Working Group on  Clinical Skills Education
Meeting Minutes
June 23, 2009

Present: Darci Lieb, Elizabeth Bradley, Veronica Michaelsen, Melanie McCollum, Mary Bryant, Selina Noramly, Linda Waggoner-Fountain, Gene Corbett, Jerry Short, Randy Canterbury

1. Dr. Randy Canterbury participated in our discussion today, offering opening comments regarding the new curriculum, clinical education and the appointment of a new dean for clinical skills education (EC).
   
   
2. Course design and name:  attendees discussed the time and sequence plan for the Next Generation Curriculum (received from Don Innes). The length of Molecular & Cellular Medicine (MCM) and organ-system blocks are now mapped out and have been incorporated into our clinical theme plan document (attached NGC plan).
   
   Note was also made of the plan for an opening (Monday) and closing (Friday) session on a weekly basis in an effort to frame both the CPDC and the MCM/O-S learning activities.
   
   There was also further discussion regarding an official course name. Arguments exist for calling this professional development course either "CDC" (Clinical Development Course) or "CPDC" (Clinical Performance Development Course).
   
   
3. Draft of clinical themes for MCM course: most of our discussion centered upon the design of the course weekly clinical themes for the MCM phase. The list below represents those themes suggested today as deemed applicable/workable for this phase:
   
   a.  Nutrition
   

   i.	What to eat
   ii.	Vegan concerns
   iii.	Cholesterol
   iv.	Losing/gaining weight

   b.  Birth defects
   c.  Depression/anxiety
   

   i.

   Burnout

   d.  Fatigue
   e.  Intestinal
   

   i.	Nausea
   ii.	Diarrhea
   iii.	Constipation
   iv.	Emesis

   f.  Fever
   g. Bruising/bleeding
   

   i.	Abuse (pediatric, domestic violence, geriatric)
   ii.	Genetics

   h. Lump
   i.  Unprotected sex
   

   i.	Panic
   ii.	Hurts to pee
   iii.	Behavioral issues
   iv.	Legal issues
   v.	Pregnancy
   vi.	Contraception
   vii.	Motivational interviewing
   viii.	Date rape
   ix.	LGBT

   j.  Pain
   

   i.

   Appendix

   k. Headache
   l.  Cough
   m.  Passing out
   n.  Substance Abuse
   o.  Trauma/hurt/first aide
   
   
4. Draft-Disciples/themes to interweave throughout the course:
   a.  Professionalism
   b.  Ethics
   c.  Cultural Competence
   d.  Public Health
   e.  Decision Sciences
   f.  Economics/Cost
   g.  LGBT
   h.  IPE
   i.  Social Issues
   j.  Specialty and subspecialty disciplines (peds, geriatrics, radiology, surgery, etc)

On the attached NGC plan, 16 weeks of clinical themes are inserted which reflect these same ideas. They have been transposed into words/complaints that a patient might use to describe the clinical theme. The purpose of this list is to initiate discussion leading to further refinement/revision among the WG, the MCM group and others (organ-system groups) regarding theme selection and wording. Some of these themes may be used repetitively as the curriculum creates the opportunity for students to revisit these ideas at progressively more advanced levels of scientific and clinical study.

Eventual agreement on the weekly clinical theme plan for the full duration of the preclerkship phase will then allow for further development of weekly clinical cases, clinical skill learning experiences, student assessment strategies, and the design of the student portfolio.

Next meeting: July 14, 2009 10:30-12:00 HS Library Classroom