University of Virginia School of
Minutes – 09/19/13
Pediatric Conference Room, 4:00 p.m.
Present (underlined) were: Gretchen Arnold, Stephen Borowitz, Megan Bray, Donna Chen, Peter Ham, Donald Innes (Chair), Sean Jackson, Keith Littlewood, Nancy McDaniel, Bart Nathan, Sabrina Nunez, Neeral Shah, Amita Sudhir, Linda Waggoner-Fountain, Casey White, Bill Wilson, Mary Kate Worden, Elizabeth Bradley, Jean-Baptiste Maitre, Mary Grace Baker (alternate), Debra Reed (secretary)
Proposed Rubric for Geriatric Clerkship Grades
Grade system (%)
Clinical performance (Oasis)
Research – (clinical presentation)
Examinations: Written examination
2 standardized patient tests
Extra credit for narrative (not required)
Required check list
None (but required for final grade)
This proposed rubric for grades in the Geriatric Clerkship was discussed. The Curriculum Committee questioned the feasibility of an “extra credit for narrative” in a P/F course. Medical student, Mary Grace Baker, noted that the extra credit narrative was useful in her understanding of the geriatric patient and most students would probably continue to do the exercise even if it is not required. Donna Chen felt this was a valuable exercise, but needed to remain voluntary.
The minimum passing grade in Geriatrics is 80%. The Committee discussed the limited amount of graded exercises and whether this minimum should perhaps be lower, i.e. 70%. Since there is no shelf examination for Geriatrics, the Committee discussed whether the examinations should have a minimum pass score similar to the shelf exams.
The Committee suggested that since Geriatrics is now part of the fourth year of medical school, the focus of the clerkship should be on more complicated geriatric patients, i.e. those with multiple diagnoses and treatment plans to challenge the students who have now completed all their other clerkships. Don Innes and Nancy McDaniel will work with Huai Cheng, Clerkship Director, to finalize the grading schema.
Dean’s Town Hall Meeting SMD17. Don Innes reported on the recent Dean’s Town Hall meeting (9/18/13) with SMD17. He noted that while students were enthusiastic about the curriculum, some expressed a desire for more challenging engagement activities and increased pharmacokinetics material. There were varying opinions on the sequencing of TBLs with other classroom activities. Some liked the idea of packaging topics into units. Students like the inclusions of cultural competency in the small group CPD discussions. The students felt orientation was well run and thorough.
Patient presentations were consistently well received. Free coffee and a larger chocolate bowl were also requested.
Assessment Point Value. The Assessment Point value discussion from last week’s Curriculum Committee meeting (9/12/13) was continued. This discussion was precipitated because students noted the small number of questions in the formative exercises make each questions more critical to their grade than the summative examinations. System Leaders on the Committee noted that while there are smaller numbers of questions for each exercise there are many exercises and when all formative grades are averaged individual questions have a lower impact on grades. The statement was amended and approved by the Committee as follows:
All formative questions should be worth no more than the value of a summative question for the corresponding summative period.
Afternoon Review Session Exemption. Mary Grace Baker asked that the Committee allow organized afternoon review sessions. Afternoon/evening study time for the students is important since most of the morning active learning curriculum requires adequate preparation by the students. Even though review sessions are designated “optional” many students may feel they are required if a faculty member is involved in the session. Whether or not students on electives should be allowed to provide organized after-hours lectures was debated. Students may on their own organize review activities and often do. The discussion will be continued.
Donald J. Innes, Jr., M.D.