Minutes 04.22.04

Minutes 04.22.04

University of Virginia School of Medicine
Curriculum Committee


Surgery Conference Room, 4:00 p.m.

Present (underlined) were: Reid Adams, Eve BargmannRobert BloodgoodAnita ClaytonGene 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 MeusslingDebra Reed (secretary)

  1. Life-saving course.  A one-day Life Saving Techniques Course was proposed for the Clinical Connections June 25th session. This proposal is a modification of a 2-day Life Saving Techniques Course produced by Dr. Marcus Martin as requested by the dean’s office. This is approved as part of the curriculum. The 1-day course will use the simulator recently acquired by the Emergency Medicine Department with support from the Claude Moore Charitable Foundation and the Uva Hospital Auxiliary. Space issues in regard to continuing and expanding the simulator program were discussed and it was noted that the Health Sciences Library has volunteered space near the Library for temporarily housing the simulator laboratories.

  2. Surgical Techniques.  Discussion of the Surgical Techniques laboratory will be postponed until after further policy review and development.

  3. Clinical Skills Assessment Proposal.   Gene Corbett presented a proposal to improve upon the clinical skill education process in the clerkship year with the help of a new 3-year grant from the Bureau of Health Professions (HRSA). The support is targeted to:

    1) expand the number of clinical skills teaching workshops in Pediatrics, Internal Medicine, and Family Medicine,
    2) create a rigorous clinical skills assessment process and
    3) create an online master clinical skills website to support the educational and evaluational activities of this project. 

    The Committee discussed current needs in regard to improving and expanding clinical skills education.  Integration of more clinical skills education into the current curriculum is a high priority of the Committee. Clinical skills training should be taught consistently over all four years of medical school.  

    Gene Corbett proposed two sets of clinical skills assessment per year. At each session all third year students would spend one day rotating through various clinical skill stations using standardized patients. The committee agreed with the importance of this formative evaluation. It is essential that the proposed clinical skills assessment be tied to the learning/teaching of clinical skills in the clerkships. This ties in perfectly with the “Clinical Skills Educator” proposed for the clerkships (See below.). 

    Jerry Short will report back on the needs and availability of clinic space for the evaluation based on the CPX experience. He will also investigate the number of standardized patients required. Time in the curriculum must be defined. The Committee was reluctant to usurp any CPX time, space, and standardized patient base in this, the first year of the USMLE clinical skills exam, but the possibility of fusing the June CPX and clinical skills assessment should be studied.

  4. Proposal for a “Clinical Skills Educator” position. Brian Wispelwey, Gene Corbett, Eve Bargmann, John Gazewood and Andy Lockman were asked to draft a curriculum and job description for the “Clinical Skills Educator” position. Brian Wispelwey and Gene Corbett will head this effort. This Clinical Skills Educator physician would likely spend 1-2 hours per week with each (~2 students at a time) of the students on the rotation for the learning of clinical skills in a “hands-on approach”. Creation of the “Clinical Skills Educator” position was enthusiastically endorsed by the Curriculum Committee.

Donald Innes