Originally posted by Rumit:
•I don't think they told us during the interviews but do you know what kind of clinical exposure MD/PhD's get at UCSF? Specifically, are you guys able to do a clinical rotation before starting your PhD and then is there any way to keep getting some clinical exposure during the PhD years?
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Hi Adam,
Glad you asked that because it's something that they often don't make obvious at some schools. At UCSF, there is excellent clinical exposure starting from day one. The curriculum is integrated with basic science and clinical material, so what you learn takes on immediate clinical relevance. There are weekly clinical cases and PBL cases, which is an interesting approach to the material and provides some context for learning. Here is a basic run-down of a possible timeline with opportunities for clinical exposure:
1st year:
Foundations of Patient Care (FPC)- This two-year long block gives you clinical exposure from day one: preceptorship, patient interviews, physical exam skills, etc.
Clinical Interlude-
A one-week clinical experience, after the cardiovascular block, in which you become a member of a medical team on the wards.
Electives-
There are plenty of opportunities to get involved with patient care. Examples are U-teach, a program that lets you follow a pregnant woman through term and Homeless Health Clinic, a program in which you provide care for San Francisco's homeless.
2nd year:
FPC-
Same as above, but larger clinical role in preceptorships.
Electives
Clinical Consolidation Cases-
Near the end of year 2, this is a one-month period that integrates the material from all the previous blocks via review of clinical cases. This provides context for USMLE Step 1 studying.
Years 3-5:
Clinical Rotations
You can do, for example, one or two clerkships before beginning your graduate program and doing thesis work. I'm planning on doing at least the Medicine rotation before I start my thesis work. The program is very supportive of this and with the new curriculum, which ends earlier 2nd year, it will be even easier to accomodate these rotations.
Longitudianl Clinics
Some students choose to maintain contact with medicine during the thesis years by participating in outpatient clinics, which actually gives you credit toward the clerkships. This is also supported by the program. You'll have to talk with your research advisor to make sure everyone is aware of the situation, but usually they have no problem with it.
Well, I hope this gives you some idea of how it is possible to integrate clinical exposure throughout the program here at UCSF. I think that because both the medical and graduate schools are so strong, you'll have abundant opportunities to mold your education to your liking.