UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Surgery Conference Room,
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)
Cell to Society: A Curriculum for Modern Medicine (See attachment.), was reviewed and all Curriculum Committee members are asked to read and review carefully, sending corrections, additions, and comments to firstname.lastname@example.org . D&D team leaders and members should be especially careful in reviewing their sections. Once complete a version of this PowerPoint will be placed on the web for UVA students and faculty. A short 4-5 page summary document based on this material is in process and will be sent to Curriculum Committee members for review.
A note has been sent to all clerkship directors:
As new residents are being introduced to UVA it is key that weemphasize to the residents the importance we place on teaching medical students and what responsibilities they have for teaching and supervision in the clerkships. Please discuss this with your respective residency directors.
ED-24. Residents who supervise or teach medical students, as well as graduate students and postdoctoral fellows in the biomedical sciences who serve as teachers or teaching assistants, must be familiar with the educational objectives of the course or clerkship and be prepared for their roles in teaching and evaluation.
LCME placed Chicago Medical School on probation The LCME cited the school’s dependence on tuition ($36,000 annual tuition) to fund operations resulting in major student debt (65% of graduates owed > $200,000), administrative instability (the need to appoint a dean [done as of June] and departmental chairs), and the need to identify a primary hospital partner and improve relationships with hospitals to enhance clinical education.
The LCME standard ED-2 has recently been revised and approved June 2004, and is effective immediately.
ED-2. The objectives for clinical education must includequantified criteria for the types of patients (real or simulated), the level of student responsibility, and the appropriate clinical settings needed for the objectives to be met.
Each course or clerkship that requires interaction with real or simulated patients should specify the numbers and kinds of patients that students must see in order to achieve the objectives of the learning experience. It is not sufficient simply to supply the number of patients students will work up in the inpatient and outpatient setting. The school should specify, for those courses and clerkships the major disease states/conditions that students are all expected to encounter. They should also specify the extent of student interaction with patients and the venue(s) in which the interactions will occur. A corollary requirement of this standard is that courses and clerkships will monitor and verify, by appropriate means, the number and variety of patient encounters in which students participate, so that adjustments can be made to ensure that all students have the desired clinical experiences. [Annotation revised and approved June 2004, effective immediately.]
The PassPort system should meet portions of the ED-2 requirement, although modifications will be needed to clearly define the disease states/conditions that all students are expected to encounter. Broad definitions are suggested headache, chest pain, hypertension, shortness of breath, abdominal pain, pelvic pain, etc. rather than specific disease entities. In pediatrics the states/conditions may be age defined. The clerkship directors will be asked to meet to discuss measures that need to be taken, e.g. a patient logbook.
At UVA, a patient logging system, in use in Family Medicine and AIM for some time, has been re-engineered to be used in any clerkship. There is a small core of required questions; then the clerkship can add any other desired quetions.Students can fill out their logs via a web browser, and the results are automatically tabulated for the clerkship director. There is an option for the log to be completed on any student's PDA as well.
John Jackson will be pleased to discuss and demonstrate the system with any of the clerkship directors. Apparently modifications can be made to allow tracking of individual students to help meet the ED-2 requirement to “monitor, verify, and adjust the number and variety of patient encounters in which students participate”.
An “Ethics Rounds” pilot will begin July 2004 in the Medicine clerkship. At a June 16th meeting Brian Wispelwey, Michael Rein, Walt Davis and Don Innes settled on a content format and schedule. Ethics Rounds will be held the 1st and 3rd Tuesday of each month in the time slot with Drs. Davis and Rein. Students will be asked to provide cases in much the same manner that they present cases to Dr. Rein during the 10 – 11 Morning Report. Dr. Davis or a member of the ethics service (physician, nurse, chaplin) will be present. An ethics presentation format will be provided for students in advance.
Praise/Early Concerns cards will be available for use by faculty, residents and staff beginning this July. Dr. Pearson is to present the cards and how they are to be used at the clerkship introduction.
The Curriculum Committee will NOT meet the fourth Thursday, June 24, 2004 . The next scheduled meeting will be August 26, 2004, in the Surgery Conference room.