Minutes 100908

Minutes 100908

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, Mohan Nadkarni, Chris Peterson, Jerry Short, Linda Waggoner-Fountain, Bill Wilson, Mary Kate Worden, Jason Franasiak, Kira Mayo, Animesh Jain, Ashley Shilling, Chris Ghaemmaghami, Veronica Michaelsen, Debra Reed (secretary)

  1. Acute Care Medicine. Ashley Shilling (Anesthesiology), Chris Ghaemmaghami (Emergency Department), and Keith Littlewood (Anesthesiology), detailed the curriculum for the new Acute Care Medicine clerkship. The two week long course is divided into one week of perioperative care and one week of basic acute care principles and procedures. The committee approved of the content, but recognized that the proposed schedule of 12 sessions per year did not match the Geriatric and Surgical Specialty rotations.

    [In the week following the October 9, 2008 meeting the schedule was reexamined and adjusted to retain the knowledge and skill content.] The adjusted composition of the two-month expansion of the clerkship period starting May 2009 will include: 2-weeks of Geriatric Medicine, 2-weeks of Perioperative & Acute Care Medicine, and 4-weeks of Surgical Specialties all run continuously throughout the year.

    The Department of Anesthesiology and the Emergency Department will be responsible for 24 sessions of the two-week perioperative and acute care requirement each year. The Life-Saving Skills Workshop program will move to a day provided by Surgery in each of the Surgery clerkship rotations. This will likely be in the last week of the rotation with the day to be arranged by Drs. Littlewood and McGahren. The current anesthesia experience nested within the Surgery clerkship will be eliminated.

    The Department of Medicine will be responsible for the 24 two-week Geriatric requirement. The specialty departments of Neurosurgery, Ophthalmology, Orthopaedics, Otolaryngology, Plastic Surgery, and Urology will be responsible for offering a steady number of two-week sessions throughout the 12 months of the year as a stand-alone rotation.

    Perioperative and Acute Care Medicine Clerkship: This two-week course will teach medical students basic clinical concepts and skills through direct patient exposure, focused didactics, problem-based learning sessions, and programmed procedural training. Focus will be placed on perioperative medicine, pharmacology and physiology, crisis management, and cardiac resuscitation, as well as essential clinical skills including airway management, wound care, ECG and radiograph interpretation and intravenous access. Passport-directed objectives and competencies will be mastered within the high-yield specialties of Anesthesiology and Emergency Medicine.

  2.  Next Generation Medical Education Discussion.

    Goals for change:

    Fully Integrated Curriculum:
    Active and experiential learning,
    Learner-centered within a clinical context or framework to energize students and improve retention of knowledge, skills, and attitudes.
    Prepare for new USMLE assessments measuring a "physician's ability to apply knowledge, concepts, and principles, and to demonstrate fundamental patient-centered skills, that are important in health and disease and that constitute the basis of safe and effective patient care" occurring within a clinical context or framework, and focusing "on the ability to access relevant information, evaluate its quality, and apply it to solving clinical problems."

    Veronica Michaelsen, M.D., a curriculum designer, will be joining us regularly to help us with the design and implementation of the new medical curriculum. Elizabeth Bradley, Ph.D., will be helping with evaluation of the curriculum.

    Everyone is asked to prepare a "model" of the most likely curricular format based on their vision of the tables (5) and mystery (1) proposals from the September 20 workshop.

Donald Innes