Minutes 09/11/03

Minutes 09/11/03

University of Virginia School of Medicine
Curriculum Committee

Minutes
09.11.03

Surgery Conference Room, 4:00 p.m.                       

Present (underlined) were: Reid Adams, Eve Bargmann,  Robert Bloodgood,  Anita ClaytonGene Corbett, Carl CreutzDonald Innes (Chair)Vern Juel, Howard Kutchai, Chris Peterson, Jerry Short, Linda WatsonBill Wilson, Brian Wispelwey, Maria Meussling, Ryan ZaklinDebra Reed (secretary)

  1. Addition to minutes of 9/4/03:  In discussion of the Basic Science for Careers the importance of including a component of clinical skills training was seen as essential to link the focused basic science to the career.

  2.  
  3.  National Board of Medical Examiners Step 2 Scores for 02-03.  The University of Virginia School of Medicine average scores were well above the national mean.

  4.  
  5. Discussion of proposed Curriculum enhancements and Design and Development Teams.  

    Suggestions were made for team members of the various teams who will be developing the curriculum proposals. Each member of the Curriculum Committee was asked to participate in one or more of the teams. Suggestions were made regarding team participants but ultimately each team leadership (chair and/or co-chair) will organize their own teams. UVA residents in particular those who graduated from the University of School of Medicine should also be recruited to provide input to various teams. The Committee agreed that smaller groups should be assembled for the design portion of the team and an expanded group for development. All teams should have student members.

            Design and Development Teams:

  • Basic Science for Careers - Vern Juel and Reid Adams,  Brian Wispelwey, Jerry Short, Maria Meussling, Bill Wilson
  • Career Practice Enhancement - Ruth Gaare and Tom Massaro, Carolyn Engelhard, Tim Garson, Anita Clayton
  • “Cells to Society” - Chris Peterson and Gene Corbett  [Marcia Childress]
  • Foundations of Medicine & Core SystemsEve Bargmann and Bob Bloodgood
  • Exploratory - David Cattell-Gordon, John Gazewood, [Howard Kutchai, Don Innes]
  • Medical Decisions & Critical ThinkingLinda Watson, [Brian Wispelwey, Steve Heim]
  • The Contemporary Clerkship/Elective/SelectiveBill Wilson and Meg Keeley [Gene Corbett, Brian Wispelwey]

All teams will be referencing the tenets of the Curriculum Committee when developing the new segments of the curriculum:

            Objectives for Undergraduate Medical Education

                  http://www.healthsystem.virginia.eduobjectives-page

            Competencies Required of the Contemporary Physician

                  http://www.healthsystem.virginia.educompetencies-page

            Expectations for the Curriculum

                  http://www.healthsystem.virginia.eduexpectations-page

            Medicine Criteria for Curricular Design, Implementation and Evaluation

                  http://www.healthsystem.virginia.educriteria-page

 The Exploratory team will work in conjunction with the Hospital to develop community- based activities for the medical students. Initial thoughts are that this program be one afternoon per week for two semesters during the first two years of medical school.

The Cells to Society program should focus is on patients; it should connect patients and the students and reference aspects of the Foundations of Medicine from molecular to cultural and global health issues, e.g. CHF, diabetes-obesity, pregnancy, HIV-cancer.  The program should impart a sense of the spectrum of knowledge used by a physician and excite the students about their study of medicine.  The program is proposed as a three-morning program following orientation for first year students. The “Cells to Society” D&D team should design an appropriate program structure and bring this to the Curriculum Committee.

The Medical Decisions and Critical Thinking program was outlined for new members.  The programs is more than basic computer skills, it involves communication skills, data analysis for research and patient care, and development of critical thinking skills.  The program is not a “course” but rather integration of information within the entire four year program as well as assessment of student progress.

The first step in developing the Contemporary Clerkship/Elective/Selective will be getting the course directors to outline goals/content of individual clerkships.  In development, the team will attempt to  “throw out the calendar” (required “weeks” of clerkship”) and determine what needs to be taught and how much time it takes to do so.  The curriculum should be coherent and in the proper proportions.

Basic Science for Careers and the Career Practice Enhancement program teams will be provided with preliminary program outlines.

Team leaders should organize teams – keeping them small – but soliciting input from across the student body and faculty. Each team was asked to meet at least once in the next two weeks and for the Curriculum Committee member to report back to the full committee on Thursday, October 2nd.

Addendum:  Arrangements are being made to hold an “Open-House” for faculty and student discussion of the curriculum September 30th from 12 until 5 in the Jordan Conference Ctr. rooms 2B & 2C.  Please try to represent the committee during at least some part of the afternoon. Our role is to listen and answer questions.

Donald Innes/dmr