September23,2014 DearColleagues: Wewritetobringyouanupdateoncurriculumrenewaloverthepasttwomonths.Wehave continuedtofocuseffortsonidentifyingandworkingonwhatismostcriticalandessentialfora successfulstarttothenewcurriculum.Sinceourlastupdate,thishasincludedworkingtoobtain thenecessaryapprovalsfromtheUniversityofWashingtonforthenewcurriculumstructure, buildingtheFoundationPhasecontent,andestablishingworkgroupstobeginplanning foundationalclinicalexperiencesandothercurricularcomponents.Asummaryofcontinuingand newworkisprovidedbelow. Ongoingactivitiesrelatedtocurriculumrenewal:  Curriculum Committee selection:WiththehelpofWylieBurkeandtheCurriculum RenewalGovernanceCommittee,anapproachtoselectingthefoundingCurriculum Committeehasbeendevelopedandisbeingimplemented.Wewillconveneanew5‐6 personnominatingcommitteethatwilldevelopaslateofcandidatesconsistingof clinicians,scientists,andregionalfaculty.Thisnewnominatingcommitteewillbe selectedfromourcurrentSchoolofMedicineOversightCommittee.Wewillinvite allUWSOMfacultywithregularorclinicalfacultystatus(assistantprofessororabove) throughouttheregionwhoareinterestedinservingontheCurriculumCommitteeto submittheirnamestotheirdepartmentchairorregionaldean.Thenominating committeewillreviewallnamesandprepareaslateofcandidatestobevotedonbythe entirefacultyregion‐wideinaccordancewiththecategoriesdevelopedbythe GovernanceCommittee.ThegoalistohavetheCurriculumCommitteeinplacebylate October.  Anatomy in Seattle: Becauseofresourceconstraints(i.e.,facultyavailabletoinstruct, competitionforspaceandcadaversinSeattle),asmallgroup(JohnClark,MichaelRyan, MarkWhipple,SherilynSmith,GauthamReddy,HughFoy)metanumberoftimesto discusshowbesttoofferanatomydissectioninSeattle.Theplanthatwasdeveloped willprovideanatomydissectionofthechestandabdomenintheCirculatoryblockin January,andheadandneckandbraindissectionintheMind,BrainandBehaviorblock inautumnofthethirdterm.ThegoalistoalignascloselyaspossiblewiththeWWAMI regionalsites,asoriginallysetforthintheplanfortheFoundationsCurriculum.Inline withrequestsfromanumberoffaculty,musculoskeletaldissection,whichwas scheduledforearlyinthecurriculum,willbemovedtolaterinthecurriculum.John ClarkwilloverseetheSeattlesectionandCassieCusickatMontanaStateUniversityand DaveConleyatWashingtonStateUniversitywilloverseetheregionalsections. Assessmentsandgradingwillbethesameacrossallsites.   LCME approval:TheLCMEasksmedicalschoolsplanningmajorcurriculumrevisions andchangesinclasssizetosubmittheirplanslonginadvanceofthechanges.Ellen CosgroveistakingtheleadonworkingwiththeLCMEtoensuretheneededapprovalto moveforward. Anumberof work groups and committeesaremeetingtoplanimplementationofthe curriculum: o ACourse Approval Work Group, ledbyCarolMacLaren,metwithrepresentatives fromtheUWProvostOfficeregardingcampusapprovalfortimingofthecurriculum andcredits.ApprovalwasrecentlygrantedtobegininstructiononSeptember8, 2015(theTuesdayafterLaborDay).DuetochallengesbetweentheUWschedule andtheUWSOMschedulethatpotentiallyaffectedtheUW’sstudentfinancialaid program,thelengthsofsomeblocksandintersessionsweremodified.Theattached schematicshowstherevisedschedule. o TheAssessment Committeeisworkingtoplancommonassessment methodologiesandlogistics.MembersoftheAssessmentCommitteeare:SaraKim, co‐chair,JanCarline,co‐chair,MichaelCampion,JanelleClauser(Spokane),Heidi Combs,BasakCoruh,,MattCunningham,Jonllgen,ChrisKnight,AmandaKost,Karen McDonough,SomnathMookherjee,PamNagasawa,AnnemarieRelyea‐Chew,Lynne Robins,TimRobinson(Wyoming),DougSchaad,andJaneShelby(Alaska).Theywill issueareportinlateOctober. o InAugust, Foundations block and thread leadersattendedasecondfull‐day retreattocontinuedevelopmentofcontentforthesevenFoundationblocks.Atthis retreat,blockandthreadleadersdevelopedblockandthreaddescriptions, presentedthesetotheentiregroup,anddiscussedspecifictopicareaswithinblocks andthreads.Thesessionwascollegialandinteractive,demonstratingthevalueof integrationforfullunderstandingbyfacultyoftheirowncoursesinrelationshipto othercourses.AthirdretreatwilloccurSeptember24.Seetheattachedlistofthe FoundationPhaseblockandscientificthreadleaders. o AClinical Skills Work Groupisworkingtoensureintegrationandalignmentofthe variousclinicalskillscomponentsintheFoundationsPhase.Thesecomponentsand theirleadersare:  Immersion:MargaretIsaacandAmandaKost(Dr.KostchairstheClinical SkillsWorkGroup)  Intersessions(someofwhichmayincludeclinicalskillstraining):Amanda Kost)  IntroductoryPrimaryandContinuityClerkship:TomMcNalleyandJeanne Cawse‐Lucas(TomGreerfillinginforJeanneCawse‐Lucaswhilesheisout onmaternityleave)    Introductiontoclinicalmedicine/clinicalskillstraining:KarenMcDonough andMargaretIsaacs Colleges:ErikaGoldstein Regionalrepresentatives:BobOnders(Wyoming),KenRobertson (Wyoming),TimRobinson(Wyoming),JayErickson(Montana),Mike Herring(Montana),LindaFearne(Idaho),TanyaLeinicke(Alaska),George Novan(Spokane),MattHollon(Spokane),JanelleClauser(Spokane) Ahalf‐dayretreatoccurredinSeptemberfollowedbybi‐monthlymeetings. o o o A Time in Seattle Work Group metforthefirsttimeinSeptembertoassesswhat andhowmuchtimestudentswillberequiredtospendinSeattle.Participantsare: MaryBarinaga,ErikaGoldstein,KellieEngle,ChrisKnight,ConnieLamb,Raye Maestas,TimRobinson,CarolTeitz,MarkWhipple(lead). AsubcommitteeoftheRequired Clerkship Committeehasmetseveraltimesto planthetimingandsequenceofrequiredclerkshipsinthePatientCarePhase. Participantsinthisprocessare:CurtBennett,JanCarline,HeidiCombs,Basak Coruh,KellieEngle,MisbahKeen,ChrisKnight,EricKraus,ConnieLamb,Jordan SymonsandRogerTatum,andMarkWhipple. ASpecial Programs Work Grouphasbeenchargedtoconsiderschedulingspecial programssuchasTRUST,WRITE,RUOPandLongitudinalIntegratedClerkships. ThegroupmetforthefirsttimeinSeptember.Membersofthisworkgroupare: MichaelRyan,DarrylPotyk(Spokane),LarryKirven(Wyoming),JayErickson (Montana),KiShin(WesternWashington),RogerTatum,LaurelDesnick(Montana), TobyKeyes,AmandaKost,HeidiCombs,AdrianaOlivas(Idaho),KatiePortanteand ConnieLamb. o o AnAcademic Affairs Advisory Grouphasbeenformedtoconsiderandplanthe manyimplicationsofcurriculumchangeonoperationalaspectsofthecurriculum— orientation,informationtechnology,studentaffairs,admissionsandotheraspects. Theyparticipatedinahalf‐dayretreatandwillholdasecondhalf‐dayretreatin September.Themembersofthisgroupare:JulieCalcavecchia,TaraGates,Jan Carline,SaraKim,MichaelCampion,JasonReep,BillHill,AnneEacker,Corrin Sullivan,SarahWood,EmilySlager,DianeNoecker,JameyCheek,JonasLouie,Carol MacLaren,CarolTeitz,andKellieEngle. AMBiT,aprojectmanagementteam,whichhasworkedextensivelywithmedical schoolsintheUSandCanadianProvincesduringperiodsofcurriculumchange,has beenbroughtonboardtobuildcurriculumrenewalprojectimplementationplans. Aspartofthiswork,representativesfromAMBiTaremeetingwithcurriculum renewalstakeholdergroupsinSeptember. Newactivitiesoroutcomes:  Initialcoursedescriptions(thatwillchangeasthecoursesaremorefullydeveloped)have beensenttotheregionalsitestoestablishnewcourseprefixes,numbersandcreditsatthe partneruniversities.       Theclinicalimmersionatthestartofthecurriculumwillbetwoweeksinlengthforthefirst yearofthenewcurriculumandwilloccurpriortotheFoundationsPhaseateachregional site.Theimmersionwillbecombinedwithorientationactivities.Thegoalistoprepare studentsforthestartoftheirintroductoryprimaryandcontinuitycareclerkshipthatwill runthroughoutthefirst18months.Someregionalsitesareplanningasomewhatlonger clinicalimmersionthantwoweeks. WyomingwillparticipateintheFoundationPhaseinthefirst12monthsoftheinitial18‐ monthperiodandwillshifttofull18‐monthparticipationinWyomingoncespaceis available.The20WyomingstudentswhoentertheUWSchoolofMedicinein2015will returntoSeattleinAugust,2016tocompletethelastsixmonthsoftheFoundationsPhase curriculum. AnOrientation Work GroupwillbechargedinOctobertostreamlineorientation.Anne Eackerwillleadthisgroup. ATransitions to Clerkships Work GroupwillbechargedinSeptembertoplanthethree‐ monthblockdevotedtopreparingforclerkshipsandcompletingscholarshipactivities. ErikaGoldsteinwillleadthisgroup. Theleadersofthethemeswillbechargedinthenextmonthtoincorporatethesemajor themes(e.g.,lifelonglearning,diversity,healthequity)intothefour‐yearcurriculum DiscussionshavebeenoccurringwiththeSchool of Dentistrytoassesswhetherandto whatextentdentalstudentswillutilizethenewmedicalschoolcurriculum.Ataskforceof individualsfromthemedicalanddentalschoolswillbeformedinthenearfuturetofurther assessthepossibleinvolvementoftheSchoolofDentistryinthecurriculum.Bruce Silversteinisservingasacontactbetweenthetwoschoolsoncurriculumrenewalandthe dentalschool’sinvolvement. WewouldliketothankMarkWhipple,SuzanneAllen,CarolMacLaren,andKellieEnglewithwhom wehavemetonaregularbasisaskeyadvisors.Theseindividualshavebeenindispensablein movingthecurriculumrenewaleffortsforward.Wewouldalsoliketothankagroupofbasic sciencedepartmentchairsfortheirongoingvaluableinputandrecommendations:BillCatterall,Jim Champoux,JohnClark,TrishaDavis,StanFroehner,JoanGovermanandBobWaterston.Wylie Burke,formerchairofbioethicsandhumanities,hasalsobeenindispensableaswehaveconsidered planstoimplementthenewCurriculumCommittee.Inaddition,wewouldliketothankthemany otherindividualswhohaveparticipatedandareparticipatinginthecurriculumrenewal—pastand current. Ifyouhavequestionsaboutcurriculumrenewal,pleaseletusknow.Ifyouwouldliketobe involved,pleasealsoletusknow.Weareeagerforparticipationanddependontheinterestand talentofmembersoftheUWSchoolofMedicinecommunity.Again,wearefocusingmoststrongly atthistimeonthoseelementsoftheFoundationsPhasethatarecriticaltosuccessful implementationofthecurriculuminfall2015.Whilemanyadditionalelementsweredecidedupon inthelastphaseofcurriculumrenewal,somewillbephasedinovertimeonceweknowthatthe mostessentialpartsofthecurriculumareinplaceandmovingforward. Weapologizeforthelengthoftimesinceourlastcommunication.Wewillmakeaneffortfromthis pointforwardtohavemorefrequentandshortercommunications.Inaddition,SarahShirleyand EvelynFenner‐Dorrityareworkingtoimprovethecurriculumrenewalwebsite.Intheverynear future,wewillhavealistofallworkinggroupsandtheirchargesonthewebsiteaswellasminutes frommeetingsandacalendarofupcomingmeetings. Thankyouforyourpatience,interestandparticipationand,again,ourapologiesfornotproviding morefrequentinformationbroadly.Itwasabusysummer. Sincerely, MichaelJ.Ryan,MD AssociateDeanforCurriculum UniversityofWashingtonSchoolofMedicine MarjorieWenrich ChiefofStaff,UWMedicine Academic Year 2015 – 2016 Autumn, Winter and Spring Quarters Length 2 w k s 1 Cell Physiology & Function Genes, Molecules & Signaling Genetics Genetic Diseases Introduction to Pharm • • • • • • Anatomy/Imaginga Introduction to Anatomy Introduction to Histology • • • Population Healthb Frontiers of Medicinec Clinical Skills Immune System Microbial Biology Infectious Disease Inflammation & Repair Skin -Connective Tissue Introduction to Path Anatomy/Imaging Histology • • • Population Health Frontiers of Medicine Clinical Skills 1 1 3 weeks w w 3/28-4/15, 2016 k k • • • • Cardiovascular System Respiratory System Renal-Urinary System Multisystem Fluid Balance Anatomy/Imaging Thorax/Abdomen Histology • • • Population Health Frontiers of Medicine Clinical Skills Credited Course All Quarters: PCC Clerkship PCC Clerkship 090414 6 weeks 4/18-5/27, 2016 Blood & Cancer Circulatory Systems Winter Break (12/14 – 1/1) Clinical Immersion Integra ted with Course Conten t • • • Invaders & Defenders 10 weeks 1/4-3/11, 2016 Energetics & Homeostasis • • • • Cancers Heme/Lymp h Palliative Care • • • Anatomy/Imaging Abdomen Histology Musculoskeletal Histology Imaging • • • Pop Health Frontiers of Medicine Clinical Skills Metabolism & Nutrition Obesity & Diabetes Gastrointestinal Physiology Endocrinology • • • Population Health Frontiers of Medicine Clinical Skills PCC Clerkship 2 W k Required Electives and Remediation (5/30 – 6/10, 2016) • Conten t Molecular & Cellular Basis of Disease w k 3 w k s Spring Break (3/21 – 3/25/16) Required Electives and Remediation (3/14-3/18, 2016) • 6 weeks 10/26-12/4, 2015 Required Electives and Remediation (12/7 – 12/11, 2015) Block 7 weeks 9/7-10/23, 2015 Academic Year 2016-2017 Autumn and Winter Quarters Length 8-10 weeks TBD, 2016 Block OR Integrated with Course Content 6 wks Global Health, 2 wks vacation • • Mind, Brain & Behavior Lifecycle & Reproduction Neuroscience/Neurology Neurosurgery/Trauma Sensory Systems (Ophth/Oto) Psychiatry Anesthesia • • Anatomy/Imaging Head & Neck Neuroanatomy Histology • • • Population Health Frontiers of Medicine Clinical Skills Lifecycle Reproductive System Anatomy/Imaging Pelvis Histology • • • Population Health Frontiers of Medicine Clinical Skills Credited Course All Quarter: PCC Clerkship 090414 1 w k 2 wks 12 Weeks 1/2-3/24, 2017 Transition to Clerkships Winter Break (12/19, 2016-1/1, 2017) 4 wks RUOP or MSRT, 6 wks vacation Break (8/22 – 9/2, 2016) Summer Experience 6/13-8/19 5 weeks 11/7-12/9, 2016 Remediation (12/12-12/16, 2016) Non Required Content • • • 9 weeks 9/5-11/4, 2016 • • Research (1/2 – 3/10) Capstone (3/13 – 3/17) Proposed UW School of Medicine Curriculum, Phase 2: Patient Care 3/27/2017 – 3/20/2018 10 Weeks 6/19–8/25, 2017 10 Weeks 9/11–11/17, 2017 TBD 2 w k Intersession TBD 2 w k Intersession TBD Intersession Block 2 w k 10 Weeks 12/4, 2017–2/16, 2018 (Includes week of Winter Holiday) 2 w k 4 Weeks 3/5 – 3/30, 2017 TBD Intersession/OSCE Length 10 Weeks 3/27–6/2, 2017 Transition to senior year, Prep for USMLE Step 2 CK/CS Blocks will include: family medicine, internal medicine, neurology, obstetrics-gynecology, pediatrics, psychiatry, surgery Proposed UW School of Medicine Curriculum, Phase 3: Explore and Focus 4/2/2018 – 4/26, 2019 Length 4 Weeks 4/2–4/27, 2018 4 Weeks 4/30–5/25, 2018 Block Advanced Inpatient Care (Sub-I) Advanced Care of the Undiagnosed Patient 4 Weeks 5/28–6/22, 2018 Advanced Outpatient Care 10 Months 6/25, 2018–3/29, 2019 • 4 Weeks 4/1–4/26, 2019 Clinical Selectives: Six 4-week blocks of required selectives; at least 4 blocks must be clinical. • Additional time for research, board preparation, residency interviews, etc. Transition To Residency Hooding: week of April 29 Block and Thread Leadership Contact List Clinical Immersion Margaret Isaac – [email protected] Amanda Kost – [email protected] Molecular and Cellular Basis of Disease Peter Detwiler – [email protected] Alex Merz – [email protected] Marshall Horwitz – [email protected] Invaders and Defenders John Lynch – [email protected] Paul Pottinger – [email protected] Troy Torgerson – [email protected] Jovanka Voyich – [email protected] Blood and Cancer Bob Richard – [email protected] Bill Harris – [email protected] Circulatory Systems Andy Luks – [email protected] Ashley Jefferson – [email protected] Fendley Stewart – [email protected] Bob Furilla – [email protected] Energetics and Homeostasis Bruce Silverstein – [email protected] Abe DeSantis – [email protected] Brenda Alexander –[email protected] Mind Brain and Behavior Alisa Hideg – [email protected] Marcella Pascualy – [email protected] Kate Mulligan – [email protected] Musculoskeletal Greg Schmale – [email protected] Barry Goldstein – [email protected] Lifecycles and Reproduction Robert Steiner – [email protected] Alyssa Stephenson-Famy – [email protected] Anatomy/Imaging Cassie Cusick – [email protected] Gautham Reddy – [email protected] John Clark – [email protected] Revised as of September 23, 2014 Kaj Johansen – [email protected] David Conley – [email protected] Histology/Pathology Olivia Bermingham-Mcdonogh – [email protected] Mara Rendi – [email protected] Pharmacology Chris Hague – [email protected] Stan McKnight – [email protected] Neil Nathanson – [email protected] Primary Care and Continuity Clerkship Jeanne Cawse-Lucas – [email protected] Tom McNalley – [email protected] Clinical Skills Karen McDonough – [email protected] Margaret Isaac – [email protected] Other Contacts: Michael Ryan – [email protected] Jan Carline – [email protected] Lynne Robins – [email protected] Mark Whipple – [email protected] Kellie Engle – [email protected] Michael Campion – [email protected] Sarah Shirley – [email protected] Revised as of September 23, 2014