Minutes 03.20.14

Minutes 03.20.14

University of Virginia School of Medicine
Curriculum Committee
Minutes – 03/20/14

Pediatric Conference Room, 4:00 p.m.

Present (underlined) were: Gretchen Arnold, Stephen Borowitz, Elizabeth Bradley, Megan Bray, Donna ChenPeter 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 WordenMary Grace Baker, Derrick Thiel,  Debra Reed,  (secretary)

 

  1. Announcements:

    NBME notice of Subject Exam Timing Change – Effective July 2014.  Beginning in July 2014 the number of items included in the web-based NBME Medicine Subject Examination will be increased and the time allowed to complete the examination will be extended to allow for the inclusion of pretest material.  At this time, Medicine is the first subject exam to include pretest questions but his will be expanded into other subject examinations, i.e. pediatrics and surgery in subsequent years.  For more information, please see the following website:

    http://www.nbme.org/pdf/Schools/SubjectExams/SubjectExamTimingChange.pdf


    Post-Clerkship Meeting.  A Post-clerkship Phase Task Force is being formed which will include representatives from the basic sciences, clerkship directors, medical educators and students to work on a plan to restructure the elective year.  The group will be led by Nancy McDaniel and will explore multiple options for restructuring the pot-clerkship phase including the possibility of specialty training e.g. Transition to Surgery Residency, tracks e.g., leadership, research, education, global health, finance of medicine, neuroscience.  

    Two afternoon meetings (noon until 5:00 pm) have been scheduled – the first is on 4/18/14 with a follow up meeting on 5/19/14.  Curriculum Committee members interested in serving on this task force should contact Nancy McDaniel <nlm9m@Virginia.EDU>. Although this work overlaps somewhat with Strategic Planning the Curriculum Committee is responsible for and owns this development process.

    AAMC Award.  Elizabeth Bradley presented a certificate from the recent AAMC meeting to Dr. Donald Innes.  This award was presented by the AAMC to Don Innes for making UVA SOM the first institution to verify data for the 2012-13 Curriculum Inventory.  Dr. Innes attributed this award to the expertise and work of Ye Chen and John Jackson.

  2. Furlough Procedure for Medical and Nursing Students.  The Curriculum Committee reviewed and approved the Furlough Procedure for Medical and Nursing students in the event of infectious health issues.  This procedure outlines the scope and responsibilities of students, faculty and Student Health to protect the health and safety of patients and coworkers in the teaching environment.

    See  Medical Furlough Procedure 2014

  3. Weight of Medicine OSCE in Medicine Clerkship.  The grade for the Medicine OSCE piloted in 2013 was not included in the medicine grading schema. In 2014, the OSCE grade will be 10% of a student’s final Medicine Clerkship grade.  This percentage is similar or proportional to that in other clerkships, i.e. Ob/Gyn that employ an OSCE.  

    The Committee discussed using a competency – milestone based performance standard for the Clerkship OSCEs in the future as opposed to the norm referenced grading used now.  The Committee strongly favored a competency – milestone based performance standard for OSCEs. This discussion will be brought to the Assessment subgroup and continue at a subsequent meetings.

  4. New Electives for 2014.  The committee reviewed and approved the following list of new (and merged) electives sent out in advance of this meeting. These electives were approved by the Electives Director, Meg Keeley. 

    EM- Prep for Internship http://www.med-ed.virginia.edu/handbook/electives/emergencyMed/internship.cfm

    Global Health – Limpopo Community Health http://www.med-ed.virginia.edu/handbook/electives/internalGeneral/Limpopo%20Community%20Health.cfm     

    Peds – Combined Allergy/Immunology & ID (“new” in that it combined two previously approved
    electives):  http://www.med-ed.virginia.edu/handbook/electives/pediatrics/infectious.cfm          

    PM&R – Outpatient Spine Care & Interventional Techniques:  http://www.med-ed.virginia.edu/handbook/electives/Physical/Oupatient%20Spine%20&%20Interventional.cfm      

    Radiology-  Interventional Neuroradiology:  http://www.med-ed.virginia.edu/handbook/electives/radiology/interventional.cfm    

    Thoracic Imaging:
      http://www.med-ed.virginia.edu/handbook/electives/radiology/thoracic.cfm             

    Musculoskeletal Imaging:  www.med-ed.virginia.edu/handbook/electives/radiology/msk.cfm      

    Nuclear Medicine
    http://www.med-ed.virginia.edu/handbook/electives/radiology/nuclear.cfm

    Abdominal Imaging:  http://www.med-ed.virginia.edu/handbook/electives/radiology/abdominal.cfm         

    Diagnostic Neuroradiology:  http://www.med-ed.virginia.edu/handbook/electives/radiology/neuroradiology.cfm  

    Pediatric Imaging:
      http://www.med-ed.virginia.edu/handbook/electives/radiology/pediatric.cfm             

    General Surgery –

    ACE/A.I. in General Surgery – Red Service:
      http://www.med-d.virginia.edu/handbook/electives/generalSurgery/aiRed.cfm  

    Transition to Surgical Residency:
      http://www.med-ed.virginia.edu/handbook/electives/generalSurgery/transition.cfm

    ACE – Emergency General Surgery (EGS):  http://www.med-ed.virginia.edu/handbook/electives/generalSurgery/aiEGS.cfm

    Transplant Surgery:  http://www.med-ed.virginia.edu/handbook/electives/generalSurgery/Transplant.cfm

    and a pilot arranged elective

    Procedural & Diagnostic Clinical Anatomy (run by Drs. Mark Sochor & Tom Hartka in EM)—
    this one is not set up as an “official elective” for SMD14, but if it goes well, it may become an official elective for SMD15.

    Two more electives that will be set up in the near future

    Dr. Herr’s Translation Science Elective
    Adult Orthopedics- Veterans Affairs Medical Center (Salem VA)

  5. Other Recent Elective Issues.   

    The Committee approved a proposal that due to heavy demand, the Advanced Physical Diagnosis Elective be offered to students by lottery.  The Committee also asks that this program be expanded if possible so that all interested students have the opportunity to participate in this elective. 

    The Committee also asks that the Medical Spanish elective be expanded to ensure all interested students have the opportunity to participate. At the present there are two Medical Spanish electives, one basic and one advanced.  This elective might be expanded to a third level for students who are fluent in Spanish. The Medical Spanish electives are designed to give the student a basic understanding and enhance their communication with Spanish speaking patients.  Medical students must pass the Hospital’s proficiency examination before they can treat a Spanish-speaking patient without the services of a certified translator. 

    A Transition to Surgery Elective was developed by Anneke Schoren, Phil Smith and Mark Sochor and is being offered to students interested in a career in Surgery in 2014.  The Curriculum Committee recommends development of similar electives for other career paths in the future. See Post-clerkship Phase Task Force above.


  6. CPD-1 Co-Mentors.  The Committee reviewed a request from Dr. James Moak, Director of CPD-1, regarding co-mentors in the CPD-1 course. Co-Mentors have been involved in the pre-clerkship clinical skills course for a number of years.  The School of Medicine Classes of 2014, 2015, and 2016 had Co-Mentors involved in their CPD-1 course on a weekly basis throughout the 18-months of the pre-clerkship curriculum.  Beginning with the Class of 2017, however, this level of involvement was reduced to one third of the prior level with funding only for the first semester.  This amount of funding was spread over the first two semesters. As a result Co-Mentors came to CPD sessions for variable amounts of time each week (0, 2, or 4 hours) depending upon the curricular activities planned.  The third semester of CPD-1 (the fall) had no involvement of Co-Mentors.  In Dr. Moak’s opinion, this approach is not optimal.  He recommends that the Co-Mentor presence be restored to a full three semesters of involvement.  If belt tightening must occur, he recommends retaining Co-Mentors for full participation for at least two semesters of CPD-1.  This two-semester plan would represent a compromise between the original expenditure and the current single semester level of funding.  

    The Committee discussed the merits of the co-mentors and agreed that if funding can be obtained co-mentors should be consistently involved in the first and second semesters. The Committee applauded Dr. Moak’s faculty development programs for both MD and non-MD co-mentors and suggests continuation and expansion.  It was noted that increasing salary support for MD and non-MD co-mentors would require reduction in other budgeted items so must be weighed carefully.  Exploration of a semester of nurse co-mentors should be explored.

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