Minutes 10.16.03

Minutes 10.16.03

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, Maria Meussling, David Shonka,  Ryan Zaklin,   Debra Reed (secretary)

  1. Announcement of Agendas for Future Meetings. 
    10/23/03 – Ann Chapin will visit the Committee to discuss the CPX examination; Medical Student Career Planning (Chris Peterson); Basic Sciences for Careers report (Vern Juel)
    10/30/03 – Meg Keeley will visit to discuss the Electives Program; Career Practice Enhancement (Anita Clayton) and Exploratory (Don Innes) reports
    11/06/03 – Preliminary curriculum assessment overview by Curriculum Committee
    11/13/03 –
    11/20/03 – Clerkship/Elective/Selective Team report (Bill Wilson and Meg Keeley)
    11/27/03 – Thanksgiving
    12/04/03 –
    12/11/03 – DRAFT Curriculum Planning Document
    12/18/03 – Bruce Cohen will present the Psych. Med. Course Self-Assessment and Review
    01/08/04 –
    01/15/04 – Don Innes will present the Pathology Course Self-Assessment and Review-
    01/29/04 –
    02/05/04 – Steven Heim will present the Epidemiology Course Self-Assessment and Review
    02/12/04 –
    02/19/04 –
    02/26/04 –

    As each team works to deliver the most appropriate curriculum (content and learning process) for UVA for the next 10 years, they should be thinking along the lines of what we should be doing; how we should be doing it and when. Each team should use the following guide for their recommendations:
    Rationale and Goals
    Objectives and Strategies
    Resources – time, faculty
    Metrics and Accountability

  2. The Contemporary Clerkship/Elective/Selective Team – (Meg Keeley and Bill Wilson) Bill Wilson updated the Committee on the team’s progress.  The team will include all current clerkship directors as well as Eugene Corbett and Brian Wispelwey, current upper level residents who graduated from the University of Virginia School of Medicine and other outside institutions.  They will begin by looking at what the goals and objectives are for the clerkships, electives and selectives – what students should learn from these experiences.  Only after making these determinations will calendars and length of each rotation be discussed.    A primary goal is to put more flexibility into the third and fourth years of medical school – to expose the students to more – to help refine their career choice.  Dr. Wilson mentioned  “fluid continuum” – an idea that medical education doesn’t stop and start and is a continuous learning process throughout undergraduate and graduate medicine and a physician’s career.

  3. Career Day.  Chris Petersen is now in charge of the planning and implementation of Career Day for the medical students.  She would appreciate the Committee’s help in development of a better system for helping students make their career choice.  The Committee agreed that exposure to career options should begin as early as first year. The discussion will be continued at an upcoming Curriculum Committee meeting.

  4. Clerkship Problem.  Twice, in the last rotation students were asked to accompany a resident on a patient encounter and the student declined to go for personal reasons such as “needed to go home to go to bed” or “having dinner with a spouse.” Faculty are concerned that this may be a trend rather than isolated incidents.  Suggestions from the Committee included clarifying responsibilities and objectives to housestaff, faculty and medical students and grading according to fulfillment of these responsibilities and objectives. A contributing factor might be that contemporary students have more limited responsibilities for patient care than in the past and thus may not feel as integral to the health care team.

  5. Latest Academic Medicine URL (Linda Watson).  Edited - DJI

    2003 Research in Medical Education Conference Committee: 1 October 2003; Vol. 78, Supplement to Issue 10 URL: http://www.academicmedicine.org/content/vol78/10_suppl/index.shtml?etoc

    Expanding the Boundaries of Medical Education: Evidence for Cross-Cultural Exchanges IAN S. MUTCHNICK, CHERYL A. MOYER, and DAVID T. STERN Acad Med 2003;78 S1-S5 http://www.academicmedicine.org/cgi/content/abstract/78/10_suppl/S1?etoc

    Recent Trends in Match Process Outcomes for U.S. Senior Medical Students DOROTHY A. ANDRIOLE, ALISON J. WHELAN, and KENNETH B. SCHECHTMAN Acad Med 2003;78 S6-S9 

    Trouble in Academia: Ten Years of Litigation in Medical Education  RICHARD F. MINICUCCI and BRYAN F. LEWIS  Acad Med 2003;78 S13-S15 http://www.academicmedicine.org/cgi/content/abstract/78/10_suppl/S13?etoc

    Educating for Advocacy: Exploring the Source and Substance of Community-Responsive Physicians IVY F. OANDASAN and KEEGAN K. BARKERAcad Med 2003;78 S16-S19

    An Examination of the Relationship between Clinical Skills Examination  Performance and Performance on USMLE Step 2  ERIC S. MULLER, POLINA HARIK, MELISSA MARGOLIS, BRIAN CLAUSER, DANETTE MCKINLEY, and JOHN R. BOULET Acad Med 2003;78 S27-S29

    Assessing Physical Examination Skills of Senior Medical Students: Knowing  How versus Knowing When  LUANN WILKERSON and MING LEE     Acad Med 2003;78 S30-S32

    Feasibility, Reliability, and Validity of the Mini-Clinical Evaluation  Exercise (mCEX) in a Medicine Core Clerkship JENNIFER R. KOGAN, LISA M. BELLINI, and JUDY A. SHEA Acad Med 2003;78 S33-S35

    Assessment of a Clinical Performance Evaluation Tool for Use in a Simulator-Based Testing Environment: A Pilot Study JAMES A. GORDON, DAVID N. TANCREDI, WILLIAM D. BINDER, WILLIAM M. WILKERSON, and DAVID W. SHAFFER Acad Med 2003;78 S45-S47 

    Introduction of Patient Video Clips into Computer-Based Testing: Effects on Item Statistics and Reliability Estimates STEVEN A. LIEBERMAN, ANN W. FRYE, STEPHANIE D. LITWINS, KAREN A. RASMUSSON, and JOHN R. BOULET Acad Med 2003;78 S48-S51

    Development of a Reliable Multimedia, Computer-Based Measure of Clinical Skills in Bedside Neurology      ROSANA T. MILLOS, DAVID LEE GORDON, S. BARRY ISSENBERG,  PATRICK S. REYNOLDS, STEVEN L. LEWIS, WILLIAM C. MCGAGHIE, and EMIL R. PETRUSA    Acad Med 2003;78 S52-S54 http://www.academicmedicine.org/cgi/content/abstract/78/10_suppl/S52?etoc

    Team Learning in Medical Education: Initial Experiences at Ten Institutions NANCY S. SEARLE, PAUL HAIDET, P. ADAM KELLY, VIRGINIA F. SCHNEIDER,CHARLES L. SEIDEL, and BOYD F. RICHARDS    Acad Med 2003;78 S55-S58 http://www.academicmedicine.org/cgi/content/abstract/78/10_suppl/S55?etoc

    Differential Weighting of Errors on a Test of Clinical Reasoning Skills     RUTH A. CHILDS, JENNIFER L. DUNN, CHRISTINA VAN BARNEVELD, ANDREW P. JACIW, and JODI HEROLD MCILROY  Acad Med 2003;78 S62-S64 

    Analysis of the Relationship between Score Components on a Standardized Patient Clinical Skills Examination     MELISSA J. MARGOLIS, BRIAN E. CLAUSER, DAVID B. SWANSON, and JOHN R. BOULET Acad Med 2003;78 S68-S71 http://www.academicmedicine.org/cgi/content/abstract/78/10_suppl/S68?etoc

    Correlates of Performance of the ECFMG Clinical Skills Assessment: Influences of Candidate Characteristics on Performance     MARTA VAN ZANTEN, JOHN R. BOULET, and DANETTE W. MCKINLEY     Acad Med 2003;78 S72-S74 

    Evaluation of an Automated Procedure for Scoring Patient Notes as Part of a Clinical Skills Examination      KIMBERLY SWYGERT, MELISSA MARGOLIS, ANN KING, TIM SIFTAR, STEPHEN  CLYMAN, RICHARD HAWKINS, and BRIAN CLAUSER Acad Med 2003;78 S75-S77 

    Donald Innes/dmr