Minutes 03.03.05

Minutes 03.03.05

University of Virginia School of  Medicine
Curriculum Committee
Minutes
03.03.05

Surgery Conference Room, 4:00 p.m.                        

Present (underlined) were: Reid Adams, Eve BargmannRobert BloodgoodAnita ClaytonGene Corbett, John Gazewood, Donald Innes (Chair),  Howard Kutchai, Marcus Martin, Chris Peterson, Jerry Short, Linda WatsonBill Wilson, Brian Wispelwey, Nnaemeka Anyadike, Michael Richardson, Debra Reed (secretary) 

  1. Cells to Society (Post First Semester) Evaluation.  (Chris Peterson)  The Cells To Society course focuses on and connects the patient to all other aspects of the Foundations of Medicine curriculum. It is intended to inspire and motivate students to learn the knowledge, skills, and values needed for the practice of scientific clinical medicine.   The programs seeks to demonstrate to first year medical students how the care of a patient raises questions across multiple domains in addition to clinical medicine, especially: Biomedical science, Society, Culture, Economics and to introduce the UVa SOM “Competencies Required of the Contemporary Physician.” 

    The evaluation scores immediately after the program in August and post first semester scores are as follows:

    Date:

    August ’04
    n= 109

    January ’05
    n= 107

    Grade:

    3.43 +0.64

    2.89 + 0.91


    In response to questions from the survey, 34 comments were received – 8 positive:

     “Did C2S motivate you or increase your desire to learn material in 1st semester courses?” comments included: 
    • Most: little connection between C2S and courses; already felt motivated.
    • Some students felt it delayed getting to the basic sciences; others felt it didn’t present enough clinical or societal material

    “Did C2S raise questions across multiple domains?”
    •  75%: excellent or good
    • Helped us see forest before we got lost in the trees.
    • “I struggle – how does all this basic science actually affect how I will care for patients?”
    • “Lessons of C2S hard to parlay to basic sciences”
      The idea…[that] medicine is a discipline that spans all levels of society…should be a guiding principle for the entire curriculum.”
    Recommendations:

    Invite the PhD faculty to the program so they get to see what we really want to know about and help them understand we are medical students not graduate students.

    What the directors learned from the evaluation process is that the students would prefer to see the thread of patient care developed in Cells to Society run throughout the first year.  The Curriculum Committee would also like to encourage directors of the Basic Science courses to include/enhance clinical aspects whenever possible.  Perhaps a 5- minute clinical vignette at the beginning of each lecture might be helpful.   The Course directors hope to have more Basic Science professors involved in the Cells to Society program.  Basic science directors could arrange for clinical faculty to sit on some of the lectures and offer input as Microbiology has done.  Creation of an on-line database of brief clinical vignettes was suggested.

    The Cells to Society Introduction schedule for next year was distributed to the Committee.    The program will remain similar to the pilot program with a few modifications.  A brief introductory lecture on diabetes has been added.  The organizers plan to bring in a patient for each of the small groups to interview.  Faculty mentors will be asked to attend a faculty development session.  A letter will be sent from the Curriculum office stressing the importance of mentor participation in the development session.

  2. U21 Initiative.  UVA has been invited to participate in a pilot study to provide telemedicine support to a designated under-served hospital utilizing U21 consultant grade medical staff and U21 medical students.   The Committee was concerned about the safety of sending students to Sri Lanka and the ability of the program to provide a sustained impact in Sri Lanka .  The Committee felt that the University of Virginia School of Medicine would best focus it’s resources in the global health program directed by Dr. Richard Guerrant.

  3. Biochemistry Review.  The Curriculum Committee discussed the 2/17/05 Biochemistry review.  Recommendations and proposals for the 2005-06 were reviewed. The committee will formulate a communication to the course director.

  4. Suggestions for subsequent Curriculum Committee meetings include a report from Anita Clayton on the Women’s Health in the Curriculum grant results and a review of the services provided by the Teaching Resource Center

Donald Innes
dmr