Minutes 06.12.14

Minutes 06.12.14

University of Virginia School of Medicine
Curriculum Committee
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 WilsonMary Kate Worden, Jonathan Pomeraniec,  Jeremiah Garrison, Deirdre Goode,  Debra Reed (secretary)

  1. Announcements:

    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
    August 21, 2014
    Dr. Victoria Norwood
    P and T
    August 28, 2014
    Dr. Victoria Norwood

  2. GI System Review.  Elizabeth Bradley presented the conclusions from the 2014 GI System Review.
    Recommendations 2014:

    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.

  3. 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 curriculum.  

    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.

  4. 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.

  5. 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.

  6. 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.

  7. Curriculum Committee will meet 6/19/14 4:00 pm.


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