University of Virginia School of Medicine
Present (underlined) were: Gretchen Arnold, Eve Bargmann, Dan Becker, Robert Bloodgood, Thomas Gampper, Wendy Golden, Donald Innes (Chair), Howard Kutchai, Marcus Martin, Mohan Nadkarni, Chris Peterson, Jerry Short, Bill Wilson, Brad Bradenham, Emily Clarke, Sixtine Valdelievre, Debra Reed (secretary)
1) Fern Hauck is working on the cultural competency portion of the School of Medicine's response to the LCME. Dr. Hauck is developing a new line item for each of the clerkship passports addressing cultural competency. Funding for videotapes, etc. for teaching and evaluation in the clerkships is being sought by the Cultural Competency Committee.
2) Course Reviews have been arranged for Neuroscience on 5/22/08 and Medical and Molecular Genetics on 3/13/08. Anatomy and Practice of Medicine I course directors will be scheduled for sometime in April-May, 2008. Bob Bloodgood was asked to recommend any other courses that might need to have Curriculum Committee review after the Principles of Medicine Committee completes their annual course assessments.
3) Mo Nadkani, elected from the faculty at large will become an active member of the Curriculum Committee in the summer of 2008.
4) Bob Bloodgood reported on the Principles of Medicine Committee meeting held on 2/13/08. Sixtine Valdelievre reported to the Committee on the USMLE Step 1 review course. The review of the fall courses was begun. Minutes of the meeting will be placed on the website.
5) The Academy of Distinguished Educators 4th Medical Education Poster Session will be held on Wednesday, February 20, 5-7 p.m. (with remarks by Dr. Sharon Hostler at 5:30 p.m.) outside the Claude Moore Health Sciences Library.
The posters will be presented outside the library for the entire week of February 18-22. At the Medical Center Hour talk on February 20th at 12:30 p.m., Janet Hafler from Tufts University, will speak on "Beyond, not by, the numbers: qualitative research in medical education."
Consideration of an Extended Clerkship Period. The Committee continued last week's discussion of the expected increase in students for the coming clerkship years. While talks are ongoing with other outside institutions to develop more alternative clerkship sites, this will not solve the immediate needs of the next few years. Next year for instance, there are nearly 15 students returning to the third year class from the MD PhD program and or after taking a year off. This has created a problem in scheduling the clerkship positions. The Committee agreed that the proposal to extend the 10 months of clerkship over a 12 period including some electives/selectives in the clerkship year might be the best solution. Scheduling issues such as elective prerequisites were discussed. Some electives that have no prerequisites such as Emergency Medical Techniques/Anesthesiology, Dermatology, Pathology, and Radiology could be offered in the first and second clerkship period. The possibility that students who take these first and second period electives during their third year be given preference in the fourth year elective selection was discussed. Students concerns about the elective selection/assignment process were noted.
The Committee voted to develop this proposal. Don Innes will draft the proposal; circulate it to all members of the Curriculum Committee for comment, and then present to Dean Hostler for approval.
- Core Clerkship Elements. The Committee began work on developing a list of core elements for all clerkships.
1) One-to-one experience with faculty and/or resident allowing for discussion
2) Rounds with resident/fellow/attending physicians on inpatient services (daily)
3) Medical student performance/presentation of patient history and physical examination to supervising resident/fellow/attending physicians - full initial and regular daily updates on patient course
4) Clerkship Director (or Designee) rounds, e.g. Medical Director's Report, Ethics Rounds
5) Clerkship designated learning events, e.g. radiology rounds, patient based didactic sessions
The Committee discussed the differences between the clerkships and the elements all should have in common. These Core Elements will be discussed at a future meeting, expanded and refined.
- Next meeting is February 21 to continue discussion of core clerkship elements. Remember that the committee meets the first, second, and third Thursdays of each month during the year.