UVa School of Medicine

Working Group on Clinical Skills Education

Recommendations to the Curriculum Committee:

Clinical Performance Development

II Clerkships & III Advanced CPD 

Meeting minutes, Feb. 24, 2011

Present: E Corbett, E Heald, M Keeley, K Littlewood, C Peterson, N Reza, I Stephens, S Zhao

This is the second of 4 CPD 2/3 planning meetings. Discussion continued regarding the creation of specific recommendations for the curriculum committee. Student input benefitted today thanks to the presence of Nosheen Reza and Sam Zhao.

Four recommendation emphases dominated our discussion today:

1. The need to ensure patient and patient-care centeredness of the clerkship experience (student-patient relationship time) :
   
   Limit non patient-centered experiences (what students term “wasted time”):
   
                Lecturing especially in large group sessions
                Non-clinical time
   
   Patient contact from the outset & daily throughout
   All large and small group sessions need to be patient/case centered
   
2. Standardization and specification of clerkship experiences design
   
   Orientation time/content
   Attending physician responsibilities
   Number and kind of clinical case exposure (ED2)
   Independent student Hx & PE (patient evaluation)
   Specific clinical skills to be learned and practiced
   (maximize repetition/limit unnecessary redundancy throughout the year)
   Clinical skills workshops (design and content)
   Clerkship passports
   On call requirements
   Student teaching time
   Student Learning portfolio utilization
   Advance clinical performance development expectations throughout the year
   (developmental principle)
   Continuity of CPD mentoring throughout 4 years
   How to best maintain basic science learning/involvement in each clerkship
   
   
3. Standardization of clerkship student assessment
   
   Shelf/written examination
   OSCE
   Preceptor evaluation
   Resident evaluation
   Self evaluation
   Utilize all 12 objectives categories
   (proportionality of elements for grading)
   
4. Centralization of administration, evaluation,  & accountability for clerkship performance across disciplines
   
   OASIS database utilization
   Student assessment database
   Clerkship/director evaluation & feedback, performance accountability

Next meeting: Thursday, March 10, 12-1:30pm, Mock Learning Studio