University of Virginia School of
Curriculum Executive Management Group
Minutes – 12.08.11
Pediatric Conference Room, 4:00 p.m.
Present (underlined) were: Peter Ham, Donald Innes (Chair), John Jackson, Keith Littlewood, Nancy McDaniel , Bart Nathan, Mary Kate Worden, Debra Reed (Secretary)
A recent article from AMA News – “More medical schools face LCME sanctions after deviating from standards” was distributed and discussed. “Violations differed among the schools. Among problems cited were a lack of policies to ensure diversity among students and faculty, no central management of clinical programs and a heavy reliance on lecture courses for the first two years of medical school.” All three of these issues are actively being addressed in the UVA SOM at the present time. The possibility of hiring a permanent LCME officer on site is being discussed. Remediation for schools needing significant improvement now includes required yearly reports and evaluation.
2012 Second Year Class Start Date. The first year class will return after summer break on Thursday, August 2, 2012. The Committee agreed that bringing the second year back at the same time (August 2, 2012) would allow students time for a more gradual immersion into the fall semester. Items such as a pulmonary/cardiovascular joint activity, anatomy and physiology would be included in this two-day period – keeping the student pre-activity requirements low. It was suggested that during this two-day period, the Harvey sessions and EKG introductions could be enhanced as well as allow time for the addition of an introductory session. Ultimately, it would be up to the Cardiovascular System Leaders to decide what should go into these two extra days. Guidelines will be provided by the Curriculum Executive Management Group. The Committee agreed that a gradual “build up” of course work should be initiated. This return of both classes at the same time would allow opportunities for social interaction between the classes over the first weekend.
Creating a Clinical Experience Continuum. Nancy McDaniel spoke to the committee regarding the clinical experience in the curriculum. She is actively seeking information on the current state of the clinical curriculum from system leaders and clerkship directors. She will work to develop clinical threads that may be addressed in multiple disciplines. The goal is to identify these threads (i.e. nutrition, diabetes, etc.) and track student progress. The advent of the integrated online passport should help to track student competencies. Having a summary note on each student in oasis as the student rotates through the clerkships would help to identify those who struggle with certain clinical scenarios and assure remediation in subsequent clerkships. Clerkship directors would review these summative notes prior to the arrival of the each block of clerkship students. Faculty development would be necessary to make sure students were remediated and not penalized for needing the remediation.
A summation of patient logs across all clerkships has been developed. This summation will be sent to the Curriculum Executive Management Group for review. Passports will be reviewed looking for threads or patterns that could be enhanced throughout. The possibility of having encrypted patient MRNs included in the patient logs so that audits are possible is being discussed with Hospital Administration. Dr. McDaniel plans to have clinical experience improvement suggestions on paper by the end of January.
Quality of images used in CPD. It was noted that some of the radiologic images in the MMDB used in the CPD cases are lacking in quality and clarity. The directors of CPD will be asked to review all the images and ask the Radiology thread leader, Juan Olazagasti to replace those images that need improvement. Sufficient time should be allowed for these images to be found and digitalized.
The Curriculum Executive Management Group will meet on 12/15/11 but will not meet on 12/22/11 or 12/29/11 due to the upcoming holidays. This group will meet with the entire Curriculum Committee on Thursday January 5, 2012.
Donald J. Innes, Jr., M.D.