Loyola University Chicago Stritch School of Medicine Office of Student Affairs CLASS OF 2013 INTRODUCTION TO FOURTH YEAR SCHEDULING & PLANNING Agenda Fourth Year & Clerkship Track System Lottery Process Required clerkships Elective requirements, registration & VSAS USMLE Step 2 requirements & timing Residency Planning: Future Meetings Online Resources Table of Contents Slides 4 – 12: 4th Year Overview 13 – 19: Required Clerkships (Sub-Is and EM) 20 – 25: Electives 26 – 30: 4th Year by Season 31 – 33: Intramural Electives 34 – 43: Extramural Electives 45 – 46: Discretionary Time 47 – 49: Step 2 Exams 50 – 53: Prep for Residency Application Handout Clerkship Track System and Its Policies Lottery Timeline Lottery Numbers Fourth Year Calendar Timeline for Elective Registration Calendar 4th Yr Planning Sheet Calendar Yr 4 starts July 2, 2012 (July = Period “9A”) Will there be a start of year orientation program this year? None planned at this time Qtrly break weeks at end of Sept, December, none formally assigned at end of March Match Day and Graduation dates tentatively posted Fourth Year Overview of Requirements 12 weeks of core clerkships 34 weeks of elective time available 26 weeks min. requirement Bioethics Requirements Emergency Medicine, Sub-I Wards, Sub-I ICU Completion of Ethics Case Paper (should be completed during third year) Completion of Ethics Grand Rounds (min. of 4 sessions total by end of fourth year) USMLE Step 2 CK and CS Core Clerkships One 4-week Wards Subinternship Offered each period 9A (July) through 12A (April), except 10C (December) One 4-week Critical Care Subinternship Offered each period 9A (July) through 12A (April), except 10C (December) One 4-week Emergency Medicine Clerkship Offered each period 9A (July) through 12A (April) Bioethics Requirement Ethics case paper due April 18, 2012 Four Ethics Grand Rounds must be completed cumulatively over 2nd, 3rd and 4th years Fourth Yr Track Features Flexibility Opportunity for student choice One required core clerkship and two electives in each of first three quarters Availability of at least half of the elective time in first half of the year Fourth Yr Track System Assigned to track by lottery Computer generated lottery number Rank order all tracks Submit rank form by January 27, 2012 on myLUMEN by 4:00 pm Picking a track… Consider what your elective and residency choice needs may be in each quarter Consider when you might take USMLE Step 2 CK and CS Consider which core clerkships could prep you best for the key electives you will take Attendance Limited time off for serious reasons in both subinternships and emergency medicine (3 days including weekend days) Final exam schedule is NOT changeable Plan holiday or interview travel after only determining the date and time of day of exams Labor Day is a holiday but not a 3 day weekend if service team is not off Thanksgiving is a four day holiday weekend Clerkship Requirements Purpose and Assignment Process Subinternships 4-weeks: in-pt medicine (“Sub-I Wards”) Examples of services: Gen med, OB, Cardiology, Hem/Onc, Surgery, Peds Loyola, Gottlieb, Hines, West Sub 4-weeks: intensive care unit (“Sub-I ICU”) Examples of services: MICU, SICU, BICU, CCU, NICU, PICU Loyola, Central Dupage, Hines, Resurrection, West Sub Purpose of subinternships Focus on skills and attitudes necessary to care for hospitalized and critically ill patients Emphasis is on patient care in the context of wards or ICU; emphasis is not on the specialty Thus, subinternships are posted on SSOM transcript without specialty noted (transcript reads only “Subintern-Wards” and “Subintern-ICU”) Subinternship assignments Opportunity will be provided to submit preference rank lists for site/service Assignments by lottery to services and sites by late winter through Dr. Fitz’s office (separate lottery process, using track rank list in reverse order) Rescheduling Sub-I Changes may be possible according to track system traffic rules May trade entire track or individual clerkship After Subinternship site/service assignments are created, changes must be approved by Debi Kurcab in the Med Dept. ELECTIVES Policies & registration process Purpose of elective curriculum How to design your program Electives Course Descriptions online in SSOM Elective Catalog Most electives are 4 weeks in length There are several 2-week electives available 26 weeks of electives = minimum graduation requirement Of the 26 weeks, your elective program must consist of 5 full-time electives that are at least 4-weeks in length, 20 weeks of 4-week electives. i.e. Electives (continued) 12 weeks of elective time permitted away (“extramurals”) 12 weeks permitted in any specialty Excludes time in core clerkships in the specialty Includes electives at Loyola and away Includes clinical and research courses Other elective policies in catalog preface Purpose of Electives Broadens & strengthens clinical experience Tests interest in an area of specialization Provides research or special opportunities Permits self determination and responsibility for content of program Building Your Elective Program Content Use “Specialty Elective Guide” at online Loyola Elective Catalog site Talk to faculty and specialty advisor(s) Attend specialty department sessions and ask questions Talk to faculty in your field(s) of interest See Dean Wronski or Dean Mendez for input Attend SAS programs Keep Objectives in Mind Electives should provide a broad-based educational opportunity They are not intended solely as a residency job search tool What you take is critical to your preparation for internship/residency 4th Year Goals by Season Focus of each quarter Summer Fall Winter Spring Summer Goals (July/Aug/Sept) Solidify specialty interest May/may not need to take specialty elective at Loyola to earn a recommendation letter (depends on prior exposure) Summer work may bump up performance level Courses provides prep for important externships May need to study weeks/month for USMLE Step 2 prep Preparation of residency application starts Externships start Complete Step 2 study and take CK and CS (more on this later) Fall Goals (Oct/Nov/Dec) Externships continue Residency interview season kicks in; will you need time off? Should you take DT? Should you plan an away elective that geographically places you in proximity to residency interview locales? Sept/Oct courses could still produce residency recommendation letters Complete Step 2 study and take CK and CS (more on this later) Winter Goals (Jan/Feb/Mar) Take courses to round out your education Prepare for starting a residency (what do you still need to learn?) Rank residencies for match (late Jan-Feb) International elective? Spring Goals (Apr/May/June) Take enrichment courses International elective? Take residency prep electives offered at SSOM Get tuition’s worth by staying enrolled Take DT for personal/transitional use Complete graduation requirements Graduate!!! Elective Registration Process How & When to Register Loyola (intramural) elective sign up Through submission of an application (online) Must adhere to the official “timetable for elective registration” (in today’s packet) Sign up starts about 5 months in advance of the each elective month’s start date Elective Registration Intramurals (Loyola) Review course descriptions & policies in elective catalog online Online elective registration through myLUMEN More info from ORR closer to first opening registration date (1st week of March) Externships (extramural electives) Up to 12 weeks permitted usually through another US med school Loyola sign up Timetable does NOT apply Reference AAMC Extramural Elective Compendium for timeline, websites, contact person at site (link available in Loyola Elective Catalog website) Sign up 1 – 5 months in advance of start date; typically April – midMay for summer courses. CHECK YOUR EXTRAMURAL SITE’S SIGN UP DATE! Purpose of externships To get an excellent learning experience To help narrow specialty interests To see a program of interest first hand To work with an outstanding faculty To show your stuff and perhaps get a recommendation letter To assess a program’s compatibility with your needs To do unique non-hospital based experiences Do you need to do 3 externships (12 weeks)? It depends… On your interests, profile, specialty field and geographical considerations Most students should do one or two Some specialties discourage more than one elective in the field; others promote student enrollment in several. SEEK ADVICE! Externship Course descriptions Online at other school’s web site Or provided by school’s contact office (listed in AAMC Extramural Compendium) Extramural Registration Review policies in SSOM catalog Review visiting student policies on other school’s website Application online: Visiting Student Application Service (VSAS) OR paper: application packet submitted through SSOM Reg & Rec Please don’t do both unless you have verified with school that they require this (yes, a small handful are crazy and want both online and paper applications) Visiting Student Application Service Developed by AAMC Greater than 2/3 of US medical schools use VSAS to process visiting student applications; the others use their own paper applications. See http://www.aamc.org/programs/vsas/students/start.htm for a list of schools using VSAS (will be updated for ’12-13 year in late January). More info about VSAS forthcoming from Registration & Records Extramural Registration for schools not using VSAS Complete Loyola’s extramural application AND Complete other institution’s Visiting Student Application Often possible to list more than one date or several elective preferences Compile supporting documents; submit to Tess Kazda in Registration & Records Dean Mendez will review and approve application; application packet will then be mailed to extramural school Extramural Registration additional documentation (submitted via VSAS or by paper) Typical Supporting documents Proof of liability coverage Current immunization record Proof of UP/OSHA/HIPAA training Proof of hospitalization insurance Possibly SSOM transcript Possibly faculty/dean’s letter of recommendation Possibly criminal background check record Possibly affiliation agreement? Memo of Understanding? Elective Add/Drop Policy Add: register for electives at least one month prior to start date Drop (Loyola courses): at least one month prior Drop (Extramurals): according to other institution’s policy, typically 4 – 6 weeks prior. Discretionary Time Use Time for Additional Elective Opportunities OR For USMLE Step 2 study time Residency Interview time off For extramural calendar adjustment (other school’s calendar doesn’t match Stritch’s) For remediation needs For personal needs Applying for Discretionary Time Off May be taken in one week or longer increments Request must be submitted in advance Submit Discretionary Time requests through myLUMEN Elective Registration page USMLE STEP 2 CK & CS Requirement & Timing USMLE Step 2 CK & CS must be PASSED to graduate and these scores should be reported at least one month prior to graduation, approx May 1st 2013. However, residency considerations will require you to have scores available much earlier than May 1st to meet those expectations – likely before mid-February 2013 USMLE Step 2 planning: Residency considerations Early test = take before Sept. 30 (scores out before interviews are offered) Mid-year test = take by end of Nov. (scores out before residencies make rank decisions) Late test = after mid-Jan. (scores out after match ranking finished) (not recommended) USMLE Step 2 CK & CS timing CK: Scores reported approx 6 weeks after test date. Take before January 1st to have score available by mid – February before residency rank list is due CS: Scores are reported according to a block schedule: http://www.usmle.org/step-2-cs/#reporting March 25 – May 19 Reported June 2 - July 18, 2012 No testing May 20 – June 16, 2012 June 17 – Aug 25 Reported Oct 3 – 31, 2012 Aug 25 - Nov 3 Reported Dec 5, 2012 - Jan 2, 2013 Nov 4 - Dec 31 Reported Jan 2 - Feb 20, 2013 Residency Planning You may want to know now… Residency Letters of Recommendation Up to 4 letters for ERAS/NRMP programs; often only 3 are requested. Up to three for early match programs Request letters when opportunities present themselves Submitted by writer to Student Affairs with 2012 ERAS cover letter in June – mid-Sept (cover letter available in June) CV and Personal Statement Feedback on CV’s recently submitted May submit updated copy this spring for Dean’s Letter use (due date TBA) Personal paragraph needed for dean’s letter Instructions and timeline will be provided Online Resources Loyola Elective Catalog: http://stritch.luc.edu/depts/regrec/catalog AAMC Extramural Elective Compendium: http://www.aamc.org/students/medstudents/electives/start.htm AMA-FREIDA (Residency program info): http://www.ama-assn.org/go/freida Match info: http://www.nrmp.org/ Residency Web Application process: http://www.aamc.org/audienceeras.htm USMLE STEP 2 info: http://www.usmle.org/step-2-ck/ Visiting Student Application Service: https://www.aamc.org/students/medstudents/vsas/ Careers in Medicine: http://www.aamc.org/cim Future Workshops Dean’s Letter Process 1 pm February ???? following PCM3 sessions The Match & ERAS 1 pm April ???? following PCM3 sessions Ask Questions! It is acceptable, expected, smart Where: Registration & Records (changing your schedule, how to sign up for electives, policies) Student Affairs (what to take, when) Faculty Advisor (what, where, when) Specialty faculty (where, when, how many) Elective dept. offices (how, which) Submitting your Track Preferences • Go to myLUMEN>Clerkship Tracking Sys.> Fourth Year Track Ranking Form Ranking Form due January 27th • If you encounter any problems, contact Julie Steinecker ([email protected]) Questions? • Remember: Track Ranking Form is due Friday, January 27th.