Minutes 04.20.00

Minutes 04.20.00

University of Virginia School of Medicine
Curriculum Committee
Minutes 04.20.00

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 (Acting Chair), Rob Williams, Bill Wilson, Debra Reed (Secretary)

 

  1. Bob Bloodgood will forward a draft of his evaluation proposal to the members of the subcommittee working on faculty/course evaluations (Bob Bloodgood; Al Connors; Jerry Short; Mark Mikkelsen) via e-mail. The subcommittee will then meet to work on this.

  2. The Mulholland Clinical Clerkship Report - June 1998-June 1999 - Class of 2000 was distributed to the committee.
    General Recommendations for all Clerkships (copied from the Report):
    1. Resident teaching is highly regarded by those students who feel they received a sufficient amount of it. We recommend that there be specific training in the PGY-1 year to remind residents of their role as teachers, in the settings of small groups and bedside instruction.

    2. Standardization of materials in the form of universal lectures among clerkship sites and giving out lecture handout packets at the beginning of the clerkships can help bridge the gaps which remain between experiences at the various hospitals.

    3. Clear expectations for the medical student should be explicitly defined at the beginning of the clerkship, in written and/or orientation form. The housestaff and attendings should be aware of what the department defines as expectation of the student as well. We realize that there is variation in initiative and skill from one student to the next, but it gives students common ground at which to begin.

    4. Feedback during the clerkships is needed so students may change habits and find out what they are doing well also. There should be a mandatory mid-clerkship evaluation in all rotations.

    5. Living conditions at the away sites have room for improvement. We recommend that the Salem VA facilities be brought up at least to the standards of those in Roanoke. Some of the primary care sites should be reassessed as well, the bed and breakfasts appear to be working well, while the dormitories and private homes are not as well received.

    While most of the evaluations were favorable, the committee agreed that there were areas that need to be reviewed.

    The committee discussed how to best compare data from these reports from year to year and how to relate to the evaluation of student knowledge and skills. Jerry Short reported that the board scores and evaluations of different sites by three clerkships revealed little correlation between student grades and less than optimal clerkship sites.

    The Committee agreed that questions on the survey such as Were there statements or actions which made men/women uncomfortable? and Were there statements or actions which made minorities uncomfortable? should be rewritten to focus on faculty/staff interaction. Most of the incidents reported were actually related to patient interaction. The committee also felt that the students should be educated, perhaps during orientation, on how to handle patient bias. This should also be topic for the first year Practice of Medicine Course.

    The Roanoke Psychiatry program continues to be the most highly rated rotation of all with 100% of the responders awarding it an A. This probably correlates with the fact that the program has a designated faculty member paid to teach.

    An attempt should be made to standardize clerkship objectives and grading policies.

    Don Innes will be making a trip to the Salem VA and Roanoke facilities to meet with clerkship directors in June and will observe the living conditions at those institutions at that time.

  3. A copy of the education section of the Liaison Committee on Medical Education - Annual Medical School Questionnaire 1999-2000 was distributed to the Committee. This year's survey includes new questions on areas such as genetics, language training, and specific questions about curriculum content for the Curriculum Committee to consider.

  4. Match results at UVA shows about 66% of students getting their first choice and 88% getting one of their top three choices. Jerry Short reported that this ratio is very similar to that of MCV and the ratios reported in the national data.

-Jerry Short
-dmr