University of Virginia School of
Medicine
Curriculum Committee
Minutes
12.12.02
Pediatric Pathology Conference Room, 1:30 pm
Present (underlined) were: Reid Adams, Robert
Bloodgood, Anita Clayton, Lisa Coray, Gene Corbett,
Donald Innes (Chair), Vern Juel, Howard Kutchai, Jerry
Short, Nikhil Rao, Bill Wilson, Brian Wispelwey, Debra
Reed (secretary)
- Educational Development for Complementary and Alternative
Medicine. A request for proposals for the Educational Development
for Complementary and Alternative Medicine (EDCAM) curriculum project
has been received. Interested faculty have been contacted and will meet
immediately after the holidays to develop a proposal which will be
reviewed by the Curriculum Committee prior to submission.
- Clerkship Interim Reports. Clerkship, November 1, Interim
Reports from Family Medicine, Neurology, OB/GYN, Pediatrics, Surgery
and Psychiatric Medicine were received by the Committee. No report was
submitted from Internal Medicine.
Psychiatric Medicine - The Committee is pleased
that Pam Herrington and Randy Canterbury are working closely on
improvement to the clerkship. The clerkship has met the committee's
request for a standardized curriculum and evaluations at all sites. The
director reports that she is receiving adequate administrative
support.
OB/GYN - The Curriculum Committee endorses Jennifer
Wenger's selection as new clerkship director and her efforts in holding
a special workshop for residents to enhance their teaching
skills. Dr. Wenger has also worked with the nurse managers in
each unit to enhance the teaching efforts. The department has also
instituted a post-resident teaching award to reward superior
resident teaching efforts. The Curriculum Committee will work with
Dr. Wenger to re-evaluate progress being made in the Roanoke clerkship
with the new on-site Roanoke clerkship director. Vern Juel noted that
some clerkships split the rotation [a portion in Roanoke and a
portion on-site at UVa] for a more equitable learning experience.
Some programs have successfully cultivated a single off-site
attending for teaching students (and residents). She reports a good
working relation with her chair and adequate administrative
support.
Neurology - The Neurology clerkship is well organized
with common objectives, a common case-based curriculum, well designed
passports and standard evaluation forms. The Neurology website was
found to be an excellent resource and is suggested as a model for other
clerkships.
http://www.healthsystem.virginia.edu/internet/neuro-clerkship/
The site provides Goals, Requirements, Schedule Information, Period
Schedules, Thinking Like a Neurologist, Neurology Department and
Medical Education links.
Pediatrics - The director, Dr. Wilson, is confident
that all students receive sufficient general pediatric experiences.
Meeting this requirement requires careful balancing of the schedule and
results in two- week blocks. This leads to some issues of "continuity"
or periods too short to "get-to-know-you". The possibility of
recruiting more away sites might be considered, thereby increasing the
available patient population for the number of students. Pediatrics
provides residents with a copy of evaluations completed by students
post-rotation and grading. The curriculum is case-based - 40 cases
covering basic pediatric knowledge.
Surgery - The main priority of the Surgery clerkship
is to stress understanding of surgical issues from a generalist
prospective. The clerkship is invested heavily in the "team concept"
letting students become comfortable in the same group throughout most
or all of their clerkship. A new clerkship teaching scheme is being
contemplated. This concept may be modified next year to allow students
two 4-week core rotations on general surgery and two 3-week elective
speciality rotations. The Curriculum Committee will require addtional
information regarding the plan. To be continued next week.
Family Medicine - To be reviewed next week.
Medicine - A reminder notice will be sent.
All clerkships will be asked to provide a copy of their written
curriculum to the Curriculum Committee (electronic preferred).
The OB/GYN Clerkship "workshop for resident enhancement of teaching
skills" is strongly endorsed for all clerkships.
Closer and regular contact with nursing unit managers to explain the
clerkship educational goals and objectives will improve the student
learning experience.
Clerkships might also wish to consider post-rotational teaching awards
to reward superior resident teaching efforts.
The Neurology Clerkship web page (See above.) is a model to be
emulated. All clerkships should have a similar site. Credit is extended
to John Jackson.
Jerry Short will provide current clerkship evaluation data to the
Curriculum Committee as soon as it is becomes available.
Clerkships should establish required clerkship competencies modeled on
the ACGME competencies of patient care, medical knowledge,
practice-based learning and improvement, interpersonal and
communication skills, professionalism, and systems-based practice. The
Clinical Medicine Committee is asked to begin work on this concept,
especially as to the synergy that might be developed between the
clerkships and the residency programs. Overlapping areas of competency
education could be shared for efficiency. Consider the concept of
levels of competency as presented by Veronica Michaelsen (See 10.24.02
CC minutes).
Letters of response will be prepared and sent to the clerkship
directors following completion of the review.
Don Innes
-dmr
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