System Leader Minutes 11/10/10

System Leader Minutes 11/10/10

University of Virginia School of Medicine 
Systems Leadership Community
November 10, 2010


Medical Education Building, Learning Studio, 4:00 p.m.

Present (underlined) were:  Brian Behm, Alan Binder, Robert Bloodgood, Megan Bray, Chris Burns, Mary Bryant, Troy Buer, Bobby Chhabra, Pam Clark, Bruce Cohen,  Eugene Corbett, Alan Dalkin, John Dent, Allison Innes, Don Innes, Kambiz Kalantarinia, Stuart Lowson, Jen Marks, Melanie McCollum, Mo Nadkarni, Bart Nathan, Selina Noramly,  Chris Peterson, Ellen Ramsey, Mitch Rosner, Mark Russell, Neeral Shah, Allan Simpson, Jonathan Truwit, Linda Wagoner-Fountain, Mary Kate Worden, Zhen Yan, Elizabeth Bradley, Addeane Caelleigh,  Terri Ellison, John Jackson, Karen Knight, Darci Lieb, Jim Martindale, Veronica Michaelsen, Sue Pollart, Lisa Herrman, Brad Bradenham, Andrew Pfeffer, Jason Woods.  Students attending:  first-year:  Long Vinh, Tom Jenkins, Mary Grace Baker; second-year: Era Kryzhanovskaya and Christina Portal.
Convenor:  Chris Burns

  1. Demonstration for UVa Medical Alumni Association.  Melanie McCollum presented the request from the association that the school develop a demonstration for the Medical Alumni Reunion Weekend (April 29-May1, 2011).  Specifically, they would like an active-learning exercise that involves the Learning Studio and the Simulation Center.  Because the MSI System has no plans to use the Sim Center, she suggests that another system develop the demo.  All speakers must be confirmed and the CME application submitted in early December.

  2. “Town Hall Meeting” with first-year students.  Chris Burns discussed the main points from the October 28 meeting.  See attached handout for details of the students’ comments about positive features, learning objectives, active learning, and handouts and textbooks.

    Veronica Michaelsen commented that the Evaluation Community recently held a focus session in which the students’ responses were very similar to those at the Town Hall Meeting.  The Community has found that students’ responses are strongly consistent across weekly evaluations, focus groups, and the Town Hall Meeting as well as from randomly selected and self-selected groups.

  3. Thread Leaders Meeting.  Bob Bloodgood reported on the October 27 meeting of Thread Leaders.  The group plans to hold two fall and two spring meetings.  He emphasized the need for Thread Leaders to be informed about plans for upcoming systems and discussions at System Leaders Meetings.  Also, they need to track their content thread through the various organ systems.  Among unresolved issues were the questions of (1) whether it was desirable to have the System Leaders work through the Thread Leaders or to work directly with faculty in the topic area, (2) peer-review of assessment items and coverage, and (3) how Systems were to review and assess materials from prior systems. 

  4. Developing effective TBL applications.  Chris Burns reported for Sue Pollart about upcoming training on TBL.  He reminded the group that each System is required to have at least one TBL activity and longer Systems are required to have one at least every 3 weeks.
  5. Teaching “Animal Physiology” by TBL.  Mary Kate Worden described her experience in using TBL for the undergraduate course in animal physiology.  She has 87 students, 50 of whom plan to apply to the Medical School for entry in 2011, and is teaching them in 13 teams of 6-7 students each.

  6. Systems Planning Meeting on Wed., Jan. 26, 2011, 3:00-5:00pm.  Chris reminded the group that all Systems Leaders for GI onward are expected to attend the Jan. 26 planning session.  He emphasized that each system faces many decisions and details about the operations of their System curriculum and that it is essential to recognize and make them as early as possible.

  7. Communication between Systems.  Chris Burns asked the group for suggestions for improving communication between systems as planning and implementation continue.  In order to make decisions about their own systems, all System Leaders need to know about the questions, issues, and decisions that arose during previous systems.  Suggestions included

    Hold more meetings like “How Are Things Going” that MCM held; it was very useful.

    Cover “How Things are Going” during the regular System Leaders meetings; time could be dedicated to the topic at each meeting.

    The most effective approach is one-on-one conversations between leaders of MCM and other early systems with the leaders of the subsequent systems; but these meetings would need to be set up by staff members because the experienced System Leaders do not have time to do that.
  8. Booklist for 2011.  Chris Burns reminded System Leaders to review the current book list and make changes.  Some members emphasized that, in fairness to the first-year students, the 2010 book list should not be changed except to add a missing, essential item.  Any other changes should apply to entering class 2011.  

    There was considerable discussion of students’ use of textbooks.  A student asked that students be told at least three weeks before each new system which textbooks were required.

    The students and faculty discussed the issue of students’ access to the electronic textbooks through the library, with the librarians and other faculty members emphasizing that students need to let them know if there are problems with access.

  9. Prospective students’ observing classroom activities.  There was general discussion of whether prospective students who “shadow” first-year students should be allowed to attend class sessions with them.  Linda Waggoner-Fountain and Megan Bray emphasized that HIPPA requirements now mean that visiting applicants/prospective students cannot attend any session with patient content unless they have completed a two-hour HIPPA module.  The students emphasized that prospective students are eager to see the new curriculum “in action” and are disappointed that they cannot attend classes.  Several faculty members emphasized that any visitors need to be clearly identified (name badges) and be escorted, that System Leaders need to know when they are expected, and that all visits be under the auspices of Admissions.  Two faculty members expressed how uneasy they have been when unidentified people walk in and out of classroom sessions; one faculty member emphasized the potential security issues (both identification of approved visitors and the security of any visitors).

  10. Next scheduled meeting.  The next meeting will be Wednesday, Dec. 8, 2010, in the Learning Studio of the Medical Education Building.