Phase 3

Phase 3 includes twelve elective periods. All Phase 3 students must take one required SMHS acting internship (AI) and six four-week electives during Phase 3. In order to prevent overcrowding on any one campus, sixteen weeks must be scheduled to be completed on the student's assigned clinical campus in Phase 3. The required acting internship must be completed at UND SMHS.

Some electives are unique to a specific campus. Students may choose to use one of these unique electives (designated by a 95** course number), to count as a home-campus elective.

International rotations arranged through individual departments are not considered on-campus rotations.

Students must be in the state of North Dakota during match week.

Phase 3 Students may not take more than a total of four electives in a single specialty.  Within these four electives, no more than two may be general electives in the specialty and no more than two may be in a single sub-specialty area unless they wish to forgo a vacation month in which case they may take three. This includes the acting internship requirement.  The only exemption applies to students applying in Emergency Medicine who may take three General Emergency Medicine courses, however, one must be at UND SMHS. Students may not take identical electives at UND regardless of campus other than the research elective which can be taken for eight weeks.

COMPETENCIES FOR UNDERGRADUATE MEDICAL EDUCATION

Phase 3 Benchmarks

1. Obtain a history and perform a physical examination (EPA #1) and present the information orally (EPA #6) for both complete and focused patient encounters. 
2. Document accurately and succinctly information gained during patient encounters using an electronic medical record. (EPA #1, #5)
3. Form an appropriate differential diagnosis and document the clinical reasoning behind that differential. (EPA #2)
4. Recommend and interpret common diagnostic and screening tests. (EPA #3)
5. Formulate and update an accurate problem list for patients under their care.
6. Communicate effectively with patients and their families regarding differential diagnoses, treatment options and care plans in light of social, cultural and economic factors affecting the patient’s healthcare. (EPA #1, #3)
7. Work effectively as a member of an interdisciplinary healthcare team including being able to call a consultant and request a consult. (EPA #9)
8. Give and accept patient handoff reports for transitions in care. (EPA #8)
9. Formulate accurate and appropriate patient care orders and prescriptions. (EPA #4)
10. Recognize a patient requiring urgent or emergent care and initiate the appropriate initial steps in that care. (EPA #10)
11. Effectively receive and give feedback.
12. Obtain informed consent. (EPA #11)
13. Research a clinical question relating to patient care with appropriate evaluation of resources and use of evidence-based information. (EPA #7)
14. Formulate appropriate and evidence-based diagnostic and treatment plans for common medical conditions.
15. Demonstrate the ability to translate basic biomedical science principles into clinical care of patients

And will have:

1. Completed all assigned rotations in a professional, ethical, confidential, and respectful manner. This will include appearance, timeliness, completion of assigned tasks and interactions with patients, families, coworkers and staff.
2. Completed the assigned curriculum in patient safety and quality (EPA #13)

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

Standardized Acting Internship (AI) Objectives

Academic Year Calendar Dates

Registration is completed through the Office of Student Affairs and Admissions at the School of Medicine & Health Sciences. Tuition and fees will be charged according to a published schedule.

1. Students meet with their designated career advisor to select a tentative schedule. The tentative schedule must be coordinated, reviewed, and approved by the career advisor.
2. The student's Campus Dean will review the schedule.
3. Preceptors will review and approve requested rotations.
4. The approved schedule will be e-mailed to the student by the campus office.

Schedule changes should be requested as soon as possible.

Students should contact their home campus office by phone or e-mail to request schedule changes.

To register for a Phase 3 Elective or Acting Internship (AI) that is offered on another UND School of Medicine & Health Sciences Campus, the student should contact his/her Campus Dean's administrative office for assistance. The Campus Dean's administrative office will request the off-campus elective and coordinate arrangements with the student, the off-campus Dean's Office, and the Office of Student Affairs and Admissions to finalize the student's schedule and to assure he/she is registered appropriately for the off-campus elective.

Students will use VSLO to apply for away electives and acting internships at participating schools. To obtain instructions for filing for a phase 3 elective/acting internship to be taken at an out-of-state institution not participating in VSLO, students must contact their home Campus Dean's office. Students are responsible for scheduling and making all necessary arrangements for phase 3 electives/acting internships under the direction of the other institutions. The students also are responsible for any additional required fees incurred for out-of-state electives/acting internships. Upon notification, the Office of Student Affairs and Admissions will register the student for this elective. For questions regarding this process, please contact Alissa Hancock in Education Resources.

Course acronyms and numbers for electives are identified as follows:

Course Acronyms

• BIMD - Biomedical Sciences
• FMED - Family Medicine
• MED - Interdisciplinary
• IMED - Internal Medicine
• NEUR - Neurology
• PSYB - Psychiatry and Behavioral Science
• OBGY - Obstetrics & Gynecology
• PATH - Pathology
• PED - Pediatrics
• PH - Population Health
• RAD - Radiology
• SURG - Surgery

Course Numbering

• 91** - Bismarck (Southwest) Campus
• 92** - Fargo (Southeast) Campus
• 93** - Grand Forks (Northeast) Campus
• 94** - Minot (Northwest) Campus
• 95** - All Campus (Course only available/offered at one campus)
• 90** - Non-UND course

• Eight week Step 2 prep course (MED 9625)
• Take and pass USMLE Step 2
• Two Week Transition to Residency Course (MED 9525)
• Patient Safety/Quality Improvement Course (Longitudinal- IMED 9506)
  
  • Phase 3 students will apply knowledge learned through online IHI modules to a patient safety/quality improvement project. Modules will be completed by the end of period 9 and by the end of period 11; the one page proposal must be submitted to the course faculty for evaluation.

Patient Safety/Quality Improvement Objectives, Assessment & Rubric