Minutes 11/09/04

Minutes 11/09/04

University of Virginia School of Medicine
Clinical Medicine Committee

Members present (underlined): Rein, Michael F; Herrington, Pam ; Adams, Reid B; Newburg, Doug; Corbett, Eugene; Wenger, Jennifer; Maughan, Karen L; Mounsey, Anne; Short, Jerry; Innes, Donald J; Innes, Allison H; Chapin, Anne E; Lieb, Darci G; Jackson, John M; Keeley, Meg M. ; Shenker, Joel; Wilson, William; McIntosh, Paul

  1. The meeting was called to order at 5 PM. in the Peds-Pathology conference room.

  2. It was noted that several of the committee members were attending the AAMC meeting in Boston and could not be at our meeting.

  3. The main topic of discussion was the proposed clerkship calendars for the next 3 years.  The current proposal is to begin the transition from the existing calendar and clerkship schedule to the new clerkship schedule in the summer of 2005. This upcoming clerkship year (2005-2006) would see no changes in any of the clerkships except for Medicine and Neurology. Half of the students would have a month of neurology instead of one of their medicine months. This would allow for half of the class to take the Neurology clerkship in their third year.  The following year, beginning June 26, 2006 , all clerkships would be in their revised form, and the clerkship year would consist of 5 blocks, each 8 weeks in length, with Neurology in the 3rd year. Those students who did not take Neurology in the previous year would take it as a 4th year requirement.  This clerkship year would end April 28, 2007 . The next clerkship year would begin May 7, 2007 , and would consist of 5 blocks, each 8 weeks in length. This would complete the transition from the current clerkship schedule and configuration to the new schedule and configuration. This timetable gives several years to plan for effective use of the time between the end of one clerkship year and the beginning of the next. This may include added advanced clinical experiences for post-clerkship students on a variety of inpatient rotations, since there would  not be “clerkships” during that 2 month period. There was also discussion about the scheduling of electives and selectives, mechanisms of giving priority to students who need a particular elective or selective rotation, etc. The clerkship directors were encouraged to think about ways in which existing electives might be adapted to a more competency-based model.  There was inquiry about the timing of the actual adoption of the new template for the clerkships and clerkship year. This will be discussed with the Curriculum Committee.

  4. The clerkship directors were encouraged to give John Jackson feedback about the proposed on-line evaluation form for students to use in the evaluation of faculty and clerkships.

  5. The Clinical Skills exam was mentioned. General feedback from our students who have taken this exam (USMLE Step 2CS) was that, in their opinion, our “in-house” CPX exam was more rigorous that the USMLE exam. It was noted that none of the students have received their exam results thus far.

  6. The issue of policies regarding medical students writing notes in hospital charts was discussed. There may be differences among clerkships and sites regarding “charting” by students. Most clerkships represented do have students write notes in patient charts, and this was felt to be a worthwhile and educational activity for them. Since the medical chart serves multiple purposes, it was felt that we should not dictate a policy to departments or sites, but that student involvement in documentation of findings and the clinical course and progress should be encouraged.  This matter will be discussed further with the Curriculum Committee.

  7. The issue of religious conflicts and clinical activities was raised. This issue will be referred to the Office of Medical Student Affairs.

  8. Absences of students from clerkships for professional or family activities was discussed. One clerkship requires that time away from the clerkship be “made up” by the student. Each clerkship should have a policy regarding these issues, and should make the students aware of this policy.

  9. The meeting was adjourned at 5:55 PM.

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