Minutes 06.05.14

Minutes 06.05.14

University of Virginia School of Medicine
Curriculum Committee
Minutes – 06/05/14

Pediatric Conference Room, 4:00 p.m.

Present (underlined) were: Gretchen Arnold, Stephen Borowitz, Elizabeth Bradley, Megan Bray, Donna Chen, Peter Ham, Donald Innes (Chair), Keith Littlewood, Nancy McDaniel, Mark Moody, Bart Nathan,  Selina Normaly (ex officio), Sabrina NunezTheresa Schlager, Neeral Shah, Amita Sudhir,  Linda Waggoner-Fountain, Bill WilsonMary Kate Worden, Jonathan Pomeraniec, Deirdre Goode, Debra Reed (secretary)

  1. Narrative Evaluation Improvement The committee requested that all clerkship directors distribute this “instruction to improve narrative evaluation” to ALL those teaching and providing evaluative feedback in their clerkships. Clerkship directors should use this model in their narratives for the MSPE.  See DOCUMENT - Teaching a Medical Student on a Clerkship, Selective, or Elective

  2. UPG Billing Compliance Policies With Regard to Medical Students.  The Committee requested that all clerkship directors and the electives director, Meg Keeley, distribute the UPG Billing Compliance Policies to ALL teaching faculty in their clerkships or electives.   See UPG Billing Compliance Policy

  3. SOM – SON Pilot Longitudinal Program in Population Health Management(See Attached Proposal)  The proposal for a clinical experience for medical and nursing students that is longitudinal and population-based. This was originally a Macy fellowship proposal that was not funded. Our dean, Nan Dunlap, believes the idea of population health management by interprofessional teams is so important that the School of Medicine should fund it from the dean's office as a pilot for twelve medical students. The proposed program engages the students as an essential part of the health care team for their patients.

    Each medical student/nursing student pair would be assigned three patients/families from the ACO and one from our complex care pediatric program that they would follow for all four years. The students will be an essential part of the health care team for their patients.  Their responsibilities with these patients’ care would progress in a competency-based developmental way, reflecting the changing competencies throughout their training.  Students would be an integral member of the interdisciplinary care team, which would include the primary care and specialty physicians, nurse coordinator, social worker, pharmacist and health outreach workers.  The primary clinical mentors for the students would be the primary care team.  The students would do home visits, advocacy in a variety of community settings, and follow their patients wherever they are seen in the health care system to provide continuity and to provide essential components of the patient’s care.

    Such a longitudinal and population-based curriculum will take an enormous amount of work and will need to be integrated into all three phases of our curriculum to succeed. There will be obstacles to overcome and success will require close cooperation with the clinical activities of the departments of Family Medicine, Medicine and Pediatrics. The chairs of Family Medicine, Internal Medicine, and Pediatrics are strongly supportive of this pilot program.

    The Curriculum Committee reviewed the grant proposal and approved the 2-year pilot proposal in principle. The Committee expressed concern for the amount of self-study time available to the 12-participants and the impact of the program on the student’s learning in the CPD-1 course. The Committee seeks additional information regarding the logistics of the proposed program, the time involved, and details on how a student following a patient impacts on the Systems classes.  The Committee also wishes to know how the pilot (or some form of the pilot) might be expanded to the entire class after the pilot period concludes. Peggy Plews-Ogan and James Moak will be invited to address these questions.


  4. Student Academic Enhancement Services at UVA SOM The Committee provided the director of Academic Enhancement Services, Selina Noramly, with ideas for clinical remediation methods. The Committee asked that a general process plan be drawn up so that all are aware of what steps are available when a student requires academic assistance, e.g. when an OSCE or CPX performance is unsatisfactory a typical plan for remediation should be known (written). Selina Noramly will work closely with each student’s Dean as well as the clerkship/system/course director to develop the appropriate remediation program. Resident physicians and fourth year students should be utilized for remediation but must be vetted by virtue of their resident/student evaluations.  See attached document.

  5. Summary of 4th Year Retreat for Curriculum Committee.  Two afternoon long retreats were held on 4/14/14 and 5/19/14 for discussion of the 4th year of medical school. There was broad participation by students and faculty from basic science and clinical departments. Thread leaders, clerkship directors, residency directors, college deans and CPD leadership participated.  See attached Summary document.

  6. Grade Challenge Policy.   The Committee approved the following policy regarding grade challenges:

    After grades are issued, students may challenge a grade in writing within 1 week for courses in the first 18 months and within 4 weeks for clinical rotations to the appropriate course/clerkship director. Within thirty (30) calendar days after receiving the challenge, the course/clerkship director will consider the evidence and communicate in writing her/his decision to the student. Dissatisfaction with the outcome of the challenge shall not be grounds for appeal.

    http://www.med-ed.virginia.edu/handbook/policy/examPolicy.cfm#protest

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