Minutes 08.21.14

Minutes 08.21.14

University of Virginia School of Medicine
Curriculum Committee
Minutes – 08/21/14

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), Robin LeGallo, Keith Littlewood, Nancy McDaniel, Mark Moody, Bart Nathan, Theresa Schlager, Neeral Shah, Amita SudhirLinda Waggoner-Fountain, Bill Wilson,  Mary Kate Worden, Dan Luftig, Michael WatsonBrandon Hunter, Guests:  Anne Chapin, Casey White,  Debra Reed (secretary)


  1. Announcements:
    The Curriculum Committee is pleased to welcome the School of Medicine Class of 2018.

    The MD/JD Program has accepted it’s first student who will begin Fall 2014.   Meg Keeley is to be congratulated for her work in getting this program up and running.  For more information see:

    University of Virginia medical student Austin Sim will be the first student in the new M.D.-J.D. program.
    MDJD First Student 2014

  2. Life Saving Techniques Workshop (LSTW) Resolution.  By e-mail vote, the Curriculum Committee has agreed that the best plan of action to address the make-up of the cancelled LSTW workshops is this one recommended by Dr. John Riordan, Director of the LSTW.  The Curriculum Committee considers this program a valuable and essential part of the students training.  The LSTW is a graduation requirement for all students and the Curriculum Committee reaffirmed that it should remain a requirement.  The LSTW will continue in the current cycle with make-up days for the missed sessions scheduled for the Monday (3/2/15) before and the Friday 3/13/15) after Dx/Rx course.  Dr. Engelhard has graciously consented to this plan. The LSTW program should resume on Wednesday 8/27 so no more make-up sessions should be necessary.

  3. Curriculum Inventory in Context, August 2014

    A document from the AAMC entitled “Commentary on Curriculum Inventory Graph:  Number of Schools Mapping Institutional Expectations to the PCRS Domain, “Personal & Professional Development” was presented to the committee.

  4. Curriculum Summer Activities.  The Curriculum Committee reviewed the results of the USMLE Step 3 over the period of 2009-2011 during the summer hiatus.  There was virtually no change over the three-year period with first time takers - UVA students - scoring in the 98-99 percentile.

  5. Curriculum Appointments:

    The Curriculum Committee discussed and approved the nomination of Marty Mayo, Ph.D. as the new co-leader along with Dr. Robin LeGallo for the Cells, Tissues, and Mechanisms of Disease Course.

    The Curriculum Committee discussed and approved the nomination of Manoj Patel, Ph.D. as the new Physiology thread leader.

  6. 2014 AAMC GQ Report. Elizabeth Bradley presented highlights of the 2014 AAMC Graduation Questionnaire Report.  The report focuses on both basic science and clerkships. While most of the report was complementary, students did note that some of the basic sciences had not prepared them as well as they anticipated, i.e. Microbiology, Physiology, Pharmacology.  Using internal surveys the same issues were identified and numerous changes in the delivery, organization and personnel of these areas have been made.  Course, System and Clerkship leaders are asked to review the report carefully and address any of the issues raised in their area. Some students reported not getting mid-clerkship feedback but clerkship directors report that this is always done and have proof.  Clerkship directors need to “label” mid-clerkship feedback at the time it is provided to the students.

  7. OSCEs  - Anne Chapin, Nancy McDaniel, and Casey White presented information on the status of the OSCE program.  Three OSCEs have been instituted prior to the beginning of the clerkships.  OSCE 1A and 1B are low stakes and largely formative with minimal grade input. Students are urged to remediate deficiencies highlighted in those two OSCEs with their CPD mentors.  OSCE 1A focuses on the history and physical with 1B adding physical examination skills.  OSCE 1C is cumulative and must be passed prior to the starting clerkships.  A deficiency in 1C must be remediated prior to beginning clerkships and the student must receive a passing grade.  A formal remediation plan has been developed and should be in place by next week. The OSCE Committee was asked to involve Selina Noramly in developing/finalizing the remediation program.  To help alleviate time constraints with remediation, this 1C OSCE was moved to earlier in the year (October) rather than at the end of the systems (December).

    A Medicine OSCE given at the end of the Medicine clerkship 12-week block has also been implemented.  OSCEs in Surgery, Pediatrics/Family Medicine and Psychiatric Medicine are still in the development stage.    The surgery OSCE is to be piloted in March 2015.

    CPD mentors are now required to complete an OSCE so they have an appreciation of what is expected of the student and most found this to be a worthwhile experience.  The Curriculum Committee thanked the OSCE committee for their hard work on these OSCEs.

    OSCE Graph 2014

  8. Review of Clerkship Period 1 (2014-2015) Grades Submission.  All clerkship grades for Period 1 were submitted within the six week absolute deadline.  However due to Oasis downtime, two (Emergency Medicine and Surgery) missed the five week deadline by three days for period 1E and one (Psychiatric Medicine) was three days late for the five week deadline in period 1A.

  9. Progress on Entrustable Professional Activities (EPAs) – Linda Waggoner-Fountain and Nancy McDaniel outlined the progress being made on developing EPAs and the universal passport.  The universal passport would include all the EPAs.  Determining when and where best to evaluate these competencies is being investigated as well as where the final review of the passport should occur.    The link to the thirteen AAMCE Core Entrustable Professional Activities and a pertinent article are referenced below:

    AAMC Core Entrustable Professional Activities for Entering Residency

    AM Last Page:  What Entrustable Professional Activites Add to a Competency Based Curriculum

  10. Policy on Academic and Professional Advancement.  Minor revisions to the Curriculum Policy on Academic and Professional Advancement were approved.


  11. Governance Document Revision 2014.  A revised version of the Curriculum Governance document has been placed on the Curriculum website.


The Curriculum Committee will meet on the first, second, and third Thursday of the month beginning on September 4.  There will be no meeting next week on 8/28/14.


Donald Innes