University of Virginia School of Medicine
Clinical Medicine Committee
Members present (underlined): Donald Innes; Adams, Reid; Rein, Michael; Maughan, Karen; Mounsey, Anne; Herrington, Pamila; Juel, Vern; Wenger, Jennifer; Short, Jerry; Corbett, Eugene; Keeley, Meg; Owens, Gary; Innes, Allison; Petri, William; Squillace, Susan; Heald, Evan; Bradbeer, Clive; Chapin, Ann; Mit Robertson, Wilson, William; Doug Newburg representing Surgery; Jackson, John
- The meeting was called to order at 4 PM in the Pediatrics-Pathology Conference Room.
- John Jackson presented a pilot project for an online/PDA-based patient log for medical students. This has been developed for the Family Medicine clerkship and will be piloted there. The system allows for data entry via either a web browser or a PDA which can then upload data when the PDA is "synched". The current system is compatible with Pocket PC but not with the Palm OS, but John anticipates that it will not be a problem to adapt the program for use by either PDA. He mentioned that about 90% of medical students in their 3rd year have PDAs, most of which use the Palm OS. Since the system that they have developed is free of case identifiers, it should be HIPAA compliant. General patient information (age, gender, presenting diagnosis) is entered using pull-down menus. The diagnoses are eventually converted into ICD9 codes. Family Medicine will ask students to maintain a log for one week (out of their 4 week clerkship) for a maximum of 50 patients. The clinical activities on the Family Medicine clerkship occur in a single site for each student, rather than a series of sites. Given the variety of settings used by other clerkships, it may be necessary to have students on those clerkships maintain logs for the entire clerkship, or to develop a strategy for using the logs. It was suggested that it might be helpful to have students enter not only those patients for whom they had responsibility, but also those patients who were discussed in detail during teaching sessions and conferences.
- The issues of on-line course and faculty evaluations by students, and of student evaluations by faculty and house staff were discussed. There is a mechanism for on-line faculty and course evaluations now that is being used for all preclinical courses and for several clerkships. The clerkship evaluations utilize the uniform evaluation form that is currently being used in "paper" form by most clerkships. Mr. Jackson said that it is possible to add additional questions that might be appropriate for a specific clerkship. The faculty evaluation forms that are currently on-line are tailored more for preclinical teaching but could be adapted for use by the clerkships. The importance of this information in evaluating faculty and in providing documentation for the promotions and tenure process was discussed.
- Evaluation of students by faculty and residents using web-based tools is not yet ready, but is feasible.
- We reviewed the passport system. All clerkships represented at the meeting mentioned that they had received the passports for next year. Several clerkship directors commented that the students seem to be adapting to this system of documenting clinical skills on the individual clerkships.
- The meeting was adjourned at 5:00 PM.
- Respectfully submitted,
- William G. Wilson, MD
- Chair, Clinical Medicine Committee