UGME CURRICULUM RENEWAL FRAMEWORK
Boxes are not scaled
Principle: “Fully integrated spiral scaffold curriculum through 4 years”
Year
Year
1
1
2
2
M0: Foundation
M1: Human
M2: Health &
Disease
3
3
M4 TTC:
Transition to
Clerkship
Abnormal
M5: Med 3
ProcessesNormal
Clinical Clerks
Clinical Integration
Processes UGME
Clinically
M2
: Health& Disease M3:Consolidation
Academic Half
Abnormal
AppliedProcesses
Biology & Health
• Longitudinal Courses
4
4
M6:
 Med 4 Electives
 CaRMS
M7 TTR:
Transition to
Residency
Day
Incorporated into Academic time
I. Clinical Reasoning
II.Professionalism
III.Clinical Skills
IV.Community Health
V.Indigenous Health
VI.Scholarship in Medicine
• Themes/Disciplines
Composite Clinical Presentations (CP41)
CuRe PreClerkship Course Development (PCD) Meetings
Keevin Bernstein
Plan:
January 2014
1.Review Iterative Process to date
2.Update Changes to Schedule & Nomenclature
3.Proposed UGME Governance
4.Timelines and Plans
5.Course Leader Presentations:





M0, M1 & M2 Course Objectives
M1 & M2 Course Outlines
M1 Weekly schedule
Proposed CP4
Proposed M3 – Consolidation topics
UGME CURRICULUM RENEWAL MILESTONES
ACHIEVED:
Forum #1
Forum #2
April
2013
Created: April 2011
Forum #3
Forum #4
Modified : Oct 2012
Modified : Dec 2012
Stakeholder Engagement : Faculty- Student-Post Graduate Government - RHAs - Public
May – June
April
2011
June
2011
Oct
2011
Dec
2011
Feb
2012
Mar
2012
April
2012
June
Mar
2012
2012
Dec
Oct
April
2012
2012
2013
Aug 2013
Dec
2012
Jan
2013
Feb
Dec
Mar
2013
2012
2013
Clerkship
Aug
2013
Aug 2014
PreClerkship
Undergraduate Medical Education
3
UGME CuRe
Process
 CuRe Steering Committee (Working Group)
Sept
2010
 CuRe UGME Faculty Survey - FMEC
Dec
2010
 CuRe Faculty Retreat #1 and Report
April
2011
 CuRe UGME Course & Clerkship Director Survey
June
2011
 CuRe Department Representative Focus Group
July
2011
 LCME/CACMS Accreditation
• Student surveys/Report
Oct
2011
 CuRe Task Group (11) Creation & Reports
Nov
2011
 CuRe Framework Development
Feb
2012
 Governance UGME Leadership Appointments
Jan
2013
CuRe PreClerkship Course Development (PCD) June 2013
SELF RFLECTION !
PCD Accomplishments through June 2013 :

Each Module Course Leader:
•
•
•

Created Course committee
Considered the new curriculum, and how their content may be
accommodated
Presented Course Ideas, Objectives and/or Outlines
All Longitudinal Course Leaders and many Theme Leaders
presented outlines, ideas and/or their approach to curriculum
o All UGME leaders interacted with exchange of ideas
o Cross discussion with LC/T leaders
o Some resolution to selected ownership areas
CuRe PreClerkship Course Development (PCD) June 2013
SELF RFLECTION !
PCD Accomplishments through June 2013 :

Introduction to robust MCQ exam
•

Full day workshop with MCC
External Review
•
Senior Associate Dean, Stanford 2 day visit

Review assigned hours and overall schedule

Review all pedagogical approaches:
• Workshop Pedagogical approaches – TBL
 Allocate hours to each course
 Provide each course with outline & suggested integration
CuRe PreClerkship Course Development (PCD) Dec 2013
SELF RFLECTION !
PCD Accomplishments through Sept – Dec 2013:
 All Modular & Longitudinal Course Leaders Presented to CuRex:




M1 and M2 objectives
M1 and M2 Course outlines
M1 schedule
Longitudinal Course proposals
 Converted to M1 weekly schedule for M1 & Longitudinal courses
 PSEC q monthly meetings:
• Review MCQ questions as both F/D and question preparation.
 Revised Governance Organization - draft
 Create PCD Timelines
DRAFT 6
Dec 1, 2013
CuRe Preclerkship M0, 1/2: Human Biology, Health and Disease
 Human Biology and Health
Y1 M0
M1
Weeks
• FOUNDATION
4 ---- 2014 Aug 25 - Sept 19
3----------- Sept 22 - Oct 11
1. Blood & Immunology 1
6 ----------- Oct 14 - Nov 21
2. CV1 and Resp (+ ET) 1
4 ------------ Nov 24 - Dec 19 Dec break
3. NeuroScience 1 (Psych, Neuro + Opth)
2------2015 Jan 5 - Jan 16
4. Musculoskeletal 1
5. Endocrine 1 and Woman’s Reproductive Health 1 4------------- Jan 19 - Feb 13
4------------- Feb 17 - Mar 13
6. GI/Hep/Nutrition 1 and Urinary Tract 1
TOTAL 27
1------------ Mar 16 –20 ……Reading week
M2  Health and Disease
1. Intro to Infectious Disease & Therapeutics
2. CV 2
3. Resp (+ ET) 2
Y2
(brackets are reminder)
4.
Introduction to Oncology
5.
6.
7.
8.
9.
10.
11.
Blood & Immunology (+ autoimmune diseases)2
NeuroScience (Psych, Neuro, Opth) 2
Woman’s Reproductive Health (WRP) 2
Endocrine 2
GI/Hep/Nutrition 2
Urinary Tract 2
Musculoskeletal 2
M3  Consolidation
2--------------Mar23- April 2 ( Good Friday April 4 )
7--------------April 7- May 22 (Easter Monday April 6)
1--------------May25-29 ……….. Rural week
4--------------Aug 24 - Sept 18
7--------------Sept 21 - Nov 6
3--------------Nov 9 - Nov 27
3--------------Nov 30 - Dec 18 Dec break
3 -----2016 Jan 4 - Jan 22
3---------------Jan 25 - Feb 12
4---------------Feb 16 - Mar 11
1--------------Mar 14 - 18 ...Reading week
8 24 - May 27
10-------------Mar
CuRe PreClerkship Course Development (PCD) Jan 2014
Changes since June 2013 :
 Course Order:
1. Swapped Blood 2 & Intro Oncology with Resp 2
2. Derm – 10 hours will be first week of M3
3. Pain Management - ? First week M3
 Course Nomenclature
• Course Session Number for Modular courses

M0:
M01, M02,etc

M1: eg for CV - CV101, CV102, etc

M2:
CV201, CV202 , etc
CuRe PreClerkship Course Development (PCD) Jan 2014
Changes since June 2013 :
• Session Designation Nomenclature:
 WGS
- whole group session – ie lecture
 WGS/A
- interactive whole group session ie T1, TBL,
flipped classroom, audience response (TopHat)
 SGS/T
- small group session - tutorial
 SGS/LP
- small group session – lab practical
 AS
- Assignment to be reviewed in subsequent
tutorial or online ie not free or study time
- Instructional Test (as opposed to summative midterm)
 IT
CuRe PreClerkship Course Development (PCD) Jan 2014
Scheduled Hours Longitudinal Courses:
 CHS
Scheduled
M0/M1
41
Proposed
M2/M3
85
 Professionalism
50
52
 Indigenous Health
 Unscheduled
37
43
UGME Curriculum Governance Organization
UGME Curriculum Governance Organization
Governance
Implementation
Decision Making Levels
Strategic
Operations
Pre- Clerkship
Direct or PreClerk ship
Reporting
Informative
Clerkship
Direct or Clerk ship
Clinical/ Acad em ic
Pre- Clerkship Student
Clerkship Student
Evaluation
Chair PSEC
Evaluat ion
Chair CSEC
UGME Curriculum Governance Organization
UGME Curriculum Governance Organization
Governance
Progress
Direct or Evaluat ion
Curriculum Int egrat ion
Direct or Curriculum
Implementation
Decision Making Levels
Strategic
Operations
Pre- Clerkship
Direct or PreClerk ship
Reporting
Informative
Clerkship
Direct or Clerk ship
Clinical/ Acad em ic
Pre- Clerkship Student
Clerkship Student
Evaluation
Chair PSEC
Evaluat ion
Chair CSEC
UGME Curriculum Governance Organization
UGME Curriculum Governance Organization
Curriculum Executive
Governance
Associat e Dean
Progress
Direct or Evaluat ion
Curriculum Integrat ion
Direct or Curriculum
Implementation
Decision Making Levels
Strategic
Operations
Pre- Clerkship
Direct or PreClerk ship
Reporting
Informative
Clerkship
Direct or Clerkship
Clinical/ Academ ic
Pre- Clerkship Student
Clerkship Student
Evaluat ion
Chair PSEC
Evaluation
Chair CSEC
UGME Curriculum Governance Organization
UGME Curriculum Governance Organization
Strategic
Operations
UGME
Managem ent
Associat e
Dean
Curriculum Executive
Governance
Head, Medical Educat ion
Curriculum Renewal
Dir ect or Curr iculum Renewal
Progress
Dir ect or Evaluat ion
Curriculum Int egrat ion
Dir ect or Curr iculum
Implementation
Decision Making Levels
Associat e Dean
Program Evaluat ion
Pre- Clerkship
Direct or Pr eCler k ship
Reporting
Informative
Clerkship
Dir ect or Clerk ship
Clinical/ Acad em ic
Pre- Clerkship Student
Clerkship Student
Evaluat ion
Chair PSEC
Evaluat ion
Chair CSEC
UGME Curriculum Governance Organization
UGME Curriculum Governance Organization
Strategic
Operations
Faculty Executive Council
Department Heads
Deans Council
Council
UGME
Management
Associat e
Dean
Curriculum Executive
Governance
Head, Medical Educat ion
Curriculum Renew al
Direct or Curr iculum Renewal
Progress
Dir ect or Evaluat ion
Curriculum Integrat ion
Direct or Cur riculum
Implementation
Decision Making Levels
Associat e Dean
Program Evaluat ion
Pre- Clerkship
Direct or Pr eCler k ship
Reporting
Informative
Clerkship
Direct or Clerk ship
Clinical/ Acad em ic
Pre- Clerk ship Student
Clerkship Student
Evaluat ion
Chair PSEC
Evaluat ion
Chair CSEC
2014 UGME CuRe MEETINGS and TIMELINES
Month Day
Jan
Tues
Date Meeting
14
Agenda
DRAFT
Time
Location
Task Achieved
Preclerkship Presentations
Integration
Committee
Jan
Thur
16
Preclerkship Presentations
Integration
Committee
Jan
Mon
20
Preclerkship Presentations
Integration
Committee
Jan
Thur
23
Preclerkship Presentations
Integration
Committee
Jan
Fri
Feb
Tues
31 PRECLERKSHIP: COMPLETION M0, M1and M2 and LCs Outlines/Course Objectives
4
Clerkship Committee
3-4:30
Review TTC
Plan TTR
Feb
Feb
Wed
Mon
19 SENATE SUBMISSION
24 Preclerkship Committee
3-4:30
Finalize M0 & M1 schedules
Review CP4
Compile CM M3 cases and content
March Mon
INDEX
31
PRECLERKSHIP M0 & M1 : Submission Individual Session Leaders and Objectives
MILESTONES
Clerkship Committee: Clerkship and Longitudinal Course/Theme Leaders
PreClerkship Committee: PreClerkship M0, M1/2 &Longitudinal Course/Theme Leaders
Integration Committee: all UGME Directors and Leaders
2014 UGME CuRe MEETINGS and TIMELINES DRAFT
Month
Day
Date
Meeting
Agenda
Time
Location
April
Wed 30 PRECLERKSHIP Final M0 & M1 scheduled Opal
May
Thu
May
Fri
1
Preclerkship Committee
Milestones
Task Achieved
3-5:00
30 PRECLERKSHIP Submit MCQ questons for MO and M1 exams
May - Aug
Create content
Aug
Mon 25 PRECLERKSHIP: GO Live !
Oct
Mon
Oct
Mon 20 PRECLERKSHIP: Finalize M2 schedule
Oct
Mon
6
20
Preclerkship Committee
3-5:00
Review M0 after completion
Preclerkship Presentations
3-5:00
Review M2 schedules Year 1
Nov
Fri
28 PRECLERKSHIP: Submit Individual M2 Yr1 Session leaders and Objectives
2015
Jan
Mon 19 PRECLERKSHIP:Submit MCQ exam questions for M2 Yr2
Feb
Mon 23 PRECLERKSHIP:Submit Individual M2 Yr2 Session Leaders and Objectives
March Mon 23 PRECLERKSHIP: Submit MCQ exam questions for M2 Yr1
April
INDEX
Mon 20 PRECLERKSHIP: FINALIZE M3 Plans
MILESTONES
Clerkship Committee: Clerkship and Longitudinal Course/Theme Leaders
PreClerkship Committee: PreClerkship M0, M1/2 &Longitudinal Course/Theme Leaders
Integration Committee: all UGME Directors and Leaders
2014 CuRe PRECLERKSHIP COURSE LEADER PRESENTATION MEETINGS
Revised Jan 9, 2014
Date
Time
Course
January 14/14
2:00-2:10
10”
2-4:30
2:10-2:40
30”
2:40-3:00
20”
MO – Foundation of Medicine
3:00-3:10
10”
Break
3:10-3:50
40”
Community Health Science
3:50-4:30
40”
January 16/14
2:00-2:30
30”
2-4:30
2:30-3:00
30”
3:00-3:10
10”
3:10-3:30
20”
3:30-3:50
20"
January 20/14
2:00-2:40
40"
2-4:30
2:40-3:15
35"
3:15-3:25
10"
3:25-4:00
35"
4:00-4:30
30”
Introduction
Student Evaluation
Professionalism
Blood & Immunology and
Oncology
NE
Name
Keevin Bernstein
Room/Location
Apotex 264
Barry Cohen
Cindy Ellison/ Don Smyth
Joss Reimer
Merril Pauls/Aviva Goldberg
Don Houston
Gary Harding
Apotex 264
Tanya Sala/Kerri Schellenberg
Break
MSK
Indigenous Health
CS
EM and WRH
Jason Peeler
Barry Lavalee
Karen Klym/Rob Brown
Apotex 264
Carmen Hurd & Maggie Morris
Break
GI and UT
Don Duerksen &Keevin Bernstein
Martha Ainslie/Jill Horton
Clinical Reasoning
January 23/14
2:00-2:40
40”
2-4:30
2:40-3:00
20”
3:00-3:20
20”
3:20- 3:30
10”
3:30-4:30
60”
CV and RS
ID & Therapeutics
Pain Management
Anita Soni
Clare Ramsey/Adrian Gooi
George Zhanel
Paul Daeninck/Joel Loiselle
Break
Objectives Workshop
Joanne Hamilton
Med Rehab 236