Minutes 11.13.03

Minutes 11.13.03

University of Virginia School of  Medicine

Curriculum Committee

Minutes 11.13.03

Surgery Conference Room, 4:00 p.m.                       

Present (underlined) were: Reid Adams, Eve Bargmann,  Robert Bloodgood,  Anita Clayton,  Gene Corbett, Carl Creutz,  Donald Innes (Chair)Vern Juel, Howard Kutchai, Chris Peterson, Jerry Short, Linda WatsonBill Wilson, Brian Wispelwey, John BellSarah Jones, Maria Meussling,   Debra Reed (secretary)

  1. Electives and 4th Year Academic Activities.  A printout of electives chosen by students in each period was distributed to the Committee.  Significant numbers of students take electives in periods 9 and 10 (>100 in @). Trends such as ACLS (Advanced Cardiac Life Support) being more popular in periods 8,9,10 and 11 and others selected in the earlier periods were discussed along with the impact this has on future curriculum development.

    It was noted that the “4th year” has only 44 active weeks as students are asked to finish by May 1st. Of the 44 weeks 32 are elective, ACE and Neurology. From the remaining 12 weeks come approximately 4 weeks of “residency interview” time; 2 weeks for USMLE-2CK study (anticipate an additional 2 weeks for USMLE-2CS) and 1-2 weeks for the 4th year Enhancement program, which leaves ~2 weeks of vacation.

  2. USMLE Step 2CS. A proposal regarding graduation requirements and the Step 2CS exam was endorsed by the Committee.  The delay in requiring a passing grade on the Step 2CS prior to graduation will allow time for initial adjustments to the test and for the School of Medicine to adjust the curriculum if necessary.

    This exam will be offered for the first time to the Class of 2005.  Completion of the test is required for graduation for the Classes of 2005, 2006 and 2007. For these classes, passing the 2CS exam is required for licensure, but not for graduation.  (This policy will be reviewed after data from the first three years of experience with the exam are available.)

  3. PDA Requirement.   The Committee endorsed a proposal to require third year students to purchase a PDA (POM operating system) prior to beginning their clerkships.  Most of the current third years (~90%) already use PDAs. Students will be cautioned that no identifiable patient information should be stored on their PDA. The Committee expressed some concern not about the tool, but rather how the tool is used – students should be taught critical thinking with the PDA used only as a tool.

  4. AAMC Meeting.   Several members of the Committee attended the November AAMC meeting in Washington, DC.  Our own Dr. Eugene Corbett was featured at a session on Clinical Skills and participated in a panel discussion at the meeting regarding the national Clinical Skills Project.  Dr. Innes encouraged members of the Committee to present information regarding the new UVA curriculum projects at future meetings of the AAMC. 

  5. CCEC (Contemporary Clerkship and Electives Committee).     Bill Wilson reported that the team working on CCEC with Meg Keeley as Chair has met once.  Each member was asked to examine their clerkships for core objectives and determine the number of patients needed to impart core knowledge and skills. The development team will begin by developing an ideal curriculum and then work toward practicality. Notes from the meeting are included:

    Proposed curricular changes as described on curriculum web site were presented.  The role and opportunities for this committee were discussed.

    Reasons necessitating change in the clinical portion of the curriculum were presented by Drs. Keeley and Wilson:

    1. Medicine has changed dramatically while the clerkships have remained essentially unchanged for many years.
    2. There are new fields of medicine that are not currently explored in our curriculum.
    3. The practice of medicine has changed and students may not need some of the skills/experiences currently mandated in our curriculum.
    4. Legal constraints on patient care and documentation have changed the clinical experience for students.
    5. Students are expected to make career choices earlier often before experiencing some areas of medicine.

    Broad ideas for change were presented with the goal of adding more flexibility and selection into the clerkship portion of the curriculum and more structure into the elective portion.  This could involve shortening current clerkships then adding those weeks as two week "selectives" which could be done during the third or fourth year.  This would allow Neurology to move back into the clerkship portion of the schedule.

    2 week elective/selective experiences were discussed.  Several specialities could develop two week experiences (Optho, Derm, ENT, Ortho) that would increase exposure for the students while still offering longer experiences for those students interested in entering the field.

    Multiple logistical issues were brought up that will have to be addressed as we progress.  Dr. Rein brought up the issue of advising students with more selection in the third year and the group suggested a core group of trained third year advisors as a possible solution.

    The role of medical students in the patient care team was discussed.  From evaluation data, students complain that they are often on the sidelines in the patient management team.

  6. Funding Medical Education.  The Committee agreed that until more accountability was made for educational funds the Curriculum renewal will be challenging.  A budget proposal for course directors and administrators has been prepared and is to be sent to the Dean as a first step toward an education budget with transparency and accountability.

    Donald Innes/dmr