Skip to main content

Advertisement

Log in

Transition to Residency: Using Specialty-Specific Clinical Tracks and Advanced Competencies to Prepare Medical Students for Internship

  • Monograph
  • Published:
Medical Science Educator Aims and scope Submit manuscript

Abstract

Recent discussions have sparked a debate about the purpose and function of the fourth year of medical school and the transition from undergraduate to graduate medical education. Our institution recently reformed our medical school curriculum into a three-part, competency-based curriculum that spans for 4 years, called Lead, Serve, Inspire (LSI). We present a novel way to structure the fourth year of medical school to better prepare our students for the next phase of their education in two ways, the development of Clinical Tracks and Advanced Competencies. The Clinical Tracks form individualized specialty-specific educational plans for students, preparing them to obtain the skills needed to be proficient interns in the specialty in which they hope to match. The Advanced Competencies are experiences that offer enhanced content that map to one of the Core Educational Objectives of the College of Medicine. They are often interdisciplinary and generalizable to multiple practice areas in both clinical and non-clinical activities. Ultimately, the goal of this revision is to create a competency-based, specialty-specific curriculum during the fourth year that will allow students to obtain the skills needed to function as interns on the first day of their postgraduate year 1 (PGY-1) of residency.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Walling A, Merando A. The fourth year of medical education: a literature review. Acad Med. 2010;85(11):1698–704.

    Article  Google Scholar 

  2. Raymond, J.R., Sr., et al., The Merits and Challenges of Three-Year Medical School Curricula: Time for an Evidence-Based Discussion. Acad Med, 2015.

  3. Reddy ST et al. Alliance for clinical education perspective paper: recommendations for redesigning the “final year” of medical school. Teach Learn Med. 2014;26(4):420–7.

    Article  Google Scholar 

  4. Lyss-Lerman P et al. What training is needed in the fourth year of medical school? Views of residency program directors. Acad Med. 2009;84(7):823–9.

    Article  Google Scholar 

  5. Chen HC, van den Broek WE, ten Cate O. The case for use of entrustable professional activities in undergraduate medical education. Acad Med. 2015;90(4):431–6.

    Article  Google Scholar 

  6. Swing SR et al. Educational milestone development in the first 7 specialties to enter the next accreditation system. J Grad Med Educ. 2013;5(1):98–106.

    Article  Google Scholar 

  7. Elnicki DM, et al. CDIM/Assocation of Program Directors in Internal Medicine Committee on Transition to Internship Course Offerings in the Fourth Year of Medical School: How U.S. Medical Schools are Preparing Students for Internship. Academic Medicine 2015

  8. Coates WC et al. Medical school curricular reform: fourth-year colleges improve access to career mentoring and overall satisfaction. Acad Med. 2008;83(8):754–60.

    Article  Google Scholar 

  9. Santen SA et al. How competent are emergency medicine interns for level 1 milestones: who is responsible? Acad Emerg Med. 2013;20(7):736–9.

    Article  Google Scholar 

  10. Weizberg M et al. Have first-year emergency medicine residents achieved level 1 on care-based milestones? J Grad Med Educ. 2015;7(4):589–94.

    Article  Google Scholar 

  11. Lead, Serve, Inspire. The Ohio State University College of Medicine http://medicine.osu.edu/students/lsicurriculum/pages/index.aspx. Accessed1/8/16

  12. Ten Cate O. Nuts and bolts of entrustable professional activities. J Grad Med Educ. 2013;5(1):157–8.

    Article  Google Scholar 

  13. Ledford C. Proposal for incorporation of Core Entrustable Professional Activities for Entering Residency (CEPAER) into Ohio State’s Lead. Serve.Inspire Curriclum Nov 3, 2013.

  14. Santen SA et al. Medical student milestones in emergency medicine. Acad Emerg Med. 2014;21(8):905–11.

    Article  Google Scholar 

  15. Morgan H et al. Preparing medical students for obstetrics and gynecology milestone level one: a description of a pilot curriculum. Med Educ Online. 2014;19:25746.

    Article  Google Scholar 

  16. Clay AS et al. Using transitional year milestones to assess graduating medical students’ skills during a capstone course. J Grad Med Educ. 2015;7(4):658–62.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Meena Khan.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Khan, M., Splinter, A., Kman, N. et al. Transition to Residency: Using Specialty-Specific Clinical Tracks and Advanced Competencies to Prepare Medical Students for Internship. Med.Sci.Educ. 27, 105–112 (2017). https://doi.org/10.1007/s40670-016-0355-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40670-016-0355-3

Keywords

Navigation