Specialty Selective Clerkship

The Specialty Selective Clerkship program is a dynamic two-week core Clerkship rotation spanning multiple specialties in medicine including Cardiology, Dermatology, Gastroenterology, Geriatrics, Hematology, ICU, Infectious Diseases, Nephrology, Neurology, Medical Oncology, Respirology, and Rheumatology. Each rotation includes one-on-one or small group tutorials with a member of the Faculty (or Specialty Fellow) where key concepts of each specialty are reviewed. Each Specialty Selective rotation has one to three clerks per rotation resulting in a highly personalized learning experience for students. The Selectives rotation provides an excellent opportunity for students to learn how to manage acute patients within each specialty in the hospital setting as well as gaining exposure assessing patients in busy ambulatory care clinics. In addition, many of the rotations offer the opportunity for the students to learn specialty specific procedures such as performing a paracentesis during the GI rotation. Each rotation has carefully selected Faculty Coordinators who are passionate and engaged ambassadors of their respective specialties, all of whom work diligently to ensure that the students have productive learning experiences and come to have an appreciation of the scope of practice within each specialty. Every effort is made to showcase the specialties to the students exposing them to not only the types of conditions managed but also allowing the opportunity to interact closely with Faculty to see what a career in each of these subspecialties entails. The Specialty Selective Clerkship rotation presents student awards annually.  Many of our Faculty and Residents have been recognized with teaching awards. As the Specialty Selective Clerkship Director, is it my goal to ensure students have a highly educational clinical experience with engaged and enthusiastic mentors allowing the students to leave the rotation with a sense of the scope of the specialty.
Dr. Robert Spaziani, Program Director
Dr. Robert Spaziani, Program Director

Welcome

 

Welcome to the Specialty Selective Clerkship Program.

As part of medical training, entry into the clerkship rotation marks the transition point of the student from learning the principles of medicine to application.  This is a two-week core rotation. The Specialty Selectives (SEL) program offers a unique student learning environment in allowing this shift toward pragmatism to occur.  Medical students are “provided opportunities to observe and actively participate in clinical interactions in order to acquire the knowledge, skills, behaviours, attitudes and judgement required for future practice.”

Clinical Clerks should identify that a physician as not just a medical expert but also a communicator, collaborator, health advocate, manager, professional and scholar. One of the major aims of the rotation is to understand the various roles a medical subspecialist portrays and the impact upon patient care.

During the SEL rotation, students are expected to gain an understanding of the values of the profession including duties to their patients, inter-professionals, colleagues, and to society in general.

 



 



 



 



 


Objectives

There are two sets of goals during the Specialty Selective rotation. The first set of goals are CanMEDS based. The second set of objectives reflect each individual specialty.

1. Patient Care (CanMEDS Medical Expert and Patient Advocate Roles)
Provide patient-centered care that is compassionate, appropriate and effective for the treatment of health problems and the promotion of health

2. Knowledge for Practice (CanMEDS Medical Expert and Patient Advocate Roles)
Demonstrate knowledge of established and evolving biomedical, clinical, epidemiological and social-behavioural sciences, as well as the application of this knowledge to patient care

3. Practice-Based Learning and Improvement (CanMEDS Scholar and Professional Roles)
Demonstrate the ability to investigate and evaluate one’s care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life-long learning

4. Interpersonal and Communication Skills (CanMEDS Communicator Role)
Demonstrate interpersonal and communication skills that result in the effective exchange of information and collaboration with patients, their families, and health professionals

5. Professionalism (CanMEDS Professional Role)
Demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles

6. Systems-Based Practice (CanMEDS Manager and Health Advocate Roles)
Demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care

7. Inter-professional Collaboration (CanMEDS Collaborator Role)
Demonstrate the ability to engage in an inter-professional team in a manner that optimizes safe, effective patient- and population-centered care

8. Personal and Professional Development (CanMEDS Scholar and Professional Roles)
Demonstrate the qualities required to sustain lifelong personal and professional growth



MacDOTS

There are 5 mandatory MacDOTs (designed to be similar to EPAs) that need to be completed.  They are as follows:

  • 1 physical exam relevant to specialty
  • 1 history relevant to specialty
  • 1 ProComp
  • The remaining 2 MacDOTs can be a combination of any of the above MacDOTs


 


Hamilton Campus

  • Cardiology
  • Dermatology
  • Geriatrics
  • Gastroenterology
  • Hematology
  • ICU
  • Infectious Diseases
  • Medical Oncology
  • Nephrology
  • Neurology
  • Respirology
  • Rheumatology


Waterloo Campus

  • Allergy/Immunology
  • Cardiology Selective
  • Endocrinology
  • Gastroenterology
  • Geriatrics
  • Hematology/Oncology
  • ICU Medicine
  • Infectious Disease
  • Nephrology Selective
  • Neurology
  • Respirology


Niagara Campus

  • Cardiology
  • Gastroenterology
  • Geriatrics
  • ICU Medicine
  • Infectious Disease
  • Internal Medicine
  • Medical Oncology
  • Nephrology
  • Neurology

Waterloo Campus



Niagara Campus

Please contact us at: mspo@mcmaster.ca

Robert Spaziani

MD
Medicine, Gastroenterology
Placeholder portrait image for Robert Spaziani
Associate Professor
Specialty Selectives Clerkship Director


spaziar@mcmaster.ca


Rachelle Dyment

Rachelle Dyment
Medicine Specialties Program Coordinator

905-522-1155 ext. 33310
dyment@mcmaster.ca