Case Presentation - The University of Texas Medical Branch

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•Questions? See Dr. Era Buck.
COMING SOON….
MANDATORY AUSTIN,
HOUSTON, GALVESTON
SURVEY
Important websites
 Office of Clinical Education: http://utmb.edu/oce
 Electives brochure: http://meded.utmb.edu/electives.asp
 ACS brochure:
http://ar.utmb.edu/ACSelectives/brochure.asp
 ACS Preference Submission Website:
http://meded.utmb.edu/edaffairs/siteranking/
 BSHS brochure:
http://ar.utmb.edu/BSHSselectives/bshsbrochure.asp
 Supplemental malpractice:
http://www.utmb.edu/oce/Documents/SupplementalLiabili
tyCoverage.pdf
Basic Scheduling Issues
Remaining Year 3 clerkships will be scheduled first BY US
 Out of sync courses will be assigned by capacity
 Study periods and shelf exam retakes will be assigned in your first
available block
4th year course scheduled BY YOU Included in initial online scheduling
• Ambulatory community selectives (must also do site ranking)
• Galveston electives/selectives/AIs
Not included in online scheduling
(Require additional paperwork)
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Austin and Houston electives
POM4
POM3 Projects
Non-UTMB courses (required, selective, elective)
Any Research elective (UTMB or non-UTMB)
Student-created electives
BSHS
Year 4 Courses
 Senior Neurology
 Acting Internship selective
 Basic Science/Humanities selective
 Ambulatory Community Selective
 Emergency Medicine Selective
 Electives (6 blocks needed to graduate)
Also required:
 POC Testing (June 22, 2015)
 ICEE (taken during July, and rarely in August)
 ACLS (generally taken during EM rotation)
th
4
Year Clinical Skills Week
 All 4th year Galveston and Houston based medical
students will be required to take Point of Care Testing
(POCT) on June 22, 2015. This is a MANDATORY
activity. The Joint Commission on Accreditation of
Healthcare Organizations (JCAHO) requires that all
unlicensed healthcare providers take this training
yearly.
Scheduling
Scheduling for Year 4 will be done online through MySTAR
beginning March 16, 2015 at 5:30 PM
Initially, you have “vacation” scheduled in each block
My recs: Schedule required courses first - Neuro, EM, AIs
Don’t leave things until the last minute!!!!
Don’t drop a required course until you have a replacement
scheduled
What you should schedule FIRST
Acting Internships
Neurology
Emergency Medicine
Spots are tight—and after April the
3rd years have access!
Course
Numbers
Emergency Medicine
 EMEU 4200 - ER Selective-Galveston
 EMEU 4210 - ER Selective-Austin
 EMEU 4230 - ER Selective-St. Joseph’s
Neurology Clerkship
 IMC- 4106 – Austin and Houston Sections Available
BE CAREFUL THAT YOU DON’T CONFUSE
LOCATION!!!
Emergency Medicine is a Selective
 Locally – Galveston, St. Joseph, Austin
 Rules for elsewhere: The selective can be done:
 Anywhere with established EM residency
program
 At a U.S. university, med school based, or
community EM department with a supervising
ED physician sponsoring the student.
 Dr. Mileski must approve
 Selective cannot be done at an ambulatory acute
care facility where EMS are not allowed to bring
patients.
EM more info
 If you plan to complete the EM selective at another
medical school
 B forms and C forms – Dr. Mileski to sign
 Either way, probably best to schedule a UTMB
course just in case
 ACLS usually completed during EM rotation
Neurology Clerkship
 Available locally – slots in Austin, Galveston, St. Luke’s,
MD Anderson
 Shelf exam
 Absence policy strictly enforced
Acting Internship
 You pick the field
 Must have an advanced degree of responsibility above
that of a MS3
 Lots of local options
 If you choose one at another med school (rarely ok
outside of academia)
 Might be called “AI” or “subinternship” or must get Asst
Dean signature on C form
BSHS
Basic Science and Humanities Selective
 Pre-existing courses available
 ~50% of students create their own project
 Proposal form available on the web
 Must write a paper
 Only available to student who have completed Year 3
 Don’t leave planning to the last minute- especially for
student created project. Must go through BSHS
committee for approval
ACS: Ambulatory Community Selective
 You choose the field
 Must be ambulatory – not patients in a hospital
bed; must be in the community, i.e. not at UTMB
 Only available to students who have completed
Year 3
 GALVESTON PLACEMENT UNLIKELY,
HOUSTON AND AUSTIN CAN BE TOUGH
TOO!
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Site Preferences must be submitted at
http://meded.utmb.edu/edaffairs/siteranking/
no later than 4/17/15 You still need to enroll through
MySTAR
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Can change ACS course (add, drop, or change site
preference) up to 60 days before the rotation begins
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Change by contacting Brian Sullivan at 409-747-0265 or
bmsulliv@utmb.edu.
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Site confirmation will be e-mailed to you approximately
one week prior to the start of the course.
Away Electives
 Why you might consider one
 Highly competitive match
 Need specialty-specific LOR
 Want to make sure you really like the place
 Why you might not consider one
 Expensive
 Schedules don’t jibe
 Special issues – Affiliation agreements, “student-
created” electives
 You cannot get credit for duplicate electives!!!
VSAS
 Visiting Student Application Service
 Centralized system for away courses
 In Texas, UTMB, Baylor, UTSW and UTHSCSA
participate
 Enrollment Services gives you the required access if
needed
 Complete registration in VSAS = complete registration
at UTMB
Non-VSAS electives
 Need to print copy of elective or link to elective and
attach to B1 form
 Start applying many months ahead of time, we may
need to establish affiliation agreement and this could
take considerable time
 Needs C form signed by Chair of Elective committee
Housing
 Austin apartments for Galv/Houston students
 Galveston apartments for Austin/Houston students
 Sugarland hotel for Jester IV elective
 Corpus condo – mostly for Pedi clerkship, if room ok
for electives
 Catherine Hale in OCE
 Keep it neat
 Deposit may be required, but otherwise free
POM4
 POM3 students eligible
 Enrollment limited by number of willing facilitators
 POM3+POM4 = one elective
 POM3 + POM3 project = one elective also
 10 sessions, must attend 8
 Fill out the form, get it to us soon so facilitators can be
recruited and books can be ordered
Adding/Dropping Courses
 Ongoing throughout the year
 Add/drop deadlines
 Electronic and paper-based options
 ALWAYS VERIFY YOUR SCHEDULE
Without a properly completed, signed C form, your
registration may not be complete!!!!!!!
We gotta know that you have a plan, the
permission to do the research, the resources to do
it and appropriate oversight of your project
We gotta know they’ll take you = B2 (Austin
doesn’t need this)
They might wanna know stuff about you= B1
Registration Errors
 Missing deadlines – no registration, no credit
 Taking the same elective twice:
 “Clinical Dermatology” at UTMB is the same as
“Clinical Dermatology at East Sheepdip University
 No credit (if you think there is a significant
difference, must get C form signed in advance by
Assistant Dean)
 Participating in a course you have not added
 No credit and no malpractice coverage
 Failing to participate in a course you have not dropped
 Failure
 Withdrawal
A word about absences
 More than 3 = course failure unless prior arrangements
made
 Absences for interviews are just like other absences
 You still need to graduate from medical school
 In a 4 week course, missing 3 days already means
missing 15% of the days
 Plan ahead – is there a reasonable way to make up
work?
The ICEE
Integrated Curriculum Evaluation Exercise
 Required for graduation
 Two phase examination
 First phase periods 1 or 2
 85% of available dates are in period 1
 Take it even if you’re “out of synch” if you plan to
graduate on time
Mary Mallini will email ICEE enrollment information
(including link) to students on March 18th
Special Degree Programs
 MD/PhD students – do not need BSHS and only one
elective
 MD/MPH – step out of curriculum after block 2
 Get credit for BSHS and 2 electives if capstone
completed
 Other Masters degrees while enrolled – same credit as
MPH
Career Interest Contacts
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Internal Medicine – Dr. Bernard Karnath
General Surgery - Drs. Bill Mileski and Kris Gugliuzza
Neurosurgery - Dr. Joel Patterson
Obstetrics/Gynecology – Dr. Sangeeta Jain
Ophthalmology - Dr. Janice Contreras
Pediatrics- Drs. Gayani Silva, Judy Rowen
Plastic Surgery - Dr. Linda Phillips
Urology - Dr. Orihuela
Neurology – Dr. Todd Masel
Orthopedics – Dr. Kelly Carmichael
Psychiatry-Drs. Cindy Wigg, Chris Thomas
Career Interest Meetings
 Information will be coming in your email
 Contact advisor to get on mailing list or set up meeting
individually for counseling
Problems with
abuse/maltreatment?
 Professionalism ombudsman
 Professionalism “hot button”
 Course director
 Me or Dr. Rowen
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