Med 3 Selectives

From U of M Internal Medicine Wiki

This is a work in progress

What is a Med 3 Selective?

During a Med 3 student's Internal Medicine rotation, they will complete a CTU rotation Undergraduate Clinical Teaching Unit (CTU) Ward Rotation as well as a Selective rotation.

Selectives are composed of different medical programs that students can go into for their Residency.

Student's participate in a more specialized area of Internal Medicine where they will be participating in clinics, consults, rounds and other teachings in a specific area of interest.

Selectives in Internal Medicine include:

  • Cardiology
  • Hepatology
  • Respiratory
  • Palliative Care
  • Adult Allergy
  • ICU
  • Infectious Diseases
  • Neurology
  • Nephrology
  • General Internal Medicine(GIM)
  • Oncology
  • Endocrinology
  • Gastroenterology
  • Geriatrics
  • Hematology
  • Physical Med and Rehab
  • Rheumatology

Student get to experience a two week rotation in one of the above fields.

Selectives run all throughout the academic year, from October to end of September the following year.

Each Med 3 group will experience 1 Med 3 Selective during their Clerkship/Med 3 year.

Once they reach Med 4, they will be able to choose multiple Med 4 Electives to further their experience within Internal Medicine.

Students in Med 3 Selectives require an Undergraduate FITER evaluation at the end of their rotation.

The Dean's Office will send out a schedule for academic year with all of the dates for the Med 3 Selectives on it. There are 8 periods in Med 3/Clerkship year. Each period has 1 Selective rotation. This means that there are 8 Selective rotations throughout the year.

How to Schedule Med 3 Selectives

Sometime in March or April, the Dean's Office will send the Undergraduate Program Administrator a spreadsheet that includes all of the Med 2 student's ranked Selective preferences for their upcoming Med3/Clerkship year.

They will rank their top 5 Selectives in order of 1= they want the most and 5= the least.

The Selectives run all throughout the academic year, from October to end of September the following year.

The Undergraduate Program Administrator will then create a master spreadsheet of all of the student's first choices and send it to all of the Internal Medicine Post-Graduate Education Program Administrators.

The Internal Medicine Post-Graduate Education Program Administrators will accept or decline the students based on the availability in their program during the Med 3 student's Selective dates.

If a Student is Accepted

This student is placed in the program that accepted them during their Selective dates. Their name will be transferred to the Selective template found on the Q drive under the folder: Selectives. This is a master schedule for all of the approved Selectives for the upcoming year.

If a Student is Declined

If a student is declined for their first choice of Selectives, then the Undergraduate Program Administrator will move to the student's second choice and send out the spreadsheet again to the Internal Medicine Post-Graduate Education Program Administrators involved.

The Undergraduate Program Administrator will continue this process until the student is accepted into one of the programs. Sometimes this will be the student's first choice and sometimes it will be their 5th.

OPAL

Once student placements have been decided the Undergraduate Program Administrator will populate OPAL with the dates, preceptors, students and Selective programs involved. This can be done at any time but is only published approximately two weeks before the student's Internal Medicine Rotation begins.

It is best to wait to populate OPAL as there will likely be changes throughout the year and it is one less area to alter when those changes occur.

What if a Student wants to Change their Selective

This is to be determined by the Undergraduate Program Administrator on a case by case basis. Selective placements are posted on OPAL approximately 2 weeks before the students Internal Medicine Rotation is scheduled to begin. Therefore, student's will not know where they are placed unless they contact the Undergraduate Program Administrator (expect student's to contact you asking about their placements).

The main reason a student would contact the Undergraduate Program Administrator to change their Selective placement would be that their interests have changed since they first submitted their preferences.

Remember that they submit these preferences when they are in Med 2 and some of them will not complete their Selective until over a year later. During that time, students may experience different aspects of Medicine that would influence their Selective preference(s).

The Undergraduate Program Administrator will check with the Internal Medicine Post-Graduate Education Program Administrator of the requested to program to see if there is room for this Med 3 student during their Selective dates. If there is room, then you can make the change. Make sure to let both the new program and the old program know that this change is occurring, as well as the student.

If there isn't room in their requested program then you can let the student know this. They may come back with a second choice or they may leave it be.

  • Please note that students are not allowed to flip-flop from one Selective to another. One request to change is reasonable, anything beyond that does not need to be accommodated ( again this is at the discretion of the Undergraduate Program Administrator ). Changing a student's placement affects call schedules, clinic schedules and so on.

Who is the Preceptor for a Med 3 Selective FITER?

Some Selectives have a designated preceptor for FITER:

Selective are two weeks in length. The preceptor will be the Attending who spends the most time with the student at the end of their rotation.

The easiest way to find out who the preceptor will be is to email or call the Education Program Administrator for that Selective ie: For Hepatology, speak to Marie Field.

They can give you the name of the preceptor that should be doing the FITER. Then you set up the FITER through OPAL.

  • The above works for all of the programs EXCEPT FOR GIM CONSULTS.

GIM Consults Preceptor

You will need to look at the Bed/Consults schedule that is sent by Natasha to figure out who the preceptor is for HSC GIM Consults program.

For St. Boniface Hospital, you will use the St. Boniface Hospital Attendings schedule sent by Christine Sawatzky. You will use the preceptor under "A Medicine".

Use the preceptor who, on the schedule would have spent the most time with the student. This would be the person who worked the most days towards the end of the student's rotation.

  • The Attendings names on the Bed/Consults schedule that you are looking for are under CONSULTS, not Beds. Ignore the Attending's names under Bed on that schedule for this purpose.

You will likely not have notice far in advance of who the preceptor will be ( which you don't need anyways!).

Once you have the information, link that preceptor to the FITER.

Changing a Preceptor for a FITER

Schedules change. A Education Program Administrator may give you the name of a preceptor but their schedule might change or other unknown factors may come up. Therefore, a preceptor, student or the Program Administrator may contact you letting you know that they are not the preceptor or that the FITER should be linked to someone else.

Sometimes you will need to sort out who the FITER will be linked to. Other times, the person emailing will let you know.

Again, if you need to know who the preceptor is, contact the Education Program Administrator for that program ( unless it is GIM Consults).

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