Minutes 04.25.13

Minutes 04.25.13

University of Virginia School of Medicine
Curriculum Committee Executive Management Group
Minutes – 04.25.13

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, Debra Reed (Secretary)

  1. Graphs of Clerkships Grade Comparisons for the Classes of 2012, 2013 and 2014.  The Committee reviewed graphs of grade distributions for each of the clerkships (4 weeks or longer) for three class years.  The numbers of each letter grade in individual clerkships was variable. The Neurology Clerkship grades seem to have changed distribution more than other clerkships – probably due to new clerkship leadership and initiation of a stricter grading rubric.   Family Practice does give more “A” grades than other clerkships likely a result of the difficulty of weighing and compensating for the variation in preceptor reviews. The grade comparisons will be shared with the Clerkship Directors demonstrating the desire for a more standardized distribution without implementing a policy of strict limitations on grade distribution.  Committee members were asked to forward additional ideas on how to better standardize the Clerkship grades to Don Innes.

  2. CPX and OSCE Reviews.   Casey White provided evaluation data/plans for the CPX and OSCEs.  The Committee reviewed the scores for each item in the CPD-1c OSCE as well as plans for the upcoming Medicine OSCE being implemented May 2013.   Some items in last year’s CPD-1c OSCE have been deleted due to relevance and student performance on the item.  The Committee asks that the OSCE Committee review carefully these deletions to make sure they are truly warranted.  All students now take the CPD-1c OSCE during the Dx/Rx just before their clerkships begin. All students will take the Medicine OSCE at the end of the Medicine block.  The OSCEs appear to be excellent preparation for the USMLE Step 2CS.  The Committee also noted that including substance abuse history might be appropriate for some of the cases, i.e. treating chronic pain in knee injury.  Keith Littlewood also inquired whether there would be any value to keeping one case consistent throughout all the OSCEs to delineate student improvement.  Casey White noted that while this might be helpful, it might also increase station familiarity and make results less useful.

  3. Correlation Between System Grades and USMLE Step 1 Score for SMD14.  The Committee reviewed a report compiled by Jim Martindale of the correlation between System Grades and the USMLE Step 1 Score for SMD14.  The report points out that the integrated system grade was a strong predictor of USMLE Step 1 performance. This had been reviewed by the System Leaders earlier.  Jim will be asked to prepare a similar report for SMD15.

  4. SMD15 USMLE Prep Survey Results.  SMD2015 Survey results were reviewed from students who had completed the USMLE Step 1 exam regarding how prepared the students felt they were for Step 1.  Students were asked to reflect on their preparation for Step 1, and answer questions such as – if you could add one more week in the Next Generation Curriculum, what content areas would you add?  The responses indicate that students felt they needed more preparation for pharmacology (36.67%) and microbiology (20.67%). This is similar to the previous year – Class of 2014 so we believe the additional changes made in both areas for the Class of 2016 may help although further work is needed especially in integrating pharm and micro into other systems. Each system was rated for their coverage of normal processes, abnormal processes, gender, principles and therapeutics and ethnic and behavioral considerations.  The survey also asked the students how they prepared for Step 1 – commercial online questions banks  (38.82%) and commercial prep books (hard copy) (32.43%) were favorites.   Results will be reviewed by the System Leaders and will be taken into consideration when preparing systems for subsequent years.

  5. SMD17 Next Generation Curriculum Schematic. A schematic of the SMD17 Next Generation Curriculum was distributed.  System and clerkship scheduling changes have been made.
    Curriculum Schematic SMD2017

Donald J. Innes, Jr., M.D.
Debra Reed