Supplemental Digital Content

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Supplemental digital content for Kind T, Jablonover R, Simons R. The George Washington University School of Medicine and Health Sciences. Acad Med. 2020;95(9 suppl).

Supplemental Digital Content

Supplemental Digital Appendix 1 Curriculum Description……….2 Supplemental Digital Appendix 2 Program Objectives and

Assessment Methods……….3

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Themes to be integrated throughout the curriculum: Professional Development, Ethics and Professionalism,

The George Washington University MD Program Curriculum

Class of 2022 and Beyond

July August September October November December January February March April May June

Academic Year 1Academic Year 2Academic Year 3Academic Year 4

Immunology/

Hematology/

Inflammation/

Infectious Disease (I3) Foundations

Orientation

Cardio/Pulmonary/

Renal (CPR)

GI/Liver

Vacation/

Scholarly Concentration

Vacation Vacation

Practice of Medicine 1 Practice of Medicine 2 Practice of Medicine 2

Fundamentals of Patients, Populations, and Systems Patients in Health Systems Patients in Health Systems

Vacation/

Scholarly Concentration

MSK/

Spinal/

Rheum

Brain and Behavior

(B&B) Repro Endocrine

USMLE Preparation

Foundations of Clinical Practice

General Surgery*

Intersession Vacation

Longitudinal Primary Care Clinic (LPCC is a half day every other week), Intersession Days

Practice of Medicine 3 POM 3

Applied Population Health Applied cont.

Vacation Vacation

OB-GYN Psychiatry Medicine Electives Pediatrics Electives

Intersession

Neurology** Emergency Medicine

Acting

Internship < - - Electives - - > < - - Independent Study/ Interviews - - >

Anesthesia

Transition to Residency

Electives/

or remaining requirements

GRADUATION

Longitudinal Primary Care Clinic (LPCC is a half day every other week), Intersession Days

Primary Care + LPCC

above

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Supplemental Digital Appendix 2

George Washington University School of Medicine and Health Sciences MD Curriculum: Program Objectives and Assessment Methods

MEDICAL EDUCATION PROGRAM OBJECTIVE /

ASSESSMENT METHODS

WRITTEN

TEST OBSERVATIONAL

ASSESSMENT PERFORMANCE TEST OR

SIMULATION

OTHER

MEDICAL KNOWLEDGE OBJECTIVES 1. Relate normal structure, development and function, to the genetic, biochemical, physiological,

neurological, immunological, and microbiological processes among the major organ systems of the body in maintaining homeostasis.

Block and clerkship quizzes and exams

Clerkship Uniform Clinical Evaluations (UCE)

Performance Based Exams (PBEs) Physiology lab simulations

Personal Progress Assessments (PPAs)

2. Assess the role of normal human biological, cognitive, psychological, and behavioral development across the life span as determinants of health and illness.

Clerkship UCEs PPAs

3. Determine the impact of genetics, nutrition, epidemiology, and environmental influences on individual health and on disease and on informing treatment in local and global communities.

Clerkship UCEs PPAs

Mendelian inheritance project

4. Relate principles of pathology, physiology, microbiology, and immunology to the clinical evaluation and diagnosis of common diseases and disorders

Clerkship UCEs PBEs

Shock Management simulation

PPAs

5. Integrate the scientific foundations and advances of medicine with clinical reasoning skills in the

prevention, treatment, and management of diseases, including pharmacologic and other interventions that can prevent, cure or alter the course of diseases and disorders

Clerkship UCEs End of Preclinical PBE PPAs

PATIENT CARE OBJECTIVES

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1. Demonstrate the ability to elicit an appropriate medical history and physical examination and

synthesize the information into a differential diagnosis

Observed H&P Clerkship UCEs Practice of Medicine evaluations

Block PBEs

Clerkship SP exams End of year 3 PBE

Learning Portfolio PPAs

Formal Note 2. Propose a suitable management plan, including the

selection of laboratory and radiologic tests,

interpretation of their results, and implementation of interventions, to diagnose and treat common clinical conditions

Clerkship UCEs End of year 3 PBE Shock Management simulations

PPAs

3. Perform the medical and surgical procedures

considered essential for entering a residency program BLS Certification Clerkship UCEs BLS Certification Procedure Exams

PPAs 4. Demonstrate the ability to counsel and educate

patients, their families, and other caregivers about treating and preventing disease

Clerkship UCEs End of year 3 PBE PPAs 5. Demonstrate the ability to transition patient care

from one provider to the next using appropriate verbal handoff and written documentation

Clerkship UCEs End of year 3 PBE PPAs INTERPERSONAL AND COMMUNICATION

SKILLS OBJECTIVES

1. Demonstrate culturally sensitive, patient-centered communication about medical, emotional, social and spiritual matters to patients, their families, and other caregivers.

Block and

clerkship exams Clerkship UCEs Practice of Medicine evaluations

Clerkship SP exams End of preclinical PBEs End of 3^rd year PBEs SP evaluations 2. Demonstrate shared decision-making with patients,

their families, and other caregivers from all backgrounds

Clerkship UCEs Practice of Medicine evaluations

Clerkship SP exams End of preclinical PBEs End of 3^rd year PBEs

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3. Demonstrate the ability to present a coherent oral

and written summary of patients’ clinical conditions Clerkship UCEs Practice of Medicine evaluations

Clerkship SP exams End of preclinical PBEs End of 3^rd year PBEs 4. Demonstrate the ability to collaborate with other

health care professionals and teams Clerkship UCEs

Practice of Medicine evaluations

Clerkship SP exams End of preclinical PBEs End of 3^rd year PBEs Critical Care

Simulations

Reflections PPAs

Self, Peer and Team Assessments

Role plays, small group activities

PRACTICE-BASED LEARNING &

IMPROVEMENT OBJECTIVES

1. Appraise the medical literature and electronic resources for validity, applicability, limitations and standard of care for the provision of care to individual patients and populations

Clerkship UCEs Drug Advertisement

Project

Mendelian inheritance project

2. Use evidence-based strategies to teach colleagues, patients and the community- at-large about patient care in multiple clinical settings

Clerkship UCEs

3. Appraise one's growth and development as a lifelong learner through reflective practice of personal and professional strengths and challenges

Mid-clerkship

feedback PPAs

Reflections 4. Assess one’s personal well-being and its

contribution to the health and wellness of their professional community and patient population

PPAs

Wellness Exercise SYSTEMS-BASED PRACTICE OBJECTIVES

1. Apply principles of cost-effective medicine to the analysis of the organization, financing, and delivery of health care

Clerkships UCEs Clinical Public Health

Summit Projects 2. Appraise mechanisms to systematically enhance

quality patient care and safety Block and

clerkship quizzes and exams

Clerkships UCEs Patient safety simulation Clinical Public Health Summit Projects

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3. Analyze the essential importance of physician advocacy and health care policy in improving patient outcomes

Clinical Public Health Summit Projects 4. Discuss the elements of the health care system that

lead to health outcome disparities and those that can mitigate such disparities

Clinical Public Health Summit Projects 5. Describe the ways in which culture and belief

systems impact perceptions of and responses to health and illness

Clerkship UCEs Clinical Public Health

Summit Projects PROFESSIONALISM OBJECTIVES

1. Demonstrate understanding of ethical principles operating in the healthcare environment and the medical profession

Clerkship UCEs SP exams and PBEs

2. Apply ethical principles to professional activities

including the care of patients and interaction with peers Block and clerkship quizzes and exams

SP exams and PBEs SP evaluations 3. Demonstrate leadership, reliability, and integrity in

all professional activities Clerkship UCEs

Practice of Medicine evaluations

SP exams and PBEs SP evaluations Critical Care Simulations

PPAs

Peer and Team Assessments 4. Demonstrate awareness of how one’s beliefs,

values, and conflicts of interest may impact patient care Clerkship UCEs Practice of Medicine evaluations

SP exams and PBEs SP evaluations 5. Demonstrate compassion and care towards others

regardless of differences in beliefs, identity, race, and culture

SP exams and PBEs SP evaluations

Abbreviations: BLS, Basic Life Support; PBE Performance Based Exam; PPA Personal Progress Assessment; SP Standardized Patient; UCE Uniform Clinical Evaluation.