University of Virginia School of
Principles of Medicine Committee
March 13, 2002, Jordan 1-17.
Present: Eve Bargmann, Robert Bloodgood, Bruce Cohen, Al
Conners, Carl Creutz, Claudette Dalton, John Gazewood,
Barry Hinton, William Hobbs, Joel Hockensmith, Donald
Innes (Chair), Robert Kadner, Howard Kutchai, Kevin
Lee, Heidi Scrable, Darci Lieb, Julie Turner,
Virginia Taylor, Brian Wispelwey, Wendy Golden,
Allison Innes, Jennifer McClune, Richard Pearson,
Jerry Short, Karen Grandage, Susan Squillace, Gary Owens,
William Petri, William Wilson, Marcia D. Childress, Elizabeth Bradley,
Vinay Chandrasekhara, Alfa Diallo, Dave Dougherty, Nelle Linz, Paul
McIntosh, Debra Reed (Secretary) Guest: Beth Bailey
- Clinical Associates. While the clinical associate program
has not performed as expected, most course directors have found
alternative pathways to clinical relevance. Course directors sited lack
of availability and/or interest on the part of the clinical associates
assigned to them. Some course directors also were not aware of what the
exact role of the clinical associate should be. Many of the basic
science course directors have established working relationships with
physicians in their own department or in other departments such as
radiology to assist with clinical relevance of the material presented.
One course director noted that when a physician reviewed his courses
curriculum for clinical content little was gained. Breadth versus depth
issues were a primary target of the clinical associate program.
The use of 4th year students participating in the Teaching Elective was
suggested as another means of maintaining clinical relevancy (and
breadth versus depth). This elective was selected more often when there
was a Teaching Award given by the Mulholland Society. Don Innes and the
Curriculum Committee will look into this and see if such an award can
be re-established on a more permanent basis. Richard Pearson will also
talk to the students about this at their elective introduction meeting
in April and follow-up with an e-mail.
- Use of retired faculty/physicians for medical teaching. The
use of retired physicians willing to participate in medical student
teaching is a great potential resource for course directors and is
- 2002-03 Scheduling Issues. The Fall 02-03 first year
schedule is complete. Dr. Kutchai reported that work on the Spring
02-03 first year schedule has begun and will be finished by April 1.
Second year course directors will meet on 3/14/02 to finalize their
- Grading Task Force Proposal. (Robert A. Bloodgood) The
amended Grading Task Force Proposal was presented to the Committee. The
proposal now includes instituting the P/F system into both the first
and second year of medical school.
Arguments in favor of including both first and second year:
1) virtually all medical schools have the same grading system in the
first two years
- 2) all arguments for the P/F system in first year worked for the
second year also
- 3) changing from P/F in first year to A-F system in second year
would probably not be well-received by the students
- 4) having P/F in first year and not in second might send a message
that first year courses are not as important as those in second
- 5) grades from the basic science years are not high on the list of
selection criteria for residency selection
- 6) comparison data with boards, etc. between classes should be more
Arguments against including both first and second year:
- 1) AOA selection will be made at end of the third year
The selection of students for year end awards from the basic science
courses was discussed. Guidelines on how these selections will be made
will be discussed further prior to implementation of the P/F
The Principles of Medicine Committee members expressed no major
concerns with the proposal.
The proposal will now be presented to the Dean. If this proposal is to
be instituted on schedule, the Admissions office must be notified by
June 15, 2002.
- Cabell Room. The Health Sciences Library has reopened the
new and improved Cabell Room. Course Directors were asked to recommend
it to the students as study space.
Minutes submitted by: Donald J. Innes, Jr., M.D. Date: March 14,