Minutes 05.04.06

Minutes 05.04.06

University of Virginia School of  Medicine
Curriculum Committee

Surgery Conference Room, 4:00 p.m.                       

Present (underlined) were: Reid Adams, Gretchen Arnold, Eve BargmannDaniel Becker, Robert BloodgoodGene 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)

  1. Medical Spanish.  An e-mail was received from Marcia Childress, Associate Director, Center for Humanism in Medicine, regarding the teaching of medical Spanish in the School of Medicine. She proposes an elective "a four-week "immersion" course in beginning medical Spanish that medical students (and a few interested faculty?) could take in the summer following their first year."  Dan Becker outlined the issues. The two classes, Elementary Medical Spanish with15 slots for beginners who've had no Spanish, and an Intermediate Medical Spanish class accepting 20 students, both have wait lists which are growing daily.  The Spanish classes have been near or at capacity in every year they've been offered since spring 2000.  Ms. Childress suggested that given the numbers of students who need language instruction and the fact that Spanish is regularly necessary even when students are working in Charlottesville, a four-week "immersion" course in the summer following the first year. The Committee discussed this issue at length.  The need for medical students to have some knowledge of Medical Spanish was clearly understood; however, there was some apprehension regarding the depth of medical Spanish instruction and whether this might create liability issues.  Some members wondered if students might be better served by being taught how best to use the language interpreters (there is a related OSCE), understand the limits of language competence, and spend some time in the Fall outreach clinics for migrant workers, the OB Spanish clinic or participating in an international elective experience through the Global health Initiative, e.g. <http://mayanmedicalaid.org/global_health_ed.htm>.  It was also suggested that a special interest group for first and second year students might be another way for more students to obtain a working knowledge of medical Spanish.   Funding for a four-week "immersion" course seems unlikely in the immediate future.  After much discussion, the Committee recommends that the Medical Spanish program remain as it is for now, that students who are unable to get into the program be given a resource list of other options such as those noted above and a Spanish interest group/club be started. The Medical Spanish elective could be enhanced and given a stronger medical connection by participation in outreach clinics for migrant workers, the OB Spanish clinic, or participating in an elective where Spanish is utilized.

  2. LCME ED 33 and ED 37.  

    ED 37. The faculty committee responsible for the curriculum must monitor the content provided in each discipline so that the schools educational objectives will be achieved.

    ED 33.  There must be integrated institutional responsibility for the overall design, management, and evaluation of a coherent and coordinated curriculum.

    A draft of a proposal to assure compliance with these two LCME mandates was presented to the Committee by the Chair and discussed. It was agreed that students are perhaps the best source of information regarding redundancy in the Curriculum, but Clerkship Directors would need to be the ultimate authority on both what needs to be covered in a course and what new material should be added.  The Committee also agreed that the review process should be tiered with the Course Directors reviewing their own courses yearly, a Principles of Medicine and Clinical Medicine Committee review of Course Directors' review material (perhaps every three years? -five years?) and the Curriculum Committee's oversight of the review process (every three years? -five years?). Modifications will be made to the draft and a new version presented to the Committee at a subsequent meeting.

  3. The next meeting will be May 18, 2006. The main item on the agenda will be the review of the Obstetrics and Gynecology clerkship.

Donald Innes