Minutes 09.07.00

Minutes 09.07.00

University of Virginia School of Medicine
Curriculum Committee
Minutes 09.07.00

Pediatric Pathology Conference Room, 4:00 pm

Present (underlined) were: Reid Adams, Robert Bloodgood, Anita Clayton, Al Connors, Gene Corbett , Joseph Dubose, Joanna Goldberg, Donald Innes (Chair), Jerry Short, Bill Wilson, Guest: Margaret Mohrmann, Debra Reed (Secretary)

  1. Lunchtime Activities. Joey Dubose reported that the first Meet The Faculty luncheon for the medical students was deemed a success by both the medical students and this months sponsor, the Department of Surgery.

  2. Course Self-assessment. A template drafted by Robert Bloodgood, for the self-assessment of first/second year courses was distributed to the Committee. Members were asked to be prepared to discuss this at a subsequent meeting.

  3. Electives. Margaret Mohrmann, Chair of the Electives Board, updated the Committee on the progress of the Boards review of electives in the Medical School. The board has spent the last few months looking at the elective curriculum, concentrating their efforts on content, structure, and student feedback.

    The Content Subcommittee of the Board was charged with examining the content of the elective offerings at UVA.

    Current 4th year elective offerings at UVA were reviewed; historical elective subscription was reviewed; graduating and rising 4th year students were surveyed to determine their experience with the current 4th year elective process; and peer institutions were surveyed to determine the structure, content, philosophy and lessons learned through their elective offerings.

    An Elective Proposal/Description form has been drafted and was distributed to the Curriculum Committee. This form will be refined and sent to all elective coordinators for completion.

    The major problem seems to be the time schedule for students selection of residency programs and the unavailability of key electives prior to that selection.

    Currently, there are 185 electives offered. Students are free to create electives with a supervising faculty member.

    Current distribution of electives:
    72% clinical electives
    11% non-clinical electives
    10% research electives
    6% lab electives
    1% teaching electives.

    Elective Subscription:
    98 students took Radiology as an elective
    65 students did away electives at LCME sites
    60 students did away electives at non-LCME sties
    45 students did an AI in Internal Medicine
    26 students did a specially arranged elective
    26 students did a research elective

In a survey of the graduating and rising 4th year students (1999-2000), Pediatrics-inpatient, outpatient, AI; OB/GYN infertility AI; and MICU were high on the list (13 electives listed; 19 students total) electives desired but not offered.

Dermatology; Radiology; AI Internal Medicine in 1st block; ID; Emergency Medicine; GYN/ONC; and Anesthesiology were ranked highly in the electives desired but filled (18 electives listed, 45 students total).

The Board of Electives has formed a list of recommendations for improving the electives process.
  1. Limited elective time in 3rd year. Two months out of 3rd year devoted to electives - specifically the third specialty month in medicine might include dermatology or radiology and the third specialty month in surgery might include ER or anesthesiology.

  2. Early advising. Strongly recommend that panels of advisors from each area guide students through their elective choices as well as their individual advisors.

  3. Reduce class size. The Board recognizes that the most problematic issues with electives have to do with the size of the class and the size of the hospital/departments.

  4. AI Requirement. Most students are doing this already but to maintain a well-rounded clinical education all students should be required to participate in an AI. What constitutes this AI requirement should be spelled out specifically.

  5. Encourage research. Make students aware of the availability of the research electives as early as possible. Most students who participate now seem to be attempting to fill residency requirements. Make these electives more flexible to attract a larger audience.

  6. Compatible 3rd and 4th year scheduling. A draft of the proposed 2002 Elective Calendar was distributed to the Committee. A beginning date of July 2, 2001 was proposed. This date coincides with the clerkship calendar.

  7. Plenary month. A month during which all students in the class are in-house doing something similar - possibly the month around Match. Topics relevant to all medical students without regard to specialty, such as medical economics should be covered during this month.

  8. On-line registration for electives. An on-line WEB based registration system is being worked on so that students may register for electives even while physically located at other sites.

-Don Innes