Minutes 03/15/01

Minutes 03/15/01

University of Virginia School of Medicine
Clinical Medicine Committee

Members present (underlined): Donald Innes; Adams, Reid; Rein, Michael; Maughan, Karen; Doyle, Lisa; Herrington, Pamila; Herbert, William; Juel, Vern; Wilson, William; Short, Jerry; Corbett, Eugene; Mohrmann, Margaret; Owens, Gary; Innes, Allison; Petri, William; Squillace, Susan; Simmons, Joshua

  1. The Clinical Medicine Committee met at 5PM on Thursday, March 15, 2001, in the Peds-Pathology Conference Room.

  2. We discussed the clinical skills passports. All of the clerkship represented indicated that they were going to use the passports in the upcoming (4th) clerkship quarter. There was discussion about possible educational research endeavors related to these activities, and whether Human Investigation Committee approval might be needed. Ms. Doyle has had experience with this type of activity, and offered to assist in preparing a proposal for the HIC, in the event that data from the passport experience might be used in a publication.

  3. The upcoming Clerkship Committee meeting was mentioned. Each UVA-based clerkship director should have contacted their site directors about this meeting, scheduled for 3 PM in the Davis 5 Learning Center on Thursday, March 22.

  4. The Transition Course, which occurs between the 2nd and 3rd years of medical school, was discussed. Ms. Lieb provided some information about the plans for this year's course, and Drs. Rein and Short were able to give some additional information. This course has been organized by Dr. Tina Brashears, who has continued as the coordinator. Dr. Brashears has provided valuable leadership and considerable energy in organizing this course, and its success is largely to her credit. However, she will not be able to serve as coordinator of the course if it continues to be held at its current time (late June). Changing the time of the course to fit it into the late spring schedule creates problems with course examinations and USMLE Step 1 preparation. It was felt that the Transition Course has been helpful in orienting medical students to clinical activities, and especially in exposing medical students to other health professionals, specifically nurses, as peers, colleagues, professionals, and educators. The Committee felt that this aspect of the Transition Course was valuable and important in the education of our students as future physicians and members of the health care team. Changes which have occurred and others that are underway in the 1st 2 years of medical school, with an increased exposure to clinical topics and practice settings, and other changes in the way in which 3rd year medical students function during the clerkship rotations may be reason to review the content of the Transition Course.

    The course for this year is scheduled for 2 days in late June. In the past, it has consisted of a number of small group workshops including suturing, emergency medicine, Foley catheters, IV s, LP, Radiology, central line placement, phlebotomy, blood gases, and EKGs.  There was discussion about  these specific topics as they relate to the current experience and practice of a 3rd year medical student. Some were felt to be useful, while others (central line placement, as an example), were probably not skills that would be used by 3rd year students.  There has been a "shadow a nurse" activity in the past that was apparently not on the schedule for this year.  The committee felt that exposure to nurses as professionals and educational resources was important, as was the benefit of learning from nurses and of developing positive and collegial attitudes toward nurses.  It was felt that there may be other professionals whose functions were not clear to medical students, including PT, OT, social work, clinical pharmacists, respiratory therapists, speech therapists, the chaplains, and nutritionists.  Some activities, perhaps a panel or several smaller panels, might be used in helping orient the students to these professionals.  It was mentioned that much of the exposure to nursing during the Transition Course actually occurred as the nurses were instructing in the small groups, and this same type of exposure may not be possible for some of these other disciplines.  It was also felt that several of the workshop topics might be combined. Examples include central line management and phlebotomy, IV placement and blood gasses, and perhaps new workshops on patient restraints and preventing falls and on infection prevention.  It was felt that the EKG and Foley catheter workshops should be helpful.  The members of the committee were encouraged to think about the Transition Course and how the content could be adapted to fit into the overall curriculum of the medical school.

  5. The meeting was adjourned at 6PM.  The meeting date and time for the next meeting will be decided later and announced.

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