Minutes 04.14.11

Minutes 04.14.11

University of Virginia School of Medicine
Curriculum Committee
Minutes – 04.14.11

Pediatric Conference Room, 4:00 p.m.

Present (underlined) were: Gretchen Arnold, Robert Bloodgood, Megan Bray, Troy Buer, Chris Burns, Donna Chen, Eugene Corbett, Thomas Gampper, Wendy Golden, Donald Innes (Chair), John Jackson, Keith Littlewood, Veronica Michaelsen, Mohan Nadkarni, Linda Waggoner-Fountain, Bill WilsonMary Kate Worden,  Christina Portal,  Sam ZhaoDebra Reed (secretary) 

  1. Announcements

    A Leadership in Energy & Environmental Design (LEED) Silver Certification from the United States Green Building Council (USGBC) has been awarded for the Claude Moore Medical Education Building. 

  2. Elective Expenses.   An email has been received from a student regarding the Wilderness Medicine Elective.  The student highly praises this elective and asks that funding be arranged for this elective if possible. The SOM does not fund OTPS costs of electives. Students may be required to pay for certain expenses incurred as part of an elective much the same way they now cover costs for outside electives or are required to have certain equipment - stethoscopes, etc.  This will be communicated to the student as well as the Directors of the Wilderness Medicine elective, Drs. Nathan Charlton and Chris Holstege. 

     
  3. Weekend Exam Extension A request was made that the summative exams remain open until Monday at noon (currently exams close at 5:00 on Sunday evening) so that technical support is available.  The Curriculum Committee discussed the issue and agreed that if the exam period were extended into Monday, attendance at Monday activities would be negatively impacted.  The Committee will not recommend extension of the exam period for this reason.  Students should be encouraged to begin their weekend exams during the day time hours so that technical support is available should computer issues arise. A person from John Jackson's office will be scheduled for call during the summative examinations - during the day and evening hours.

  4. Student Work Hours.    The Curriculum Committee unanimously endorsed the following modified Student Work Hour Policy.  From student comments, it appears that clinical rotations almost never require more than the 80 hours specified in any given week.    The policy is amended to reflect changes in resident program rules.  

    Medical students rotating on clinical services (clerkships, selectives and electives) should be subject to the same principles that govern the 80-hour work week for mid-level residents (a maximum of 80 hours of required clinical duties per week averaged over a four week period, no more than 24 consecutive on duty hours with at least 10 hours off between shifts, and on average one day in seven free from all required clinical duties). Four additional hours for the handover of patients (no new patients) after 24 hours is allowed for feedback on clinical decisions and for continuity. Clerkship, electives and selectives directors are responsible for monitoring and ensuring that duty hours are adjusted as necessary. Student duty hours should be set taking into account the effects of fatigue and sleep deprivation on learning and patient care. In general, medical students should not be required to work longer hours than mid-level residents*. (Curriculum Committee 9/9/2004; modified 04/14/2011)

    http://www.acgme-2010standards.org/approved-standards.html
    http://www.acgme-2010standards.org/pdf/dh-ComparisonTable2003v2011.pdf

     
  5. Defining the Curriculum.  The Committee discussed how best to manage and track the content of the SOM curriculum. A system to manage the curriculum must be in place for the next LCME review.  We need to identify where specific items are taught in the curriculum, how the material is tested and also asked to show outcome measures.    X-Credit software is currently in use for the student learning objectives.  Learning objectives are broadly linked to the 12 student competencies as well as to test items in the pre-clinical curriculum.  More work will be necessary to develop more general links from the competencies to the specific learning objectives.  This work will fall to the Curriculum Committee.  Lists of clinical presentations and conditions from other institutions were distributed.  These lists may help in our own structure of such items in X-Credit.  Members of the Curriculum Committee are asked to form a small core group to develop these links.  This group will likely meet on a weekly basis and routinely report progress to the Curriculum Committee.   This process will require both a top down and bottom up approach to linking the competencies to the granular learning objectives. The use of ICD9 or USMLE content lists may help.

    The current LCME Standards may be found on the following website:

    http://www.lcme.org/standard.htm


Donald Innes
dmr