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Thread: The Essential Core Curriculum of MD Program of UCSF School of Medicine

  1. #1

    Default The Curriculum of MD Program of UCSF School of Medicine

    Essential Core

    The Essential Core constitutes the first 18 months of medical school and consists of 9 interdisciplinary block courses organized around central themes or systems. Foundations of Patient Care (FPC), a longitudinal clinical and interviewing skills course, runs for both years. Each of the other blocks courses tackle a major biological theme; the basic and clinical sciences relevant to this theme are intertwined with other aspects of the practice of medicine, including public health, epidemiology, and the social and behavioral sciences.

    The Essential Core provides many opportunities for active and collaborative learning. The curriculum also fosters each student's professional stake in learning. Students are responsible for small group preparation and attendance. Evaluations of courses and faculty are also part of students' professional commitment. Lectures, labs, and small group sessions account for about 20 hours a week, integrating subjects from the basic, social, and clinical sciences.

    All courses utilize the online course management system known as iROCKET (link is external). First and second year students typically enroll in electives to supplement required coursework and gain clinical experience through volunteer work at any number of UCSF-affiliated projects.

    Year 1 Blocks

    Prologue: An introduction to essential anatomy, biochemistry, pharmacology, histopathology, genetics, and social and behavioral sciences, all linked together as a Foundation for Patient Care (FPC).
    Major Organ Systems: An integrated approach to investigating the cardiovascular, pulmonary, and renal systems.

    Metabolism & Nutrition (M&N): An investigation of the gastrointestinal system, endocrinology, and metabolic issues, with additional emphasis on prevention of disorders in these areas and on counseling for nutritional health.

    Brain, Mind, & Behavior (BMB): A comprehensive overview of general principles in neuroscience, neurology, and psychiatry.

    Foundations of Patient Care (FPC): A block that spans the entire Essential Core, covering clinical skills and reasoning, doctor-patient interaction, ethics, and professional development. Students are encouraged to undertake independent and self-directed learning and reflection using Portfolio. Clinical Interlude is a three-day immersion in the hospital setting that provides students their first in-patient experience just before winter break in the first year.

    Year 2 Blocks

    Infection, Immunity, & Inflammation (I3): The first block of the second-year, covering microbiology, immunology, and infectious disease as well as public and international health issues.

    Mechanisms, Methods, & Malignancies (M3): An integrated and innovative look at human cancer, with emphasis on the molecular mechanisms that underlie cancer development and treatment; epidemiology; pathology; genetics; clinical oncology; hematology; social and behavioral sciences and ethics.

    Life Cycle/Prepilogue: A study of the human developmental sequence, considering special topics in childhood and adolescent medicine, men's and women's health, and aging. One day a week, in the Epilogue component, students review and integrate concepts presented earlier in the Essential Core through case-based study in large and small groups. Epilogue also provides coordinated preparation for the USMLE Step 1 Exam that concludes the second year.
    Last edited by CheneyHsiung; Fri 26th February '16 at 8:34pm.
    Clinical Pharmacy Specialist - Hematology

  2. #2

    Default Re: The Essential Core Curriculum of MD Program of UCSF School of Medicine

    Clinical Studies

    The Clinical Studies curriculum consists of the third-year core clerkships and fourth-year rotations. Building on the skills and knowledge developed in the Essential Core's interdisciplinary blocks, Clinical Studies offers students a range of experiences and opportunities in the fields of medicine. All of these place new emphasis on connections across disciplines, on thematic learning objectives, and on student-directed discussion that follows clinical experiences. Throughout, the curriculum emphasizes student-directed learning, connections across disciplines, and competency-based education.

    Year 3 – Clinical Core Clerkships

    Transitional Clerkship (TC) is considered the first clerkship of the year. This 2-week clerkship consists of multiple components: inpatient clinical preceptorships, procedure sessions, lectures, and a small group. TC introduces rising third-year students to the inpatient setting in a hands-on, low-stakes, feedback-rich environment. Students perform histories and physicals and learn to “round” with clinical teams; practice oral presentations and note writing; they will learn how to function on the wards, use the hospital computer system, and find important clinical information. They will also have an introduction to common procedures including venipuncture and suturing.

    The required Core Clerkships comprise: Anesthesia, Family & Community Medicine, Medicine, Neurology/Psychiatry, Obstetrics & Gynecology, Pediatrics, and Surgery. Clerkships are available at a variety of sites in San Francisco, Oakland, Marin, and Fresno. Students may choose between the Traditional Program (in which students complete one individual clerkship at a time) and one of a variety of Structured Programs that offer integrated, longitudinal experiences at Parnassus, SFGH, UCSF Fresno, the VA Hospital, or Kaiser Oakland. Students are also required to complete a selective in a surgical subspecialty.

    Through a yearlong Longitudinal Clinical Experience (LCE), students will develop a long-term relationship with preceptors that will facilitate both modeling and mentoring, have the opportunity to work in the outpatient setting, experience a longitudinal relationship with a specific type of patient population, and gain instight into the impact of chronic illness on patients and families.

    During each of three Intersessions, students return to the classroom to engage in discussions of ethics, evidence-based medicine, and health policy. Students also revisit basic science topics during these periods to refresh their knowledge.

    All students complete the Clinical Performance Exam (CPX) at the end of the core clerkship year. Two mini-CPX sessions provide students with experience conducting encounters with standardized patients in order to familiarize them with expectations in the Clinical Performance Exam (CPX).

    Year 4 – Advanced Clinical Studies

    During the fourth year, students choose from a variety of clinical electives as they begin to focus on the specialties that most capture their interest. In addition to advanced clinical rotations, including subinternship rotations, students may also engage in research or international work. All students will take the USMLE Step 2 CK and CS exams during the fourth year, as well as submit applications and attend interviews for residency positions. The fourth year for all students concludes with the required Coda course during the spring quarter of their graduation.
    Clinical Pharmacy Specialist - Hematology

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