Minutes 07/14/08

Minutes 07/14/08

University of Virginia School of Medicine
Clinical Medicine Committee

Attending: Drs.Ham, A. Innes, D. Innes,  Short,  Herrington,  Jackson, Bray, Heald, Wilson, Mr. Jain, Ms. Greenberg

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

  1. Dr. Allison Innes reviewed the NBME requirements for "accommodations" for students taking the NBME subject examinations. A letter needs to be requested from Student Affairs at least 2 weeks in advance, reflecting the results of an evaluation through the Learning Needs and Evaluation Center which documents the need for accommodation.

  2. Dr. Short reviewed the recent Basic Sciences for Careers Course ("BS4C"). In 2008, this course was held over a 3 week time period. Individual session evaluations were generally positive. However, it was felt that some modification in the schedule for the upcoming course (spring 2009) would be helpful. The current proposal is for the BS4C course to be held in two repeating blocks, offered during consecutive weeks, with one-half of the class taking the first block and the other half the second block. Each block would last 4 days and include about 24 hours of material. This schedule will give students about 10 days off, either after the end of the clerkships or before the beginning of electives/selectives. Tentative dates for the two blocks are March 2-5 and March 10-13, 2009. The course will again have multiple concurrent offerings  The clerkship directors are being asked to assist in the planning of the sessions by identifying topics and speakers related to their particular academic areas.  A set of planning templates was distributed to the clerkship directors in attendance. Each clerkship director will be asked to propose about 12 sessions (to be repeated during each block). Inclusion of departments or areas of interest that are not reflected in the core clerkships is encouraged, as is collaboration with basic science faculty and between departments.

  3. Dr. Don Innes reviewed the status of the proposal to expand the size of the medical school class, and ways in which the clerkships might be able to meet this increase in class size without compromising the clerkship experience. One option that is under consideration is to move two of the two week selectives (possibly the surgical selectives) back into the 3rd year as a 4 week selective block, and to add a new 4 week required experience, 2 weeks of which will be a geriatric experience and the other 2 weeks would be a combination of anesthesia and life-saving skills.  It was mentioned that one of the reasons given for the national mandate to increase the output of physicians was the aging of the population, and that the addition of a geriatric experience during the "core" year would be appropriate. A committee is already working to define that 2 week geriatric experience.  Concern was expressed that the proposed new calendar would limit some of the "pre-ERAS" elective time for students. However, the amount of elective time left is still more than existed before the most recent curriculum reform, and one month of selectives would be moved back into the 3rd year.

The meeting was adjourned at 6:10 PM.

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