Mintues 03/12/08

Mintues 03/12/08

University of Virginia School of Medicine
Principles of Medicine Committee
Minutes
03.12.08

  1. 4th Year Medical Student Teaching Awards: Wendy Golden reported on this year's medical student teaching awards. Her subcommittee chose two "winners" consisting of three 4th year medical students: (A) Anne Mills for a Clinical Medical Science Teaching Elective in Pathology and (B) Bryan Juen and Ramin Javan for a Clinical Medical Science Teaching Elective in Radiology. There was a discussion about possible venues in which to present the teaching awards and it was decided to use Match Day. Bob Bloodgood volunteered to provide a "prize" to accompany each award.

  2. Discussion of Course Reports continued: There was a discussion of Fall 2007 1st year course reports and presentation of data from those reports at the February 2008 Principles of Medicine Committee meeting. Since Melanie McCollum was not able to attend that meeting, the discussion of the Gross Anatomy course report was carried over to this meeting. There were many changes made to the Gross Anatomy course this year. These included efforts to increase lab dissection time, reduce lecture time, transfer content acquisition to self study and to utilize previous lecture time for whole group discussion, review and quizzing. Course evaluation scores were down from previous years, as were final grades. However, it was noted that significant changes to the grading criteria and exam structure prevents direct comparison of 2007 student performance data with those of previous years.   Dr. McCollum indicated that, using student feedback, there will adjustments made for Fall 2008. A discussion ensued about how many hours of self study a typical medical student performs for each hour of scheduled activities in the curriculum. It was estimated that there was approximately a 2:1 ratio of study hours to scheduled hours. The Gross Anatomy course report, along with all of the other Fall 2007 1st year course reports, are available at:

    http://www.healthsystem.virginia.edupom/crsreports/crsreports-page

  3. Attendance Data and Results of Attendance Survey:

    Bob Bloodgood presented an update on the data on self-reported lecture attendance that are collected from the medical students every semester.  There has been a recent trend of declining lecture attendance during the 2nd year of the curriculum.  The updated data on self-reported attendance for the 2nd year (semesters 3 and 4) of the curriculum are shown below:

    Self-Reported Medical Student Lecture Attendance Data for Sem 1 & 2:


    Class


    Semester


    100-90%


    89-75%


    74-50%


    49-25%


    <25%

    Aggregate Score

    2006

    3

    53

    19

    19

    3

    5

    4.13

    2007

    3

    53

    24

    14

    5

    4

    4.18

    2009

    3

    39

    20

    15

    6

    19

    3.55

    2010

    3

    33

    22

    12

    14

    19

    3.36

    2006

    4

    31

    20

    16

    13

    20

    3.28

    2007

    4

    34

    23

    17

    9

    17

    3.48

    2009

    4

    20

    20

    19

    12

    29

    2.92

    2010

    4

    27

    16

    27

    5

    25

    3.14


    The latest data from the Class of 2010 suggest that the decline in lecture attendance may be leveling off.  In order to collect data addressing the reasons for the decline in lecture attendance during the 2nd year of the curriculum, the Principles of Medicine Committee designed a survey about 2nd year and administered this survey to the current 3rd year class (Class 2009).  The results of this survey (representing feedback from 68 3rd year students) were presented. Selections from these results are shown below.

    Resources

    Attendance Choice

    Factors Affecting Decision Not to Attend Lectures in Fall of 2nd Year (all respondants):

     

    Not Important

    Somewhat Important

    Very Important

    Pressure to study for exams

    20.6%

    39.7%

    39.7%

    Need to prepare for USMLE Step 1

    76.5%

    17.7%

    5.9%

    Many scheduled afternoon activities

    52.2%

    32.8%

    14.9%

    Quality of the lectures

    13.2%

    42.7%

    44.1%

    Increasing Confidence I could identify which lectures I needed to attend and which I did not

    38.8%

    32.8%

    28.4%

    Belief that I learn better through self-study than through lectures

    28.4%

    37.3%

    34.3%

    Availability of extensive web resources

    26.6%

    46.9%

    26.6%



    Factors Affecting Decision Not to Attend Lectures in Fall of 2nd Year (student subset with lowest lecture attendance):

     

    Very Important

    Pressure to study for exams

    52%

    Need to prepare for USMLE Step 1

    5%

    Many scheduled afternoon activities

    24%

    Quality of the lectures

    24%

    Increasing Confidence I could identify which lectures I needed to attend and which I did not

    43%

    Belief that I learn better through self-study than through lectures

    57%

    Availability of extensive web resources

    19%



    Factors Affecting Decision Not to Attend Lectures in Spring (Jan-Mar) of 2nd Year (all respondants):

     

    Not Important

    Somewhat Important

    Very Important

    Pressure to study for exams

    8.8%

    22.1%

    69.1%

    Need to prepare for USMLE Step 1

    22.1%

    20.6%

    57.4%

    Many scheduled afternoon activities

    52.2%

    31.3%

    16.4%

    Quality of the lectures

    10.5%

    44.8%

    44.8%

    Increasing Confidence I could identify which lectures I needed to attend and which I did not

    24.6%

    40.0%

    35.4%

    Belief that I learn better through self-study than through lectures

    25.4%

    32.8%

    41.8%

    Availability of extensive web resources

    25%

    48.4%

    26.6%



    Factors Affecting Decision Not to Attend Lectures in Spring (Jan-Mar) of 2nd Year (student subset with lowest lecture attendance):


     

    Very Important

    Pressure to study for exams

    76%

    Need to prepare for USMLE Step 1

    67%

    Many scheduled afternoon activities

    14%

    Quality of the lectures

    43%

    Increasing Confidence I could identify which lectures I needed to attend and which I did not

    48%

    Belief that I learn better through self-study than through lectures

    62%

    Availability of extensive web resources

    10%



    One thing that seems clear from the survey is that the availability of extensive web resources is not a significant factor in reducing lecture attendance.  This is supported by the literature (Billings-Gagliardi and Mazor, 2007, Student decisions about lecture attendance: do electronic course materials matter? Acad. Med. 82:S73-S76)

    Relative Importance of Lecture Characteristics Affecting Lecture Attendance:


     

    Not Important

    Somewhat Important

    Very Important

    Too many lecturers and too little continuity

    30.8%

    35.4%

    33.9%

    Poor faculty teaching skills

    16.7%

    45.5%

    37.9%

    Failure to use resources to stimulate learning (Powerpoint, ARS)

    51.6%

    34.4%

    14.1%

    Lectures are mere recitations of handouts

    12.3%

    35.4%

    52.3%

    Lectures are not clinically relevant

    33.9%

    36.9%

    29.2%



    The entire survey of the Class of 2009 on the 2nd year attendance issues will be posted to the Principles of Medicine web site.

    The next meeting of the Principles of Medicine Committee will be held on Wednesday, April 9th at 2:00 PM.