Minutes 06.18.12

Minutes 06.18.12

University of Virginia School of Medicine
Curriculum Committee Executive Management Group
Minutes – 06/18/12

Kessler Pediatric Library, 4:00 p.m.

Present (underlined) were: Peter Ham, Donald Innes (Chair), Keith Littlewood, Nancy McDaniel, Bart Nathan, Casey White, Mary Kate Worden, Debra Reed (secretary)

  1. Proposed Clerkship Schematic - SMD 2016

    Surgery 12 week block

    The 12 week surgical period includes six weeks of general surgery, two (two week) periods of surgical subspecialties and two weeks of anesthesia perioperative medicine.

    First day of a 12-week surgery experience will be orientation and workshops for ALL segments (general surgery, surgical subspecialty and perioperative)

    Goals developed for the perioperative weeks will be converted to learning objectives. 

    Learning objectives in the subspecialties will be developed to allow students to achieve broad based “surgery” objectives as well as subspecialty specific objectives.  Remediation of deficiencies in the care of patients with specific medical diagnoses during individual rotations should be covered with “paper” cases as is done in the pediatric clerkship.

    Surgical subspecialties are now graded P/F and this will be discussed further before any change is made to this policy.

    Keith Littlewood will discuss clinical competencies for the perioperative experience with Nancy McDaniel of CPD before the curriculum for the perioperative portion of the surgery clerkship is finalized. Nancy McDaniel will also help develop case narratives.

    Medicine 12 week block

    After much discussion, it was agreed that the 12 week block be made up of 6 weeks of general medicine, two weeks AIM and two weeks of geriatrics and two weeks of acute care.

    An alternative of six weeks of general medicine, 3 weeks AIM, 3 weeks geriatrics and 3 weeks acute care as a required elective in the fourth year was considered.  Having a three week geriatric experience may not be feasible with the numbers of geriatric faculty and the size of the patient population.

    The Committee discussed whether it is possible to recommend that students participate in ambulatory clinics one or two afternoons per month during their General Medicine rotation as well.   Whether this would overwhelm local clinics and dilute the experience for all students in the rotation was discussed.

    The possibility of dividing 3-6 weeks of the clerkship into 1 ½ week segments was also discussed but would require a great deal of scheduling finesse.

    Monitoring the individual mentors and assuring an equitable AIM experience for all students is absolutely necessary.

    Nancy McDaniel noted that the AIM clerkship is extremely popular with the students.

    The question of how much ambulatory time the LCME would like to see in the curriculum was raised.  It is believed that at present and with the new clerkship schematic the University of Virginia SOM ambulatory education component will still be in line with LCME expectations.

    In the acute care portion of the clerkship, weekly evening schedules will be encouraged so that students experience the ER in a different light.

    The Group considered making some subspecialties, e.g. cardiology, a required experience.

    Don Innes will prepare a draft of the medicine 12-week experience proposal and circulate it among the Curriculum Committee Executive Management group for comment.  This proposal will again be discussed at the Wednesday 6/20/12 1:00 pm meeting.

  2. Review Sessions in the Systems Outside of Regularly Scheduled Class Time.  The Group mandated at the 6/14/12 meeting that review sessions outside of regularly scheduled class time will not be sanctioned.    A response from the MCM system leaders has been received.  This response outlined their objections to this policy.  The Group read and discussed the MCM response and agreed that excellent points were made but the “curriculum creep” into hours reserved for the students’ study time was still unacceptable.  Review session are not discouraged but must take place during the morning 8:00-12:00 regularly scheduled class time.  Presentation of course material should be carefully reviewed to minimize the need for review sessions.

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