June 3, 2013
Megan Bray, Yvonne Newberry, Huai Cheng, Laurie Archibald-Pannone, Peter Ham, Catherine Casey, Wanda Hudson, Pamila Herrington, Nassima Ait-Daoud Tiouririne, Meg Keeley, Gene McGahren, Anneke Schroen, Amita Sudhir, Chris Ghaemmaghamii, Guillermo Solorzano, Binit Shah, Ashley Shilling, Stephen Collins, Brian Wispelwey, Evan Heald, William Wilson, Robert Boyle, Anne Chapin, Allison Innes, Darci Lieb, Nancy McDaniel, Thomas Jenkins, John Jackson, Donald Innes, Karen Knight, Sylvie Moore, Carolyn Engelhard, Derrick Thiel, Mary Grace Baker (SMD 2014)
Members Present: Bold
Cultural Competency for the Clerkships was discussed. The clerkship directors and coordinators were thanked for assisting Dr. Fern Hauck in documenting activities in clerkships related to Cultural Competency. Basic resources to support learning objectives will be posted on the UVA SOM Curriculum webpage and were provided by Dr. Hauck.
Continuum of Care: It was acknowledged that some of the types of care are explicitly discussed in workshops, readings, lectures and all are covered in the course of the clerkships in total as students are exposed to and provide clinical care to patients across the spectrum of care.
End of Life Care
Learning Objectives across the Curriculum: It was discussed that some of these learning objectives are explicit and some are imbedded in the clerkships within the clinical care of the patients.
The domains are:
Common Societal Problems (abuse, etc.)
Cultural Competency (Clerkships have responded with documentation)
Quality & Patient Safety (This will be topic of June 24 Clerkship/Post Clerkship Meeting)
Test Selection & Interpretation
Self-Directed Learning (This is a part of all clerkship objectives: students are to read about their patients and/or research questions that they find in the course of care. The Curriculum committee has voted that students will document the 3 topics of self-directed learning per week of clerkship. This will be self-report and will not require sign off).
Opportunity to observe inpatient rounds: Students will be offered the opportunity to observe rounds during the fall of 2013 (for the class of 2016). This was offered by Internal Medicine, Pediatrics and Psychiatry. This opportunity to observe during rounds is to provide a context for the students prior to clerkships. A more targeted shadowing experience is proposed as a part of the transition course. Organizational details will be worked out.
Clerkship order is by College or learning community. This will allow students to have comparable experiences and will assist in continuing contact with CPD mentors and College Deans. The rotation order will stay the same from year to year so that Clerkship faculty will know the clerkships that the students have completed.
Medicine OSCE: the first ¼ of the class has just completed the Medicine OSCE. This year the OSCE will be in a pilot format and considered formative. The OSCE committee anticipates that the performance will improve over the year as the student’s gain clinical experience. For the class of 2016 the OSCE will be a component of the grade. The OSCE will be a must take/must pass component of the clerkship. Exact weighting, grading standards and remediation in the case of failure will be determined. Anne Chapin and Evan Heald were recognized for their effort on this important educational project.
Bowman Award: Drs. Keeley and McGahren asked that Clerkship Directors review and respond to email criteria and their input for candidate for the Bowman Award.
Action items for Clerkship Directors
1) Please respond to Nancy McDaniel nlm9m@Virginia.edu or Debbie Reed firstname.lastname@example.org by June 21 with any learning objectives or scheduled activities that cover items of spectrum of care (acute, preventative, chronic, continuing, rehabilitative or end of life care). 2) Please respond toNancy McDaniel nlm9m@Virginia.edu or Debbie Reed email@example.com by June 21 with any scheduled activities or learning objectives that focus on items in third discussion point (common societal problems, diagnostic radiology, ethics/professionalism, patient safety and quality, test selection and interpretation, self-directed learning) 3) At orientation or at least once per 12 week block please provide the students on clerkship rotation with the following: Orientation Learning objectives for the clerkship Explanation of the grading for the clerkship Professionalism Objectives for the Clerkships Cultural Competencies for the Clerkships Expectation for self-directed learning with student documentation of a minimum of three topics per week that they researched Specific email to the students assigned to the rotation or handouts with the above was suggested in addition to having the documents on the clerkship web page.
Examples: OB give a small booklet with these documents included, Psychiatry gives handouts, Surgery has a 3 ring notebook
Specific email to clinical faculty who supervise the students outlining their responsibilities is recommended at least every 12 weeks.
Nancy McDaniel, Co-Chair, recording of minutes
For the June 24th meeting:
Patient Safety Across the Curriculum: Peggy Plews-Ogan