Minutes 09.13.07

Minutes 09.13.07

University of Virginia School of  Medicine
Curriculum Committee
Minutes
09.13.07

Surgery Conference Room, 4:00 p.m.                       

Present (underlined) were: Reid Adams, Gretchen Arnold, Eve Bargmann,  Daniel Becker, Robert BloodgoodGene CorbettWendy Golden, Donald Innes (Chair),  Howard Kutchai, Marcus Martin, Chris Peterson, Jerry Short, Bill Wilson,   Brad Bradenham, Emily Clarke,  Sixtine Valdelievre, Debra Reed (secretary)   

  1. Welcome. Don Innes welcomed the members of the Committee back for the 07-08 academic year.

  2. Announcements.

    a)   In 2006, the Association of American Medical Colleges (AAMC) launched a new online publishing tool call MedEdPORTAL that allows faculty to disseminate their peer reviewed educational teaching material.  John Gazewood (Physical Examination Videos) and Nancy Payne (Pediatric Chart Review and Case Presentation OSCE) were commended on successfully publishing their work through MedEdPORTAL.  

    b)  Comments regarding the Curriculum received by the Admissions Office from prospective medical students were distributed to the Committee.  These comments provide a "snapshot" as to what the potential student in the School of Medicine sees when looking at our program.

    c)  Newspaper articles distributed to the Committee.

    * Medical Schools See Room for Majors in Humanties (Wall Street Journal, 9/4/07)
    * Doctors' Hours and Patient Deaths; Bedside Manner Matters (Washington Post, 9/5/07)

    d)  USMLE - At the Fall USMLE meeting, the group will discuss combining the USMLE Steps 1 and 2 with the new exam being given after the clerkship year. If adopted, an implementation timetable should be released in 2008. For available information please see http://www.usmle.org/General_Information/review.html

    e)  A draft of the Class of 2012 clerkship Calendar was distributed to the Committee. The early release of this schedule is due to scheduling difficulties in the Jordan Hall Conference Center.   The 2010 -2011 Clinical Connection schedule was discussed. Strategies to introduce new topics while maintaining the core sessions were discussed. This draft will be further discussed at the 9/20/07 Curriculum Committee and finalized at that time.

  3. Review of USMLE results 

    UVA performance data from the USMLE Step 2 CK examination taken July 2006-June 2007 was distributed to the Committee as well as Admissions Data from the September 2008 academic year.  Jerry Short summarized this data for the Committee.  The UVA School of Medicine remains consistently above the mean in all categories.  In a few of the categories, (i.e. Normal Growth and Development, Principles of Care, Gynecologic Disorders, Disorders of Pregnancy, Childbirth and Puerperium) scores closer to the national mean were noted.  These areas will be reviewed by the Clinical Medicine Committee. The Pass/Fail rate on the USMLE exams remains fairly consistent.  The average MCAT scores for students accepted to UVA have consistently increased. Results of student satisfaction surveys from 1996-2007 were discussed.

  4. Clerkship Website Review as of 09/05/07.

    Last year, the Curriculum Committee advised the Clerkships to get their websites in orders.  At the request of the Curriculum Committee, John Jackson has performed a review of the clerkship sites. 

     

    Med

    AIM

    Fam Med

    Neuro

    OB/GYN

    Psych

    Surg

    Peds

    Overview

    x

    x

    x

    x

    x

    x

    x

    x

    Sudent expectations & responsibilities

    x

    x

    x

    x

    x

    x

    x

    x

    Goals & Objectives

    x

    x

    x

    x

    x

    x

    x

    x

    Evaluation & grading standards

    x

    x

    x

    x

     

    x

    x

    x

     

     

     

     

     

     

     

     

     

    Patient Log link

     

    x

    x

     

    x

    x

    x

    x

    Oasis link

     

    x

    x

    x

    x

    x

    x

    x

    Attendings & residents expectations

     

    x

    x

     

     

     

    ?

    ?

    Clerkship learning resources

     

    x

    x

    x

    x

    x

    x

    x

     

     

     

     

     

     

     

     

     

    Notes:

     

     

     

     

     

     

     

     

    Medicine Web site is two pages in Student Handbook authored by Student Affairs

    Expectations and objectives for the attending and resident physicians are missing from most sites. 


    Some deficiencies in consistency of the website were noted. Expectations published for faculty, residents, and students are variable among the clerkships.  John Jackson will develop a template and work with the Clerkship Directors to increase consistency on the websites. The attending and resident physician roles in the clerkship educational activities (learning objectives and expectations of knowledge, skills, and behavior) are not clearly stated for any of the clerkships. There must be a page that speaks directly to the resident and attending physicians. Once the clerkship sites are complete, selective and elective websites should also be made more consistent.  Bill Wilson asked that third and fourth year students from the Mulholland Society or SMEC be involved in the clerkship website revision as they could provide insight into what a student needs on the websites.

  5. ACLS training [interference with other educational activities]

    Chris Peterson expressed concern about ACLS training interfering with established fourth year education activities.  This year, for example, there is an ACLS class during the Medical Center Hour at which the new Gold Humanism Honor Society members will be announced.  The date of the MCH was fixed many months before and cannot be changed because of speakers, luncheon, etc.  Among 30 students in that ACLS course, they know of one and suspect there are several more GHHS inductees.  Often students miss 2-3 days of the SH GYN elective to take ACLS which is also quite disruptive.  The Committee noted that ACLS is offered monthly.  Students should be encouraged to sign up for the ACLS if at all possible when it does not interfere with other scheduled activities or with permission of the electives supervisor.  ACLS should not be scheduled during selectives.

Donald Innes
dmr