Years 1 and 2: Foundations of Medicine

MD Curriculum Map (Years 1 and 2)


Transition to Medical School

This first course is designed to help you transition to the rigor and expectations of medical school and give you the skills for success. This course includes orientation to the school, an introduction to the medical profession, and software training 

Biomedical Courses 

The biomedical sciences are presented as an integrated curriculum of thirteen courses over the first two years of medical school. Traditional discipline-based content such as biochemistry, physiology, pharmacology, and pathology are presented in a unified approach that emphasizes clinical relevance. Courses are designed around functions and organ-based systems, and guide you through normal processes as well as the pathophysiology of disease and therapeutic interventions. All course content is anchored to relevant clinical applications that include team-based learning exercises.

Biomedical science faculty include a core of dedicated full-time medical educators with extensive experience teaching the undergraduate medical curriculum. These basic science faculty work closely with clinical faculty in the design and delivery of curriculum content. This collaboration ensures that you are exposed to the most current and relevant material that will prepare you to be successful in clinical rotations and throughout your career.

Team-Based Learning (TBL)

Each TBL starts with an individual readiness assurance test (iRAT) based on weekly coursework and assigned pre-reading. Following the iRAT and working in groups of six, student teams work through the same questions in a group readiness assurance test (gRAT). The team responses are reviewed with faculty to ensure that everyone understands the concepts and clinical applications. Faculty lead the groups through application exercises, integrating basic science and clinical perspectives. TBLs engage students throughout the learning process, increasing understanding and retention. You participate in 1-2 TBL sessions each week.

Didactic Sessions

There are 5-7 hours of traditional lectures each week with both basic science and clinical faculty delivering information. Video recordings of lectures are provided.

Independent Learning

We use interactive iBooks to provide independent learning resources, which allows you flexibility to choose when you study, and also provides opportunities for review the material. The iBooks include videos, diagrams, links to journal articles and electronic textbooks, and quizzes to check your learning progress. Each week has 6-9 independent learning resources.

Explorations

Explorations helps you to build the basic skills for continuous self‑improvement and independent lifelong learning. You identify learning topics related to curricular content, develop learning objectives, search the literature for credible resources, synthesize and evaluate information, and create a learning product that responds to your objectives. There is protected time in the curriculum for you to present findings to peers and supervising faculty so you receive constructive feedback on your self-directed learning skills.

Labs

Anatomy, histology, and pathology labs are held approximately weekly for one-half day and integrate gross anatomy, microscopic anatomy, and pathology with the concepts of the current course. Gross anatomy is taught longitudinally as you progress through the organ systems using prosected cadavers, student dissection, plasticized specimens, and models.

Simulation-Based Learning

Simulation-based learning begins in the very first week at WMed. Simulation activities range from learning to perform a wide range of medical procedures, to full immersion in complex team-based clinical scenarios using high-fidelity patient simulators, to one-on-one encounters with standardized patients. This level of simulation training throughout your time at WMed prepares you for clinical rotations and your future career.

Introductory Clinical Experiences (ICE)

Beginning in the second month of medical school, ICE provides early and regular experiences to understand the breadth of medicine. You begin your professional identity formation as you gain comfort in clinical settings. ICE brings relevancy to the knowledge you acquire in the basic science curriculum as you integrate it with experiences in clinical medicine. You spend one-half day every 1-2 weeks rotating through the ICE components, each intended to provide a unique exposure to medicine and the healthcare system.

ICE experiences include following a panel of patients across several months of care, interprofessional learning with a variety of medical and allied health care providers, and hands-on learning from physician preceptors in a primary care setting where you gain experience taking histories, performing physical examinations, and presenting your findings to clinical faculty preceptors. By the end of ICE, you will have developed relationships with multiple providers in health systems across west Michigan, and will have encountered a broad range of patients.

Medical First Responder (MFR)

During the first week of medical school as part of the first ICE course you will begin the MFR course – a fast paced, hands-on course where you obtain the skills and knowledge to perform basic patient assessments, manage simple medical emergencies, and provide basic cardiac life support. On the final day of the course, you and your colleagues will be challenged by responding to a wide variety of simulated emergency conditions. You will apply your new skills under very realistic conditions requiring effective teamwork to be successful.

Profession of Medicine (POM)

Principles of Medicine

Principles of Medicine covers a wide range of essential topics related to the practice of medicine such as professionalism, leadership, ethics, patient safety, health policy, health care law, research design, epidemiology, and more. It is a longitudinal curriculum that runs across all four years of the curriculum.

Clinical Skills

Clinical Skills gives you the opportunity to learn and practice skills physicians use every day including communication and interpersonal skills, teamwork, history taking, physical examination, and simple procedures. You begin applying these skills in our virtual clinic with standardized patients and in our virtual hospital with high-fidelity patient simulators. You work closely with the coaching of Scholar-Advisors in a low-stress environment to prepare you to succeed in the real clinical environment. During the second year, you rotate in a hospital inpatient site to hone your skills in history taking and physical examinations with actual patients. Clinical Skills is scheduled for four hours each week.

Active Citizenship

You are part of a team working directly with an affiliated community organization whose mission is related to health, well-being, and service for residents of Kalamazoo County. This service learning fosters your understanding of social determinants of health as well as advocacy, team-based skills, population health, and cultural competence. Your group designs a community project that will benefit the organization and the clients they serve. This community project identifies an issue or need, gathers and assesses information, develops conclusions, and make recommendations. At the end of the 17-month experience, your group presents the project to the community organization, your classmates, and the Active Citizenship advisors. Active Citizenship is scheduled for 4-8 hours each month.

Early Electives

Throughout your first two years, you are able to select four one-week electives to explore your individual areas of interest. These electives range from oncology, to rural health, massage therapy, pediatrics, forensic pathology, and everything in between.

Unscheduled Time

There is time each week that is unscheduled and allows for independent and group study. Additionally, all students have free access to our onsite fitness center. A wide variety of student interest groups are available to get involved with to explore your interests.

Transition to Clinical Applications

This course at the end of Foundations of Medicine completes your second year and prepares you to succeed in the clinical setting. You complete the Advanced Cardiovascular Life Support (ACLS) course, gain more experience using electronic health records, and learn more about expectations of clinical care, clinical assessments, and common procedures.

Advances and Perspectives in Medicine

During each year of medical school, you choose events of interest to attend from a large number of events that include a diverse mix of basic science seminars, clinical seminars, humanities lectures, ethics discussions, workshops, plays, demonstrations, simulations, and conferences. You submit a brief reflection for selected events.

Examinations

• Weekly formative exams provide individual feedback on your learning progress. Faculty hold a discussion to address questions about material, which provides an opportunity for you to better understand the concepts throughout the course.

  • At the end of each course a summative exam is administered. Capstone review sessions with faculty prior to the exam assist with your preparation. 
  • Objective Structured Clinical Examinations (OSCEs) are held in POM-Clinical Skills to prepare you for clinical rotations and also for USMLE Step 2 CS.
  • During the first two years, you have four opportunities to take the NBME Comprehensive Basic Science Examination (CBSE). You must meet the competency requirement by the third or fourth attempt to advance to the Year 3 curriculum. These exams help you assess your learning needs and provide guidance to prepare for successfully passing USMLE Step 1.

Vacations

Foundations of Medicine is decompressed, with a total of 15 weeks of vacation over the 21 months.