Youmaynotgetaninterviewifyoudon’thaveascorebefore

interviewseason– Dothisinthespring– MusthavepermissiontodelaypastOctober31,2016

$$$-Budgetforthisinyourfinancialaidaward

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CollegeofMedicine

DemandsonanM4• AssembleyourERASapplication

– SubmitapplicationbySeptember15th– LOR’sandChairletter– CKandCS

• ScheduleInterviews$$$

• Completeall graduationrequirements– Preferably30-dayspriortoCommencement

$$$-Budgetforthisinyourfinancialaidaward

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CollegeofMedicine

• OverviewofFourthYear

• RequiredClerkships(N=6)

• RequiredLongitudinalCourses(N=2)

• Electives(N=4)

• LegalIssuesElective

• Step2-CKandStep2-CS

• SchedulingProcess

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CollegeofMedicine

Clerkships WeeksAmbulatory Medicine (12-4-3) 4

Senior Clerkship JI (Med) (11-3-4-1) 4

Senior Clerkship JI (Any) 4

Surgery Specialties (16-4-4) 4

Specialty Clerkship (16-3-2) 4

Capstone Course (42-15-15) 4

Longitudinal Scholars Project longitudinal

M4 PCM longitudinal

Electives (N=4) 16

Option (N=3) 12

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CollegeofMedicine

• 13Blocks(eachfourweeks)

• 6RequiredClerkships,LSPandPCM

• 7Electives/Option

• UTsystemorotheraccreditedmedicalschools

– Visiting(3of4electives)

– Canbetakeninanyblock

• Fourweeksvacation

• Step2CK&Step2CS(NLTNov.1)

• M.D.Degree– May26,2017

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CollegeofMedicine

Electives• Over2304-weekelectivesinUTSystem• Descriptionofelectivesonline:

http://www.uthsc.edu/Medicine/Acad_Affairs/UME/Clerkships/Catalog.doc

• Some2-week(Halftime)electives• 12weeksofelectivesallowedoutsideUTSystem– Othercollegesorinternational

• VSAS– VisitingStudentApplicationSystem

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CollegeofMedicine

ExamplesofElectives• IDE1-5050/FLEGALISSUESINHEALTHCARE

CourseCoordinator:CarolA.Schwab, J.D.,LL.M.Location:Classroom instructionSize:16students perBlock- aminimumof3studentsisneededfortheclasstogoforward

• FME5-3033/F JI– SENIORCLERKSHIPINEMERGENCYMEDICINECourseCoordinators:Drs.GreggE.Mitchell,KeithEllis,MikeRevelle andEmergencyMedicineFellowsLocation:Jackson-MadisonSize:2

• NSG1-4010/FNEUROSURGERYCourseCoordinator:Dr.JonH.RobertsonLocation:METH/MED/LeBonheurSize:1studentperBlock;upto12peryear

• MED2-4130/FCLINICALPULMONARYDISEASE-KNOXCourseCoordinator:Dr.RichardObenourLocation:University ofTennesseeMedicalCenter(Knoxville)MaxSize:2students

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CollegeofMedicine

Legal Issues Elective

Carol Schwab, J.D., LL.M.

Director of Medical/Legal Education, UTHSC

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CollegeofMedicine

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Page 13: M4 Orientation 2016 · – LOR’s and Chair letter – CK and CS • Schedule Interviews$$$ ... , Ob, Peds, Psych, Sur, Uro • Includes: – EM at MUH – EM at St. Francis for
Page 14: M4 Orientation 2016 · – LOR’s and Chair letter – CK and CS • Schedule Interviews$$$ ... , Ob, Peds, Psych, Sur, Uro • Includes: – EM at MUH – EM at St. Francis for
Page 15: M4 Orientation 2016 · – LOR’s and Chair letter – CK and CS • Schedule Interviews$$$ ... , Ob, Peds, Psych, Sur, Uro • Includes: – EM at MUH – EM at St. Francis for
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CollegeofMedicine

• Block2andBlock4• Minimumof4students,maximumof16• About48hoursofclasstime• Classmeets4daysaweekfor3- 3½hourseachdayfor

4weeks.Theclassisusuallyheldintheafternoon,butthismaybesubjecttochange.

• Team-basedlearningformatmixedwithinteractivelectures

• http://www.uthsc.edu/Medicine/legaledu/• [email protected]

LegalIssuesinHealthCareIDE1-5050/F

1/26/16 16 UTHSC

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CollegeofMedicine

VisitingStudentApplicationServiceVSAS

RubyLBland,B.A.

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CollegeofMedicine

VSAS• AAMCapplicationdesignedtoassistinapplyingforseniorelectives– USLCMEmedicalschools– Independentacademicmedicalcenters

• Studentssubmitasingleapplicationforallinstitutions

• Reducespaperwork,miscommunication,andtimedemandsforstudentsandstaff

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CollegeofMedicine

VSASImportantnote!

• 2016-2017listofhostinstitutionswillbeupdatedbyendofJanuary.

• YoumaysubmitapplicationsonlyafteraVSAShostinstitutionmakeselectivesavailable.

• Theapplicationdatesvarybetweenhostinstitutions.

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CollegeofMedicine

Login SearchElectives Institutions SubmitAccessCode VSASResources

VSASLoginPagehasbeenUpdated

TheprocesstologintoVSAShasbeenupdatedtobeconsistentwithotherAAMCservices.Ifyoudonotseea"Clickheretologinbutton"ontherighthandsideofthescreenunder"Login",pleaserefreshthispageuntilitappears.Youwill likelynotbeabletologinifyou'restillseeingaplace to enteryourAAMCusernameandpassword.

Ifthenewbuttonstilldoesn'tdisplay,youwillneedtorefreshyourbrowser'scache.Review theseinstructions forassistance.

InternetExplorerUsers: ifyouexperiencedifficultyloggingin,please tryanalternate browser.

Thankyouforyoursupport!theVSASTeam

VisitingStudentApplicationService

Login

ClickHeretoLogin

QuickElectiveSearch

SearchVSAShostinstitutionelectives:

Keywords

Specialty

State

SearchClearAdvancedSearch

Logging infortheFirstTime?BeforeyoucanlogintoVSAS,yourhomeschoolormedicalinstitutionmustgrantyouaccess.Youwillreceive a"VSAS:NewUserInstructions"emailcontaininglogininstructionsonceyouhavebeengrantedaccess.Studentswhohavenotyetbeengrantedaccessshouldcontacttheofficeorpersonwhoassistswith4thyear schedulingregardingVSASaccess.AboutVSASTheVisitingStudentApplicationService(VSAS) isanAAMCapplicationdesignedtomakeiteasier formedical studentstoapplyforseniorelectivesatU.S.medicalschoolsandteachinghospitals.PleasevisitourVSASwebsite fordetailed informationandresources.DoIneedtouseVSAS?StudentswilluseVSASonlyifenrolledataU.S. LCME-accreditedmedicalschoolorparticipatingCOCA-accreditedAACOMmemberschoolandapplyingforseniorawayelectivesatanyVSAShostinstitutions.Ifnotapplyingtooneoftheseinstitutions,pleasereviewtheExtramural ElectivesCompendium(EEC)forvisitingstudentapplicationinformation.International studentsmayalsoreviewinformationabouttheGlobalHealthLearningOpportunities

VSASHelpContactVSASHelpDesk: Contactusbye-mail([email protected])orphone(202-478-9878)Monday- Friday,9a.m.- 5p.m.ETFAQs: Reviewour frequentlyaskedquestions !

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CollegeofMedicine

VSASVisitingStudentApplicationSystem

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CollegeofMedicine

NotonVSAS?

• ApplyviapaperElectiveForm• WillneedanEvaluation

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CollegeofMedicine

ElectiveFormhttp://www.uthsc.edu/Medicine/Acad_Affairs/UME/Electives.pdf

• Downloadform• CompleteSectionsI&II

• GetDepartmentapproval

• GetOfficeofMedicalEducationapproval

• Submittovisitingcollege

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CollegeofMedicine EvaluationFormhttp://www.uthsc.edu/Medicine/Acad_Affairs/UME/EVAL_FORM.pdf

•Download

•Give to Preceptor

•Visiting College submits

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CollegeofMedicine

HallTacket

• NewInnovationsnotificationattheendofeverycourse,clerkship,andelective

• TheLCMErequiresthatwegetyourfeedbackforelectives

• Responsesareanonymousandquarantined

• Lackofresponseisnotanonymous

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CollegeofMedicine

Let’sTalkAboutSchedulingDrBrewer

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CollegeofMedicine

1 2 3 4 5 6 7 8 9 10 11 12

1 2 3 4 5 6 7 8 9 10 11 12

1 2 3 4 5 6 7 8 9 10 11 12

1 2 3 4 5 6 7 8 9 10 11 12

1 2 3 4 5 6 7 8 9 10 11 12

SchedulingProcess2015

1 2 3 4 5 6 7 8 9 10 11 12

2016

2017

1 2 3 4 5 6 7 8 9 10 11 12

87654321

20191817161514131211109

2524232221

We are here

Youarehere

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CollegeofMedicine

2016-2017

8-WEEK BLOCKS START DATE END DATE 4-WEEK BLOCKS

5/6 2-May-16 27-May-16 5

30-May-16 24-Jun-16 6

7/8 27-Jun-16 22-Jul-16 7

25-Jul-16 19-Aug-16 8

9/10 22-Aug-16 16-Sep-16 9

19-Sep-16 14-Oct-16 10

11/12 17-Oct-16 11-Nov-16 11

14-Nov-16 16-Dec-16 12

1/2 3-Jan-17 27-Jan-17 1

30-Jan-17 24-Feb-17 2

3/4 27-Feb-17 24-Mar-17 3

3-Apr-17 28-Apr-17 4

5/6 1-May-17 26-May-17 5

29-May-17 23-Jun-17 6

7/8 26-Jun-17 21-Jul-17 7

24-Jul-17 18-Aug-17 8

Holidays* Thanksgiving: Nov. 19-27, 2016Winter Break: Dec 17, 2016-Jan 2, 2017

MLK Day: Jan 16, 2017Spring Break: Mar 25-Apr 2, 2017

*Holidays start at 5:00 pm on the day prior to the holiday start date listed above.

Students are to report back to their clerkships on the morning following the holiday end-date.

(updated 8/25/14)

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CollegeofMedicine

SeniorClerkships– JuniorInternships(JI)

• TwoJIs– SeniorClerkship-JIMedicine– SeniorClerkship-JIAny

• EME,FME,MED,NEU,OBG,OTO,PSY,PED,SUR,URO

• Studenthasmoredirectroleinpatientcare• Similartoaninternship• Muchhigherlevelofresponsibilityforpatients.

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CollegeofMedicine

SeniorClerkship- JuniorInternship(JI)InMedicine(MED1-3002)

• Required• Don’tconfusewithJIAny in Medicine• CandoMICUorWard

• Moreexperienceinpatientcare• AvailableinMemphis,Chattanooga,Knoxville,andNashville

• Nowrittenexamination• Evaluationbasedonclinicalperformance• GradedA-F

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CollegeofMedicine

SeniorClerkship- JIANY• Required• FM,Med,Neuro,Ob,Peds,Psych,Sur,Uro• Includes:– EMatMUH– EMatSt.FrancisforFM– ICU,CardiologyandHeme/Onc inMed– OborGyn– Adv Surgery,TraumaandSICUinSurg– Psych– Adult,Addiction,andChild

• Evaluationbasedonclinicalperformance• GradedA-F

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CollegeofMedicine

SurgerySpecialtiesClerkship(SUR1-3002)Required

(“SurgicalSubs”)• Ophthalmology,Orthopedics,Otolaryngology,andUrology

– Oneweekofeach

• Memphis– NOTavailableBlocks1,6,12

• Knoxville– availableallblocksexcept12and1

• Chattanooga– availableBlocks4,5,10

• GradedPass/Fail

• Noabsencesallowedforinterviews

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CollegeofMedicine

SpecialtyClerkship(SPE1-3001)Required

• Oneweekofcontentareaduring4wk.block

– Anesthesiology– ICU– PalliativeCare(nosubstitutionsallowed)– Radiology

• GradedPass/Fail• Options:

– IfcompletedonemonthofRad.,Anesth.,orICUcansubstituteweekofCardiologyorInfectiousDisease

• Scheduleearlyinyear

Page 34: M4 Orientation 2016 · – LOR’s and Chair letter – CK and CS • Schedule Interviews$$$ ... , Ob, Peds, Psych, Sur, Uro • Includes: – EM at MUH – EM at St. Francis for

CollegeofMedicine

SpecialtyClerkship(SPE1-3001)Required,Cont’d

• Anesth.,Monday-Friday,noevenings• ICU- sevendays,nocall• PalliativeCare- maybeOnCall• Radiology– 5days,nocall• Memphis– Allblocksincalendaryear• Knoxville/Chattanooga(SPE2-3001orSPE3-3001)

– tailoredforstudentswhoarefull-time there– Knox.– Blocks2,4,5,10– Chatt.– 2,3,4,5,7,8,9,10,11– Noabsencesallowed

Page 35: M4 Orientation 2016 · – LOR’s and Chair letter – CK and CS • Schedule Interviews$$$ ... , Ob, Peds, Psych, Sur, Uro • Includes: – EM at MUH – EM at St. Francis for

CollegeofMedicine

SpecialtyClerkship– WeeklySchedule

Page 36: M4 Orientation 2016 · – LOR’s and Chair letter – CK and CS • Schedule Interviews$$$ ... , Ob, Peds, Psych, Sur, Uro • Includes: – EM at MUH – EM at St. Francis for

CollegeofMedicine

• Longitudinalformat– CompletebyApril2017– Curriculumforeachyear

• RootCauseAnalysissmallgroup(inIM)• On-linetoolsandtechniques,modules,syllabusanddeadlines

• Readingsandquestions• GradedPass/Fail• AccessinformationviaBlackboard• ApprovedPosterPresentationRequired

LongitudinalScholarsProgramRequired

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CollegeofMedicine

CAPSTONE

v4-WeekRequiredCourse

vPass/Fail- attendance,participation,productivity

vOfferedOctober2016,January2017,March,2017inMemphis

v1blockinChattanooga–February2017v1blockinKnoxvilleMarch2017

Page 38: M4 Orientation 2016 · – LOR’s and Chair letter – CK and CS • Schedule Interviews$$$ ... , Ob, Peds, Psych, Sur, Uro • Includes: – EM at MUH – EM at St. Francis for

CollegeofMedicine

CAPSTONE

v MultipleTopics– BacktoBasics– BusinessandLegalIssuesMedicine– ComplimentaryandAlternativeMedicine– Evidenced-basedmedicine– InternSchool– ResidentsasTeachers– SystemsBasedPractice

Page 39: M4 Orientation 2016 · – LOR’s and Chair letter – CK and CS • Schedule Interviews$$$ ... , Ob, Peds, Psych, Sur, Uro • Includes: – EM at MUH – EM at St. Francis for

CollegeofMedicine

M4PCM• RequiredM4course

• LongitudinalinsteadofBlock

• CMEModel

• RequiredandOptionalactivities

• GradedPass/Fail

• CourseDirector- BethChoby,M.D.

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CollegeofMedicine

HallTacket

• NewInnovationsnotificationattheendofeverycourse,clerkship,andelective

• TheLCMErequiresthatwegetyourfeedbackforelectives

• Responsesareanonymousandquarantined

• Lackofresponseisnotanonymous

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CollegeofMedicine

InternationalElectives

• LCMErequirements– http://www.uthsc.edu/Medicine/students/international.php

• Completedallcoreclerkships• 8weeksnotice• Overseasmentoridentified• Developlearningobjectives• LetterofAcceptance• Completeapplicationform• Mentorinformation• Mustreceiveagrade• MustcompleteHallTacket

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CollegeofMedicine

USMLE Step 2 CK

After you complete cores!

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CollegeofMedicine

USMLEStep2Exams• Step2CK(ClinicalKnowledge)

– Classof2015• 95%first-time(Nat.-95%)• Mean=242(Nat.240)

– Classof2014• 97%first-time(Nat.97%)• Mean=240(Nat.240)

– Classof2013• 100%first-timepassrate(Nat.- 98%)• Mean=240(Nat.238)

– Prometrics

• Step2CS(ClinicalSkills)– Classof2015– 97%first-timepassrate(Nat.96%)– Classof2014– 94%first-timepassrate(Nat.96%)– Classof2013– 98%first-timepassrate(Nat.98%)– Classof2012– 97%first-timepassrate(Nat.97%)– Classof2011– 99%passrate(Nat.98%)– Overall 97%first-timepassrate

Page 44: M4 Orientation 2016 · – LOR’s and Chair letter – CK and CS • Schedule Interviews$$$ ... , Ob, Peds, Psych, Sur, Uro • Includes: – EM at MUH – EM at St. Francis for

CollegeofMedicinewww.USMLE.org

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CollegeofMedicine

Step2CS• ScheduleThisBeforeMay31-NOW isbetter• 3components–

– IntegratedClinicalEncounter(ICE),• History,PhysicalandNote*

– CommunicationandInterpersonalSkills*(CIS)

– SpokenEnglishProficiency(SEP)• 12encounters,15minwithSP,10minforwrite-up• MinimumpassingscorehasbeenincreasedforICEandCIS

• Locations:Philadelphia AtlantaChicago HoustonLosAngeles

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CollegeofMedicine

IntegratedClinicalEncounter• Focusonspecificdetails• Unfocusedshotgun-approachàLowerScoreActionshouldbeguidedbycasedetails

• Documenthistory,physicalanddiagnostics• DifferentialDiagnosesinorderoflikelihood• SupportDx -PertinentpositivesANDnegatives• Assumeroleofintern-takeresponsibility• Don’tordertreatment,referrals,orconsults

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CollegeofMedicine

CommunicationandInterpersonalSkills

• 5functions– Fosterrelationship– Gatherinformation– Provideinformation– Makingdecisions– SupportingEmotions

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CollegeofMedicine

Step2CS(cont’d)

• Cost- $1275(plusexpenses)(CK=$600)

• Scheduleearly

• One-yeareligibility

• Canswitchdateswithoutcharge14daysprior

• Sept.- Dec.highdemandtimeperiod

• Havetopassallthreecomponentsofexam(ICE,CIS andSEP)

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CollegeofMedicine

Step2CS

• Getpracticematerialsfromwww.usmle.org• DownloadandReadtheCSbooklet• ViewtheVideo• PracticetheInteractivePatientNote• ViewSamplePatientNotes• NotIncluded:Treatment,consultations,referrals

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CollegeofMedicine

CSHousingOptions

• AAMChasnegotiatedfavorablehotelratesineachofthefivecities.(Yeah,right..just bookedthelastoneavailable)

• Mayincludepickupattheairportandtransportationtoandfromthetestingcenter.

Page 51: M4 Orientation 2016 · – LOR’s and Chair letter – CK and CS • Schedule Interviews$$$ ... , Ob, Peds, Psych, Sur, Uro • Includes: – EM at MUH – EM at St. Francis for

CollegeofMedicine

GetYourFluVaccine!

Hospitalsrequireallpersonswithpatientcontacttobevaccinatedorhaveadecliningdocumentonfile.

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CollegeofMedicine

VAMCSecurityPolicy

• Completepaperworkforcriminalbackgroundcheck

• Fingerprinting– 2-4weeksinadvance

• PPDSkinTest– 2negativewithin12months

• OLSEN(VAMCSecurityClearance)

• CallElstonHoward(577-7207) inadvancetostart

paperwork

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CollegeofMedicine

CoreClerkships

MUST

becompleted

bytheendof

2016-08

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CollegeofMedicine

OtherIssues• ChangesinSchedule

– 30daysbeforeblockbegins

– RubyL.Bland([email protected])or448-5697

• SpouseAway

• Step2CKandCS-taketheseSpring2016

• AbsoluteDeadline:November1st,2016*musthavepermissiontogobeyond

• Noabsencesforinterviewsinrequiredclerkships

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CollegeofMedicine

AdditionalInformation

• Match/ERASinformation–NoteAnyMessagefromDebbieHester

• Interviews?Not duringrequiredclerkships

• Maybesubjecttodrug/urinescreeningatanyclerkshipsite

• Feb.19th(3-4:00pm)–Class2018orientationtocoreclerkships

• WeneedstudentstotalkaboutChattanooga/Knoxvilleclerkships

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CollegeofMedicine

Odd Blocks1.3.5.7.9.11

Even Blocks2.4.6.8.10.12

#1Benjamin Pomy

1/25/16 @ 8:00 AM

#165Jeffrey Conner

1/29/16 @ 8:00 AM

#1Jeffrey Conner

2/2/16 @ 8:00 AM

#164Benjamin Pomy

2/5/12 @ 8:00 AM

SchedulingProcessRandom Time Assignment

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Questions

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• Newitems• Permissiontogetinfofromprogdirectorcreateform.

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CareersInMedicineTimeline

• https://apps.aamc.org/account/#/login?gotoUrl=https:%2F%2Fwww.aamc.org%2Fcim%2F&allowInternal=false

• ApplySmartvideo

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ProgramDirectorSurvey2014

PercentageofProgramsCitingEachFactorinSelectingApplicantstoInterview


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