Minutes 10.12.00

Minutes 10.12.00

University of Virginia School of Medicine
Curriculum Committee
Minutes 10.12.00

Pediatric Pathology Conference Room, 4:00 pm

Present (underlined) were: Reid Adams, Robert Bloodgood, Anita Clayton, Al Connors, Gene Corbett, Joseph Dubose, (Alexandra Yamshchikov), Joanna Goldberg, Donald Innes (Chair), Jerry Short, Bill Wilson, Debra Reed (Secretary), Guests: Eve Bargmann, John Gazewood, Darci Lieb, Brian Wispelwey,

  1. Review of PoM-1. John Gazewood and Eve Bargmann updated the Committee on the progress of PoM-1. PoM-1 students have direct patient contact approximately once every three weeks. The goal is to increase this contact time with patients and/or standardized patients. The students should be able to take a complete history and do a basic physical examination by the end of year 1. They are applying basic science principles to clinical practice. Development of informational skill practices is built into PoM-1. Epidemiology concepts will be introduced. A feedback session with the students is scheduled for next week, however, student comments thus far have been positive regarding most aspects of the course. Students seem to appreciate the importance of the skills taught in PoM-1. The students and course directors feel that some small group sessions may have been overloaded in the first quarter and modifications will be made to the Spring curriculum to address this problem.

  2. Transition to PoM-2 (formerly ICM.

    The discussion focused on the content and developmental activities of PoM-1 and how these changes will affect PoM-2.

    a) A smooth integration of the PoM-1 content and skills with PoM-2 is required, especially in regard to interviewing skills and physical diagnosis.

    b) PoM-2 will need to incorporate the skills and content currently addressed in the Basic Patient Care Skills course (Transition course).

    c) Improved interdisciplinary case selection might involve pediatrics, ob/gyn, surgery & psychiatry as well as medicine.

    d) Improved topical coordination between Pom-2, Pathology and Pharmacology and Microbiology is desirable.

    e) Increase the frequency of inpatient and outpatient clinical exposure.

    The discussion acknowledged the excellence of the ICM course, but recognized that PoM-2 (ICM) will need to reinforce the principles learned in PoM-1 and expand to include abnormal findings.

    Currently, ICM students see only 3 real & 1 standardized patient on a one-on-one basis per year. Faculty tutors read the H&Ps and hear the student present 3 patients. There is much variation in the quality of this limited experience.

    The Curriculum Committee would like to see more patient encounters incorporated into the PoM-2 course. Actual laboratory findings, EKG, and x-ray films should also be included in some of the weekly cases. Computer imaging and audio might be the best way to incorporate these items into the PoM-2 curriculum. Interviews of patients should not only continue in PoM-2, but expand to include increasingly abnormal findings.

    Brian Wispelwey, ICM course director, noted that availability of patients and faculty and lack of adequate examination rooms are obstacles in incorporating more patient contact for the second year students. ICM is also presently making use of all allotted time in the schedule where will the extra time come from?

    A suggestion was made to create a relationship with local hospitals, free clinics and chronic rehabilitation facilities to allow medical student access. Allowing second year students to join medical rounds on a Saturday and Sunday was suggested; however, this does not provide the uniformity of experience the CC desires. In some ICM cases, a surgical treatment option should be included.

    A subcommittee will be created to develop a plan to implement these goals. This group will consist of directors of both PoM-1 and PoM-2 courses and selected members of the Curriculum Committee.

-Don Innes
-dmr