Minutes 09.11.08

Minutes 09.11.08

University of Virginia School of  Medicine
Curriculum Committee
Minutes 09.11.08


Pediatric Conference Room, 4:00 p.m.                       

Present (underlined) were: Gretchen Arnold, Dan Becker, Robert Bloodgood, Megan Bray, Eugene Corbett, Thomas Gampper, Wendy Golden, Donald Innes (Chair), Keith Littlewood, Mohan Nadkarni, Chris Peterson, Jerry Short, Linda Waggoner-Fountain, Bill Wilson, Mary Kate Worden, Jason Franasiak, Kira Mayo, Debra Reed (secretary)

  1. A Special Joint Curriculum Meeting with members of the Curriculum, Principles, and Clinical Medicine Committees will be held on Saturday, 9/20/08 in the Jordan Hall Conference Center.    The agenda will include discussions on ways to advance curriculum integration and how to engage the student in active learning across disciplines. Small groups will be formed to work on curriculum integration throughout the basic science and clinical curriculum.

  2. The discussion of curriculum integration was continued from the 9/4/08 meeting. 

    An article entitled "The Integration Ladder:  A Tool for Curriculum Planning and Evaluation" by Robert Harden, Medical Education 34:551-557, 2000 was distributed to the Committee in preparation for the 9/20 meeting. Don Innes outlined the 11 steps outlined in this article's integration ladder.

      1) Isolation (no consideration of other disciplines)
      2) Awareness (aware of other disciplines)
      3) Harmonization (consultations between courses)
      4) Nesting (infusion of information - teacher targets, within a subject-based course, skills related to other subjects)
      5) Temporal Co-ordination  (parallel or concurrent teaching)
      6) Sharing - (Joint teaching - two or more disciplines plan and jointly organize a program)
      7) Correlation  (concomitant program) 
      8) Complementary programs (mixed programs)
      9) Multi-disciplinary (Webbed, contributory - moves toward organ system approach)
     10) Inter-disciplinary (Monolithic - shift to themes are focus of learning - little individual discipline identity)
     11) Trans-disciplinary (total fusion - real life learning)
    While much of the curriculum could not function at Step 11 enhanced integration over and above the current level is needed.  

    The curriculum development groups (Saturday, 9/20/08) will try to match appropriate levels with the information from all the basic science and clinical courses and aim for highest integration levels whenever possible.

    We must search for ways to fuse basic science to clinical practice in the basic science courses and in the clerkship/selective programs.  Jason Franasiak suggested that lectures not be designated basic science or clinical and that the information should be confined to the "one hour" lecture period ~40 minutes lecture ~10 minutes clinical correlation.  The opposite, that of ~40 minutes clinical and ~10 minutes basic science, might be appropriate during the clerkships.  

    iPod technology developed in-house and outside UVA might also be a way to enhance coordination.  Library resources could also be helpful - Google scholar was mentioned.  Courses with the help of the library might develop integration web links between their course and relevant basic science or clinical material.   A list of coordinating basic science or clinical principles might be considered for all courses.

  3. Clerkship Expansion to 12 months.  The Committee reviewed the expansion of the Clerkship program to a 12-month program.  Please see minutes from the June 19, 2008 meeting.

    Two additional two-week clerkships, Geriatrics and Anesthesiology/Acute Care would be added as well as one more month of required selectives.    This proposal is to mitigate the impact of increased numbers of students due to returning MD/PhD students as well as future class size increases.   The benefits, disadvantages, and trade-offs of this proposal were discussed.  Electives would be decreased from 32 weeks to 28 weeks.  The Committee voted to approve the proposal and encourage a May, 2009 start date. If this is not possible the program would begin in May, 2010.

Donald Innes