Edward Via College of Osteopathic Medicine An Overview of the Preclinical Curriculum M. Renee Prater, DVM, MS, PhD Spring, 2014 The mission of VCOM “…is to prepare globally minded, community-focused physicians for the rural and medically underserved areas of Virginia, North Carolina, South Carolina and the Appalachian Region, and to improve human health especially of those most in need.” Years 1 and 2: Blocks vs. Semesters Our main goal is to provide an integrated pre-clinical curriculum to prepare our students for a career in osteopathic medicine, with primary care focus. To accomplish this, we use interdisciplinary blocks based on body systems, rather than semesters based on disciplines. Most Med Schools teach by discipline in Semesters This makes “connecting the dots” difficult We have developed an integrated preclinical curriculum, based on the organ systems Block 1: Foundations Biochemistry Microbiology Immunology Genetics Pathology Professionalism and Ethics Introduction to Principles of Primary Care This helps get the whole class “on the same page”, despite their undergraduate training Blocks 2-7: Integrated Systems Blocks This helps the student learn how to clinically apply medical knowledge 2: Musculoskeletal 3. Neuropsychology 4. Cardiopulmonary 5. Gastrointestinal and Renal 6. Obstetrics, Gynecology, Endocrine 7. Hematology, Oncology, Dermatology Blocks 2-7: Teaching/Learning Strategy • Each topic is carefully sequenced and integrated for better interdisciplinary assimilation by students: Anatomy/Histology/Physiology Pathology, Radiology/Diagnostics Principles of Primary Care, Clinical Med Pharmacology, Surgery, OMM Blocks 2-7: Teaching Formats, Testing We also use a variety of teaching formats: Small group discussions / clinical cases / independent learning modules / clinical skills labs / simulations And a variety of testing formats: Medical knowledge: multiple choice exams (ExamSoft) Clinical competency: procedural skills labs, simulations, SP encounters, osteopathic manipulation labs, etc. Block 8: Bringing it all together Comprehensive Board Review Additionally, we integrate opportunities to work real patients, physicians, and other health care professionals in the 2nd year: Clinical Experiences • • • • • • • • • Free Clinics EMS ride-along Clinical Skills Labs Surgical Scrub Lab Suture Lab Mini Medical School Remote Medical Screenings Appalachian Medical Missions Resident Shadowing • • • • • • • • Day with an athletic trainer Day with ICU nurse Day with hospital pharmacist Day with geriatrician in a nursing home Virtual Radiology Simulation Med Lab OB/GYN pelvic model Disaster Training Years 3 and 4 Clinical Rotations Clinical Rotations Year Three Ten 4-week rotations. 4-5 days per week as an active participant in patient care. Experiences occur in both the ambulatory and hospital settings. 50% of rotations are in urban or large community hospital sites. 50% of rotations are spent in rural hospitals & ambulatory practices. 3rd Year Curriculum: Focus on Primary Care • • • • • • • • • Family Medicine x 2 Underserved Care Internal Medicine Surgery Obstetrics/Gynecology Pediatrics Psychiatry Medical Selective Geriatrics VCOM 3rd Year Core Rotation Sites Southwest Virginia Region Core Hospital Training Sites Mountain States - Johnston Memorial Hospital Mountain States - Russell County Medical Center Mountain States - Smyth County Community Hospital Bluefield Virginia Region Core Hospital Training Sites Bluefield Regional Medical Center Abingdon, VA Lebanon, VA Marion, VA Bluefield, WV Carilion Tazewell Community Hospital Tazewell, VA Clinch Valley Medical Center New River Valley Virginia Region Core Hospital Training Sites Carilion New River Valley Medical Center LewisGale Hospital at Montgomery Critical Access Hospitals Richlands, VA Radford, VA Blacksburg, VA LewisGale Hospital at Pulaski Wythe County Community Hospital Pulaski, VA Wytheville, VA Carilion Giles Community Hospital Pearisburg, VA Roanoke Valley Virginia Region Core Hospital Training Sites LewisGale Hospital at Alleghany Low Moor, VA Carilion Roanoke Memorial Hospital Roanoke, VA LewisGale Medical Center at Salem Salem, VA Salem Veteran's Medical Center Salem, VA Southside Virginia Region Core Hospital Training Danville Regional Medical Danville, VA Sites Center Halifax Regional Health South Boston, VA System Southside Community Farmville, VA Hospital Critical Access Hospitals Pioneer Community Hospital Stuart, VA of Patrick Eastern Virginia Region Core Hospital Training Riverside Regional Medical Newport News, VA Sites Center North Carolina Region Core Hospital Training Blue Ridge Healthcare Morganton, NC Sites Cape Fear Valley Medical Fayetteville, NC Center Mountain Area Health Hendersonville, NC Education Center W.G. "Bill" Hefner Veterans Salisbury, NC Hospital Armed Forces and Veterans Administration Affiliated Sites Core Hospital Training 633rd Medical Group Langley Langley, VA Sites Air Force Base Kenner Army Health Clinic Fort Lee, VA Naval Medical Center at Portsmouth, VA Portsmouth Womack Army Medical CenterFayetteville, NC Teaching Hospital Affiliates 4th Year curriculum: More student-driven • • • • • • 1 month ER rotation 2 medicine rotations 2 surgery rotations 4 elective rotations Electives can be as short as 2 weeks Electives often conducted as residency auditions And before you know it…. Graduation = D.O. What questions do you have for me?