Minutes 10/22/03

Minutes 10/22/03


University of Virginia School of Medicine

Principles of Medicine Committee

Minutes 10.22.03

  1. Bob Bloodgood reported back that he had met with John Jackson about a change to the feedback on the graded Quiz web tool that were requested by Julie Turner.  John Jackson has now made that change, so that students now see the same kind of feedback that they see when they take the practice Quizzes

  2. Bob Bloodgood reported back that he had met with John Jackson about our request for an upgrade to grade reporting tool on the web evaluation site so that, when we post a set of exam scores, a histogram will be automatically created and the medical students will be e-mailed the URL for the histogram. John has gladly agreed to do this but wanted the Principles Committee to decide on a uniform format for the histograms.  The group decided to ask John for a uniform histogram of scores from 50% to 100% in 1% increments. This information was passed on to John Jackson

  3. The McIntosh and PC computers in the lecture halls Room 1-5 and 1-14 now have both hard wired and remote mice.

  4. Virginia Taylor, who had previously agreed to coordinate the 4th year medical student teaching awards program, is now assembly the Teaching Awards Committee for this year, which will have two basic science faculty chosen by the Principles of Medicine Committee, two clinical faculty chosen by the Practice of Medicine Committee and four students chosen by the Mulholland Society. Virginia volunteered to be one of the two reps from the Principles Committee and asked for volunteers for the other position.  Wendy Golden volunteered to be the other representative.  It had been originally intended that candidates for the teaching awards would be limited to students who registered for 4th year teaching electives. It was pointed out that other fourth year students perform activities that can involve a teaching component. The Principles Committee agreed to allow any 4th year students who wanted to submit the appropriate teaching credentials to compete for the 4th year medical student teaching awards.

  5. Bob Bloodgood reported that Richard Pearson has provided some information about the start of the Fall 2004 first year schedule. The 1st year schedule will begin on Monday, August 23rd. Monday and Tuesday of that week will be used for the traditional medical student orientation. Wednesday, Thursday and Friday morning will be used for the new Cells to Society curriculum enhancement initiative.  The regular course of lectures and labs will begin the following Monday, August 30, 2004  (in contrast to Monday August 25, 2003).

  6. The main part of the meeting was led by John Gazewood. John distributed a summary of the feedback he had collected from the Principles Committee in response to two questions: 1) What suggestions do you have for improving the curriculum in Years one and two?  And 2) If the basic sciences had to end a month or two earlier than is the present case, what method should be used to decide where to make cuts in time allocation?   John divided the summary of the feedback into three sections: 1) process, 2) suggestions for improving curriculum and 3) What process to use to make cuts in time allocation?  John then broke the committee into four groups.  Each group was asked to discuss the process issue of how the Principles Committee should arrive at consensus suggestions for improving the medical curriculum in the first two years.  Each team was asked to report back to the entire groups. The reports from the four groups are given below.  Note the Group numbers are arbitrary and may not match the group number used during the meeting.

Group 1:

  1. Ask SMEC (Student Medical Education Committee) to develop a proposal for a curriculum for first two years of medical school within the proposed time restrictions
  2. Hold a Faculty Retreat in order to learn what others are doing, see the Atotal@ curriculum picture, share and communicate and use the flexible/ Apost-in@ note style that would allow one to move around segments of the curriculum and try different arrangements.
  3. Gather all applicable criteria (USMLE, AAMC, ABME, ACGME and IoM).
  4. Hold a focus group of residents and house staff for input from both former UVa medical students and people who were medical students elsewhere.
  5. Invite Marva Barnett (Teaching Resource Center) to a Principles meeting.
  6. Have selected faculty demo (take)  the USMLE Part I.

Group 2:

  1. Evaluate content of current curriculum
    Look at schedules (timing/sequence)
    Student focus groups (1st through 4th year students)
  2. Obtain data on learning process
    Look at research data from experts (Teaching Resource Center, International Association of Medical Science Educators)
    Obtain information from other medical schools

Group 3:

  1. Obtain information from USMLE and Clinicians
  2. Have medical students evaluate all of the individual courses (have 3-5 medical students meet with course director and/or course faculty and discuss volume of material, overlap with other courses, identify confusing segments)
  3. Look at lecture structure

Group 4:

  1. Obtain input from medical students and MSTP students
    Engage students in a method that will allow them to speak freely.

Joel Hockensmith proposed that we create a database of information for all the courses, with each lecture associated with 6 keywords B 3 keywords denoting course content, and 3 keywords denoting disease oriented comment, (perhaps related to the Amajor diseases of our time theme@ in the curriculum reform proposal). This could be used for coordinating content across courses and for reducing overlap.

One common theme across at least 3 of the 4 groups is to obtain input from medical students.  At the individual course level, we do this every year for every course. In terms of the overall curriculum, the AAMC mandates a survey of 4th year students each year.  The Dean=s office also holds periodic Town Meetings with randomly selected students from all classes.  Dr. Short and Dr. Innes periodically holds meetings with 1st or 2nd year class for curriculum input.  As a part of the activities of the Foundations of Medicine and Core Systems Design and Development Team, Maria Meussling, the Mulholland Society President, organized a Focus Group of 3rd and 4th year medical students to comment on the 1st and 2nd year curriculum, feeling that 3rd and 4th year medical students would have a better perspective on the 1st and 2nd year curriculum, because they would have completed the first two years and had some or all of the clerkships.  This group met on October 7, 2003, alone for an hour and then met with three faculty for an additional hour and a half.  Two of the faculty present independently took notes on the input from this Focus Group.  Dr. Pearson is having a Town Meeting with students from all four classes in November.  Jerry Short will be doing a large survey of the medical students this semester as a part of preparation for the LCME (Liaison Committee on Medical Education) accreditation process.  In order to allow the Principles Committee to benefit from some of these data that have been collected from students, we will start by sending you the following documents (in a separate e-mail):


    1. Comments from the 2003 AAMC exit interviews of UVa 4th year students
    2. Table of quantitative data on course evaluations from 2003 AAMC exit surveys.
    3. Comments from a meeting of 2nd year students held in February 2002
    4. Comments from a meeting of 2nd year students held in September 2003
    5. Bob Bloodgood notes from Focus Group of 3rd and 4th year students Oct 7, 2003
    6. Eve Bargmann notes from Focus Group of 3rd and 4th year students Oct 7, 2003

The next meeting of the Principles of Medicine Committee will be held on Wednesday, November 12th, at
2:00 PM in Room 1-17, Jordan Hall.

2:00 PM in Room 1-17, Jordan Hall.

2:00 PM in Room 1-17, Jordan Hall.

Minutes prepared by R.A. Bloodgood