University of Virginia School of
Curriculum Committee Executive Management Group
Minutes – 05/09/13
Pediatric Conference Room, 4:00 p.m.
Present (underlined) were: Peter Ham, Donald Innes (Chair), Keith Littlewood, Nancy McDaniel, Bart Nathan, Casey White, Mary Kate Worden, Secretary: Debra Reed
- Cultural Competency Objectives. After incorporating
recommended changes from members of the Curriculum Committee, the
amended cultural competency objectives for systems and clerkships
developed by Fern Hauck will be distributed to all clerkship
leaders. The cultural competency objectives for systems are
to insure that these objectives are covered and assessed in the
curriculum. Some of the objectives will be assessed during the
Mary Kate Worden will meet with Nassima Ait-Daoud Tiouririne and Fern Hauck to assess where best to place and assess the Pre-clerkship Cultural Competency learning objectives, e.g. in Cells to Society, Foundations, SIM and CPD-1.
The SIM director will also be asked to develop an assessment tool for some of the learning objectives covered in SIM.
- Teaching Medical Students in Clerkships. A summary
sheet of helpful instructions for creating narrative student reviews
was reviewed. This document will be distributed to the Clerkship
directors who will be asked to distribute it to all their teaching
faculty and residents. The Committee believes this document will
be very useful to those writing narrative summaries assessing student
performance in the clerkships. The document will help faculty
better assess a student’s proficiency level and highlight those areas
that may need further remediation. Nancy McDaniel will provide a
list of words/phrases that faculty might use to enhance their
evaluation of students and that will be included with this
- Thread Leader Letter and Job Description. The Committee
discussed and approved the thread leader letter and job description
that will be sent to all thread leaders. It is thought that a
clearer delineation of expectations and job duties will encourage more
participation by the thread leaders in all systems.
GI Proposal from Neeral Shah, Anne Tuskey and Sabrina Nunez
Issues to be addresses:
1. Lack of break between MSI and GI
For the last two years students have complained about the start of the GI system immediately following MSI, which requires them to take a summative and practical assessment during the weekend leading to the GI system. This lack of a break results in students falling behind on preparation (pre-class) material early on in the GI system, hindering their ability to grasp foundational knowledge and engage in active learning.
2. Dedicated anatomy lab time
GI has an unusually high number of lab hours compared to other organ systems - students must complete 7 hours of anatomy lab time during the 4-week system. Given that anatomy lab can only accommodate half the class at a time, there are 14 hours of morning activities that need to be done as half-class. Since anatomy has to be scheduled early on in the system (rather than spread out over the 4 weeks), it is difficult to organize the first week, such that it maintains a flow of content and contains a high level of engagement.
3. Limited available time for GI content
Feedback from all three NxGen classes suggests students would like to have more time devoted to the GI system, to allow for better integration and application of material. Luminal content in the first two weeks would benefit the most from some extra time, as the last 2 weeks are consistently reviewed as better paced and containing activities that integrate and reinforce materials from earlier sessions.
1. Provide one full free day following MSI
Our discussion with the MSI system leader suggests it would not be possible to reschedule any portion of the assessments happening in the weekend leading to GI – both the second summative assessment and the practical assessments for MSI will continue to be scheduled for that weekend. We propose removing all scheduled activities on the first Monday of the GI system, to allow the students some time to rest and prepare for the first day of class in the GI system.
2. Cancel CPD in the 1st week of the GI System
Freeing up the first Monday would necessitate canceling CPD for the entire week. We propose scheduling a single, 4-hour anatomy lab session in the afternoon during this week (repeated, as each session will only accommodate half the class) – see point below and attached draft 2014 schedule. This would address both issues 2 and 3.
3. Condense anatomy labs and one afternoon session
In place of CPD, we would schedule anatomy lab one afternoon. Thus the total number of hours of scheduled activities would not increase and the added time would allow for the addition of activities to reinforce the Pathology and physiology content. This would functionally increase the hours devoted to the system and improve the flow of the first week by eliminating half-class activities.
4. Reassign one SIM session to another system
In the current GI system class runs on a daily basis from 8-12 and we are still limited on time. We believe all activities have been trimmed down as much as the content allows in 2013 and the students still feel they need more time devoted to GI. The proposed 2014 schedule improves on the organization and use of class time, but we have been unable to clear time on a Monday morning for one of the two SIM sessions. We propose that one SIM session is assigned to either MSI or MBB (perhaps taking the time freed up by the behavior content moved to Foundations?).
The Committee discussed this proposal and finds merit in most of the items. Don Innes will work with the group to discuss implementation of some if not all of the items. More discussion is needed between Drs. Shah, Tuskey, Nunez and Melanie McCollum of Anatomy, Mo Nadkarni of SIM and Nancy McDaniel of CPD. Mary Kate Worden and Bart Nathan of MBB should also be involved as MBB is considering a reduction of scheduled activities. It was suggested that a number of the lectures in this system be prerecorded, especially those in SIM, thereby freeing valuable morning time for active learning. It was noted that the length of many of the GI sessions (80-110 minutes) is much longer than those in other systems. Whether CPD could combine groups on the occasional week to allow off weeks for CPD was discussed.
- Learning Objective Review. The Curriculum Committee
will begin a review of all the learning objectives in courses and
systems in 2013. Areas of unnecessary redundancy or items in learning
objectives not felt to be needed at the student level of understanding
will be pointed out to the system leaders. The LO’s should define
what is required to make a good physician – not specifically what is
necessary for standardized examinations.
- Update on Mental and Physical Exam in OSCE. Donna
Chen, Nancy McDaniel and Peter Ham have completed work on the checklist
for the mental and physical exam in the CPD OSCE. This will be
reviewed at the 5/16/13 Curriculum Committee.
- Clinician for MSI leadership. In the search for an
attending to become co-director of the Muskuloskeletal/Integument
System, it appears no one available in Physical Medicine/
Rehabilitation to fill the position left vacant by Mary
Bryant. It is suggested that a new faculty member being
recruited in Family Medicine and specializing in sports medicine might
be an ideal candidate for this position. This is being explored
with Dr. Oliver, Chair of Family Medicine.
- Keywords for X-credit. JohnVoss, John Jackson, Sabrina Nunez
and Don Innes met recently to evaluate a new “keyword” structure for
X-credit. The Committee reviewed the keyword schema
and suggested minor modifications, i.e. under disciplines (GEAPP)
consider adding Microbiology, Cell Biology and Histopathology.
Donald J. Innes, M.D.