(Name of)* Clerkship Syllabus Clerkship # Department Date (*delete material described in parentheses) 1 Table of Contents BU CARES, Clerkship Goal and Clerkship Learning Objectives Clerkship Description & Site Information Contact Information Clerkship Schedule Roles and Responsibilities BU Policies and Student Support Learner Evaluation Clerkship Grading Policy E*Value Learning Strategies and Tools Learning Materials 3 4 5 6 7 # # # # # # 2 The acronym BU CARES stands for the BUSM education program’s seven fundamental objectives, which describe the knowledge, skills, and attitudes that every graduate should possess. The principles behind BU CARES guide the management of the curriculum, inform student assessments, and form the basis of all course and clerkship learning objectives. The BU CARES Institutional Learning Objectives The BUSM Graduate: (The linked ACGME competencies are in parenthesis) Behaves in a caring, compassionate and sensitive manner toward patients and colleagues of all cultures and backgrounds, using effective interpersonal and communication skills (Interpersonal and Communication Skills; Professionalism) Uses the science of normal and abnormal states of health to prevent disease, to recognize and diagnose illness and to provide an appropriate level of care (Medical Knowledge; Patient Care) Communicates with colleagues and patients to ensure effective interdisciplinary medical care (Interpersonal and Communication Skills; Patient Care) Acts in accordance with the highest ethical standards of medical practice (Professionalism) Researches and critically appraises biomedical information and is able to contribute to the advancement of science and the practice of medicine (Practice-based Learning and Improvement; Medical Knowledge) Exhibits commitment and aptitude for life-long learning and continuing improvement as a physician (Practice-based Learning) Supports optimal patient care through identifying and using resources of the health care system (Systems-based Practice; Patient Care) Clerkship Goals (the purpose of the clerkship describing the expected educational outcomes by the end of the clerkship in one or two sentences) 3 Clerkship Learning Objectives (the observable student learning performance achieved by the end of the clerkship expressed in outcome-based terms and linked to BU CARES in parentheses after each bullet) 4 Clerkship Description and Site Information (e.g, one short paragraph with orientation information) Focus of clerkship (clerkship importance to student that emphasizes mastery of life skills) Pre-requisite knowledge and skills (listed, if any) Description of Clerkship Sites Current Changes (made to clerkship as a result of student feedback and other factors) Contact Information (e.g., Name, email, work phone, and office location) Clerkship Director (s) Site Director(s) Faculty Clerkship Coordinator Clerkship site contact information 5 Clerkship Schedule (e.g., weekly didactic sessions, demos, conferences, morning reports, clinic and ward times) 6 Roles and Responsibilities (brief description of the roles that apply to the clerkship) Clerkship Director Preceptor Resident/Fellow Student Professionalism i. Description specified to clerkship requirements 1. Attendance (i.e., weekly work hours, time-off, tardiness) 2. Dress code 3. Use of phones and laptops 4. Late assignments and make-ups ii. Student Disciplinary Code of Academic and Professional Conduct http://www.bumc.bu.edu/busm-osa/files/2009/04/final-revised-disciplinarycode-october-7-03.pdf BU Policies and Student Support Services Student Policy and Reference Manual http://www.bumc.bu.edu/busm-osa/student-policy-reference-manual/ Boston University Sexual Harassment Policy http://www.bu.edu/safety/harassment/index.shtml Appropriate Treatment of Medical Students (ATM) http://www.bumc.bu.edu/atm/ Policy for Medical Student Time off during Clinical rotations of the 3rd and 4th years Purpose: The purpose of this policy is to formalize guidelines for time off for planned or unexpected absences during the clinical years. Clear communication of the expectations between students and clerkship directors will permit flexibility within reasonable limits in a way that does not impact either clinical education or reflect on a student’s professionalism. The medical school will centrally track the number of days off for each student. After a fourth approved absence, the Registrar will send a report to the Office of Student Affairs. Any student with more than 5 days (per academic year) of time off (not made up) will be referred to the promotions committee. It is the responsibility of the student to not finish the year with >5 days absent. Third Year Time Off Policy - No “personal days” or excused absences can be permitted from patient care activities except for the specific reasons listed below. Professionalism in patient care requires reliable attendance. 7 There will be no time off given for the Step 2 exam in the third year. Fourth Year Time Off Policy- The same policy for excused absences applies as during third year. Students are allowed to take additional days off for interviewing as described below. The time off policy for the 3rd and 4th years includes: Anticipated time off: Conferences (only if the student is presenting, is an officer in an organization, or other situations by special permission) Residency interviews Religious observances Jury Duty Exception: Step 2 CS – days off are considered working days and are not subject to this policy Unanticipated time off: Personal medical illness Unexpected personal time needs (including funerals, family illness etc.) Notification policy: For all anticipated time off the student will need to notify the Registrar’s Office and the clerkship director as far in advance as possible: In the case of religious holidays notification should occur before the start of the academic year (and at least 6 weeks before the start of the first rotation). For conferences, requests should be made at least 6 weeks before the start of the clerkship. For unanticipated time off: In the case of illness, if a student will miss more than 2 days the student will need to obtain a note from their personal physician. The student must maintain communication between him/herself and the medical school, before traveling to family/etc, and while there. This communication can include contact with the clerkship director, administrator, site director, registrar and staff in the office of student affairs. Time off for residency interviews: Students requiring time away from clerkships for interviewing may take up to twelve days off during interview season, which extends from October-February 15th. 8 1) Students are encouraged to take a four week block of vacation during interview season. Also, students may request to split a four week rotation over eight weeks if enrollment and the structure of the clerkship permit. Clerkship directors should allow this if possible. 2) Students may request no more than 5 days off for interviewing during any four week rotation, and no more than four days over any two week rotation. This includes partial day absences of greater than four hours. Students will be required to make up time missed at the clerkship director’s discretion. 3) All requests for time off must include written verification of the interview location and date, provided to the clerkship director. 4) Students who require more days off than stated above must arrange with the clerkship director to make up the missed days, with Spring Break a possible time. Missed days cannot be made up by taking time from other rotations. Make Up Time: The student will be expected to be available to make up anticipated time off at the discretion of the clerkship director. The student may also be asked to make up unanticipated time off if it is felt to negatively impact the clinical experience of the student. If the student's absence will involve missing an examination, the student will need to retake the exam at the discretion of the clerkship director. Learner Evaluation Formative (e.g., during clerkship non-graded quizzes, presentations, exercises, projects to provide feedback to student on their progress) (e.g., mid-clerkship review form) The purpose of formative assessment is to improve student learning by providing feedback on how well the student is learning the instructional skills and content during the clerkship. Formative assessment does not provide grades. In the case of mid-clerkship review, the purpose is to identify any clinical competencies that the student has not seen or any other clinical skills or learning issues. Summative (e.g., clinical observation, PTRIME, shelf exam, final exam, OSCE) Summative assessment or summative evaluation assesses the clinical knowledge learning and clinical skills development of a learner by the end of the clerkship. Summative assessment proves student learning and is graded. 9 Assignments (e.g., oral presentation, evidence-based medicine report, required cases, online learning) Patient Encounter Log link http://dccweb.bumc.bu.edu/busmptlog/default1.aspx Alternative patient encounters (e.g., description of alternate sites, video, simulation exercise) Remediation of clinical skills (if student clinical skill performance is not adequate to after mid-clerkship review or OSCE) Make-up exams\clinic time (description of clerkship policy) Clerkship Grading Policy (i.e., assessment of learner’s ability to perform selected competencies, criterion-referenced) All clerkships use criterion-reference grading to measure student learning performance against pre-defined criteria and not against other students learning performance (i.e.,normreferenced grading). Clerkship Grades (Description of how grades are determined, e.g., %clinical skills evaluation, % for shelf exam, % for oral presentation, % written report, % for OSCE + completion of Patient Encounter Log and Clinical Skills Passport) Final Grade range ( score range for Honors, High Pass, Pass, and Fail) Score Requirements for Honors grade Student Evaluation of Clerkship (Office of Medical Education online evaluation form and optional preceptor/lecturer evaluation provided by clerkship director) https://dccweb.bumc.bu.edu/ome2/clerkships/admineval.aspx Learning Strategies and Tools Recommended Textbook (s)/Required Readings Blackboard Site (http://blackboard.bu.edu & description of learning materials provided online) Study Guide/Tips on Learning (optional) Practice Questions (optional)) Additional Resource Website (optional) 10 Clerkship Learning Materials Learning Session Learning Objectives (each lecture, conference, seminar, talk needs to have learning objectives) (Optional) iii. Special guides (e.g., Pocket Guide, Student Handbook, Guideline for Oral Presentation) iv. Lecture notes v. Additional learning resources (e.g., Journal articles, Online links) vi. Practice Exams, mock self exams vii. Clinical Problem Sets 11