University of Virginia School of Medicine
Clinical Medicine Committee
Members present (underlined): Rein, Michael F; Herrington, Pam ; Geldmacher, David; Adams, Reid B; Newburg, Doug; Corbett, Eugene; Bray, Megan; Maughan, Karen L; Mounsey, Anne; Short, Jerry; Innes, Donald J; Innes, Allison H; Chapin, Anne E; Lieb, Darci G; Jackson, John M; Keeley, Meg M.; Wilson, William; Towery, Jacob; Knight, Karen; Martin, Marcus; Bargman, Eve; Arnold, Gretchen;
- The meeting was called to order at 5 PM. in the Computer Classroom of the Learning Resources Center of the Health Sciences Library.
Members of the Curriculum Committee were invited to attend this meeting, since the main agenda item was a presentation of "Isabel" by Dr. Steve Borowitz
Dr. Borowitz gave a presentation of Isabel, which is a diagnosis reminder system. This system uses real language (instead of code numbers, etc.) to allow the user to search for diagnoses based on symptoms. Isabel is linked to text material and to the web, allowing the user to get additional information regarding potential diagnoses. It was mentioned that students (and others) are already using the Google search engine to search for diagnoses, so that Isabel will be providing them with a search engine designed for medical diagnosis. Isabel does not replace "clinical reasoning" on the part of students, residents, and attendings. It can offer differential diagnoses, as well as the link to medical literature. This system may also lend itself to teaching "critical thinking" and differential diagnoses to our students and residents.
Anne Chapin would like to schedule a meeting of the CPX advisory committee, and will be contacting clerkship directors and other members of that committee by email to arrange a meeting.
The schedule for quarter 4 was discussed. The final clerkships in that quarter had been scheduled to end on Thursday, June 22, with a Clinical Connections session held on June 23. That Clinical Connections has been cancelled. After discussion, it was decided that the last clerkship day will remain as Thursday, June 22. Friday, June 23 will remain open for possible use by Student Affairs.
The passports were discussed. It was mentioned that their had been comments made by students as part of the LCME internal review process that the passports on some clerkships were being signed all at once, on the last day of the clerkships. This had also been mentioned to Dean Garson during one of his meetings with students, and subsequently in several other forums. The purpose of the passports is to document appropriate performance of specified clinical skills on each clerkship. The passports were adopted at UVA because of their successful use on the Neurology clerkship; alternatives to the passports include one or more "long form" patient encounters, observed by faculty, or using standardized patients. The clerkship directors were encouraged to discuss the passports with their housestaff and faculty to ensure that they are aware of the purpose of this program. Including a discussion of the passports as part of housestaff orientation was mentioned, along with distributing material to the faculty to remind them of the passport program and its importance.
- Allison Innes discussed the upcoming selective program, and encouraged clerkships and departments to be thinking of selectives (and electives) that might be offered. There is a form on the Web for use in proposing selectives and electives.
The meeting was adjourned at 5:50 PM.
William G. Wilson, MD
Chair, Clinical Medicine Committee