University of Virginia School of Medicine
Surgery Conference Room, 4:00 p.m.
Present (underlined) were: Reid Adams, Gretchen Arnold, Eve Bargmann, Daniel Becker, Robert Bloodgood, Gene Corbett, John Gazewood, Jennifer Harvey, Donald Innes (Chair), Howard Kutchai, Marcus Martin, Chris Peterson, Jerry Short, Bill Wilson, Anthony DeBenedet, Sixtine Valdelievre, Debra Reed (secretary) Guest: Daniela Alexander, David Geldmacher, Darci Lieb, Mo Nadkarni
- Neurology Clerkship Review. David Geldmacher, Director of the Neurology Clerkship, met with the committee to discuss the recent Clerkship review. The Committee thanked Dr. Geldmacher for a clear and comprehensive self study report. The Neurology website was also praised for its completeness and the Committee believes it should be a model to the other clerkships. The Committee discussed remediation of students who fail to satisfactorily complete the course. While there are few failures, in most of the cases in recent years, failure to pass the national subject exam has been remediated by allowing the student to retake the test. Student required attendance occasionally has been a problem due largely to the fact that the Neurology clerkship has been in the fourth year when students are interviewing for residencies. Students must make up time if they miss more than the required minimum to satisfactorily pass this course. This will not be a problem when the clerkship completes the move to the third year.
The clerkship will transition to letter grades next year from a P/F grading system. Members of the teaching faculty are working on developing specific criteria for the new grading system.
Dr. Geldmacher noted that the undergraduate medical education program has excellent support from the administration and faculty in Neurology and strong competent support staff.
The Oasis system for evaluating students was discussed. The system is an excellent tool but a way to merge narrative statements from faculty would make it more user friendly.
The clerkship transition from the fourth into the third year, spread over two years, 05-06-07, has increased the number of students by 1.5 for the transition. The structure of the clerkship (case studies and varying rotations) provides a comparable experience for all Dr. Geldmacher is closely monitoring the clerkship for any dilution effect on patient encounters.
Dr. Geldmacher believes that the programs at UVA and Roanoke Carilion are comparable in that he can find no difference in test scores or student evaluation comments between the two institutions. The Salem VA has recently expressed interest in having the Neurology clerkship students at Roanoke spend time at the Salem VA during their Roanoke Carilion rotation. This is in the discussion phase.
- Social Issues in Medicine: Building Bridges Between Community and Medicine (Daniela Alexander, Darci Lieb, Mo Nadkarni) The course description for the revised “exploratory” course for 2006-07 was distributed to the Committee. In response to feedback received from the students, faculty, and community supervisors, a number of modifications have been made. These changes are designed to promote an ethic of service as well as the competencies of humanism and professionalism by giving students more choice, and therefore more investment, in their assignments.
No student will be required to do service learning in the fall semester. The weekly sessions have been reduced to three hours. Although it is a challenge to place potentially all 140 first year students in the spring semester, the students will be given a choice as to which semester in the first year they will do their service learning.
It is hoped that some students who are already engaged in community service in the local community will want to continue their work in the Fall semester and students who participate in the Medical Student Summer Research Program can get permission from the faculty member to allow flexibility in their summer schedule so they can do their service learning in the summer. Directors are concerned that the timing of selection for this program may be too late to schedule students for the summer service learning exercise.
The survey which helped to place students in an area of interest to them has been refined and students will also be encouraged to develop their own projects. Some agencies used this year have been dropped due to negative feedback and others added. The Committee asked to review the list of sites available to the students including those removed and added this year.
The didactic portion of the fall course (one introduction, three lectures and one small group session) will likely be scheduled during the December portion of the first year along with Molecular & Medical Genetics and PoM1.
Dr. Nadkarni noted that he will be applying for a $600,000 grant that has to do with enrolling students in service related projects in the coming year.
[Further discussion on the need for evaluation of the Social Issues in Medicine exploratory is needed (the current 4th, 3rd, and 2nd year students could serve as control groups, but there is little time to catch the 4th years).]