Minutes 01.21.10

Minutes 01.21.10

University of Virginia School of  Medicine
Curriculum Committee

Pediatric Conference Room, 4:00 p.m.                       

Present (underlined) were: Gretchen ArnoldRobert Bloodgood, Megan Bray, Donna Chen, Eugene Corbett, Thomas Gampper, Wendy Golden, Donald Innes (Chair), Keith Littlewood, Jim Martindale, Veronica Michaelsen, Mohan Nadkarni, Chris Peterson, Jerry Short, Linda Waggoner-Fountain, Bill WilsonMary Kate Worden  Lisa Herrmann, Evan Lapinsky, Debra Reed (secretary)   

  1. Hospital Renovation Project Concerns: There is great uncertainty about the adequacy of call rooms, conference rooms, lockers and overnight call space in the UVa Hospital renovation plans. The LCME requires that students have appropriate space to meet, store their personal belongings, and sleep if overnight call is expected.

    LCME Standard ER-7. A hospital or other clinical facility that serves as a major site for medical student education must have appropriate instructional facilities and information resources.

    Appropriate instructional facilities include areas for individual student study, for conferences, and for large group presentations (lectures). Sufficient information resources, including library holdings and access to other library systems, must either be present in the facility or readily available in the immediate vicinity. A sufficient number of computers are needed that allow access to the Internet and to other educational software. Call rooms and lockers, or other secure space to store personal belongings, should be available for student use.

    The potential loss of conference and small group teaching space in the renovated University Hospital is a concern for GME as well as UME. The current small group teaching spaces available in the University Hospital are heavily utilized by house staff, students, nursing staff, and nursing students from several different institutions. Lack of call room space for medical students in the University Hospital is one of the reasons that "overnight call" and night-float call is not available for students on most of the required clerkships. The Curriculum Committee will ask Dean Canterbury to represent the School of Medicine and stress to the Hospital planners the need for adequate teaching space and teaching and student support space in the renovated University Hospital  as this relates to LCME and GME requirements.  

  2. Education Retreat. An education retreat is planned for February 4, 2010 in which representatives from GME, UME, and CME will discuss goals and expectations for the future of the School of Medicine.

    A preliminary plan for UME goals already established for the Next Generation Curriculum was outlined and discussed.

    Goals include:

    1.    Assure all graduates demonstrate mastery of the 12 UVA School of Medicine Competencies required of the Contemporary Physician
    2. Integrate content around the organ systems

    Integrate clinical and basic science content across the four years and within systems


    Utilize more active learning methodologies and provide a learner-centered curriculum.

    5. Provide frequent and developmental opportunities for clinical skill learning throughout the curriculum.

    The definition of "Active learning" in Goal 4 was discussed.  Active learning might be described as student engagement.  Elizabeth Bradley and Veronica Michaelsen have developed a survey to help define active learning by community input, and compile a list of activities that qualify as active learning.  This topic is also being discussed in the UME Allocation Model Committee as it pertains to whether engagement activities will be compensated at a higher rate than non-engagement activities. 

    The Committee noted that matching learning method to learning objectives was essential to the success of the new curriculum; that it was far more important that methods and objectives match than to specify the exact amount of time spent in active learning.   

    Goal 5 regarding clinical skill development was further explored.  It is a national concern that due to changing hospital practices and policies this goal will become even more difficult to meet in the future.  Setting goals at appropriate attainable levels was discussed.

  3. Attendance issues in a recent Ethics Panel discussion was outlined by Donna Chen. Approximately six students (of 145) attended the discussion - how to evaluate faculty teaching when only 6 students attend the session was briefly discussed. Suggestions to improve attendance at sessions included adding questions from the panel discussion to the exam, publicizing the event and stressing the importance of attending on becoming a competent physician Student are require to attend small group activities in the School of Medicine.

Donald J. Innes, Jr., M.D.