Minutes 04.08.10

Minutes 04.08.10

Curriculum Committee Minutes 04.08.10

University of Virginia School of Medicine
Curriculum Committee
Minutes – 04.08.10

Pediatric Conference Room, 4:00 p.m.

Present (underlined) were: Gretchen ArnoldRobert Bloodgood, Megan Bray, Donna Chen, Eugene Corbett, Thomas Gampper, Wendy Golden, Donald Innes (Chair), Keith Littlewood, Veronica Michaelsen, Mohan Nadkarni, Chris Peterson, Jerry Short, Linda Waggoner-Fountain, Bill Wilson,  Mary Kate Worden, Diana Newsom for John Hemler, Christina Portal, Debra Reed (secretary)   Guests: Meg KeeleyBrian Wispelwey  

  1. Electives Program Review Meg Keeley reviewed the Electives and the Selectives programs. A. The Electives program allows for early exploration of career paths and is viewed most positively by students as it enables better career choices. Taking USMLE-2 CK and CS soon after clerkships, early in April or May, seems to be beneficial with higher scores and 100% pass rate for CK and CS for the second year in a row. The early eligibility for clinical work allows for 1st choice at clinical sites, early interviews, and in general more opportunities.

    The Advanced Clinical Elective is described at:
    Advanced Clinical Elective Description

    Criteria for the Advanced Clinical Elective are listed at:
    Criteria for the Advanced Clinical Elective

    Some of the ACEs appear to need more “meat” and a further focused review should be held this fall possibly in conjunction with the Fall 2010 Joint Clerkship Meeting to be held October 20, 2010 at Carilion Clinic. A related topic is reconsideration of the number of clinical credits required for the M.D. degree.

    Numerous new electives have been offered this year, e.g. EPIC-Superusers (S. Borowitz and R. Adams), EKG & Clinical Practice (W. Brady). Many are international experiences under the guidance of Lee Grossman, e.g. Ghana, Costa Rica, Guatemala, Brazil, etc. and include an associated cultural competence course. Others of interest include the Black Physicians: History and Health Disparities, Semester At Sea, and an impressive number of Emergency Department electives. There is also a new pilot “capstone” elective in Ob/Gyn for students who have been accepted into Ob/Gyn programs and are looking for advanced training.

    Teaching electives are usually for 2-4 credits (weeks). There are several venues through which students can participate in medical education and receive credit although many students participate without credit as they enjoy helping fellow students learn and faculty develop new learning experiences. In addition to the Basic Science Teaching and Curriculum Development offerings a new Clinical Medical Science Teaching Elective has attracted many students. In the Next Generation curriculum student electives in teaching can be “attached” either to learning units such as MCM, Microbiology, and Systems or to content threads. Meg asks that each activity include some formal instruction in education. She also noted many opportunities in the CPD post-clerkship period of Advanced Clinical Training. In all of these teaching opportunities the major difficulty seems to be the need for “committed” dates on the part of students.

  2. Night-call Brian Wispelwey reviewed the importance of night call experiences for students on the Medicine, Pediatric, and Surgery clerkships. Medical students have ever fewer and fewer opportunities to encounter undiagnosed patients; less and less time to work with the team caring for patients. Yet medical students are junior colleagues months away from residency that have the ability and the desire to participate in the patient care team. “Working together as one” medical student participation can enhance patient care at UVA. Improved patient safety, improved resident knowledge and skills, improved resident and attending physician behavior, opportunities to foster good working relations with nurses, physical therapists, laboratory and radiology technologists, etc. 

    The Curriculum Committee strongly agrees with Brian and the other clerkship directors that night call provides an educational training opportunity that prepares students for the demands and rewards of a residency. When you are part of a team “what you do matters”. 

    What is missing is a night call room for the students. The resident rooms may be closed to medical students.  This appears to be true for both clerkships and Advanced Clinical Electives in which the student is participating at the highest level allowed for students, sometimes known as “acting internships”.

    The Curriculum Committee strongly supports a Clerkship and the Advanced Clinical Elective night call program. It will strengthen our School of Medicine UME program and the UVA GME program. We will talk to Susan Kirk, Associate Dean for Graduate Medical Education and ask Dean DeKosky to work with Mr. Howell in an effort to obtain night call rooms for medical student education.

  3. Student Safety in the Clerkships As follow-up to the previous meeting we found that many schools provide parking for students at a reduced rate. We will request that Senior Associate Dean R. Canterbury speak with Dean DeKosky and the Associate Dean of Finance, Brad Haws in an effort to further improve the safety of the environment for required medical education activities to include the purchase of additional parking permits to be shared among students with early morning and/or late night hospital arrivals/departures. The students would pay for parking, subsidized by the Dean’s office. For instance, if the students were to pay ½ the cost the current number of spaces could be doubled assuming availability.Donald J. Innes, Jr., M.D.

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