Minutes 02.21.08

Minutes 02.21.08

University of Virginia School of  Medicine
Curriculum Committee

Pediatric Conference Room, 4:00 p.m.                       

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. Announcements.

    All of the 2008-09 Clerkship Passports will be amended to include an evaluation of cultural competency. The statement will read:

    "Student managed a patient effectively within the context of the patient's cultural beliefs, practices and needs."

  2. Fern Hauck, Chair of the Cultural Competency Committee has asked that the Curriculum Committee amend the document "Comptencies Required of the Contemporary Physician" to include a cultural competency component.

    The Committee voted to include the component "Cultural competency in clinical practice and professional relations" in Competency #1. The new Competency #1 will read:

    The development and practice of a set of personal and professional attributes that enable the independent performance of the responsibilities of a physician and the ability to adapt to the evolving practice of medicine. These include an attitude of:

    a) Humanism, compassion and empathy,
    b) Collegiality and interdisciplinary collaboration,
    c) Continuing and lifelong self education,
    d) Awareness of a Personal response to one's personal and profession limits,
    e) Community and social service,
    f) Ethical personal and professional conduct,
    g) Legal standards and conduct,
    h) Economic awareness in clinical practice;
    i)  Cultural competency in clinical practice and professional relations.

    This change should be noted at the February 29, 2008 Clinical Connections session on Cultural Competency.

    Communication from Dr. Corbett - February 24, 2008 [Thanks for this note. I had intended to let you know that this was a nice and needed amendment when I read last weeks curr comm. minutes. I also plan to mention this to colleagues at the AAMC when we meet in June. We are currently putting finishing touches on the next AAMC clinical skills monograph focused upon the preclerkship curriculum. It will be interesting to see if they elect to do same! - Eugene C. Corbett, Jr., MD, FACP]

  3. Anatomy specific objectives for the anatomy work group

    The charge of the "Medical Anatomy Curriculum Group" is to assess the need for anatomic knowledge, skills, and attitudes in the contemporary practice of medicine and to define a program that ensures their delivery within the context of our educational structure and resources, including faculty and physical facilities.  The specific objectives of this group are as follows:

    Define the educational objectives of the core course in Gross and Developmental Anatomy.

    Identify the most effective and efficient learning environments for students to acquire anatomic knowledge and develop critical-thinking skills.

    Develop a temporary core course program, to be in place from the 2008-2009 academic year through to the opening of the new Medical Education building, that achieves the educational objectives of the course, and that also minimizes student and faculty exposure to formalin vapors.

    Create a vision of a permanent core course program and identify the facilities upgrades and new equipment necessary for implementation.

    Identify areas for elective studies and propose potential methods of course design.

    It was suggested that someone from the Health Sciences Library (i.e. Ellen Ramsey) who is aware of the library's anatomy resources be added to the working group.

  4. Nutrition, professionalism, disaster medicine, environmental health, cultural competency in the curriculum. The office of the Dean for Curriculum has provided limited budget support for initiatives in some of these curriculum elements. Although funding is limited the Committee would like to see these areas supported as much as possible to ensure that oversight and updating of the programs is maintained.

    Fern Hauck requested approximately $1000 to evaluate videos and materials regarding cultural competency for use in the clerkships. Funds will be made available for this. Gretchen Arnold mentioned that Patient and Family Services Representative, Cindy Westley and Kelly Near in the Health Sciences Library may have similar materials for the Cultural Competency Committee to evaluate.

  5. Clinical Practice Exam Issues. Brian Wispelway, Course Director for the PoM2 course, has asked the Committee for guidance since a significant number of PoM2 students have failed to complete and/or pass their CPX examination. The Committee agreed that to have the students repeat these exercises before the final exam period and the ULMLE exam would increase stress levels.

    The Committee recommends that the students remediate the CPX examinations following the final exam period and USMLE exams, but before the "transition" course. The student should remediate only the failed portions of the exam.

    The Committee discussed the formation of a subcommittee to include input from PoM directors Brian Wispelwey, Walt Davis, and Seki Balogun, and the clerkship directors to review the "UVA H&P" examination, how and when it is taught, and revise if necessary.   A faculty development program for faculty and residents on the UVA H&P will be necessary.   The Committee will continue this discussion at a future meeting.

    The Working Group on Clinical Skills Education (Chair, Gene Corbett) has been working on Clinical Skills Education in the curriculum.  The Working Group has been asked to develop methods for clinical skills education for incorporation into the curriculum by September 2008. They will continue work on the development of a required list of clinical skills, and research into implementation and outcomes.

  6. Basic Science for Careers Program. It appears that the program will be ready for it's March implementation, however, the program has morphed from the original design. Evaluation and feedback from this inauguration year will be used to plan next year's program well in advance. Re-examination of the original design may be helpful. Chris Peterson suggested linking this program with the Cells to Society Program and their use of diabetes as a theme. In the future, the Committee wants more faculty/department involvement in the individual programs.

Donald Innes