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Senior Clerkship for class 2010
Senior Clerkship for class 2010
Senior Clerkship for class 2010
Senior Clerkship for class 2010
Senior Clerkship for class 2010
Senior Clerkship for class 2010
Senior Clerkship for class 2010
Senior Clerkship for class 2010
Senior Clerkship for class 2010
Senior Clerkship for class 2010
Senior Clerkship for class 2010
Senior Clerkship for class 2010
Senior Clerkship for class 2010
Senior Clerkship for class 2010
Senior Clerkship for class 2010
Senior Clerkship for class 2010
Senior Clerkship for class 2010
Senior Clerkship for class 2010
Senior Clerkship for class 2010
Senior Clerkship for class 2010
Senior Clerkship for class 2010
Senior Clerkship for class 2010
Senior Clerkship for class 2010
Senior Clerkship for class 2010
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Senior Clerkship for class 2010

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  • 1. Senior Clerkship for class 2010 October, 2008 Joyce Pickering, MD
  • 2. Announcement unrelated to senior clerkship:  Anne Briggs is still looking for some students who can help train Osler fellows. You would interview standardized patients at the sim center, acting like a second year student. The goal is to train the Osler fellows to give good feedback.  Tomorrow, 2-3:30 at the Sim Center. Come at 12:15 if you would like lunch.  Please email Anne.Briggs@mcgill.ca if you can help. She will check her emails tonight.
  • 3. Senior Clerkship: Starts July 27, 2009  9 four week blocks  1 block ER  1 block surgical subspecialty  1 block geriatrics  1 block physicianship 4  1 (2) block(s) vacation/interviews  4 blocks electives  Will finish April 23, 2010 - April 4th is last rotation/class date, then 3 weeks study time before MCC exams
  • 4. US Match Canadian Match ↓ ↓ → Letters for US Match → Letters for Canadian Match 2009/20 10 Sequen ces Jun 29- Jul 26Vacat ion Jul 27 Aug 23 2009 Aug 24 Sept 20 Sept 21 Oct 18 Oct 19 Nov 15 Nov 16 Dec 13 Dec 14 Jan 10 2010 Jan 11- Feb 7 Feb 8 Mar 7 Mar 8 Apr 4 (4 weeks) Apr 5- 25 (3weeks) 1. SS Elec 1 GERI Elec 2 Elec 3 ER Vacation/ Interviews Phys. 4 (Med and Society, Public Health) TMS/ Seminar option Anat. For Surg./ Elective 4 Study Time 2. Elec 1 SS Elec 2 ER. GERI Elec 3 Vacation/ Interviews Phys. 4 (Med and Society, Public Health) TMS/ Seminar option Anat. For Surg./ Elec 4 Study Time 3. ER Elec 1 SS Elec 2 Elec 3 GERI Vacation/ Interviews Phys. 4 (Med and Society, Public Health) TMS/ Seminar option Anat. For Surg./ Elec 4 Study Time 4. Elec 1 ER Elec 2 GERI SS Elec 3 Vacation/ Interviews Phys. 4 (Med and Society, Public Health) TMS/ Seminar option Anat. For Surg./ Elect 4 Study Time 5. Research proposal required, open to MD/PH D. Must commit to 8 weeks of research. Elec 1 / Researc h Researc h/ Elec 2 Researc h/Elec 3 SS ER Elec 4 Vacation/ Interviews Phys.4 (Med and Society, Public Health,) GERI Study Time 6. Elec 1 GERI Elec 2 Elec 3 Elec 4 SS Vacation/ Interviews Phys.4(Me d and Society, Public Health) ER Study Time 7. GERI Elec 1 ER Elec 2 Elec 3 Elec 4 Vacation/ Interviews Phys. 4 (Med and Society, Public Health) SS Study Time Physician Apprenticeship 4
  • 5.  You will be asked for your choice of rotation schedule and we will do our best to accommodate your request.  MD/MBA students must take one of the first 4 sequences, to allow them to do the Capstone course during the last month (March 8 - April 4)
  • 6. Options: If you are applying to a surgical specialty, request a sequence that allows you to do surgery early. If you are applying to ER programs, request a sequence that allows you to do ER early. If you are applying to internal medicine, neurology, or geriatrics, request a sequence that allows you to do geriatrics early. If you are interested in the Anatomy for surgeons course, or other Topics in Medical Sciences, request one of the first 4 sequences. US Match Canadian Match ↓ ↓ → US Match → Canadian Match 2009/20 10 Sequen ces Jun 29- Jul 26Vacat ion Jul 27 Aug 23 2009 Aug 24 Sept 20 Sept 21 Oct 18 Oct 19 Nov 15 Nov 16 Dec 13 Dec 14 Jan 10 2010 Jan 11- Feb 7 Feb 8 Mar 7 Mar 8 Apr 4 (4 weeks) Apr 5- 25 (3weeks) 1. SS Elec 1 GERI Elec 2 Elec 3 ER Vacation/ Interviews Phys. 4 (Med and Society, Public Health) TMS/ Seminar option Anat. For Surg./ Elective 4 Study Time 2. Elec 1 SS Elec 2 ER. GERI Elec 3 Vacation/ Interviews Phys. 4 (Med and Society, Public Health) TMS/ Seminar option Anat. For Surg./ Elec 4 Study Time 3. ER Elec 1 SS Elec 2 Elec 3 GERI Vacation/ Interviews Phys. 4 (Med and Society, Public Health) TMS/ Seminar option Anat. For Surg./ Elec 4 Study Time 4. Elec 1 ER Elec 2 GERI SS Elec 3 Vacation/ Interviews Phys. 4 (Med and Society, Public Health) TMS/ Seminar option Anat. For Surg./ Elect 4 Study Time 5. Research proposal required, open to MD/PH D. Must commit to 8 weeks of research. Elec 1 / Researc h Researc h/ Elec 2 Researc h/Elec 3 SS ER Elec 4 Vacation/ Interviews Phys.4 (Med and Society, Public Health,) GERI Study Time 6. Elec 1 GERI Elec 2 Elec 3 Elec 4 SS Vacation/ Interviews Phys.4(Me d and Society, Public Health) ER Study Time 7. GERI Elec 1 ER Elec 2 Elec 3 Elec 4 Vacation/ Interviews Phys. 4 (Med and Society, Public Health) SS Study Time Physician Apprenticeship 4
  • 7. Topics in Medical Sciences (TMS) (Basic Science Options)  Evaluations from students in past very positive – “some of the best courses I taken during my 4 years”.  Examples of courses:  Anatomy for Surgeons  Tropical Medicine and International Health  Physiologic Foundations of the Kidney  People and their problems (psychiatric issues, addictions)  Applied Physiology – physiology in ICU settings  ETC.
  • 8. TMS  TMS courses count as elective time towards the required 20 weeks.  However, they do not count as a separate discipline for the requirement of 3 different disciplines.  If you do not notify us of an elective booked (for March, 2010) by mid November, and will not have completed 20 weeks of elective by March, 2010 we will register you in TMS  We will ask you for your choice of TMS course early in December, 2009
  • 9. Options: Both July and Jan vacations can be switched with electives. Core rotations cannot be switched with vacations or electives. If you need to attend a conference during senior clerkship (such as IFMSA), consider selecting an elective during this time. If you are interested in a research project, request the research sequence. US Match Canadian Match ↓ ↓ → US Match → Canadian Match 2009/20 10 Sequen ces Jun 29- Jul 26Vacat ion Jul 27 Aug 23 2009 Aug 24 Sept 20 Sept 21 Oct 18 Oct 19 Nov 15 Nov 16 Dec 13 Dec 14 Jan 10 2010 Jan 11- Feb 7 Feb 8 Mar 7 Mar 8 Apr 4 (4 weeks) Apr 5- 25 (3weeks) 1. SS Elec 1 GERI Elec 2 Elec 3 ER Vacation/ Interviews Phys. 4 (Med and Society, Public Health) TMS/ Seminar option Anat. For Surg./ Elective 4 Study Time 2. Elec 1 SS Elec 2 ER. GERI Elec 3 Vacation/ Interviews Phys. 4 (Med and Society, Public Health) TMS/ Seminar option Anat. For Surg./ Elec 4 Study Time 3. ER Elec 1 SS Elec 2 Elec 3 GERI Vacation/ Interviews Phys. 4 (Med and Society, Public Health) TMS/ Seminar option Anat. For Surg./ Elec 4 Study Time 4. Elec 1 ER Elec 2 GERI SS Elec 3 Vacation/ Interviews Phys. 4 (Med and Society, Public Health) TMS/ Seminar option Anat. For Surg./ Elect 4 Study Time 5. Research proposal required, open to MD/PH D. Must commit to 8 weeks of research. Elec 1 / Researc h Researc h/ Elec 2 Researc h/Elec 3 SS ER Elec 4 Vacation/ Interviews Phys.4 (Med and Society, Public Health,) GERI Study Time 6. Elec 1 GERI Elec 2 Elec 3 Elec 4 SS Vacation/ Interviews Phys.4(Me d and Society, Public Health) ER Study Time 7. GERI Elec 1 ER Elec 2 Elec 3 Elec 4 Vacation/ Interviews Phys. 4 (Med and Society, Public Health) SS Study Time Physician Apprenticeship 4
  • 10.  For those of you who wish to do Sequence 5 (research): we will give priority to those who have a research project at McGill planned. Submit to Nicole a confirmation letter from your supervisor, which includes his/her contact information and a brief description of the project.
  • 11. US Students/Applicants Interviews for US programs are often held in December – if you are applying to the US, consider requesting an elective during this time. Some US programs like to see USMLE Step 2 CK results as part of the application process If you are applying to the US, look at the requirements for some of the programs you are interested in, and consider doing Step 2 CK by summer 2009. If you are Canadian and wish to apply to a US program, remember that only some disciplines are eligible for support for J-1 visas. US Match Canadian Match ↓ ↓ → US Match → Canadian Match 2009/20 10 Sequen ces Jun 29- Jul 26Vacat ion Jul 27 Aug 23 2009 Aug 24 Sept 20 Sept 21 Oct 18 Oct 19 Nov 15 Nov 16 Dec 13 Dec 14 Jan 10 2010 Jan 11- Feb 7 Feb 8 Mar 7 Mar 8 Apr 4 (4 weeks) Apr 5- 25 (3weeks) 1. SS Elec 1 GERI Elec 2 Elec 3 ER Vacation/ Interviews Phys. 4 (Med and Society, Public Health) TMS/ Seminar option Anat. For Surg./ Elective 4 Study Time 2. Elec 1 SS Elec 2 ER. GERI Elec 3 Vacation/ Interviews Phys. 4 (Med and Society, Public Health) TMS/ Seminar option Anat. For Surg./ Elec 4 Study Time 3. ER Elec 1 SS Elec 2 Elec 3 GERI Vacation/ Interviews Phys. 4 (Med and Society, Public Health) TMS/ Seminar option Anat. For Surg./ Elec 4 Study Time 4. Elec 1 ER Elec 2 GERI SS Elec 3 Vacation/ Interviews Phys. 4 (Med and Society, Public Health) TMS/ Seminar option Anat. For Surg./ Elect 4 Study Time 5. Research proposal required, open to MD/PH D. Must commit to 8 weeks of research. Elec 1 / Researc h Researc h/ Elec 2 Researc h/Elec 3 SS ER Elec 4 Vacation/ Interviews Phys.4 (Med and Society, Public Health,) GERI Study Time 6. Elec 1 GERI Elec 2 Elec 3 Elec 4 SS Vacation/ Interviews Phys.4(Me d and Society, Public Health) ER Study Time 7. GERI Elec 1 ER Elec 2 Elec 3 Elec 4 Vacation/ Interviews Phys. 4 (Med and Society, Public Health) SS Study Time Physician Apprenticeship 4
  • 12.  If you do not get your first choice sequence, or change your mind about your career choice after you have been assigned to a sequence, you can use your elective time to do relevant rotations.
  • 13.  Please use electives to broaden your medical education – no matter how narrow the specialty you choose, you will be better at it if you have a solid background in general medicine.  Those of you choosing more generalist careers, you will be better at it if you develop some depth in specialized areas.  Reminder: your electives must be done in a minimum of three different disciplines  To review electives and their corresponding parent disciplines, please see: http://www.medicine.mcgill.ca/ugme/electives/electives_list_en
  • 14.  Register on line, with your choice of sequence, by Oct. 21st, 2008 midnight.  Registration opens as of Oct. 6th . Go to www. medicine.mcgill.ca, go to medical education, undergraduate, then curriculum, then Intro to Senior Clerkship, then senior clerkship form.  http://www.medicine.mcgill.ca/ugme/curriculum/seniorclerk3_form_en.htm  Please note: Go to Intro to Senior Clerkship NOT Senior Clerkship (Senior Clerkship still has forms for the class of 2009)  All registrations received before Oct. 21st are treated equally.
  • 15. Surgical subspecialty  Surgical subspecialty is not an elective.  However, within certain constraints you may make requests.  We will do our best to accommodate requests, but once assigned, you will not be able to trade.  You will submit your request in January, 2009. You will receive an email with information regarding how to submit your request.
  • 16. Other points  Exam at the end of senior surgical subspecialty covers all of surgery. It is a USMLE “Shelf Exam” similar to the medicine clerkship exam.  USMLE Step 2 CK OR MCCQE 1 (LMCC) must be passed to received your degree.  Students with core clerkship electives starting Jan 12, Feb 9, April 6, May 4, June 1 or June 29 (all 2009) may request to do geriatrics in their third year instead of 4th . Contact undergraduate.geriatrics@mcgill.ca and obtain written permission if you wish to do this.  You must have ACLS certification in order to graduate.
  • 17. Physicianship (Feb. 8 to March 5, 2010)  Mornings: Medicine and Society  Afternoons: Public Health, Professionalism, Communications Skills.
  • 18.  Professionalism Section on Dean’s letter  Reminder: If a category under physicianship is noted as “not consistently” on more than one clinical rotation (ICM or clerkship) a notation will be made on the Dean’s letter.  Any major incident would be noted even if it occurred only once.  Comments from your Osler Fellow, on Physicianship 3, may be included.
  • 19.  The following info may be useful to you as you plan your applications for residency.  (available from the CaRMS site, as is much other useful info.)
  • 20. Residency programs matched to first ranked program matched to first choice of discipline Anatomical Pathology 100 100 Anesthesia 58 85 Cardiac surgery 57 71 Community medicine 57 71 Dermatology 43 54 Diagnostic radiology 50 69 Emergency medicine 43 72 Family medicine incl Rural FM & MOTP 86 97 General surgery 49 77 Hematological Pathology 100 100 Internal medicine 73 95 Laboratory medicine 85 95 Medical biochemistry 100 100 Medical genetics 100 100 Medical microbiology 71 71 Neurology (adult & pediatric) 57 88 Neurosurgery 47 94 Nuclear medicine 57 71 Obstetrics/gynecology 56 79 Ophthalmology 32 62 Orthopedic surgery 49 80 Otolaryngology 38 62 Pediatrics 45 78 Physical medicine and rehabilitation 89 100 Plastic surgery 32 49 Psychiatry 85 97 Radiation oncology 52 91 Urology 53 74 Canadian Graduates matched to their first choice disciplines, CaRMS 2007, First Iteration.
  • 21. Back up plan Ask yourself the question: If I don’t match to my field of choice in 2010, what do I want to do for the year? If it is another field of medicine, do you look reasonably attractive to that field? Remember – after you graduate, you cannot do electives as a medical student – only as a resident.
  • 22. To discuss career planning further . . .  Dr. Tellier Pierre-paul.tellier@mcgill.ca  Andrea McDaniel careeradvisor.med@mcgill.ca  Everyone should have at least one meeting regarding career planning over the next year.  Saturday advising available once a month by appointment – watch for emails from Andrea.
  • 23. If all else fails . . .

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