Now where were we...
Ah yep. Reduce preclinicals to 1 year now! The point of med school is to spend as much time on the wards and clinical electives as possible to be the best possible intern. Not to waste time memorizing crappy lectures when UFAPS/B&B/Anki do a far better job
After public and academic outcry to shorten the length of general medical education in light of impending physicians shortages complicated by heavy education debt.., this is compared to the fast track of mid-levels training that brings them close to the level of compensation/responsibility ratios of generalists and at much lower rate of liability..?
I tend to agree!
After watching Europe and other parts of the world, where physicians finish their medical education successfully in an integrated 6-8 years track,
I recommend:
- Moving subjects: Biochemistry 2, Physiology, Immunology and Microbiology to the the premed years and make it as mandatory prerequisites for further matriculation in the Med School years.
- Continue requiring MCAT reflecting added materials, ECs and other personality traits and attributes as requirements for Med school acceptance.
- Advocate for shorter Pre-Med track "3 years" and eliminate unrelated courses unless students are interested in gaining BS with Major/Minor, GAPS.
- Offer Anatomy, Embryology, Histology, General Pathology, Genetics, Pharmacology and Behavioral Sciences in one Pre-clinical year MS1.
- USMLE STEP 1 at the end of MS1 with P/F Grading.
- Clinical years with core subjects clerkships in MS2-MS4 integrated with Special Pathology and Patho-Physiology and other electives .
- USMLE STEP 2 at the end of MS3 including clinical skills assessment "Graded".
- Eliminate USMLE STEP 2 CS permanently.
- MS4 students will have more autonomy to work with the GME teams and it will serves as a general internship for all future residencies.
- Extend graduate school years appropriately for combined programs like; MPH, MBA, PhD.
- Maintain same Residency training lengths and expand specialized training to hone clinical skills and acumen.., especially highly specialized surgical specialties that require significant surgical volume to achieve high level of competence.
- USMLE STEP 3 during PGY1 P/F Grading.
- Initial certifying Board exams Written and Oral/Practical P/F Grading within the first 5 years of practice.
- Eliminate MOC and re-certifying board exams and emphasize the Lifelong Education Programs for maintaining boards certifications with CMEs