Minutes 09.25.03

Minutes 09.25.03

University of Virginia School of Medicine
Curriculum Committee


Surgery Conference Room, 4:00 p.m.                       

Present (underlined) were: Reid Adams, Eve Bargmann,  Robert Bloodgood,  Anita Clayton,  Gene Corbett, Carl Creutz,  Donald Innes (Chair),  Vern Juel, Howard Kutchai, Chris Peterson, Jerry Short, Linda Watson,  Bill Wilson, Brian Wispelwey, John Bell,  Maria Meussling, Ryan Zaklin,  Debra Reed (secretary)

  1. Open House. Members of the Curriculum Committee are encouraged to attend all or part of an Open House to discuss the new curriculum proposals with faculty, residents and students was announced for 9/30/03, noon until 5:00, Jordan Hall Classroom 2B and 2C.

  2. Medical Decision Making and Critical Thinking.  The Committee agreed to a proposal by Linda Watson to change the title of the “Medical Decision Making and Critical Thinking” portion of the curriculum proposal to “Information Management and Critical Thinking” for the sake of consistency between undergraduate and graduate medical education.

  3. USMLE Step 2 Clinical Skills Exam.  The USMLE Step 2 Clinical Skills Exam (CSE) will be introduced in mid-2004. Students must pass Step 2 CK (Clinical Knowledge) and 2 CSE to register for Step 3 in 2005.  The CPX group will prepare students for Step 2 CS and provide remediation for those who do not pass 2CSE.  The CPX team will be invited to a Curriculum Committee meeting this fall to review the CPX and connections to preparations for Step 2 CSE.  The Committee is interested in a) lessons learned since it’s inception; b) what is being tested; c) similarity to Step 2 CSE and d) CPX evaluation data – who’s failing and why e) how important faculty is to CPX in difference to residents and other health care professionals.

    Step 2 CS will use standardized patients. Examinees will be expected to establish rapport with the standardized patients, elicit pertinent historical information from them, perform focused physical examinations, answer questions and provide counseling where appropriate. After each interaction with a standardized patient, examinees will record pertinent history and physical examination findings, list diagnostic impressions and outline plans for further evaluation, if necessary. The cases will cover common and important situations that a physician is likely to encounter in a general ambulatory clinic. For further information about the implementation of Step 2 CS see www.usmle.org.

  4. Crriculum Committee Agenda for 2003-2004.  

    a.   Steering Committee for Curriculum Design Teams
     b.  Continue evaluation of first and second year courses – this fall review Pathology, Psychiatric Medicine, and Epidemiology and Neuroscience.   Possibly scheduling one per month – December, January, February, March…
    c. Review evaluations of grading change in first year.  Make sure each course has the mechanism to provide students with raw grade and histogram for comparison and class standing.
    d.  Clerkship and Electives – progress on incorporation of ACGME competencies, examine Passport data, examine student evaluations for timeliness, and work on grading issues for clerkships.
    e.   Review student evaluation of courses and clerkship data.
    f.  Faculty teaching – how to value and how to reward.  Should there be a mechanism to fund teaching in basic science courses.
    g.  Decade Plan - review progress of Simulation Center and plans for a building devoted to medical education.

    Members are encouraged to add to this list of plans for 03-04 and send suggestions to Don Innes at dji@virginia.edu. 

  5. Advancing the Curriculum. The Committee advised the Foundations of Medicine Planning Team to take their proposal to the Principles of Medicine Committee for input first before bringing to the Curriculum Committee for review.  Items from the various teams must fit together so the Team Chairs were advised to work with each other closely where overlap occurs.

    The Committee discussed the reasons for the shortening of the first two years by two months.  Justifications for the two-month time period were outlined – adding clinical experiential time including the Basic Science for Careers, selective time, and movement of the Neurology clerkship back into the third year.

    Maria Meussling and Ryan Zaklin will work with the development teams to provide student representation on each team.  They also offered to survey the students as necessary if additional information is necessary. Their most important role will be to keep students informed and welcome student participation.

    Chris Peterson, Chair of the Cells to Society Development Team, was advised to anticipate a three-day experience.

Donald Innes/dmr