Minutes 04.05.07

Minutes 04.05.07

University of Virginia School of  Medicine
Curriculum Committee

Surgery Conference Room, 4:00 p.m.                       

Present (underlined) were: Reid Adams, Gretchen Arnold, Eve Bargmann,  Daniel Becker, Robert Bloodgood,  Gene Corbett,  Wendy Golden, Donald Innes (Chair),  Howard Kutchai, Marcus Martin, Chris Peterson, Jerry Short, Bill Wilson,  Devin Mackay, Kavita  Sharma,  Brad Bradenham, Emily Clarke  Debra Reed (secretary)  

  1. Emily Clarke, President of the Mulholand Society, 2007-08 was welcomed as the newest member of the Curriculum Committee.

  2. Basic Science for Careers Update.  Don Innes met with Debra Perina to discuss implementation of the Basic Science for Careers course for Spring, 2008.  Seventeen students have signed up for the pilot program being run as a two-week elective this year.  The Committee agreed that the plan as last presented was good and reasonable, but was concerned that preparation for the program (identify teachers, speakers, small group leaders, plan curriculum, schedule rooms, etc.) for Spring, 2008 was lagging.

  3. Anesthesiology, its place in the curriculum and the Surgery clerkship.  Chris Peterson agreed to chair a task force to look into the Anesthesiology/Surgery clerkship issue and make a recommendation to the Curriculum Committee by September 2007.   Bob Bloodgood, Evan Heald, and Emily Clarke will serve on this task force.  The charge is to determine if an experience in anesthesia should be required or elective for medical students, and if required, where in the UVA curriculum is the experience best placed. 

    The Committee agreed that Anesthesiology must remain a part of the Surgery Core Clerkship for 07-08 as decisions based on the current organizational plan have already been made. Any changes would not occur until the 2008-09 clerkship year.  A decision should be made by early fall 2007. Don Innes will inform the clerkship, selective, and elective directors.

  4. Cultural Competency. Fern Hauck has agreed to lead an assessment of the current educational activities addressing cultural competency in years 1-4 of the School of Medicine curriculum. The assessment will determine the adequacy of these activities, propose, and take action if needed and approved by the Curriculum Committee. The LCME asked for a report on this by September 2008. We should have a plan of action ready in the next couple of months (summer 2007) and begin corrective action as soon as possible thereafter.

  5. Student Request for History of Medicine/Diversity Curriculum.  The Committee discussed a recent e-mail from a student requesting that more history of medicine especially in regard to minority contributions be included in the curriculum.  The Committee discussed this issue and noted time constraints on first and second year courses, faculty who are unaware of ethnic or racial origin of contributors to medicine and the complicated issue of pointing out these issues in class make interjection into the current lecture scheme difficult.  The possibility of adding an additional lecture on the history of medicine and diversity into one or more of the first and second year courses such as POM1 or PoM2 was discussed.  Eve Bargmann noted that PoM1 originally devoted two hours to the History of Medicine but the lectures were unfortunately not well-received. The possibility of developing a web site with the help of a fourth year teaching elective on this subject was discussed.   Courses could then link to the relevant portions of the website from their lectures.   Chris Peterson noted that the problem was brought to her attention when she  recently prepared a lecture and had difficulties finding images in textbooks that did not seem racially biased - there were far more abnormal vulva in people of color and far more normal vulva images of caucasians.  Marcus Martin will be asked to head up a group on how best to include diversity/history of medicine in the curriculum.

  6. LCME Report.  Findings from the LCME report pertaining to curriculum issues were distributed.  The reported noted differences in instructional content across sites in certain clerkships.  The Committee believes faculty and resident development as well as more clearly delineated, consistent objectives may be the key to solving this issue.  Standardized Clipp cases already used in Pediatrics may be expanding into the Internal Medicine/ Family Practice area within the next couple of years and should be useful. Also see item #4 above.

    ED-8. There must be comparable educational experiences and equivalent methods of evaluation across all alternative instructional sites within a given discipline.

    ED-22. Medical students must learn to recognize and appropriately address gender and cultural biases in themselves and others, and in the process of health care delivery.

    ED-24. Residents who supervise or teach medical students, as well as graduate students and postdoctoral fellows in the biomedical sciences who serve as teachers or teaching assistants, must be familiar with the educational objectives of the course or clerkship and be prepared for their roles in teaching and evaluation.

  7. The Clinical Skills Training Resource Program will be discussed at the 4/12/07 meeting.

Donald Innes