Curriculum Overview

The Doctor of Medicine (MD) degree is awarded upon successful completion of the following:

To be eligible for graduation, students must successfully complete all coursework and USMLE requirements within seven calendar years of their matriculation date. If at any point it becomes clear that a student is unable to meet all graduation requirements within seven years, he/she will be subject to dismissal.

Students graduating may do so on one of three graduation dates each academic year: 11/30, 3/31 and 4/30. Students are strongly encouraged to complete are degree requirements 60 days prior to their scheduled graduation date. Requests for special graduation dates will be reviewed on a case-by-case basis. See the Special Graduate Date Request policy in the Policies and Administrative Procedures Section of this Student Handbook.

The MD degree program is designed to meet the core competencies established by the Accreditation Council for Graduate Medical Education (ACGME). ACGME competencies are discussed throughout the program, and will be identified as applying to the following categories of competency:

RUSM is currently adopting changes in the Foundations of Medicine curriculum; not all changes will affect every student currently enrolled. There follows a brief overview of the Foundations of Medicine and Clinical Science curricula and associated programs in this context. Both curricula are covered in more detail further in this section.

Foundations of Medicine Overview

The Foundations of Medicine curriculum is designed to:

Eligibility for the Standard Accelerated Curriculum: The first semester for the Standard Accelerated Curriculum and the Ross+ Curriculum are identical. Beginning in May 2016, first semester (FM01) students who have earned a 70% on their first attempt at semester 1 or 75% on their second attempt at semester 1 will be eligible to register for the Standard Accelerated Curriculum. Students earning less than 70% (or 75% for repeaters) in FM01 will be enrolled in the five semester Ross+ curriculum for the remainder of the Foundations of Medicine curriculum.

Passing Courses: Students are required to pass all courses in a semester to maintain Satisfactory Academic Progress (SAP). Should a student fail one course in a semester, the student must repeat the entire semester (regardless of performance in other courses). A student will not be allowed to proceed with subsequent semesters until the student has successfully completed each prior semester’s study. A student who repeats is required to have a signed appeal and Academic Plan on file outlining the requirements of satisfactory academic performance and the consequences of failure to meet the plan. Please note that no semester may be repeated more than once.

Grade Point Average:

Students must maintain a cumulative grade point average (cGPA) of 2.00 or higher for advancement to Internal Medicine Foundations (IMF). If a student earns a cGPA of 1.99 or lower, the Promotions Committee will carefully review the student’s complete academic record and either permit the student to begin IMF on academic probation or recommend the student for dismissal. If the student is permitted to advance to IMF, RUSM must develop an academic plan outlining the specific steps the student must take in order to achieve a cumulative GPA of 2.00 upon completion of the term.

Clinical Sciences Curriculum Overview

The Clinical Sciences curriculum consists of 90 weeks of clinical training, although students may be granted additional time upon request and with the permission of the school.

Internal Medicine Foundations Clerkship

This Clinical Sciences portion of study begins with the first clerkship, Internal Medicine Foundations (IMF). IMF is a required six-week clinical clerkship that provides students with clinical experience in the principles and practice of Internal Medicine. Students spend two-thirds of their scheduled time in physician-supervised patient care and one-third in hands-on learning of clinical skills. Emphasis is placed on techniques of the physical examination, patient-centered communication, diagnostic skills, and formulating an initial assessment and plan. IMF is offered six times during each academic year at the Center for Haitian Studies.

Requirements for IMF:

Core Clerkships and Elective Clerkships

IMF is the first required clerkship. The balance of the Clinical Sciences curriculum consists of required core clerkships and elective clerkships. During this phase, students receive hands-on training in patient care while rotating through various medical specialties with teaching hospitals and other approved healthcare facilities in the

U.S. or other countries. In addition to core clerkships and elective clerkships, students are required to pass the USMLE Step 2 Clinical Knowledge (CK) and the USMLE Step 2 Clinical Skills (CS) to pass this phase of training.

Students who enter IMF will be placed into a track program corresponding with the IMF clerkship. Exceptions will be made if students fail USMLE Step 1.

Upon completion of IMF, and prior to starting the remaining core clerkships, students may request permission to complete up to eight weeks of special elective clerkships. Students should contact their clinical advisor for more information.

Students beginning in core clerkship tracks must complete their entire core clerkship track prior to completing any elective clerkships outside of their initial track schedule (unless approved for up to eight weeks of special electives). Once students begin a track, they may not exit the track for any reason until all six core clerkships are completed.

The total number of clinical credit hours required for graduation will remain unchanged, however, the distribution of the required clerkships and electives are dependent on when the student successfully completes IMF and the required core Surgery clerkship as outlined in the tables below:

Clinical Science Curriculum Requirements Effective May 1, 2014:

For students who completed AICM prior to 2/25/2012 and completed their Required Core Clerkship in Surgery and Surgery Elective by 4/30/2014.
Advanced Introduction to Clinical Medicine Clerkship (12 weeks)
Required Core Clerkships (48 weeks)
Internal Medicine – 12 weeks
Surgery – 12 weeks
Pediatrics – 6 weeks
Psychiatry – 6 weeks
Obstetrics/Gynecology – 6 weeks
Family Medicine – 6 weeks
Electives (30 weeks) – must include:
Surgery Electives (minimum 4 weeks)
Medicine Electives (minimum 8 weeks)
Total: 90 Weeks
For students who completed AICM from 2/25/2012 thru 8/31/2014 and have completed their Required Core Clerkship in Surgery and Surgery Elective by 4/30/2014
Advanced Introduction to Clinical Medicine Clerkship(9 weeks)
Required Core Clerkships (48 weeks)
Internal Medicine – 12 weeks
Surgery – 12 weeks
Pediatrics – 6 weeks
Psychiatry – 6 weeks
Obstetrics/Gynecology – 6 weeks
Family Medicine – 6 weeks
Electives (33 weeks) – must include:
Surgery Electives (minimum 4 weeks)
Medicine Electives (minimum 8 weeks)
Total: 90 Weeks
For students who completed AICM from 2/25/2012 thru 8/31/2014 and have completed their Required Core Clerkship in Surgery by 8/31/14 but have NOT completed a Surgery Elective
Advanced Introduction to Clinical Medicine Clerkship (9 weeks)
Required Core Clerkship Clerkships (44 – 48 weeks – depending on duration of Surgery Core Clerkship*)
Internal Medicine – 12 weeks
Surgery – 8-12 weeks*
Pediatrics – 6 weeks
Psychiatry – 6 weeks
Obstetrics/Gynecology – 6 weeks
Family Medicine – 6 weeks
Electives (33-37 weeks depending on duration of Surgery Core Clerkship) – must include:
Medicine Electives (minimum 8 weeks)
Total: 90 Weeks

Internal Medicine Foundations Clerkship (6 weeks)

Required Core Clerkship Clerkships (44 weeks)

Internal Medicine – 12 weeks Surgery – 8 weeks

Pediatrics – 6 weeks Psychiatry – 6 weeks

Obstetrics/Gynecology – 6 weeks Family Medicine – 6 weeks

Electives (40 weeks) – must include:

Medicine Electives (minimum 8 weeks)

10 weeks of direct ACGME electives (example: Cardiology elective must have a

fellowship in Cardiology)

Total: 90 Weeks

For students who complete IMF on or after 9/1/2014 and Surgery Core after 1/1/2017

Internal Medicine Foundations Clerkship (6 weeks)

Required Core Clerkship Clerkships (48 weeks)

Internal Medicine – 12 weeks Surgery – 12 weeks Pediatrics – 6 weeks Psychiatry – 6 weeks

Obstetrics/Gynecology – 6 weeks Family Medicine – 6 weeks

Electives (36 weeks) – must include:

Medicine Electives (minimum 8 weeks)

10 weeks of direct ACGME electives (example: Cardiology elective must have a

fellowship in Cardiology)

Total: 90 Weeks

Timeframes: To maintain Satisfactory Academic Progress, students must complete the Foundations of

Medicine portion of the curriculum within 90 instructional weeks (six semesters) or fewer, and complete the clinical portion within 135 instructional weeks; and have 225 instructional weeks to finish the entire program. Students have seven (7) years from the date of their matriculation to complete all degree

requirements, including passing all USMLE Step exams.