Minutes 081413

Minutes 081413

Minutes of Pre-Clerkship Commitee Meeting

August 14, 2013


Attended:  Sabrina Nunez, Neeral Shah, Laurie Archbald, Eric Ness, Don Innes, James Moak, Randy Canterbury, Melanie McCollum, Eva Casola, Allison Innes, Mary Kate Worden, Linda Waggoner-Fountain, Paula Roy, Michelle Yoon, John Jackson, Darci Lieb, Celia Dennison, Matt Dickerson, Kambiz Kalantari, Elizabeth Bradley, Barb Rogers, Janet Lewis, Elizabeth Gay, Mike Hrdy.

Reminders and Announcements:

  • SMD16 rosters have been changed since a student dropped out. 
  • Matt Dickerson was introduced as the interim manager of the Educational Technology Group – he reported that interviews are ongoing for John Jackson’s replacement
  • Dr. James Moak was introduced as the new System Leader for CPD – he reported that he has met with the system leaders for the Fall semester but has not yet met with the Spring semester faculty and looks forward to doing so.
  • Sabrina Nunez reported that there is now a Mac version of Turning Point – Matt is currently testing it and will let system leaders know when it is ready to use.


Attendance Requirement and Session Podcasting:

Don Innes opened the discussion of the draft attendance policy to be included in the Student Handbook.  Dr. Kalantari expressed the opinion that requiring students to attend large group discussions and clinical case presentations is problematic for several reasons:

  • The session may be designated as interactive and may end up being more of a lecture if the faculty member leading the session chooses to do so.
  • Class discussion may be too easy and students could have figured out the answer on their own without coming to class.


There seemed to be general agreement among system leaders present at the meeting that activities in which students are accountable to each other should be mandatory (TBL, lab, small group) or where it is a matter of professionalism (patient presentation).  A survey will be created and sent to all system and thread leaders to get their input on this policy.

Assessment Committee:

Dr. Randy Canterbury reported the results of the most recent meeting of the Assessment Committee:

  • An OSCE for CPD-1c has been standardized
  • CPD-1 a&b are developing formative OSCEs
  • An OSCE for Medicine has been standardized
  • An OSCE for Surgery is currently in process but not finalized
  • For systems with no OSCEs, a script accordance test for clinical reasoning is being developed
  • Multimedia in assessment questions – multiple choice question assessments should have more multimedia test items (videos, heart sounds, etc.).  Locally, Karen Knight would be a good resource for a database with these resources.  Sabrina reported that Kaplan and USMLE World are two online sites for these types of resources. 
  • Progression of difficulty – assessments should become more difficult over the course of the 18 month curriculum so that by the end there are 10% “easy” or less complex questions and 90% “difficult” or more complex questions.


Communication with Students:

  • Sabrina reported the results of a survey sent to system and thread leaders requesting their input on their preferred method of communicating with students – either thru the Discussion Forum, emails, or a combination of both.  (Sabrina – you may insert the results of the survey here if you so desire).   Topics of discussion included:
  • Method of communication does not have to be consistent between all systems, but each system should be consistent during the weeks it is running.
  • Two students reported their own opinions that the Discussion Forum would be used by more students if it was anonymous.  John J reminded the group that the DF was anonymous during the first year of NxGen, but students were not using it in a professional way so it was changed to make students more accountable for their postings. 
  • About 50% of the faculty responding to the survey indicated they did not know how to use the DF, so if that is to be used more effectively there needs to be some faculty development in this area.


History of Medicine Curricular Thread:

  • Fourth year student Mike Hrdy reported that a survey about the inclusion of historical perspectives in the medical curriculum was recently sent to UVA SOM faculty with 127 responses.  There was a large percentage (~82%) who favored including this in their teaching but currently were not.  Many faculty also seemed interested in seeking help from the History of Medicine Committee. 
  • In general, historical perspectives could be included as one or two slides in a presentation (i.e, a slide showing how the medical profession currently treats a particular disease, followed by a slide showing how it was treated in the past).  This also fosters the notion of life-long learning, as it reinforces the fact that medical knowledge changes rapidly. 
  • A list of sample topics and themes was circulated at the meeting and is available upon request to Mike (msh2pp@virginia.edu) or Dr. Gene Corbett (ecc9h@hscmail.mcc.virginia.edu)