Minutes 02/04/08

Minutes 02/04/08

University of Virginia School of Medicine
Clinical Medicine Committee

Attending: Drs. Rein, McGahren, A. Innes, D. Innes,  Short, Keeley, Jackson, Geldmacher, Herrington, Chapin, Pearson, Wilson, Valdelievre, Volsky, Lieb, Chapin

The meeting was called to order at 5 PM in the Pediatrics Conference Room.

  1. Passports. The current passports were sent to the respective clerkship directors last week. Any changes for the upcoming clerkship year should be made and sent to Ms. Debra Reed.

  2. "Blogging" and professionalism. Dr. Pearson led a discussion of "blogging" and potential issues that this might raise, including breaches of confidentiality. The clerkship directors were encouraged to remind students on their clerkships about confidentiality, and to think carefully before they record and share medical experiences on the internet. One potential problem relates to "readership", since material posted on the internet might be accessible by a wide range of people. It was mentioned that the Hippocratic Oath includes the following passage: "Whatever I see or hear, professionally or privately, which ought not to be divulged, I will keep secret and tell no one."

  3. Proposed changes to USMLE. The decision to combine Steps 1 and 2 CK into a single exam, beginning in 2012, was reviewed. It was felt that this change was going to occur, and that the School of Medicine might need to review options for testing for our students in pre-clinical courses.

  4. Clerkship web site template. John Jackson presented the prototype for a clerkship website, as well as the rationale behind going to a more uniform web site and content for the various clerkships. The clerkship coordinators will be able to update material so that the schedules, etc. can be current. The question of whether this would replace "hard copy" handouts was raised, but it was felt that the clerkships would continue to distribute paper versions of orientation materials.

  5. Update from Student Affairs. Dr. Allison Innes mentioned that the class rolls for the upcoming clerkship year were distributed. Because of an unusually high number of MSTP students returning to the clerkships, there will be times when extra students might be present on the clerkships. Concern was expressed about the possible impact that this could have on the medicine clerkship, since the RRC for medicine limits the total number of "learners" per attending team. It was also mentioned that social security numbers will not be used for student identification at UVA, but may still be used at some of the away sites. There is an increase in the number of UVA students who were not successful on their first attempt at the Step 2 CS examination. It is possible that this reflects a national trend and a change in test scoring, but that information will not be available until the NBME annual report is sent out.

  6. Problem students. The idea that clerkship directors might meet to review problems students had been mentioned at the recent APGO meeting. The usual practice at UVA is that Dean Pearson serves as the "gatekeeper" of this sort of information, and might contact a clerkship under special circumstances. It was felt that having a broader meeting of clerkship directors about a problem student might pose problems with confidentiality, and that our current way of addressing these issues seemed to be working.

  7. Dr. Don Innes mentioned that, if there are to be substantial changes to a clerkship, these should be presented to the Curriculum Committee for review.

The meeting was adjourned at 5:59 PM.

Respectfully submitted,
William G. Wilson, MD
Chair, Clinical Medicine Committee