Minutes 05.07.09

Minutes 05.07.09

University of Virginia School of  Medicine
Curriculum Committee

Pediatric Conference Room, 4:00 p.m.                       

Present (underlined) were: Gretchen ArnoldDan Becker, Robert Bloodgood, Megan Bray, Eugene Corbett, Thomas Gampper, Wendy Golden, Donald Innes (Chair), Keith Littlewood, Veronica Michaelsen, Mohan Nadkarni, Chris Peterson, Jerry Short, Linda Waggoner-Fountain, Bill Wilson, Mary Kate Worden,  Lisa Herrmann, Evan Lapinsky, Debra Reed (secretary) Guest: Brad Bradenham

  1. Announcements:   

    Clerkship Reviews will be scheduled for the next several meetings.  In the future we will hold a staggered (2-3 each year) annual abbreviated review of the clerkships with a complete review every three years.

  2. Pediatric Clerkship Review.  Dr. Bill Wilson, Director of the Pediatric Clerkship, met with the committee to discuss the recent Clerkship review.

    The Committee expressed thanks to Dr. Wilson for his comprehensive self-study report.  Dr. Wilson presented a brief synopsis of the report discussing the successes and challenges for the Pediatric clerkship. Departmental administrative and faculty support for teaching efforts is excellent. The Clerkship Coordinator, Marlo Meyer, is excellent and is now advising the coordinators of the two new clerkships.   Board scores and subject examination scores remain consistent for students regardless of their clerkship site assignment  (Roanoke, Fairfax, KCRC and UVA).  The required CLIP cases have been very successful assuring a consistent experience for all students.  The Department of Medicine will now be using SIMPLE cases which are designed by the same group.  Dr. Wilson reviews the students' CLIP cases, patient logs, and evaluations in Oasis frequently and provides feedback to the students throughout their clerkship experience.  The Clerkship uses the Clinical Skills Passport and finds it very effective as a gauge of learning objective accomplishment.   Faculty teaching in the clerkship remains consistently strong supplemented by actively involved residents and fellows.  An annual teaching CE is given to the new Pediatric residents and fellows.  Grades are assigned based on subject exam score as well as direct observation and narratives from residents and faculty.  

    The strengths of the clerkship are the excellent teaching faculty and housestaff at all sites, supportive department administration, stable clerkship infrastructure with an experienced innovative clerkship coordinator.  Use of the CLIPP cases, the relatively high percentage of UVA graduates who pursue careers in Pediatrics.  "Transparency" regarding evaluations, students can view individual evaluations as soon as they are submitted and reviewed by the clerkship director.  They feel this is an important mechanism for providing formative feedback to the students.

    The weaknesses are seen as the large number of students relative to our patient volume in the clinics and in-patient services and limited teaching space.  It is anticipated that teaching space is likely to shrink during and after the renovations to the University Hospital.  There is too much dependence on away sites, which vary in terms of their patient volume, patient mix and housestaff.  The seasonal nature of the "acute" pediatric population and the lack of adequate call room space to allow (or require) students to take overnight in-house call on the inpatient service at UVA also has an impact.  The difficulties in assigning A-F grades in a clerkship with so many evaluators was discussed along with the advantages of a Pass/Fail clerkship grading system in this setting.

    How OSCEs and the Patient Simulation Center might be more a part of the clerkship is being considered.  Pediatric OSCEs are difficult if not impossible to arrange due to the age of the patient population.

    The Committee discussed the review and applauded Dr. Wilson for being the driving force behind an excellent and highly rated clerkship.

  3. Medical Education Competencies.   The Medical Education Competencies will be discussed at the 5/14/09 Curriculum Committee meeting.   The Committee was apprised briefly of a proposal to merge the current posted competencies into the AAMC objectives posted outside the library.  While our objectives were the basis for the AAMC objectives, the AAMC objectives are less specific and Committee discussion of these finer points will be necessary before changes can be made.

    University of Virginia School of Medicine Competencies Required of the Contemporary Physician: 

    Poster - Competencies Defined for the Degree of Doctor of Medicine at the University of Virginia

Donald Innes