Minutes 06.08.06

Minutes 06.08.06

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 WilsonDevin Mackay, Kavita  SharmaDebra Reed (secretary) Guest: Nancy Payne

  1. 2005-06 Professionalism Education at UVA.  Dr. Nancy Payne outlined the  many and varied ways that Professionalism is incorporated into the University of Virginia School of Medicine curriculum.  

    During the first year:

    a)   Medical Center Hour (20 lecture hours)            
    b)   "Welcome to the Profession of Medicine" by Dean Pearson during orientation
    c)   Convocation 
    d)   Cells to Society 
    e)   White Coat Ceremony 
    f)    Social Issues in Medicine:  Bridges Between Community and Medicine"
    g)   PoM1 and Gross Anatomy

    During the second year: 

    a)   PoM2

    During the third year:

    a)   Becoming a Clinician Ceremony
    b)   "Life and Legal Issues in the Fast Lane: Rules for a Successful Third Year and How
    Things Can Go Wrong" - Dean Pearson
    c)   Family Medicine Clerkship - Morning Report, Difficult Patient Workshop, Interactive Clinical Cases
    d)   Internal Medicine Clerkship - Conduct on the Wards Outlined, Ethics Rounds
    e)   AIM - Clerkship Workshop Program (Medical Economics, Humanism/Palliative Care)
    f)    Neurology Clerkship - Syllabus, Clinical Activity, Evaluation, Clinical Problem Sets, Grand Rounds
    g)   OB/GYN Clerkship - Orientation, Cases that address ethical/professional issues
    h)   Pediatrics Clerkship - Expectations outlined, Ethics Lecture, Clerkship Workshop Program, Clinical Problem Set Questions, Pediatric Grand Rounds
    i)    Psychiatric Clerkship - Expectations, Evaluations
    j)    Surgery Clerkship - Objectives, Orientation, Morbidity and Mortality'
    k)   Clinical Connections
    l)    Clerkship Clinical Skills Teaching Project (OSCE)
    m)  Clerkship Student Evaluation form
    n)   Praise and Concern cards
    o)   Clinical Practice Examination

    During the Fourth Year:

    a)   Gold Humanism Honor Society
    b)   Electives/Selectives - Humanities in Medicine, Human Biology, Ethics and Society
    c)   American Healthcare Systems: DX-RX
    d)   Graduation

         Dr. Payne believes that while Professionalism is being taught throughout the Curriculum, there is room for improvement in some areas. 

    a)   Develop the Professionalism Curriculum during the Clinical Conversations segment of  Clinical Connections
    b)   Enhance Professionalism education in the second year - concentration on PoM2 but develop Professionalism curriculum for all other courses as well
    c)   Make sure Professionalism standards learned in first year is not diluted in Clerkship/Elective/Selective years. 
    d)   Ensure that Faculty and Residents know they are being modeled by medical students and that they demonstrate the best example of Professionalism.

        The Committee discussed with Dr. Payne how best to implement improvements and how to evaluate the students' education in Professionalism.  LCME Ed 23 regarding Professionalism was discussed.

    It was suggested:

    a)   Enhance recognition of "Acts of Professionalism"
    b)   Publicize the Praise and Concern cards
    c)   Chief Resident/Resident and Faculty CE's
    d)   Expand Ethics Rounds into other selected Clerkships
    e)   All students should be evaluated on their professionalism behavior in the clerkships

  2. Approval of Surgery Clerkship Co-Directors.  The Committee approved the nomination of Hilary A. Sanfey, M.D. and Eugene D. McGahren, III, M.D. for the positions of Co-Directors of the Surgery Clerkship.   The Committee noted that having co-directors in a Clerkship works in Family Medicine and should work well in Surgery as long as there is adequate communication between co-directors and individual responsibilities are clearly defined.

  3. Clerkships/Electives/Selectives and Basic Science Courses: Monitoring the Content, Depth, Breadth, and Current Relevance of the Curriculum document will be sent via e-mail to the Committee for final comments before adoption.  A tiered course/clerkship review process will be formalized.  Bob Bloodgood and Bill Wilson were asked to work on a one page format for the yearly review of all courses and clerkship.

Donald Innes