Minutes 02.02.12

Minutes 02.02.12

University of Virginia School of Medicine
Curriculum Committee
Minutes – 02.02.12

Pediatric Conference Room, 4:00 p.m.

Present (underlined) were: Gretchen Arnold, Robert Bloodgood, Megan Bray, Chris Burns, Donna Chen, Eugene Corbett, Thomas Gampper, Peter Ham, Donald Innes (Chair), John Jackson, Keith Littlewood, Nancy McDaniel, Veronica Michaelsen, Mohan Nadkarni, Bart Nathan, Linda Waggoner-Fountain, Casey White, Bill Wilson,  Mary Kate Worden, Jeremiah Garrison, Brandon Hunter,  Kunal Patel, Sam Zhao,  Debra Reed (secretary)

  1. Class of 2015 Clerkship Calendar.  The draft copy of the clerkship calendar for the 2013-2014 year was reviewed by the Curriculum Committee.  This calendar creates 12 week blocks of integrated clerkships (i.e. Medicine/Geriatrics/AIM, Surgery/Perioperative & Acute Care/Subspecialty; Pediatrics/OB-Gyn; and  Psychiatry/Family Medicine/Neurology).  The schedule allows for a partial week for CPD activities and/or other activities still in the developmental stages in December, 2013. 

    Currently the number of students on any one rotation at the same time will not change from the present year.  Nancy McDaniel noted that they are actively seeing longitudinal CPD activities for the 12-week clerkship groups.  The schedule was approved unanimously by the Curriculum Committee and will be distributed to all the Clerkship Directors at the Joint Clerkship meeting planned for 2/8/12 here at the University of Virginia

  2. Preclinical Student Awards.  The Curriculum Committee agreed to the proposed development of System awards to be awarded during the Transition week just prior to the beginning of clerkships.  Some of the awards will have a monetary or book endowment and others will be certificate/recognition only.   Team based awards will be selected by a faculty committee from student nominations.

  3. Clerkship Reviews 2011-12.  See attached.  Clerkship Reviews were presented to the Curriculum Committee. Don Innes thanked the Subcommittees for their time and effort in their recent review of the Clerkships. Recommendations applicable to all clerkships will be complied in a general set of action goals while those that are clerkship specific will be addressed individually. Spokespeople for each subcommittee were asked to outline their recommendations.  

    Casey White spoke for the group reviewing the Ambulatory Internal Medicine, Inpatient Internal Medicine and Family Medicine Clerkship. Length of clerkship and improvement in “away site” resident teaching skills were specific issues for the Internal Medicine inpatient Clerkship.   Recruitment of outside faculty is difficult for the Ambulatory Internal Medicine and Family Practice clerkships.  The suggestion is made that as the Hospital seeks to increase outside faculty referrals, it might be opportune for the SOM to also recruit AIM and Family Practices for students as a joint venture.  Goals for AIM and Inpatient Internal Medicine are now the same but should be redesigned for the patient population and variations in clinical skills taught.  New ways to ensure faculty development especially with the away sites should be sought – perhaps through online modules.  Grade inflation seems to occur in all clerkships no matter the scale used for evaluation.  Better delineation of the scale selections is necessary.  The Subcommittee also suggests OSCE’s might provide a larger component of a student’s grade and allow for more differentiation between students.  

    Brian Wispelwey, Clerkship Director for Internal Medicine failed to show for the interview but in his written submission believes a longer period of contiguous time for the inpatient portion of the Internal Medicine Clerkship and having all the students physically at UVA is necessary. The possibility of a split medicine clerkship experience, i.e. two weeks at the Salem VA with the remainder at UVA/Roanoke was discussed.  Due to varied patient population in the ambulatory clerkship sites, standardizing learning objectives is accomplished in Family Practice through a series of workshops both at the clerkship midpoint and the end.  At present these are not graded exercises however the recommendation is that they become so in the future.  Peter Ham, Clerkship director, also requests help from Medicine Education in writing learning objectives.

    Recommendations regarding grade inflation, learning objectives, faculty development, OSCEs were made for both clerkships. The Curriculum Committee would like to see data regarding student performance on OSCEs comparing students from inside and outside clerkship sites.

    The remainder of the clerkships will be discussed at the next meeting of the Curriculum Committee.
  4. Mental and Physical Examination.  The CPD proposed Mental and Physical Examination competency outline packet was sent to the Curriculum Committee prior to this meeting.  Members noted that a standardized psychiatric evaluation should be included. A separate section for pediatric patients should be developed.

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