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M4 Year


M4 Orientation Schedule 2017

(Friday, June 16, 2017 8 a.m. to 5 p.m.)

ITEMS THAT ARE DUE PRIOR TO ORIENTATION:  DUE BY 8 AM, THURSDAY, JUNE 15TH

PPD Placements - Monday, June 12, 12:30-1:30 PM 2W-40B
PPD Readings - Wednesday, June 14, 12:30-1:45 PM 2W-40B
If you cannot attend the PPD clinic please submit other documentation to Chris Bridgers/OSA for this requirement.

FIT Test Questionnaire - submit to Student Affairs or scan to Chris Bridgers (bridgersc16@ecu.edu)
Have nothing sweet to eat of drink 30 minutes prior to testing time. Men should be clean shaven.

HIPAA/Compliance Training/Quizzes (Available Tuesday, June 6th)
There are two modules containing slides that are followed by a quiz. 80% is required to pass. You may retest until you pass.
Log into Blackboard and look for:
-HIPAA Privacy and Basic Security
-Compliance and Integrity

ANNUAL BSOM FORMS - found in OrgSync

Update your Contact and Emergency Contact Information


 
Senior Year Course Availability

Class of 2018

COURSES BY REQUIREMENT

ELECTIVE RECOMMENDATIONS BY SPECIALTY

BRODY COURSE AVAILABILITY BY SPECIALTY:
(CALENDAR AND M4 CURRICULUM DESCRIPTIONS are located on the M4 Curriculum Page of OME)

ANATOMY

Clinical Gross Human Anatomy

ANESTHESIOLOGY

Anesthesiology

CARDIOVASCULAR

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

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

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

 


Class of 2018 Important Scheduling Dates (rising M4's)

M4 Scheduling Meeting - Monday, February 27th, 2017, 8:00 a.m.
Optimizer opens in E*Value - Monday, February 27th
Optimizer closes in E*Value - Monday, March 27th, 8:00 a.m.
M4 Schedules released to students - Week of April 17th
Drop/Add appointments - Tuesday, May 9th - Friday, May 26th

 
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  

ELECTIVES-Recommended for various specialties

USMLE Requirement

  • 2 CK - All medical students are required to pass Step 2CK as a requirement for graduation.
    • By May 31st of the M3 year, students must complete registration to take Step 2 CK.
    • Students must take Step 2CK for the first time by September 30th of the academic year in which they begin the fourth year of the medical curriculum (enrollment in M-4 Courses). 
    • Students will be permitted a maximum of three attempts to pass Step 2CK.

     

  • 2 CS - All medical students are required to pass Step 2CS as a requirement for graduation.  
    • By May 31st of the M4 year, students must complete registration to take Step 2 CS.
    • Students must take Step 2CS for the first time by December 31st of the academic year in which they begin the fourth year of the medical curriculum (enrollment in M4 Courses).
    • Students will be permitted a maximum of three attempts to pass Step 2CS.

See the "Policies and Procedures" link in the left margin for additional specifics.

 
Evaluations

The Course Director at the conclusion of each course must evaluate a student's performance.  The evaluation is a part of the student's permanent academic record and is available for review by the student.  There is a policy for appeal of an evaluation, should the need arise (see "Grade Appeal Process"). 

All entries of "H", "A", "B", "C", "F", "I" are a permanent transcript notation which describe a student's program.  Each designation of "F" or "I" will require an additional course entry on the transcript.

Grades will be requested through E*Value.  Students on away-rotations should submit an appropriate evaluator's name and email 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)

Drop/Add procedures were developed at the request of the BSOM Course Directors to provide a mechanism to monitor and control roster changes. Changes must be submitted to the Office of Student Affairs, Brody 2S-20, 30 days before the beginning of the course.  Because courses carry professional obligations and responsibilities, a student may not necessarily be approved to drop a course.  Drop/Add forms are not required for away rotations, however, you must still notify Student Affairs of changes.

Check with the Office of Student Affairs to determine the availability for the desired rotation. Drop/Add forms are found on the M4 Curriculum Page under "Forms." This form must be used to both drop and add any BSOM rotation and requires the signature of the Course Director or the Administrative Assistant.  Course Directors may refuse to approve the change if they believe it is not in the student's best interest or detrimental to the quality of the overall educational program of the school.  Getting signatures may be difficult. Course Director contact information is found at the top of each course description in the M4 Catalog. (If a change involves adding an IDE it must be submitted 60 days in advance.)

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

Students who are not officially registered for a course by the start date (by submitting the required paperwork to the Office of Student Affairs) will not receive credit even if they have the preceptor's approval and complete the work.

 
Flex Time/Absences/Holidays

Flex Time
 
  • Up to 6 weeks of Flex time may be used for interviewing,travel to and from away electives, Step 2 study time or personal use.  The Flex time course code is: FLEX9422 – for 2 week increments.
  • 2 weeks of Flex Time may be paired with a 2 week elective (ie. FLEX9422/CVSU9413).
  • Flex Time may not be taken during Block 10 (April), without special permission from the Assistant Dean for Student Affairs.

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 

M4 Students are an integral part of the healthcare team with professional obligations and responsibilities. It is our expectation that students will be present for their clinical rotations. All M4 students are allotted 6 weeks of 'flex time' to use toward USMLE Step 2 preparations and interviewing. These weeks can be taken in 2 week blocks. No flex time may be taken in Block 10 (April).

It is expected that students will continue to submit absence forms to the Office of Student Affairs for illness, personal need and planned absences (except for interviews –see below). Just as in the M1-M3 years, students are expected to notify the Clerkship Director and Coordinator, the Office of Student Affairs and their clinical team as soon as they are aware that they will be absent.

It is expected that students will communicate with the Clerkship Director and Coordinator regarding all planned absences, and that every effort will be made on the part of the student to minimize time away from their clinical rotations.For planned events (doctor visits, weddings of immediate family members, etc.), including professional travel, an absence form must be received in the Office of Student Affairs 30 days prior to the start of the affected clerkship. Students must be in good academic standing to be approved for professional travel. Clerkship orientations and examinations will not be rescheduled for planned travel.

During the residency application process, M4 students will communicate directly with their Clerkship Directors regarding absences for interviews –an absence form is not necessary. The following are the maximum amount of excused absences allowed given the clerkship length. Please note that any student exceeding these limits will be required to repeat the clerkship or make up the time in some other fashion at the Clerkship Director's discretion.

-4 weeks: 3 days
-2 weeks: 1 day

It is imperative that the student communicate well regarding leave required for interviews. Students should make Clerkship Directors and Coordinators aware as soon as they know about a planned interview. If a student plans to be absent for the majority of a clinical rotation, the Clerkship Director may refuse to have the student continue in that clerkship.

Holidays
  • Senior students are expected to assume in many respects the role of a physician, and in so doing, to recognize the needs of patients through clinic service coverage, regardless of weekends and holidays.  
  • Mandatory Holidays for senior medical students are Thanksgiving and the Winter/New Year's Holiday Break.  Seniors also receive Match Day off.  If a medical student does not obtain a position in the NRMP Match, he/she also receives off the three days (Tuesday, Wednesday, and Thursday before Match Day) for 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

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 a flexible elective (Medical Spanish or Peds-Genetics) may be used to assist in scheduling. Student Affairs will help with this.

* 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 a flexible elective (Medical Spanish or Genetics) may be used to assist in scheduling.Student Affairs will help with this.

* 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. Both student and preceptor must sign this form.
  • Submit the completed IDE form to the Office of Student Affairs for review.This must be received at least 2 months prior to the start of the rotation.

The purpose of the review is to determine if the IDE is equivalent to a rotation already offered at BSOM and 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. Below are the categories for IDE's:

  • 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. See the Special Permission section.

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

  • Students are limited to 12 weeks at other institutions (medical schools, residency programs, military) unless given special permission. See the Special Permission section.

  • Students are limited to 6 weeks of online courses unless given special permission. See the Special Permission section.

  • 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

  • Students must receive permission from the Assistant Dean for Student Affairs to schedule more than 12 weeks away, more than 12 weeks within a specialty, or more than 6 weeks of online courses before finalizing their schedules.

  • 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 during the year.  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)
Drop/Add 
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)
Special Permission (certain courses as listed in catalog)
Worksheet (to create the M-4 student schedule)
Worksheet (example)