Pathways Course Info

PRECLERKSHIP

Course objectives are available to enrolled students and course faculty in Canvas under each course site.

Preclerkship Curriculum Support Contact: Caitlin Hoey

IN 555 Introduction to the Profession

Course Director: Kate Treadway

POM 100 Practice of Medicine (POM)

Course Director: Anita Vanka, Katherine T. Johnston

PWY 100 Foundations

Course Director: Randy King

PWY 110 Immunity in Defense and Disease (IDD)

Course Director: Julia Charles, Ruth Ann Vleugels

PDW 101, PDW 102 & PDW 103 Professional Development Weeks

Course Director:John L. Dalrymple, Fidencio Saldana

PWY 120 Essentials of the Profession

Course Director: Tony Breu, Laura Garabedian

PWY 130 Homeostasis I

Course Director: Barbara Cockrill

PWY 131 Homeostasis II

Course Director: Melanie Hoenig

PWY 140 Mind, Brain and Behavior (MBB)

Course Director: Tamara Bockow Kaplan

PWY 150 Transition to the PCE

Course Director: Cindy Cooper, Celeste Royce

 

PCE (PRINCIPAL CLINICAL EXPERIENCE) 

A year-long clinical immersion experience that exposes students to the medical disciplines and experiences essential to becoming a physician. The year consists of 1-month to 3-month clinical rotations in medicine, surgery, pediatrics, obstetrics and gynecology, neurology, psychiatry, and radiology at a single site, supplemented by mentoring and assessment. Students also complete the longitudinal experiences: the multidisciplinary PCE case conferences, the Primary Care Clerkship, and the Developing Physician course.

Course goals and objectives are available to:

  • Enrolled students in Canvas under each course site
  • Clerkship faculty who do not have a Canvas account can refer to email correspondence from your clerkship site director

Requirement checklists are available to enrolled students and course faculty in OASIS.

PCE/Clerkship Curriculum Support Contact: Sally Bartlett

Post-PCE

October, Year III–April, Year IV

 

One of the greatest features of the Pathways curriculum is the opportunity for students to customize their route through Years III and IV to prepare optimally for whatever aspect of the profession of medicine that has attracted their curiosity and passion. While rigorous demands and high expectations will be set for students in Years III and IV, the expanded time following the PCE allows for considerable flexibility as students pursue advanced integrated science courses, clinical and non-clinical electives, and scholarly research projects, and take advantage of myriad opportunities across Harvard University and around the world.

Post-PCE Components

AISCs (Advanced Integrated Science Courses)

Overview

Scientific research is at the core of evidence-based medicine, and is transforming medical care at an increasingly rapid pace. Physicians have to evaluate new research advances, incorporate them judiciously into clinical practice, and provide leadership for new research into the most urgent patient needs.

The goal of the Advanced Integrated Science Courses (AISCs) is to provide students with a generalizable skill set to engage with research at the boundary of the known and unknown, and its relationship with clinical medicine.

1. Generalizable Skills

  • Find and critically evaluate research information
  • Communicate science to peers or patients
  • Recognize how research influences patient care
  • Formulate questions and ideas for research and innovation

AISCs don’t aim to cover the content of a field, instead the goal is to use examples from the AISC subject area to develop these generalizable skills.

2. Research and Innovation at the Frontier

Each course represents a major field of current frontier research linked to major unsolved problems in patient care. Whereas the pre-PCE phase focuses on science that is known, AISCs engage at the boundary of the known and the unknown, where there are controversies, gaps, and unmet needs, which students explore with course faculty and other HMS experts in the field.

3. Active Learning in the Classroom, Combined with Experiential Activities

AISCs use flipped-classroom and other active learning methods as in the pre-PCE phase, with an increasing emphasis on self-directed learning. Additionally, each AISC includes experiential learning activities, in clinical or other settings, which serve to illustrate underlying science principles and promote the development of scientific questions. Students actively participate in scientific inquiry, culminating in a final product at the end of the course, working with faculty mentorship to identify and explore unsolved questions that interest them.

Video: AISCs Overview

Requirements & Courses

Requirements

Students are required to take two AISCs of their choice (see course selection process), at least one during Year III. Each AISC is offered once per year in either January, February, March or April.

AISCs are full-time courses, four weeks in length. Classroom time and unscheduled time are built-in for each course. Unscheduled time is critical for preparation, self-directed exploration and development of original questions and work products.

Requirement Note: AISC courses are not required for MD-PhD students, who may choose to take them as electives if they wish.

Course Selection Process

AISC placements are made via the OASIS lottery process. During the lottery, students rank their top AISC course preferences. The lottery maximizes preferences and assignments are made. Each course has an enrollment cap.

In past years, about 85 - 90% of students have received their first choice, and almost all students have received at least their second choice based on submitted selections. Add/drop changes for AISCs may be completed by self-service up to 45 days in advance of the start date of each course.

Video: How do I Choose an AISC?

Courses:

The following courses are planned for 2021.

Note: Months are based on the 2020 schedule and may change in future years.

January

February

March

April

What to Expect

Full-Time Commitment

During each course, students should plan to devote their full-time effort for classroom and experiential activities, as well as unscheduled time for course preparation.

Teaching Setting

The bulk of structured course time is spent in the classroom rather than in a clinical setting. The goals and objectives of AISCs differ significantly from those of clinical electives. The goal of the AISCs is to promote an understanding of scientific concepts and to encourage scientific inquiry, whereas the goal of a clinical elective is to promote a deeper understanding of clinical medicine.

For example, the goal of a cancer clinical elective is to learn about the diagnosis and treatment of various malignancies. In contrast, the goal of the cancer biology AISC is to develop a skill set to engage with frontier research, to explore how the scientific understanding of the cellular and molecular basis of cancer relates to clinical cancer care, to explore questions at the boundary between the known and unknown, and to consider how such questions might be answered. As such, the AISCs devote a significant amount of time to self-directed learning and deep exploration of a question of interest rather than teaching in depth about the diagnosis and treatment of cancer.

Experiential Activities

Typical of most AISCs, there are two half-day experiential activities per week, and three half-days in the classroom, though there are differences between the AISCs. The experiential activities vary by course. Typically, they are clinical experiences, and span a number of different specialties or sub-specialties within a single AISC. The goal of the clinical experiences is to identify unmet patient needs rather than focus on learning the clinical medicine of the field. Non-clinical experiences such as laboratory experiences or visits to industry are also utilized in some AISCs. Importantly, clinical experiences are integrated into the course through facilitated discussions at the clinical sites and at HMS focusing on the bidirectional interaction between basic science and clinical medicine.

Video: What is the Purpose of the Clinical and Other Experiential Components?

Basic Research Experience

The AISCs are designed to accommodate students at different levels of knowledge and experience in basic science research. Mechanisms for mentorship and feedback, as well as primers on the basic knowledge required for each course are built into the AISCs to enable students to explore a scientific topic and engage in the scientific process in an unfamiliar subject area. Performance evaluations take prior experience into account.

Video: What is the Value of AISCs to Students who may not go into Research?

Final Work Product

The AISCs aim to encourage self-directed study and independent thought. Each course has several work assignments including a creative final work product. Students choose their own topic, within the broad scope of the course, based on their clinical experiences and developing professional interests. The format of the work product is set by each course, and some courses offer more than one option.

Examples of final work products include a research proposal, an explanation for a patient about research relevant to their condition and clinical choices, a short review of progress and challenges in a research field, educational materials for students, or a newspaper article for the general public. Whatever the specific format, the work product provides an opportunity to develop and display the generalizable skills that the AISCs are designed to enhance.

Assessment

AISCs are graded on a satisfactory/unsatisfactory basis. A narrative assessment is provided to each student.  Each course has both a final product and one or more smaller intermediate products (written or oral presentations) that serve as the basis for assessment. The number and type of assignments vary by course. The formal learning objectives are the generalizable skills, placed in the context of the questions and approaches of the field of each AISC.

Attendance

The AISCs Absence Policy outlines procedures for a planned absence, residency interviews, illness or family emergency and religious observances.

Clinical Capstone

Course Directors: Meredith AtkinsKate Treadway
Course Manager: 

Clinical Capstone

Course Listings

Essentials of the Profession II

Essentials of the Profession II

Course Director: Jennifer Kasper
Course Manager: Rob McCabe 

Scholarly Project

Scholarly Project

Scholarly Project Faculty Director: Jeffrey Katz
Scholarly Project Program Manager: Kari Hannibal

Project Description

The scholarly project is designed to provide students with an opportunity to pursue a mentored scholarly experience analyzing a health-related question, issue, or problem in depth. The student can approach the problem through any of a wide range of disciplines in the biomedical sciences, clinical sciences, humanities, arts, or other fields. For more info for students and faculty mentors click here.

Subinternships

About

Required Subinternship
Choose either Medicine or Pediatrics

ME 55o Medicine Core II Subinternship

Course Director: Alex Carbo
Course Manager: Sally Bartlett

Course Description

The overall goal of the Medicine Core II Subinternship is for students to continue to learn to deliver excellent medical care to patients. The clerkship is designed to allow students to evaluate and manage patients with complicated medical problems under the supervision of house staff and medical attending staff. Core II students are expected to function in a more independent manner than in Core I student and to assume more direct responsibility for patient care.

The majority of admissions are for the evaluation and subsequent management of acutely ill patients; some patients are admitted for diagnostic procedures. Each patient admitted has an identified attending physician who oversees that patient’s individual care. Students will be expected to interact with the resident and attending physician in all aspects of the care of that patient.

The broad range of common disorders (and the uncommon as well) represent rich opportunities for the trainee. Also vital is preparation of the subinterns for their future role as housestaff with course attention to the basic elements of teaching and the conduct of effective ward rounds. Students are integrated into the ward team and manage patients from admission to discharge under the direct supervision of the team resident. Bedside teaching also offers direct observation of student interviewing and examination skills. In addition to participating in the full range of conferences designed for the house staff, students will meet with faculty for seminar-based discussion of specific subintern curricular topics, as well as bedside rounds devoted to the interview, physical examination, review of primary data and problem formulation. Feedback will be provided to the students on a regular basis with a fixed mid-month review of performance. Evaluations will be based on input from housestaff and faculty. Students will meet individually with the course directors at the end of the rotation to review performance, achievements, and goals for the future.

SITE INFORMATION
Beth Israel Deaconess Medical Center
Brigham and Women's Hospital
Cambridge Health Alliance
Massachusetts General Hospital
Mount Auburn Hospital

PD 55o Pediatrics Core  Subinternship

Course Description (COMING SOON!)

SITE INFORMATION
Boston Children's Hospital
 

Course Listings

Medicine Course Objectives

  • H&P: Obtain a complete history in an efficient manner, reflecting hypothesis-driven data gathering.
  • H&P: Perform an accurate hypothesis-driven physical examination recognizing the specificity and limitations of exam findings.
  • DIAGNOSIS: Develop and prioritize a differential diagnosis.
  • DIAGNOSIS: Utilize laboratory and imaging tests effectively, including recognition of test limitations and costs.
  • MANAGEMENT: Develop and execute an effective therapeutic management plan.
  • MANAGEMENT: Prioritize and complete daily work tasks.
  • MANAGEMENT: Recognize patients requiring emergent evaluation, ask for help and initiate the evaluation.
  • MANAGEMENT: Reprioritize the problem list throughout the hospitalization.
  • MANAGEMENT: Effectively obtain informed consent and perform procedures such as venipuncture, arterial blood gas, paracentesis and lumbar puncture under supervision.
  • DISCHARGE: Create a discharge care plan that takes into account and addresses the social determinants of health and addresses heath care disparities.
  • DISCHARGE: Complete an accurate and complete discharge summary to facilitate transition of care.
  • COMMUNICATION: Document clinical encounters in a thorough manner which reflects hypothesis-driven data gathering and clinical reasoning.
  • COMMUNICATION: Deliver clear and concise patient presentations.
  • COMMUNICATION: Give and receive concise and accurate patient hand-overs in order to transition care responsibly.
  • COMMUNICATION: Communicate effectively and in a collaborative manner with all members of the interprofessional health care team.
  • COMMUNICATION: Communicate with patients and their families in a patient-centered, empathic manner without medical jargon seeking to incorporate patient preferences and cultural beliefs.
  • INQUIRY & EDUCATION: Form clinical questions and retrieve evidence to advance patient care.
  • INQUIRY & EDUCATION: Educate the team in the context of patient care.
  • INQUIRY & EDUCATION: Identify system failures and contribute to a culture of safety and improvement.

Pediatrics Course Objectives

  • H&P: Obtain a complete history in an efficient manner, reflecting hypothesis-driven data gathering.
  • H&P: Perform an accurate hypothesis-driven physical examination recognizing the specificity and limitations of exam findings.
  • DIAGNOSIS: Develop and prioritize a differential diagnosis.
  • DIAGNOSIS: Utilize laboratory and imaging tests effectively, including recognition of test limitations and costs.
  • MANAGEMENT: Develop and execute an effective therapeutic management plan
  • MANAGEMENT: Prioritize and complete daily work tasks.
  • MANAGEMENT: Recognize patients requiring emergent evaluation, ask for help and initiate the evaluation.
  • MANAGEMENT: Reprioritize the problem list throughout the hospitalization.
  • MANAGEMENT: Effectively obtain informed consent and perform procedures such as venipuncture, arterial blood gas, paracentesis and lumbar puncture under supervision.
  • DISCHARGE: Create a discharge care plan that takes into account and addresses the social determinants of health and addresses heath care disparities.
  • DISCHARGE: Complete an accurate and complete discharge summary to facilitate transition of care.
  • COMMUNICATION: Document clinical encounters in a thorough manner which reflects hypothesis-driven data gathering and clinical reasoning.
  • COMMUNICATION: Deliver clear and concise patient presentations.
  • COMMUNICATION: Give and receive concise and accurate patient hand-overs in order to transition care responsibly.
  • COMMUNICATION: Communicate effectively and in a collaborative manner with all members of the interprofessional health care team.
  • COMMUNICATION: Communicate with patients and their families in a patient-centered, empathic manner without medical jargon seeking to incorporate patient preferences and cultural beliefs.
  • INQUIRY & EDUCATION: Form clinical questions and retrieve evidence to advance patient care.
  • INQUIRY & EDUCATION: Educate the team in the context of patient care.
  • INQUIRY & EDUCATION: Identify system failures and contribute to a culture of safety and improvement.

Elective Courses

Visit the Course Catalog for more information on post-clerkship elective courses and contact information.

Please note that the curriculum is undergoing continuous review and improvement and is subject to change at any time.
 

Last updated 3/26/2019