Spring – Summer 2019 Clerkship School as assigned School: Tuesdays from 1:00 ... , family...

MED901:LongitudinalIntegratedClerkships(LIC)Spring–Summer2019

MondaysthroughFridays:8:00a.m.to1:00to5:00p.m.

ClerkshipSchool:Tuesdaysfrom1:00to5:00p.m.WeekendsandEvenings:asassigned CourseDescriptionsandLearningObjectives:The Longitudinal Integrated Clerkship (LIC) block 1 begins with a transition to clerkshipsexperience. The transition to clerkships is a five-week experience designed to introduce andprepare third-year students for clinical rotations prior to the commencement of longitudinalintegratedclerkships.Thiscourseemphasizesthestrengtheningofcompetenciesinhistory-taking,physicalexaminationskills,problemdifferentiation,diseasepreventionandmanagement, aswellaswritten communication andoral presentation skills – including, but not limited to, presentinginformation on rounds, writing notes and orders, team leadership, and communicating withcolleagues,patients,andpeers.Inapplyingthesebasicskills,studentsdevelopanunderstandingoftheimportanceofcomprehensive,patient-centered,andlongitudinalcare.Studentsspendoneafternoonperweekininteractivedidacticsessions,“ClerkshipSchool,”insmallgroups, focusing on common patient problems, communication, developing clinical skills andthoughtprocessesinvolvedinevaluatingpatients.

§ Strengthenphysicalexamandproceduralskills.§ Apply basic concepts learned in the Foundations Phase to further critical thinking skills,

particularlywithregardtodataanalysisanddifferentialdiagnosis.§ Perform and refine communication and presentation skills, patient interview techniques,

physical examination and history-taking skills in preparation for active clerkshipexperiences, includingclinical reasoningandother factors that facilitateunderstandingofclinicalhealthcaresystems(system-basedpractices).

§ Develop reflective practices and abilities to communicate with colleagues, peer, andpatients.

§ Fosterpersonalaccountability,altruism,humanism,self-awareness,aswellasself-directedandlife-longlearning.

Upon completion of the Transitions to Clerkship course, students begin longitudinal integratedclerkships. Longitudinal integrated clerkships (LIC) are central components of the clinicaleducationphaseofthecurriculum.Studentsparticipateinthecomprehensivecareofpatientsandengageincontinuouslearningrelationshipswithpatientsandtheirattendingcliniciansovertime,all the while acquiring core clinical competencies across multiple disciplines: anesthesia,emergencymedicine, familymedicine, internalmedicine,neurology/neurosurgery, obstetrics andgynecology, pediatrics, psychiatry, and surgery. LIC’s utilize the continuity of relationshipswithpatients, faculty preceptors, and settings over an extended period of time, combined with alongitudinal developmental pedagogy, to foster an environment of caring and learning,responsibility,andaprofessionalsenseofduty.Studentsgainfirst-handperspectivesofproviders’decisionsandroles,aswellasthestructureandfunctionofhealthcaredeliverysystems.LICsalsoprovide students with exposure to socioeconomic factors that may impact patient’s access oraversion to care within the context of the community, and the influence of care continuity onimprovedpatientsatisfaction,decreasedhospitalizations,emergencyroomvisits,andpreventativeservices.

MED901:LongitudinalIntegratedClerkships(LIC)

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LICobjectivesinclude:

§ Apply knowledge of the scientific and humanistic foundations ofmedicine in the clinicalpracticeofmedicine.

§ Demonstrate a thorough knowledge of the etiology, pathogenesis, clinical features,complications, principles of prevention, management of common and life-threateningillnessesthroughouttheagespectrum.

§ Performanddocumentacompleteandfocusedmedicalhistory,physicalexam,andmentalstatusassessmentinavarietyofmedicalspecialties.

§ Demonstrate the ability to interpret common laboratory tests, such as: blood and urinetests,electrocardiogram,andvarious imagingmodalities,and formulate findingsgatheredfrompatients’historiesandphysicalsintomeaningfuldiagnosticinformation.

§ Manage competing clinical priorities and navigate complex health care systems as amemberofaninterprofessionalteam.

§ Retrieve,analyze,andsynthesizerelevantandcurrentdataandliteratureusinginformationtechnologiesandlibraryresourcestoproposeclinicaldecisionsbasedonresearchevidence,clinicalexpertise,andpatientvalues.

§ Developcross-disciplinaryand interprofessional communicationskillsessential topatientcarethroughoutallspecialties.

§ Communicate effectively with patients, their families, interprofessional teams, andcommunitystakeholdersthroughverbal,non-verbal,andwrittenmeansofcommunication,respectingthedifferencesinbeliefsandbackgroundsamongpatientsandstudents.

§ Observe and assess clinical skills, including faculty and self-assessments, to formulatecontinuousskillimprovementsandstrategiesforupcomingrotations.

§ Enhancestudent’sstudyofmedicineandfosteralifelongcommitmenttoinvestigationandcross-disciplinarythinking.

§ Expand lifelong learning skills through enhanced opportunities and structured timedevotedtoreflectionandself-directedlearningwithpreceptors/facultyasguides.

RequiredandRecommendedReferenceMaterials:

Required

§ Callahan, T., & Caughey, A. B. (2013). Obstetrics & Gynecology: Blueprints Series. 6th ed.WoltersKluwer|LippincottWilliams&Wilkins.

§ Epocratesapp(requiresSmartPhoneorotherpocket-sized,touchscreentablet)-OR-

MedicationReference–Gomella, P. T. (2013).EMSPocketDrugGuide. 2nd ed.McGraw-HillMedicalEducation.

§ Greenberg,D.A.,Aminoff,M.J.,&Simon,R.P.(2015).ClinicalNeurology.8thed.McGraw-HillLange.

§ Goroll, A. H., & Mulley, A. G. (2014). Primary Care Medicine: Office Evaluation andManagementiftheAdultPatient.7thed.

§ Kasper, D., Fauci, A., Hauser, S., Long, D., Jameson, J. L., & Loscaizo, J. (2015).Harrison’sPrinciplesofInternalMedicine.19thed.McGraw-HillMedicalEducation.

§ Sadock,B. J.,Sadock,V.A.,&Ruiz,P.R. (2014).KaplanandSadock’sSynopsisofPsychiatry:BehavioralSciences/ClinicalPsychiatry.11thed.WoltersKluwer.

RequiredInstruments

§ Ophthalmoscope


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§ Otoscope§ ReflexHammer§ SmartPhoneortouchscreentablet(Epocrates)§ Stethoscope§ WhitecoatRecommended

Additionalmaterialsmaybeassignedbyfacultypreceptorsperencounterswithuniqueailments,illnesses,orcasesofpatientspresentedthroughouttheLIC’sduration.

CourseSchedule&WeeklyObjectives:Week1–March25-29,2019–Introduction(SimulationLab)

Monday,March25

Topicsinclude:

§ Sick/NotSick:whentoseekimmediatehelpfromyourresidentorattending§ Handwashing&Universalprecautionsreview§ WelcometoPsychiatrySimulation(3hours)

Tuesday,March26

Topicsinclude:

§ Scrub,glove,GownSimulation(2hours)§ Suturingsimulation(3hours)§ EMRpractice(2hours)

Wednesday,March27

Topicsinclude:

§ BLSO(8hours)Thursday,March28

Topicsinclude:

§ Usefulprocedures:IVs,Spinaltap,intubation(4hours)§ Howtopresentonrounds(2hours)§ Birthsimulation1(2hours)

Friday,March29

Topicsinclude:

§ EMRpractice§ Presentationpractice§ ToursofUMCL&D,OR,ED

Week2–April1-5,2019–InpatientSchedule–SurgeryWeek3–April8-12,2019InpatientSchedule–ObstetricsWeek4–April15-19,2019–EMRPracticeWeek5–April22-26,2019–FinalSkillsPractice


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WEEK GroupA GroupB GroupC GroupDApril1-5,2019 Surgery Surgery Labor&Delivery PsychiatryApril8-12,2019 Surgery Surgery Psychiatry Labor&DeliveryApril15-19,2019 Psychiatry Labor&Delivery Surgery SurgeryApril22-26,2019 Labor&Delivery Psychiatry Surgery Surgery


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LICRotations&Objectives:LICsmeet thecoreclinical competenciessimultaneouslyacrossmultipledisciplines.Alignedwithprinciplesofprimarycare,includingpatient-centeredcareandsystem-basedpractice,partnershipswithhealthsystemsthroughoutthecommunityprovideasustainablemodelofclinicaltrainingthataddressesundergraduatemedicaleducationandcommunityhealthneeds.Rotationsaimto:

§ Integrate medical knowledge and clinical experience with attention to epidemiologic,socioeconomic,behavioral,sociocultural,andcommunityfactorsthatimpactpatientcare;

§ Offercontinuouslearningrelationshipswithpatientsandtheirclinicians;§ Develop personal skills, habits of inquiry, and systems-level quality improvement with a

focusonexcellenceandpatientsafety;§ Judgestandardizationandindividualization(settingoutcomesandpermittingflexibility in

learning);§ Demonstrate core clinical competencies across multiple disciplines simultaneously to

promotetheoptimaluseofhealthcareresources;§ Recognize the importance and development of professional values and dispositions

(identity formation with a commitment to values, dispositions, and aspirations viaparticipationinacommunityofpractice);and,

§ Produceanenvironmentofcontinuouscoaching,instruction,assessment,andfeedback.Student assessment is based upon the demonstration of general competencies per UNLVSOM’sEducationalProgramObjectives(EPOs):1. Apply the principles of anatomy, behavioral science, biochemistry, biostatistics, cell biology,

epidemiology,genetics, immunology,microbiology,pathology,pharmacology,andphysiologytodeterminetheetiology,pathophysiology,diagnosis,treatment,andpreventionofsignificanthumandisorders.

2. Identifyandproposeatreatmentplanforacuteandchronicdiseases.3. Demonstratepersonalaccountability,altruism,humanism,self-awareness,andhumilityinthe

careofpatients,self,andothers.4. Communicateeffectivelywithpatients,families,andotherhealthcareprofessionals,including

insituationsinvolvingcommunicationbarriers.5. Conductanddocumentcompleteandfocusedmedicalhistoriesandphysicalexaminations,and

recognize confounding factors including age, gender, sociocultural factors, socioeconomicstatus,familyhistory,andemotionalstate.

6. Correctlyperformbasicproceduralskillswithattentiontopatientcomfortandsafety.7. Integrateepidemiologic,socioeconomic,behavioral,sociocultural,andcommunityfactorsinto

patientcare.8. Apply knowledge of wellness, nutrition, hospitality principles, pain management, and

integrativemedicinetopatientcare.9. Anticipateethicalissuesencounteredinclinicalcareandresearch,explainethicallyjustifiable

options and consequences from multiple perspectives, and manage ethical challenges inmedicalpracticeandresearch.

10. Provideappropriatepatient-centeredcounselingtechniquestoimproveoutcomesandpatientsatisfaction,andtopromoteoptimaluseofhealthcareresources.

11. Identify end-of-life care issues, including palliative care, from the perspectives of patient,family,andhealthcareproviders.

12. Demonstrate advanced clinical reasoning to develop and narrow differential diagnosesmergingclinicalinformationwithknowledgeofmechanismsofdisease.


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13. Formulateclinicalquestionsandapplyevidence-basedmedicinetoprovidequalityhealthcaretoindividualsandpopulations.

14. Practicescholarshipbasedonscientificresearchmethods.15. Identify the personal skills and systems-level processes that support continuous quality

improvement,includingpatientsafety.16. Advocatefortheimprovementofpublichealthoutcomesthroughcommunityengagementand

theanalysisofsocialdeterminantsofhealthanddisease.17. Discussthecorefinancial,legal,structural,policy,andregulatoryaspectsoftheUnitedStates

healthcaresystemandtheirimpactonthedeliveryofhealthcare.RequiredLICClerkshipExperiences:

CLERKSHIP ENCOUNTER TYPE Level of Student

Responsibility

Clinical Setting

Alternate Clinical Setting

Key

Family Medicine Acute respiratory infection

OB, PP, FP O

Case-based Lectures, Reading Lists for students, Family Medicine Case File, Alternative Clinic Site

Level of Student Responsibility OB = Observation PP = Partial Participation (Hx or PE) FP = Full Participation (HX, PE, and CR) O = Outpatient I = Inpatient E = Emergency

Addiction and substance abuse

OB, PP, FP O

Arthritis OB, PP, FP O Asthma/COPD OB, PP, FP O Back pain OB, PP, FP O Chest pain, non-cardiac

OB, PP, FP I

Depression/anxiety OB, PP, FP O Diabetes mellitus OB, PP, FP O Dyslipidemia OB, PP, FP O Dyspepsia/abdominal pain

OB, PP, FP O

Elder care OB, PP, FP O Fatigue OB, PP, FP O Genitourinary symptoms

OB, PP, FP O

Headache OB, PP, FP O Home Care of Patient OB, PP, FP O Hypertension OB, PP, FP O Menopause and menstrual disorders

OB, PP, FP O

Neuromuscular pain, chronic

OB, PP, FP O

Obesity OB, PP, FP O Periodic Health Assessment, any age

OB, PP, FP O

Phone Follow Up OB, PP, FP O Skin problems/rash OB, PP, FP O Patient for annual gynecologic exam

OB, PP, FP O, I

Well child care OB, PP, FP O


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Internal Medicine

Coronary artery disease/chest pain

OB, PP, FP

O


Coronary artery disease/chest pain

OB, PP, FP O

Angina, stable OB, PP, FP O Diabetes mellitus OB, PP, FP I,O Fever OB, PP, FP I,O GI bleeding OB, PP, FP I Hypertension OB, PP, FP I,O Shortness of breath OB, PP, FP I,O Dementia OB, PP, FP I,O Highly Complex Diseases- HIV/AIDS, SLE, Cancers

OB, PP I,O

Patients on Multiple Medications

OB, PP, FP I,O

Psychological or social issue major focus of interaction, including depression, anxiety, or substance use

OB, PP, FP I,O

Syncope, dizziness and/or generalized weakness

OB, PP, FP I,O

Joint, extremity, skeletal complaint, including low back pain

OB, PP, FP I,O

Acute condition, emphasis on diagnosis

OB, PP, FP I,O

Acute condition emphasis on treatment

OB, PP, FP I,O

Management of exacerbation of chronic condition

OB, PP, FP I,O

OB, PP, FP I,O End of life issues major focus on interaction, including pain management, palliative care, discussions of code

OB, PP, FP I,O

Patient from a culture not your own

OB, PP, FP I,O

Patient with limited access to care

OB, PP, FP I,O

Patient who does not OB, PP, FP I,O


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Internal Medicine (Cont.)

speak English Level of Student Responsibility OB = Observation PP = Partial Participation (Hx or PE) FP = Full Participation (HX, PE, and CR) O = Outpatient I = Inpatient E = Emergency

Care of patients requiring complex coordination

OB, PP I,O

Home Care OB,PP O Elderly (>75yo) patient

OB, PP, FP I,O

Neurology and Neurosurgery

Mental status changes OB, PP, FP O, I, E, Case-based Tutorials

Infectious/Post-infectious disorder

OB, PP, FP O, I, E

Seizures, epilepsy OB, PP, FP O, I, E Neuromuscular disorder

OB, PP, FP O, I, E

Movement disorder OB, PP, FP O, I, E Demyelinating disorder

OB, PP, FP O, I, E

Cerebral vascular disorder

OB, PP, FP O, I, E

Weakness OB, PP, FP O, I, E Paroxysmal events (spells)

OB, PP, FP O, I, E

Back pain OB, PP, FP O, I, E Dementia OB, PP, FP O, I, E Headache OB, PP, FP O, I, E

OB/GYN

Routine prenatal patient

OB, PP, FP O, I, E

Laboring patient OB, PP, FP O, I, E Breastfeeding patient OB, PP, FP O, I, E Complication of pregnancy; Pre-eclampsia

OB, PP, FP O, I, E

Complications of pregnancy; Diabetes

OB, PP, FP O, I, E

Complications of pregnancy; Post-Dates

OB, PP, FP O, I, E

Complications of pregnancy; Third trimester bleeding

OB, PP, FP O, I, E

Complications of pregnancy; Fetal growth restriction

OB, PP, FP O, I, E

Complications of pregnancy; Post-partum hemorrhage

OB, PP, FP O, I, E

Complications of pregnancy; First trimester complications

OB, PP, FP O, I, E

Patient with abnormal OB, PP, FP O, I, E


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OB/GYN (Cont.)

pap smear Case-based Tutorials


Periodic Assessment and Follow up

OB, PP, FP O

Post-operative patient OB, PP, FP O, I, E Bleeding problems OB, PP, FP O, I, E Contraceptive counseling

OB, PP, FP O, I

Menopause counseling OB, PP, FP O, I Pediatrics Health maintenance OB, PP, FP O

Case-based Tutorial, Lectures, Electronic Cases, CLIPP

Growth/dietary issues; dietary counseling, FTT, obesity

OB, PP, FP O, I

Newborn care: jaundice, breast feeding, LGA, SGA

OB, PP, FP O, I, E

Acute illness: respiratory failure, shock, head injury

OB, PP, FP O, I, E

Chronic illness OB, PP, FP O, I, E Developmental assessment

OB, PP, FP O, I

Pulmonary diseases: URI, asthma, cough

OB, PP, FP O, I, E

Dermatology: rashes OB, PP, FP O, I, E Behavioral issues OB, PP, FP O, I, E Unimmunized, partially immunized child

OB, PP, FP O

Hematology/Oncology OB, PP, FP O, I, E Psychiatry

A patient with dementia

OB, PP, FP O, I, E Students Lead Mental Status Examination Rounds

Substance-related disorder

OB, PP, FP O, I, E

Schizophrenia OB, PP, FP O, I, E Major depressive disorder

OB, PP, FP O, I, E

Anxiety disorder OB, PP, FP O, I, E Adjustment disorder OB, PP, FP O, I, E Personality disorder OB, PP, FP O, I, E Patient requiring comprehensive mental health assessment

OB, PP, FP O

Patient requiring complex management

OB, PP O,I,E

Care of Hospitalized patient

OB, PP I

Dementia OB, PP, FP O,I Change in Mental Status

OB, PP O,I,E


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Psychiatry (Cont.)

Bipolar disorder OB, PP, FP O, I, E Level of Student Responsibility OB = Observation PP = Partial Participation (Hx or PE) FP = Full Participation (HX, PE, and CR) O = Outpatient I = Inpatient E = Emergency

Surgery and Anesthesiology

Biliary tract disease OB, PP, FP O, I, E Case-based Tutorials

Oncologic disease (breast, pancreas, liver, melanoma)

OB, PP, FP O, I, E

Extremity injury, burns

OB, PP, FP O, I, E

Vascular disease (abdominal, aortic aneurysm, aortoiliac, occlusive disease, peripheral vascular disease, cerebral vascular disease)

OB, PP, FP O, I, E

Care of postoperative patient

OB, PP, FP O,I

Care of preoperative patient

OB,PP,FP O,I

Care of hospitalized patient requiring complex coordinated care

OB, PP, FP O,I

GI tract disease (biliary tract, pancreas, peptic ulcer disease, appendicitis, diverticulitis, anorectal disease)

OB, PP, FP O, I, E

Procedures and

Activities

Student Activity and Highest

Expected Level of Responsibility by the end of Foundations Phase

Student Activity and Highest

Expected Level of Responsibility by the end of Clinical Preparation and Scholarship Phase (Year 4)

Proper placement of leads for cardiac monitoring

Perform under Supervision Independently Perform

Performance of a 12-lead EKG Perform under Supervision Independently Perform Throat swab for culture or rapid strep

Perform under Supervision Independently Perform

Stool guaiac testing Perform under Supervision Independently Perform Apply and Change dressings Participate as member of team

with supervision Independently Perform

Perform wet mount and KOH prep Observe Perform under supervision Colposcopy N/A Observe Cerumen removal Observe Perform under supervision Injections (subcutaneous, intra-dermal, intramuscular)

Perform under Supervision Independently perform

Finger stick puncture Perform under Supervision Independently perform Peripheral intravenous insertion Observe Perform under supervision


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Central venous venipuncture N/A Observe Use of ultrasound to identify central venous structures

N/A Participate as a member of a team under supervision

Arthrocentesis N/A Observe Incision and drainage of abscess N/A Perform under supervision Apply Steri-strips to wound Perform under direct supervision Independently perform Remove sutures Perform under direct supervision Independently perform Nasogastric intubation N/A Perform under supervision Tying surgical sutures N/A Perform under supervision Basic suturing N/A Participate as a member of team

under direct supervision Basic Airway Management N/A Participate as a member of team

under direct supervision Other Activities Aseptic techniques- scrubbing, gowning, gloving

Observe Perform under direct supervision

Obtain informed consent N/A Perform under direct supervision Write procedure note N/A Perform under direct supervision Format&SampleOutpatientClinicSchedules:Longitudinal Integrated Clerkships (LICs) are divided into four (4) blocks and include Tuesdayafternoon didactic sessions titled, “Clerkship School.” Examples of potential outpatient clinicschedulesareasfollows:


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SampleOutpatientClinicSchedule–LICBlock1,Weeks1-10:

Time Monday,4/29

Tuesday,4/30

Wednesday,5/1

Thursday,5/2

Friday,May3 Time Monday,

5/6Tuesday,5/7

Wednesday,5/8

Thursday,5/9

Friday,May5/10

NoClass

8:00-10:00 8:00-10:00 ClerkshipSchool

10:00-12:00 10:00-12:00 FamilyMedicine

1:00-2:00 SpecialPopulations 1:00-2:00 IBMM

2:00-3:00 IntegrativeMedicine 2:00-3:00 Internal

Medicine

3:00-4:00 3:00-4:00 Labor&Delivery

4:00-5:00 4:00-5:00 Neurology

OBGYN

Pediatrics

Time Monday,5/13

Tuesday,5/14

Wednesday,5/16

Thursday,5/17

Friday,5/18 Time Monday,

5/20Tuesday,5/21

Wednesday,5/22

Thursday,5/23

Friday,5/24

Psychiatry

8:00-10:00 8:00-10:00 Surgery

10:00-12:00 10:00-12:00

1:00-2:00 1:00-2:00

2:00-3:00 2:00-3:00

3:00-4:00 3:00-4:00

4:00-5:00 4:00-5:00

Time Monday,5/27

Tuesday,5/28

Wednesday,5/29

Thursday,5/30


6/3Tuesday,6/4

Wednesday,6/5

Thursday,6/6

Friday,6/7

8:00-10:00 8:00-10:00

10:00-12:00 10:00-12:00

1:00-2:00 1:00-2:00

2:00-3:00 2:00-3:00

3:00-4:00 3:00-4:00

4:00-5:00 4:00-5:00 Ethics

Time Monday,6/10

Tuesday,6/11

Wednesday,6/12

Thursday,6/13


6/17Tuesday,6/18

Wednesday,6/19

Thursday,6/20

Friday,6/21

8:00-10:00 8:00-10:00

10:00-12:00 10:00-12:00

1:00-2:00 1:00-2:00

2:00-3:00 2:00-3:00

3:00-4:00 3:00-4:00

4:00-5:00 SpecialPopulations 4:00-5:00

Time Monday,6/24

Tuesday,6/25

Wednesday,6/26

Thursday,6/27


7/1Tuesday,7/2

Wednesday,7/3

Thursday,7/4

Friday,7/5

8:00-10:00 8:00-10:00

10:00-12:00 10:00-12:00

1:00-2:00 1:00-2:00 ControversyPharmacology

2:00-3:00 2:00-3:00 Pathophysiology

3:00-4:00 3:00-4:00

4:00-5:00 4:00-5:00

Block1:LongitudinalIntegratedClerkshipApril29-July5,2019**SAMPLESCHEDULE1**

Week1:April29-May3,2019 Week2:May6-10,2019

FamilyMedicine

InternalMedicine

Neurology FamilyMedicine

InternalMedicine

Surgery

NoClass

NoClass

IBMM Pediatrics

NoClass

NoClass

FamilyMedicine

IntegrativeMedicinew/ANEST

Week3:May13-17,2019 Week4:May20-24,2019

NoClass

FamilyMedicine

InternalMedicine Neurology NoClass

NoClass

FamilyMedicine

InternalMedicine Surgery NoClass

Psychiatry OBGYN

NoClass

FamilyMedicine

InternalMedicine

SpecialPopulations:Adolescents

OBGYN:BirthingSim.

Lab

EBM:JournalClub1

FamilyMed

DoctoringBalintGroup

Week5:May27-31,2019 Week6:June3-7,2019

Surgery IBMM Pediatrics Pediatrics

FamilyMedicine


Controversiesin

Pharmacology

Neurology NoClass

NoClass

SurgerySpecial

Populations:Veterans

Medicine

Week7:June10-14,2019 Week8:June17-21,2019

NoClass

FamilyMedicine


Surgery

EmergencyMedicine

EBM:JournalClub2

FamilyMed

NoClass

FamilyMedicine

Week9:June24-28,2019 Week10:July1-5,2019

NoClass

FamilyMedicine


NoClass

FamilyMedicine

InternalMedicine

OBGYN

SpecialPopulations:Elderly

Surgery NoClass

SessionKey

Pediatrics Pediatrics

Noinpatientrotations.Allstudentshave2evening/weekendshiftsintheEmergencyDepartment,and2weekendshiftsinLabor&Delivery.

Surgery IBMM Psychiatry OBGYN

Pediatrics Psychiatry OBGYN




Surgery IBMM Pediatrics

Surgery IBMM Pediatrics



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Time Monday,4/29

Tuesday,4/30

Wednesday,5/1

Thursday,5/2


5/6Tuesday,5/7

Wednesday,5/8

Thursday,5/9

Friday,May5/10

NoClass


10:00-12:00 10:00-12:00 FamilyMedicine



Medicine

3:00-4:00 3:00-4:00 Labor&Delivery

4:00-5:00 4:00-5:00 Neurology

OBGYN

Pediatrics

Time Monday,5/13

Tuesday,5/14

Wednesday,5/16

Thursday,5/17


5/20Tuesday,5/21

Wednesday,5/22

Thursday,5/23

Friday,5/24

Psychiatry

8:00-10:00 8:00-10:00 Surgery

10:00-12:00 10:00-12:00

1:00-2:00 1:00-2:00

2:00-3:00 2:00-3:00

3:00-4:00 3:00-4:00

4:00-5:00 4:00-5:00

Time Monday,5/27

Tuesday,5/28

Wednesday,5/29

Thursday,5/30


6/3Tuesday,6/4

Wednesday,6/5

Thursday,6/6

Friday,6/7

8:00-10:00 8:00-10:00

10:00-12:00 10:00-12:00

1:00-2:00 1:00-2:00

2:00-3:00 2:00-3:00

3:00-4:00 3:00-4:00

4:00-5:00 4:00-5:00 Ethics

Time Monday,6/10

Tuesday,6/11

Wednesday,6/12

Thursday,6/13


6/17Tuesday,6/18

Wednesday,6/19

Thursday,6/20

Friday,6/21

8:00-10:00 8:00-10:00

10:00-12:00 10:00-12:00

1:00-2:00 1:00-2:00

2:00-3:00 2:00-3:00

3:00-4:00 3:00-4:00


Time Monday,6/24

Tuesday,6/25

Wednesday,6/26

Thursday,6/27


7/1Tuesday,7/2

Wednesday,7/3

Thursday,7/4

Friday,7/5

8:00-10:00 8:00-10:00

10:00-12:00 10:00-12:00



3:00-4:00 3:00-4:00

4:00-5:00 4:00-5:00

FamilyMedicine

NoClass

NoClass

FamilyMedicine

NoClass

NoClass


FamilyMedicine

NoClass

NoClass

FamilyMedicine

NoClass

NoClass

Surgery

Psychiatry Pediatrics Neurology

Pediatrics NoClass

Pediatrics NoClass

Pediatrics

Psychiatry Pediatrics Neurology

Psychiatry

Neurology

Pediatrics Neurology

FamilyMedicine

InternalMedicine

Pediatrics

NoClass


SessionKey

NoClass Psychiatry

OBGYN


InternalMedicine Surgery


NoClass

InternalMedicine OBGYN Surgery

NoClass

IBMM FamilyMedicine

Surgery

EmergencyMedicine

EBM:JournalClub2

FamilyMed

NoClass

IBMM

SpecialPopulations:Veterans

Medicine


InternalMedicine OBGYN Surgery

IBMM FamilyMedicine


Controversiesin

Pharmacology

Surgery

NoClass

Pediatrics


OBGYN:BirthingSim.

Lab

EBM:JournalClub1

FamilyMed



Pediatrics NoClass Psychiatry


Pediatrics Neurology

InternalMedicine OBGYN

OBGYN Surgery

NoClass

IBMM FamilyMedicine

NoClass

Surgery

NoClass

FamilyMedicine


Week3:May13-17,2019 Week4:May20-24,2019

InternalMedicine


InternalMedicine OBGYN IBMM Family

MedicineInternalMedicineSurgery

**SAMPLESCHEDULE2**Block1:LongitudinalIntegratedClerkshipApril29-July5,2019


14

Time Monday,4/29

Tuesday,4/30

Wednesday,5/1

Thursday,5/2


5/6Tuesday,5/7

Wednesday,5/8

Thursday,5/9

Friday,May5/10

NoClass


10:00-12:00 10:00-12:00 FamilyMedicine



Medicine

3:00-4:00 3:00-4:00 Labor&Delivery

4:00-5:00 4:00-5:00 Neurology

OBGYN

Pediatrics

Time Monday,5/13

Tuesday,5/14

Wednesday,5/16

Thursday,5/17


5/20Tuesday,5/21

Wednesday,5/22

Thursday,5/23

Friday,5/24

Psychiatry

8:00-10:00 8:00-10:00 Surgery

10:00-12:00 10:00-12:00

1:00-2:00 1:00-2:00

2:00-3:00 2:00-3:00

3:00-4:00 3:00-4:00

4:00-5:00 4:00-5:00

Time Monday,5/27

Tuesday,5/28

Wednesday,5/29

Thursday,5/30


6/3Tuesday,6/4

Wednesday,6/5

Thursday,6/6

Friday,6/7

8:00-10:00 8:00-10:00

10:00-12:00 10:00-12:00

1:00-2:00 1:00-2:00

2:00-3:00 2:00-3:00

3:00-4:00 3:00-4:00

4:00-5:00 4:00-5:00 Ethics

Time Monday,6/10

Tuesday,6/11

Wednesday,6/12

Thursday,6/13


6/17Tuesday,6/18

Wednesday,6/19

Thursday,6/20

Friday,6/21

8:00-10:00 8:00-10:00

10:00-12:00 10:00-12:00

1:00-2:00 1:00-2:00

2:00-3:00 2:00-3:00

3:00-4:00 3:00-4:00


Time Monday,6/24

Tuesday,6/25

Wednesday,6/26

Thursday,6/27


7/1Tuesday,7/2

Wednesday,7/3

Thursday,7/4

Friday,7/5

8:00-10:00 8:00-10:00

10:00-12:00 10:00-12:00



3:00-4:00 3:00-4:00

4:00-5:00 4:00-5:00

Pediatrics

InternalMedicine

NoClass

Surgery

NoClass

NoClass

NoClass

NoClass

NoClass

Surgery

InternalMedicine

Pediatrics

InternalMedicine

Pediatrics

Surgery

NoClass

Surgery

NoClass


InternalMedicine

Pediatrics

InternalMedicine

Pediatrics

InternalMedicine

Surgery

FamilyMedicine

Neurology Psychiatry

InternalMedicine

FamilyMedicine

FamilyMedicine

Neurology Psychiatry

Neurology

PsychiatryNoClass

InternalMedicine

Surgery

Psychiatry

NoClass

Surgery

InternalMedicine


Surgery

NoClass

Surgery

NoClass

NoClass

NoClass

InternalMedicine

Surgery

NoClass

NoClass

SessionKey

FamilyMedicine Neurology

OBGYN


FamilyMedicine


OBGYN IBMM Pediatrics NoClass

Surgery

EmergencyMedicine

EBM:JournalClub2

FamilyMed

Pediatrics


Medicine


OBGYN IBMM

Pediatrics NoClassFamilyMedicine

Controversiesin

Pharmacology

IBMM


OBGYN:BirthingSim.

Lab

EBM:JournalClub1

FamilyMed



FamilyMedicine Neurology

FamilyMedicine

Psychiatry

OBGYN

IBMM Pediatrics NoClass

FamilyMedicine

FamilyMedicine

FamilyMedicine


Week3:May13-17,2019 Week4:May20-24,2019

OBGYN


OBGYN Pediatrics NoClassIBMM



15

Time Monday,4/29

Tuesday,4/30

Wednesday,5/1

Thursday,5/2


5/6Tuesday,5/7

Wednesday,5/8

Thursday,5/9

Friday,May5/10

NoClass


10:00-12:00 10:00-12:00 FamilyMedicine



Medicine

3:00-4:00 3:00-4:00 Labor&Delivery

4:00-5:00 4:00-5:00 Neurology

OBGYN

Pediatrics

Time Monday,5/13

Tuesday,5/14

Wednesday,5/16

Thursday,5/17


5/20Tuesday,5/21

Wednesday,5/22

Thursday,5/23

Friday,5/24

Psychiatry

8:00-10:00 8:00-10:00 Surgery

10:00-12:00 10:00-12:00

1:00-2:00 1:00-2:00

2:00-3:00 2:00-3:00

3:00-4:00 3:00-4:00

4:00-5:00 4:00-5:00

Time Monday,5/27

Tuesday,5/28

Wednesday,5/29

Thursday,5/30


6/3Tuesday,6/4

Wednesday,6/5

Thursday,6/6

Friday,6/7

8:00-10:00 8:00-10:00

10:00-12:00 10:00-12:00

1:00-2:00 1:00-2:00

2:00-3:00 2:00-3:00

3:00-4:00 3:00-4:00

4:00-5:00 4:00-5:00 Ethics

Time Monday,6/10

Tuesday,6/11

Wednesday,6/12

Thursday,6/13


6/17Tuesday,6/18

Wednesday,6/19

Thursday,6/20

Friday,6/21

8:00-10:00 8:00-10:00

10:00-12:00 10:00-12:00

1:00-2:00 1:00-2:00

2:00-3:00 2:00-3:00

3:00-4:00 3:00-4:00


Time Monday,6/24

Tuesday,6/25

Wednesday,6/26

Thursday,6/27


7/1Tuesday,7/2

Wednesday,7/3

Thursday,7/4

Friday,7/5

8:00-10:00 8:00-10:00

10:00-12:00 10:00-12:00



3:00-4:00 3:00-4:00

4:00-5:00 4:00-5:00

FamilyMedicine

Surgery Pediatrics

Pediatrics

Pediatrics

InternalMedicine

PediatricsSurgery

FamilyMedicine

Surgery

FamilyMedicine

InternalMedicine

Pediatrics


Surgery

FamilyMedicine

Surgery

FamilyMedicine

Psychiatry

IBMM

Surgery

Psychiatry

OBGYN

OBGYN

Surgery

Surgery

Psychiatry

IBMM

InternalMedicine

InternalMedicine

InternalMedicine

Pediatrics

IBMM

Psychiatry

NoClass

FamilyMedicine

NoClass


IBMM

InternalMedicine

NoClass

NoClass

Psychiatry

NoClass

IBMM

FamilyMedicine

NoClass

InternalMedicine

SessionKey

OBGYN Surgery

NoClass

FamilyMedicine

NoClass

InternalMedicine

OBGYN


FamilyMedicine

NoClass

InternalMedicine

FamilyMedicine

NoClass


NoClass Neurology NoClass Pediatrics

InternalMedicine

Surgery

EmergencyMedicine

EBM:JournalClub2

FamilyMed

NoClass


Medicine


NoClass Neurology

NoClass Pediatrics

Controversiesin

Pharmacology

Neurology


OBGYN:BirthingSim.

Lab

EBM:JournalClub1

FamilyMed



OBGYN Surgery

NoClass

Neurology NoClass Pediatrics

OBGYN

FamilyMedicine


Week3:May13-17,2019 Week4:May20-24,2019

NoClass


NoClass NoClass PediatricsNeurology



16

Time Monday,4/29

Tuesday,4/30

Wednesday,5/1

Thursday,5/2


5/6Tuesday,5/7

Wednesday,5/8

Thursday,5/9

Friday,May5/10

NoClass


10:00-12:00 10:00-12:00 FamilyMedicine



Medicine

3:00-4:00 3:00-4:00 Labor&Delivery

4:00-5:00 4:00-5:00 Neurology

OBGYN

Pediatrics

Time Monday,5/13

Tuesday,5/14

Wednesday,5/16

Thursday,5/17


5/20Tuesday,5/21

Wednesday,5/22

Thursday,5/23

Friday,5/24

Psychiatry

8:00-10:00 8:00-10:00 Surgery

10:00-12:00 10:00-12:00

1:00-2:00 1:00-2:00

2:00-3:00 2:00-3:00

3:00-4:00 3:00-4:00

4:00-5:00 4:00-5:00

Time Monday,5/27

Tuesday,5/28

Wednesday,5/29

Thursday,5/30


6/3Tuesday,6/4

Wednesday,6/5

Thursday,6/6

Friday,6/7

8:00-10:00 8:00-10:00

10:00-12:00 10:00-12:00

1:00-2:00 1:00-2:00

2:00-3:00 2:00-3:00

3:00-4:00 3:00-4:00

4:00-5:00 4:00-5:00 Ethics

Time Monday,6/10

Tuesday,6/11

Wednesday,6/12

Thursday,6/13


6/17Tuesday,6/18

Wednesday,6/19

Thursday,6/20

Friday,6/21

8:00-10:00 8:00-10:00

10:00-12:00 10:00-12:00

1:00-2:00 1:00-2:00

2:00-3:00 2:00-3:00

3:00-4:00 3:00-4:00


Time Monday,6/24

Tuesday,6/25

Wednesday,6/26

Thursday,6/27


7/1Tuesday,7/2

Wednesday,7/3

Thursday,7/4

Friday,7/5

8:00-10:00 8:00-10:00

10:00-12:00 10:00-12:00



3:00-4:00 3:00-4:00

4:00-5:00 4:00-5:00

InternalMedicine

NoClass Surgery

Surgery

Surgery

OBGYN

SurgeryNoClass

InternalMedicine

NoClass

InternalMedicine

OBGYN

Surgery

FamilyMedicine

Psychiatry

FamilyMedicine

Psychiatry


NoClass

InternalMedicine

NoClass

InternalMedicine

FamilyMedicine

NoClass

NoClass

FamilyMedicine

NoClass

FamilyMedicine

NoClass

FamilyMedicine

NoClass

OBGYN

OBGYN

OBGYN

Psychiatry

Psychiatry

NoClass

FamilyMedicine

FamilyMedicine IBMM

NoClass

FamilyMedicine

NoClass

Psychiatry

NoClass


NoClass

NoClass

Surgery

FamilyMedicine

NoClass

IBMM

Surgery

Pediatics

Neurology

Pediatics

SessionKey

IBMM

Surgery

Neurology

NoClass

Neurology

Pediatics

NoClass

Neurology

OBGYN


IBMM

Surgery

IBMM

Pediatics

NoClass


Pediatrics InternalMedicine

Surgery

Neurology

Pediatics

Surgery

EmergencyMedicine

EBM:JournalClub2

FamilyMed

InternalMedicine


Medicine


Pediatrics

InternalMedicine

Controversiesin

Pharmacology


OBGYN:BirthingSim.

Lab

EBM:JournalClub1

FamilyMed



Pediatrics

InternalMedicine

FamilyMedicine


Week3:May13-17,2019 Week4:May20-24,2019

Pediatrics


Pediatrics InternalMedicine



17

Time Monday,4/29

Tuesday,4/30

Wednesday,5/1

Thursday,5/2


5/6Tuesday,5/7

Wednesday,5/8

Thursday,5/9

Friday,May5/10

NoClass


10:00-12:00 10:00-12:00 FamilyMedicine



Medicine

3:00-4:00 3:00-4:00 Labor&Delivery

4:00-5:00 4:00-5:00 Neurology

OBGYN

Pediatrics

Time Monday,5/13

Tuesday,5/14

Wednesday,5/16

Thursday,5/17


5/20Tuesday,5/21

Wednesday,5/22

Thursday,5/23

Friday,5/24

Psychiatry

8:00-10:00 8:00-10:00 Surgery

10:00-12:00 10:00-12:00

1:00-2:00 1:00-2:00

2:00-3:00 2:00-3:00

3:00-4:00 3:00-4:00

4:00-5:00 4:00-5:00

Time Monday,5/27

Tuesday,5/28

Wednesday,5/29

Thursday,5/30


6/3Tuesday,6/4

Wednesday,6/5

Thursday,6/6

Friday,6/7

8:00-10:00 8:00-10:00

10:00-12:00 10:00-12:00

1:00-2:00 1:00-2:00

2:00-3:00 2:00-3:00

3:00-4:00 3:00-4:00

4:00-5:00 4:00-5:00 Ethics

Time Monday,6/10

Tuesday,6/11

Wednesday,6/12

Thursday,6/13


6/17Tuesday,6/18

Wednesday,6/19

Thursday,6/20

Friday,6/21

8:00-10:00 8:00-10:00

10:00-12:00 10:00-12:00

1:00-2:00 1:00-2:00

2:00-3:00 2:00-3:00

3:00-4:00 3:00-4:00


Time Monday,6/24

Tuesday,6/25

Wednesday,6/26

Thursday,6/27


7/1Tuesday,7/2

Wednesday,7/3

Thursday,7/4

Friday,7/5

8:00-10:00 8:00-10:00

10:00-12:00 10:00-12:00



3:00-4:00 3:00-4:00

4:00-5:00 4:00-5:00

OBGYN

Pediatrics

OBGYN

NoClass

NoClass

NoClass

NoClass

NoClass

Pediatrics

OBGYN

Pediatrics

OBGYN

Pediatrics

NoClass

FamilyMedicine

NoClass

FamilyMedicine

Pediatrics

OBGYN

NoClass

NoClass

FamilyMedicine

NoClass


FamilyMedicine

Pediatrics


Surgery IBMM

Surgery IBMM

NoClass

FamilyMedicine

Surgery



Psychiatry

NoClass

Surgery

NoClass


SessionKey

IBMM InternalMedicine

OBGYN


Pediatrics


Neurology InternalMedicine

FamilyMedicine NoClass Psychiatry

NoClass

Surgery

EmergencyMedicine

EBM:JournalClub2

FamilyMed

NoClass


Medicine


Neurology InternalMedicine

FamilyMedicine

NoClass

NoClass Psychiatry Pediatrics

Controversiesin

Pharmacology

InternalMedicine

FamilyMedicine


OBGYN:BirthingSim.

Lab

EBM:JournalClub1

FamilyMed



Surgery IBMM InternalMedicine

Pediatrics

Surgery

Neurology

InternalMedicine

FamilyMedicine NoClass Psychiatry

Surgery IBMM

Pediatrics

FamilyMedicine


Week3:May13-17,2019 Week4:May20-24,2019

Neurology


Neurology InternalMedicine NoClass PsychiatryFamily

Medicine


LICBlock1:April29–July5,2019:Noinpatientrotations.Allstudentshave2evening/weekend

shiftsintheEmergencyDepartment,andtwo2weekendshiftsinLabor&Delivery.


18

Inadditiontointegratedoutpatientrotations,studentsattend“ClerkshipSchool.”ClerkshipSchoolconsists of Tuesday afternoon didactic sessions organized to prepare and supplement students’integratedclinicalexperiences.DuringLICBlock1,ClerkshipSchoolisscheduledasfollows:Week1–Tuesday,April30,2019

§ SpecialPopulations:CareofDevelopmentallyDisabled(1hour)§ IntegrativeMedicine:Gettingtoknowthepatientasapersonand‘meetingthemwherethey

are.’(1hour)§ FamilyMedicine(2hours)

Week2–Tuesday,May7,2019

CareofthePatientwithChronicPain

§ IntegrativeMedicine:Factors that influence theexperienceofpain (sickrole, self-efficacy,catastrophizing,etc.)andintegrativewaystomanageeach.(2hours)

§ Integrative Medicine: Pain in special populations (dementia/cognitively impairedpsychiatric illness, elderly, non-verbal, literacy barrier, homeless) using integrativeapproaches.(2hours)


§ OBGYNBirthingSimulation2(SimulationLab–2hours)§ SpecialPopulations:CareofChildrenAdolescentsandAdultswithBehavioralDisturbances

(2hours)Week4–Tuesday,May21,2019

§ Evidence-basedMedicine:JournalClub1–FamilyMedicine&Medicine(2hours)§ DoctoringBalintGroup(2hours)


§ ControversiesinPharmacology1(2hours)§ SpecialPopulations:CareofVeterans(2hours)

Week6–Tuesday,June4,2019

§ Medicine(3hours)§ Ethics:Shareddecision-making(1hour)


§ Surgery(3hours)§ Special Populations: Care of Children, Adolescents, and Adults with involvement in the

criminaljusticesystem(1hour)Week8–Tuesday,June18,2019

§ EmergencyMedicine(2hours)§ Evidence-basedMedicine:JournalClub2–FamilyMedicine&Medicine(2hours)



19

§ OBGYN(2hours)§ SpecialPopulations:CareoftheElderlywithDementiaandtheirfamilies(2hours)

Week10–Tuesday,July2,2019

§ ControversiesinPharmacology1(1hour)§ Pathophysiology1(1hour)§ DoctoringBalintGroup(2hours)

Requirements&Evaluation:Although grades serve as an appropriatemeans formonitoring and recording achievement, andmeasuring progress towards the M.D. degree, grades represent a single indicator of a student’sperformance and competency. Students receive continuous formative feedback on their progresstowards achieving the educational program objectives of the curriculum. Detailed feedback isprovidedin face-to-facemeetingswithdoctormentorsandclinicalpreceptorsat themid-pointofTransitiontoClerkshipsandtwoweeksintoLICBlock1.Additionally,narrative(formative)clinicalassessmentandonlineevaluationsofalltheclerkshiprotationsareprovidedatthecompletionoftheTransitiontoClerkshipcourse,andprovidedbyeachspecialtyattheendofLICBlock1.(AfinalsummativeassessmentforeachrotationwillbeconductedatthecompletionofBlock4.)Student assessment is based upon attendance, participation, and completion of pre-designatedcourse benchmarks, including the satisfactory demonstration of competency in history-taking,physical examination, clinical reasoning, and medical knowledge. Students also receive anassessmentofachievementofCoreEntrustableProfessionalActivitiesmilestonesattheendofLICBlock2,andmustmeetallappropriatedCoreEntrustableProfessionalActivitiesbythecompletionofLICBlock4.Additionally,studentsmaybeaskedtoenterfeedbackononlineself-assessmentsofpre- and post-clerkship skills and learning portfolios, e.g.reflectivewriting journals, and patientcaredocumentation.Portfoliosmaybereviewedbystudents’respectivedoctormentorsandusedtoevaluateordevelopimprovementorcontinuouslearningplans.Studentshaveaccesstoviewallwrittenevaluationsandareprovidedwithopportunitiestodiscussgradesinordertoofferstudentsthemeanstodevelophis/herspecificabilitiesandinterests.Itisexpectedthatstudentswillarriveon-timetoallrotationsandpreparedtoparticipateactivelyandengageinalllearningandteamactivities.Additionally,studentsareexpectedtoberespectful,takeresponsibilityandaccountabilityfortheirownchoices,actions,and/ordecisions.Anystudentwith a serious or multiple violations of professional behavior will be referred to the MedicalStudentProgressCommittee(SPC)forreviewandpotentialaction.Attendancewill be excused formatters pertaining to serious illness, injury, or in the event of afamilyemergencyperthereview,evaluation,andapprovaloftheSeniorAssociateDeanforStudentAffairs.Grading:An ‘In Progress’ (Pass)/Fail (IP/F) grade is determined by performance in each of the requiredclerkship rotations per mentor and preceptor(s) feedback, the completion of research, written,and/ororalassignments,aswellaspassageonObjectiveStructuredClinicalExaminations(OSCEs)and the clinical assessment portion of the NBME subject examination (the passing score to be


20

determinedbycoursefaculty).A“Pass,”InProgress(IP)gradeisawardedtostudentswhofulfillalloftherequiredclerkshipexperiencesinasatisfactorymanner.Passinggradesmaynotbeappealed.An ‘In Progress’ designation is awarded to students for satisfactory performance in all requiredrotations,learningactivities,research,andconduct,e.g.professionalism.A ‘Fail’ grade is issued if a student does notmeet theminimum performance requirements of acourse or clerkship as defined by the clerkship directors, Vice Dean for Academic Affairs andEducation,andpossiblytheStudentProgressCommittee(SPC)ifthegradepertainstoremediation.If the remedial work for a failing grade requires repetition of the entire clerkship, then theremediatedgradewillreflectthestudent’sperformanceontheretakenclerkship.Theremediatedgradewillberecordednexttothefailinggradealreadyenteredonthestudent’stranscript.If a student exhibitsmarginal performance inwhich theminimal performance expectations of acourseorclerkshiparemet,but individualcomponentsof thecoursehavenotbeensatisfactorilymastered,agradeof ‘Incomplete’maybegiven.Remedialworkwillberequiredbeforeagradeof‘Pass’isawarded.(Remedialworkdoesnotpermitagradeof‘Incomplete’toberemediatedhigherthana‘Pass.’)Intheeventthatastudentisunabletocompletetheclerkshiprequirementsduetoillness or other compelling personal circumstances, they must promptly contact the SeniorAssociateDean forStudentAffairs to requestpermission fora temporary interruptionof studies.TheSeniorAssociateDeanforStudentAffairswillassistinmakingarrangementsforcompletionoftheclerkshiprequirementsforanapprovedabsence/excusedstudent.An‘Incomplete’gradegivenforanapprovedabsenceorexcusedstudentmaybecompletedasaPass.DressCode:Studentsrepresentnotonlythemselves,butalsothemedicalprofessiontothosewithwhomtheyhavecontact.Appropriateandprofessionalattireshouldbeworn,especiallywhenstudentsareinpatient care settingsorwhencontactwithpatients is anticipated. Students shouldbeaware thatpersonalappearancemayservetoinspireorhindertheestablishmentofthetrustandconfidencethat areessential in thedoctor-patient relationship. Jeans, sandals, and shorts (andother casualattire) are not considered professional dress. Scrubs are worn in the operating room, in theanatomy lab or in other clinical circumstances to protect the operator's clothing from soilage.Scrubs, in general, should not be worn outside of the lab or hospital, and scrubs worn in theoperating room should not be worn outside of the operating room. (Please refer to Section 6:ProfessionalismintheUNLVSOMStudentHandbookforguidelinespertainingspecificallytodress.)UniversityExpectationsandResources:

AcademicMisconduct–Academicintegrityisalegitimateconcernforeverymemberofthecampuscommunity; all share in upholding the fundamental values of honesty, trust, respect, fairness,responsibilityandprofessionalism.Bychoosing to join theUNLVcommunity, studentsaccept theexpectations of theAcademicMisconduct Policy and are encouragedwhen facedwith choices toalways take the ethical path. Students enrolling in UNLV assume the obligation to conductthemselvesinamannercompatiblewithUNLV’sfunctionasaneducationalinstitution.Anexampleofacademicmisconduct isplagiarism.Plagiarismisusingthewordsor ideasofanother, fromtheInternet or any source, without proper citation of the sources. See the Student AcademicMisconduct Policy (approved December 9, 2005) located at: http://studentconduct.unlv.edu/misconduct/policy.html.Copyright – The University requires all members of the University Community to familiarizethemselves and to follow copyright and fair use requirements. You are individually and solely


21

responsible for violations of copyright and fair use laws. The universitywill neither protect nordefend you nor assume any responsibility for employee or student violations of fair use laws.Violations of copyright laws could subject youto federal and state civil penalties and criminalliability, as well as disciplinary action under University policies. Additional information can befoundat:http://www.unlv.edu/provost/copyright.Disability Resource Center (DRC) – The UNLV Disability Resource Center (SSC-A 143,http://drc.unlv.edu/, 702-895-0866) provides resources for studentswith disabilities. If you feelthatyouhaveadisability,pleasemakeanappointmentwithUNLVSOM’sSeniorAssociateDeanforStudentAffairs,aswellasaDisabilitiesSpecialistattheDRCtodiscussappropriateoptions.IfyouareregisteredwiththeUNLVDisabilityResourceCenter,pleasesubmityourAcademicAcco-mmodation Plan from the DRC to UNLVSOM’s Office of Student Affairs to develop strategies forimplementinganaccommodationsplan thatmeetsbothyourneedsandUNLVSOMrequirements.Any information provided is private and confidential. Tomaintain confidentiality, please do notapproachcoursechairsorinstructorsbeforeorafterclasstodiscussaccommodationneeds.ReligiousHolidaysPolicy–Anystudentmissingclassquizzes,examinations,oranyotherclassorlab work because of observance of religious holidays shall be given an opportunity during thatsemestertomakeupmissedwork.Themake-upwillapplytothereligiousholidayabsenceonly.ItshallbetheresponsibilityofthestudenttonotifytheSeniorAssociateDeanforStudentAffairsandthecoursechairorfacultypreceptornolaterthantheendofthefirsttwoweeksofclasses,January31,ofhisorherintentiontoparticipateinreligiousholidayswhichdonotfallonstateholidaysorperiods of class recess. This policy shall not apply in the event that administering the test orexamination at an alternate time would impose an undue hardship on the instructor or theuniversity that could not have reasonably been avoided. For additional information, please visit:http://catalog.unlv.edu/content.php?catoid=6&navoid=531.Incomplete Grades – Course or clerkship/elective faculty share responsibility with individualstudents tomonitor theirperformance in thecurriculum.TheStudentProgressCommittee (SPC)follows student performance throughout the curriculum, and is responsible for approving allremediationplansoncestudentshavebeenassignedaninsufficientgrade,suchasan‘Incomplete’or‘Fail.’Remediationplansaredevelopedby individual coursedirectors, basedupon individual student’sidentifiedacademicandprofessionaldeficits,andtailoredbyboththecoursedirectorandtheSPC.The SPC determines deadlines for the adequate remediation of the course and provides finalapprovaloftheremediationplan.Studentshavetheoption,uponrequest,toappearbeforetheSPCwhenplansforremediationarebeingconsidered.Pleasenote:InPhase3ofthecurriculum,anyremediationofelectiveoradvancedclerkshipdeficitsmust be completed prior to April 1 to meet the School of Medicine’s graduation requirements.Studentsarenotpermittedtoremediatemorethantwo(2)coursegradesof‘Incomplete’duringasingleacademicyear.Studentswhoreceivemorethantwoincompletegradesmustbereviewedbythe SPC. (Please refer to Section 7: Academic Policies in the UNLVSOM Student Handbook forguidelinespertainingspecificallytoacademicprogressandactions.)Tutoring&AcademicResources–TheAcademicSkillsTeam(AST)providesacademicassistanceforallUNLVSOMstudentstakingUNLVSOMcourses.StudentsareencouragedtostopbytheASTto


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utilizeavarietyofacademicservices, including test-taskingskillsandstrategies, copingwith testanxiety, and improving self-study skills in preparation for USMLE and board exams. The AST islocatedat:2040WestCharlestonBoulevard,89102.UNLVE-mail–Bypolicy, facultyandstaff shoulde-mail students’UNLVe-mailaccountsonly.AllUNLVstudentsreceiveaRebelmailaccountaftertheyhavebeenadmittedtotheuniversity.Itisoneoftheprimarywaysstudentsreceiveofficialuniversitycommunicationsuchasinformationaboutdeadlines,majorcampusevents,andannouncements.Students’e-mailprefixesare listedonclassrosters,andthesuffixis:@unlv.nevada.edu.

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