University of Virginia School of Medicine
Surgery Conference Room, 4:00 p.m.
Present (underlined) were: Reid Adams, Gretchen Arnold, Eve Bargmann, Daniel Becker, Robert Bloodgood, Gene Corbett, John Gazewood, Jennifer Harvey, Donald Innes (Chair), Howard Kutchai, Marcus Martin, Chris Peterson, Jerry Short, Bill Wilson, Anthony DeBenedet, Sixtine Valdelievre, Debra Reed (secretary)
- OB/GYN Clerkship Director. The Curriculum Committee enthusiastically approved Dr. William Herbert’s nomination of Dr. Megan Bray for the position of OB/GYN Clerkship Director.
- Clerkship Grades. Clerkship Directors are to be reminded that grades must be submitted to Student Affairs within five weeks of the completion of the course. Problems with some of the clerkships not following this procedure are being addressed. Dr. Wilson will remind all clerkship directors of the need for timely assessment of students.
- Mulholland Report. Anthony DeBenedet presented the findings from the 2004-05 Mulholland Report which will be published 11/1/05 . This report is compiled by students in the current fourth year class (~50 students contribute to the student data and ~30 more work on faculty data) and focuses on their clerkship year. This report will be used as reference for the LCME survey.
The individual approval numbers for clerkships have remained largely unchanged from last year’s report. Average scores for all clerkships were in the 3.2 – 3.8 range (0-4 scale with 4=A; 3=B). Approval numbers have also remained relatively steady between individual clerkship sites. While difficult to evaluate differences between sites, higher numbered scores at some sites usually indicate either very involved and dedicated faculty members or the student’s ability to have more hands-on experience due to the nature of the site.
< BR> Student evaluation of teaching in the clerkships remained steady at 4.22 for housestaff and 4.5 for faculty (out of a possible 5), this in spite of the reduced work week for housestaff.
The students comments seemed to demonstrate improved communication opportunities with patients and also among their team members. Rare incidents of unprofessionalism were noted in the survey. The students did mention that they would like more experience in physical diagnosis/clinical skills.
Many students would like a more comprehensive orientation when starting each clerkship with expectations and student roles clearly outlined. The Committee felt that if these expectations were more clearly defined there would be less “down” time for the students. Jerry Short offered an article from the New York Times entitled “Your Intern is Both Sleepy and Bored, Feel Better?” The Curriculum Committee and/or the Clinical Medicine Committee should address this concern in a future meeting. One suggestion was that students be encouraged to visit with patients under their care during down times to gain valuable clinical and historical information.
Disenfranchisement of the student’s role on the medical team due to hospital/departmental policy was discussed. What a student can and cannot do on the wards or in the clinics is defined by departmental as well as hospital policy. It was suggested that someone from Hospital Administration as well as Rebecca West from Piedmont Liability be invited to a Curriculum Committee meeting to talk about this issue. Student initiative also contributes to how much the students gets from each clerkship.
The Committee discussed the new Hospital Clinical Information System and it’s effect on student education in the clerkships. Jerry Short has discussed Medical School needs with Steve Borowitz but is still unsure what effect the system will have on medical education.
Students were very enthusiastic about the Clinical Skills project workshops. The Curriculum Committee hopes that funding will be obtained to continue this very successful project.