Minutes 02.21.13

Minutes 02.21.13

University of Virginia School of Medicine
Curriculum Committee
Minutes – 02/21/13

Pediatric Conference Room, 4:00 p.m.

Present (underlined) were: Gretchen Arnold, Robert Bloodgood, Stephen Borowitz, Megan Bray, Donna Chen, Peter Ham, Donald Innes (Chair), John Jackson, Keith Littlewood, Nancy McDaniel, Bart Nathan, Selina Noramly, Theresa Schlager, Amita Sudhir, Linda Waggoner-Fountain, Casey White,  Bill WilsonMary Kate Worden,  Courtney Chou,  Yasmin Poukazemi , Jean-Baptiste Maitre ,   Debra Reed (secretary),

  1. New Fall First Year Courses Named/Defined for Registrar  - approved by Curriculum Committee:

    Foundations of Medicine introduces the scientific principles that underlie the practice of medicine as well as the psychosocial, communication and ethical issues important for patient care.   Biochemistry, pharmacology, genetics, cell biology, physiology and epidemiology are emphasized as they relate to human health and disease. The importance of the doctor-patient relationship is introduced, as is an ethical approach to issues in medicine.

    Cells, Tissues and Mechanisms of Disease introduces the organization of the human body emphasizing human development and cell and tissue function. This foundation is extended to the study of pathologic mechanisms of disease including cell injury, adaptation and death, inflammation, healing, circulatory disturbances and neoplasia. Neoplasia is the model for application of foundational concepts in genetics, growth regulation and clinical research.

  2. IRB Training Requirement.  The Committee approved a requirement that the online IRB training module be successfully completed by all fourth year students by  March 15, 2013.  A tracking mechanism to ensure all students meet the requirement will be set up.


  3. Dean’s Town Hall Meeting for SMD 2016.  A Dean’s Town Hall meeting was held 2/21/13 with about 42 students attending.  Students were mostly content with current curriculum and policies.  Some suggested more in-depth basic science in the curriculum but others felt levels were already adequate.  Trying to attain the proper balance is always difficult but during problem sets and TBLs in particular,  students are encouraged to  explore areas of interest in more depth during self-study and ask “why”  of their instructors whenever necessary.  A full set of notes from the meeting will be distributed to the Committee for review when available.

  4.  Joint Clerkship Meeting.  A joint clerkship meeting with attendees from all sites who host UVA clerkships – UVA,  Salem VA, Richmond Bon Secours, Fairfax Inova and Western State was held at UVA on 2/20/13. 

  5. A clerkship review for 2011-2012 was conducted –  

    Internal Medicine Clerkship Review 2012 

    Interviewers: Linda Waggoner Fountain & Casey White,  Medical Student:  Jeremiah Garrison

    Clerkship Directors: Brian Wispelwey (IM) & Evan Heald (AIM)  

    Sources of Information:

    Positive & Unique Aspects of the IM Clerkship

    In summary, the Internal Medicine clerkship is well organized and will have more emphasis with longer IM clerkship experience with the clerkships curriculum revision beginning in March 2013.

    Ambulatory Internal Medicine  (AIM) Clerkship Review 2012 

    Interviewers: Linda Waggoner Fountain & Casey White

    Clerkship Directors: Brian Wispleway (IM) & Evan Heald (AIM)

    Recommendations for Medicine/AIM

    Dr. Linda Waggoner-Fountain presented the reviews for the Medicine/AIM clerkship.  The Committee discussed the reviews.  Variability between sites will hopefully diminish with the new clerkship schedule.  At most, students will spend 3 weeks at an outside institutions.  All students will have a minimum of  3 weeks at UVA while on the Medicine clerkship.  Plans are in development to address concerns raised by this review – ie developing a core teaching  faculty roster,  broad based curriculum for specialty medicine services, possible grade inflation due to reduction in the shelf exam score from 33% to 30% of the total grade, teleconferencing rounds and didactic sessions with outside facilities.  

    A progress report with details of how the above recommendations were addressed is due to the   Curriculum Committee by March 15, 2013.
  6. Intersession.  An intersession at the midpoint of the clerkships will not be held for the Class of 2015.  Patient safety (Peggy Plews-Ogan) and  Information Management (John Voss)  will be strategically place to elsewhere in the clerkship curriculum.

  7. Teleconferencing.  A teleconferencing setup for use by Medicine, OBGYN, Pediatrics and other clinical experiences  will be made available to link to ouside facilities providing further comparability in student learning.  Medicine, OBGYN, Psychiatry and Pediatrics will be asked to submit iders for teleconferences  in which student/faculty interaction is most valuable.

  8. Student Notes on Clerkships (EPIC).   The Curriculum Committee approved a mandate  that students  in all core clerkship experiences  be expected to write notes in Epic and have these notes reviewed and critiqued by a clerkship instructor.  All students and teachers (attending and resident physicians) are to be instructed in the approved procedure for student EPIC notes.   The mechanism has been reviewed by the Hospital and Legal Team and approved.   The following statement will be automatically attached to all medical student notes <ATTENTION:  This note has been created by a medical student and is meant to be used for educational  purposes only.  DO NOT refer to this note or the associated feedback for patient care, billing, compliance purposes or medicolegal purposes. >        The Committee agreed that the development of good  patient record keeping  skills is a requirement  for all medical students  and is an essential skill to be assessed in all core clerkship experiences. 


Donald J. Innes