Minutes 12.12.02

Minutes 12.12.02

University of Virginia School of Medicine
Curriculum Committee

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)

  1. 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.

  2. 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.
    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