VCOM College Catalog and Student Handbook

Osteopathic Medical School -YearThree

VCOM has developed a model medical curriculum that provides an academic environment within the community based hospital and outpatient medical practices. The OMS 3 year is designed to provide students with a broad foundation for primary care medicine. Students complete 8 core rotations in the following disciplines: Family Medicine, Internal Medicine I and II, Pediatrics, Psychiatry, Obstetrics and Gynecology, Rural Primary Care, and Surgery. In addition, students complete a research rotation and 1 medical or surgical selective. Each rotation is accompanied by curriculum delivered in case-based format and reading assignments to assure consistency of learning of the required content. The curriculum also includes monthly didactic presentations and student case presentations/discussions where students from other health professions attend. Students are required to complete and pass two case presentations in their OMS 3 year. Students who do not pass a case presentation are required to meet with the DSME to create a remediation plan, which most often includes completing and passing another case presentation. Successful completion of two passing case presentations is required but is not GPA accountable or included in the rotation grade. Osteopathic manipulative medicine skills are integrated within the various clinical rotations and OMM skills are utilized in some of the clinical experiences, taught through clinically integrated case based studies, and taught through workshops in the third year. Students are evaluated through clinical faculty observations of competencies and computer-based end-of-rotation exams. The curriculum in the third year is divided into two semesters, each 22 weeks in length. Full-time enrollment during the OMS 3 year is defined as being enrolled in a minimum of 12 hours per semester and is required of all students. During the OMS 3 year, all students are required to complete at least one core rotation under the supervision of an osteopathic physician and opportunities exist in the core sites for more than one rotation with an osteopathic physician. OMS 3-year students must also complete at least one rotation in a health care setting in which the student works with resident physicians currently enrolled in an accredited program of graduate medical education. In addition, OMS 3-year students must complete more than one rotation in an inpatient setting. During the OMS 3 year, students may not rotate with the same preceptor more than once in the same academic year. Additionally, students may not rotate with a preceptor who is a family member or with whom they have a personal relationship since the preceptor must objectively evaluate the performance of the student and must avoid the impact of conflicts of interest in the operation of the medical education program. It is expected that students will notify Clinical Affairs of any pre-existing relationships well in advance of the rotation. VCOM partners with community-based hospitals and medical practices in the target Appalachian and Delta region in Virginia, North Carolina, South Carolina, West Virginia, Georgia, Tennessee, Florida, Louisiana, and Alabama for the third year Core rotations. Each regional site includes a teaching hospital and teaching medical practices. Teaching hospitals that range in size from 100 to 500 beds or those that are in urban or suburban areas are balanced with ambulatory medical practice experience and rural hospital, rural clinic, or medically underserved regional practice experiences. The blend of training in rural and medically underserved settings along with training in the larger community-based hospital provides students with a one-on-one experience with the teaching physicians, which resemble the more traditional formal hospital service-based education seen in hospitals where residencies most often exist. OMS 3 and OMS 4 students also have unique global health educational opportunities by utilizing an elective opportunity to spend four weeks in the Dominican Republic, Honduras, or El Salvador for a global health clinical experience. VCOM students who have a military HPSP scholarship are also provided the opportunity to complete one or more four-week rotations in a military hospital. During the OMS 3 year, students must demonstrate competence in history and physical exam skills through the Comprehensive Osteopathic Medical Performance Exam (COMPE). The Comprehensive Osteopathic Medical Performance Exam, is a summative evaluation of the student’s skills in Osteopathic Manipulative Medicine, History and Physical Diagnosis, and Differential Diagnosis through a comprehensive standardized patient examination. This assessment is a mandatory evaluation, of which the student is required to pass to matriculate to the fourth year. The

92