Minutes 03.04.10

Minutes 03.04.10

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, Brad BradenhamDebra Reed (secretary)  

  1. Distributed to the Committee:

    A Construction Status Report
    for the Claude Moore Medical Education Building. The building is said to be on time.

    An article entitled "Patient Safety; Conversation to Curriculum" from the New York Times written by Daniel Blumenthal and Ishani Ganguli (fourth year medical students at Harvard Medicine School).

    An article entitle "Making the New Grade" by Janet Neumann, from the American Medical Student Association (AMSA).

    Minutes from the Clerkship Introduction Design Task Force meeting held on 3/2/10 were distributed.  This group is actively working on a two week program to take place just prior to the beginning of the clerkship year.  This program would include the traditional schedule for the "Transition" course, selected workshops from AIM, Family Medicine and Pediatrics and selected activities from Clinical Connections, and DxRx.  A meeting has been arranged next week with Drs. Wilson, Heald and Ham to discuss the workshops that might be better offered in the Clerkship Introduction period.

  2. Epic in the Curriculum - Dr. Stephen Borowitz outlined the advantages of using the Epic system (electronic medical record) in Medical Education. He proposes creating an "environment" in Epic that would be incorporated into the Simulation Center for use with both simulation and standardized patients.

    This environment in Epic would allow the School of Medicine to teach students to practice proper data retrieval, how to order tests and review test results, how to develop a plan for treatment, and how to write clear and concise admission, progress and discharge notes

    It was noted that today's medical students are "digital natives" while faculty are often "digital immigrants" having learned these skills in a paper world. Faculty would actually be able to learn from these well-trained students when reviewing their work.

    Students properly trained in the use of the Electronic Medical Record (EMR) would be highly regarded by residency programs as the EMR is becoming standard throughout the country.

    An environment in Epic could be created to follow patients as well as students through years of study.    

    Since Epic will not be functioning in the Clinics until September and the Hospital inpatient units until September, 2011, the earliest installation of an Epic environment in the Medical Education Building would likely be Fall, 2011. 

    Financing this project will need to be arranged.   Expenses will include the cost of development of the environment in Epic, hardware, a trainer to instruct students in the proper use of the EMR, and support staff hours to enter data into the system.   Grants such as those from AHRQ's RFA for Improving Patient Safety through Simulation, funding from the School of Medicine,  the  Stemler Fund, or the Medical Alumni Association,  and a possible shift of funding from the GME programs who would no longer need to train UVA SOM graduates in the use of the EMR. 

    Clerkship directors would benefit from this program since students entering the clerkships would be well prepared.

    Dr. Borowitz reported that students taking care of patients will be able to do everything in Epic.  Everything they enter, however, will be in a pending mode and will not become active until signed by a provider.  Students will have the ability to compare their version of the notes, etc . with the version signed by the faculty.  If the medical students are taught the proper use of  the system, they would be instrumental in helping the residents and attendings understand the "best practice" method of entering data into the EMR.

    Keith Littlewood, Director of the Simulation Center, and Gretchen Arnold, Director of the Health Sciences Library both support this proposal.  

    Creating a thread leader in the new Curriculum for Epic was proposed.

    The Curriculum Committee fully supports this program. A committee will be formed, including Dr. Borowitz and Littlewood, Gretchen Arnold, Veronica Michaelsen, Gene Corbett, Mary Bryant, Jennifer Marks and two medical students  to put together an action plan, develop a budget and seek funding.  The group should arrange a meeting within the next two-three weeks.

  3. Clerkship Student Evaluation Form Change. Bill Wilson proposes a change to the wording of the student evaluation form used in the clerkships. This change is supported by the Clinical Medicine Committee.

    Use the following scale to rate the student on the 16 listed areas AND the student's overall performance

    Marginal Performance (Needs improvement)
    Typical Performance (Expected for a UVA student)
    Superior Performance (Top 20%)
    Honors (Top5%)

    Use the following scale to rate the student on the 16 listed areas AND the student's overall performance

    Acceptable Performance
    Good Performance (Expected for a UVA student)
    Superior Performance (Top 20%)
    Honors (Top5%)

    The Committee discussed this proposal and approved the change effective for the 2010-2011 clerkship year.

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