Minutes 10.25.07

Minutes 10.25.07

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,  Guests:  Debra Perina, Darci LiebDebra Reed (secretary) 

  1. Announcements.

    There will be an open faculty meeting in the Jordan Hall Conference Center Auditorium on 11/8/07 from 4:00 p.m. - 6:00 p.m. The agenda includes an overview of the status and anticipated timeline for the search committee for the new VP/Dean as well as discussion of the possible increase in class size. There will be no Curriculum Committee meeting on 11/8/07. Curriculum Committee members are encouraged to attend this faculty meeting.

    The Carilion Clinic's leadership team roster has been announced:


  2. Basic Science for Careers. Debra Perina met with the Committee to outline plans for the Basis Science for Careers program which is scheduled for March, 2008.

    Vision - To create a course in the undergraduate medical curriculum following 3rd year core clerkships to review, expand, and focus on basic sciences as applied to a particular discipline

    Course Goals
    Relate basic science to individual student's chosen discipline (future residency) focusing on application of basic science principles used in daily practice of the chosen discipline
    Highlight basic science concepts from Principles of Medicine courses in the post-clerkship/pre-electives period
    Motivate and mentor students in their chosen field(s)
    Increase student interest in academic medicine
    Stimulate critical thinking to enhance their understanding of disease and ability to integrate this into patient care.
    Enhance clinical reasoning and decision-making abilities
    Promote greater self-sufficiency of students in the clinical setting

    3 week required course for all students
    Given March of 3rd year following core clerkships
    Prior to elective rotations, residency applications, "audition rotations," USMLE-2 
    3 types of teaching venues:

    General sessions
    Topics with universal relevance
    Entire student group

    Specialties sessions
    topics with career/specialty-oriented groups
    ~10-15 students per group
    Venue for student presentations

    Applied sessions
    Clinical scenarios
    ~10-15 students per group
    Venue for student presentations and case management

    BSCS Course Overview 1

    BSCS Course Overview 2

    General and Specialties sessions jointly taught by clinician and basic scientist
    All sessions are case vignette format
    Applied sessions taught by clinicians
    Clinician leads case presentation
    Basic scientist discusses relevant concepts in context of case

    General Sessions
    Major topics in clinical practice with universal relevance relating closely to basic science
    An integrated and more sophisticated treatment of material from 1st and 2nd years
    6 sessions, ~ 3 hours each (~18 hours/student)
    Students required to attend all General sessions

    Possible General Session topics
    Fluid and Electrolyte balance and acid base disorders
    Drug-Drug Interactions
    Appropriate Antibiotic Prescribing
    Evaluating Clinical Research
    Bench to Bedside- answering patient care issues in real time
    Homeostasis - Maintaining human system wellness preventive medicine

    Specialty Sessions
    Topics specific to clinical discipline
    Case vignettes format
    Some cases from those identified by students
    Relevant Basic Science illustrated
    Current manuscript discussions
    Discuss limits of knowledge and identify future research questions
    Focused topics with career oriented relevance
    #20 sessions, ~3 hours each
    Students must select 10 sessions, but may attend more
    ~30 hours/student

    Applied Sessions
    Cases developed from specialties
    Students manage case alone
    Immediate feedback from faculty
    Promote critical thinking and independent decision making
    ~5-10 students/group
    Students attend 7 applied sessions (must sign up in advance) May attend more
    Students given case problem in advance to research management
    Students have access to resources to solve patient management questions

    Student Responsibilities

    Identify specific cases or questions developed from their experience during core clerkships to discuss in sessions
    Attend all General sessions
    Attend 10 Specialty sessions (must sign up in advance of course). May attend more
    Attend 7 Applied sessions (must sign up in advance of course). May attend more
    Total class time commitment ~ 20 hours per week 

    Benefits to Students
    More in depth exposure to specialty areas
    Relate basic sciences to future practice setting
    Provides discussion of relevant current literature
    Enhances overall understanding of specialty which could enhance residency selection and interview process

    Benefits to SOM
    Greater specialty involvement with interested students
    Recruitment tool for specialties
    Enhances understanding of basic science relationship to clinical patient care
    Raise awareness of unanswered questions for future research interests of students
    Stimulate interest in academic careers

    Next steps.....
    Obtain Departmental Chairs support
    Identify all session leaders
    Budget for space and resources

    The fourth week of the course will be devoted to the DX/RX course.  The total class commitment for the students of the Basic Science for Careers course is 20 hours per week.

    The evaluations for the pilot program were distributed to the Committee and reviewed.  Most comments were positive and suggestions for improvement will be taken into consideration when launching the program in March, 08.   The Committee discussed the placement of the course in the curriculum and why the course placed in March at the end of the second year.

    Debra Perina will meet with the third year students, explain the program and answer questions.   This should be arranged for a period during the next Clinical Connection session.    The Committee also asked Dr. Perina to assemble a planning committee to help in firming up the plans for this course.    This planning committee should include at least three third year students.  Sixtine Valdelievre was asked to contact Dr. Perina with the name of student who would be interested in serving on this committee.

  3. USMLE Step 2 Clinical Skills (CS) Performance.  The results of the students who took the USMLE Step 2 CS exam for the first time between July 2006 and June 2007 were reviewed by the Committee.    The UVA scores were above or within one standard deviation of the mean in all categories.

Donald Innes