Minutes 10.11.12

Minutes 10.11.12

University of Virginia School of Medicine
Curriculum Committee Executive Management Group
Minutes – 10/11/12

Pediatric Conference Room, 4:00 p.m.

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

  1. Announcements.

    All University Teaching Awards. An open invitation to faculty, students, and staff to nominate faculty for teaching awards.  Nominations are due by 5:00 pm on Monday, February 4, 2013 to Deidre Davie, P.O. Box 400304, Booker House.  Please see the website at: http://trc.virginia.edu/Awards/  for complete information.

    New Curriculum Committee Members selected.  The three faculty members selected by the Faculty Senators of the School of Medicine for the at large Curriculum Committees positions are Steven Borowitz, M.D., Amita Sudhir, M.D. and Teresa Schlager, M.D.   Twelve nominations were submitted to Dr Chris Holstege, who coordinated the election process by the 20 School of Medicine Faculty Senate members.  These new members will joint the Curriculum Committee on 10/18/12 or as soon as their scheduling permits.

    Notification has been received from Roanoke Carilion that they will no longer take UVA students beginning March 2013. Next year the VA Tech-Carilion School of Medicine and Research Institute will have their own third and fourth years students on clinical rotations. UVA students may still be able to arrange electives at VA Tech-Carilion but these electives must be arranged by the individual student in the same manner as any other away elective.  UVA students will continue to participate in clerkships at UVA, Salem VA, Bon Secours and Fairfax Inova.

  2. Class of 2014 Credits required for graduation.   The Curriculum Committee Executive Management Group unanimously recommended approval of the following numbers of elective credits needed for graduation.

    34 Elective credits
    4 credits for ACE
    2 credits for DxRx (March 4-15, 2013)
    4 credits for Medicine Selectives (2 2-week selectives)
    4 credits for Surgery Selectives (2 2-week selectives)
    2 credits for Psychiatry Selective

  3. Student Review of Summative Exam Question.  Casey White brought concerns raised by medical student, Daniel Luftig, to the Committee regarding student review of summative exams when preparing for Boards.  The Committee reviewed a proposed student survey. The general consensus was that survey would not be sufficient to sway the opinion of faculty regarding a decision to allow/not allow summative exam question review. Formative work, e.g. examinations, quizzes, work sheets, etc. are designed to provide low stakes assessment with feedback to allow “in-time” modification of learning – either by the instructor or the learner. The formative MCQs are representative of summative exam questions. All formative exam questions are available for review and all practice questions from each system provided to the students for study purposes. The purpose of the summative examinations is different from formative examinations. Summative exams are designed purely for evaluation – not for formative (study) purposes.  Summative exam questions will not be released to the students after the exam.

    System leaders will be reminded that summative exam questions are to be kept private. This should be consistent across MCM and all Systems. Summative exam questions are not to be released or shared with students.

  4. Neurology Clerkship Leadership.  Dr. Karen Johnston, Chair of Neurology, announced that the current Clerkship Director for the Neurology clerkship, Priscilla Potter, will be retiring December 31, 2012.  She nominated the current co-director, Guillermo Solarzano, to assume the role of Clerkship Director on 1/1/13.  The Curriculum Committee Executive Management Group discussed Dr. Guillermo’s qualifications and past success as codirector and unanimously recommended approval of this nomination. 

  5. System/Course Review.  Elizabeth Bradley discussed the newly designed system/course review document with the committee.  Much of the information requested in the document will be made available to the system leaders by Elizabeth Bradley and/or through Oasis reports.  She asks for committee input on areas that need improvement and/or to point out any areas that may not have been covered.    A few minor changes were pointed out by the Committee – one typo – one missing competency listing – these will be corrected and the document circulated to the entire Curriculum Committee for approval.   It was suggested that the questions to be completed by the System/Course leaders be distinguished from those where data will be provided by Elizabeth Bradley – perhaps highlighted in blue to make the form easier to use.

  6. Graduation Questionnaire.  Student comments gleaned from a recent Graduation Questionnaire (SMD 2012) were discussed.    It was noted that this graduating class was not a part of the NxGen Curriculum.   Multiple comments (~95 total) were received regarding:
    Basic Science Weaknesses
    Excessive detail/minutiae/esoteric/clinically irrelevant (25)
    Lack of integration within science or clinical (15)
    Biostatistic/Epidemiology weak (8)
    Lecture style – no engagement or active learning (5)

    Clinical Education Weaknesses
    Away rotations poor or inconsistent quality of teaching (19)
    Too little student involvement/accountability in patient care (18)
    Lack of procedural skill education (15)
    Too many learners/too few patients (10)
    Poor clinical teaching (5)
    Poor teaching/assessment of basic clinical skills (5)
    Student evaluation process poor/subjective (5)

    The Committee suggested comparative charts should be developed to look at year-to-year trends in the graduation questionnaire data.  The above data is qualitative and the Committee will review the quantitative data as well.

  7. Future curriculum agenda items.
    a) Proposal for History of Medicine thread
    b) Transition course – leadership, curriculum, budget
    c) Intersessions – leadership, curriculum, budget
        Suggested activities for Intersession
                AIM workshops
                Students bring an H&P to mentor and get feedback
                Each student meets with mentor individually and in the groups of 6
                            (potential discussion items could include ethics)
                Students meet with college deans
                Sim Center team training
                Basic science correlations (Genetics, pharm, etc.)
    d) One-time CV/Pulmonary schedule change for 2013  (i.e. swap/involve renal? Videotaped necessary CV material prior to pulmonary)
    e) Electives and Selective Requirements (obtain distribution data from Meg Keeley)
    f) Leadership of Surgery selectives
    g) Medical Education in the Art Gallery
    h) formation of student groups for TBLs, Problem Sets, CPD, and SIM

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