Clinical Medicine Committee
Minutes
May 14, 2012

Members Present:  Evan Heald, Priscilla Potter , Guillermo Solorzano, Allison Innes , Donald Innes, Anneke Schroen,  John Riordan, Darci Lieb, William Wilson

Nancy McDaniel, Co-Chair, recording of minutes

Agenda

• Discussion of consistent components and weighting of components for clerkship grade calculation
  
  
• Discussion of consistent requirement for “passport” or clerkship requirement completion and signoff 
  
  
• Demonstration of evaluation tool (on faculty smart phone): John Riordan 
  
  
• Discussion of clerkship learning objectives and plan for mid clerkship evaluation (will discuss on June 4 in detail)
  
  
• Clerkship schedule: evaluations,  intersession (workshops, mentor, dean meetings)
  
  
• Proposed committee name change: Clerkship/Post Clerkship Committee as suggested by workgroup on Clerkships
  
  
• Minutes
  
  
• Demonstration of evaluation tool (on faculty smart phone): John Riordan
  
  1.  The evaluation tool is on the web or an application on a smart phone, it was written by an ER Scribe as a way to increase the number of evaluations and their timeliness. Currently used for faculty evaluation of residents.
  
  2.  Responsibility lies with faculty to do evaluation
  
  3.  This allows evaluation after a short interaction
  
  4.  This might work well for short interactions but less well on longer clerkships with more in depth interaction
  
  5.  A pilot use with CPD I was suggested
  
  
• Discussion of consistent components and weighting of components for clerkship grade calculation
  
  1.  Wide range currently for weighting of components, not all clerkships have all of the components listed
  
  2.  Committee agreed to range
  
  3.  Committee agreed to major categories in concept
   

  1.	Medical Knowledge (SHELF or other test) ~30%
  2.	Clinical Skills ~30% (how to assess needs to be determined)
  3.	Mid clerkship evaluation ~10% (low stakes but enough to encourage reading and preparation)
  4.	OSCE ~10%
  5.	Workshops ~10%
  6.	Standardized cases (web based) ~10%
  7.	Presentation/research ~10%
  8.	Other elements-Behavior, humanism, patient logs are considered necessary, need to meet these for minimum competency, to be noted in evaluation

  
  

• Discussion of consistent requirement for “passport” or clerkship requirement completion and signoff
  
  1.  This was discussed at high level, noting that there will be revision to this as learning objective are revised
  
  2.  The clerkship requirements may be shortened and refined
  
  3.  Patient logs are important but may not need signature 
  
  
• Discussion of clerkship learning objectives and plan for mid clerkship evaluation (will discuss on June 4 in detail)
  
  1.  Suggestion that this would be about 40 questions, on line, required
  
  2.  Need for many questions discussed so that the experience would be fair for each group
  
  3.  Dr. Wilson suggested that this might be ungraded but considered a self assessment
  
  
• Clerkship schedule: transition, 2 twelve week clerkships, intersession, 2 twelve week clerkships, CPX/DX-RX
  
  1.  Structure of each clerkship in discussion
  
  2.  Assessment of clinical skills proposed at end of Medicine 12 weeks and Surgical 12 weeks
  
  
• Proposed committee name change: Clerkship/Post Clerkship Committee as suggested by workgroup on Clerkships was accepted
  
  
• Reimbursement of Teaching Elements discussed
  
  1.  Academic cycle would suggest that the first time a lecture, workshop or other component of clerkship is given, credit for the preparation would be given
  
  2.  Additional utilization of that lecture etc over the course of the academic year would be credited as teaching without preparation time
  
  3.  It was recognized that the first cycle of workshops might require refinement and change but not the full preparation time

For the June 4th meeting:

• Learning objectives-review and plan for revision as needed
• Plan for mid clerkship evaluation