Minutes 10.21.99

Minutes 10.21.99

University of Virginia School of Medicine
Curriculum Committee
Minutes 10.21.99

Pediatric Pathology Conference Room, 4:00 p.m.

Present (underlined) were: Reid Adams, Robert Bloodgood, Anita Clayton, Al Connors, Gene Corbett, Joanna Goldberg, Donald Innes (Chair), Steven Meixel, Jerry Short, Bill Wilson, Robb Williams, Debra Reed (Secretary)

Discussion continued on the curriculum goals for year 2000 and beyond. Thirteen proposals ranging from structural and functional changes to statements of philosophy and policy were placed on the table for discussion. Additional proposals were encouraged. Following review of all proposals, the committee plans to prioritze the proposals as to educational importance and feasibility. With priorities established, the plan is for the committee to select a limited number of proposals with which to begin. We hope to finalize a set of immediate goals for the 2000 academic year within the next few weeks.

Careful reckoning of the UVA culture suggests that an evolutionary rather than revolutionary process of curricular revitalization needs to be put in place.

Keeping in mind the mission, values and purpose of the institution and the goals and objectives laid out in previous weeks the committee was asked to again rank the proposals - this time in a more consistent manner and forward to Don Innes before next meeting.

  1. Course activities (lecture, laboratory, tutorial, small group work) are limited to mornings until noon and two afternoons per week.
  2. All courses and clerkships must have both a basic science and clinical director.
  3. Objectives reflecting the content of each course and clerkship will be written and reviewed and a report prepared for the respective "Principles" and "Clinical" committees and the "Curriculum" committee. See Curriculum Management Document.
  4. The content, coordination, integration and pedagogy of each course and clerkship will be reviewed yearly and a report prepared for the respective "Principles" and "Clinical" committees and the "Curriculum" committee. See Curriculum Management Document.
  5. Courses are strongly encouraged to engage students in problem solving case-based approaches to learning as appropriate. Courses are encouraged to employ faculty from multiple disciplines.
  6. Common lunch hour years 1 & 2: Implementation of a common lunch hour and activities period for years one and two will help create an environment conducive to the development of appropriate professional attitudes and social skills.
  7. Implementation of a Clinical-Basic Science Program for the third and fourth years, held the 4th Friday of each month [common experience for all clerkships] except November and December.
  8. A "Practice of Medicine" course will be implemented merging elements of the Doctor-Patient-Illness (DPI), Physical Diagnosis, Human Behavior, Ethics and Introduction to Clinical Medicine (ICM) courses into a single course (Parts 1 & 2) across two years. Primary to the course are weekly [biweekly] patient encounters. The program should be sequential, developing and building on an expanding base of skills and knowledge and experience. Students should work primarily in small groups with physicians and social scientists as faculty members.
  9. Establish a coordinator-facilitator faculty position for a coordinator; facilitator; monitor; resource, and allocation manager effectively utilizing evaluative data. All courses should undertake a yearly content review and maximize coordination and integration of the curriculum under the supervision of the coordinator-facilitator.
  10. Provide a curriculum schedule that allows for elective periods early in the third/fourth year block, that is, electives interspersed with the clerkships.
  11. An "Exploratory" is created for in-depth exploration of medical subjects in a problem solving, thought provoking experiential setting in which students educate themselves/each other with faculty guidance. "Exploratories" could be of variable length and would occur in the first two years of study.
  12. A uniform grading system is a necessity if the curriculum changes proposed above are to be successful. The student and the faculty are independently responsible for the learning of medicine by the student.
  13. Establish a formal faculty development program for all faculty involved in teaching. This program could stand alone, but might better be developed in conjunction with the University of Virginia Teaching Resource Center.
  14. ??????

Donald J Innes, M.D. Tel. (434) 924-5198
Associate Dean for Curriculum FAX (434) 924-8060
Department of Pathology e-mail dji@virginia.edu
Box 168 UVA - Medical Center
University of Virginia UVA Old Med School Bldg.
Charlottesville, VA 22908 Room CTR 3694