University of Virginia School of
Pediatric Pathology Conference Room, 4:00 pm
Present (underlined) were: Reid Adams, Robert Bloodgood,
Anita Clayton, Gene Corbett, Donald Innes (Chair),
Vern Juel, Howard Kutchai, Maria Meussling, Jerry
Short, Bill Wilson, Brian Wispelwey, Ryan
Zaklin, Debra Reed (secretary) Guest: John
- Enhancing Clinical Experience. (John Gazewood) Dr. Gazewood
presented a proposal to enhance student clinical experience during the
first two years of medical school. First year students at present have
limited clinical experience. In PoM-1, students have three half-day
sessions with a community primary care physician, three interviews with
hospitalized patients, one interview with a patient in a long-term care
facility and spend one weekend morning on hospital rounds with a ward
team. These activities have been consistently among the most highly
rated activities in PoM-1. The cost of this program to the OCBME is
approximately $30,000/year. Expansion of this program would be
difficult due to cost and limited availability of preceptors.
Dr. Gazewood proposes a program of preceptorships with University of
Virginia clinical faculty. Students will spend 1/2 day a month in an
afternoon clinic with a single University of Virginia physician in both
the first and second semester of their first year.
- Overall enthusiasm for and relevance of the clinical experience.
Getting students into a clinical setting on a regular basis during the
first and second years. Increased attention to physical diagnosis and
- Number of physicians required to administer this proposal.
Recruitment and reimbursement of physicians for time teaching students
in this program. Continuity into the second year and number of
additional physicians required.
- Would this lessen the time a physician might have to spend with the
third year students doing clinical rotations - how might this effect
the efficiency of clinics.
- Evaluation process - what every student should take away from the
- While a one student to one preceptor experience is optimal, is it
possible to have two students to one faculty to lessen the amount of
preceptors needed? Room in the clinics? Still as effective?
- If proposal is developed, a curriculum complete with goals and
objectives and evaluation models will be necessary.
- Problems in clinic with third and fourth year students and
residents already competing for patients and introducing first and
second year students into the mix.
The Curriculum Committee will discuss this proposal further in the
context of forthcoming curricular changes as outlined in the decade
Plan and respond to Dr. Gazewood.
- The next meeting of the Curriculum Committee will be 5/1/03.