Minutes 11.02.06

Minutes 11.02.06

University of Virginia School of Medicine
Curriculum Committee

Surgery Conference Room, 4:00 p.m.                       

Present (underlined) were: Reid Adams, Gretchen Arnold, Eve BargmannDaniel Becker, Robert Bloodgood,  Gene Corbett,  Wendy Golden, Jennifer Harvey, Donald Innes (Chair),  Howard Kutchai, Marcus Martin, Chris Peterson, Jerry Short, Bill Wilson,  Devin Mackay, Kavita  Sharma,  Debra Reed (secretary) 

  1. Standard on Service Learning.   The AAMC approved a new standard on service learning. http://www.lcme.org/hearing.htm The standard states "Medical schools should make available sufficient opportunities for medical students to participate in service-learning activities and should encourage and support student participation."  The University of Virginia School of Medicine has more than met this standard before it is accepted by the LCME.  Two other newly approved standards were briefly discussed - one regarding the learning environment [professionalism] and one regarding clinical and translational research.

  2. Exploratory/Social Issues in Medicine (SIM). A brief history of the development of the Exploratory concept and how it has evolved to where we are now was provided to the Committee.  SIM is a direct descendant of the Community Service Exploratory.   The Committee discussed the difficulties of assessing the educational benefits of the program. Evaluation data [SIM, M&MG, PoM-1, Anatomy, Biochemistry, and C&TS] should be available at the beginning of January. The Committee will do an assessment of time in the curriculum allotted to the program and all available evaluation data.  Mo Nadkarni, Darci Lieb and Daniella Alexander will be invited to meet with the Committee in January 2007.  The Committee will then discuss this program again at a later meeting.

    [The Exploratory was approved as part of the Decade Plan and subsequently as a component of the Cells to Society curriculum. The concept of the Exploratory was "to provide an experience in the pre-clerkship curriculum to nurture the humanitarian and scientific motivation that called students to the profession of medicine. It was thought that the experience should allow students to express themselves creatively in the basic sciences, in clinical medicine and in service to the community." 

    "The program will be initiated with a menu of clinical medicine and community service options. Selectives from research, humanities, and student-designed projects will be added in the second or third year of the program.  New opportunities for experience in research, the humanities, and clinical medicine, e.g. clinical experiences in anesthesiology, family medicine, pathology, should be added to the summer between year 1-2 to supplement the existing "summer research program" and to the post-clerkship electives". - Cells to Society: A Curriculum for Modern Medicine November 18, 2004

    Based on earlier planning committees, the community service component was agreed to be a required component. It was assumed that the student would chose from a menu of clinical and community service activities at least one of which would be service. A late start due to personnel hiring lead to a short time frame for setup and organizational difficulties. As a result all the focus was on the community service activities. The Committee? Minutes of ?05.05.05 read, "The Exploratory program will be run by Mo Nadkarni and will begin in the fall of 2005.  The first year course will initially be 100% community service, thereafter, the program is expected to expand into other areas such as research, medical humanities, and student proposed exploratories."

    In November 2005 the committee studied the impact of the new curriculum on first year students using early data. The committee indicated that it would continue to closely monitor the academic and well being of the class.  Despite the relatively minor changes in the curriculum, the need for adjustments was not unexpected. Changes in the flow and pacing of material, relaxation and opening more opportunities in the service Exploratory, and more sessions with the first year class to explain and to listen, had started.

    As a result of this and further discussion including the Principles of Medicine Committee in early 2006 a number of changes were phased into the Exploratory program including: 1) reducing the number of hours per week, 2) culling of sites with less educational value, including remote sites, 3) implementing a choice of semester in which to perform the Exploratory (1st semester Yr 1, 2nd semester Yr 1; summer between Yrs 1 & 2), and 4) addition of social medicine instructional modules and with these changed the name from Community Service Exploratory to Social Issues in Medicine.] 

    Question of how SIM managed to be instituted without going through the standard approval process was discussed.   It was emphasized that a proposal for a new de novo medical school course must be submitted to the Curriculum Committee, which is responsible for the design, management, and evaluation of the undergraduate medical curriculum. [See the 1999 Curriculum Governance document for details as to the role of the Curriculum Committee, the Principles of Medicine Committee, and the Clinical Medicine Committee.]

    Modifications to an existing course must be presented to the Principles of Medicine or Clinical Medicine committees for discussion and comment, and to the Curriculum Committee which is responsible for the design and management of the entire curriculum and to ensure that the curriculum is coherent, coordinated, current, and effective. 

    The Curriculum Committee of the School of Medicine is responsible for defining the goals and objectives of the curriculum; for the design, management, and evaluation of the undergraduate medical curriculum in accordance with the accreditation requirements of the LCME and the mission and vision of the School of Medicine. The Committee is responsible for establishing a process for reviewing, evaluating, and revising the curriculum on a recurring timeline to ensure that the curriculum is coherent, coordinated, current, and effective. http://www.healthsystem.virginia.edugovdoc.cfm

    In regard to SIM, the Curriculum Committee will continue to monitor and evaluate the program with sessions anticipated in January [and June] 2007.

  3. Results of the USMLE CS2 Exam (June, 05 - June, 06).    Results of the UVA School of Medicine USMLE Step 2 Clinical Skills examination were distributed.  Scores were not quite in the range the UVA School of Medicine usually receives from the Step 1 and Step 2 exams.   Anne Chapin will be invited to the 11.09.06 Curriculum Committee to help us provide insight on how to improve these scores.

Donald Innes