Present (underlined) were: Reid Adams, Eve Bargmann, Robert Bloodgood, Anita Clayton, Gene Corbett, Carl Creutz, Donald Innes (Chair), Vern Juel, Howard Kutchai, Chris Peterson, Jerry Short, Linda Watson, Bill Wilson, Brian Wispelwey, Nnaemeka Anyadike, Debra Reed (secretary)
Phlebotomy for 1st year students for lipid levels, electrolytes, etc. Lab studies are discussed in Biochemistry, PoM-1 and Pathology. The positive merits of this exercise warrant increased student participation. Because of hospital laboratory staffing limitations it is not possible to draw blood from all the students in one session. Students will be able to have their lab work done over a three week period at the Barringer orPrimary Care venipuncture stations. About 50% of the students participated last year. PoM-1 and Biochemistry course directors are asked to strongly encourage students to participate.
Humanities thread. The Committee discussed the presentation given by Marcia Childress at last week’s meeting. It was agreed that the curricular humanistic thread, while “robust”, does appear fragmented.
The Committee discussed:
Requiring attendance each year at a number of Medical Center Hour presentation for each student. The required attendance could be monitored by either a sign-in sheet at Medical Center Hour or a form each student must fill out and turn in similar to the CME forms faculty have.
Having some of the small group sessions during the Exploratory concentrate on cultural/ethical issues encountered by the student during in the clinical exploratory sessions.
A pre-matriculation “reading list” to be distributed to the students prior to first year and discussed in small groups in the Cells to Society or orientation sessions. Chris Peterson was asked to discuss this with the Cells to Society Planning Group.
An “Ethics Night” proposal which if developed should be voluntary for all students. There are already too many such “lecture” type venues.
Using the same small groups across the four years to create an atmosphere and cohesiveness among the students to allow for serious self-reflective discussions, e.g. the PoM-1 groups might continue to meet once or twice in year “2” and form the discussion groups in Clinical Connections.
Clinical Skills Educator. The Committee endorses the creation of Clinical Skills Educator positions in all clerkships. In addition to enhancing clinical skills, this faculty member could be available to discuss issues of ethics, professionalism and documentation skills. It may be possible to have a student section on the Electronic Medical Record in which students could write up the necessary documentation for patients and be critiqued by the Clinical Skills Educator. Gene Corbett and Brian Wispelwey are working on a draft “job description” and curriculum for the Clinical Skills Educator.
A pilot program to include an ethics discussion in a certain number of morning rounds during the Internal Medicine Clerkship was discussed. Brian Wispelwey will discuss this with course director, Mike Rein.
Major Diseases of Our Time. Second year course directors will be asked to work on allotting time for this program in their schedule.
Basic Science for Careers. Vern Juel outlined the progress of the planning group and will present a sketch of current plans at the next Principles of Medicine meeting.