Virginia School of Medicine
Pediatric Pathology Conference Room, 4:00 PM
Curriculum & Clinical Medicine Joint Committee
Present (underlined) were: Reid Adams, Robert Bloodgood,
Victoria Camerini, Anita Clayton, Al Connors, Gene Corbett, Donald
Innes (Chair), Nelle Linz, David Shonka, Jerry Short,
Howard Kutchai, Bill Wilson, Debra Reed (secretary),
(Clinical Medicine Committee Members) Allison Innes, Vern
Juel, Karen Maughan, Michael Rein, William Herbert,
Pamila Herrington, Gary Owens, Margaret Mohrmann, Susan Squillace, Mark
- Elective Program. The fourth year elective program will be
considered a course with the course directors becoming members of the
Clinical Medicine Committee (CMC). The CMC will become the Advisory
Board for the elective course. The search is underway for a Clinical
Director of this course. Suggestions of candidates for this position
were solicited from the members of the CMC.
- Advanced Clinical Elective (ACE). The creation of an
Advanced Clinical Elective was discussed with the members of the CMC. A
revised ACE criteria statement and list of course objectives was
distributed. ACE is a required 4-week clinical experience involving the
highest level of patient involvement allowed a medical student.
Students will earn 6 credit hours for each ACE successfully completed.
A minimum of one ACE per student will be required, however, if
available, more may be selected by the student. Current AI's are
currently offered in medicine, surgery, obstetrics & gynecology,
neurology, pediatrics and family medicine. To establish a new Advanced
Clinical Elective, the guidelines outlined by the Curriculum Committee
must be met and the course must be approved by the CMC. The possibility
of a psychiatric medicine ACE was discussed. Student responsibilities
for ACE should be distinctly different from those in the clerkship
- Review of preliminary findings from clerkship review:
A) Assuring that all Clerkships are meeting LCME standard for
equivalent education at all sites. Standardized tests and student
evaluations within each clerkship should also be consistent at all
B) Resident teaching skills need development.
C) Expectations (specific learning objectives) and schedules
(documented) for students must be clearly communicated for each
clerkship including each clerkship subunit.
D) Teaching responsibilities and expectations for faculty, residents,
nurses, and support staff must be made clear.
E) Consistent and timely feedback must be given to students in all
- Passports deemed worthwhile as a good first step in achieving this
F) Establishment of a formal curriculum in each clerkship
- Develop a set of specific objectives and goals for each clerkship,
may be case based, lecture based etc. but must be consistent at all
G) Uniform clerkship evaluation forms
- This will be discussed at the next CMC meeting. Jerry Short will
work on the WEB based evaluation with the CMC. The evaluation form
should be consistent over all clerkships with space for free text for
comments regarding clerkship specific items.
H) Uniform methods and procedures for evaluation of student
- Grades must be uniform at all sites. The evaluation should contain
a narrative statement of the student's progress in the clerkship. This
narrative will be used in the composition of the Dean's letter.
I) Lack of clerkship support staff
- The possibility of hiring of a Clerkship support staff person to
provide support to all clerkship directors was discussed. Duties could
include such items as the student evaluation process, clerkship
J) Improving resident teaching skills
- It was suggested that a program be implemented in each department
with guidance from the Medical Education office to increase resident
Uniform clerkship student evaluation forms by Spring,
2002. Samples of various clerkship evaluations were distributed.
Each report is in a different format and each contains variable
evaluative data. In some cases the various sites from one clerkship are
very different. This disparity must be corrected to meet LCME standards
for uniformity. (Jerry Short will work with a subcommittee (e.g.
Allison Innes, John Jackson...) of the CMC to devise a standardized
form which will include information required from all clerkships and as
well as data unique to a clerkship. Bill Wilson will acquire the latest
versions of the evaluation forms from each clerkship (including all
sites) and forward to the subcommittee. The subcommittee will present
the form they devise to the CMC for evaluation and revision.
Improvement of resident teaching skills. Development of an
incentive program to improve teaching skills of residents particularly
at away sites should be implemented. Residents as Teachers (the RAT
report) was mentioned and Howard Kutchai will provide a copy to Don
Innes for review.
Standardization of the faculty evaluations for each clerkship
(and conversion to to a web based system such as the one used during
the first two years) should be implemented.