Minutes 10.01.09

Minutes 10.01.09

University of Virginia School of  Medicine
Curriculum Committee


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, Veronica Michaelsen, Mohan Nadkarni, Chris Peterson, Jerry Short, Linda Waggoner-Fountain, Bill Wilson (Acting Chair)Mary Kate Worden,  Lisa Herrmann, Evan Lapinsky, Brad Bradenham, Debra Reed (secretary)

  1. Principles of Medicine Committee Report to the Curriculum Committee (1 yr versus 3 yr) Bob Bloodgood presented an excellent report including valuable assessment data. 

    Major Activities: (all related to the Pre-Clerkship portion of the Curriculum)
    Change to Pass/Fail grading and evaluation of its impact
    Implementation and evaluation of Pre-clerkship portion of the Cells to Society curriculum (started in Fall 2005)
    Study of lecture attendance issues
    Regular evaluation and improvement of the courses and support services (John Jackson et al.) for the courses

    Sources of Data:
    Student Performance Data
    Course evaluation data
    Well-being survey data
    Other student surveys
    USMLE Step 1 data 

    POM Report 3  POM Report 4 

    Specific Pre-Clerkship Changes in the New "Cells to Society" Curriculum
    Foundations of Medicine versus Core Systems
    Loss of 2 months of pre-Clerkship instruction/assessment time
    Year 1 starts earlier and ends later; more vacation time added
    6 weeks of Core Systems at end of Year 1 before summer break
    Summer break between Yrs 1 and 2 reduced from 12 to 9 weeks
    Year 2 ends earlier (mid-March) - hence Clerkships start earlier
    Cells to Society-An Introduction
    Switch from 3 to 2 exams/course
    Experiment in one course (MMG; Thanksgiving-Winter Break Yr 1)
    Introduction of Exploratory - soon renamed as SIM
    More use of on-line graded quizzes and introduction of ARS
    Increased coordination of Pathology, Pharmacology and PoM2
    New Patient Clinician Encounter experience in the first 2 years of curriculum

    POM Report 6
    POM Report 7

    POM Report 9'=
    POM Report 10

    POM Report 11

    POM Report 12

    Problems that arose in 1st semester of introduction of the new  "Cells to Society"
    Problems with exploratory/SIM
    Problems with Gross Anatomy schedule (4 times per week)
    Complaints about the Cumulative Honors component of Pass/fail
    Student concern about change from 3 to 2 exams/course
    Serious Drop in Well-Being

    Immediate action was taken to address all three of these issues and the next Class showed a dramatic rise in the Well-being index.  Good example of a collaboration between the Principles of Medicine and the Curriculum Committee.

    POM Report 14

    Conclusions of the Pass/Fail Grading Study

    Academic Performance (Courses and Clerkships): No Change
    Performance on USMLE Step I and Step2CK: No Change
    Attendance at Lectures: No Change
    Residency Placement "Success": No Change
    Student Satisfaction with Their Medical Education:  Significant increase for Semesters 1-4
    Student Satisfaction with Their Personal Life: Significant increase for Semesters 1-3
    Student Well-being:  Significant increase for Semesters 1-3

    POM Report 16

    POM Report 17
    POM Report 18

    POM Report 19


    POM Report 21

    POM Report 22

    POM Report 22

    POM Report 23

    POM Report 24

    The Committee thanked Dr. Bloodgood and the Priniciples of Medicine Committee for this excellent in-depth report. 


William Wilson