University of Virginia School of Medicine
Clinical Medicine Committee
- In attendance were (underlined) Donald Innes; Reid Adams, Michael Rein, Karen Maughan, Lisa Doyle, Pamila Herrington, William Herbert; Vern Juel; William Wilson, Jerry Short, Margaret Mohrmann, Gary Owens, Allison Innes, William Petri, Susan Squillace, Joshua Simmons
- The Clinical Medicine Committee met at 10 AM on Friday, September 22, in the Peds-Pathology Conference Room.
- Following introductions, the academic calendar for the third and fourth year students was discussed. Dr. Allison Innes presented a draft of the calendar. The proposed calendar would have the clerkship year beginning on July 2, 2001, and would have no "fall recess", but would have a full week break at Thanksgiving. The winter holiday break would end on January 6, 2002, with the 3rd clerkship block beginning on January 7. A spring recess is scheduled for March 31-April 7, 2002, with the clerkships ending on June 29, 2002. Dates for the "Clinical Connections" for the next clerkship year have not yet been set, and may alter the start date for some clerkship segments. There was discussion of the calendar. It interfaces well with the proposed electives block schedule, which may make it easier for 3rd year students to take electives during that year. The longer Thanksgiving break in place of a "fall break" in late September and the traditional short Thanksgiving break was discussed. There was student interest in this change. There was some concern expressed about the impact of this calendar on clerkships which rely heavily on outside office sites and the possibility that this might increase scheduling difficulties. After discussion, it was moved, seconded, and approved that the draft calendar be adopted.
- The need for formal skills assessment on each clerkship was discussed. Dr. Short provided some background about this issue, which was generated by the LCME. Dr. Juel described the "passport" that has been used by the Neurology Clerkship for the past 4 years. This consists of a printed card with specific skills or topics that must be covered or discussed during the Neurology clerkship, with individual faculty members "signing off" on the demonstration of that skill. Dr. Juel said that his faculty liked this approach, and that student feedback has been positive. Their passport also contains a space for documentation of feedback by the faculty to the student. This approach was discussed by the membership, who were all in favor of this as a means of addressing this expectation of the LCME. It was felt that there should be separate passports for each clerkship, rather than a single document for the entire 3rd year. This clerkship-specific activity would not replace the year-end CPX, but would be an additional tool to document satisfactory attainment of specific skills on each clerkship. Each clerkship was requested to generate a draft passport by November 1. These will be reviewed by the Clinical Medicine Committee to help eliminate unnecessary duplication before the final passports are adopted. An anticipated start date for the use of the passports would be July 2, 2001, with the start of the next clerkship year.
- The possibility of 3rd year students taking electives was discussed. Given the current structure of the clerkships, there are limited opportunities to postpone parts of the required clerkships into the 4th year to free month-long blocks during the 3rd year for electives. Some students for health and personal reasons, are already splitting some of their clerkship activities and completing them in the 4th year. Pediatrics and Family Medicine were mentioned as clerkships that might lend themselves to this type of schedule modification. The possibility of postponing a month of the medicine clerkship into the 4th year, with the written exam in medicine being taken after the 2 month segment in the 3rd year was also discussed. It was decided that the option of taking electives (including the Neurology clerkship) in the 3rd year be made available to the upcoming 3rd year class, and that elective supervisors should define prerequisites for their specific elective experiences.
- Dr. Short mentioned that his office still needs data from the clerkships regarding their grading methods and policies.
The meeting was adjourned at 11AM. The meeting date and time for the next meeting will be decided later and announced.
- William G. Wilson, MD