CAREERS AND YEAR 4

2015-2016

Purpose of the 4th Year• Explore your interests• Strengthen your knowledge,

clinical skills and clinical reasoning

• Prepare for residency• Broaden your education

Outline of Year 4• CCX/USMLE Step 2 (CK and CS)• 4 week neurology clerkship• Doctoring Year 4• Geriatrics • Doctoring Mentoring Activities• 30 weeks of elective credit• 4 week Intensive Clinical Experience (4 weeks

filled first)• 4 weeks Basic Science Electives• Electives in 3 clinical departments (OB/Gyn,

Peds, IM, Surg, Psych, FCM)• Residency applications/interviews

CCX

• Clinical COMPETENCY Exam• Informs YOU (and SPC)• Use results to guide/alter your

curriculum• Pass is desirable• Passing all cases is most

desirable• Failing is a signal

Residency Application and Interviewing

• Session to occur in May• Date and time to be announced• Interviewing should be during

vacation time-no time off allowed during required rotations.

• Faculty may allow with adequate notice and make-up activities

Year 4 Waiver Program

• Students who pass all 14 cases on the senior CCX exam, USMLE step 1 first attempt and all clerkship----

• Waive Year 4 Requirements except Doctoring and Neurology

• Individualized coaching

USMLE

• DO NOT DELAY

Scheduling Neurology• Lottery system• OK to change with a friend• If early match or military please

take during Dec or Jan!

CHOOSE YOUR ADVISOR

• List is on Year 4 website• Ask if they are willing and

identify to Cherie before our Orientation Session in March

• You may get advice from anyone you want, but you must choose from the list to approve your schedule.

Choosing an Electives Advisor

• Choose an advisor in the same specialty as your residency choice.

• They may have connections/insight.• Choose someone you like and respect.• Consider whether you need someone

to push you to work or relax.• Remember everyone on the list is a

volunteer.

EVALUATIONS

Elective evaluations use the same criteria as ALL RESIDENCY PROGRAMS use

ACGME CORE COMPETENCIESPatient careMedical knowledgePractice based learning and improvementInterpersonal skills and communicationProfessionalismSystems based practice

Pathways• FCM, OB/GYN, IM, PEDS, PSYCH,

Pathology• Community Outreach• Surgery: ortho, general, plastic,

ENT• 12 weeks (nonconsecutive)

– 4 ICE; 4 basic science; 4 elective

• No risks/benefits • Bragging rights!

General Advice• You are paying $$$$$$$$$ per

month

• Be sure you get your money’s worth!

General Advice• Use your faculty advisor to design your

4th year curriculum• Choose electives that will provide

independence and autonomy• Choose electives in area of residency• Choose electives out of area of residency• Check out surveys of program directors

(see Y4 website)– http://www.siumed.edu/oec/Year4/

References/NRMP%20PDSurvey%202012.pdf

• INDIVIDUALLY DESIGNED ELECTIVES

• Goals/objectives/evaluations• Faculty signatures• Must be turned in 3 weeks prior

Extended Electives• Occur on Thursday pm’s.• Can NOT occur during required

clerkships or remediations.• Otherwise, Thurs pm’s not “off”.• Get credit for no more than one

and a full time elective at once.• Cannot overlap extended

electives.

RESIDENCY READINESS ELECTIVES

• Surgery• Emergency Medicine• Ob/Gyn• Pediatrics• Internal Medicine• Radiology

AWAY ELECTIVES• Helpful for certain situations, but not

for all!– If you aren’t certain about a region of the

country.– If the training at some other center is

unavailable here.– If you REALLY, REALLY, want to go to a

certain program.– Competitive regions of the country– Middle of the pack/Lower end students

• If you go, go to shine• You are coming with baggage, you don’t want to

make it worse

Away Electives in a nutshell

PROS CONS

You get to know them Can be $$

They get to know you They get to know you

VSAS

THE THE RULES!RULES!

Non-Cognitive Behavior Concern Note

Goes to Curriculum Director→meeting

Goes to Dean of Student Affairs→meeting

Goes to your fileIf a 2nd occurs, →SPC**Egregious (“deadly sins”)→SPC

directly

CONSEQUENCES!• Satisfactory with decreased weeks of

credit• Incomplete (must be completed

before April—or converts to Unsatisfactory

• Unsatisfactory-stays on transcript and triggers review by most medical licensing boards (ie. delays licensure for residency and practice each time you apply!)

PLAN TO TAKE CPR/BLS AND ACLSBEFORE YOU START

RESIDENCY