Perelman School of Medicine 2023

A curriculum guide for the Perelman School of Medicine at the University of Pennsylvania. Open and start reading right away!

> integrated > innovative > individualized

EDUCATIONAL PROGRAM

PERELMAN SCHOOL OF MEDICINE AT THE UNIVERSITY OF PENNSYLVANIA

EDUCATIONAL PROGRAM

integrated Integration of basic, translational, social, clinical, and health systems sciences throughout the continuum of medical education, led by outstanding faculty committed to the privilege of teaching tomorrow’s healthcare leaders. innovative Our training is designed to enable students to learn and work in teams throughout medical school. Our university campus provides unparalleled proximity and access to opportunities for educational enrichment at any of our leading graduate schools, innovative research centers, and renowned clinical facilities. individualized Numerous and diverse opportunities allow for customization of the medical education journey and pursuit of unique professional experiences so that all specific interests and career goals can be attained.

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YEAR 1 AUGUST

YEAR 2 DECEMBER

YEAR 3 JANUARY

YEAR 4 MAY



CORE 2 Patient Care Core Clerkships

t

CORE 1

CORE 3 Transitions Sub-Is + Electives

Integrating Medicine Core Principles + Integrative Systems & Disease

Year 1 AUGUST

Year 2 DECEMBER

Year 2 JANUARY

Year 3 JANUARY

Year 4 MAY

CORE 1

CORE 3

CORE 2

Integrating Medicine

Patient Care

Transitions



PRE-CLERKSHIP CURRICULUM

IMPaCT Integrating Medicine

CORE 1

Year 2 DECEMBER

Year 1 AUGUST

Year 1 JANUARY

BIOMEDICAL SCIENCE (1st semester) Genetics

INTEGRATIVE SYSTEMS AND DISEASE (2nd and 3rd semesters) Mechanisms of Disease & Therapeutic Intervention (MDTI) Brain & Behavior

Cardiology Dermatology Nephrology Pulmonology Infectious Disease

Biochemistry Embryology

Cell & Tissue Biology Anatomy & Imaging

Reproduction Endocrinology Gastroenterology & Nutrition

Immunology Microbiology Cancer Biology Epidemiology

CLINICAL MEDICINE, PROFESSIONALISM AND HUMANISM (1st, 2nd, 3rd semesters) Introduction to Clinical Medicine (ICM) Doctoring 1 LEAPP Ultrasound Diagnostics Health Systems Sciences

CORE 1 PRINCIPLES -  Basic science and clinical medicine curricula emphasize foundational, integrative concepts -  Clinical anatomy directly links with radiologic imaging, ultrasound techniques, and physical exam findings -  Small group sessions use learning teams for optimal student and faculty engagement -  Clinical sessions highlight development of skills essential for patient care: • Taking histories and performing physical exams • Establishing relationships with patients across all cultures and genders • Developing skills in differential diagnosis • Exploring health systems sciences

INTEGRATIVE SYSTEMS AND DISEASE -  Curriculum is designed in blocks to integrate basic science and clinical medicine concepts related to an organ system. The structure incorporates: -  Three afternoons are unscheduled, allowing time and flexibility for any activity of interest, such as working at one of the community clinics, attending classes outside of medicine, pursuing independent research, playing sports, continuing hobbies, or relaxing -  Learning experiences include seminars, workshops, case discussions, standardized patients, and exposure to clinical settings -  Longitudinally follow patients through the LEAPP program to learn the effects of disease on family and quality-of-life -  Ultrasound: 3-semester curriculum learning the technique for acquiring, reading, and applying ultrasound images for patient care -  Additional electives in Humanism, Arts and Medicine, Narrative Medicine, Medical Mandarin and Spanish, Leadership, Advocacy, Equity, and more

• Normal development • Normal structure and function • Pathophysiology • Therapeutics and disease management • Epidemiology and evidence-based medicine

• Disease prevention • Imaging, lab medicine, diagnostics • Differential diagnosis • Patient panels, career panels

Pre-clerkship week: The final week of the pre-clerkship curriculum in December prepares students for the clerkship experience with a guided reinforcement -  Pass/Fail Grading

CLERKSHIP* CURRICULUM

IMPaCT Patient Care

CORE 2

Year 2 JANUARY

Year 3 DECEMBER

BLOCK A Obstetrics and Gynecology (6 weeks)

12 WEEKS

Pediatrics (6 weeks)

BLOCK B Family Medicine (4 weeks)

12 WEEKS

Internal Medicine (8 weeks)

BLOCK C Surgery (8 weeks)

12 WEEKS

Orthopedics, Otolaryngology, Ophthalmology, Anesthesiology (4 weeks)

BLOCK D Neurology (4 weeks)

12 WEEKS

Psychiatry (4 weeks)

Emergency Medicine (4 weeks)

PROFESSIONALISM AND HUMANISM Doctoring 2 Clerkship Practicum

*Order of blocks varies by student

CORE 2 PRINCIPLES

REQUIRED CLINICAL CLERKSHIPS Core Clerkships • Sub-divided into four 12-week blocks

•  Block A: Obstetrics and Gynecology (6 weeks), Pediatrics (6 weeks) •  Block B: Family Medicine (4 weeks), Internal Medicine (8 weeks) •  Block C: Surgery (8 weeks), Specialty Services (Orthopedics, Otolaryngology, Ophthalmology, Anesthesiology) (4 weeks) •  Block D: Neurology (4 weeks), Psychiatry (4 weeks), Emergency Medicine (4 weeks) Doctoring 2 • M onthly series that utilizes near peer mentoring, narrative medicine exercises, and longitudinal faculty preceptor relationships to process personal and professional experiences over the clerkship year Clerkship Practicum •A longitudinal, 7 session curriculum that emphasizes core health systems sciences topics and clinical skills that students can directly apply to the care of their patients throughout their clinical rotations -  Clerkships emphasize management of acute and chronic illnesses across all age groups in both inpatient and ambulatory settings; clinical therapeutics, advanced communication skills, patient safety, structural and social determinants of health, and interprofessional team-based practices are incorporated into all clerkships -  Computerized simulation mannequins and standardized patients used in addition to patients for clinical skills, procedures, and physical exams -  Five major teaching hospitals within walking distance of the school -  Weekly didactics reinforce evidence-based concepts underlying clinical disease in each clerkship -  Honors/High Pass/Pass/Fail Grading

POST-CLERKSHIP CURRICULUM

IMPaCT Transitions

CORE 3

Year 3 JANUARY

Year 4 MAY

SUB-I Internal Medicine, Emergency Medicine, Pediatrics, or Family Medicine

4 WEEKS

CLINICAL ELECTIVES

16 WEEKS

ADDITIONAL ELECTIVES Penn Clinical, Away, or Research

8 WEEKS

SCHOLARLY PURSUIT

12 WEEKS

FLEXIBLE/OPEN TIME

24 WEEKS

MEASEY STeP (SPECIALTY TRANSITION PATHWAYS) TO RESIDENCY STeP Foundations course with longitudinal coaching

PROFESSIONALISM AND HUMANISM Bioethics

CORE 3 PRINCIPLES

-  Twenty-four weeks of flexible and open time allows students the opportunity to individualize educational experiences to pursue an area of concentration, dual degrees, research; participate in a range of short-term projects in areas such as global health; preventive, community, public health medicine; or health policy; focus on career goals or personal life -  Required 4 week inpatient sub-internship allowing increased responsibility for patient care in internal medicine, pediatrics, emergency medicine, or family medicine -  4 clinical advanced Penn electives (16 weeks) and 2 additional electives (8 weeks) which can be Penn electives, U.S. away rotations, research -  Scholarly Pursuit with a faculty member for a minimum of 12 weeks requiring students to design and undertake a research project in the lab, clinic, or community and submit a formal paper. Students earning either a MD/PhD, MD/Masters, or doing a research year fulfill the Scholarly Pursuit requirement -  Measey Specialty Transition Pathways (STeP) to Residency: A longitudinal program after residency applications are submitted that prepares students for internship and concludes with discipline-specific boot camps -  USMLE Step 1 and Step 2 -  Honors/High Pass/Pass/Fail Grading PROFESSIONALISM AND HUMANISM -  Bioethics (1 week) -  Structured experiences promoting humanism, multiculturalism and professionalism, cultivation of medical collegiality, and doctor-patient relationships -  Pass/Fail Grading

The Jordan Medical Education Center, a state-of-the-art learning facility,

is uniquely situated in the center of multiple translational research

facilities, a hospital, and ambulatory care practices.

CURRICULAR INNOVATIONS

The Perelman School of Medicine (PSOM) along with the University of Pennsylvania Health System (UPHS) combines to create Penn Medicine, which enjoys an international reputation for innovation because of its curriculum structure and design, its vast resources on a single campus, and its linkage to the Health System, a major academic medical center renowned for clinical care, translational research, interdisciplinary collaboration, robust infrastructure, and research funding, including top-ranked NIH research funding. These components allow students to individualize their educational pathway.

MEASEY EMERGENCY MEDICAL TECHNICIAN TRAINING PROGRAM

DUAL DEGREES The flexibility of the curriculum allows students to earn dual degrees at any school at the University of Pennsylvania and do so in an abbreviated amount of time. The degrees offered are: • MD/PhD • MD/JD • MBA — Master of Business Administration • MBE — Master of Bioethics • MSCE — Master of Science in Clinical Epidemiology • MSTR — Master of Science in Translational Research • MPH — Master of Public Health • MSHP — Master of Science in Health Policy Research • MSME — Master of Science in Medical Ethics • ML — Master in Law and Health • MSNS — Master of Science in Nutrition Science AREAS OF CONCENTRATION Students can pursue specialized concentrations that can be completed during the four-year curriculum: • Academic Surgery • Clinical Informatics • Clinical Neuroscience • Community Health (Bridging the Gaps Clinical Scholar) • Global Health • Healthcare Management, Entrepreneurship, and Technology (H-MET) • Leadership in Healthcare Improvement and Safety • Medical Education • Medical Humanities • Measey Primary Care Pathway • Pallative Care • Public Health in Medicine • Spirituality and Health The areas of concentration can be completed during the 4-year medical school program. CARE 7 A comprehensive four-year curriculum that teaches students communication and palliative care skills using simulation-based experiential learning and structured immersive clinical practice. This program will produce medical students who are competent and skilled in the basic tenets of communication, empathy, professionalism, and knowledge in the care of patients with serious illness and palliative care needs.

Students who engage in the EMT program will receive training on the assessment and triage of patients in need of emergent medical care, develop essential team-building skills by working collaboratively in small groups to assess and treat medical and trauma patients, and earn a Pennsylvania Department of Health Emergency Medical Technician Certification. Students engage in patient interactions through clinical rotations in one of three University of Pennsylvania Health System Emergency Departments, and develop the skills required to care for patients in diverse settings with varied treatment modalities. MEASEY SPECIALTY TRANSITION PATHWAYS (STeP) TO RESIDENCY PROGRAM Students will select a pathway based on their anticipated residency specialty in this 9-month, structured, longitudinal curriculum, designed to best prepare graduating medical students for their specialty specific roles and responsibilities. Students will participate in a STeP Foundations Course and meet regularly with a coach to create an individualized learning plan to address the skills they wish to work on prior to the beginning of internship. TEAM TRAINING Learning in teams is integral to the curriculum. A team training curriculum teaches students how to be leaders, how to work in a team, and the importance of basic team and communication skills. Penn’s single campus for undergraduate, graduate, and professional schools promotes interprofessional education across engineering, business, dentistry, nursing, law, and social work, among others. FIFTH-YEAR FELLOWSHIPS Offers a “Year Out” option with a wide range of funding options, including: • Society fellowships and grants • Howard Hughes Medical Institute • Anatomic Pathology Fellowship at Penn • Children’s Hospital of Philadelphia Orthopaedics Clinical Research • FOCUS on Health and Leadership for Women Fellowship • Year out research GLOBAL AND COMMUNITY HEALTH Penn’s Perelman School of Medicine offers an experiential approach to global and community health service. • Field experience with individuals and communities who are left out of the healthcare system, are underinsured, or uninsured • International partnerships in Botswana, Guatemala, India, and the Dominican Republic • Research and clinical experiences ranging from one month to a year in every region of the world • Bridging the Gaps program at clinics in under-resourced areas of Philadelphia

PSOM’S COMMITMENT TO COMMUNITY OUTREACH INITIATIVES FOR PEOPLE WHO ARE MEDICALLY UNDERSERVED

3% * HIGH SCHOOL STUDENT MENTORING PROGRAMS Summer Mentorship Program Educational Pipeline Program

79%* STUDENT-LED

COMMUNITY CLINICS Center for Surgical Health

18% * NON-CLINICAL

Covenant House Cut Hypertension

OPPORTUNITIES Bridging the Gaps Dance for Health Health Science Exploration Nourish Social Needs Response Team Walk With a Future Doc

Heart Health Bridge to Care Homeless Health Initiative Homeless Outreach Project Philadelphia Human Rights Clinic Puentes de Salud Refugee He al th Clinic United Community Clinic Unity Clinic University City Hospitality Coalition

*265 PARTICIPATING STUDENTS

OUTCOMES

• R esidency Placement — Graduates receive positions in all specialties at the nation’s top academic medical centers • U SMLE — Exceptional performance on all USMLE exams • Global Health — 27% of students participate in medical experiences abroad • R esearch Recognition — Required scholarly activity results in presentations at major national medical meetings by more than 50% of students

MAY 2023 PSOM GRADUATES SELECTING INDIVIDUALIZED PROGRAMS

61.4% MD+ graduates

100

7 MD/Masters/AOC 2 MD/PhD/AOC

MATCH DAY 2023

80

38.6% MD graduates

# of States Students Will Be Going to for Residency 20 TOP 5 STATES Pennsylvania (36.5%) Massachusetts (17.5%)

TOP 8 SPECIALTIES Internal Medicine Pediatrics Ophthalmology Psychiatry Neurological Surgery Obstetrics and Gynecology Orthopaedic Surgery General Surgery Matched at HUP/CHOP/Scheie Eye 31%

60

39 MD/AOC

51 MD only

40

11 MD/Masters

22 MD/PhD

20

California (11.9%) New York (7.1%) Maryland (5.6%)

132 GRADUATES includes 4 oral maxillofacial (OMFS)

PSOM MISSION STATEMENT Our mission is to advance knowledge and improve health through research, patient care, and the education of trainees in an inclusive culture that embraces diversity, fosters innovation, stimulates critical thinking, supports lifelong learning, and sustains our legacy of excellence. ADMISSION VISION STATEMENT Perelman School of Medicine at the University of Pennsylvania will select students who will become future physician leaders in health care, advancing science and discovery and furthering the clinical, educational, research, health policy and medical entrepreneurial missions for our society. Graduates of the Perelman School of Medicine will be leading advocates for these endeavors within their local environment as well as for the health of national and international communities. We strive to recruit a diverse and inclusive class that reflects these goals.

PERELMAN SCHOOL OF MEDICINE AT THE UNIVERSITY OF PENNSYLVANIA OFFICE OF ADMISSIONS

Jordan Medical Education Center Building 421, 6th Floor 3400 Civic Center Boulevard Philadelphia, PA 19104–5162 215.898.8001 WWW.MED.UPENN.EDU/ADMISSIONS

@PennMedicine

@PerelmanSchoolofMedicine

@pennmedicine

NON-DISCRIMINATION STATEMENT The University of Pennsylvania values diversity and seeks talented students, faculty and staff from diverse backgrounds. The University of Pennsylvania does not discriminate on the basis of race, color, sex, sexual orientation, gender identity, religion, creed, national or ethnic origin, citizenship status, age, disability, veteran status or any other legally protected class status in the administration of its admissions, financial aid, educational or athletic programs, or other University-administered programs or in its employment practices. Questions or complaints regarding this policy should be directed to the Executive Director of the Office of Affirmative Action and Equal Opportunity Programs, Sansom Place East, 3600 Chestnut Street, Suite 228, Philadelphia, PA 19104-6106; or 215.898.6993 (Voice). © 2023 by the Trustees of the University of Pennsylvania. All rights reserved. No part may be reproduced without written permission of the Trustees. Design: kelshwilson.com Photography: Daniel Burke Photo & Video, LLC

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