The MSPE and The MSPE and Residency Process Residency Process

January 17, 2008January 17, 2008Class of 2009Class of 2009

Meredith, Buck, and Dr. ParkerMeredith, Buck, and Dr. Parker

Who Writes the MSPE?Who Writes the MSPE?

Dean ParkerDean Parker

Supplemental information provided by SAO, Colleges Chairs, and Supplemental information provided by SAO, Colleges Chairs, and YOUYOU!!

What goes into the What goes into the MSPE?MSPE?

1-2 Paragraphs about your performance in Years 1 1-2 Paragraphs about your performance in Years 1 and 2.and 2. Does Does NOTNOT include exam scores include exam scores

All of Year 3 evaluation comments (verbatim)All of Year 3 evaluation comments (verbatim) Summary of academic progress (including gaps or Summary of academic progress (including gaps or

leaves of absence)leaves of absence) Summary paragraphSummary paragraph Unique characteristicsUnique characteristics

What does an MSPE Look What does an MSPE Look Like?Like?

AllAll Medical Schools follow the AAMC guidelines to Medical Schools follow the AAMC guidelines to format and submit their MSPE. format and submit their MSPE.

All have the same headings and content.All have the same headings and content.

For review of the guidelines:For review of the guidelines:http://www.aamc.org/members/gsa/mspeguide.pdfhttp://www.aamc.org/members/gsa/mspeguide.pdf

Identifying InformationIdentifying Information

MEDICAL STUDENT PERFORMANCE EVALUATION MEDICAL STUDENT PERFORMANCE EVALUATION FORFOR

JOE BRUINJOE BRUINNOVEMBER 1, 2008NOVEMBER 1, 2008

IDENTIFYING INFORMATIONIDENTIFYING INFORMATIONJoe Bruin is a fourth-year student at the Joe Geffen School of Medicine at UCLA in Joe Bruin is a fourth-year student at the Joe Geffen School of Medicine at UCLA in

Los Angeles, California.Los Angeles, California.

Unique CharacteristicsUnique CharacteristicsUNIQUE CHARACTERISTICSUNIQUE CHARACTERISTICS

Joe Bruin was born in New York to immigrant parents. His mother is a nurse, and his father is a Joe Bruin was born in New York to immigrant parents. His mother is a nurse, and his father is a dentist. At age three, the family moved to downtown Los Angeles while his father completed dentistry dentist. At age three, the family moved to downtown Los Angeles while his father completed dentistry licensure, then to Orange County and finally to Palos Verdes. In elementary and high school, Joe developed licensure, then to Orange County and finally to Palos Verdes. In elementary and high school, Joe developed an interest in science and excelled in his studies. He also competed in Tae-Kwan Do and held an international an interest in science and excelled in his studies. He also competed in Tae-Kwan Do and held an international junior ranking.junior ranking.

Seeking to broaden horizons, Joe did his undergraduate work at Rutgers University, where he Seeking to broaden horizons, Joe did his undergraduate work at Rutgers University, where he received a Bachelor of Arts degree in Genetics and Human Biology. He made the Dean’s List for two years. In received a Bachelor of Arts degree in Genetics and Human Biology. He made the Dean’s List for two years. In the summer following his freshman year, he became an Emergency Medical Technician in a ten-week program the summer following his freshman year, he became an Emergency Medical Technician in a ten-week program at UCLA, and this led to a two-year stint as a live-in volunteer firefighter and EMT at the Cayuga Heights Fire at UCLA, and this led to a two-year stint as a live-in volunteer firefighter and EMT at the Cayuga Heights Fire Department in Ithaca. He assumed leadership roles as company secretary and then president.Department in Ithaca. He assumed leadership roles as company secretary and then president.

After graduation, Joe decided to take a research year with Dr. Buchanan in the Department of After graduation, Joe decided to take a research year with Dr. Buchanan in the Department of Orthopedic Surgery at UCLA. He was involved in a number of basic projects concerning bone repair. This Orthopedic Surgery at UCLA. He was involved in a number of basic projects concerning bone repair. This work has continued and expanded to include a project on imaging of experimental metastatic lesions. As a work has continued and expanded to include a project on imaging of experimental metastatic lesions. As a result of his research, Joe is co-author of seven manuscripts in print or in press. During the dedicated research result of his research, Joe is co-author of seven manuscripts in print or in press. During the dedicated research year, Joe supported himself by teaching at the Kaplan Learning Center and an independent learning center in year, Joe supported himself by teaching at the Kaplan Learning Center and an independent learning center in Torrance and by private tutoring.Torrance and by private tutoring.

Joe has done very well at the School of Medicine. He maintains a wide scope of interests outside Joe has done very well at the School of Medicine. He maintains a wide scope of interests outside of medicine, including athletics, travel, cooking, auto restoration, and music. His interest in orthopedics has of medicine, including athletics, travel, cooking, auto restoration, and music. His interest in orthopedics has been strengthened by his clinical experiences and his ongoing research. He enjoys the technical challenges been strengthened by his clinical experiences and his ongoing research. He enjoys the technical challenges that orthopedics provides, the camaraderie among physicians in the discipline, and the nature of the clinical that orthopedics provides, the camaraderie among physicians in the discipline, and the nature of the clinical problems. problems.

Academic HistoryAcademic HistoryACADEMIC HISTORYACADEMIC HISTORYDate of expected graduation from Medical School: Date of expected graduation from Medical School: June 2, 2009June 2, 2009Date of initial matriculation in Medical School: Date of initial matriculation in Medical School: August 4, 2005August 4, 2005Please explain any extensions, leave(s) of absence, gap(s) or breaks in the Please explain any extensions, leave(s) of absence, gap(s) or breaks in the

student’s educational program: student’s educational program: N/AN/ATransfer student: Transfer student: N/A. UCLA does not accept transfer students.N/A. UCLA does not accept transfer students.For dual/joint/combined degree students: For dual/joint/combined degree students: N/AN/A

Date of Initial Matriculation in Other Degree Program: Date of Initial Matriculation in Other Degree Program: Date of Expected Graduation from Other Degree Program: Date of Expected Graduation from Other Degree Program: Type (degree and major) of Other Degree Program: Type (degree and major) of Other Degree Program:

Was this student required to repeat any coursework during his/her medical Was this student required to repeat any coursework during his/her medical education?education?(if yes, please explain): (if yes, please explain): NoNo

Was this student the recipient of any adverse actions by the medical school or Was this student the recipient of any adverse actions by the medical school or its parent institution? (if yes, please explain): its parent institution? (if yes, please explain): NoNo

Academic ProgressAcademic ProgressACADEMIC PROGRESSACADEMIC PROGRESSThe Joe Geffen School of Medicine at UCLA adopted a pure pass/fail grading system The Joe Geffen School of Medicine at UCLA adopted a pure pass/fail grading system

without the ability to obtain honors with the 1993 entering class. However, a Letter without the ability to obtain honors with the 1993 entering class. However, a Letter of Distinction can be awarded. A Letter of Distinction is based on the extraordinary of Distinction can be awarded. A Letter of Distinction is based on the extraordinary quality of a student’s performance, irrespectivof the performance of other students quality of a student’s performance, irrespectivof the performance of other students in the course. These letters are not awarded on any type of quota system. in the course. These letters are not awarded on any type of quota system.

An assessment of Joe’s academic abilities both in the basic sciences as well as in the An assessment of Joe’s academic abilities both in the basic sciences as well as in the clinical sciences can be readily ascertained from the narratives below. These are clinical sciences can be readily ascertained from the narratives below. These are taken directly from the evaluations submitted by the course chairs and the faculty of taken directly from the evaluations submitted by the course chairs and the faculty of the basic sciences, small group discussion sections, and clinical clerkships:the basic sciences, small group discussion sections, and clinical clerkships:

Years One and TwoYears One and TwoJoe successfully completed the curriculum of the first two years. Comments from his Joe successfully completed the curriculum of the first two years. Comments from his

evaluations include: “Joe uses his good knowledge of basic science and his own evaluations include: “Joe uses his good knowledge of basic science and his own hands-on experience and applies them very well. He had excellent problem solving hands-on experience and applies them very well. He had excellent problem solving and critical thinking skills. Often made astute comments. He had the most and critical thinking skills. Often made astute comments. He had the most outstanding patient interviewing skills in the group. Joe will make an incredibly outstanding patient interviewing skills in the group. Joe will make an incredibly observant, thoughtful and effective physician.”observant, thoughtful and effective physician.”

Academic ProgressAcademic ProgressRequired Clinical Clerkships and Elective RotationsRequired Clinical Clerkships and Elective RotationsNarratives are edited for length, grammar and redundancy only.Narratives are edited for length, grammar and redundancy only.

Doctoring 3Doctoring 3 (Required)(Required) For the duration of the 3rd yearFor the duration of the 3rd yearCenter for Health SciencesCenter for Health SciencesJoe Bruin is an active, enthusiastic and valuable member of our doctoring group. Joe combines his naturally Joe Bruin is an active, enthusiastic and valuable member of our doctoring group. Joe combines his naturally

personable, open demeanor with a fine capacity to articulate and present well reasoned opinions and personable, open demeanor with a fine capacity to articulate and present well reasoned opinions and knowledge on pertinent issues. He demonstrated a highly skillful patient interview and appeared to easily knowledge on pertinent issues. He demonstrated a highly skillful patient interview and appeared to easily understand the need to subordinate his own rapid, decisive pace and opinions to the needs and pace of the understand the need to subordinate his own rapid, decisive pace and opinions to the needs and pace of the patient. Joe has been a thoughtful participant on all issues and his written and verbal participation have been patient. Joe has been a thoughtful participant on all issues and his written and verbal participation have been outstanding in every session.outstanding in every session.

Longitudinal PreceptorshipLongitudinal Preceptorship (Required) (Required) For the duration of the 3rd yearFor the duration of the 3rd yearCenter for Health SciencesCenter for Health SciencesCardiology: Joe is a star! He is one of the most delightful, insightful, engaging students I have interacted with. Cardiology: Joe is a star! He is one of the most delightful, insightful, engaging students I have interacted with.

During his preceptorship he displayed abilities and talents comparable to a fourth year medical student. He is During his preceptorship he displayed abilities and talents comparable to a fourth year medical student. He is clearly at the head of the class. During the preceptorship he used the time to practice and hone his physical clearly at the head of the class. During the preceptorship he used the time to practice and hone his physical diagnosis skills, interviewing skills and fund of knowledge. Joe also has a very large interest in scientific diagnosis skills, interviewing skills and fund of knowledge. Joe also has a very large interest in scientific investigation. He was always on the lookout for interesting scientific questions and he saw each case as a new investigation. He was always on the lookout for interesting scientific questions and he saw each case as a new opportunity to ask insightful and probing questions. Joe will undoubtedly succeed in any field he chooses. I opportunity to ask insightful and probing questions. Joe will undoubtedly succeed in any field he chooses. I thoroughly enjoyed my interactions with him and give him my very highest and most enthusiastic evaluation.thoroughly enjoyed my interactions with him and give him my very highest and most enthusiastic evaluation.

Academic ProgressAcademic ProgressAmbulatory Internal MedicineAmbulatory Internal Medicine (Required)(Required) 7/25/20067/25/2006 (4 weeks)(4 weeks)Kaiser Foundation HospitalKaiser Foundation Hospital Joe rotated through Kaiser Foundation Hospital for his ambulatory medicine rotation 8/8-9/4/05. History taking was Joe rotated through Kaiser Foundation Hospital for his ambulatory medicine rotation 8/8-9/4/05. History taking was

superior, very thorough and included most all important details. PEs were high-satisfactory and were complete superior, very thorough and included most all important details. PEs were high-satisfactory and were complete and appropriately targeted and demonstrated good technique. Oral case presentations were superior, and appropriately targeted and demonstrated good technique. Oral case presentations were superior, demonstrating good organization and clarity and were of appropriate length. Write-ups were superior demonstrating good organization and clarity and were of appropriate length. Write-ups were superior demonstrating good DDX and problem lists and a thorough TX plan. Fund of knowledge was superior and demonstrating good DDX and problem lists and a thorough TX plan. Fund of knowledge was superior and above the level for a third year student. His clinical judgment was high-satisfactory; he was able to frequently above the level for a third year student. His clinical judgment was high-satisfactory; he was able to frequently integrate clinical information, medical facts and TX options applying an evidence-based approach. Joe's integrate clinical information, medical facts and TX options applying an evidence-based approach. Joe's humanism was Superior. He demonstrated great empathy for his patients and was clearly interested in his humanism was Superior. He demonstrated great empathy for his patients and was clearly interested in his patient's emotional as well as physical problems. He was enthusiastic and hardworking. His Attending wrote patient's emotional as well as physical problems. He was enthusiastic and hardworking. His Attending wrote "Joe demonstrated an outstanding medical knowledge base during this rotation". Overall Joe performed at a "Joe demonstrated an outstanding medical knowledge base during this rotation". Overall Joe performed at a superior level during his ambulatory medicine rotation at Kaiser Foundation Hospital.superior level during his ambulatory medicine rotation at Kaiser Foundation Hospital.

Academic ProgressAcademic ProgressInpatient Internal Medicine Inpatient Internal Medicine (Required)(Required) 9/1/20069/1/2006 (8 weeks)(8 weeks)West Los Angeles VAWest Los Angeles VAJoe did and outstanding job on the first month of his medical clerkship at the West LA VA. He is a pleasure to Joe did and outstanding job on the first month of his medical clerkship at the West LA VA. He is a pleasure to

work with and displayed a strong interest in learning and a deep commitment to patient care. He has work with and displayed a strong interest in learning and a deep commitment to patient care. He has outstanding interpersonal skills. His ability to care for and communicate with his patients is perhaps best outstanding interpersonal skills. His ability to care for and communicate with his patients is perhaps best illustrated by the several occasions when he was able to translate complex medical information into illustrated by the several occasions when he was able to translate complex medical information into language that his patients could understand, resulting in improved patient adherence and a strong bond language that his patients could understand, resulting in improved patient adherence and a strong bond between him and his patients. Several observers observed his constant effort to improve his medical between him and his patients. Several observers observed his constant effort to improve his medical knowledge and his presentations. His depth of interest in learning medicine is beyond the typical medical knowledge and his presentations. His depth of interest in learning medicine is beyond the typical medical student leading one house officer to judge him at the level of a sub-intern or intern. In summary, Joe is a student leading one house officer to judge him at the level of a sub-intern or intern. In summary, Joe is a "wonderful personality" who "always did more than what was needed to make sure his patients received "wonderful personality" who "always did more than what was needed to make sure his patients received the best medical care.Joe will make an outstanding house officer and physician.the best medical care.Joe will make an outstanding house officer and physician.

Joe rotated at Harbor-UCLA Medical Center. This student's evaluation is a composite of scores and Joe rotated at Harbor-UCLA Medical Center. This student's evaluation is a composite of scores and evaluations from attending physicians and residents. History taking was excellent, with consistent evaluations from attending physicians and residents. History taking was excellent, with consistent precision and focus on relevant problems. Nearly all pertinent positive and negative findings were precision and focus on relevant problems. Nearly all pertinent positive and negative findings were elucidated skillfully and with appropriate attention to details. The student performed satisfactory physical elucidated skillfully and with appropriate attention to details. The student performed satisfactory physical examinations that were, on occasion, very good. The student demonstrated current knowledge, including examinations that were, on occasion, very good. The student demonstrated current knowledge, including information from journal articles, that was at a high level for 3rd year students. The student regularly information from journal articles, that was at a high level for 3rd year students. The student regularly demonstrated excellent judgment, including the ability to integrate data and facts, balance risks and demonstrated excellent judgment, including the ability to integrate data and facts, balance risks and benefits, and make justifiable decisions. "Good fund of knowledge. Good team player, willing to help out benefits, and make justifiable decisions. "Good fund of knowledge. Good team player, willing to help out and always interested in learning. Strong foundations of skills that will serve him well in the future." The and always interested in learning. Strong foundations of skills that will serve him well in the future." The overall performance of this student on the Harbor-UCLA portion of the Inpatient Medicine clerkship was overall performance of this student on the Harbor-UCLA portion of the Inpatient Medicine clerkship was excellent.excellent.

Academic ProgressAcademic ProgressNeurology Neurology (Required)(Required) 12/1/200612/1/2006 (3 weeks)(3 weeks)Harbor-UCLA Medical CenterHarbor-UCLA Medical CenterJoe was outstanding on this rotation. He mastered the neurologic exam rather quickly, and was very good at Joe was outstanding on this rotation. He mastered the neurologic exam rather quickly, and was very good at

drawing out important details from patient's exams to guide differential diagnosis. He was inquisitive and drawing out important details from patient's exams to guide differential diagnosis. He was inquisitive and extremely conscientious, and his organized presentations were top-notch. He was very easy to work with, and extremely conscientious, and his organized presentations were top-notch. He was very easy to work with, and was very reliable. He essentially functioned at the level of an intern for our team, and this bodes very well for was very reliable. He essentially functioned at the level of an intern for our team, and this bodes very well for his future residency of choice.his future residency of choice.

Obstetrics and Gynecology Obstetrics and Gynecology (Required) (Required) 2/12/20072/12/2007 (6 weeks)(6 weeks)Harbor-UCLA Medical CenterHarbor-UCLA Medical CenterJoe did an outstanding job during his 3rd year clerkship on Ob/Gyn at Harbor-UCLA. He learned rapidly, read Joe did an outstanding job during his 3rd year clerkship on Ob/Gyn at Harbor-UCLA. He learned rapidly, read

widely, became very involved in patient care and sought out clinical and learning experiences. The faculty widely, became very involved in patient care and sought out clinical and learning experiences. The faculty noted that "Joe was an enthusiastic, capable, hard working, pleasant student. Joe is a very interesting young noted that "Joe was an enthusiastic, capable, hard working, pleasant student. Joe is a very interesting young man who brings a wide breadth of experiences to his medical career. He should make a very good man who brings a wide breadth of experiences to his medical career. He should make a very good physician/surgeon.” A second faculty noted "He has great potential and I believe he will be an asset to physician/surgeon.” A second faculty noted "He has great potential and I believe he will be an asset to whatever specialty he chooses.” A third on said "This is a stellar student. Very responsible, great fund of whatever specialty he chooses.” A third on said "This is a stellar student. Very responsible, great fund of knowledge.” The residents were also impressed, the comment "Great Job" sums up their assessment. knowledge.” The residents were also impressed, the comment "Great Job" sums up their assessment.

Joe received a Letter of Distinction in Obstetrics/Gynecology Joe received a Letter of Distinction in Obstetrics/Gynecology

Academic ProgressAcademic ProgressPediatrics Pediatrics (Required) (Required) 4/1/20074/1/2007 (6 weeks)(6 weeks)Center for Health SciencesCenter for Health SciencesExcellent medical student. I am sure he'll be an outstanding resident in whatever field he selects. Nice to work with. Calm and Excellent medical student. I am sure he'll be an outstanding resident in whatever field he selects. Nice to work with. Calm and

composed. Integrated clinical information extremely well. Always professional and appropriate with coworkers and patients. composed. Integrated clinical information extremely well. Always professional and appropriate with coworkers and patients. Efficient and took charge of his own independent learning as well. Joe did a very good job on his Nursery rotation, and it was Efficient and took charge of his own independent learning as well. Joe did a very good job on his Nursery rotation, and it was nice to work with him. Although he is not interested in a Pediatrics career, Joe was always willing to learn new things and nice to work with him. Although he is not interested in a Pediatrics career, Joe was always willing to learn new things and experience new patients. He related well with the patients' families, he was always on time, and did a very good job with his experience new patients. He related well with the patients' families, he was always on time, and did a very good job with his history taking and physical exams. I wish him well in his future as a Cardiologist or surgeon. Very professional among patients. history taking and physical exams. I wish him well in his future as a Cardiologist or surgeon. Very professional among patients. Interacted very well with children. In the nursery Joe demonstrated himself to be an eager pleasant student who worked well Interacted very well with children. In the nursery Joe demonstrated himself to be an eager pleasant student who worked well with the nursery staff.with the nursery staff.

Psychiatry Psychiatry (Required) (Required) 5/28/20075/28/2007 (6 weeks)(6 weeks)Harbor-UCLA Medical CenterHarbor-UCLA Medical CenterJoe was one of the best medical students that particular psychiatric service has seen. He is self-motivated, knowledgeable, hard-Joe was one of the best medical students that particular psychiatric service has seen. He is self-motivated, knowledgeable, hard-

working, professional, caring conscientious and well-organized. He will be a truly outstanding resident.working, professional, caring conscientious and well-organized. He will be a truly outstanding resident.

Orthopaedic SurgeryOrthopaedic Surgery (Elective)(Elective) 8/24/20078/24/2007 (4 weeks)(4 weeks)Center for Health SciencesCenter for Health Sciences

Truly an outstanding job by this exemplary student. Joe embodies what I look for in an exceptional future houseofficer: extremely Truly an outstanding job by this exemplary student. Joe embodies what I look for in an exceptional future houseofficer: extremely bright, asks provocative questions, hard working, and has an easy going calm demeanor. bright, asks provocative questions, hard working, and has an easy going calm demeanor.

SummarySummarySUMMARYSUMMARYJoe Bruin has performed admirably throughout his education. He is bright, friendly, dedicated, and well-rounded. Joe Bruin has performed admirably throughout his education. He is bright, friendly, dedicated, and well-rounded.

His clerkship evaluations have been particularly strong and seem to predict that he will be a very effective His clerkship evaluations have been particularly strong and seem to predict that he will be a very effective clinician, as well as a good teacher. He has tested his interest in orthopedics with an extended exposure to clinician, as well as a good teacher. He has tested his interest in orthopedics with an extended exposure to research and close relationships with a number of faculty members. He has a sophisticated understanding of research and close relationships with a number of faculty members. He has a sophisticated understanding of the field and the intellect and personality to succeed through training and beyond.the field and the intellect and personality to succeed through training and beyond.

Sincerely,Sincerely,

Neil H. Parker, M.D.Neil H. Parker, M.D.Senior Associate Dean for Student AffairsSenior Associate Dean for Student Affairs

AppendixAppendixAppendix A – Graphic Representations of Comparative Performance in Preclinical/Basic Science CourseworkAppendix A – Graphic Representations of Comparative Performance in Preclinical/Basic Science CourseworkThe grading system for all four years is Pass/Fail without the possibility to obtain Honors. Thus a class ranking or placement into quartiles cannot be calculated. The grading system for all four years is Pass/Fail without the possibility to obtain Honors. Thus a class ranking or placement into quartiles cannot be calculated. Appendix B – Graphic Representations of Comparative Performance in Core Clinical ClerkshipsAppendix B – Graphic Representations of Comparative Performance in Core Clinical ClerkshipsThe grading system for all four years is Pass/Fail without the possibility to obtain Honors. Thus a class ranking or placement into quartiles cannot be calculated. The grading system for all four years is Pass/Fail without the possibility to obtain Honors. Thus a class ranking or placement into quartiles cannot be calculated. Appendix C – Graphic Representations of Comparative Performance in Professional AttributesAppendix C – Graphic Representations of Comparative Performance in Professional AttributesThe grading system for all four years is Pass/Fail without the possibility to obtain Honors. Thus a class ranking or placement into quartiles cannot be calculated. The grading system for all four years is Pass/Fail without the possibility to obtain Honors. Thus a class ranking or placement into quartiles cannot be calculated. Appendix D – Graphic Representations of Overall Comparative Performance in Medical SchoolAppendix D – Graphic Representations of Overall Comparative Performance in Medical SchoolThe grading system for all four years is Pass/Fail without the possibility to obtain Honors. Thus a class ranking or placement into quartiles cannot be calculated. The grading system for all four years is Pass/Fail without the possibility to obtain Honors. Thus a class ranking or placement into quartiles cannot be calculated.

Appendix E – Medical School Information Page – Class of 2006Appendix E – Medical School Information Page – Class of 2006Joe Geffen School of Medicine at UCLA – Los Angeles, California Joe Geffen School of Medicine at UCLA – Los Angeles, California Special programmatic emphasis, strengths, mission/goal(s) of UCLA:Special programmatic emphasis, strengths, mission/goal(s) of UCLA:The mission of the Joe Geffen School of Medicine at UCLA is to prepare graduates for distinguished careers in medicine. The mission of the Joe Geffen School of Medicine at UCLA is to prepare graduates for distinguished careers in medicine. Students are selected from an applicant pool of over Students are selected from an applicant pool of over

6,000 and are chosen for demonstrated excellence in academics, community service, research, and teaching. Over their four years at UCLA, students participate in a 6,000 and are chosen for demonstrated excellence in academics, community service, research, and teaching. Over their four years at UCLA, students participate in a wide range of activities that continue to emphasize our selection criteria. Over 80% of the students will have had meaningful experiences in community service, wide range of activities that continue to emphasize our selection criteria. Over 80% of the students will have had meaningful experiences in community service, teaching, or research. In the middle of the third year, students choose to belong to a College which has special emphasis on advising and mentoring. teaching, or research. In the middle of the third year, students choose to belong to a College which has special emphasis on advising and mentoring.

Special characteristics of the UCLA educational program:Special characteristics of the UCLA educational program:The curriculum for the class of 2006 was a discipline-based coursework for the first two years with emphasis on small groups and problem-based learning. The third year is The curriculum for the class of 2006 was a discipline-based coursework for the first two years with emphasis on small groups and problem-based learning. The third year is

taken in two blocks of 24 weeks each of surgery, obstetrics & gynecology, and pediatrics or inpatient and ambulatory medicine, family medicine, and psychiatry & taken in two blocks of 24 weeks each of surgery, obstetrics & gynecology, and pediatrics or inpatient and ambulatory medicine, family medicine, and psychiatry & neurology. Half of all the clinical coursework is in the ambulatory arena where students learn to do focused histories and physicals and are exposed to system-based neurology. Half of all the clinical coursework is in the ambulatory arena where students learn to do focused histories and physicals and are exposed to system-based practices and real life issues in a highly managed care environment. practices and real life issues in a highly managed care environment.

Over the first three years, students participate in Doctoring, which focuses on learning and improving their skills in communication, history taking and integrating psychosocial Over the first three years, students participate in Doctoring, which focuses on learning and improving their skills in communication, history taking and integrating psychosocial issues into patient care. The program uses standardized patients, direct observation of students’ interviews, and trigger tapes of common problems and situations to issues into patient care. The program uses standardized patients, direct observation of students’ interviews, and trigger tapes of common problems and situations to stimulate small group discussion.stimulate small group discussion.

Students join a College in the middle of their third year organized around specialties sharing common perspectives: Applied Anatomy, Acute Care, Primary Care, Students join a College in the middle of their third year organized around specialties sharing common perspectives: Applied Anatomy, Acute Care, Primary Care, M.B.A./M.P.H., Medical Scientist, and Urban Underserved. The colleges start with a week long Foundation course to prepare students for the fourth year, have a set of M.B.A./M.P.H., Medical Scientist, and Urban Underserved. The colleges start with a week long Foundation course to prepare students for the fourth year, have a set of defined selectives, include evening seminars and preparation sessions for residency, and focus on advising and mentoring for career selection and preparation.defined selectives, include evening seminars and preparation sessions for residency, and focus on advising and mentoring for career selection and preparation.

There are both the MSTP program, which accepts students for their M.D. and Ph.D. from the initial application, and the Access program, which accepts students during their There are both the MSTP program, which accepts students for their M.D. and Ph.D. from the initial application, and the Access program, which accepts students during their second year for their Ph.D. Most students spend 3-5 years between their second and third years. Additionally, students are increasingly electing to obtain their M.B.A. second year for their Ph.D. Most students spend 3-5 years between their second and third years. Additionally, students are increasingly electing to obtain their M.B.A. or M.P.H. Students are selected in their third year and do joint courses over the subsequent two years, obtaining both degrees at graduation in a total of five years.or M.P.H. Students are selected in their third year and do joint courses over the subsequent two years, obtaining both degrees at graduation in a total of five years.

Average length of enrollment (initial matriculation to graduation) at UCLA:Average length of enrollment (initial matriculation to graduation) at UCLA:Seventy percent of the Class of 2006 will have spent three years and ten months in our four year program. Thirty percent elected to take additional training for research, Seventy percent of the Class of 2006 will have spent three years and ten months in our four year program. Thirty percent elected to take additional training for research,

community service, or an advanced degree. Only the summer between the first and second years is non structured time.community service, or an advanced degree. Only the summer between the first and second years is non structured time.

Appendix (cont.)Appendix (cont.)Description of the evaluation system used at UCLA:Description of the evaluation system used at UCLA:The grading system for all four years is Pass/Fail without the possibility to obtain Honors. Thus a class ranking or placement The grading system for all four years is Pass/Fail without the possibility to obtain Honors. Thus a class ranking or placement

into quartiles cannot be calculated. into quartiles cannot be calculated. A student may be awarded a Letter of Distinction (LOD) based on extraordinary quality of his/her performance in all A student may be awarded a Letter of Distinction (LOD) based on extraordinary quality of his/her performance in all

segments of the course and irrespective of the performance of the other students. LOD’s can only be awarded for first segments of the course and irrespective of the performance of the other students. LOD’s can only be awarded for first and second year courses which have small group and problem-based components. All required clerkships of the third and second year courses which have small group and problem-based components. All required clerkships of the third year (except Radiology and Preceptorship) may award LOD’s. They are, however, not awarded for any fourth year year (except Radiology and Preceptorship) may award LOD’s. They are, however, not awarded for any fourth year coursework (elective clerkships).coursework (elective clerkships).

Requirements for completion of USMLE Steps 1, 2:Requirements for completion of USMLE Steps 1, 2:USMLE Step 1 – passage required for promotion into senior year and for graduationUSMLE Step 1 – passage required for promotion into senior year and for graduationUSMLE Step 2 – Both CK and CS must be taken to graduate and CK passedUSMLE Step 2 – Both CK and CS must be taken to graduate and CK passedRequirement for completion of OSCE:Requirement for completion of OSCE:An OSCE is required for completion of the Second Year Physical Diagnosis course.An OSCE is required for completion of the Second Year Physical Diagnosis course.The Clinical Performance Examination by the California Consortium for assessing clinical competence is required of all The Clinical Performance Examination by the California Consortium for assessing clinical competence is required of all

students at the end of their third year. students at the end of their third year. Utilization of course, clerkship or elective directors’ narrative comments:Utilization of course, clerkship or elective directors’ narrative comments:Narratives are edited for length, grammar, and redundancy.Narratives are edited for length, grammar, and redundancy.Utilization of AAMC’s “Guidelines for Academic Transcripts”:Utilization of AAMC’s “Guidelines for Academic Transcripts”:Partially in compliance with guideline recommendations.Partially in compliance with guideline recommendations.Student review MSPE prior to transmission for accuracy:Student review MSPE prior to transmission for accuracy:YesYes

The Evaluation Section of The Evaluation Section of MSPEMSPE

Evaluations go in verbatim-remember this is an evaluation Evaluations go in verbatim-remember this is an evaluation notnot a a recommendation recommendation

The only way to have the comments revised on your MSPE is to have The only way to have the comments revised on your MSPE is to have the Clerkship Director submit new comments on ESS. Revised the Clerkship Director submit new comments on ESS. Revised comments comments mustmust be submitted to the SAO on ESS by September 1, be submitted to the SAO on ESS by September 1, 2008.2008.

Buck and Meredith will not be able to make revisions or Buck and Meredith will not be able to make revisions or alter your evaluations in any way during the MSPE review alter your evaluations in any way during the MSPE review processprocess

Questions or concerns about evaluations should be discussed with Questions or concerns about evaluations should be discussed with Dr. Parker, Buck, or Meredith before approaching Clerkship Director.Dr. Parker, Buck, or Meredith before approaching Clerkship Director.

Sample Evaluation Sample Evaluation ReformatReformat

Before Edit:Before Edit:Comments from faculty:Comments from faculty:"Excellent job getting clinical information efficiently and presenting cases in clear logical format. Good "Excellent job getting clinical information efficiently and presenting cases in clear logical format. Good

rapport with patients."rapport with patients.""Joanne Bruin is bright and enthusiastic, and did an excellent job on this rotation. She developed instant "Joanne Bruin is bright and enthusiastic, and did an excellent job on this rotation. She developed instant

rapport with patients, putting them at ease. Her histories were detailed and systematic. She evaluated rapport with patients, putting them at ease. Her histories were detailed and systematic. She evaluated patients carefully, and formulated excellent differential diagnoses and management plans. Her case patients carefully, and formulated excellent differential diagnoses and management plans. Her case presentations were complete and focused. It was a pleasure to work with her!"presentations were complete and focused. It was a pleasure to work with her!"

On her case presentation project she received a score of 20/20 and on her written final examination she On her case presentation project she received a score of 20/20 and on her written final examination she received 70%.received 70%.

After Edit:After Edit:"Excellent job getting clinical information efficiently and presenting cases in a clear logical format. "Excellent job getting clinical information efficiently and presenting cases in a clear logical format.

Good rapport with patients." "Joanne is bright and enthusiastic, and did an excellent job on this Good rapport with patients." "Joanne is bright and enthusiastic, and did an excellent job on this rotation. She developed instant rapport with patients, putting them at ease. Her histories were rotation. She developed instant rapport with patients, putting them at ease. Her histories were detailed and systematic. She evaluated patients carefully, and formulated excellent differential detailed and systematic. She evaluated patients carefully, and formulated excellent differential diagnoses and management plans. Her case presentations were complete and focused. It was a diagnoses and management plans. Her case presentations were complete and focused. It was a pleasure to work with her!"pleasure to work with her!"

What Is Removed from the Evaluation?What Is Removed from the Evaluation?

PDA logsPDA logs Attendance (Unless it is an issue noted within the narrative of the Attendance (Unless it is an issue noted within the narrative of the

evaluation.) evaluation.) Nomination for a LOD (If you received one, it will be noted in bold at Nomination for a LOD (If you received one, it will be noted in bold at

the end of the evaluation.)the end of the evaluation.) Exam scores or percentilesExam scores or percentiles References to graded presentationsReferences to graded presentations Physician/evaluator namesPhysician/evaluator names Websites and journal citationsWebsites and journal citations Dates of Clerkships (the MSPE is written in chronological order)Dates of Clerkships (the MSPE is written in chronological order)

What edits does the SAO What edits does the SAO make?make?

Correction of name: You will be referred to by your given first name Correction of name: You will be referred to by your given first name throughout the MSPEthroughout the MSPE

Gender: Pronouns will be changed to reflect your genderGender: Pronouns will be changed to reflect your gender

Spelling and punctuation: All spelling will be corrected, but the nature Spelling and punctuation: All spelling will be corrected, but the nature of composite evaluations is that punctuation may not be 100% of composite evaluations is that punctuation may not be 100% accurate. Sentence fragments may be left in.accurate. Sentence fragments may be left in.

Redundant comments may be removed Redundant comments may be removed

What do I edit on the MSPE?What do I edit on the MSPE?

““Unique Characteristics”Unique Characteristics” Section Section Errors, omissions, and chronologyErrors, omissions, and chronology Reference to specialty choice (this is up to you whether or not you want your Reference to specialty choice (this is up to you whether or not you want your

specialty included in the MSPE)specialty included in the MSPE) Personal information you do not want included in your application Personal information you do not want included in your application

““Summary”Summary” Section Section Errors, omissions, and chronologyErrors, omissions, and chronology Reference to specialty choice (this is up to you whether or not you want your Reference to specialty choice (this is up to you whether or not you want your

specialty included in the MSPE)specialty included in the MSPE)

Ensure LOD’s and AOA are included if applicableEnsure LOD’s and AOA are included if applicable

How does the MSPE How does the MSPE process work?process work?

Spring 2008:Spring 2008: Complete online MSPE Personal Information Form-turn in to SAO by Complete online MSPE Personal Information Form-turn in to SAO by April 1April 1stst

June 5, 2008:June 5, 2008: Mandatory Application Process MeetingMandatory Application Process Meeting

Handbooks distributed (Application and Interview)Handbooks distributed (Application and Interview)

June-September:June-September: Meet with Dean Parker (appointments will be scheduled by SAO)Meet with Dean Parker (appointments will be scheduled by SAO)

July 1:July 1: Issued ERAS token by SAO to BOL account-make sure there are no junk mail filters setIssued ERAS token by SAO to BOL account-make sure there are no junk mail filters set

All students (early match too) register on ERASAll students (early match too) register on ERAS

July-September:July-September: Schedule CV/PS meeting with Buck or MeredithSchedule CV/PS meeting with Buck or Meredith

August 1-October 1:August 1-October 1: MSPE Editing BeginsMSPE Editing Begins

You are notified by SAO when your MSPE is ready for reviewYou are notified by SAO when your MSPE is ready for review

October 10:October 10: Last day for Evaluations to be received by SAO to be included in MSPELast day for Evaluations to be received by SAO to be included in MSPE

November 1:November 1: MSPEs released automatically to all programs (National Deadline)MSPEs released automatically to all programs (National Deadline)

MSPE Editing TimelineMSPE Editing Timeline Each student allotted 1 opportunity to make edits-”Each student allotted 1 opportunity to make edits-”Unique CharacteristicsUnique Characteristics” and ” and

““SummarySummary” ” onlyonly Edits will be made by SAO and you will be contacted to sign-off on your MSPE Edits will be made by SAO and you will be contacted to sign-off on your MSPE

when completed when completed MSPE must be reviewed in SAO (allowMSPE must be reviewed in SAO (allow 30 minutes to review)30 minutes to review) You will not be allowed to make copies of your MPSE nor remove it from the SAOYou will not be allowed to make copies of your MPSE nor remove it from the SAO Content of each MSPE is confidential and should not be shared with other Content of each MSPE is confidential and should not be shared with other

classmatesclassmates Until you have signed-off on your MSPE it will not be releasedUntil you have signed-off on your MSPE it will not be released

NOTE: Revised comments must be received by SAO before you begin the NOTE: Revised comments must be received by SAO before you begin the editing process-you will not be allowed to contest comments during the editing process-you will not be allowed to contest comments during the MSPE review.MSPE review.

Letters of Letters of RecommendationRecommendation

Download ERAS Recommendation form from Download ERAS Recommendation form from “Forms Index” on website“Forms Index” on website

You do not need to include your AAMC ID on the formYou do not need to include your AAMC ID on the form You You dodo need to waive your right to see the letter by signing this form need to waive your right to see the letter by signing this form

Requests for LORs should begin this spring. All Requests for LORs should begin this spring. All requests should be made by September 1 to allow requests should be made by September 1 to allow letter writers time to complete themletter writers time to complete them

LORs are submitted to the SAO and uploaded onto LORs are submitted to the SAO and uploaded onto ERAS as received as PDFsERAS as received as PDFs

Suggested types of Suggested types of LettersLetters

Early Match (Ophthalmology and Urology)Early Match (Ophthalmology and Urology)1.1. LOR from either Medicine or Surgery (Yr 3)LOR from either Medicine or Surgery (Yr 3)

1.1. Can be used for Preliminary Programs in ERAS MatchCan be used for Preliminary Programs in ERAS Match

2.2. 1-2 LORs in specialty of choice (Yr 4)1-2 LORs in specialty of choice (Yr 4)1.1. At least one LOR should be from UCLA, the others can be At least one LOR should be from UCLA, the others can be

from Away Electivesfrom Away Electives

3.3. LOR from research mentor (if applicable)LOR from research mentor (if applicable)

Suggested types of Suggested types of LettersLetters

Regular/ERAS Match Regular/ERAS Match 1.1. LOR from either Medicine or Surgery (Yr 3)LOR from either Medicine or Surgery (Yr 3)

1.1. Can be used for Preliminary Programs if applicableCan be used for Preliminary Programs if applicable

2.2. At least one LOR in specialtyAt least one LOR in specialty1.1. One should be from UCLAOne should be from UCLA2.2. Should be from Faculty Only (no residents)Should be from Faculty Only (no residents)

3.3. 1-2 LORs in Sub-Is or Electives taken in the summer1-2 LORs in Sub-Is or Electives taken in the summer1.1. Good to have a variety of specialtiesGood to have a variety of specialtiesNOTE for Orthopaedics Applicants: 2-3 LORs should be in specialty and NOTE for Orthopaedics Applicants: 2-3 LORs should be in specialty and

should include Away Electivesshould include Away Electives

Chairs LettersChairs Letters

For applicants applying in:For applicants applying in: Internal MedicineInternal Medicine PediatricsPediatrics OrthopaedicsOrthopaedics OB/GynOB/Gyn Preliminary Medical programs Preliminary Medical programs You You maymay be required to submit a Chair’s Letter. be required to submit a Chair’s Letter.

Requests for Chair’s Letters happen in June.Requests for Chair’s Letters happen in June.

Residency Application IncludesResidency Application Includes The MSPE (sent out nationally on November 1)The MSPE (sent out nationally on November 1) Personal Statement(s)Personal Statement(s) CV CV Letters of recommendation Letters of recommendation Medical School Transcript Medical School Transcript PhotographPhotograph USMLE Score Report (automatically released by ERAS)USMLE Score Report (automatically released by ERAS)

Advising in the Third and Fourth YearAdvising in the Third and Fourth Year

College Introduction Meetings (Mandatory)College Introduction Meetings (Mandatory) First Week in JanuaryFirst Week in January

Scheduling 4Scheduling 4thth Year Clerkships Meeting (Mandatory) Year Clerkships Meeting (Mandatory) January 30, 2007January 30, 2007

Residency/Match Timeline Meeting (Mandatory)Residency/Match Timeline Meeting (Mandatory) June 5, 2008June 5, 2008

Open Advising Office Hours for Personal Statements, Open Advising Office Hours for Personal Statements, CV’s, and application preparation July 1-September 1CV’s, and application preparation July 1-September 1

How Should I Structure my How Should I Structure my Time?Time?

Year 3Year 3 Continue to excel on Clerkships—earning an LOD is one of the strongest things Continue to excel on Clerkships—earning an LOD is one of the strongest things

you can do to increase your competitiveness you can do to increase your competitiveness Attend Doctoring Lunches with Dean Parker and Meredith throughout 3Attend Doctoring Lunches with Dean Parker and Meredith throughout 3rdrd Year Year Think about obtaining LORs from required clerkships. You may officially begin to Think about obtaining LORs from required clerkships. You may officially begin to

ask for these letters January of Year 3.ask for these letters January of Year 3. Continue to attend career specialty luncheons and lecturesContinue to attend career specialty luncheons and lectures Focus on career exploration and choiceFocus on career exploration and choice Scheduling for Year 4 and the College selection process begins in JanuaryScheduling for Year 4 and the College selection process begins in January Meet with Meredith or Buck after Match Day (early April) to assess status of your Meet with Meredith or Buck after Match Day (early April) to assess status of your

application, confirm Year 4 schedule-etcapplication, confirm Year 4 schedule-etcJune of Year 3 Residency process officially begins June of Year 3 Residency process officially begins

What do I until June of Year 3?What do I until June of Year 3? Continue to explore career choicesContinue to explore career choices Establish faculty mentor through College Establish faculty mentor through College Hang-out with the people in the specialties you are considering—see if you fit in.Hang-out with the people in the specialties you are considering—see if you fit in. Plan away electives and sub-internshipsPlan away electives and sub-internships

““Your future career should fit like a glove!”Your future career should fit like a glove!”-Dean Parker-Dean Parker