University of Virginia School of Medicine
Clinical Medicine Committee
Attending: Drs. Heald, Rein, Sanfey, Wilson, A. Innes, D. Innes, Short, Keeley, Jackson, Mounsey, Newberry, Lieb.
The meeting was called to order at 5 PM in the Pediatrics Conference Room.
Dr. Wilson presented a summary of recommendations related to the recent LCME visit that involved the clerkships, specifically ED-8, ED-22, and ED-24. Dr. Don Innes mentioned that ED-22 was being addressed by a committee, chaired by Dr. Fern Hauck, that will assess how cultural competency is being addressed and evaluated in the SOM curriculum. That committee may have recommendations that involve the clerkship, and it was felt that specific action by the Clinical Medicine Committee at this time might be premature. We will re-visit this issue when Dr. Hauck's committee has reported.
ED-8 addresses "comparability" of the educational experience across instructional sites used in the clerkships. The importance of orienting house staff and faculty to the goals and objectives of the clerkships was emphasized, and several strategies to do this were discussed. Posting handouts or Powerpoints of clerkship lectures would be helpful in ensuring that students have access to similar lecture materials.
ED-24 relates to preparation of residents and fellows to teach students. Strategies to improve this were discussed, including posting of useful websites and lecture material on the web. Each resident and faculty member involved in teaching and evaluation should have a copy of the goals and objectives of the clerkship, as well as the evaluation form. Most departments that have required clerkships should have sessions during resident orientation that address teaching of medical students. Surgery will devote several of their required conferences to issues related to teaching. One approach would be to take the orientation handout that is given to students and prepare a "streamlined" version of it for distribution to faculty and residents.
Dr. Allison Innes mentioned that there was a "fixed" time limit for taking the NBME "shelf exams". Students who need extra time must be verified through Student Affairs, through a formal process approved by the NBME. The NBME rules in this regard are specific and strict. An additional problem regarding the "shelf exams" was mentioned- the need for adequate examination space. When the McKim Auditorium was renovated, the "swing desk tops" were removed, so that the seats can no longer be used as desks. Clipboards have been tried as a substitute, but are not satisfactory. The possibility of using the Old Medical School auditorium for all shelf exams was mentioned. This may require that exams be given in "shifts", with some clerkships holding their exams in the early morning and other in the late morning or afternoon. This suggestion will be explored.
Dr. Keeley reviewed the electives and selectives program that is underway for the Class of 2008. She also mentioned the new process for admitting visiting students for electives in the SOM.
Dr. Perina will be invited to present the plans for the Basic Sciences for Careers at a future meeting.
The meeting was adjourned at 5:55 PM.
William G. Wilson, MD
Chair, Clinical Medicine Committee