Descriptions of Required SELECT Curriculum
The first two years are delivered in a small group-based sequence that teaches students interviewing, physical diagnosis, and differential diagnostic skills; bioethics, medical humanities, health systems and economics; community, preventive, and public health. Introduces care of special populations including the disabled.
Evidence-based Clinical Reasoning 1-2
A two year sequence first introducing students to principles of statistics and evidence-based medicine, then applying that knowledge in small group based problem based learning (PBL) cases in which students research topics relevant to the presented cases and teach their small group peers what they learned. The course emphasizes evidence-based and lifelong learning principles.
Year 1-2 Medical Science Courses
Years 1 and 2 of the curriculum are a continuum that introduce students to an organ system-based overview of normal and disease processes, increasing the emphasis on diseases and therapy as the courses progress. Courses integrate anatomy, physiology, pathophysiology, cell biology, biochemistry, microbiology and pharmacology relevant to the organ systems under study.
- Musculoskeletal System - dissection based anatomy of the back and extremities; physiology and biochemistry of muscle contraction
- Cancer biology - a review of important tenets of molecular/cellular biology, genetics and immunology from the perspective of cancer pathogenesis and treatment.
- Cardiovascular and Pulmonary Systems - normal function, common abnormalities, and structural anatomy of the heart, lungs and vessels; components and physiology of blood.
- Renal, Endocrine, Gastrointestinal, and Reproductive Systems - integrated histology, physiology and gross anatomy of these systems; biochemistry and physiology of metabolism.
Neurologic System - structure and function of the central and peripheral neurologic system
- Immunology, Microbiology, Hematology, Rheumatology, Dermatology - principles of immune host defense, microbial pathogenesis; autoimmunity/rheumatologic diseases; diseases of blood and skin.
- • Cardiology, Pulmonary Disease, Nephrology, Nutrition - pathophysiology, pathology, and pharmacology for diseases of kidneys, lungs, heart/vessels as well as a review of nutrition.
- • Neurology, Psychiatry, Endocrinology, Men’s and Women’s Health, Dermatology and Rheumatology - diseases and therapy of the brain and peripheral nervous system, endocrine system, male and female reproductive tracts; psychiatry, including psychiatric interviewing.
Multiday immersion experiences in leadership development and SELECT competencies (Leadership, Values-centered patient care, and Health Systems) as a prelude to the next academic year.
SELECT Professional Development 1-4
Reinforcement of the SELECT competencies in with seminars, small groups, case studies, and individual coaching sessions in groups, peer coaching, and 1-on-1 with faculty to build leadership skills.
SELECT Summer Immersion
A summer internship between year 1 and 2 in a leadership venue of the student’s choice (e.g. government, industry, academia).
Year 3 SELECT Clinical Clerkships
These clerkships at Lehigh Valley Health Network, PA, include development of leadership competencies in the clinical setting. There is a higher amount of outpatient experience than in the Tampa Clerkships.
- Primary Care - a longitudinal year long clerkship held throughout the year with continuity clinics in outpatient offices and clinics, including experience in Family Medicine, Internal Medicine, and Pediatrics emphasizing management of common chronic diseases and prevention strategies.
- Adult Medicine - inpatient care of acute adult illness
- Surgical Care - principles of pre-, intra-, and post-operative care, with rotations in general, trauma, vascular, and gynecologic surgery. Includes selective rotations in surgical sub specialties and simulation training at the Lehigh Valley Surgical Education Center in Allentown, PA.
- Psychiatry and Neurology - diagnosis and therapy of neurologic and psychiatric illness in the inpatient and outpatient settings. Shared approaches to patients with altered mental state.
- Women’s Health and Pediatrics - Obstetrics, prenatal care, labor and delivery, newborn nursery, outpatient gynecology and women’s health
Year 4 SELECT Electives/Selective
As in the Core program, year 4 is focused on preparation for residency, building advanced clinical skills and SELECT competencies, and exploration of areas of medicine of interest to the student. Nine months of coursework are required, including the tracks described in the core curriculum, but also including:
- Three to five months of work in a track that prepares students for a specific residency discipline, including:
- An Acting Internship with direct patient management responsibility (1 month)
- A return to basic science in the discipline of the track, involving both clinical and basic science approaches to the discipline (2-4 weeks)
- 1-2 months of specialty, consultative, or other selectives
- Dedicated time to master key activities that new residents should be able to do with distant supervision the first day of residency
- Longitudinal Doctoring 4 course where students will be given training in pain management, management of substance use disorder, leadership, how to be a teacher as a resident physician and other key skills needed for the intern year of residency.
A year 4 culmination of the SELECT curriculum in which the student pursues a scholarly project in one of the SELECT Domains and develops an abstract, paper, and presentation for his/her colleagues.