Title: Loyola University Chicago Stritch School of Medicine Office of Student Affairs
1Loyola University Chicago Stritch School of
MedicineOffice of Student Affairs
- CLASS OF 2015
- INTRODUCTION TO
- FOURTH YEAR
- SCHEDULING PLANNING
2Agenda
- Fourth Year Clerkship Track System
- Lottery Process
- Required clerkships
- Elective requirements, registration VSAS
- USMLE Step 2 requirements timing
- Residency Planning Future Meetings
- Online Resources
3Table of Contents
- Slides 4 12 Handout, Calendar 4th Year
Overview - 13 17 Required Clerkships (Sub-Is and EM)
- 18 22 Electives
- 23 27 4th Year Goal by Season
- 28 29 Intramural Electives
- 30 37 Extramural Electives
- 38 39 Discretionary Time
- 40 42 Step 2 Exams
- 43 50 Residency Planning
4Handout
- Clerkship Track System and its Policies
- Lottery Timeline
- Lottery Numbers
- Fourth Year Calendar
- Timeline for Elective Registration Calendar
- 4th Yr Planning Sheet
5Calendar
- Yr 4 start date First clerkship block starts
Monday, July 7, 2014 (July Period 9A) - Qtrly break weeks in December (winter break), and
at end of March (spring break), but none in the
fall - Match Day and Graduation dates tentatively
posted. Graduation will take place Saturday, May
16th
6Fourth Year Overview of Requirements
- 12 weeks of core clerkships
- Emergency Medicine, Sub-I Wards, Sub-I ICU
- 34 weeks of elective time available
- Bioethics Requirements
- Completion of Ethics Case Paper (should be
completed during third year) - Completion of Ethics Grand Rounds (min. of 4
sessions total by end of fourth year) - USMLE Step 2 CK and CS
7Core Clerkships
- One 4-week Wards Subinternship
- Offered each period 9A (July) through 12A
(April) -
- One 4-week Critical Care Subinternship
- Offered each period 9A (July) through 12A
(April) -
- One 4-week Emergency Medicine Clerkship
- Offered each period 9A (July) through 12A
(April) - No rotations scheduled for December
8Bioethics Requirement
- Ethics case paper due in Yr 3 April 18, 2014
- Four Ethics Grand Rounds must be completed
cumulatively over 2nd, 3rd and 4th years
9Fourth Yr Track Features
- Flexibility
- Opportunity for student choice
- One required core clerkship and two electives in
each of first three quarters - Availability of at least half of the elective
time in first half of the year
10Fourth Yr Track System
- Assigned to track by lottery
- Computer generated lottery number
- Rank order all tracks
- Deadline to submit rank form is Wednesday,
February 12, 2014
11Picking a track
- Consider what your elective and residency choice
needs may be in each quarter - Consider when you might take USMLE Step 2 CK and
CS - Consider which core clerkships could prep you
best for the key electives you will take
12Attendance
- Limited time off for excused absences in both
subinternships and emergency medicine (3 days
including weekend days) - Final exam schedule is NOT changeable
- Plan holiday or interview travel only after
determining the date and time of day of exams - Labor Day is a holiday but not a 3 day weekend if
service team is not off - Thanksgiving is a four day holiday weekend
13Clerkship Requirements
- Purpose and Assignment Process
14Subinternships
- 4-weeks in-pt medicine (Sub-I Wards)
- Examples of services Gen med, OB, Cardiology,
Hem/Onc, Surgery, Peds - Loyola, Gottlieb, Hines, West Sub
- 4-weeks intensive care unit (Sub-I ICU)
- Examples of services MICU, SICU, BICU, CCU,
NICU, PICU - Loyola, Central Dupage, Hines, Resurrection, West
Sub
15Purpose of subinternships
- Focus on skills and attitudes necessary to care
for hospitalized and critically ill patients - SubI is about taking care of patients- minimize
time away - Emphasis is on patient care in the context of
wards or ICU emphasis is not on the specialty - Thus, subinternships are posted on SSOM
transcript without specialty noted (transcript
reads only Subintern-Wards and Subintern-ICU)
16Subinternship assignments
- Opportunity will be provided to submit preference
rank lists for site/service - Assignments by lottery to services and sites by
late winter through Dr. Leischners office
(separate lottery process, using track rank list
in reverse order)
17Rescheduling Sub-I
- Changes may be possible according to track system
traffic rules - May trade entire track or individual clerkship
- After Subinternship site/service assignments are
created, changes must be approved by Debi Kurcab
in the Med Dept. and reported to Registration and
Records
18ELECTIVES
- Policies registration process
- Purpose of elective curriculum
- How to design your program
19Electives
- Course Descriptions online in SSOM Elective
Catalog - Most electives are 4 weeks in length
- There are several 2-week electives available
- 26 weeks of elective time in years 3 and 4
minimum graduation requirement - Of the 22 weeks in your M4 year, your elective
program must include 5 full-time electives that
are at least 4-weeks in length, i.e., 20 weeks of
4-week electives.
20Electives (continued)
- 12 weeks of elective time permitted away
(extramurals) - 12 weeks permitted in any specialty (in M4 year)
- Excludes time in core clerkships in the specialty
- Excludes M3-year elective
- Includes electives at Loyola and away
- Includes clinical but excludes research courses
- Other elective policies in catalog preface
21Purpose of Electives
- Broadens strengthens clinical experience
- Tests interest in an area of specialization
- Provides research or special opportunities
- Permits self determination and responsibility for
content of program
22Building Your Elective Program Content
- Use Specialty Elective Guide at online Loyola
Elective Catalog site - Talk to faculty and specialty advisor(s)
- Attend specialty department sessions and ask
questions - Talk to faculty in your field(s) of interest
- See Dean Mendez and Dean Sonntag for input
- Attend Students Advising Students (SAS) programs
234th Year Goals by Season
- Focus of each quarter
- Summer
- Fall
- Winter
- Spring
24Summer Goals (July/Aug/Sept)
- Solidify specialty interest
- May/may not need to take specialty elective at
Loyola to earn a recommendation letter (depends
on prior exposure) - Summer work may bump up performance level
- Courses provides prep for important externships
- May need to study weeks/month for USMLE Step 2
prep - Preparation of residency application starts
- Externships start
- Complete Step 2 study and take CK and CS (more on
this later)
25Fall Goals (Oct/Nov/Dec)
- Externships continue
- Residency interview season kicks in will you
need time off? Should you take DT? - Should you plan an away elective that
geographically places you in proximity to
residency interview locales? - Sept/Oct courses could still produce residency
recommendation letters - Complete Step 2 study and take CK and CS (more on
this later)
26Winter Goals (Jan/Feb/Mar)
- Finish interviewing
- Take courses to round out your education
- Prepare for starting a residency (what do you
still need to learn?) - Rank residencies for match (mid Jan - late Feb)
- International elective?
27Spring Goals (Apr/May)
- Take enrichment courses
- International elective? (more details will be
given at April information session) - Take residency prep electives offered at SSOM
- Get tuitions worth by staying enrolled
- Take DT for personal/transitional use
- Complete graduation requirements
- Graduate!!!
28Elective Registration Process
29Elective RegistrationIntramurals (Loyola)
- Review course descriptions policies in elective
catalog online - Online elective registration through myLUMEN
- Sign up starts about 4 months in advance of each
elective months start date - More info from ORR closer to first opening
registration date (1st week of March)
30Externships (extramural electives)
- Up to 12 weeks permitted usually through another
US med school - Loyola sign up Timetable does NOT apply
- Reference AAMC Extramural Elective Compendium for
timeline, websites, contact person at site (link
available in Loyola Elective Catalog website) - Beware that their calendar could be very
different from ours. Students are responsible
for keeping track of beginning and start dates of
rotations. - Sign up 1 5 months in advance of start date
typically April mid-May for summer courses. - CHECK YOUR EXTRAMURAL SITES SIGN UP DATE!
31Purpose of externships
- To get an excellent learning experience
- To help narrow specialty interests
- To see a program of interest first hand
- To work with an outstanding faculty
- To show your stuff and perhaps get a
recommendation letter - To assess a programs compatibility with your
needs - To do unique non-hospital based experiences
32Do you need to do 3 externships (12 weeks)?
- It depends
- On your interests, profile, specialty field and
geographical considerations - Most students should do one or two
- Some specialties discourage more than one
elective in the field others promote student
enrollment in several. SEEK ADVICE!
33Extramural Registration
- Review policies in SSOM catalog
- Review visiting student policies on other
schools website - Application
- online Visiting Student Application Service
(VSAS) OR - paper application packet submitted through SSOM
Reg Rec - Please dont do both unless you have verified
with school that they require this (yes, a small
handful are crazy and want both online and paper
applications)
34Visiting Student Application Service
- Developed by AAMC
- Greater than 3/4th of US medical schools use VSAS
to process visiting student applications the
others use their own paper applications. - See http//www.aamc.org/programs/vsas/students/sta
rt.htm for a list of schools using VSAS (will be
updated for 14-15 year in late January). - More info about VSAS forthcoming from
Registration Records - Registration Records will upload transcripts
and certify applications - Registration Records will Release
applications on VSAS
35Extramural Registrationfor schools not using VSAS
- Complete Loyolas extramural application AND
- Complete other institutions Visiting Student
Application - Often possible to list more than one date or
several elective preferences - Compile supporting documents submit to Rose
Colcagno in Registration Records - Dean Sonntag will review and approve application
application packet will then be mailed to
extramural school
36Extramural Registrationadditional documentation
(submitted via VSAS or by paper)
Typical Supporting documents
- Proof of liability coverage
- Current immunization record
- Proof of UP/OSHA/HIPAA training
- Proof of hospitalization insurance
- Possibly SSOM transcript
- Possibly faculty/deans letter of recommendation
- Possibly criminal background check record
- Possibly affiliation agreement? Memo of
Understanding?
37Elective Add/Drop Policy
- Add register for electives at least one month
prior to start date - Drop (Loyola courses) at least one month prior
- Drop (Extramurals) according to other
institutions policy, typically 4 6 weeks prior.
38Discretionary Time Use
- Time for Additional Elective Opportunities OR
- For USMLE Step 2 study time
- Residency Interview time off
- For extramural calendar adjustment (other
schools calendar doesnt match Stritchs) - For remediation needs
- For personal needs
39Applying for Discretionary Time Off
- May be taken in one week or longer increments
- Request must be submitted in advance
- Submit Discretionary Time requests through
myLUMEN Elective Registration page
40USMLE STEP 2 CK CS
- First attempt CK CS exams be taken by the end
of semester 1 of fourth year (by December 31,
2014) - Residencies programs increasingly want proof of
successful completion of Step 2 during interview
process majority want proof of passing before
ranking candidates (i.e., score needed by end of
January 2015) - USMLE Step 2 CK CS must be PASSED to graduate.
If a 2nd attempt is needed, scores must be
received at least two months prior to graduation
(mid-March 2015).
41USMLE Step 2 CK planning Residency
considerations
- If exam is taken before August 15, scores are out
before interviews are offered - If exam is taken after August 15 and before end
of November, scores are out during interview
season and before residencies make rank decisions - Exams taken in January do not meet school
graduation requirements and will not be available
to residencies prior to their ranking (not
recommended)
42USMLE Step 2 CK CS timing
- CK
- Scores reported approximately 4 weeks after test
date - CS
- Scores are reported according to a block
schedule http//www.usmle.org/step-2-cs/reportin
g -
- May 18 July 12 Reported Aug 13 Sept 10,
2014 - July 13 Sept 6 Reported Oct 8 Nov 5, 2014
- Sept 7 - Nov 1 Reported Dec 3 Dec 31, 2014
- Nov 2 - Dec 31 Reported Feb 4 - Feb 25, 2015
43Residency Planning
44Residency Letters of Recommendation
- Up to 4 letters for ERAS/NRMP programs often
only 3 are requested. - Up to three for early match programs
- Request letters when opportunities present
themselves - Submitted by writer to Student Affairs with 2014
ERAS cover letter in June mid-Sept (cover
letter available in June)
45CVs, etc.
- Feedback on CVs
- Submit updated copy for Deans Letter use (exact
due date this spring TBA) - Personal paragraph needed for deans letter
(exact due date this spring TBA instructions
will be provided)
46Online Resources
- Loyola Elective Catalog http//stritch.luc.edu/de
pts/regrec/catalog - AAMC Extramural Elective Compendium
http//www.aamc.org/students/medstudents/electives
/start.htm - AMA-FREIDA (Residency program info)
http//www.ama-assn.org/go/freida - Match info http//www.nrmp.org/
- Residency Web Application process
https//www.aamc.org/services/eras/ - USMLE STEP 2 info http//www.usmle.org/step-2-
ck/ and - http//www.usmle.org/step-2-cs/
- Visiting Student Application Service
https//www.aamc.org/students/medstudents/vsas/ - Careers in Medicine http//www.aamc.org/cim
47Future Workshops
- Deans Letter Process
- March 12th in the evening
- The Match ERAS (E-residency application
service) - April 16th following PCM3 sessions
48Ask Questions!
- It is acceptable, expected, smart
- Where
- Registration Records (changing your schedule,
how to sign up for electives, policies) - Student Affairs (what to take, when)
- Faculty Advisor (what, where, when)
- Specialty Advisor (where, when, how many)
- Elective dept. offices (how, which)
49Submitting your Track Preferences
- Go to myLUMENgtClerkship Tracking Sys.gt Fourth
Year Track Ranking Form
Ranking Form submission deadline is Wednesday,
February 12, 2014
- If you encounter any problems, contact Julie
Steinecker (jsteinecker_at_lumc.edu)
50Questions?