General Curriculum

  • The CDT agreed that the new curriculum should:
    • Build on our strengths in primary care and research
    • Emphasize our distinct identity as a university
    • Strengthen ties with main campus and other UCD schools when feasible
  • The curriculum will be constructed around the following 3 pillars:
    • Biomedical Science
    • Clinical Science
    • Health Systems Science
  • Our 6 graduation competencies still lie at the center of the curriculum, but the CDT recommends assigning Competency Directors to ensure they are well-represented throughout the curriculum
  • The following 4 threads were voted to be part of the new curriculum (67% agreement or higher):
    • Diagnostic Medicine (including Point of Care Ultrasound)
    • Stages of Life (including disability/chronic illness, palliative care, and death/dying)
    • Care for Vulnerable Populations (including social determinants of health)
    • Preventative Medicine (including nutrition, exercise, obesity, alcohol, tobacco, sleep, wellness and cancer prevention)
  • The CDT was unanimous that entrustable professional activities (EPAs) should be a guiding assessment framework as we design the new curriculum
  • In at least one plan, Step 1 will be moved to after core-clerkships
  • Areas of scholarly concentration (e.g. medical education, research, community engagement/advocacy) will be available for students to engage in supplemental curricula across all four years
  • Intersessions (breaks between coursework or blocks) will be placed in years 1-3 to allow for increased flexibility

 

Post-Core Clerkship Phase

  • The post-core clerkship phase will be structured (have specific requirements). Required coursework will be dependent on each student’s specialty choice.
  • ICU rotations will be included in some specialty tracks
  • Emergency medicine will remain a required clerkship for all students
  • Specialty-relevant basic science coursework will be incorporated into the 4th year
  • Asynchronous (online) elective work will be available to students to complete while on the interview trail to allow for more flexibility

 

Core Clerkship Phase Decisions

Current Core Clerkships:

Internal Medicine – Lengthen or keep the same (8 weeks)

Pediatrics – Shorten

Surgery – Same length (8 weeks)

OB/GYN – Shorten

Family Practice – Same length (4 weeks), and move Continuity Clinic to pre-clerkship period as longitudinal clinical experience

Selective – Same length (4 weeks)

Psychiatry – Shorten

 

Additional Core Clerkships:

Neurology – Create as a new core clerkship

Anesthesiology – No consensus (could be incorporated into surgery)

Dermatology – Do not incorporate as requirement into Clerkship phase

Diagnostic Medicine (radiology/pathology) – Incorporate somewhere

Emergency Medicine – No consensus as to whether placement is better in clerkship or post-clerkship period