University of Virginia School
Minutes – 06/12/14
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, Sabrina Nunez, Theresa Schlager, Neeral Shah, Amita Sudhir, Linda Waggoner-Fountain, Bill Wilson, Mary Kate Worden, Jonathan Pomeraniec, Jeremiah Garrison, Deirdre Goode, Debra Reed (secretary)
Upcoming Pediatric Educational Grand Rounds (residents and faculty from other departments are invited to attend). All sessions begin at 8:00 am in the Battle Building. If anyone is interested in attending a session please contact the Pediatric department 924-5093.
July 10, 2014
Dr. Linda Waggoner-Fountain
Emotional Intelligence July 17, 2014
Dr. Preston Reynolds
How to Teach Professionalism July 24, 2014
Dr. Stephen Borowitz
Clinical Reasoning July 31, 2014
Dr. Mark Mendelsohn
Teaching in a Busy Clinic August 7, 2014
Dr. Melissa Sacco
Efficient and Effective Faculty Evaluations August 14, 2014
Dr. Victoria Norwood
Evaluations? August 21, 2014
Dr. Victoria Norwood
P and T August 28, 2014
Dr. Victoria Norwood
- GI System Review. Elizabeth Bradley presented the
conclusions from the 2014 GI System Review.
1. System Leadership and instructors: As in the past four years, the students were very complimentary of Drs. Shah, Tuskey and Nunez, and the teaching faculty in GI. They specifically highlighted the dedication and responsiveness to the students, and the passion for teaching that the System Leaders and instructors exhibited. It is recommended that this high level of dedication and passion be maintained. Well done!
2. System Organization: Though two days of vacation and three more days of instruction were added to the front of this system, many students still commented that the beginning of the system is too densely packed, and they felt they should have been alerted to the intensity/pace of the first two weeks. It is important to note that the students recognized and highly praised how useful it was to revisit and review material several times across the System, but this front‐loading should be revisited given the significant concerns voiced by the students.
3. Physiology Material: The students commented that the teaching of the Physiology material wasn’t clear and could use refinement. It is recommended that these sessions be refined for next year.
4. Engagement Sessions: The engagement learning sessions in GI were praised by the students. They felt the Case Tool problem sets, the small group discussions, POT cases, etc were all participatory, application oriented, supportive of learning, and fun. They also praised how well these sessions integrated their learning in a clinically relevant context. It is recommended that these diverse activities continue next year.
5. Learning Objectives and Resources: Students praised many of the handouts used in GI, but felt that some were too dense and long, and that the link between learning objectives, resources, and session activities could be improved for some sessions. It is recommended that the sessions highlighted by students be reviewed for next year to ensure alignment of LOs and resources.
The Committee confirmed the GI System Leaders plans for 2015 i.e. expanded active learning activities, identifying a contact person for GI in radiology, working closely with the new anatomy thread leader.
Due to the inclement weather closures, the GI system lost two days in 2014 but was able to compensate with prerecorded material. Dr. Shah recommends a generic protocol be prepared for all system leaders to help them deal with sudden unexpected closures of this nature. The Pre-clerkship Committee should take this up and suggest a plan to the Curriculum Committee.
Dr. Shah asks that a replacement for Sabrina Nunez, who is leaving in July, be named by Fall 2014.
The Committee applauds the GI System Leaders for a very well-run and well-received course and asks them to keep up the good work. We are pleased to have Neeral Shah and Anne Tuskey return in 2015.
- Student Transplant Surgery Pager Program. A proposal
from two medical students, Max Meneveau and Abid Fazal, was reviewed by
the Curriculum Committee. The students propose a “Student
Transplant Surgery Pager Program” to provide interested medical
students with the opportunity to observe / participate in an organ
recovery procedure and transplant surgery. They propose a single
pager linked to the UVA Health System’s Transplant Surgery Department
be provided to one student chosen from a list of interested
participants. The pager would notify students when an organ
becomes available and this student will then be able to observe or
assist in any way needed. After this experience, the pager would
be passed on to the next student in the line up. The pager system
would work around the students exam schedule and certain classes that
have a required attendance. This program would be
specifically for students in the first 18 months of the
The Committee discussed this proposal and expressed many concerns regarding the efficacy of the program. Concerns regarded 1) liability issues if students were involved in the actual transport of the organ from outside of the UVA Health System, 2) potential “over-crowding” on the transplant team thereby diluting the experience for third year surgery clerkship and fourth year elective students, 3) potential conflicts with activities in the first eighteen month curriculum, i.e. non-mandatory attendance activities. The Committee rejected this proposal in it’s current form.
A pager program for students rotating on the transplant service or elective if not already in place would be an excellent addition.
- Clerkship Director Survey at the End of the First Block 2014
– Clerkship Directors were polled after the first clerkship block
regarding the SMD16 preparedness for the clerkships. Most
of the clerkship directors thought the students were prepared as well
or better than students in previous years for the clerkships (86% as
well or better prepared than previous classes). Comments
included: “…the students are for the most part more clinically
adept, they seem more comfortable in clinical scenarios” and “…they
overall handled the transition better and I found that their
presentation and written documentation was much improved from the
previous year.” Some noted deficiencies in pharmacology material,
i.e. mechanisms and classes of drugs. Some
pharmacologic information must be learned by rote
memorization. One particular comment “A few students seem
overly skeptical of faculty intentions and knowledge, providing
suggestions for improvement of the clerkship that seem to have more to
do with their convenience than their education and occasionally
expressing skepticism when provided commonly accepted medical facts”
was discussed by the Curriculum Committee. Some noted that the
students seem to be better active learners in this class which will
enable them to learn more during the clerkship year. Some
professionalism issues, i.e. student requests for time off for random
personal activities, have arisen. This survey will be shared with
the System Leaders Community and with James Moak of CPD-1.
- Clerkship Transition Course. The Committee has
received e-mails regarding surgery and surgery subspecialty students
who have not been ill prepared for techniques such as gowning,
scrubbing, gloving and sterile technique. The Committee
recommends a two fold approach to this, 1) expand the training in these
areas during the transition course – planned by the Surgery, Surgery
Specialty, OBGYN and Family Medicine directors involving scrub nurses
and with participation by these clerkship directors and their
associated faculty and resident physicians and 2) have all students on
the Surgery 12 week block – even those in Surgical Subspecialties
undergo a brief refresher course on these activities during
orientation. The Committee asks that during the two-week
transition course time can be found to allocate to these important
activities. A plan should be presented to the Committee no later
than November 2014.
- Doc.com. James Moak and Eva Casola are
working on implementation of the doc.com webbased instructional module
into CPD1 for SMD18. Funding has been approved for year one of
the curriculum. The Curriculum Committee requests a brief report
detailing the plans for how this resource (doccom.org) will be
incorporated to best benefit the students.
- Curriculum Committee will meet 6/19/14 4:00 pm.
Donald J. Innes, Jr., M.D.