Minutes 01.31.13

Minutes 01.31.13

University of Virginia School of Medicine
Curriculum Committee
Minutes – 01/31/13

Pediatric Conference Room, 4:00 p.m.

Present (underlined) were: Gretchen Arnold, Robert Bloodgood, Stephen Borowitz, Megan Bray, Donna ChenPeter Ham, Donald Innes (Chair), John Jackson, Keith Littlewood, Nancy McDanielBart Nathan, Amita Sudhir,  Linda Waggoner-Fountain, Casey WhiteBill WilsonMary Kate Worden,  Yasmin Poukazemi,  Jean-Baptiste MaitreDebra Reed (secretary)

  1. Announcements:   

    The instructions page for all online tests will now include the following statement:

    "Under no circumstances are you to copy (electronically or through any other mechanism) these questions, nor are you to discuss these questions with anyone while the exam is open. After the exam closes, you are expected to limit your discussion of these questions to faculty and fellow classmates only. Failure to follow these rules regarding the appropriate use of assessment questions is considered a violation of the UVa Honor Code."

    The same statement is displayed when students access feedback after completing an assessment. 

    Interesting journal article regarding attendance  “ To Be There or Not to Be There:  Is attendance Really the Questions” Acad. Med. 2012” 87:679. 

    Donna Chen reports that the new policy statement and Medical Student Advocacy Committee (MSAC) procedures document is complete.  The document was reviewed by the Curriculum Committee and will be made available online in the near future Clerkship and System leaders will be apprised of the policy.    A link to this policy will be added to the student handbook as well.   

  2. Electives/Selectives.   Whether to eliminate the Psychiatric Medicine and Medicine selective requirements in the fourth year was discussed.  This would enable the fourth year to be entirely elective except for the one required ACE.  They are also limited to 8 weeks of humanities and 12 weeks of research electives.  The Committee discussed the possibility of requiring a second ACE elective but until there are sufficient numbers of ACE electives for all students to select two this will only be a recommendation.   The stringent ACE attendance requirement precludes scheduling during interview weeks.  Meg Keeley, Director of the Electives Program, reports that about 75% of students now voluntarily take two ACE electives in their fourth year.    The Curriculum Committee unanimously approved the removal of the post-clerkship selective requirements and the recommendation for a second ACE when sufficient ACE electives are available.

  3. Fall 2013 First Year Schedule Adjustment.    A proposal to amend the first year Fall schedule in 2013 was distributed and discussed. Drs. Mary Kate Worden and Don Innes outlined the following proposed changes.

    These changes were In part precipitated by the resignations of system leaders after three years of wonderful leadership.  Recruiting System Leaders for the current 10 week MCM course is problematic. The proposal splits the current introductory course into two segments – Foundations of Medicine (6 weeks) and Cells, Tissues and Neoplasia (4 weeks). This will limit the time commitment for the leaders.  All learning objectives will be reviewed to improve integration within the foundations and across systems, as well as to check for relevance for a generalist physician and clerkships. CPD-1 talks that now take place in the afternoon hours are moved to the morning and/or transferred to other systems. Human Development/Behavior is aligned with the CPD interview. Increased emphasis will be placed on active learning and reducing lecture. 
    The schematic and impetus for these changes are outlined in the following schema:

    2013 Schema a

    The Committee discussed the need for such changes but would like to see a more detailed outline of the two courses – Foundations of Medicine and Cells Tissue and Neoplasia before approval.  An outline will be developed immediately under the direction of Sabrina Nunez, Mary Kate Worden, Robin LeGallo and Don Innes.  This curriculum outline will be presented to the Curriculum Committee next week on 2/7/13 for approval.  Since this schema would take effect Fall 2013 decisions must be made immediately.


Donald Innes