Minutes 03/10/04

Minutes 03/10/04

University of Virginia School of Medicine
Principles of Medicine Committee

Minutes
03.10.04

 

  1. 1st and 2nd year 2004-2005 short medical school schedules for the web.  These schedules were discussed, amended and approved and the final schedules transmitted to Allison Innes in Medical Student Affairs.  The revised calendars can be seen at:

    http://www.med-ed.virginia.edu/handbook/academics/calendar/cal-04-page

    The major change resulted from a request from Chris Gisler, 2nd year President.  The 2nd year students are finding the Period III exam schedule very challenging and requested a decompression of these exams.  The current version and the approved change (evenly spacing the five exams and providing one full study day before each exam) are shown below.  The change results in the loss of one instructional day.  In addition to this scheduling change, the medical students present at the meeting suggested that it would be useful to have the Pharmacology exam before the Psychiatric Medicine exam (and possibly both before the PoM1 excam but this was less important).  In doing the detailed schedules for next year, Bob Bloodgood indicated that we should be aware of overlap in scheduling between first and second year exams, overlap in scheduling an exam at same time as the 2nd floor labs are in use and lastly to avoid scheduling Micro and CTS labs in the 2nd floor labs on the same day (because of the extensive set-up and clean-up associated with the Microbiology labs).


    Yr 2 Period III Exams

    Spring 04 (current)

    Spring 05 recommended

    Tuesday

    Classes                       

    (Mar 2) Classes   

    (Mar 1)

    Wednesday

    Classes   

    (Mar 3)

    Study  

    (Mar 2)

    Thursday

    Study

    (Mar 4)

    Exam   

    (Mar 3)

    Friday

    Exam (Path) 

    (Mar 5)

    Study   

    (Mar 4)

    Saturday

    Study  

      (Mar 6)

    Exam  

    (Mar 5)

    Sunday

    Study

      (Mar 7)

    Study  

    (Mar 6)

    Monday

    Exam (Micro)  

      (Mar 8)

    Exam  

    (Mar 7)

    Tuesday

    Exam (Psychiatric)   

      (Mar 9)

    Study    

    (Mar 8)

    Wednesday

    Study

      (Mar 10)

    Exam   

    (Mar 9)

    Thursday

    Exam (Pharm)  

     (Mar 11)

    Study  

    (Mar 10)

    Friday

    Exam (PoM2) 

      (Mar 12)

    Exam     

    (Mar 11)

  2. Based on the outcome of the February 5th 1st and 2nd year curriculum retreat, the Curriculum Committee formulated a new 1st and 2nd year schedule for the revised curriculum (presumably to start with 2005‑2006). Bob Bloodgood presented the major features of this schedule, which includes the following points:

    1)  Start the 1st year 1 week early (beyond the 1 week change occurring in the Fall of 2004 to accommodate Cells to Society)

    2)  End the 1st year 2 weeks later

    3)  Reduce the summer between the 1st and 2nd years from 12 weeks to 10 weeks (leaving 8 weeks for the summer research program with one week on each side for vacation)

    4)  Start the 2nd year at the same time as is currently the case

    5)  Add a 4 day weekend (Thurs‑Sun) in the middle of the first semester of Yr 1 to coincide with an exam period running from Mon-Wed.

    6)  Add a second week of vacation in the Spring of Year 1.
    Schedule Proposal
    A vigorous discussion ensued, not focused on the details of the schedule per se, but more on the whole curriculum revision that would expand the period of time for clinical training (including selectives and the new Basic Science for Careers) by starting the Clerkships two months earlier and ending the 2nd year courses two months early.  Claudette Dalton expressed concern about the possible loss of the one week Preceptorship program in Year 2.  She suggested moving it to year 1 and using one of the proposed vacation weeks for this activity.  Howard Kutchai expressed the concern that there would be unanticipated negative consequences of the new curriculum. He expressed concern about whether basic science faculty will buy-in to the new curriculum changes.   Julie Turner objected to shortening the period of basic sciences and asked us to consider what sort of final product (in terms of a UVa medical school graduate) we want to produce.  Brian Wispelwey suggested that we could utilize the time in the Clerkships more efficiently.  Virginia Taylor asked about the advantages of the new curriculum.  Bob Bloodgood suggested that these included: 1) Addition of Cells to Society, 2) Addition of Basic Science for Careers, 3) addition of clinical selectives and 4) the ability of students to complete the core Clerkships and even take some electives before they have to decide on their career path (ie. Residency applications).  The3rd and 4th year medical student focus group (as well as medical students on the Foundations and Core Systems D&D Team have argued that starting the Clerkships earlier gives the students a better opportunity to solidify their credentials (to include having completed the Clerkship and an appropriate elective/ACE and even research in the area)  for a particular type of residency program prior to the residency interviews.  Wendy Golden asked for some information about the planned Basic Science for Careers component and whether it would transfer any basic science material from Years 1-2 to this time slot.  The Principles of Medicine Committee asked for a presentation from the D&D Team that is developing the Basic Science for Careers program.   This has now been scheduled for our May 12th meeting and will be give by Vern Juel.   In light of more general concerns about curriculum change, the group present at this Principles of Medicine Committee  meeting decided not to approve/endorse the set of six specific schedule changes (listed above) that were proposed by the Curriculum Committee.

  3. Bob Bloodgood reported that the Curriculum Committee will be conducting a series of mini‑reviews, a  continuation of the work of the Foundations and Core Systems D&D Team, to help us complete an overview of the curriculum.  For each course, selected members of the Curriculum Committee will meet with course representatives.  Dr. Innes will be sending out a memo.

  4. John Gazewood suggested that the Principles of Medicine Committee create a sub-committee to look at some of the national curriculum guidelines, such as those provided by
    ACGME: http://www.acgme.org/outcome/comp/compFull.asp
    LCME: http://www.lcme.org/standard.htm
    AAMC MSOP: http://www.aamc.org/meded/msop/start.htm

    Those members of the committee interested in this sub-committee should contact John.

  5. Don Innes asked Bob Bloodgood to remind the Principles Committee that a Team is working on a new Professionalism Curriculum.  He is seeking feedback from the course directors as to where Professionalism should best be taught in the curriculum.  He also asked each course director to think about how Professionalism might be incorporated into his/her course.

  6. Bob Bloodgood reminded the course directors that last Fall, the Principles of Medicine Committee agreed that all courses in the first two years will post all lecture handouts and Powerpoint presentations on their course web sites.  This can be done using the Course Management tool developed by the Office of Medical Education.

The next meeting of the Principles of Medicine Committee will be held on Wednesday, April 14th, at 2:00 PM .  John Jackson will present his search engine for the education web sites and the committee will discuss possible enhancements to that tool, as well as discuss the larger issues of Curriculum Databases, such as the KnowledgeMap curriculum tool at Vanderbilt.