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Title: Loyola University Chicago Stritch School of Medicine Office of Student Affairs


1
Loyola University Chicago Stritch School of
MedicineOffice of Student Affairs
  • CLASS OF 2015
  • INTRODUCTION TO
  • FOURTH YEAR
  • SCHEDULING PLANNING

2
Agenda
  • Fourth Year Clerkship Track System
  • Lottery Process
  • Required clerkships
  • Elective requirements, registration VSAS
  • USMLE Step 2 requirements timing
  • Residency Planning Future Meetings
  • Online Resources

3
Table 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

4
Handout
  • Clerkship Track System and its Policies
  • Lottery Timeline
  • Lottery Numbers
  • Fourth Year Calendar
  • Timeline for Elective Registration Calendar
  • 4th Yr Planning Sheet

5
Calendar
  • 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

6
Fourth 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

7
Core 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

8
Bioethics 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

9
Fourth 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

10
Fourth 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

11
Picking 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

12
Attendance
  • 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

13
Clerkship Requirements
  • Purpose and Assignment Process

14
Subinternships
  • 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

15
Purpose 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)

16
Subinternship 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)

17
Rescheduling 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

18
ELECTIVES
  • Policies registration process
  • Purpose of elective curriculum
  • How to design your program

19
Electives
  • 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.

20
Electives (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

21
Purpose 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

22
Building 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

23
4th Year Goals by Season
  • Focus of each quarter
  • Summer
  • Fall
  • Winter
  • Spring

24
Summer 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)

25
Fall 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)

26
Winter 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?

27
Spring 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!!!

28
Elective Registration Process
  • How When to Register

29
Elective 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)

30
Externships (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!

31
Purpose 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

32
Do 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!

33
Extramural 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)

34
Visiting 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

35
Extramural 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

36
Extramural 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?

37
Elective 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.

38
Discretionary 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

39
Applying 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

40
USMLE 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).

41
USMLE 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)

42
USMLE 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

43
Residency Planning
  • You may want to know now

44
Residency 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)

45
CVs, 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)

46
Online 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

47
Future Workshops
  • Deans Letter Process
  • March 12th in the evening
  • The Match ERAS (E-residency application
    service)
  • April 16th following PCM3 sessions

48
Ask 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)

49
Submitting 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)

50
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