Minutes 06.20.13

Minutes 06.20.13

University of Virginia School of Medicine
Curriculum Committee
Minutes – 06/20/13

Pediatric Conference Room, 4:00 p.m.

Present (underlined) were:  Gretchen Arnold, Robert Bloodgood, Stephen Borowitz, Megan Bray, Donna Chen, Peter Ham, Donald Innes (Chair), John Jackson, Keith Littlewood, Nancy McDaniel , Bart Nathan, Selina Noramly, Sabrina Nunez, Theresa Schlager,  Amita Sudhir, Linda Waggoner-Fountain, Casey White, Bill WilsonMary Kate Worden, Elizabeth Bradley, Derrick Thiel, Thomas Jenkins, Debra Reed (secretary),

New Passing Score Announced. The passing score for USMLE Step 2 CK has been increased from 196 to 203 starting July 1, 2013.

Up-Date on Mobile Apps as Applied to Medicine. Gretchen Arnold explained that Sarah Farrell technology advisor and former UVA School of Nursing dean is willing to update the Curriculum Committee on mobile apps as applied to medicine especially in the teaching environment, giving instant access to patient details via iPhone or iPad. Gretchen will extend an invitation for her to brief the Committee. See http://www.apple.com/ipad/business/profiles/mayo-clinic/

Professionalism Learning Objectives Extended. The Committee voted unanimously to extend the previously approved Professionalism Learning Objectives for clerkships to the entire four years of the curriculum. Donna Chen suggested several edits that were approved by the Curriculum Committee. Concern was expressed that the professionalism learning objectives might restrict or limit the authority of the ASAC. Lynn Fleming will be asked to review.

Intern Survey.  Elizabeth Bradley presented the results of the 2013 Intern Survey (graduating Class of 2012) that showed three major themes:

  • Provide more opportunities for medical students to practice basic procedures (IV’s, central lines, blood draws, etc.)
  • UVA prepared interns very well in terms of medical knowledge.
  • Increased clinical responsibility would help students be better prepared for residency.

There were approximately 55 responses.  Many indicated a need for more “hands on” activities, not only procedures, and specifically mentioned note writing, order writing, and hand-offs.  The need for clear communication between the clerkship directors and the teaching faculty – attending and resident physicians – and the importance of active engagement on the part of the student under supervision of the attending and resident physicians. STUDENTS SHOULD BE WRITING NOTES ON EVERY SERVICE. Students can observe and practice hand-offs with their attending/resident physicians. This will be emphasized to the clerkship directors at their next meeting Monday, June 24.  The Intern Survey results will be provided to the CPD-1 Directors with the specific recommendation that students in CPD-1 have more practice writing H&Ps (even progress notes), oral reports, and handoffs. The Clerkship Preparedness Survey may shed more light on

Supervision of Students. A draft document had been circulated to the Committee in advance, but additional material was added for this meeting. A number of minor edits were made to the document and Nancy McDaniel examined it for congruence with the Medical Center Policy in regard to the Clinical Staff of the University of Virginia Health System having overall responsibility for the quality of professional services provided to patients, including patients under the care of trainees and involving medical students.  It is the responsibility of the clinical staff to assure that each trainee is supervised in his/her patient care responsibilities by a member of the clinical staff who has been granted clinical privileges. The Committee edited and approved the University of Virginia School of Medicine Medical Student Supervision Policy and the related Expectations of Attending Physicians and Resident Physicians for Supervising Medical Students

Clerkship Student Performance Evaluation
Elizabeth Bradley presented a draft criterion based Clerkship Student Performance Evaluation to assist faculty in achieving consistent and equivalent evaluation of student performance. Much of the discussion centered on the apparent complexity and wordiness of the tool. The text is certainly useful as a guide to key narrative evaluations of students. The tool is similar to the milestones being introduced by the ACGME for residencies and fellowships. Elizabeth requests further guidance from the Committee before proceeding.  

Assessment Philosophy. An advance draft document was provided to the Committee for review. It was noted that the Assessment Philosophy does not address the Post-clerkship Phase (DxRx, CPX, ACE, Electives). Edits were begun. 

Curriculum Committee Schedule for 2013-2014.  As the LCME self-review takes place we will likely discover areas that will need our attention so on top of the regular annual reviews of courses (Cells to Society; Foundations of Medicine; Cells, Tissues and Mechanisms of Disease, all Systems, CPD-1; SIM; DxRx, and Transition), the Clerkships, and the Electives program we will move to meeting the 1st, 2nd, and 3rd Thursdays of each month beginning early or mid August. The Management Group will continue to meet this summer.

Donald Innes