Minutes 11.16.00

Minutes 11.16.00

University of Virginia School of Medicine
Curriculum Committee
Minutes 11.16.00

Pediatric Pathology Conference Room, 4:00 pm

Present (underlined) were: Reid Adams, Robert Bloodgood, Victoria Camerini,Anita Clayton, Al Connors, Gene Corbett, Joseph DuBose, (Alexandra Yamshchikov), Joanna Goldberg, Donald Innes (Chair), Jerry Short, Bill Wilson,Guests: Marcia Childress, Dennis DeSilvey, Margaret Mohrmann, Debra Reed (Secretary)

  1. Umedic. Dennis DeSilvey presented the UMedic Multimedia Computer Curriculum in Cardiology developed at the University of Miami. These are CD-ROM programs compatible with current multimedia computers. They may be used on local area networks. The programs can be fully integrated into all four years of the medical school curriculum and post graduate training. The programs are patient-centered and problem-based. Innovative features include 1) emphasis on bedside skills; 2) fully featured multimedia; 3) a comprehensive generalist curriculum for learners are all levels; 4) self learning or lecture room instruction; 5) use with standardized patients; 6) post-testing and CME credit. The programs are designed to augment faculty teaching, not replace it.

    Dr. DeSilvey also distributed information on PneumoSim (a digital breath sounds simulator, SAM (the student auscultation manikin), and Cardionics (heart sound simulator). Similar programs have been developed for other areas of medicine such as GI, emergency medicine and anesthesiology. Application of this technology in the medical school curriculum will depend largely on faculty commitment to make use of the technology. These programs allow standardization and consistency in basic medical instruction.

    While the Committee sees great value in these programs for medical education, problems of cost, space, and faculty commitment must be overcome. Although funding for the purchase of the systems must be obtained, more important is the development of an "education center" for housing the computers, machinery, and on-site technical support. The Curriculum Committee will explore these options in the context of the current curriculum restructure.

  2. Clinical Connection Review. Reid Adams, Marcia Childress, and Margaret Mohrmann discussed the first two sessions of the Clinical Connections pilot program. The September session was entitled Concepts in Cancer Care and the October session, Issues in Pain Management. The goal is to address issues (general concepts) not always covered in the clerkships. Both sessions were well received by students and faculty. Student evaluations, however, did identify problems that are being addressed in planning for the rest of the sessions. Patient encounters and small group work sessions should be included whenever possible. Balance must be maintained between small group and didactic sessions; between basic science and clinical and ethical issues.

    The centerpiece luncheons, "Clinical Conversations,",are part of the Spirituality in Medicine grant. The students, provided with lunch, meet in small groups with a mentor whose job is to focus the discussion on spiritual or ethical issues that the students are experiencing during their clerkships. Issues such as student roles and responsibilities during their clerkships, what it's like to be a part of medicine for the first time, and dealing with patients who are ill, are discussed. At the October session, mentors noticed some attendance issues. Some students picked up their boxed lunch but did not eat with or participate in the discussion groups.

    Attendance at the individual activities during the day has become an issue. It was noted that many students turned in "check off" forms indicating attendance at all activities, although observation of attendance clearly indicated otherwise.

    Management of the Clinical Connections Program for next year and beyond will need to be determined. This program will require a permanent course director, a method of certifying attendance, and administrative support perhaps through the CME. CME coordination of the pilot sessions has been most successful.

 -Don Innes