Minutes 05.02.13

Minutes 05.02.13

University of Virginia School of Medicine
Curriculum Committee
Minutes – 05/02/13

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 McDanielBart Nathan, Amita Sudhir,  Theresa Schlager, Linda Waggoner-Fountain, Casey WhiteBill Wilson (Acting Chair,  Mary Kate Worden,  Yasmin Poukazemi,  Tom Jenkins,  Jean-Baptiste Maitre, Derick Thiel,  Jonathan PomeraniecDebra Reed (secretary)

  1. 2012 Musculoskeletal and Integument System.    Elizabeth Bradley outlined the conclusions from the 2012 MSI  review.  


    MSI 2012 Self Evaluation Report System/Course Self Assessment:

    The Curriculum Committee discussed the student reported differences between the structure of  MIS and other systems and whether by the very nature of the system this is to be expected.  The issue of compression/limited time in this system was discussed.  To allow more time for this system, time must be trimmed from another system and most, if not all of the systems are unable to reduce the time necessary to cover their material.

  2. 2012 Microbes/Immune System (MIS) Review.   Elizabeth Bradley outlined the findings from the 2012 MCM review.


    MIS 2012 Self Evaluation Report System/Course Self Assessment:

    The Committee discussed these reports in particularly regarding the student evaluations after the USMLE Step 1 exam.  The Microbiology and Immunology thread leaders are asked to carefully monitor the system to make sure introductory coverage is complete and the thread is covered and tested in all systems. This is the responsibility of Drs. Christopher Moore for Infectious Disease and Ulrike Lorenz for Immunology.

  3. How to ensure that specific aspects of clinical medicine are included in required preclinical and clinical instruction, i.e., preventive, acute, chronic, continuing, rehabilitative, and end-of-life care (ED13).

    A  draft of a response to LCME  ED13,  prepared by Don Innes,  was distributed to the Committee for input.

    The Committee discussed ways to “ensure” that the items listed above in USMLE Standard ED-13 are covered.  The items listed above are currently covered in multiple systems, in CPD, in the transition course, clerkships, some electives and in DX/RX.  The Committee suggested that inquiries regarding these items be included on all yearly self evaluations and directors should specify that the items were (or were not)  covered and evaluated in their areas.

    Note from Casey White:  ED-13.  We were struck by two things in the current draft response.  One is that Emergency Medicine is missing from the examples (particularly acute care but maybe a few others also.  The second is that CPD is the only pre-clerkship course mentioned, when some of these topics are definitely discussed within the systems (e.g., preventive care in Cardiology, acute care and end-of-life in MBB).  Bart said Addeane is coming to system leaders next week, and though not all the leaders will be there, we need for (all of) them to respond as to whether these are covered in their systems (and maybe one example of context).  Bart said we need to think about where we're measuring this and one of the students brought up the IPE activity with standardized patients that is focused on end-of-life care, and I mentioned that we can look at the OSCEs in the context of these topics (we do track clinical settings for the scenarios).


William G. Wilson