Minutes 01.10.13

Minutes 01.10.13

University of Virginia School of Medicine
Curriculum Committee Executive Management Group
Minutes – 01/10/13

Claude Moore Education Building Rm B114, 4:00 p.m.

Present (underlined) were: Peter Ham, Donald Innes (Chair), Keith Littlewood, Nancy McDaniel, Bart Nathan, Casey White, Mary Kate Worden, Guest:  Meg Keeley

  1. Selectives/Electives. Meg Keeley met with the group to discuss the future of selectives and electives in the NxGen clerkship schematic.  With the current clerkship schematic, i.e. two subspecialty rotations built into the Medicine and Surgery clerkships, OBGYN at six weeks, and limited Psychiatry space, the Curriculum Committee believes that requiring selectives in the fourth year may be unnecessary.  The Committee discussed requiring a minimum hands-on clinical experience in the post-clerkship year or two ACE electives.  If two ACE electives were to be required, work would have to begin immediately to assure that there are enough ACE elective opportunities for all students.  Meg Keeley confirmed that most students try to get the one ACE elective in their chosen specialty completed in the summer so as to get recommendation letters in their residency portfolio.  Dr. Keeley agreed that a second ACE later in the year in an ancillary specialty would be useful to the student after residency placement has been determined.   She noted that there has only been one new ACE developed in recent months.    If ACE electives were able to take more students on each rotation, two ACE requirements would be possible, but this would likely dilute the experience. ACE electives require 100% attendance meaning students are unable to participate in ACE activities during interview season.  There are limits on humanities, ethics and financial electives to ensure that student clinical experience is adequate.  The Committee asked if each elective be designated in Oasis by the level of hands-on patient care involved/responsibility.   Dr. Keeley reviews each student’s elective choices for appropriate content.  She noted that some specialties have offered procedural electives with chief residents after Match Day and there is a “stampede” by the students to sign up for these electives.  The Curriculum Committee will formulate a plan for the post-clerkship experience and get Meg Keeley’s input before finalizing.

  2. Orientation Schedule for Class of 2017.  Mary Kate Worden outlined the schedule for the 2013 Orientation Schedule and discussed events being planned for the week.  Dr. Worden will contact the college deans to find out how much time should be devoted to individual student/dean meetings.  Time allowed for each event in the schedule will be reviewed and the exact time allocated will be confirmed with each instructor.  The Mulholland Society must present their plans for the August 2, 1:00-4:00 pm session to Dr. Worden for approval. Learning objectives for each session must be developed and published. Interactive events should be scheduled in the afternoon with didactic information in the mornings when possible.   More evaluations should be done of individual sessions to aid in planning orientations for subsequent years.    The Curriculum Committee Executive Management Group approved the schedule and asked Dr. Worden to vet the plan with the College Deans and return to the Group for further consideration only if major changes are made.

  3. Schwartz Center Rounds.    “Schwartz Center Rounds offer healthcare providers a regularly scheduled time to openly and honestly discuss social and emotional issues that arise in caring for patients. The focus is on the human dimension of medicine. Caregivers have an opportunity to share their experiences, thoughts and feelings on thought-provoking topics drawn from actual patient cases. The premise is that caregivers are better able to make personal connections with patients and colleagues when they have greater insight into their own responses and feelings.  A hallmark of the program is interdisciplinary dialogue. Panelists from diverse disciplines participate in the Rounds, including physicians, nurses, social workers, psychologists, allied health professionals and chaplains. After listening to a panel’s brief presentation on an identified case or topic, caregivers in the audience are invited to share their own perspectives on the case and broader related issues.”
    http://www.medicine.virginia.edu/community-service/more/appreciative-practice/schwartz-center-rounds/schwartz-center-rounds.html

    The Committee agreed that all medical students should be made aware of the Swartz Center Rounds offered at UVA and encouraged to attend this optional activity whenever possible.

  4. Student Evaluations.  Casey White reported that the evaluation process is being streamlined.

    33% of the class will be asked to complete:
    session level evals which meet the following criteria: all new sessions or new faculty, all problem sets and all TBLs, 20% of large group sessions, faculty up for P&T or awards

    100% of the class will be asked to complete evaluations for:
    problem sets in MSI
    end of system evals
    CPD end of semester evals
    TBL team snapshots
    TBL peer actionable feedback grids (1 X per semester)
    Individual performance on a TBL team (2 X per semester)
    In MSI detection team peer actionable feedback grid with individual performance on a dissection team (? How many)

    Casey White is looking at how the data obtained from the students is organized and reviewed.  All data for each system is provided to the System Leader and the Curriculum Committee in reports prepared by Elizabeth Bradley.  The Committee discussed how best to evaluate the data, determine if change is needed, and provide feedback to the students and faculty.  All TBL evaluation data will be reviewed by the TBL Committee and their findings reported to the Curriculum Committee annually. 

    A special current MSI evaluation by Melanie McCollum will be reviewed with the Curriculum Committee in March.

  5. CPD-1c OSCE Data.  Casey White shared results of the CPD-1c OSCE from December 2012.  She reported that students generally liked the OSCE.  There was some discrimination in performance scores.  Students at the low end of performance scores will be offered remediation.  This was a pilot “low stakes” exercise for the students in 2012.    In 2013 the number of stations will expand from six to eight.  For 2013 a passing standing will be set.  All cases in all the OSCEs will be reviewed for “critical” areas at stages of a student’s career.  Jim Martindale is reviewing data looking for correlations to individual CPD group performance.    This data will be presented to the Curriculum Committee at a later date.

Donald J. Innes, Jr. ,M.D.
dmr