University of Virginia School of
- Pediatric Pathology Conference Room, 4:00 pm
- Present (underlined) were: Reid Adams, Robert
Bloodgood, Anita Clayton, Al Connors, Gene
Corbett, Joanna Goldberg, Donald Innes (Chair), Steven
Meixel, Jerry Short, Rob Williams, Bill Wilson, Debra
Reed (Secretary), Guests: John Gazewood, Brian
- The Curriculum Committee is holding a second "open house"
for faculty and student input in Primary Care Center Classrooms A and
B, from 3:00 p.m. until 5:00 p.m. on Thursday, May 4, 2000. Members of
the Curriculum Committee will be present to listen to ideas and
concerns regarding the School of Medicine curriculum from both faculty
and students. An e-mail notice will be sent to all faculty and medical
students from the 1st and 3rd years.
- Don Innes reported that he updated the Dean's Executive Committee
on the Curriculum Committee's progress last week. Comments and from the
Executive Board were positive. An article from the AAMC Office of
Governmental Relations provided by Bill Knaus entitled, "Changes to
Medical School Curriculum Urged at Hearing on Complementary and
Alternative Medicine" was distributed to the Committee.
- The primary agenda item was an update on the PoM course.
John Gazewood has agreed to be one of the PoM course directors. A
second director will be Brian Wispelwey whose expertise and name
recognition are important especially as PoM and ICM are to become a
continuum PoM-1 and PoM-2. The organization and administration of PoM
will require a huge amount of time and energy, thus a third major
position is proposed (to be named later). While the concept of 3
directors may appear unwieldy, this combination offers opportunities
and manpower and frees Dr. Wisplewey to devote energy to the
rejuvenation of ICM into PoM-2. Dr. Gazewood has been involved in the
planning stages of the course from the beginning and is meeting with
the committee today to outline course structure, plans for the course,
and to solicit input and address concerns of the Curriculum
The primary goal of the Practice of Medicine planning committee was
to integrate DPI, Physical Diagnosis and Ethics and in doing so,
make the Practice of Medicine Course more than a sum of its
parts. The course will parallel Anatomy instruction in the first
semester and Physiology in the second. The planning committee meets
every other week. The POM course revolves around the doctor/patient
relationship taught in the context of the patient encounter,
instruction on how to do a good history and physical examination. This
course should lay the groundwork for ICM (POM2) in the second
year. The POM curriculum is still a work in progress and modifications
will be made as the course progresses.
Meeting space requirements are a constraining factor. At the
present time, Andrew Lockman is reviewing current available space for
small group and physical diagnostic procedures. The POM planning group
originally planned to create groups of 8-9, however, a suggestion was
made by the Curriculum Committee that small groups be composed of
varying numbers of students (6-12) to make use of all available
classroom space. Jerry Short is also working to locate additional small
Concern that students receive as much patient contact as
possible during the first year was voiced. Patient contact is included
in the curriculum as it is planned at the present time but may not be
obvious on the schedule. This will become clearer as the schedule is
fleshed out. Objectives for each POM session will be created and
compared to the overall course objectives.
The POM course is structured as a progressive course, starting
with the framework for a patient interview and each week adding
something new that builds on the previous week. Sequence of instruction
on history and physical examination is important and should have a
clear and distinct order.
Recruitment and development of faculty mentors is a major focus
of both the Curriculum Committee and the Directors of the POM course.
Remuneration, promotion incentive and departmental support are
absolutely necessary for recruitment. The POM course will try to retain
as many of the current DPI physician mentors as possible. Faculty
development is necessary so that each small group will have
standardized history and physical instruction. In teaching the "medical
interview" the distinction between listening to the patient and
eliciting necessary medical information must be stressed. Mentors for
this course will be required to spend a full afternoon per week with
the students plus preparation time.
Information management and use of technology in medical decision
making are critical components of the curriculum. The Curriculum
Committee expects the first year POM student to become familiar with
the process of information management and technology in medical
decision making. It was suggested that instruction on literature
research be built into the small groups as much as possible. Teaching
students to weigh and filter information in clinical decision making
should be a part of the POM course instruction. Portions of what is
currently Clinical Epidemiology should be considered for inclusion in
the PoM-1 course.