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Supplemental digital content for McGowen KR, Olive KE. East Tennessee State University, James H. Quillen College of Medicine. Acad Med. 2020;95(9 suppl).

Supplemental Digital Content

Supplemental Digital Appendix 1 Generalist Track

Curriculum……….2 Supplemental Digital Appendix 2 Rural Primary Care

Track Curriculum….……….3

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Supplemental Digital Appendix 1 Generalist Track Curriculum

a

M1

Fall Spring

Doctoring I

Human Gross Anatomy & Embryology Genetics Cell & Tissue Biology

Lifespan

Development Cellular & Molecular Medicine Physiology

Clinical Epidemiology & Biostatistics Clinical Epidemiology &

Biostatistics

Eight week summer break

M2

Fall Spring

Doctoring II Pathology Microbiology & Immunology

Medical Pharmacology Clinical Neuroscience

Introduction to Clinical Psychiatry Six weeks dedicated USMLE Step 1 study time

M3

b

Career Exploration III d Transition c

Course Community Clerkship Med

Family Med

Clerkship OB/GYN

Clerkship Pediatrics

Clerkship Psychiatry Clerkship Internal Med

Clerkship Surgery

Clerkship Jr. Elective

M4

e

Electives Critical Care Selective Inpatient Subinternship

Selective Ambulatory Care

Selective Flexible time-

(study/interviews) Keystone Course General notes: Box size is roughly proportional to course length but not precise. Schematic does not reflect self-directed study time

Notes to the schematic:

a. Breaks not shown for any year

b. Clerkships run all year and can be taken in different sequences-breaks not shown c. Transition to Clinical Clerkship course and M3 OSCE- One week

d. Career Exploration III – three large group sessions in spring semester

e. M4 requirements & flexible time arranged in any sequence-breaks not shown

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Supplemental Digital Appendix 2 Rural Primary Care Track Curriculum

a

M1

Fall Spring

Doctoring I b

Human Gross Anatomy & Embryology Genetics Cell & Tissue Biology

Lifespan

Development Cellular & Molecular Medicine Physiology

Clinical Epidemiology &

Biostatistics Clinical Epidemiology &

Biostatistics Rural Health Research & Practice

Eight week summer break

M2

Fall Spring

Doctoring II c Pathology Microbiology & Immunology

Medical Pharmacology Clinical Neuroscience

Introduction to Clinical Psychiatry Rural Community Based Projects

Six weeks dedicated USMLE Step 1 study time M3d

Career Exploration III f Transition

Course e Rural Primary Care

Clerkship OB/GYN Clerkship Pediatrics

Clerkship Psychiatry Clerkship Internal Med

Clerkship Surgery Clerkship Jr. Elective M4g

Electives Critical Care Selective Inpatient Subinternship

Selective Rural Ambulatory Care

Selective Flexible time

(study/interviews) Keystone Course General notes: Box size is roughly proportional to course length but not precise. Schematic does not reflect self-directed study time

Notes to the schematic:

a. Breaks not shown for any year

b. 40% of Doctoring I components are completed in rural sites c. 75% of Doctoring II components are completed in rural sites

d. Clerkships run all year and can be taken in different sequences-breaks not shown e. Transitions to Clerkships and M3 OSCE- One week

f. Career Exploration III – three large group sessions in spring semester

g. M4 requirements & flexible time arranged in any sequence 3

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End Note: internist w/ongoing relationship w/ patient could have an ongoing management role we could continue to develop here Refine Hypotheses: Information gathered reveals no