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M4 Year
 
Senior Year Course Availability

Class of 2019
M4 Scheduling Meeting - Tuesday, January 2, 2018 at 8:00 a.m. in 2E-100

Class of 2018

COURSES BY REQUIREMENT

ELECTIVE RECOMMENDATIONS BY SPECIALTY

M4 CURRICULUM PAGE on the Office of Medical Education website contains the course descriptions and M4 Calendar

 

BRODY COURSE AVAILABILITY BY SPECIALTY:

ANATOMY

Clinical Gross Human Anatomy

ANESTHESIOLOGY

Anesthesiology

CARDIOVASCULAR

ICU: Cardiac Intensive Care Unit (CICU)

Cardiothoracic Surgery

Cardiovascular Surgery ICU Elective

Pediatric Cardiology

AI: Cardiology Inpatient

PC: Primary Care Medicine & Cardiology in Nicaragua

EDUCATION

Leadership in Hospital Administration

Introduction to Research on Underrepresented Minorities in Medicine

EMERGENCY MEDICINE

Emergency Ultrasound

Emergency Medicine CLERKSHIP
Director: Richard Garri, MD
Assistant Director: Kimberly Alford MD
Coordinator: Palmer Watson

FAMILY MEDICINE

AI: Inpatient Family Medicine

PC: Advanced Family Medicine at FMC

AI: Geriatrics

Nutrition & Patient Education

Extremes of Age

PC/IDE: Community Family Medicine-Ambulatory

PC: Community Oriented Primary Care - GCSC & Grimesland

PC: Sports Medicine

Healthcare Leadership & Policy

PC: International Cultural Immersion Experience (Zambia)

Hospice and Palliative Care

INTERNAL MEDICINE

Adult Infectious Diseases

Nephrology

Dermatology

Clinical Research - Pulmonary Disease

Endocrinology and Metabolism

AI: Hematology/Oncology Inpatient

AI: General Internal Medicine

AI: Inpatient Neurology

PC/IDE: Community General Internal Medicine-Ambulatory

AI: Inpatient Nephrology

Pulmonary Disease (Outpatient)

PC: General Internal Medicine-VA (Greenville)

PC: General Internal Medicine-VA (Morehead City)

ICU: Medicine Intensive Care Unit (MICU)

INTERNAL MEDICINE/PEDIATRICS

PC: General Outpatient Internal Med/Peds

AI: Internal Med/Peds (Duplin)

AI: Internal Med/Peds (Edgecomb)

INTERNAL MEDICINE/PSYCHIATRY

PC: Internal Med/Psychiatry

MEDICAL HUMANITIES

Literature and Medicine

Health Care Delivery & Policy

Philosophy & Medicine

Women in Medicine

Issues at the End of Life

Spirituality & Medicine

Leadership of Teams/Medical Practice

Doctors and Lawyers

OBSTETRICS/GYNECOLOGY

AI: Gynecology

PC: Community Obstetrics & Gynecology (Pitt County Health Department)

PC/IDE: Community Obstetrics and Gynecology (Ambulatory)

PC: Women's Health

AI: Perinatal Medicine

Women's Health Education/Practice

PATHOLOGY

AI: Surgical Pathology

AI: Subspecialty Pathology

Forensic Pathology

Experimental Pathology

PEDIATRICS

AI: Inpatient Pediatric Wards

AI: Ambulatory Peds

ICU: Neonatal Intensive Care Unit (NICU)

PC: Adolescent Medicine

Pediatric Neurology

AI: Hematology/Oncology

Pediatric Infectious Diseases

PC: Caring for Children with Special Needs

Pediatric Nephrology

ICU: Pediatric Critical Care Unit (PICU)

PC/IDE: Community Pediatrics-Ambulatory

Clinical Genetics-Current Issues

AI: Normal Newborn Medicine

PHYSICAL MEDICINE AND REHABILITATION

Ambulatory Physical Medicine and Rehab

Clinical Neuroscience & Intro to PM&R CLERKSHIP
Director: John Norbury, MD
Coordinator: Debra Mercer

Introduction to Clinical Neuroscience

AI: Pediatric Rehabilitation

PSYCHIATRY

Child and Adolescent Psychiatry

AI: Inpatient Psychiatry

AI: Child and Adolescent Psychiatry  

Outpatient Psychiatry

Eclectic Psychiatry

Consultation-Liaison Psychiatry

RADIOLOGY

Radiology

SURGERY 

Urology

Otorhinolaryngology (ENT)

AI: Surgical Oncology

ICU: Surgical Critical Care Unit (SICU)

AI: Trauma Surgery

Plastic & Reconstruction Surgery

AI: Plastic Surgery

AI: Pediatric Surgery

 

 
M4 Requirements
  • 4 weeks - Acting Internship (AI) - BSOM or Away
  • 4 weeks - Emergency Medicine - BSOM 
  • 4 weeks - Intensive Care Unit (ICU) - BSOM
  • 2 weeks - Physical Medicine & Rehabilitation - BSOM
  • 4 weeks - Primary Care (PC) - Ambulatory at BSOM or Away
  • 14 weeks- Electives - BSOM or Away
  • 2 weeks - Transition to Residency - BSOM
  • 6 weeks - Flex (personal study/residency interviews)
  • 40 weeks- TOTAL
      

USMLE Requirements


 
Evaluations

At the conclusion of each course, the student's performance will be evaluated using "H", "A", "B", "C", "F", "P" or "F" depending on the course requirement. Any grade of "IP" will convert to a letter grade once the coursework is completed.  If the coursework is not completed by the end of the following term, it will convert to an "F". 

For grade discrepancies see "Grade Appeal Process".

Grades will be requested through E*Value.  Students on away-rotations should submit an appropriate evaluator's name and email address to the Office of Student Affairs while at that location.  A paper version of the evaluation is located in the "Forms" section of this webpage as an alternative for non-BSOM preceptors who would prefer not to use E*Value.

 
Liability Insurance

Students are covered under Professional Medical Liability for rotations completed in the US.  It does NOT cover students on International rotations.

 
Schedule Changes (Drop/Add)

A Drop/Add procedure was developed at the request of the BSOM Course Directors to provide a mechanism to monitor and control roster changes. Course Directors may refuse to approve the change if they believe it is not in the student's best interest, is detrimental to the quality of the overall educational program, or deemed to be unprofessional in light of student obligations and responsibilities.

Signed Drop/Add forms must be submitted to the Office of Student Affairs, Brody 2S-20, 30 days before the beginning of the course. The form is found at the bottom of this web page. The course director's or administrative assistant's signature is acceptable, and their contact information is listed above by specialty.

Drop/Add forms are not required for away rotations, however, Student Affairs must be notified of any changes.

If circumstances prevent a student from completing a scheduled rotation, he/she will be required to make up the missed time or receive an unsatisfactory grade for the rotation.


 
Flex/Absences/Holidays

FLEX
 
  • Up to 6 weeks of FLEX (2 week increments) may be used for interviews, Step 2 study time or personal use.
  • 2 weeks of FLEX may be paired with a 2 week elective (ie. FLEX9422/CVSU9413).
  • FLEX may not be taken during during the final block in April.

Note: The number of FLEX weeks available for scheduling will be reduced by the number of weeks required to remediate or make up third year course work.

ABSENCES

HOLIDAYS

  • Senior students are expected to assume, in many respects, the role of a physician  and to recognize the needs of patients through clinic service coverage, regardless of weekends and holidays.  
  • Mandatory Holidays for senior medical students are:
    Thanksgiving
    Winter Holiday/Term Break
    Match Day  (If a medical student does not obtain a position in the NRMP Match, he/she also receives off the three days of the Supplemental Offer and Acceptance Program (SOAP).
  • Senior medical students may be allowed to observe other holidays at the discretion of the course director or designated resident on the service. 
 
SCHEDULING AWAY ROTATIONS

Drug Screens, Immunizations and Criminal Background Checks

LCME ACCREDITED Medical Schools and Residency programs (----9475) 
                     ("----" signifies the specialty prefix from the catalog-Family Med is FMLY, etc.)

  • Check for an online catalog at the site of interest in order to review course availability, course descriptions, dates, calendar information, and visiting student application requirements.Use this link to search for schools/courses: http://services.aamc.org/eec/students/
  • Check if the medical school/ residency program uses the Visiting Student Application Service (VSAS). Through VSAS students may search and apply to more than 140 schools and programs: https://services.aamc.org/20/vsas/public/schools/
  • For directions on how to use the system: https://www.aamc.org/students/medstudents/vsas/how_to_use_vsas/117180/how_to_apply.html
  • If the institution does not use VSAS, follow the application directions that their website provides.
  • Institutions are all different.Carefully follow their instructions or your application will not be processed.Student Affairs is able to help with required documents, etc.
  • When an application is accepted, the student will receive confirmation via letter, email, or standard acceptance form.
  • *Submit a copy of the acceptance to the Office of Student Affairs.The confirmation must include the course title and the dates of enrollment.
  • *Submit a copy of the course description from the school's website to enable Student Affairs to determine if a course will be given PC, AI or Elective Credit.
  • Some courses may start and end at times different from BSOM; Flex time or online electives may be used to assist in scheduling.

* No credit will be allowed for rotations taken without the approval and documentation indicated above.

MILITARY ROTATIONS(----9475)

  • Check with the appropriate military branch in order to review sites, course availability, course descriptions, dates, calendar information, and visiting student application requirements.
  • Military slots may open as early as December/January.
  • Student Affairs is able to help with required documents.
  • When an application is accepted, the student will receive confirmation via letter, email, or standard acceptance form.
  • *Submit a copy of the acceptance to the Office of Student Affairs.The confirmation must include the course title and the dates of enrollment.
  • *Submit a copy of the course description from the school's website in order to be given PC, AI or Elective Credit.
  • Some courses may start and end at times different from BSOM; Flex time or online electives may be used to assist in scheduling.

* No credit will be allowed for rotations taken without the approval and documentation indicated above.

INDIVIDUALLY DESIGNED ELECTIVE (IDE)

If there is an educational experience/rotation, not offered as a course by BSOM, another medical school, residency program or the military, the student may choose to design his/her own rotation (i.e. education, research, primary care, specialty, or international elective).

The student will be required to do the following:

  • Meet with an appropriate preceptor (MD or DO) to design a course description that includes educational goals and objectives using the Individually Designed Elective form (bottom of web page). 
  • Submit the completed and signed IDE form to the Office of Student Affairs at least 2 months prior to the start of the rotation.

The IDE form will be reviewed by the Office of Medical Education to determine if it is an acceptable senior experience that will meet graduation requirements. No credit will be allowed for an IDE taken without the approval and documentation indicated above.

IDE Categories:

  • Medical Education-Independent Study(----9460)
  • Research-Independent Study(----9465) In addition to the IDE form, please submit 1 page proposal signed by your preceptor.
  • Clinical Elective in a Specialty(----9470)
  • Clinical Elective in Primary Care(FMLY9412, INMD9433, OBGY9410, PEDS9418)-(Use Community PC form in lieu of IDE form. There is a list of previously used sites in Student Affairs)
  • International Medicine-Primary Care(----9480)follow additional instructions at:
  • http://www.ecu.edu/cs-dhs/bsomstudentaffairs/international/index.cfm
  • International Medicine-Specialty(----9481)follow additional instructions at:
  • http://www.ecu.edu/cs-dhs/bsomstudentaffairs/international/index.cfm

 

 
AHEC Housing
Students needing away housing must go to: www.myahec.net and fill out an online housing application  45 days before the beginning of their rotation. The preceptor and site information are needed when completing this application. Students will receive an email confirmation of housing approximately one month before the beginning of their rotation. AHEC has connections in NC as well as a number of states.
 
M4 Scheduling Guidelines
  • No rotation may be taken more than once at the same site.

  • Students may list specifically-designated 2 week rotations twice in the same month making a 4 week course. Check the catalog for specific courses which permit this. Some may require special permission to do so.

  • Students are limited to 12 weeks in any one specialty unless given special permission. ICU's are not counted in the specialty total.

  • Students are limited to 12 weeks at other institutions (medical schools, residency programs, military).

  • Students are limited to 6 weeks of online courses.

  • Students who are deficient academically may not do "away" rotations until the deficiency has been removed. Students may also be denied approval for "away rotations" due to code of conduct issues.

Special Permission

  • Some rotations require course director's approval prior to being added to their roster. Students must obtain the course director's signature on the Special Permission Form and submit to Student Affairs during the scheduling process to guarantee a slot. Requests may be made after the optimization process based on availability.
 
M4 Forms
Primary Care (for Ambulatory Community Primary Care requirement when self-arranging- FMLY9412,INMD9433,OBGY9412,PEDS9418)-due 2 months prior to start date

Drop/Add - due 1 month prior to start date

Evaluation for Away-Rotations  (Use only if preceptor will not use E*Value. Submit preceptor's email for E*Value whenever possible)

Individually Designed Elective (IDE) (Use only for self arranged electives)  - due 2 months prior to start date

Special Permission (certain courses as listed in catalog)  - due 1 month prior to start date

Worksheet (to create the M-4 student schedule)
Worksheet (example)