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Obstetrics and Gynecology Clerkship MOBG700 9 Credit Hours

SYLLABUS

2019-2020 ACADEMIC YEAR

Education Co-Directors: Josef Blankstein, M.D. and Richard Trester, M.D. [email protected], [email protected]

Clinical Education Specialist: Jessica Taylor, MSN, APN, CNS, CEN [email protected]

Undergraduate Medical Education Specialist: Sandra Guzeldere [email protected] CMS office: 847-578-8620 Sinai office: 773-257-5098 Cell phone: 847-477-9285 CMS location: RWCLC 1.094 6/17/19 1 CLERKSHIP DESCRIPTION

The 3rd Year Obstetrics and Gynecology Clerkship is a 6 week rotation, with the following components: Obstetrics 55%; Gynecology 36%; Urogynecology 3%; Gynecologic Oncology 3%; Reproductive Endocrinology/Infertility 3%.

The rotation is divided into clinic and in-patient services. The clinic service includes both hospital outpatient and office based clinic. The in- patient service includes labor & delivery, obstetrics and gynecologic and nurse midwife services. Students are on a rotating schedule and assigned to a team under the direction the resident chief and or attending.

CLERKSHIP OBJECTIVES

1. Perform routine medical, diagnostic and surgical procedures for obstetrics and gynecology patients. (1.1, 1.6)

2. Describe the bio-physical, clinical and epidemiological scientific principles underlying mechanisms and methods of diagnostic and therapeutic decision-making of care in emergent and non-urgent obstetrics and gynecology cases to include history and physical patient information gathering and prioritizing, screening, ordering and interpreting laboratory, pathologic and imaging studies. (1.2, 1.3, 1.4, 1.5, 2.1, 2.2, 2.3, 2.4)

3. Demonstrate effective written and oral communication skills when interacting with all members of the healthcare team including the ability to prepare and organize appropriate, legible and timely medical records for obstetrics and gynecology patients. (1.2, 1.3, 4.5, 5.4)

4. Demonstrate interpersonal and communication skills that result in effective education, with patients and family members. (1.7, 3.8)

5. Demonstrate effective working relationships and communication to include respect, patient autonomy, dignity, compassion, integrity, honesty, trust, cultural sensitivity and compassion when engaging with patients, their families, peers, the public, the university community and other healthcare providers in the obstetrics and gynecology rotations. (1.8, 3.8, 3.9, 4.1, 4.2, 4.3, 4.4, 4.6, 4.7, 5.1, 5.3, 5.6, 6.1, 7.1, 7.3)

6. Identify factors that place individuals at risk for disease or injury including social-behavioral sciences and cost awareness and use strategies to prevent or slow the disease process. (1.9, 2.4, 2.5, 3.9, 6.3)

6/17/19 2 7. Use information technology to search for, evaluate, and apply evidence-based medicine for solving obstetrics and gynecologic clinical problems. (2.1, 3.6, 3.7, 3.10)

8. Identify strengths, gaps and deficiencies, and limits in one's knowledge and skill through self-awareness, feedback seeking behaviors, setting of improvement goals and learning activities with the goal of improving practice. (3.1, 3.2, 3.3, 3.4, 3.5, 8.1)

9. Use the knowledge of one’s own role and the roles of other health professionals to appropriately assess and address the health care needs and advance the health of the patients and populations served. (6.2, 7.2, 7.4)

10. Identify system failures and find ways to minimize error and improve patient safety. (6.5)

Reference D2L for COMPETENCY MAP

CLERKSHIP-SPECIFIC PERFORMANCES, PROJECTS, REQUIREMENTS

Requirement Due

1 Complete Clerkship Acknowledgment form By end of 1st week

2 Mandatory reading assignment from Beckmann and Ling’s Obstetrics and Gynecology By end of 2nd week The chapters are: 6-Preconception and Antepartum Care 9-Abnormal Labor and Intrapartum Fetal Surveillance 12- Postpartum hemorrhage 16- Third trimester bleeding 19- Ectopic pregnancy and abortion 30- Pelvic support defects, urinary incontinence, and urinary tract infection 32- Dysmenorrhea and Chronic Pelvic Pain 37-Reproductive cycles 39- Amenorrhea and Abnormal Uterine Bleeding 45-Gestational trophoblastic neoplasia

6/17/19 3 3 Attend mandatory combined lectures By end of 3rd week 1. First Wednesday 2. Third Thursday

4 Complete Midterm Feedback form By end of 3rd week - Present to your Site Director at midterm then download the signed feedback form into D2L dropbox.

5 Complete ethics assignment By end of 3rd week - Present to your Site Director at midterm then download into D2L dropbox.

6 Complete the Direct Observation H&P form and download into D2L dropbox By end of 3rd week

7 H&P submitted for review at midterm meeting- feedback to follow By end of 3rd week

8 Midterm Quiz-two questions based on reading assignment By end of 3rd week

9 UWISE- complete all questions with a score 50% or greater By the end of 5th week

10 Complete all required patient encounters and log encounters on One45 By end of 5th week - Students who do not complete all required encounters by the end of the 5th week should contact the Education Director.

11 Complete Alternative Encounter Log and download into D2L dropbox By last Thursday of clerkship - Form required whether or not an alternative encounter was needed.

12 Attend simulation labs at Mount Sinai By end of clerkship 1. Delivery Sim Lab 2. Ultrasound Sim Lab

13 Complete a presentation as assigned by your site and download into D2L dropbox By end of clerkship - List all references on last slide of presentation

14 Complete the End of Clerkship Survey Friday after the rotation ends

6/17/19 4

Remediation of Clerkship-Specific Performances:

• Students who do not complete all clerkship requirements by 11:59 pm on Sunday following the clerkship end date will receive an Unsatisfactory for “Clerkship-Specific Performances, Requirements or Activities,” resulting in a temporary notation of Needs Remediation for the clerkship. • Students will have one additional week (ending at 11:59 pm the following Sunday) to remediate any missing/insufficient requirements. • Per the CMS Clerkship Grading Policy, if the student passes the remediation, they will receive a grade of “Pass” for the rotation. If the student fails to remediate within this one-week remediation period, they will receive a grade of “Fail” for the rotation.

REQUIRED PATIENT ENCOUNTERS

Type of Patient/ Clinical Level of Student Benchmark/Explanation Alternative Clinical Condition Setting Responsibility Vaginal Delivery I OB, PP, FP Encounter must include the following 3 elements (element 3 Student notifies Site Director and/or Clerkship determines the level of student responsibility): Director at the end of week five of the rotation that 4 at any level 1. Student creates a therapeutic relationship with the patient the required encounter for Vaginal Delivery has not by any of the following: been met. - History taking/data gathering/chart review - Introduction to patient as team member Site Director and/or Clerkship Director will - Performs physical examination determine the course of action from the following: 2. Student uses clinical reasoning to recognize patient is in the (a) Locate patient for student to participate in a second stage of labor. Vaginal Delivery OR 3. Student will Observe, Partially Participate or Fully (b) Arrange for simulation of a Vaginal Delivery Participate in the following elements of Vaginal Delivery. under direct faculty supervision, where the Observed = Observation Only faculty member will document a post‐ Partial Participation = Participation in at least 4 of the encounter discussion and that the requirement following elements: has been met. Full Participation = Participation in 6 of the following elements: • Student assists to position patient for delivery. Student gowns and gloves. • Student assists with the delivery of the infant: delivery of head, delivery of body, suction of the mouth and nose

6/17/19 5 • Student assists physician to clamp and cut umbilical cord • Student assists physician to collect cord blood samples • Student assists physician with the delivery of the placenta. • Student assists physician with the repair of lacerations or episiotomy. • Student assists with cleaning and restoring patient to a resting state. • Student assists with delivery note. Cesarean Section I OB, PP, FP Encounter must include the following 2 elements (element 2 Student notifies Site Director and/or Clerkship determines the level of student responsibility): Director at the end of week five of the rotation that 2 at any level 1. Student creates a therapeutic relationship with the patient the required encounter for Cesarean Section has not by any of the following: been met. - History taking/data gathering/chart review - Introduction to patient as team member Site Director and/or Clerkship Director will - Performs physical examination determine the course of action from the following: 2. Student participates in the following elements of Cesarean (a) Locate patient for student to participate in a Section: Cesarean Section OR Observed = Student observes greater than 50% of (b) Arrange for simulation of a Cesarean Section procedure. under direct faculty supervision, where the Partial Participation = Student scrubs/gowns/gloves and faculty member will document a post‐ assists with at least 50% procedure. encounter discussion and that the requirement Full Participation = Student scrubs/gowns/gloves and has been met. assists with greater than 50% of the procedure. Obstetrics – General I, O FP Student creates a therapeutic relationship with the patient and Student notifies Site Director and/or Clerkship performs the following under the guidance of a resident or Director at the end of week five of the rotation that 6 at FP attending: the required encounter for Obstetrics – General has - History taking/data gathering/chart review not been met. - Performs physical examination - Develops clinical assessment Site Director and/or Clerkship Director will - Develops therapeutic plan determine the course of action from the following: (a) Locate patient for student to participate in an Obstetrics – General case OR (b) Arrange for simulation of Obstetrics – General case under direct faculty supervision, where the faculty member will document a post‐ encounter discussion and that the requirement has been met.

6/17/19 6 Breast Exam I, O OB, PP, FP Encounter must include the following 2 elements (element 2 Student notifies Site Director and/or Clerkship determines the level of student responsibility): Director at the end of week five of the rotation that 2 at PP or FP 1. Student creates a therapeutic relationship with the patient the required encounter for Breast Exam has not by any of the following: been met. - History taking/data gathering/chart review - Introduction to patient as team member Site Director and/or Clerkship Director will - Performs physical examination determine the course of action from the following: 2. Student participates in the following elements of the breast (a) Locate patient for student to participate in a exam. Breast Exam OR Observed = Student observes a breast exam done by (b) Arrange for simulation of a Breast Exam under someone else. direct faculty supervision, where the faculty Student performs and is able to describe findings for the member will document a post‐encounter following elements of the breast exam: discussion and that the requirement has been Partial Participation in at least 5 elements. met. Full Participation in all 6 elements 1. Proper hand hygiene. 2. Positioning patient for exam. 3. Inspect and describe normal vs. abnormal breast anatomy. 4. Inspect and describe normal vs. abnormal breast development. 5. Inspect and identify pathologic conditions of the breast. 6. Manual examination of the breast and identify when present: • Normal breast exam • Axillary and supra‐clavicular lymphadenopathy • Nipple discharge • Breast engorgement Pelvic Exam I, O PP, FP Encounter must include the following 2 elements (element 2 Student notifies Site Director and/or Clerkship determines the level of student responsibility): Director at the end of week five of the rotation that 4 at PP or FP 1. Student creates a therapeutic relationship with the patient the required encounter for Pelvic Exam has not by any of the following: been met. - History taking/data gathering/chart review - Introduction to patient as team member Site Director and/or Clerkship Director will - Performs physical examination determine the course of action from the following: 2. Student participates in the following elements of the pelvic (a) Locate patient for student to participate in a exam. Pelvic Exam OR Observed = Student observes a pelvic exam done by (b) Arrange for simulation of a Pelvic Exam under someone else. direct faculty supervision, where the faculty 6/17/19 7 Student performs and is able to describe findings for the member will document a post‐encounter following elements of the pelvic exam: discussion and that the requirement has been Partial Participation = Participation in at least 4 of the met. following elements. Full Participation = Participation in at least 5 or more of the following elements. • Student demonstrates proper hand hygiene. • Student assists to position patient for exam. • Student inspects external genitalia and identifies anatomic structures. • Student inserts speculum and is able to visualize the cervix or vaginal cuff. • Student does bimanual exam and reports uterine size and adnexal findings. • Student checks cervical dilatation and effacement of laboring patient. • Student is able to identify cervical motion tenderness when present. • Student is able to identify pathologic conditions when present. • Student is able to identify normal anatomy and physical findings. • Student does cultures of cervix or vagina. • Student demonstrates the ability to document exam. Gynecology – I, O FP Student creates a therapeutic relationship with the patient and Student notifies Site Director and/or Clerkship General performs the following under the guidance of a resident or Director at the end of week five of the rotation that 6 at FP attending: the required encounter for Gynecology General has - History taking/data gathering/chart review not been met. - Performs physical examination - Develops clinical assessment Site Director and/or Clerkship Director will - Develops therapeutic plan determine the course of action from the following: (a) Locate patient for student to participate in a Gynecology General case OR (b) Arrange for simulation of a Gynecology General case under direct faculty supervision, where the faculty member will document a post‐ encounter discussion and that the requirement has been met. Gynecologic Surgery I, O OB, PP, FP Encounter must include the following 2 elements (element 2 Student notifies Site Director and/or Clerkship

6/17/19 8 determines the level of student responsibility): Director at the end of week five of the rotation that 2 at any level 1. Student creates a therapeutic relationship with the patient the required encounter for Gynecologic Surgery has by any of the following: not been met. - History taking/data gathering/chart review - Introduction to patient as team member Site Director and/or Clerkship Director will - Performs physical examination determine the course of action from the following: 2. Student participates in the following elements of (a) Locate patient for student to participate in a Gynecologic Surgery: Gynecologic Surgery OR Observed = Student observes greater than 50% of (b) Arrange for simulation of a Gynecologic procedure. Surgery under direct faculty supervision, where Partial Participation = Student scrubs/gowns/gloves and the faculty member will document a post‐ assists with at least 50% procedure. encounter discussion and that the requirement Full Participation = Student scrubs/gowns/gloves and has been met. assists with greater than 50% of the procedure. Gyn‐Endocrine I, O FP Student creates a therapeutic relationship with the patient and Student notifies Site Director and/or Clerkship performs the following under the guidance of a resident or Director at the end of week five of the rotation that 1 at FP attending: the required encounter for Gyn‐Endocrine has not - History taking/data gathering/chart review been met. - Performs physical examination - Develops clinical assessment Site Director and/or Clerkship Director will - Develops therapeutic plan determine the course of action from the following: (a) Locate patient for student to participate in a Gyn‐Endocrine case (b) Arrange for simulation of a Gyn‐ Endocrine case under direct faculty supervision, where the faculty member will document a post‐ encounter discussion and that the requirement has been met. Gyn‐Oncology I, O PP, FP Student creates a therapeutic relationship with the patient and Student notifies Site Director and/or Clerkship performs the following under the guidance of a resident or Director at the end of week five of the rotation that 1 at PP or FP attending: the required encounter for Gyn‐Oncology has not - History taking/data gathering/chart review been met. - Performs physical examination - Develops clinical assessment Site Director and/or Clerkship Director will - Develops therapeutic plan determine the course of action from the following: - Participates or observes Gyn-Oncology Procedure (a) Locate patient for student to participate in a Partial Participation = at least 2 elements Gyn‐Oncology case Full Participation = at least 3 or more elements (b) Arrange for simulation of a Gyn‐Oncology case under direct faculty supervision, where the

6/17/19 9 faculty member will document a post‐ encounter discussion and that the requirement has been met. Uro‐Gynecology or I, O FP Student creates a therapeutic relationship with the patient and Student notifies Site Director and/or Clerkship Pelvic Floor Disorder performs the following under the guidance of a resident or Director at the end of week five of the rotation that 1 at FP attending: the required encounter for Urogynecology or Pelvic - History taking/data gathering/chart review Floor Disorder has not been met. - Performs physical examination - Develops clinical assessment Site Director and/or Clerkship Director will - Develops therapeutic plan determine the course of action from the following: (a) Locate patient for student to participate in a Uro‐Gynecology or Pelvic Floor Disorder case (b) Arrange for simulation of a Uro‐ Gynecology or Pelvic Floor Disorder case under direct faculty supervision, where the faculty member will document a post‐encounter discussion and that the requirement has been met. Cervical Cytology O OB, PP, FP Encounter must include the following 2 elements (element 2 Student notifies Site Director and/or Clerkship Screen/Pap Test determines the level of student responsibility): Director at the end of week five of the rotation that 2 at any level 1. Student creates a therapeutic relationship with the patient the required encounter for Cervical Cytology by any of the following: Screen/ Pap Test has not been met. - History taking/data gathering/chart review - Introduction to patient as team member Site Director and/or Clerkship Director will - Performs physical examination determine the course of action from the following: 2. Student participates in the following elements of the pap (a) Locate patient for student to participate in a test: Cervical Cytology Screen/ Pap Test OR Observed = Student observes a pap test done by someone (b) Arrange for simulation of a Cervical Cytology else. Screen/ Pap Test under direct faculty Partial Participation = Student identifies cervix and collects supervision, where the faculty member will cervical cytology specimen using a broom brush or spatula. document a post‐ encounter discussion and Full Participation = Student places speculum, identifies that the requirement has been met. cervix, collects cervical cytology specimen using a broom, brush or spatula and then transfers material to specimen cup. Post Menopause I, O FP Student creates a therapeutic relationship with the patient and Student notifies Site Director and/or Clerkship performs the following under the guidance of a resident or Director at the end of week five of the rotation that 1 at FP attending: the required encounter for Post Menopause has not - History taking/data gathering/chart review been met. - Performs physical examination

6/17/19 10 - Develops clinical assessment Site Director and/or Clerkship Director will - Develops therapeutic plan determine the course of action from the following: (a) Locate patient for student to participate in a Post Menopause case OR (b) Arrange for simulation of a Post Menopause case under direct faculty supervision, where the faculty member will document a post‐ encounter discussion and that the requirement has been met.

REQUIRED AND RECOMMENDED CLERKSHIP MATERIALS

• Beckmann’s Obstetrics and Gynecology • Blueprints- Obstetrics and Gynecology • Case Studies- Obstetrics and Gynecology • UWISE and UWORLD

EVALUATION, EXAMINATION, AND REMEDIATION POLICIES

Refer to D2L for:

• CMS Excused Absence Policy document for examination and other clinical experience remediation guidelines. • CMS Clerkship Grading Policy • Clinical Evaluation Standards • Required Minimum Patient Encounters are included in the syllabus and indicate specific patient type/clinical condition remediation guidelines. • CMS Exam Conduct Policy • RFUMS Exam Loaner Laptop Policy • CMS Clerkship Retake/Rescheduled Exam Policy • RFU Remediation Policy

NBME Online Shelf Exam: 6/17/19 11

The NBME Online Shelf Exam is typically held at the RFUMS Campus on the last Friday of the rotation from 9:00 a.m. to 12:00 p.m. However, please refer to D2L for the most recent updates.

The NBME is responsible for grading exams. No challenges are accepted for NBME exams. Scores will be available approximately 1-2 weeks after the exam has been completed, but will not be published until clinical evaluations have been received.

In general, Clerkship Directors will determine how the student will make up patient encounters, clinical activities or other clerkship requirements. Clerkship Directors will determine if and when the student will be required to repeat the clerkship. Clerkship Directors will use case-by- case evaluation and coordinate with the Office of Student Affairs & Education.

CMS Remediation Procedures:

Eligibility Criteria for Remediation: At the end of the rotation, students who have an unsatisfactory/failing grade in any of the applicable course components (final exam, clinical evaluation, and/or performances) will be offered remediation for the component(s) they have failed.

Process for Remediation: Students are required to take exams, if applicable, as scheduled and in the proscribed manner outlined in the CMS Clerkship Retake/Rescheduled Exam Policy. Clinical evaluations and/or rotation-specific performances requiring remediation will be addressed by the Education Director based upon the deficits.

Remediation Grading Outcomes: If the student passes the remediation, they receive a grade of “Pass” for the rotation. If the student fails the remediation, they receive a grade of “Fail” for the rotation. A failure will result in the student repeating all or part of the rotation at the discretion of the Education Director, in consultation with the Assistant Dean of Clinical Education.

Maximum number of attempts to remediate: Students will have one opportunity to pass a remediation.

Please reference the following additional Polices and Guidelines posted to D2L:

• SEPAC Handbook • SEPAC Policy • Clinical Grade Appeal Policy • Clerkship/Sub-Internship Grade Appeal Form

6/17/19 12 • Student Policies Handbook • Testing Accommodations Guidelines • CMS Learner Mistreatment Policy and Procedures • Medical Student Work Hours Policy • Off-Site Secure Storage Policy • Teacher-Learner Expectations • CMS Professionalism Policy and Procedures • CMS Dress Code Policy • Ebola Virus Policy • Exposure Incidents Policy • Alcohol and Drug Use Policy

Administrative Professionalism in Obstetrics & Gynecology:

This type of professionalism refers to the non-clinical aspects of professionalism. Physicians and medical students demonstrate their administrative professionalism in many ways. Some aspects of administrative professionalism address timely completion of medical records, timely communication with patients and peers, and presentation for didactic sessions and committee work on time.

Examples of infractions in administrative professionalism include: • Unexcused tardiness for required CMS-sponsored didactics (excludes the affiliate site didactics that are provided to students only assigned to that site) • Unexcused tardiness for simulation activities • Unexcused absences from CMS didactic sessions • Signing in for another student at didactic sessions • Unexcused assignments turned in after clerkship-specific stated deadlines • Unexcused remediation of assignments submitted after established deadlines.

The deadlines for clerkship requirements are posted in D2L under “Clerkship Requirements & Forms.” *Note: The list of administrative infractions for this requirement includes the examples mentioned above. This list is not all-inclusive.

Administrative professionalism is a clerkship requirement for the Obstetrics and Gynecology clerkship. It is graded the same way as any other clerkship requirement. It too must be passed in order to pass the clerkship. The administrative professionalism requirement remains

6/17/19 13 separate from the clinical professionalism component of a student’s grade. If a student is tardy or has unexcused absences at student- specific site presentations or activities, these infractions may affect a student’s clinical professionalism grade.

In order to pass this requirement, students will be assessed using the 3-strike (infraction) rule. Each infarction will be considered one event.

• First strike (infraction): The Education Director or his/her designee will contact the student informing him/her of the specific infraction and any required remediation. • Second strike (infraction): The Education Director will meet with the student and determine the appropriate remediation. • Third strike (infraction): The student will fail the administrative professionalism requirement.

The OB/Gyn Education Director is responsible for determining the administrative infractions, appropriate remediation(s), identifying remediation activities and deciding when remediation is successful. In addition, the Education Director can determine any additional administrative professionalism infractions as serious. For these, the 3-strike rule may not apply. An infraction that is deemed serious will be addressed on a case-by-case basis.

The remediation for any/all of the 3 infractions may include one or more of the following remediations: • Writing a reflection on the type of infraction and how it may affect one’s professionalism when a physician • Referral to the Professionalism Committee • Referral to the SEPAC Committee • Meeting with another specified faculty member • Any additional remediation appropriate to the infractions

If a student fails the administrative professionalism clerkship requirement, i.e. a total of 3 infractions, the student will receive a ‘needs remediation’ grade for this clerkship requirement. Upon remediation of this requirement, the highest attainable grade a student will receive for their clerkship is a PASS.

Holiday Schedule:

You must follow the holiday schedule for your site, not Chicago Medical School's schedule.

Weather Emergencies:

6/17/19 14 If the University is closed due to extreme weather, check with your clinical site regarding its status. Unless otherwise directed by your Site Director, you should go to your clinical site.

ACADEMIC ACCOMMODATION

Rosalind Franklin University of Medicine and Science is committed to providing equal access to learning opportunities for students with documented disabilities. To ensure access to this class and your program, please contact the ADA Coordinator at 847.578.8354 or [email protected] to engage in a confidential conversation about the process for requesting accommodations in the classroom and clinical settings.

Accommodations are not provided retroactively. Students are encouraged to register with the ADA Coordinator as soon as they begin their program. Rosalind Franklin University of Medicine and Science encourages students to access all resources available. More information can be found on the Academic Support InSite page or by contacting the ADA Coordinator.

SITE DIRECTORS, FACULTY AND STAFF

Site Directors Phone Office E-mail

Josef Blankstein, MD 773-257-6459 F202 [email protected] Richard Trester, MD - Sinai 773-257-4262 F208 [email protected] Maura Brennan, MD - ALGH 847-723-6994 4 South [email protected] Mukesh Patel, MD - St Anthony 773-484-4338 [email protected] Emily Lombard, MD - St Joseph [email protected] John E. Patterson, MD - Mercy [email protected]

Site Coordinators Phone Office E-mail

6/17/19 15 Sandra Guzeldere - Sinai 773-257-5098 F202 [email protected] Marisol Hernandez-Martinez - ALGH 847-723-6464 [email protected] Belinda Cadena - St Anthony 773-484-4338 [email protected] Myrna Samoy - St Joseph 773-665-3132 [email protected] Nicole Bradshaw-Mercy 312-567-2182 [email protected] Angel Page-Rivers – Mercy 312-567-2490 [email protected]

CLERKSHIP SCHEDULE FOR 2019-2020

Last Day of clerkship Didactic Day 1 Didactic Day 2 Orientation day NBME Exam Rotation # First Day at Site 9:00 a.m. – 5:00 p.m. 8:00am-5:00pm and Career Days 9:00 a.m. – 11:45 a.m. at Sinai at Sinai on CMS Campus On Campus Monday, Wednesday Thursday, Friday, 08/16/19 1 07/08/19 07/10/19 7/25/19 Location: TBD Wednesday, Tuesday, August 30, 2019 Monday, Thursday, Friday, 09/27/19 2 08/21/19 M3 Orientation Day 08/19/19 09/05/19 Location: TBD 2pm-4pm Wednesday, Tuesday October 22, 2019 Monday, Thursday Friday, 11/08/19 3 10/02/19 Career Day I 09/30/19 10/17/19 Location: TBD Full day

Wednesday, Thursday, Monday, Friday, 12/20/19 4 11/13/19 12/05/19 11/11/19 [Moved one week later due to Location: TBD Thanksgiving Holiday] Wednesday, Tuesday January 21, 2020 Monday, Thursday, Friday, 02/14/20 5 01/08/20 Career Day II 01/06/20 01/23/20 Location: TBD Full day

6/17/19 16 Tuesday Wednesday, Tuesday March 24, 2020 02/18/20 Thursday, Friday, 03/27/20 6 02/19/20 Career Day III [Due to President’s 03/05/20 Location: TBD Full day day holiday] Wednesday, Tuesday May 5, 2020 Monday, Thursday, 7 04/01/20 Friday, 05/08/20 Career Day IV & Poster Day 3/30/20 04/16/20 Location: TBD Full day Tuesday, June 2, 2020 Monday, Wednesday, Thursday, 8 Friday, 06/19/20 Career Day V 05/11/20 05/13/20 05/28/20 Location: TBD Full day

CONTACT HOURS

Lectures 11 Laboratory 2 Small Group Discussion 12 Team-based learning 2 Patient Contact 70 Online learning 20 Exams 3 TOTAL 120

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