Minutes 04.27.06

Minutes 04.27.06

University of Virginia School of  Medicine
Curriculum Committee

Surgery Conference Room, 4:00 p.m.                       

Present (underlined) were: Reid Adams, Gretchen Arnold, Eve Bargmann,  Daniel Becker, Robert Bloodgood,  Gene Corbett, John Gazewood, Jennifer Harvey, Donald Innes (Chair),  Howard Kutchai, Marcus Martin, Chris Peterson, Jerry Short, Bill Wilson,  Anthony DeBenedet, Sixtine Valdelievre,  Debra Reed (secretary) Guest:  Curt Tribble, Doug Newburg

  1. University Teaching Awards.  The Committee congratulated Reid Adams, who was awarded the All University Teaching Award.  Two other members of the Medical School Faculty, Stephen Borowitz and Mitchell Rosner, also received the award.

  2. Clerkship Grades.  As of 4/27, the Pediatric, OBGYN, and Psychiatric Medicine Clerkships have already turned in their student grades due by May 1.  The other clerkships are strongly encouraged to meet the deadline for submission of grades. [As of May 2, Family Medicine and Neurology have also been received. The  Internal Medicine and Surgery clerkships are late.]

  3. Surgery Clerkship Review.  Curt Tribble, Director of the Internal Medicine Clerkship, and Doug Newburg, Course Coordinator, met with the committee to discuss the recent Clerkship review.  It was announced that both Drs. Tribble and Newburg will be leaving the University for posts at the University of Florida within the next few months.  A new Clerkship Director has not been chosen by the Department of Surgery at this time.  

          The Committee thanked Drs. Tribble and Newburg for a clear and comprehensive self study report.  Dr. Tribble noted that the Internal Medicine Clerkship objectives are in line with the 12 competencies set forth by the Curriculum Committee.    The Surgery Clerkship shelf exam grades are always above the national mean and often higher than the other clerkships at UVA.   Grades on the shelf exam do go up slightly throughout the year depending on how many other clerkships the student has participated in before the exam.   

          Doug Newburg mentioned the difficulties in obtaining timely student evaluations from the subspeciality faculty - the "lack of a hammer" to elicit timely responses from the faculty.  The Course Directors agreed that the Chief Resident(s) in Surgery often sets the tone for teaching and at the present time, they have two great Chiefs.   

          The Surgery Clerkship does not try to teach a medical student how to be a surgeon but rather teaches what every physician should know about surgery. 

          Surgery clerkship students on the General Surgery rotation are required to participate in every  fourth night call.  They are treated as members of the team and participate in a morning report conference with the day shift following the night call.    Dr. Tribble believes student duty hours are not excessive at any of the sites. 

          Student experiences at the three sites (UVA, Roanoke and Salem) while unique in each program, are felt to be comparable.  

          Dr. Tribble responded to a student who recently reviewed the passports and commented that breast and testicular exams were not difficult to come by on most of the surgery teams and that it should be even less of an issue with the new curriculum. 

          While the Roanoke Surgery program has been panned in the past by the Mulholland Report, Dr. Tribble feels this is on the upswing with Steve ReMine as the new Course Director in Roanoke.  Recent student reports have been much more favorable of the program.    Dr. ReMine   Dr. ReMine is also working on improving the teaching abilities of the Roanoke residents.  One difficulty at Roanoke is that patients and faculty (not residents) have a much closer relationship.  Consideration is being given to assigning a student to a faculty member rather than a team in this program.  

          Departmental support for teaching efforts was deemed adequate and administrative support excellent. 

          Dr. Tribble was asked about the minutes of the Surgery Educational Committee.  Dr. Tribble has copies of the minutes from these meeting and was asked to transfer them to the Clerkship administrative assistant before he leaves UVA.

  4. Motion from the Principles of Medicine Committee.  A motion from the Principles of Medicine Committee regarding the new educational space was discussed. 


         Background:  The Claude Moore Medical Education Building is currently in the design phase.  The plan is to have two large teaching spaces, each large enough to hold an entire medical school class.  One is being called the Large Lecture Room and one is being called a Large Learning Studio.   In recent meetings of the Building Committee with the Architects, it appears that the Large Learning Studio will not be designed in such a manner as to accommodate traditional lecture presentations. 

          Motion:  "The Principles of Medicine Committee believes that it is essential to have two large teaching spaces available (each accommodating an entire medical class) that are capable of being optimally configured so as to allow the medical school faculty to present simultaneously a "traditional" lecture format presentation to both the 1st and 2nd year medical school classes."  

          This proposal was voted on with 25 in support of the motion; 1 opposed to the motion.  All course directors and co-course directors for all 1st and 2nd year courses are represented in this vote.

          Elaboration on the Motion: 
          The members of the Principles of Medicine Committee, being the course directors for all the courses in the early part of the medical curriculum, embrace innovation and currently teach in a variety of ways.  These educational leaders in the School of Medicine welcome facilities that will open up new teaching modes, but not ones that will force the faculty to abandon any of the existing modes of teaching.  They want the flexibility to be able to continue to utilize existing modes of teaching, including lecture format, while at the same time experimenting with new ones. 

          The motion above requests that two large teaching spaces, each with the potential to be configured for a traditional lecture (among other things) always be available to the faculty.  Even if the amount of lecturing we now do were to be drastically reduced, it would be very likely that there would be many times when the medical educators teaching 1st and 2nd year classes would want to use the lecture format at the same time.  The course directors of one class do not want their scheduling dictated by the teaching of the other class.  The two teaching spaces compatible with a lecturing format need not both be in the new medical education building, although that has definite appeal.  If the architects and planners and Deans do not want to design both large teaching spaces in the new building so as to allow (at least for a portion of the time) for a lecture format, another option must be provided.  One such option is to provide an additional large teaching space elsewhere in the medical center that would be compatible with lecture format teaching for an entire medical class (such as a re-designed old medical school auditorium or a re-designed Jordan Hall auditorium) but the medical curriculum would have to have priority for use of that space.

    The Curriculum Committee discussed the motion and fully supports the proposal.

Donald Innes