Minutes 11.08.12

Minutes 11.08.12

University of Virginia School of Medicine
Curriculum Committee Executive Management Group
Minutes – 11/08/12

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

  1. Transition course.  (Nancy McDaniel)  The committee discussed the leadership, curriculum and budget for the Transition course.    Exercises to hone H&P, diagnostic and treatment skills are planned.  Safety issues will be covered.  Simulation activities as being developed with the clerkship directors.   Clerkship leaders will be providing a list of the skills they believe the students should be familiar with prior to the beginning of their clerkships.

  2. Intersession.   Intersession preparation is underway.  The first intersession is planned to occur halfway through the clerkships period.  

          Suggested activities for this Intersession
          Bring some of the AIM workshops into the intersession (i.e. nutrition, safety curriculum)
          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.)
          Art in Medicine
          Difficult conversations. i.e. health insurance, no pharmacy benefits

  3. Patient interviews during the pre-clerkship curriculum.  CPD has historically provided the patients for the weekly interviews in the systems.  However, some System leaders/faculty (predominantly second year) have been inviting their own patients to participate in their systems without CPD involvement.  Due to this, patient encounters may not always have the same expectations for the students.     Patient encounters are considered valuable by the students in the preclinical years and are encouraged.  Guidelines will be developed for inviting patients, delivering patients to the exercise, student behavior/dress when a patient is present in the classroom as well as outlining what expenses involved in these encounters will be paid by the SOM.  The group felt it was important that all patient encounters in the preclinical years be consistent in their presentation and evaluation.  Rules that already apply for CPD led patient encounters, i.e. no pod casting, mandatory attendance, white coats, doors closed at specific times, computers closed, should apply to all patient encounters.  A policy will be drafted and discussed further at the next System Leaders Meeting. 

  4. Student competencies. Guidelines are being developed on what clinical skills students may perform during their clerkship years and  what amount of supervision is necessary at various points in their career.    The passports outline many of the necessary clinical skills but do not outline time lines for obtaining/practicing these skills and what supervision is necessary.  Nancy McDaniel will be working with the clerkship directors to possibly develop a “grid” in Oasis to track a students proficiency in specific clinical skills throughout their clerkships.   A passport that overlaps all clerkships is being discussed. This will be discussed further at the next Clerkship Leaders meeting.

  5. Technical Standards.  What a student should be able to for admission/promotion and graduation must be defined.   A discussion ensued and comments will be communicated to Lesley Thomas and Dr. Canterbury.