University of Virginia School of
Minutes – 11/14/13
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, Theresa Schlager, Neeral Shah, Amita Sudhir, Linda Waggoner-Fountain, Casey White, Bill Wilson, Mary Kate Worden, Elizabeth Bradley, Lee Eschenroeder, Jean-Baptiste Maitre, Mary Grace Baker, Debra Reed (secretary)
End of Clerkship Evaluation Forms. Elizabeth Bradley presented the new end of clerkship evaluation form that will be piloted during this last clerkship period of 2013-14. Clerkship Directors will be asked to reevaluate the forms after the pilot is complete and suggest changes for improvement. The Committee reviewed the form and suggested configuring oasis reports to cluster questions with like “scales” for ease of use.
Core Entrustable Professional Activities (EPAs) for Entering Residency (CEPAER). The AAMC has proposed a series of EPAs. The draft EPA document can be found on the AAMC website at https://www.mededportal.org/icollaborative/resource/887. An AAMC account is required for access at this time. This draft lists 13 core professional competencies that should be required before a student begins residency. Casey White will look into how the competencies are already or could be assessed in the Medicine OSCE.
Policy on Academic and Professional Advancement. The policy on Academic and Professional Advancement has been amended based on Curriculum Committee suggestions from 11/7/13. Specific changes in remediation for CPD OSCE 1A and 1B were outlined. While OSCE 1A and 1B are formative and ungraded, if remediation is deemed necessary by the CPD director, it should be recommended/required before continuing on to the clerkships. OSCE 1C is summative and required - students must pass this OSCE before they can continue to the clerkships. Remediation will be available during the transition week. Deans Randolph Canterbury and Lesley Thomas are reviewing the document. After their approval is obtained, the document will again be brought to the Curriculum Committee for final approval and implementation.
Clerkship Grades. Don Innes apprised the committee of recent data collection that compares student performance during the clerkships at various sites as well as on the various teams at UVA. Data will be provided both from the registrar’s office as well as the clerkship coordinators. Data from only one quarter of this clerkship year is available at the present time, but as more data is compiled, Jim Martindale will assist in a detailed analysis To improve data availability, more information, i.e. students’ site and team information, could be added to Oasis.
USMLE Step 1 Results for SMD14 and SMD 15. The Committee recently reviewed SMD14 USMLE results. SMD15 results just became available so results from the two years were compared. Slight downward shifts were noted in SMD15 in some areas, but overall score was unchanged. Since fluctuations occur year to year in these scores, no major changes to the curriculum will be made at this time. Mary Grace Baker noted that student “over confidence” in some areas might cause lower than usual scores. Chris Peterson will be asked to stress to students that all threads should be covered in their USMLE Step 1 preparations. Anatomy questions should also be made a more significant component of most summative exams. Proper keywords on each question used on an exam could be used to glean information on how individual students are doing on specific threads.
Feedback on Clerkship Quizzes. The Committee discussed how feedback could be given to students on quizzes in the clerkships without compromising question integrity. Feedback could be given in direct conversations with the clerkship faculty or director and/or online feedback on individual questions. In formative quizzes students should know which questions they got wrong. In some clerkships students are asked to provide feedback to others in the group on incorrect questions. As long as there is some formal plan for feedback in each clerkship, multiple methods are acceptable. Clerkship Directors are concerned with the small pool of questions that online feedback might compromise the question bank. A larger pool of questions might be available to the Clerkship Directors if question already in the databank are properly coded for clerkships as well. Pertinent related “review” questions from the Pre-clerkship period should be included in the clerkship quizzes/examinations, e.g. Anatomy in Surgery or Pharmacology in Medicine.
REMINDER: The Curriculum Committee subgroups should submit their clerkship evaluation reports (due on 11/15/13) to Debra Reed firstname.lastname@example.org.
Donald J. Innes, Jr., M.D.