Minutes 09.21.06

Minutes 09.21.06

University of Virginia School of  Medicine
Curriculum Committee

Surgery Conference Room, 4:00 p.m.                       

Present (underlined) were: Reid Adams, Gretchen Arnold, Eve Bargmann,  Daniel Becker, Robert Bloodgood,  Gene Corbett, John Gazewood, Jennifer Harvey, Donald Innes (Chair),  Howard Kutchai, Marcus Martin, Chris Peterson, Jerry Short, Bill WilsonDevin Mackay, Kavita  Sharma, Darci Lieb (guest), Debra Reed (secretary)

  1. Clerkship Grades. Due to the OASIS upgrade and the system being down Thursday September 21st, grades/evaluations originally due on Friday, September 22nd will be due by noon on Friday, September 29th.

  2. Introduction to Psychiatric Medicine. Transportation problems with UVA Parking and Transportation have on three occasions caused disruption and cancellation of the psychiatric interview groups this year. Never a problem in previous years, there are apparent personnel changes in Parking and Transportation. The Dean and Senior Associate dean have been notified.

  3. Ambulatory Internal Medicine. The August issue of the "AIM Connection" newsletter is now published. It is aimed at the clinical preceptors as an educational tool. This issue of the "AIM Connection" includes tips on using the Passports and a list and description of the Clerkship Clinical Skills Workshop programs.

  4. Curriculum Committee Membership. Curriculum Committee members whose term of service finished this past year are invited to extend their term for 6 months to a year to ensure continuity in light of the LCME visit. http://www.healthsystem.virginia.edumembers-page

  5. Cells to Society. Chris Peterson, director of the Cells to Society 3-day introductory course, reported on the 2006 "3rd edition". Student and faculty expressed near uniform praise for the course. Minor improvements were made this year, e.g. organization into themes. Darci Lieb was thanked for her instrumental role in organization and implementation. Chris will evaluate for evidence of "carry through" into the basic sciences. Curriculum 06
  6. Clinical Medicine Report. Bill Wilson
    1. Clerkship Assessment Techniques - Jerry Short
    2. OASIS Update for clerkships, selctives, and phase in of electives -John Jackson
  7. Principles of Medicine and Core Systems Report. Bob Bloodgood

     1. Course Assessment Techniques - LCME ED30  (Sept meeting)
     2. Audience Response System training (Oct meeting) already being piloted in CTS/Physiology (5 lectures)
     3.  Nancy Payne - Professionalism education in 1st & 2nd yr courses (Oct meeting)
     4. Review annual course reports - these recent course reports are, for some courses, the first time to formulate course objectives, and, for many courses, the first time that courses have aligned course objectives with UVa's 12 competencies.
     5. Continuing our assessment of the new curriculum (Class 2009, now in Year 2)
      *  Dropped cumulative honors/pass with distinction
      *  Changed scheduling of Gross Anatomy
      *  Changed scheduling of Exploratory/SIM
     6. Exploratory (Service Learning) morphing into a full-fledged course (SIM)
    - some concerns
      *  Time in the curriculum
      *  Impact on existing courses
      *  Original intent of Exploratory
      *  Process by which courses are added to the curriculum?
     7.  Web based testing -
       new secure software package
       issues about quiet spaces in library
       overlapping due dates for quizzes/assignments/exams
       effect on attendance
     8.  Issues of Videotaping lectures
     9.  Increase opportunities for PoM-2 physical diagnostic training
  8. Clerkship Review 2006. The draft document had been circulated for review prior to the meeting. Minor changes were incorporated into the document a summary of which summary follows. Copies will be sent to all clerkship directors and department chairs.

    This 2006 Clerkship Review has revealed strong functioning programs on the part of all clerkships - Family Medicine, Internal Medicine, Neurology, Obstetrics & Gynecology, Pediatrics, Psychiatry, and Surgery.  Over 140 students are educated in the various aspects of clinical medicine in a time period totaling 52 weeks at both UVA and sites across Virginia. Each clerkship director is responsible for defining a curriculum in collaboration with faculty and implementing the goals and objectives of the clerkship. The Curriculum Committee recommends that clerkship directors devote a minimum of 20-25% time to clerkship duties. The clerkship directors, with the support of faculty, chairs, and deans must work diligently to ensure that the educational goals of the clerkship are successfully accomplished.

    As we work to continually improve our curriculum we should look for guidance to the documents 1) Competencies Required of the Contemporary Physician [12 Objectives of Medical Education], 2) Criteria for Curricular Design, Implementation and Evaluation, 3) Fundamental Principles for Medical Education: Guidelines for Curriculum Development and 4) Expectations for the Curriculum. These are available at the Curriculum Web site: http://www.med.virginia.edu/medicine/curriculum/curriculum.html

    There are numerous strengths in our clerkship program that require continued nurture and support. There are challenges as well and the curricular improvements, outlined above, need the immediate attention of our faculty, department chairs and deans. We must ensure that every graduate of our program meets our "12 Objectives of Medical Education". As we think about the future, particular emphasis will need to be given to maintaining excellence in scholarship for all our new and graduating students and the enhancement of their clinical skill education. We must develop a higher level of evaluation and feedback among our teachers and our learners, and reaffirm our commitment to the administrative and financial support of our educational programs.

    A number of new factors in the health care system limit the effectiveness of the traditional apprentice model of training students to acquire clinical skills.  Fortunately, the current report indicates that there have been important improvements in the clerkships and electives and that students continue to perform well on national tests of clinical knowledge and skills.  In addition, they successfully match to good residency positions and are evaluated positively by residency directors.  The challenge for the future is to create a new model of clinical education that gives students a meaningful role on the health care team and ensures that they acquire the requisite skills despite changes in the health care environment.

Donald Innes