Minutes 05.18.06

Minutes 05.18.06

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 BloodgoodGene Corbett, John Gazewood, Jennifer Harvey, Donald Innes (Chair),  Howard Kutchai, Marcus Martin, Chris Peterson, Jerry Short, Bill Wilson,  Anthony DeBenedet, Sixtine ValdelievreDevin Mackay, Debra Reed (secretary) Guest: Megan Bray

  1. Clerkship Grades.  All clerkships meet the deadline of the five weeks post end of period with the exception of the Surgery clerkship, which as of May 18th had yet to complete student evaluations. [Note the Surgery Chair has been contacted, May 22, 2006.]

  2. Obstetrics & Gynecology Clerkship Review.  Dr. Megan J. Bray, Director of the Obstetrics & Gynecology Clerkship, met with the committee to discuss the recent Clerkship review.

    The Committee expressed thanks to Megan J. Bray, M.D. and Yvonne Newberry, RN, MSN, FNP, the assistant clerkship director for their comprehensive self-study report.  Dr. Bray presented a brief synopsis of the report discussing the successes and challenges for the OB/GYN clerkship. She reviewed the Clerkship Specific Learning objectives as they relate to the 12 UVA Competencies Required of the Contemporary Physician.  The OB/GYN Clerkship shelf exam grades (25% of their clerkship grade) are above the national mean. Students are evaluated (50% of the grade) by all residents and attendings who have worked with the student for an adequate enough period. The director and the assistant clerkship director meet with the students for oral presentations for an additional 25% of their grade in combination with an evaluation of their attendance. 

    Megan J. Bray, M.D. and Yvonne Newberry, CNP have worked closely with the new Roanoke program director, Dr. Elizabeth McCuin.  By all measures, Dr. Bray, finds the quality of the experience provided to the student to be while individual, of comparable substance and quality compared to UVA. Dr. Peterson noted that she could discern no difference in the students in her practice whether they were at UVA or Roanoke.

    The OB/GYN Clerkship has been criticized for limited degree of student involvement in procedures. The faculty and residents have responded to this by making a concerted effort to engage students in procedures with the result that  in the last period students were involved in 17 vaginal deliveries, 130 speculum examinations, 91 PAP smears, 114 bimanual exams, 5 endometrial biopsies, 1 vulvar biopsy, 59 cervical DNA probes, 34 rectovaginal exams, 49 breast exams, 35 placental deliveries, and 1 circumcision.  This is a most positive development. 

    Surgery clerkship students on the OB/GYN rotation are required to participate in 4-5 night shifts per 6-week block structured like a night float system, the week they do OB days.

    Megan J. Bray, M.D. and Yvonne Newberry, CNP are developing and assisting other OB/GYN faculty in the development of selectives for the 2006-2007 academic year when we move from a 6-week OB/GYN experience to a 4-week core experience plus 2-week selective in OB/GYN.  The required selective experiences in OB/GYN will all occur after the core experiences in Surgery, Medicine, OB/GYN, Family Medicine, Psychiatry, and Neurology. Selectives in GYN Oncology, Uro-Gynecology, Maternal-Fetal Medicine, Midlife Women's Health, Family Planning, Women's Imaging, Colposcopy and GYN pathology, Labor & Delivery, Benign Gynecology, Ambulatory OB/GYN, Teen Health, and Latino/Hispanic Women's Health. 

    Departmental administrative and faculty support for teaching efforts is excellent. Dr. Hebert has been most supportive of undergraduate medical education. Megan J. Bray, who assumed the duties of clerkship director in October 2005 and Yvonne Newberry, the assistant director, are an excellent team with a positive attitude and superb results. The Curriculum Committee extends a huge "thank you" to the entire department.

  3. Evaluation of Spring Year 1 of New Curriculum. Bob Bloodgood presented an early analysis of data from the 2005-2006 year. Student academic performance based on course scores was about the same as in the previous year for both Fall and Spring semesters. The number of failures for the Spring courses was about the same (3 versus 4) as last year and compared with last year the number of failures decreased from 7 to 4. Student feedback was much more positive than in the Fall 05 survey. In the Fall student assessment of courses decreased somewhat for Gross Anatomy, Med & Mol Genetics and CTS/Physiology and increased dramatically for Biochemistry. In the Spring student assessment decreased for Neuroscience and Physiology/CTS, increased for PoM-1 and was about the same for Human Behavior. The single course between Thanksgiving and Winter Break appeared to be successful. We will continue to closely monitor the academic progress and general well-being of our students.

  4. The next regularly scheduled meeting will be June 1, 2006.

Donald Innes