University of Virginia School of Medicine
Curriculum Committee Minutes
Surgery Conference Room,
Present (underlined) were: Reid Adams, Eve Bargmann, Robert Bloodgood, Anita Clayton, Gene Corbett, Donald Innes (Chair), Howard Kutchai, Marcus Martin, Chris Peterson, Jerry Short, Linda Watson, Bill Wilson, Brian Wispelwey, Nnaemeka Anyadike, Michael Richardson, Guest: Claudette Dalton, Debra Reed (secretary)
Placement of RX-DX Course in Curriculum. Current placement of the mandatory RX/DX course in the week prior to Match Day has not been well-received by the current class. The Committee endorsed a proposal that it be moved in 2006 to the first or second weeks following period 9 or the first two weeks of period 10 - 3/27/06 to 4/3/06. We will discuss the possibility of a 6-day program with Ruth and Tom. The issue was raised of time for remediation for those not completing the course before graduation. This too should be discussed with Ruth and Tom, but remediation could take the form of a written paper and/or other exercise before graduation.
"Becoming a Clinician" ceremony. The Committee discussed a proposal by Marcia Childress that the School of Medicine implement a “Becoming a Clinician” ceremony. The Gold Foundation has funds for schools to hold such a ceremony but the funding is for one year only. This ceremony might best be placed at either the end of the first Clinical Connection session in June or made a part of the transition course prior to the beginning of the Clerkship year. This would formalize the section of the transition course where Dick Pearson, Michael Rein and Bill Wilson talk about professional responsibilities in the clerkships. Having the students dressed professionally (appropriate shirts, slacks, skirts, dresses, ties, and white coats) would set the tone for clinical professional behavior. Chris Peterson was asked to meet with Marcia Childress and assemble a subcommittee to include Allison Innes, Darci Lieb and Dick Pearson to address the feasibility of such a ceremony. This ceremony is not associated with the “white coat” ceremony run by the University of Virginia Medical Alumni Association .
Review of Practice of Medicine Course . (John Gazewood, Eve Bargmann) The goals and structure of the course were briefly outlined. In regard to humanism/ethics the issue has become one of integration and fragmentation versus stand-alone and wholeness.
Practice of Medicine course directors are using the 05-06 voluntary decrease in class time as an opportunity to review course goals and evaluation data in an effort to use course time more effectively and will have a schedule by June 05.
The Curriculum Committee suggested that resources of the Academy of Distinguished Educators be used for faculty development in the PoM courses.
Second Year Preceptorship Program. (Claudette Dalton) Inclusion and/or placement of the current second year Preceptorship Program in the revised curriculum was discussed. The current placement during Spring Break in the second year is not suitable in the new curriculum since second year classes will end in March and clerkships will begin in May.
Possible suggestions for the Program include:
Replace with a longitudinal clinical experience in the first/second year – Patient Clinical Encounter Program Years 1 & 2
Move to the summer (one of the 9-10 weeks) between the first and second years
Consider making the experience optional
Dr. Dalton outlined the history and original objectives of the second year preceptorship. Student evaluations of the course have been most positive. Dr. Dalton emphasized that the Preceptorship is the proving ground for finding quality preceptors for the AIM and Family Medicine clerkships. The pool of outside faculty who participate in these clerkships is constantly evolving with 1/5 to 1/6 of the preceptors changing yearly.
Dr. Dalton agreed that the longitudinal experience might be an even more valuable experience, but is concerned with the recruitment of the number of faculty both inside and out to run such a program. For a one afternoon a week or possibly one afternoon every two weeks program, preceptors must be local (within 1 hour). UVA and community practices in and around Charlottesville should be encouraged by the Dean to take students – one student for 1-2 hours per week. While Family Practice and Internal Medicine settings are ideal, recruitment of physicians from subspecialties, Pediatrics and Surgery and the Emergency Room would be necessary and desirable in implementation of such a longitudinal program. The difficulty of contracts and reimbursement to those both inside and outside UVA was discussed. All are well aware of the limitations of clinic space and need for efficiency if first and/or second year students are added to the faculty, residents, clerkship and elective students already involved in the patient’s care. Dr. Dalton is very willing to explore the possibility of the longitudinal experience but warned it will take time to organize and develop. The committee will as part of its discussion of PoM objectives and future plans, further define the Patient/Clinician Encounter program physician requirements and work with Dr. Dalton to meet the educational needs of our students within the limits of the working environment.
For notes of the previous discussion see the November 18, 2004 minutes.
Announcement. Reid Adams announced that Gary Dunnington is giving Surgery Grand Rounds, January 26th. He is a premier surgical educator. The title is believed to be “Motivating and Rewarding Teaching”. 8:00 am in CampHeart Auditorium.
The next meeting of the Curriculum Committee will be Thursday, January 13, 2005 , at in the Surgery Conference Room.