University of Virginia School of
Minutes – 01/09/14
Pediatric Conference Room, 4:00 p.m.
Present (underlined) were: Gretchen Arnold, Stephen Borowitz, Elizabeth Bradley, Megan Bray, Donna Chen, Peter Ham, Donald Innes (Chair), Sean Jackson, Keith Littlewood, Nancy McDaniel, Bart Nathan, Sabrina Nunez, Theresa Schlager, Neeral Shah, Amita Sudhir, Linda Waggoner-Fountain, Casey White, Bill Wilson, Mary Kate Worden, Lee Eschenroeder, Derrick Thiel (alternate Tom Jenkins), Debra Reed (secretary)
On 8/15/13, the Curriculum Committee approved changing the Family Medicine clerkship to a Pass/Fail grading schema. This has now been approved by the Registrar and the new Course name is Family Medicine Clerkship and the new course number is MED655.
Residents As Teachers. Lisa Rollins reported to Don Innes a communication she had received from John Jane Jr. He was impressed with the residents as teachers website and is eager to also create a NetLearning module for his program to accompany the site. He did a great job of generating a preliminary group of NetLearning questions and answers/explanations, based on the modules. The Committee suggested that the module when complete be made available to all residents, particularly those in General Surgery, if appropriate.
The Student Academic Enhancement Service proposed by Selina Normaly will be discussed at an upcoming meeting.
Friday Forum. The Committee approved a change in the Friday Forum schedule from every Friday to alternate Fridays. While these forums have been enormously helpful in adjusting the curriculum in near real time, now that the curriculum has matured, a decrease in the frequency of the meetings is deemed appropriate.
Friday Forum Schedule
The first week of a three week system
The first and third week of a six week system
The first third, fifth, and seventh of nine week clerkship.
For the fall overlap period there will be meetings on the above schedule for both systems.
If major changes are made to a system an every week review may be scheduled for the first year of implementation.
SMEC reps should contact the system leaders and Elizabeth Bradley at any time as soon as an issue arises.
The Committee discussed the functions of the Friday Forums and the CSL (Core System Liaison) meetings. The two groups are different and both provide excellent feedback to the System Leaders. The CSL groups will continue to meet as usual.
2013 Annual OB/GYN Clerkship Review December 11,2013
The 2013 OB/GYN Clerkship Review was conduced by Donna Chen and Bill Wilson. The reviewers outlined their findings from OB/GYN clerkship review below:
Clerkship Directors: Megan Bray, Yvonne Newberry
Reviewers met with Dr. Bray, clerkship director, and Ms. Newberry; this review is based on our conversation with them and their report.
Positive and Unique aspects of the ObGyn Clerkship
Caliber and dedication to teaching on behalf of faculty and residents. * Use of a national curriculum (which has learning objectives and questions) to help guide the content of the curriculum [Association of Professors of Gynecology and Obstetrics (APGO)]
Comprehensive “all day” orientation
Varied clinical experiences for medical students, ranging from obstetrics to gyn clinic to surgical services.
Excellent “pocket-sized” handbook that has been developed for the clerkship
Well-organized clerkship, that is almost “self-contained”
Good adjustment of the clerkship to the new 6 week calendar (from previous 4-week clerkship)
Mid-clerkship feedback sessions with each student from the clerkship director
Clinical skills “OSCE”
Every lecture is evaluated by students
Strong and consistent leadership by Dr. Bray and Ms. Newberry
Challenges and ongoing opportunities
“Capacity” is an ongoing issue with this clerkship, particularly related to the obstetrical services, number of students, and patient volume
Students are not currently able to chart in the electronic medical record at Bon Secours-St. Mary’s Hospital.
* Decreasing clinical “hands on” experiences, particularly as it relates to procedures. * The Obstetrics and Gynecology department’s residents as teachers program has not been maintained.
Reinvigorate the “residents as teachers” activities. Seek help from Lisa Rollins and support of Susan Kirk.
* Take steps to allow for student entries into EMR at Bon Secours. See note below seeking help from Sean Jackson and Steve Borowitz. * Continue to explore other sites for student placement with coordination of department, dean’s office and non-UVa site physicians and administrators. * Continue the “mid-clerkship assessment” using the APGO question bank * Require and record attendance at sessions related to preparing residents for teaching. * Explore additional hands-on learning in the OBGYN clerkship - simulation, bedside, and OR. * Work with other clerkship directors to identify certain professional and patient quality and safety learning objectives (see general LOs) that are especially pertinent to Ob-Gyn and evaluate. Linkage to the General Learning Objectives that apply to all clerkships must be made clear.
It was noted that the clerkship has excellent consistent leadership in Megan Bray and Yvonne Newberry. The change to a 6-week clerkship (from a 4-week clerkship) has gone smoothly, and the clerkship leadership is pleased with the new clerkship format.
The Committee questioned the possibility of expanding the Ob-Gyn clerkship to Fairfax Inova. Dr. Bray would prefer to keep the clerkship students in two locations (UVA and Bon Secours) as long as the class size remains at current levels.
Ethics and Hx of Medicine activities are being added to the Ob-Gyn clerkship.
The Committee discussed the trend nationwide of less hands-on activities for medical students and asks the Clerkship director to continue to look for ways to enhance hands-on learning in the OBGYN clerkship. The SIM Center is utilized to provide some hands-on learning activities for the students on the OBGYN clerkship.
Dr. Bray reports excellent communication with the Clerkship Director at Bon Secours, Sage Claydon. Students at Bon Secours are not permitted to add notes to Epic as they are at University Hospital. Sean Jackson will contact Bon Secours leaders and discuss sharing our module that UVA students use to work in Epic. Steve Borowitz will also be asked to communicate with Bon Secours regarding the ease and feasibility of allowing student notes in Epic.
The Committee discussed the use of the modified APGO (Association of Professors of Gynecology and Obstetrics) learning objectives and question database in the clerkship. The question bank is an excellent formative assessment for the students and is reflected in the NBME Subject examination scores.
The Committee examined and concluded that the grade distribution for the Ob-Gyn clerkship is appropriate.
In summary, the OBGYN Clerkship is well organized and operates smoothly thanks to the devoted effort of Megan Bray and Yvonne Newberry.
Future of Transition Course. In response to a request from the College Deans the Curriculum Committee will review the 2014 Transition Course activities in March. An exact date to be determined.
Donald J. Innes, Jr., M.D.