Minutes 04.08.04

Minutes 04.08.04

University of Virginia School of Medicine
Curriculum Committee


Surgery Conference Room, 4:00 p.m.                       

Present (underlined) were: Reid Adams, Eve BargmannRobert Bloodgood,  Anita Clayton,  Gene Corbett, Carl Creutz,  Donald Innes (Chair)Vern Juel, Howard Kutchai, Chris Peterson, Jerry Short, Linda WatsonBill Wilson, Brian Wispelwey, Nnaemeka Anyadike, John BellMaria Meussling,  Guests:  Claudette DaltonCurtis Tribble, Debra Reed (secretary)

  1. Surgical techniques and emergency care skills.  (Curt Tribble)  Curt Tribble presented a new proposal for teaching surgical techniques to the medical students.  The two main themes of the proposal include handling of various tissues and controlling hemostasis.  In addition, some attention is given to two life saving techniques, vascular access and chest tube placement.   The use of a simulator for additional life saving emergency care skills was considered. A brief Q&A period followed. The need to clearly distinguish the surgical techniques activity from the life saving techniques activity was emphasized. The committee will discuss the surgical techniques activity proposal at the next meeting. We will also discuss a life saving techniques proposal as a distinct activity.

  2.  Second year preceptorship.  (Claudette Dalton)  Dr. Dalton outlined the goals and objectives of the second year preceptorship.  This 5-day program currently takes place in the Spring of second year.  Each student spends one week with a primary care physician in a one-on-one relationship.  At present this is the only concentrated patient experience in the second year.  Student evaluations of the program have been very positive (92-98% positive).   Direct costs of the program have not exceeded $23,000 per year. 

    With the curriculum proposal under consideration placement and value of the preceptorship in the Spring may not be appropriate.   Moving the preceptorship to the first year was discussed, although students in the first year may lack a sufficient knowledge base for a valuable preceptorship experience.  Another possibility, moving the preceptorship to the summer and spreading it over several weeks presents problems with vacation schedules. Turning the week long preceptorship into a once a week or once a month longitudinal exercise in the fall of the second year was discussed.  Finding appropriate preceptors within a driving radius of Charlottesville would be difficult since many are already participants in the Family Medicine and AIM clerkships.  Although we have sufficient numbers of faculty in house (estimated 1/3 of medicine faculty volunteer to take students into clinics) their willingness would need to be supported by the administration (at the central, department and division levels) with resolve and an understanding of remuneration.  A combination of community (MJH, Augusta and RHM) and in-house faculty would be politic. The duty of a state institution to provide student exposure to underserved communities was also considered. The Preceptorship was presented as a recruitment, evaluation and retention tool for physician preceptors for Family Medicine and AIM.   John Bell commented that the preceptorship was valuable to the students in that they were able to organize and use some of the information learned in second year. A final suggestion was to use the Preceptorship as a “capstone” to the core systems material. The committee will discuss the positioning and value of the Preceptorship at the next meeting.

  3. Mini-review summaries were presented from the Anatomy Team (Virginia Taylor, Reid Adams and Eve Bargmann ), the Biochemistry and Medical & Molecular Genetics Team (Joel Hockensmith, Wendy Golden, Julie Turner, Bob Kadner, Eve Bargmann and Brian Wispelwey ), the CTS/Phys Team (Bob Bloodgood, Howard Kutchai, Eve Bargmann and Don Innes), the Neuroscience Team (Kevin Lee, Vern Juel, Bart Nathan, Bob Bloodgood, Virginia Taylor, Bill Hobbs and Beatrice Lopes), the Human Behavior Team (Bob Bloodgood, Eve Bargmann, and Bill Hobbs) and the Intro Psychiatric Medicine, Microbiology, Pharmacology, Pathology and PoM-2 Team (Bruce Cohen, Carl Creutz, Bob Kadner (Julie Turner), Don Innes and Brian Wispelwey (Darci Lieb), Vern Juel and Bill Wilson). Using the summary findings Bob Bloodgood and Eve Bargmann will put together a first year hour-by-hour schedule. The most important lesson to come form the Mini-reviews is the need for improving communication between courses.

Donald Innes