Minutes 02.20.14

Minutes 02.20.14

University of Virginia School of Medicine
Curriculum Committee
Minutes – 02/20/14

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 McDanielBart Nathan,  Sabrina Nunez,  Theresa Schlager, Neeral Shah, Amita Sudhir,  Linda Waggoner-Fountain, Bill WilsonMary Kate WordenLee Eschenroeder, Derrick Thiel, Debra Reed (secretary)

 

  1. Announcement:
    Medical Education Week will begin on March 3, 2014.  Be sure to check out the posters outside the library.
    Registration for a series of presentations are available at:

    http://www.medicine.virginia.edu/education/more/cme/events/FLP-page

  2. “Bridging the Gap” Macy Foundation Interprofessional Education Grant.  Chris Peterson reviewed the activities instituted into the curriculum during the term of this grant. 

    Students are introduced to collaborative care during the Transition Course. 

    Four collaborative workshops were also instituted in the clerkship year, 1) Difficult Discussions at the end of Life Workshop during the Medicine Clerkship, 2)Critical Care/Rapid Response (RR) Workshop during the Surgery/Critical Care clerkship, 3) Pediatric Chronic Progressive Illness Workshop during the Pediatric Clerkship and Geriatric Transitions of Care workshop during the Geriatrics, then Family Medicine clerkships.     They found that having the students from medicine and nursing spend some unstructured time together prior to the workshops and OSCEs was very helpful to the team during the instructional activity.

    Student evaluation scores were high for all of the workshops – ranging from 72% to 96% in the good to excellent range.  Pre and post ITOSCE (Interprofessional Team OSCE) were performed with markedly increased scores on the post OSCE in almost every category.  OSCE’s were performed with a standardized patient AND a standardized partner for either the medicine or nursing student to ensure consistent measurement of the examinee’s acquired skills. 

    The Curriculum Committee would like to make these workshops and the post-ITOSCE a permanent part of the curriculum.    The Curriculum Committee asked Chris Peterson to provide a budget (based on the grant funding data) for continuing these activities and funding will be sought to compensate departments, faculty, standardized patients and organizers to continue the program.    A permanent home must be found for the Geriatric workshop, preferably in the Geriatrics clerkship.

    Problems with nursing students not being available in the summer session when clerkships are still running were solved using actors.  Dr. Peterson noted little to no difficulties reported regarding the age difference between undergraduate nursing students and postgraduate medical students.   

  3. Clerkship Evaluation Form.  Elizabeth Bradley presented the new Clerkship evaluation form that students complete after each clerkship.   The Curriculum Committee reviewed and approved the form.  After the form has been used for 2014-15, it will be reevaluated.  Instructions to the students regarding the 80-hour week and mistreatment issues have been added. 

    The Committee asks that during the Transition course, students be made aware that their comments on the evaluation form are not made available to faculty who evaluate them until after the grades are submitted.  Thus comments made have no impact on a student’s grade.    Students should also be asked during the Transition Course and during Clerkship orientations to be as specific as possible if a mistreatment issue arises so that action can be taken by the SOM.  They should also be reminded that if the issue is egregious, it should be brought to the attention of the Clerkship Director immediately.

    The Committee discussed whether this evaluation form might be used in the Electives but due to the limited amount of students in the elective during a given year and the nonclinical nature of some electives, a hybrid of the form must be developed for electives.  Elizabeth Bradley will review what is now being used in electives and work on a standardized form.  Some questions, i.e. those regarding the 80-hour work week and mistreatment issues, should be on all evaluation forms.  Elizabeth will look at having a standardized clinical elective form and a nonclinical elective form.

  4. Criteria for Graduation.  The Committee approved the amendment to the Criteria for Graduation policy to include the following statement:

    To be eligible to take USMLE Step 2 CK, students must have achieved the minimum recommended score (Hofstee) on all NBME subject examinations.


  5. Education Goals/Metrics.   The dean has asked for education goals with metrics for the upcoming year with which all departments can align their goals.  She wants them to be measurable so we know for certain if we’ve been successful and how successful – so the measurement should be continuous. 

    The Committee discussed these possibilities:

    Maintain compliance with SACs, SCHEV and LCME including the provision of data for program approval, evaluation and accreditation.

    Support a robust undergraduate medical education program through faculty effort – to be measured by number of faculty and hours of contribution to the mission.

    Each year students must pass the shelf examination of one standard deviation.

    Assure student satisfaction with their medical education measured by the overall grade each clerkship gets on the student evaluations.
    Don Innes will explore this further with the Dean to clarify whether the goal should be a faculty or student centered goal.

  6. Visiting Students.  The School of Medicine guarantees that visiting students are roughly comparable to the UVA School of Medicine student in that all visiting students must be from a LCME accredited institution and have passed USMLE Step 1. The students also must have successfully completed a general clerkship or equivalent in the area in which they are seeking an elective at UVA, e.g. passing a general surgery clerkship before taking a neurosurgery elective.

    “The University of Virginia School of Medicine offers up to 2 months of visiting electives to students in their final year of medical school, provided that they have completed one year of core clinical rotations and meet our requirements for admission.  Electives are only offered to US and Canadian medical students from accredited medical schools (LCME-accredited).
UVA participates in the AAMC Uniform Clinical Training Affiliation Agreement, and requires all students accepted for an away elective at UVA to have their home school sign & submit the AAMC Uniform Clinical Training Affiliation Agreement Implementation Letter. 

In order to be considered for an elective, all applications must include the following: Photo, Curriculum Vitae, Transcript (this can be uploaded by a school official), Completed Immunization Form: You must complete the UVA immunization form and upload the completed form into VSAS.  The form can be found under "Documents" section here in VSAS on our institution's page. Please note: [For] Students interested in completing a rotation in Otolaryngology, Orthopaedics, Plastic Surgery,  Neurosurgery or Cardiology, we require that you submit a copy of your USMLE Step 1 score and a letter of recommendation.”

  7. Clerkship Coordinators.  Haiyan He will work with the Clerkship Coordinators on Oasis issues on February 25th and 26, 2014. [Note: Haiyan met with the coordinators at two group meetings and held individual meetings/work sessions with each. The coordinators found this to be most helpful and additional sessions are planned. –dji 3.10.2014]

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