Minutes 11.13.13

Minutes 11.13.13

University of Virginia School of Medicine
Pre-Clerkship Meeting
Minutes – 11/13/13

Claude Moore Medical Education Building, Room G165, 4:00 p.m.

Present: Dela Alexander, Ginny Atwell, Randy Canterbury, Celia Dennison, Matt Dickerson, Elizabeth Gay, Allison Innes, Don Innes, Kambiz Kalantari, Robin LeGallo, Janet Lewis, Darci Lieb, Ulrike Lorenz, Melanie McCollum, Bart Nathan, Sabrina Nunez, Dick Pearson, Barb Rogers, Paula Roy, Neeral Shah, Melanie Tomlin, Anne Tuskey, Linda Waggoner-Fountain, Casey White, Mary Kate Worden, Michelle Yoon

  1. Discussion of PRL Transcripts Ulrike Lorenz reported that the close captioned PRLs for Colin Hill were of very poor quality, requiring her faculty to edit and correct the transcripts provided by the captioning company. At a CSL meeting, students requested copies of these transcripts for their use in studying and creating their class Google document. After a lengthy discussion of the pros and cons, it was decided by the group to not make these available to students in SMD17 as it was not provided for SMD16 in the past and will not be provided for SMD18 going forward.

  2. Reminder from Elizabeth Graham (in absentia) Please get information re: patients for Patient Presentations to Eva Casola at least 2 weeks prior to the activity to enable her and her staff to make the necessary arrangements.

  3. Elizabeth Gay Presents on the Pulmonary System Dr. Gay discussed the successes and challenges of the Pulmonary System.

    Changes from Previous Year

    A.   All physiology sessions were moved to the Week 1 of the system with an emphasis on normal physiology and minimal clinical correlation.  Week 2 consisted of Obstructive and Restrictive Diseases and Week 3 was spent on Pulmonary Infections, the TBL and Review sessions.  This organizational flow worked well and will be used again next year.

    B.   Students had Acid-Base in Renal, which preceded Pulmonary, which made it easier for students to comprehend many pulmonary processes.

    C.   David Moyer’s lecture on Mechanics of Breathing was added this year.  He used the document camera and drew diagrams, which he then discussed with the students to make it very engaging.  This was followed by 1 or 2 simple cases to reinforce the information.

    D.   The last day was devoted to cases with Cardiology, which helped students integrate both systems.  Next year they hope to add Renal cases to reinforce that as well.


    A.   Resources need to be refined further.
    B.   Some activities still are too high-level for Med2 students.
    C.   Some “lecture creep” in activities that were supposed to be engagement
    D.   Formative questions were greatly improved but Summative were not at a high enough level

  4. Sabrina Nunez and Robin LeGallo Present on the CTMD System Drs. Nunez and LeGallo discussed the successes and challenges of the CTMD  System.

    A.   This is the first year of the new Cells, Tissues and Mechanisms of Disease (CTMD) system.  Robin showed a diagram she used to set up the system for the students.  Week 1 focused on Embryology, Week 2 Vasculature, Week 3 Cell Injury and Repair and Week 4 Cancer. 

    B.   Week 1 included a normal autopsy, imaging & histology (again with an emphasis on normal), and luminal GI w/ clinical connections as that will be one of the first clinical systems the Med1 students encounter. Robin recorded many short PRLs to teach focused concepts and the week ended with a problem set, which the students liked because it “closed the loop”.

    C.   Week 2 included genetics and vasculature. There were a lot of separate activities, which need to be more integrated next year.  Also too much new information on Friday of a formative assessment – this will be different next year.

    D.   Weeks 3 & 4 included a lot of the same cancer activities as were in MCM – highlights included a problem set with residents & faculty in small groups.

    E.   What Worked Well:

    •      Integrative exercises combining multiple sessions (i.e. Embryology problem set, Cancer case studies)
    •      PRL to prep for new activities (mostly histopathology)
    •      Circulating instructors in active learning sessions
    •      Connections to previous systems (FoM) and within the system
    •      Continuity of instructors
    •      No self-standing SDL content

    F.     What Can be Improved
    •      Do not introduce new content on Friday before formative
    •      Improve the timeliness of delivery of resources
    •      Replace low-stakes “Pre-class” readiness quizzes with application opportunities
    •      Continue to work with all instructors to improve the LO-content connections
    •      Ensure there are no stand-alone lectures (i.e. that all lectures have an associated active learning session to allow application)

    The focus next year will be on explicitly stating the connections between sessions and how they support future systems, setting student expectations for material mastery before and after sessions, improving the connections to previous course (FoM) and revisiting all “lecture” content in application exercises.

  5. Survey Monkey Presentation:  This will be deferred until the next meeting as time ran out.

There was some discussion about the make up of SMD17 vs previous classes, and Dr. Canterbury reported that the average age is increased, it is more diverse, and also cited the improved Orientation as a factor.


Barbara Rogers, ISC