Undergraduate Clinical Teaching Unit (CTU) Ward Rotation

From U of M Internal Medicine Wiki

What is a CTU Ward Rotation?

CTU stands for Clinical Teaching Unit.

Year-3 of Medical school is also referred to as the Clerkship year. Students are are known as Med 3 students or Clerks.

During a student's clerkship, they are placed on an in-patient ward to learn about patient care. Before the start of this, they need to take part in Ward Orientation. This lasts for 6 weeks (which is 1 period in the Undergraduate schedule). There are approximately 110-120 students in Year-3. The students are put into 8 groups (by the Dean's Office), with approximately 14 students per group.

This means that during each Undergraduate period, there will be approximately 14 clerks on the wards throughout Winnipeg. The locations for CTU rotation are at HSC and St. Boniface Hospital.

HSC- 6 students placed on 3 different services (aka wards): A, D or H

Two students per service:

  • 2 on A
  • 2 on D
  • 2 on H

St. Boniface Hospital-4 students placed on two different services:

  • 2 on A
  • 2 on B


Ward rotations start on a Monday and end on a Friday. If there is a STAT holiday on a Friday, the rotation will end on the Thursday. If there is a STAT holiday on a Monday, the rotation will begin on the following Tuesday. Students will complete an [[Undergraduate Clinical Teaching Unit (CTU) Ward Rotation Exit Interview|exit interview]] upon completion of the CTU rotation and a Ward Orientation before they begin their CTU. Please see links for further information on these two sessions.

CTU Evaluations: MITER and FITER

Students are evaluated on their CTU rotation via a MITER (3 weeks into the rotation) and a FITER (at the end of their rotation= 6 weeks).

How to Set Up a CTU Ward Rotation

The Undergraduate Program Administrator will receive the student's hospital rankings from the Dean's Office in/around April. UGME academic year runs from October to end of September the following year.

The Undergraduate Program Administrator will place students in their ward based on the student's ranking of the different hospital locations. There is a template for this on the Q drive.

When assigning students, note the maximum amount of students per site as listed above.

The Undergraduate Program Administrator will attempt to give each student their first choice selection, however this cannot always occur.

If the first selection is unavailable, the Undergraduate Program Administrator moves the to the student's second and possibly third choice.

Once the Undergraduate Program Administrator has placed the students, they must send the tentative placements to the PGME Program Administrator for CORE medicine for approval. Interro-01.gif Which one, Program Administrator - Core (CBME) Program Administrator - Core (Committee Support) Program Administrator - Core (Orientation)


Once the Clinical Teaching Unit (CTU) Schedule]]s have been approved, the Undergraduate Program Administrator must send the [[Clinical Teaching Unit (CTU) Schedule]]s to the Dean's Office, the Chief Medical Resident and the Internal Medicine COREProgram Administrator Interro-01.gif Which one, Program Administrator - Core (CBME) Program Administrator - Core (Committee Support) Program Administrator - Core (Orientation)

. A master copy will be on the Q drive.

Next, the Undergraduate Program Administrator can upload the information to OPAL. This does not need to be done all at once. It can be done on a Period to Period basis.

A member from the Dean's Office will send an email out letting the Undergraduate Program Administrator know when they should have the specific Period in OPAL populated and published by. This triggers the Undergraduate Program Administrator to start populating OPAL for that period.

This is usually two weeks before the next UGME Period is scheduled to begin.

Changing the CTU Rotation Schedule

Any changes to the Clinical Teaching Unit (CTU) Schedule on the Undergraduate Program Administrator 's side must be sent the the Program Administrator for Internal Core Medicine

Interro-01.gif Which one, Program Administrator - Core (CBME) Program Administrator - Core (Committee Support) Program Administrator - Core (Orientation)

and the Chief Medical Resident (CMR). The CMR creates the on-call schedules for the wards and must have up-to-date information on which students will be on which wards during that period.

You must also notify the CMR and the Program Administrator for Internal Core Medicine Interro-01.gif Which one, Program Administrator - Core (CBME) Program Administrator - Core (Committee Support) Program Administrator - Core (Orientation)

of all students who will be on a Undergraduate Leave of Absence (LOA). It is the CMR's job to make sure that the student's are not on the schedule during their approved LOAs.

Note that post-grad periods are different from Undergrad periods.

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