Phase 2

Curriculum Track Options Class of 2023

Option 1: Clerkships

Eight-week clerkships required in the following:

• Family Medicine
• Internal Medicine
• Obstetrics/Gynecology
• Surgery

Six-week clerkships required in the following:

• Pediatrics
• Psychiatry & Behavioral Sciences

Two-week clerkships required in the following:

• Neurology

Option 2: ROME

Rural Opportunities in Medical Education (ROME) is a 20-28 week interdisciplinary experience in a rural primary care setting, the remainder of the clerkships are completed at an urban home campus site.

Option 3: MILE

Minot Integrated Longitudinal Experience (MILE) is a 44-week experience combining family medicine, internal medicine, obstetrics/gynecology, pediatrics, surgery, neurology, psychiatry and one 4 week rotation in rural family medicine.

Additional Requirements For Year 3 Students

• Clinical Epidemiology course
• 2 week Specialty Exploration or Interprofessional Elective
• 8 week Step 1 Preparation Course
• End-of-year Clinical Skills Performance Review (CSPR) – mid June
• Take and pass USLME Step 1

Year 3 Electives

Phase 2 Benchmarks, EPAs & Competencies

By the end of the phase 2 the student will be able to:

1. Communicate effectively with patients (EPA #1) and staff (EPA #9)
2. Form therapeutic and ethically sound relationships with patients, and respectful relationships with other health care workers (EPA #9)
3. Perform, document and present an accurate history and physical examination, both complete and problem-focused, including mental status examination. (EPA #1)
4. Perform basic clinical procedures (vital signs, phlebotomy, peripheral and central venous access, suturing, lumbar puncture, Foley catheter and nasogastric tube placement, surgical scrub technique, cast application and cardiopulmonary resuscitation.) (EPA #12)
5. Formulate and discuss a differential diagnosis using knowledge from basic and clinical sciences data from the history and physical examination and clinical reasoning skills. (EPA #2)
6. Develop an appropriate diagnostic and treatment plan (EPA #3)
7. Incorporate family community, cultural and ethical issues into the treatment plan and process of care (EPA #1)
8. Access, understand and discuss findings in the medical literature and apply these findings to patient care (EPA #7)
9. Acquired knowledge of common clinical conditions (EPA #2, #3)
10. Developed an understanding of clinical research through completion and discussion/presentation of a clinical research project (EPA #7)

Entrustable Professional Activities (EPAs)

EPA 1: Gather a history and perform a physical examination

EPA 2: Prioritize a differential diagnosis following a clinical encounter EPA 3: Recommend and interpret common diagnostic and screening tests

EPA 4: Enter and discuss orders and prescriptions

EPA 5: Document a clinical encounter in the patient record

EPA 6: Provide an oral presentation of a clinical encounter

EPA 7: Form clinical questions and retrieve evidence to advance patient care

EPA 8: Give or receive a patient handover to transition care responsibility

EPA 9: Collaborate as a member of an interprofessional team

EPA 10: Recognize a patient requiring urgent or emergent care and initiate evaluation and management

EPA 11: Obtain informed consent for tests and/or procedures

EPA 12: Perform general procedures of a physician

EPA 13: Identify system failures and contribute to a culture of safety and improvement

COMPETENCIES FOR UNDERGRADUATE MEDICAL EDUCATION