University of Virginia School of
Medicine
Principles of Medicine Committee
Minutes 11.08.00
November 8, 2000, 1:30 p.m., Jordan 1-17.
Present were: Robert Bloodgood, Bruce Cohen, Alfred
Connors, Claudette Dalton, Carl Creutz, John Gazewood,
Wendy Golden, Barry Hinton, William Hobbs, Joel
Hockensmith, Donald Innes (Chair), Robert Kadner, Howard
Kutchai, Heidi Scrable, Jennifer McClune, Darci Lieb,
David Moyer, Lucia Smerage, Virginia Taylor, Brian Wispelwey,
Karen Grandage, William Petri, Allison Innes, Richard Pearson,
Jerry Short, Eugene Corbett, William Wilson, Gary Owens, Susan
Squillace, Mariecken Verspoor, Vinay Chandrasekhara, Atul Gupta, Joey
Dubose
- Second Year Exam Schedule. A student has requested that the
exam schedule be altered for the December exam period. The exam
schedule was designed to make sure that no one course was always first
or last in the order of exams. The majority of students in an informal
poll during ICM felt the exam schedule was fine as it was and should be
left alone. The "Principles" committee decided that the schedule should
not be altered at this time.
- Grading Policy. Al Connors will assemble a subcommittee of
faculty and students to examine grading issues. The subcommittee will
explore ABCDF versus pass/fail grading systems, +/- issues, as well as
any other grading controversies. The subcommittee will report back to
the Curriculum Committee when their findings are complete.
- PoM-2 Design Group. A committee made up of Eve Bargmann,
John Gazewood, Darcy Lieb, Karen Maughan, Jonathan Moreno, Hilary
Sanfey, Jerry Short, Susan Squillace, and Brian Wispelwey will meet for
the first time 10/10/00 to begin the process of transforming ICM into
PoM-2. The following is the charge to be presented to the design team
for the ICM transformation into PoM-2.
- a) Ensure a smooth integration of PoM-1 content and skills with
PoM-2, especially in regard to interviewing skills and physical
diagnosis.
- b) Increase the frequency of patient contact and the level of
physical examination and interview skills training in PoM-2. Develop a
plan to increase formal inpatient and outpatient clinical exposure in
the second year for all students.
c) Ensure a smooth transition from PoM-2 into the clerkships in regard
to clinical interview and physical examination skills. Develop a plan
to incorporate elements of the skills and content currently addressed
in the Basic Patient Care Skills course (Transition course) into
PoM-2.
d) Improve the interdisciplinary nature of weekly tutorial cases to
involve when appropriate Ob/Gyn, Pediatrics, Surgery, and Psychiatry as
well as Medicine.
e) Improve topical coordination between PoM-2 and the other second year
courses (Introduction to Psychiatric Medicine, Microbiology, Pathology
and Pharmacology).
- Curriculum Self-Assessment Form.There have been no
substantive changes recommended for the format of the curriculum
assessment form. The Office of Medical Education asked for a short one
paragraph descriptions of each lecture in conjunction with AAMC coding
of topics. The list of topics provided by the AAMC will be provided to
the Principles of Medicine Committee either via e-mail or the
web.
- LCME Response.The response is being readied. The School of
Medicine has made good progress in addressing their concerns. LCME
concerns regarding governance, evaluation and course improvement,
evaluation and documentation of procedural skills during the
clerkships, expansion of ambulatory care experience, faculty by-laws
regarding committee structure, and space issues have been addressed in
this report.
- Exploratory Design Group.A group of interested faculty and
students will be created to develop the exploratory program. Contact
Don Innes <dji@virginia.edu> if you are interested. Exploratories
may include basic science, clinical or community service activities
related to medicine.
- Exam Policy.Suggestions made at the last Principles meeting
regarding examination procedures seemed to work well. In the design of
next years schedule, coordination of examination periods to allow use
of both Jordan 1-14 and 1-5 for exams should be considered.
Course directors were asked to confirm what space is available for
their exam prior to announcement to the students. Consideration will be
given to adding the library or portions of the library to the places
for exam administration when current library renovations are
finished.
The Hinton/Taylor model of a page on the front of the exam for students
to write comments regarding individual questions worked well for
Pathology. The comments from the students were reviewed immediately
after the exam and ambiguous, misleading or incorrect questions were
discarded prior to scoring. In addition, both Pathology and
Pharmacology answered no student questions during the examination
period and found the process satisfactory.
- Mulholland Awards for 4th Year Teaching Electives. Last year
numerous students participated in this teaching elective. The students
who participated gained valuable basic science and teaching experience
and courses were enhanced by their participation. However, course
directors report few, if any students contacted them this year. Don
Innes will contact the Mulholland President, Joey DuBose, and the
Electives Director, Margaret Mohrmann about this.
Minutes submitted by: Donald J. Innes, Jr., M.D. Date: 11/10/00
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