Minutes 10.30.03

Minutes 10.30.03

University of Virginia School of Medicine
Curriculum Committee


Surgery Conference Room, 4:00 p.m.                       

Present (underlined) were: Reid Adams, Eve Bargmann,  Robert BloodgoodAnita ClaytonGene Corbett, Carl CreutzDonald Innes (Chair),  Vern Juel, Howard Kutchai, Chris Peterson, Jerry Short, Linda WatsonBill Wilson, Brian Wispelwey, Maria Meussling, David Shonka,  Ryan Zaklin,   Debra Reed (secretary), Guest: Meg Keeley

  1. Electives Program.  Meg Keeley, Director of the Electives Program, briefed the Committee on the current state of the Electives Program and future plans for improvement.  The fourth year program is a wonderful opportunity for students to explore the many and varied segments of medicine. Students must have 32 credits to graduate, of which 28 are elective/selective – of these electives/selectives 8 must be at UVA, 16 must at an accredited AAMC/LCME approved U.S.-Canadian institution, and 4 must be designated ACE. 

    Since becoming Director, the objectives of each elective have been newly reviewed; ACE electives has been determined by reviewing the criteria set forth by the Curriculum Committee; and each student’s elective schedule is reviewed to make sure the student has developed a well-rounded, productive elective schedule.  There are 50 electives deemed to fit the criteria for ACE this year – this list will be re-reviewed and modified after student evaluation data is received. 

    An ACE elective is, by definition, an intense clinical responsibility, and under the direct supervision of an attending physician.  When students participate in an ACE elective, they are treated as an intern.  It is difficult at times to get the nurses on the floors to call the medical student before the resident.    Timing of the ACE electives is influenced by resident interviews as students are not permitted unexcused absences during an ACE elective.  Many students prefer to have their ACE elective early in the year and in their chosen professional field in the hopes of gaining letters of recommendation.  While these limitations make scheduling difficult, few problems were encountered this year.  Sixteen electives designated as ACE take place outside UVA but it is likely that next year all ACE electives will be at UVA so they can be more closely monitored.

    ACE Description  and  ACE Criteria 

     If faculty believe an elective should become ACE, they should apply to the Electives Board for review.  All features of the elective will be considered in determining the ACE designation.

    The attendance policy for all electives has been “tightened up” this year and it seems to be working well. The objectives/requirements for a research elective are also closely monitored. 

    The elective programs set up by most students this year were judged to be of good quality by the director.  None of the scheduling/organization would be possible without the services of Liz Clarke who does the scheduling and reviews all student schedules initially for deficiencies.

    A tracking computerized database is in the works for elective scheduling.  Web-based student evaluations of electives as well as on-line faculty evaluation of each student are being developed and should be in use next year.

  2. Career Practice Enhancement Team.  Anita Clayton reported on the team’s progress.  The team has met once and was very enthusiastic.  They would like a firm commitment from the Curriculum Committee as to when implementation is planned.  A pilot program could be made ready for next spring (2004) but 2005 is a more likely start-up date.  Suggested topics included the American health care system, legislation affecting medicine, case law, public health, international public health, and professionalism. This program would be a required part of the medical school curriculum.  The initial plan is for a program immediately prior to match day since all students return to Charlottesville at that time.  Although a concern was expressed over the “required” nature of the program, it was agreed that the program is to be required of all 4th year students beginning in the spring of 2005. And that it is to be presented in March, the week before The Match, and Monday - Wednesday of the week of The Match (which is on Thursday) providing 8 days for the course.  The committee was enthusiastic and wanted to ensure that the course would be interesting and exciting for the students. Student(s) must be involved with the subcommittee planning.  The proposed mix of lectures and small group discussions (emphasis on small group) met with approval.  A presentation/discussion from a senator/congressman or aides, or someone from a federal or state regulatory agency was also suggested. Prior discussion or communication with students might occur in the Exploratories or in the 3rd year Clinical Connections. The D&D team is urged to keep in mind the goals from the Career Practice Enhance 1.7 document:

    Primary Goal: Prepare our students to meet the economic, social, legal and political realities and responsibilities of medical practice for their patients and themselves.

    Secondary Goal: Foster health care leadership roles for our graduates in the community and the nation.

Donald Innes/dmr