Minutes 02.06.14

Minutes 02.06.14

University of Virginia School of Medicine
Curriculum Committee
Minutes – 02.06.14

Pediatric Conference Room, 4:00 p.m.

Present (underlined) were: Gretchen Arnold, Stephen Borowitz, Elizabeth Bradley, Megan BrayDonna Chen,  Peter Ham, Donald Innes (Chair),  Sean Jackson,  Keith Littlewood, Nancy McDaniel,  Bart Nathan,  Sabrina NunezTheresa Schlager, Neeral Shah, Amita SudhirLinda Waggoner-Fountain, Casey WhiteBill WilsonMary Kate Worden,  Derrick Thiel (alternate Jonathan Pomeraniec), Tom Jenkins,   Debra Reed (secretary)

  1. Announcements:
    The Committee welcomed Jonathan Pomeraniec, substituting for Derrick Thiel.

    Surgical OSCEs were to begin Spring 2014 but the start date has been postponed to Spring 2015.

    Interprofessionalism (IPE) in the transition course update being conducted by Tina Brashears and Chris Peterson during the transition course.  The workshops, developed during the grant period, will be incorporated into appropriate clerkships in the coming year.

  2. Approval of the Study Period prior to Step 1 as Special Studies MED 8699
    For Federal Loans students need to be enrolled in courses for the entire time of the loan. This was identified as a compliance issue for a number of medical schools at the AAMC’s professional development conference for financial aid professionals, since most medical schools have a study period prior to Step 1.  Students technically cannot be considered “enrolled” – and should not be receiving federal financial aid – if they are not currently enrolled in/participating in any classes.  There is already a course set-up that could be used for this purpose –that could be set up in OASIS with approval from the Curriculum Committee. 

    The Committee approved the following policy: Students will be required to enroll in the course titled Special Studies MED 8699 (P/F) during the period of study for the USMLE Step 1 examination effective 2014.


  3. Clerkship NBME Subject Examination

    The Committee discussed and approved this three part policy regarding NBME Subject Examination Scores:



  4. SMD17 and SMD18 Weekly Schedules.  The Committee reviewed and approved the weekly preclerkship schedules for SMD17 and SMD 18.    The schedules are posted on the Curriculum Website at:

    http://www.medicine.virginia.edu/education/medical-students/UMEd/system-leaders/policies-and-guidelines


  5. Revised Curriculum Governance Document.  A revised Governance Document has been approved by the Dean and is now available on the Curriculum website at:

    http://www.medicine.virginia.edu/education/medical-students/UMEd/curriculum/governance-page

  6. Medicine and Ambulatory Internal Medicine (AIM)Clerkship Review.  Casey White and Linda Waggoner-Fountain met with         Evan Heald, Medicine Clerkship Co-Director/AIM Director on December 18, 2013. Linda Waggoner-Fountain and Casey White met with Brian Wispelwey, the Clerkship Director for Medicine on January 9, 2014.

    Recommendations 2013 and outcomes in italics

    Summary 2014
    General:

    Dr. Wispelwey believes assigned grades should be distributed so that 30% (or 35%) receive A/A-, 25% receive B/B-, and so forth.  Actual data show the following distribution:


                                                                         
    Concerns Specific to Medicine:

    Concerns Specific to AIM:

    Medicine Clerkship Evaluations:

    Results from 2013-2014 student evaluations of the clerkship are as follows; 75.36% of the 70 respondents so far this year said they would give the clerkship a grade of “A”.


    *It is unclear whether students in the third year curriculum would no what would constitute “adequate” involvement.  However, interns from UVA surveyed last year overwhelmingly reported they were under-trained in procedures compared to others in their cohort from other medical schools.

    Student Comments (on evaluations):
    The students had very positive comments about their experience on the UVA Medicine clerkship.  They called it “well run and enjoyable” and “well organized.”  The described the attendings and in particular the residents as “friendly and encouraging” and “interested in teaching;” they also commented on the “great focus on evidence-based medicine.”  One concern was the timing of the morning report – several students commented that it makes them late for rounds and they do not want to look as if they are late for or not interested (in rounds).  Unfortunately, there were a significant number of negative comments about the VA/Salem experience – they describe the experience with Salem residents as “poor, with zero teaching and unfriendly;” they also commented on the living conditions as “horrible.”

    Recommendations:

    Please see attached letter.


    A plan and timetable to address the recommendations is requested by March 15. The grading should be addressed prior to the first day of the new clerkship year*.

    General Recommendations for the Clerkship Committee
    Ensure that medical students know how to address unprofessional activity by resident or attending physicians, nurses, or others. Lesley Thomas will address such issues at the Joint Clerkship Meeting on 2/19/14.

    Develop a Universal Passport
    to better ensure that all required procedures/skills are available to all students. Much depends on the assertiveness of the student. All students currently learn phlebotomy in CPD-1 and again in the Transition course.

    Sandardize criteria for grade assignment across clerkships.
    *The Curriculum Committee will reset grading standards for the clerkships at our next meeting.

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