Hofstra North Shore-LIJ School of Medicine
Curriculum Committee Presentation
October 22, 2012
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Spring Break: 3/25 – 4/1/13
Comprehensive Basic Science Test: 4/2 – 4/5
Step 1 Study Time: 4/6– 5/31/13
Deadline to Take Step 1: Friday May 31st
To the best of our knowledge i.e. subject to
change
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Transitions: 6/1 – 6/30/13
3rd Year ACE: 7/8 – 6/29/14
◦ Includes 3 weeks vacation and 9 weeks selective
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4th Year ACE: Starts 6/30
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Recertify in BLS
Acclimate to hospital settings
Navigate hospital systems and EMR
Refresh basic skills- CXRs, EKGs, phlebotomy,
IV placement, suturing, knot tying
Learn new skills- new procedures, inpatient
and outpatient notes, the 1min/3min/15min
presentation
Experience new horizons- e.g. anesthesia
Pick up some longitudinal patients
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Lack of meaningful responsibility or an
authentic role
Insufficient development of clinical reasoning
skills
Conflicting interests between learning and
getting a good grade
Inadequate information to make an informed
career decision
Inadequate assessment data
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Give students authentic responsibility for patients
and place them where the thinking occurs
Cultivate “whole illness” relationships with patients
and develop longitudinal coaching relationships with
faculty
Assess students in a way that drives learning and
integrates science into clinical education
Give students better insight into careers in medicine
and facilitate “differentiation” through self-directed
learning time and electives
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to be feasible as tracks in leading medical
schools (a decade of experience)
to improve long term retention and capacity
for learning
to provide students with a superior clinical
experience in terms of depth and volume of
core diseases (by orders of magnitude)
to create patient-centered doctors
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Feasibility for our class size
Considerable multi-tasking for students
 Keeps
the discipline-specific
focus of traditional clerkships
while
 Integrating
cumulative and
longitudinal features of a
Longitudinal Integrated Clerkship
 6-week
cycles focused on one
discipline
 Discipline-specific morning “ACE”
rounds
 Discipline-specific class time, one
full half day per week
 Shelf exams (national multiple choice
exam-one for each specialty) every 6
weeks
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Self-directed time for follow-up of
patients
Ongoing, cumulative experiences in
Internal Medicine and Surgery
Longitudinal continuity clinic experiences
in Internal Medicine
Highly select group of longitudinal
patients to follow
Week-long “Reflection, Integration, and
Assessment” (RIA) weeks at the end of
each trimester
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ACE Manager – combo course manager and
student affairs – at both campuses
ACE Directors – at least one for each
discipline – paid to dedicate half of their time
to you
Me – office on campus with candy
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Grades will be given for each discipline
◦ Honors, High Pass, Pass, Fail
◦ Assigned at the end of the year (though will have
tentative grades at the end of each trimester)
◦ Will reflect achievement of real milestones
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Dean’s letters will not only look familiar but
will include more robust data
We will have AOA and Gold Humanism
chapters