An Overview of the McGill Medical Curriculum

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An Overview of the McGill Medical Curriculum

• Robert Primavesi, MDCM, FCRP(EM)
• Associate Dean
• Undergraduate Medical Education (UGME)
• Student Affairs

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Todays schedule - Wednesday
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Objectives

• About you
• About me
• About the curriculum
• About physicianship
• About evaluation
• About professionalism
• Clicker Quiz !

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McGill Medicine Class of 2015
Total Enrollment 186 New Matriculations Returns 178 8 (3 MDCM/MBA)
Quebec 170 University degree Med-P 93 77
Out-of-Province 10 Ontario 6 Alberta 1 British Columbia 1 Nunavut 1 Saskatchewan 1 10
International 6 USA Columbia France 4 1 1
Dentistry 35

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McGill Medicine Class of 2015
Demographics
Gender Male 94 Female 92
Age Mean 23 Range 18 - 37
Language Anglophone 91 (48.9) Francophone 75 (40.3 ) Allophone 20 (10.8)

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McGill Medicine Class of 2015
Academic Performance
Average GPA 3.74 Median GPA 3.79 Standard deviation 0.210 Max 4.00 Min 3.09 10th - 90th percentile (3.44 3.96)

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McGill Medicine Class of 2015
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(No Transcript)
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Robert Primavesi, MDCM, FCFP(EM)Associate Dean
UGME

• BSc Physiology (McGill 1981)
• MDCM (McGill 1985)
• Ronald Douglas Naymark Memorial Award, 1985
• Established by the McGill Medical Class of 1984
  to recognize the member of the graduating class
  who in the eyes of his/her peers most enriches
  the life of the class
• Family Medicine (MGH 1987)
• Senior House Officer (New Zealand 1987/88)
• CCFP(EM) (McGill 1990)

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Robert Primavesi, MDCM, FCFP(EM)Associate Dean
UGME

• Assistant Physician, Department of Family
  Medicine, 1990
• Assistant Physician, Department of Pediatrics,
  1994
• Director, Department of Emergency Medicine MGH
  1998 2007
• Interim Accreditation Review Coordinator 2010
• Faculty Development Committee, Department of
  Family Medicine, 1992 2011
• Emergency Program Committee, CFPC 1999 -
• Co-Director ACLS MUHC, 2002 -
• Chair CME, Canadian Association of Emergency
  Physicians (CAEP), 2010 -

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Robert Primavesi, MDCM, FCFP(EM)Associate Dean
UGME

• Faculty Honour List for Educational Excellence,
  2010
• In recognition of Faculty members who have
  distinguished themselves in the area of
  education, and whose contributions have had a
  broad and substantial impact in the areas of
  teaching, educational leadership and innovation,
  faculty development, and research and scholarly
  activity in education.

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Robert Primavesi, MDCM, FCFP(EM)Associate Dean
UGME

• Sunrise, Mt. Batur, Bali 2010, 1717 m

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Associate Dean UGME

• Student advocate

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Associate Dean UGME
Public safety

• Student advocate

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What is Our Goal?

• To help you become the best possible physicians
  and dentists

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What is a Good Physician?

Medical Expert As Medical Experts, physicians apply medical knowledge, clinical skills, and professional attitudes in their provision of patient-centered care
Communicator As Communicators, physicians effectively facilitate the doctor-patient relationship
Collaborator As Collaborators, physicians effectively work within a healthcare team to achieve optimal patient care
Manager As Managers, physicians are integral participants in healthcare organizations, making decisions about allocating resources, and contributing to the effectiveness of the healthcare system
Health Advocate As Health Advocates, physicians responsibly use their expertise and influence to advance the health and well-being of individual patients, communities, and populations
Scholar As Scholars, physicians demonstrate a lifelong commitment to reflective learning, as well as the creation, dissemination, application and translation of medical knowledge
Professional As Professionals, physicians are committed to the health and well-being of individuals and society through ethical practice, profession-led regulation, and high personal standards of behaviour
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Curricular Objectives

• CanMEDS roles
• Curricular objectives are organized around the
  CanMEDS roles
• Being a health professional means life long
  learning these are just the first 4 years of a
  life of learning and growing in these roles

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Curricular Design

• Systems-based approach in years 1 and 2 in a
  coordinated series of units
• Small group activities in labs and discussion
  groups
• Independent learning activities, supported by
  computer-assisted instruction
• Formative and summative assessments throughout
  many units
• Physician Apprenticeship explores issues related
  to professional socialization and to the
  physician as healer professional over the
  entire 4-year program

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Curricular Design

• Early exposure to patients in the pre-clerkship
  rotations in the Introduction to Clinical
  Medicine (ICM) component
• Completion of all core clerkship rotations before
  students are required to make key decisions on
  residency selection
• A mandatory clinical rotation in a rural site
• An opportunity for selected students to
  participate in an integrated clerkship in
  Gatineau
• An opportunity for research activity
• Elective opportunities, on a solid basis of
  clinical experience
• Active student involvement in curriculum
  evaluation and development

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Maryse GrignonCurriculum Management Administrator
maryse.grignon_at_mcgill.ca
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Curriculum Schema Class of 2015
Basis of Medicine (BOM)
September October November December January February March April May June July August
Molecules Cells Tissues (4 wks) Gas, Fluids Electrolytes (9 wks) Gas, Fluids Electrolytes (9 wks) Life Cycle (3.5 wks) Endocrinology, Metabolism Nutrition (7 wks) Endocrinology, Metabolism Nutrition (7 wks) Musculo-skeletal Blood (4 wks) Nervous System Special Senses (7 wks) Nervous System Special Senses (7 wks) Host Defense Host Parasite (7 wks) Vacation or Research or Community Project Vacation or Research or Community Project
Physicianship 1 Physicianship 1 Physicianship 1 Physicianship 1 Physicianship 1 Physicianship 1 Physicianship 1 Physicianship 1 Physicianship 1 Physicianship 1 Vacation or Research or Community Project Vacation or Research or Community Project
Physician or Dental Apprenticeship 1 Physician or Dental Apprenticeship 1 Physician or Dental Apprenticeship 1 Physician or Dental Apprenticeship 1 Physician or Dental Apprenticeship 1 Physician or Dental Apprenticeship 1 Physician or Dental Apprenticeship 1 Physician or Dental Apprenticeship 1 Physician or Dental Apprenticeship 1 Physician or Dental Apprenticeship 1 Vacation or Research or Community Project Vacation or Research or Community Project
September October November December January February March March April May June July July August August
Pathobiology, Treatment Prevention of Disease (14 wks) Pathobiology, Treatment Prevention of Disease (14 wks) Pathobiology, Treatment Prevention of Disease (14 wks) Pathobiology, Treatment Prevention of Disease (14 wks) ICM/ICS EBM Ethics (4 wks) Introduction to Internal Medicine Introduction to Pediatrics (7 wks) Introduction to Internal Medicine Introduction to Pediatrics (7 wks) Introduction to Surgery, Radiology Ophthalmology (7 wks) Introduction to Surgery, Radiology Ophthalmology (7 wks) Introduction to Family Medicine, Oncology, Neurology Anesthesia (7 wks) Introduction to Family Medicine, Oncology, Neurology Anesthesia (7 wks) Vacation Intro to Clerkship (1 wk) Intro to Clerkship (1 wk) Family Medicine Rural (4 wks)
Physicianship 2A Physicianship 2A Physicianship 2A Physicianship 2A ICM/ICS EBM Ethics (4 wks) Introduction to Internal Medicine Introduction to Pediatrics (7 wks) Introduction to Internal Medicine Introduction to Pediatrics (7 wks) Introduction to Surgery, Radiology Ophthalmology (7 wks) Introduction to Surgery, Radiology Ophthalmology (7 wks) Introduction to Family Medicine, Oncology, Neurology Anesthesia (7 wks) Introduction to Family Medicine, Oncology, Neurology Anesthesia (7 wks) Vacation Intro to Clerkship (1 wk) Intro to Clerkship (1 wk) Family Medicine Rural (4 wks)
Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2
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Basis of Medicine (BOM)

• First 16 months (August 2011 - December 2012)
• To learn the normal and abnormal ways the body
  and mind function
• Lectures, small groups, labs, computer assisted
  instruction, interactive large group sessions
• Opportunity for early patient contact
• Dentistry students follow the identical
  curriculum, except for Dentistry Apprenticeship
  instead of Physician Apprenticeship

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Basis of Medicine Teaching Venues

• McIntyre Medical Building
• Charles Martin Amphitheatre
• Palmer Howard Amphitheatre
• Herbert Black 2nd floor

M1, 1/56, 2/49
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Dr. Colin Chalk, Basis of Medicine Component Chair
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Anna Lee, Basis of MedicineSenior Administrative
Coordinator
basis.med_at_mcgill.ca
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From the Classroom to the Bedside

• The student begins with the patient, continues
  with the patient, and ends his studies with the
  patient, using books and lectures as tools, as
  means to an end.
• Sir William Osler

Bedside teaching during Introduction to Internal
Medicine
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Curriculum Schema Class of 2015
Introduction to Clinical Medicine (ICM)
September October November December January February March March April May June July July August August
Pathobiology, Treatment Prevention of Disease (14 wks) Pathobiology, Treatment Prevention of Disease (14 wks) Pathobiology, Treatment Prevention of Disease (14 wks) Pathobiology, Treatment Prevention of Disease (14 wks) ICM/ICS EBM Ethics (4 wks) Introduction to Internal Medicine Introduction to Pediatrics (7 wks) Introduction to Internal Medicine Introduction to Pediatrics (7 wks) Introduction to Surgery, Radiology Ophthal-mology (7 wks) Introduction to Surgery, Radiology Ophthal-mology (7 wks) Introduction to Family Medicine, Oncology, Neurology Anesthesia (7 wks) Introduction to Family Medicine, Oncology, Neurology Anesthesia (7 wks) Vacation Intro to Clerkship (1 wk) Intro to Clerkship (1 wk) Family Medicine Rural (4 wks)
Physicianship 2A Physicianship 2A Physicianship 2A Physicianship 2A ICM/ICS EBM Ethics (4 wks) Introduction to Internal Medicine Introduction to Pediatrics (7 wks) Introduction to Internal Medicine Introduction to Pediatrics (7 wks) Introduction to Surgery, Radiology Ophthal-mology (7 wks) Introduction to Surgery, Radiology Ophthal-mology (7 wks) Introduction to Family Medicine, Oncology, Neurology Anesthesia (7 wks) Introduction to Family Medicine, Oncology, Neurology Anesthesia (7 wks) Vacation Intro to Clerkship (1 wk) Intro to Clerkship (1 wk) Family Medicine Rural (4 wks)
Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2
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Introduction to Clinical Medicine (ICM)

• January to June 2013
• To apply the material learned in BOM and to learn
  clinical medicine in a supervised clinical
  setting lots of patient contact, but no direct
  patient responsibility
• Will rotate to various hospitals teaching will
  vary from lectures to small group teaching to
  one-on-one teaching of techniques
• Basic Cardiac Life Support (BCLS)

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Sunita Mathew, ICM and ClerkshipsAdministrator
clinicaladmin.med_at_mcgill.ca
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Curriculum Schema Class of 2015
Core Clerkships
September October November December January February March March April May June July July August August
Pathobiology, Treatment Prevention of Disease (14 wks) Pathobiology, Treatment Prevention of Disease (14 wks) Pathobiology, Treatment Prevention of Disease (14 wks) Pathobiology, Treatment Prevention of Disease (14 wks) ICM/ICS EBM Ethics (4 wks) Introduction to Internal Medicine Introduction to Pediatrics (7 wks) Introduction to Internal Medicine Introduction to Pediatrics (7 wks) Introduction to Surgery, Radiology Ophthalmology (7 wks) Introduction to Surgery, Radiology Ophthalmology (7 wks) Introduction to Family Medicine, Oncology, Neurology Anesthesia (7 wks) Introduction to Family Medicine, Oncology, Neurology Anesthesia (7 wks) Vacation Intro to Clerkship (1 wk) Intro to Clerkship (1 wk) Family Medicine Rural (4 wks)
Physicianship 2A Physicianship 2A Physicianship 2A Physicianship 2A ICM/ICS EBM Ethics (4 wks) Introduction to Internal Medicine Introduction to Pediatrics (7 wks) Introduction to Internal Medicine Introduction to Pediatrics (7 wks) Introduction to Surgery, Radiology Ophthalmology (7 wks) Introduction to Surgery, Radiology Ophthalmology (7 wks) Introduction to Family Medicine, Oncology, Neurology Anesthesia (7 wks) Introduction to Family Medicine, Oncology, Neurology Anesthesia (7 wks) Vacation Intro to Clerkship (1 wk) Intro to Clerkship (1 wk) Family Medicine Rural (4 wks)
Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2 Physician or Dental Apprenticeship 2
September October November December January February March April May June July August
Family Medicine Urban (4 wks) Medicine (8 wks) Obstetrics Gynecology (8 wks) Obstetrics Gynecology (8 wks) General Surgery (4 wks) Elective 1 (4 wks) Pediatrics (8 wks) Pediatrics (8 wks) Psychiatry (8 wks) Psychiatry (8 wks) Vacation (4 wks) Emergency Medicine (4 wks)
Physicianship 3 Physicianship 3 Physicianship 3 Physicianship 3 Physicianship 3 Physicianship 3 Physicianship 3 Physicianship 3 Physicianship 3 Physicianship 3 Physicianship 3 Physicianship 3
Physician Apprenticeship 3 Physician Apprenticeship 3 Physician Apprenticeship 3 Physician Apprenticeship 3 Physician Apprenticeship 3 Physician Apprenticeship 3 Physician Apprenticeship 3 Physician Apprenticeship 3 Physician Apprenticeship 3 Physician Apprenticeship 3 Physician Apprenticeship 3 Physician Apprenticeship 3
Core Clerkships may be completed in 12 different
sequences one representative sequence is depicted
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Core Clerkship

• August 2013 to July 2014
• 4 to 8 weeks in various disciplines in hospitals
  or community settings
• Patient responsibility, always under supervision
• Advanced Cardiac Life Support (ACLS)
• 9 students will do an integrated clerkship in the
  Gatineau region

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Dr. Beth-Ann Cummings Clerkship Chair
clerkshipchair.med_at_mcgill.ca
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Curriculum Schema Class of 2015
Senior Clerkship
September October November December January February March April May June July August
Family Medicine Urban (4 wks) Medicine (8 wks) Obstetrics Gynecology (8 wks) Obstetrics Gynecology (8 wks) General Surgery (4 wks) Elective 1 (4 wks) Pediatrics (8 wks) Pediatrics (8 wks) Psychiatry (8 wks) Psychiatry (8 wks) Vacation (4 wks) Emergency Medicine (4 wks)
Physicianship 3 Physicianship 3 Physicianship 3 Physicianship 3 Physicianship 3 Physicianship 3 Physicianship 3 Physicianship 3 Physicianship 3 Physicianship 3 Physicianship 3 Physicianship 3
Physician Apprenticeship 3 Physician Apprenticeship 3 Physician Apprenticeship 3 Physician Apprenticeship 3 Physician Apprenticeship 3 Physician Apprenticeship 3 Physician Apprenticeship 3 Physician Apprenticeship 3 Physician Apprenticeship 3 Physician Apprenticeship 3 Physician Apprenticeship 3 Physician Apprenticeship 3
September October November December January February February March March April April
Elective 2 (4 wks) Geriatric Medicine (4 wks) Surgery Sub Specialties (4 wks) Elective 3 (4 wks) Elective 4 (4 wks) Vacation (4 wks) Physicianship 4 (4 wks) Physicianship 4 (4 wks) Topics in Medical Science/Elective 5 (4 wks) Topics in Medical Science/Elective 5 (4 wks) Study Time/ Elective/ MCC Review (2 wks)
Physician Apprenticeship 4 Physician Apprenticeship 4 Physician Apprenticeship 4 Physician Apprenticeship 4 Physician Apprenticeship 4 Physician Apprenticeship 4 Physician Apprenticeship 4 Physician Apprenticeship 4 Physician Apprenticeship 4 Physician Apprenticeship 4 Physician Apprenticeship 4
Senior Clerkship may be completed in seven
different sequences, one representative sequence
is depicted Physicianship 4 consists of
Medicine Society, Public Health and
Communication Plus Physician Apprenticeship 4
includes Professionalism sessions
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Senior Clerkship

• August 2014 to April, 2015
• Continued clerkships in more advanced clinical
  specialties (emergency, surgical specialties,
  geriatrics)
• Elective rotations (clinical electives or basic
  science courses)
• Physicianship 4 includes courses in Medicine and
  Society, Public Health and advanced communication
  skills

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Electives Coordinators

• Eva Pilla
• (McGill Students)

• Mary Cecere
• (non McGill students)

http//www.medicine.mcgill.ca/ugme/electives/elect
ives_list_en.htm
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INTEGRATED CLERKSHIP Schema Year 3
Year 3 three students in each block (three blocks) Year 3 three students in each block (three blocks) Year 3 three students in each block (three blocks) Year 3 three students in each block (three blocks) Year 3 three students in each block (three blocks) Year 3 three students in each block (three blocks) Year 3 three students in each block (three blocks) Year 3 three students in each block (three blocks) Year 3 three students in each block (three blocks) Year 3 three students in each block (three blocks) Year 3 three students in each block (three blocks) Year 3 three students in each block (three blocks) Year 3 three students in each block (three blocks) Year 3 three students in each block (three blocks) Year 3 three students in each block (three blocks) Year 3 three students in each block (three blocks)
1 July 2 3 4 5 5 6 7 8 9 10 10 11 12 13
Three themes of four periods each VacIntro toClerk-shipone-week course Geriatrics/Mental HealthPsychiatry (equiv. 8 wks)Family Medicine (equiv. 4 wks)Geriatrics (equiv. 4 wks)7 x ½ days Geriatrics/Mental HealthPsychiatry (equiv. 8 wks)Family Medicine (equiv. 4 wks)Geriatrics (equiv. 4 wks)7 x ½ days Geriatrics/Mental HealthPsychiatry (equiv. 8 wks)Family Medicine (equiv. 4 wks)Geriatrics (equiv. 4 wks)7 x ½ days Geriatrics/Mental HealthPsychiatry (equiv. 8 wks)Family Medicine (equiv. 4 wks)Geriatrics (equiv. 4 wks)7 x ½ days Medicine/SurgeryMedicine (equiv. 8 wks)Surgery (equiv. 8 wks)7 x ½ days Medicine/SurgeryMedicine (equiv. 8 wks)Surgery (equiv. 8 wks)7 x ½ days Medicine/SurgeryMedicine (equiv. 8 wks)Surgery (equiv. 8 wks)7 x ½ days Medicine/SurgeryMedicine (equiv. 8 wks)Surgery (equiv. 8 wks)7 x ½ days Medicine/SurgeryMedicine (equiv. 8 wks)Surgery (equiv. 8 wks)7 x ½ days Medicine/SurgeryMedicine (equiv. 8 wks)Surgery (equiv. 8 wks)7 x ½ days Maternal Child HealthPediatrics (equiv. 8 wks)Obstetrics/Gynecology (equiv. 8 wks)7 x ½ days Maternal Child HealthPediatrics (equiv. 8 wks)Obstetrics/Gynecology (equiv. 8 wks)7 x ½ days Maternal Child HealthPediatrics (equiv. 8 wks)Obstetrics/Gynecology (equiv. 8 wks)7 x ½ days Maternal Child HealthPediatrics (equiv. 8 wks)Obstetrics/Gynecology (equiv. 8 wks)7 x ½ days
Three themes of four periods each Emergency room 16 calls (5 days, 5 evenings, 6 nights) /12 periods gt approx. 0.5 days/weekLongitudinal hospitalist ward 1 call/week and 1 weekend every 6 weeksLongitudinal Primary Care Clinic (Family Medicine) 0.5 days per weekLongitudinal Physician Apprenticeship 3 Longitudinal weekly teaching 0.5 days per week Emergency room 16 calls (5 days, 5 evenings, 6 nights) /12 periods gt approx. 0.5 days/weekLongitudinal hospitalist ward 1 call/week and 1 weekend every 6 weeksLongitudinal Primary Care Clinic (Family Medicine) 0.5 days per weekLongitudinal Physician Apprenticeship 3 Longitudinal weekly teaching 0.5 days per week Emergency room 16 calls (5 days, 5 evenings, 6 nights) /12 periods gt approx. 0.5 days/weekLongitudinal hospitalist ward 1 call/week and 1 weekend every 6 weeksLongitudinal Primary Care Clinic (Family Medicine) 0.5 days per weekLongitudinal Physician Apprenticeship 3 Longitudinal weekly teaching 0.5 days per week Emergency room 16 calls (5 days, 5 evenings, 6 nights) /12 periods gt approx. 0.5 days/weekLongitudinal hospitalist ward 1 call/week and 1 weekend every 6 weeksLongitudinal Primary Care Clinic (Family Medicine) 0.5 days per weekLongitudinal Physician Apprenticeship 3 Longitudinal weekly teaching 0.5 days per week Emergency room 16 calls (5 days, 5 evenings, 6 nights) /12 periods gt approx. 0.5 days/weekLongitudinal hospitalist ward 1 call/week and 1 weekend every 6 weeksLongitudinal Primary Care Clinic (Family Medicine) 0.5 days per weekLongitudinal Physician Apprenticeship 3 Longitudinal weekly teaching 0.5 days per week Emergency room 16 calls (5 days, 5 evenings, 6 nights) /12 periods gt approx. 0.5 days/weekLongitudinal hospitalist ward 1 call/week and 1 weekend every 6 weeksLongitudinal Primary Care Clinic (Family Medicine) 0.5 days per weekLongitudinal Physician Apprenticeship 3 Longitudinal weekly teaching 0.5 days per week Emergency room 16 calls (5 days, 5 evenings, 6 nights) /12 periods gt approx. 0.5 days/weekLongitudinal hospitalist ward 1 call/week and 1 weekend every 6 weeksLongitudinal Primary Care Clinic (Family Medicine) 0.5 days per weekLongitudinal Physician Apprenticeship 3 Longitudinal weekly teaching 0.5 days per week Emergency room 16 calls (5 days, 5 evenings, 6 nights) /12 periods gt approx. 0.5 days/weekLongitudinal hospitalist ward 1 call/week and 1 weekend every 6 weeksLongitudinal Primary Care Clinic (Family Medicine) 0.5 days per weekLongitudinal Physician Apprenticeship 3 Longitudinal weekly teaching 0.5 days per week Emergency room 16 calls (5 days, 5 evenings, 6 nights) /12 periods gt approx. 0.5 days/weekLongitudinal hospitalist ward 1 call/week and 1 weekend every 6 weeksLongitudinal Primary Care Clinic (Family Medicine) 0.5 days per weekLongitudinal Physician Apprenticeship 3 Longitudinal weekly teaching 0.5 days per week Emergency room 16 calls (5 days, 5 evenings, 6 nights) /12 periods gt approx. 0.5 days/weekLongitudinal hospitalist ward 1 call/week and 1 weekend every 6 weeksLongitudinal Primary Care Clinic (Family Medicine) 0.5 days per weekLongitudinal Physician Apprenticeship 3 Longitudinal weekly teaching 0.5 days per week Emergency room 16 calls (5 days, 5 evenings, 6 nights) /12 periods gt approx. 0.5 days/weekLongitudinal hospitalist ward 1 call/week and 1 weekend every 6 weeksLongitudinal Primary Care Clinic (Family Medicine) 0.5 days per weekLongitudinal Physician Apprenticeship 3 Longitudinal weekly teaching 0.5 days per week Emergency room 16 calls (5 days, 5 evenings, 6 nights) /12 periods gt approx. 0.5 days/weekLongitudinal hospitalist ward 1 call/week and 1 weekend every 6 weeksLongitudinal Primary Care Clinic (Family Medicine) 0.5 days per weekLongitudinal Physician Apprenticeship 3 Longitudinal weekly teaching 0.5 days per week Emergency room 16 calls (5 days, 5 evenings, 6 nights) /12 periods gt approx. 0.5 days/weekLongitudinal hospitalist ward 1 call/week and 1 weekend every 6 weeksLongitudinal Primary Care Clinic (Family Medicine) 0.5 days per weekLongitudinal Physician Apprenticeship 3 Longitudinal weekly teaching 0.5 days per week Emergency room 16 calls (5 days, 5 evenings, 6 nights) /12 periods gt approx. 0.5 days/weekLongitudinal hospitalist ward 1 call/week and 1 weekend every 6 weeksLongitudinal Primary Care Clinic (Family Medicine) 0.5 days per weekLongitudinal Physician Apprenticeship 3 Longitudinal weekly teaching 0.5 days per week Emergency room 16 calls (5 days, 5 evenings, 6 nights) /12 periods gt approx. 0.5 days/weekLongitudinal hospitalist ward 1 call/week and 1 weekend every 6 weeksLongitudinal Primary Care Clinic (Family Medicine) 0.5 days per weekLongitudinal Physician Apprenticeship 3 Longitudinal weekly teaching 0.5 days per week
Three themes of four periods each Wednesday noon teaching session 1 hour/week2 hrs/week Professionalism Evidence-Based Medicine Clinical problem-based learning Group projects (Public Health, Communication Skills, Doctor-Patient Relationship, Approach to Clinical Problems) Wednesday noon teaching session 1 hour/week2 hrs/week Professionalism Evidence-Based Medicine Clinical problem-based learning Group projects (Public Health, Communication Skills, Doctor-Patient Relationship, Approach to Clinical Problems) Wednesday noon teaching session 1 hour/week2 hrs/week Professionalism Evidence-Based Medicine Clinical problem-based learning Group projects (Public Health, Communication Skills, Doctor-Patient Relationship, Approach to Clinical Problems) Wednesday noon teaching session 1 hour/week2 hrs/week Professionalism Evidence-Based Medicine Clinical problem-based learning Group projects (Public Health, Communication Skills, Doctor-Patient Relationship, Approach to Clinical Problems) Wednesday noon teaching session 1 hour/week2 hrs/week Professionalism Evidence-Based Medicine Clinical problem-based learning Group projects (Public Health, Communication Skills, Doctor-Patient Relationship, Approach to Clinical Problems) Wednesday noon teaching session 1 hour/week2 hrs/week Professionalism Evidence-Based Medicine Clinical problem-based learning Group projects (Public Health, Communication Skills, Doctor-Patient Relationship, Approach to Clinical Problems) Wednesday noon teaching session 1 hour/week2 hrs/week Professionalism Evidence-Based Medicine Clinical problem-based learning Group projects (Public Health, Communication Skills, Doctor-Patient Relationship, Approach to Clinical Problems) Wednesday noon teaching session 1 hour/week2 hrs/week Professionalism Evidence-Based Medicine Clinical problem-based learning Group projects (Public Health, Communication Skills, Doctor-Patient Relationship, Approach to Clinical Problems) Wednesday noon teaching session 1 hour/week2 hrs/week Professionalism Evidence-Based Medicine Clinical problem-based learning Group projects (Public Health, Communication Skills, Doctor-Patient Relationship, Approach to Clinical Problems) Wednesday noon teaching session 1 hour/week2 hrs/week Professionalism Evidence-Based Medicine Clinical problem-based learning Group projects (Public Health, Communication Skills, Doctor-Patient Relationship, Approach to Clinical Problems) Wednesday noon teaching session 1 hour/week2 hrs/week Professionalism Evidence-Based Medicine Clinical problem-based learning Group projects (Public Health, Communication Skills, Doctor-Patient Relationship, Approach to Clinical Problems) Wednesday noon teaching session 1 hour/week2 hrs/week Professionalism Evidence-Based Medicine Clinical problem-based learning Group projects (Public Health, Communication Skills, Doctor-Patient Relationship, Approach to Clinical Problems) Wednesday noon teaching session 1 hour/week2 hrs/week Professionalism Evidence-Based Medicine Clinical problem-based learning Group projects (Public Health, Communication Skills, Doctor-Patient Relationship, Approach to Clinical Problems) Wednesday noon teaching session 1 hour/week2 hrs/week Professionalism Evidence-Based Medicine Clinical problem-based learning Group projects (Public Health, Communication Skills, Doctor-Patient Relationship, Approach to Clinical Problems) Wednesday noon teaching session 1 hour/week2 hrs/week Professionalism Evidence-Based Medicine Clinical problem-based learning Group projects (Public Health, Communication Skills, Doctor-Patient Relationship, Approach to Clinical Problems)
http//www.medicine.mcgill.ca/ugme/curriculum/core
clerkship_integratedclerk_en.htm
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INTEGRATED CLERKSHIP Schema Year 4
YEAR 4 - INTEGRATED SENIOR CLERKSHIP YEAR 4 - INTEGRATED SENIOR CLERKSHIP YEAR 4 - INTEGRATED SENIOR CLERKSHIP YEAR 4 - INTEGRATED SENIOR CLERKSHIP YEAR 4 - INTEGRATED SENIOR CLERKSHIP YEAR 4 - INTEGRATED SENIOR CLERKSHIP YEAR 4 - INTEGRATED SENIOR CLERKSHIP YEAR 4 - INTEGRATED SENIOR CLERKSHIP YEAR 4 - INTEGRATED SENIOR CLERKSHIP YEAR 4 - INTEGRATED SENIOR CLERKSHIP YEAR 4 - INTEGRATED SENIOR CLERKSHIP YEAR 4 - INTEGRATED SENIOR CLERKSHIP YEAR 4 - INTEGRATED SENIOR CLERKSHIP YEAR 4 - INTEGRATED SENIOR CLERKSHIP YEAR 4 - INTEGRATED SENIOR CLERKSHIP YEAR 4 - INTEGRATED SENIOR CLERKSHIP YEAR 4 - INTEGRATED SENIOR CLERKSHIP YEAR 4 - INTEGRATED SENIOR CLERKSHIP YEAR 4 - INTEGRATED SENIOR CLERKSHIP
July August August September September October October November November December December January January February February March March April April
Vacation(4 wks) Elective Elective Elective Elective Elective Elective Elective Elective Elective Elective Elective Vacation Vacation Physicianship 4(4 wks) Physicianship 4(4 wks) Topics in Medical Science or Elective Topics in Medical Science or Elective Study Time/Elective/ LMCC Review(2 wks)
Physician Apprenticeship 4 PHP-4 Physicianship 4 consists of Medicine Society, Public Health and Communication Plus Physician Apprenticeship 4 includes Professionalism sessions Physician Apprenticeship 4 PHP-4 Physicianship 4 consists of Medicine Society, Public Health and Communication Plus Physician Apprenticeship 4 includes Professionalism sessions Physician Apprenticeship 4 PHP-4 Physicianship 4 consists of Medicine Society, Public Health and Communication Plus Physician Apprenticeship 4 includes Professionalism sessions Physician Apprenticeship 4 PHP-4 Physicianship 4 consists of Medicine Society, Public Health and Communication Plus Physician Apprenticeship 4 includes Professionalism sessions Physician Apprenticeship 4 PHP-4 Physicianship 4 consists of Medicine Society, Public Health and Communication Plus Physician Apprenticeship 4 includes Professionalism sessions Physician Apprenticeship 4 PHP-4 Physicianship 4 consists of Medicine Society, Public Health and Communication Plus Physician Apprenticeship 4 includes Professionalism sessions Physician Apprenticeship 4 PHP-4 Physicianship 4 consists of Medicine Society, Public Health and Communication Plus Physician Apprenticeship 4 includes Professionalism sessions Physician Apprenticeship 4 PHP-4 Physicianship 4 consists of Medicine Society, Public Health and Communication Plus Physician Apprenticeship 4 includes Professionalism sessions Physician Apprenticeship 4 PHP-4 Physicianship 4 consists of Medicine Society, Public Health and Communication Plus Physician Apprenticeship 4 includes Professionalism sessions Physician Apprenticeship 4 PHP-4 Physicianship 4 consists of Medicine Society, Public Health and Communication Plus Physician Apprenticeship 4 includes Professionalism sessions Physician Apprenticeship 4 PHP-4 Physicianship 4 consists of Medicine Society, Public Health and Communication Plus Physician Apprenticeship 4 includes Professionalism sessions Physician Apprenticeship 4 PHP-4 Physicianship 4 consists of Medicine Society, Public Health and Communication Plus Physician Apprenticeship 4 includes Professionalism sessions Physician Apprenticeship 4 PHP-4 Physicianship 4 consists of Medicine Society, Public Health and Communication Plus Physician Apprenticeship 4 includes Professionalism sessions Physician Apprenticeship 4 PHP-4 Physicianship 4 consists of Medicine Society, Public Health and Communication Plus Physician Apprenticeship 4 includes Professionalism sessions Physician Apprenticeship 4 PHP-4 Physicianship 4 consists of Medicine Society, Public Health and Communication Plus Physician Apprenticeship 4 includes Professionalism sessions Physician Apprenticeship 4 PHP-4 Physicianship 4 consists of Medicine Society, Public Health and Communication Plus Physician Apprenticeship 4 includes Professionalism sessions Physician Apprenticeship 4 PHP-4 Physicianship 4 consists of Medicine Society, Public Health and Communication Plus Physician Apprenticeship 4 includes Professionalism sessions Physician Apprenticeship 4 PHP-4 Physicianship 4 consists of Medicine Society, Public Health and Communication Plus Physician Apprenticeship 4 includes Professionalism sessions Physician Apprenticeship 4 PHP-4 Physicianship 4 consists of Medicine Society, Public Health and Communication Plus Physician Apprenticeship 4 includes Professionalism sessions
http//www.medicine.mcgill.ca/ugme/curriculum/core
clerkship_integratedclerk_en.htm
38
Dr. Gilles BrousseauAssistant Dean of Medical
Education for Campus Santé Outaouais
39
For Anglophone Students

• Basis of Medicine and all formal courses are
  conducted in English
• Many patients are primarily French-speaking
• You may be assigned to hospitals where the
  language of work is French (e.g. Douglas,
  LaSalle, Gatineau)
• You will be expected to be functional in French
  by the beginning of your clerkship
• Saturday morning workshops are available for
  medical French see your orientation package or
  UGME website

40
Physicianship

• The greatest mistake in the treatment of diseases
  is that there are physicians for the body and
  physicians for the soul, although the two cannot
  be separated.
• Plato

41
Physicianship

• Being a good doctor is more than just knowing a
  lot of facts and being a good technician
• Communication skills, compassion and professional
  behaviour are also essential to being a good
  physician
• Physicianship courses run longitudinally
  throughout the 4 years, and focus on these
  attributes of being a physician

42
Dr. David Dawson Chair of Physicianship Component
43
Dr. Donald BoudreauDirector of the Office for
Physicianship Curriculum Development
44
Office for Physicianship Curriculum Development

• Anne Briggs, Administrator
• anne.briggs_at_mcgill.ca

• Carolyn-Ann Cichon, Secretary
• currdev.med_at_mcgill.ca

45
Toby Cape, PhysicianshipAdministrator
adminphysicianship.med_at_mcgill.ca
46
Graduation!

• June 2015

47
Student Affairs

• Dr. Namta Gupta
• Assistant Dean for Student Affairs

• Career Counselor

namta.gupta_at_mcgill.ca
48
Meredith Annex Medical Student Lounge
First floor is a student relaxation spaceSecond
floor houses the offices of Dr. Gupta and the
Career Advisor http//www.mcgill.ca/medwell/
49
Student Affairs

• Tuition and Other Fees
• The student accounts office will send out
  notification electronically
• Visit http//www.mcgill.ca/student-accounts and
  http//www.mcgill.ca/student-accounts/newlyadm
  (Fact About Fees recorded live presentation)
• Financial Aid
• Student Aid has many years of experience in
  helping students access government scholarships
  and loans, and information about bursaries and
  scholarships that may help you through tight
  times.
• Go to http//www.mcgill.ca/studentaid/awards or
  link to financial aid from Minerva
• Also visit http//www.mcgill.ca/studentaid/scholar
  ships
• They can also help you with budgeting

50
Silvana DilolloSenior Administrative Officer
Student Records / Student Affairs
51
Student Affairs

• Medical Students You must register with the
  Collège des médecins du Québec (CMQ) as a student
  member and you are bound by its Code of Ethics.
  Deadline for registration is October 15.
• A schedule for witnessing of documents (birth
  certificate) has been included in your
  orientation bag. We will have a Commissioner of
  Oaths on site.
• If you dont have proof of working knowledge of
  French, you may still register.

52
Evaluation

• Basis of Medicine (first 16 months) is Pass/Fail
• ICM (subsequent 6 months) is Pass/Fail or a
  5-point scale (fail, below expectations, meets
  expectations, above expectations, superior)
• Clerkships and electives are graded on a 5-point
  scale.

53
EvaluationBasis of Medicine

• Pass/Fail is the only mark that appears on your
  transcript
• We keep track of numerical grades for prizes,
  scholarships, identifying students in
  difficulty
• You must have gt 60 in each unit/course and an
  overall average of gt 65 to pass each promotion
  period
• You will be invited to meet with the Associate
  Dean UGME if your mark at the end of any unit is
  in the bottom 3 of the class (bottom 5)

54
Evaluation Marks in the BOM units

• Each unit has its own marking scheme
• E.g. Unit 1 7.5 histology quizzes
• 7.5 small group mark
• 75 final multiple choice exam
• 10 lab exam
• NOTE Attendance at labs and small groups is
  compulsory and usually forms part of your mark
• Attendance at lectures is usually not compulsory
  

55
Bienvenue à nos étudiants/étudiantes francophones

• Tous les étudiants on le droit de rédiger leurs
  examens, leurs thèses et mémoires dans lune ou
  lautre langue, sauf dans les cours dont lun des
  objectifs primordiaux est la connaissance dune
  langue

56
Self-Directed Learning

• One of our goals is to help you become effective,
  lifelong learners
• We move you gradually to less and less structure
  in teaching, expecting you to learn to direct
  your own learning
• We will guide you in what you need to know.
  However, not everything that you need to know for
  exams (or for life . . .) will be covered in the
  lectures or small groups

57
E-curriculum

• Our lectures, notes and some cases are on WebCT
  (www.mcgill.ca/mycourses)
• Lecture notes for each unit
• Notices about changes in the schedule,
  assignments, exams, etc.
• We will only use your McGill email address
  firstname.lastname_at_mail.mcgill.ca
• Please ensure that you check this email regularly
  

58
Donna Rosito, Electronic-Curriculum - WebCT
Administrator
59
We Want You to Evaluate Us

• Course evaluations at the end of each unit
• Each small group will send a representative to a
  roundtable feedback session with the Unit Chair
  and Basis of Medicine chair at the end of each
  unit
• You are welcome to meet individually with your
  Professors, the Unit Chair or Associate Dean if
  you have concerns that are not addressed by the
  course evaluation and/or feedback session
• We also have student representation on all our
  curriculum committees and subcommittees speak
  to the MSS if you are interested

60
ProfessionalismMost trustworthy profession in
Canada
61
Professionalism Importance of factors in
determining trustworthiness
62
Professionalism

• Physicians and dentists have to be trustworthy
• Our faculties take academic integrity and
  behaviour very seriously
• Unprofessional behaviour is recorded and can
  appear on your student record and/or letters
  required for residency application
• We do not distinguish between academic and
  conduct probation, because conduct is as
  important as your knowledge and technical skill
• Falsification of data, stealing, chronic
  tardiness and irresponsibility have been reasons
  for students to be requested to leave the Faculty

63
We Want You to Enjoy Being a Medical Student

• The human body and mind are fascinating topics
• There are many varied careers in medicine
• It is a privilege to be a physician and to be
  able to care for others
• The bad times are far outweighed by the good times

64
Contact Us

• www.medicine.mcgill.ca/ugme
• UGME Adminstrative Staff http//www.medicine.mcgi
  ll.ca/ugme/staff/admin_en.htm

65
Welcome Bienvenue
66
Not Sure Where to Start?

• Dannie Moronval
• studentaffairs.med_at_mcgill.ca
• 514-398-3519

• Vanessa Vescio
• recep.med_at_mcgill.ca
• 514-398-1768

67
Its all in the Red Book!
68
Todays Schedule (contd.)
69
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