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Surgery Conference Room, 4:00
p.m.
Present (underlined) were: Reid Adams, Eve
Bargmann, Robert Bloodgood, Anita Clayton,
Gene Corbett, Carl Creutz, Donald Innes
(Chair), Vern Juel, Howard Kutchai, Chris
Peterson, Jerry Short, Linda Watson, Bill
Wilson, Brian Wispelwey, Nnaemeka Anyadike, John
Bell, Maria Meussling, Guests:
Claudette Dalton, Curtis Tribble, Debra Reed
(secretary)
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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.
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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.
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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
dmr
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