Minutes 10.11.07

Minutes 10.11.07

University of Virginia School of  Medicine
Curriculum Committee

Pediatric Conference Room, 4:00 p.m.                       

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

  1. Agenda Revision. Debra Perina will meet with the Committee to discuss the Basic Science for Careers course on 10/25/07.

  2. Comments from the 8/28/07 Town Meeting. Jerry Short presented his recommendations based on student comments from the 8/28/07 Town Meeting.

    Recommendations based on student comments:

    Review the process used to assign selectives and electives before next year's lotteries. Problems include:

    Some UVa students get two advanced clinical electives (ACE), blocking other students from getting any early in the year.
    Students from other schools fill electives before UVa students have an opportunity to sign up for the electives.

    Have directors of selectives provide more structure.

    Review the equivalence of clerkship experiences at UVA and away clerkship sites:
    Quality of residents and resident teaching at some away sites suffer in comparison to UVa.
    Extent of student responsibility at some away sites is greater than at UVa.

    Survey clerkship directors to determine need and available for UVa call rooms.

    Ask POM 1 & 2 course directors to consider preparing students for their role in the clerkships.
    Consider having students practice patient reports following all interviews, cases, and standardized patient encounters.
    Consider having students use clerkship forms to guide patient interviews

    Consider orienting students before their CPR simulation experience with the patient code or repeating the simulation so that students will be effective.

    The Committee discussed these recommendations. It is believed that the assignment of selectives and electives has already been restructured to allow only one ACE selection in the early round with the opportunity to select the second ACE given in the second round. These recommendations including the request for more structured selectives will be passed on to Selective/Elective Director, Meg Keeley.

    The Committee agreed that while the clerkship experiences at UVA and outside sites may not be equivalent - they are comparable. National Board scores vary little from site to site. The possibility of using video conferencing at the outside sites to include away students in lecture/discussions here at UVA was discussed.

    The Clerkships have been surveyed regarding their need for Call rooms. At the present time, no clerkship had need of call rooms. OBGYN does have night call but students should not need to sleep during this shift as they should be working and off in the morning. Reid Adams noted that the Surgery clerkship would use call rooms if they were available. He was asked to submit a plan for night call to the Curriculum Committee and then call rooms can be requested from the Hospital.

    The Committee discussed the PoM proposal and agreed that while the students should be made aware of the forms used on the floors, the PoM courses should more concentrate on the classic interview and physical diagnosis skills.

    It was noted that once the Simulation Center finds a permanent home in the new Medical Education Building, students should be able to repeat the simulations to obtain better proficiency.

  3. Clinical Connections (CC).  Reid Adams, CC Course Director, asked that the Curriculum Committee consider the addition of one more permanent CC session.  The course now contains six sessions with an additional session possible intermittently every 2-3 years.  He would like to expand this to consistently seven each year.   Scheduling problems make this difficult.  It was suggested that an extra one to one and a half hour session be included in each day of the original six to cover some of the more immediate topics.   It was also suggested that perhaps one day of the Basic Science for Careers might be devoted to the Clinical Connection course.  No additional days for workshops or clinical connections should be removed from the clerkships.

  4. Class Attendance Years 1 & 2. Bob Bloodgood updated the Committee with the conclusions from the self-reported lecture attendance data and from the surveys being used for the Pass-Fail Grading Study and the assessment of the new curriculum.

    Tentative Conclusions from These Data:

    1)   Based on self-reported data, it is clear that there is a significant drop-off in lecture attendance in the Spring of the 2nd year (Semester 4 of medical school) for all classes studied, both graded and P/F; before and after new curriculum. (Classes of 2006, 2007, 2009)

    2)   Based on self-reported data, lecture attendance in semesters 1-4 was not affected by a switch to Pass/Fail Grading (if anything, attendance was a bit better in 2007 versus 2006)

    3)   Based on self-reported data, lecture attendance in semester 1-2 was not affected by the new curriculum introduced with the Class of 2009.

    4)   Based on self-reported data, lecture attendance in both semesters 3 and 4 was affected by the new curriculum.  Attendance in semester 3 dropped to a level only seen in semester 4 for previous classes.  Semester 4 dropped considerably from semester 3 to a record low.

    5)   It is interesting that self-reported attendance in semester 1 increased from Class of 2006 to 2007, from Class of 2007 to Class of 2009 and again from Class of 2009 to 2010.

    The Committee discussed these findings and ways to make lecture attendance more appealing to more students.   There is no school policy on lecture attendance at the present time.  However, participation in small groups activities may be mandatory. 

  5. Dr. Christine Peterson. Congratulations were extended to Chris for her recent appointment to co-chair of the Academy of Distinguished Educators.

  6. The Joint Clerkship Meeting (Charlottesville, Fairfax, Roanoke & Salem) is to be held Wednesday, October 17th at the Carilion Roanoke Memorial Hospital. The agenda: 


    10:00 - 10:25


    10:25 - 10:30

    Welcome - D Harrington, D Innes


    10:30 - 11:00

    USMLE-1, USMLE-2CK & CS, and CPX results -
    D Innes, A Chapin

    11:00 - 11:30

    Getting the Most from OASIS - J Jackson

    11:30 - 11:45

    Electives and Selectives Update - M Keeley, A Innes,
    J Jackson

    11:45 - 12:30

    Clerkship Websites - A Focal Point for Students,
    Residents, and Faculty - J Jackson

    12:30 -  1:30

    Luncheon Workshops  (Family Medicine, Medicine,
    Neurology, Ob/Gyn, Pediatrics, Psychiatry, and
    Surgery) Clerkship Short Course Proposal

    1:30  -  1:45

    Clerkship Short Course - Summary and
    Comment - D Innes

    1:45  -  2:15

    Professional Development - M Greenawald and
    E Vogel

    2:15 -   2:30

    SMEC plans - S Valdelievre  [Mulholland Clerkship

    2:30  -  2:45

    Clinical Skills Working Group (what they are doing
    and why) - E Heald

    2:45 -   3:00

    M McCarthy - Salem update (~5)
    D Harrington - Roanoke update  (~5)
    D Innes - April 2 date for spring meeting
    (Albemarle/C'ville Spring break Apr 7-11)














Donald Innes