University of Virginia School of Medicine
Systems Leadership Community
December 8, 2010

  Minutes

1. Student Report.  Vinh Long requested that the formative examinations be opened for review online. Currently students check out a paper copy during specified afternoons.  This system can create a bottleneck on afternoons prior to a summative. If the students were to be able to view the answers to the formative assessments online, this would eliminate the bottle-neck. [After much discussion it was decided to keep the current manual system for formative and summative review in place. Concerns focused on the small size of the question pool and question security. Limits on  the hours for review and proctoring were discussed. This should be reconsidered in future years.]
   
   
2. Kimberlye Joyce.  A new Instructional Designer in the Office of Medical Education Support, Kimberlye Joyce, M.Ed. was introduced to the Systems leaders by John Jackson.
   
   
3. Technology update.  John Jackson provided an update on progress with the digital lab and providing simultaneous access for 155 students. John will be requesting faculty help (Bob Bloodgood, Don Innes, Mary Kate Worden, in evaluating the two systems for virtual digital microscopy.  Juan Olazagasti, from radiology will be asked to evaluate because of the possibility of adding radiographs. "Clicker" reliability remains an issue so using "clickers' for attendance or grading is discouraged for the time being.
    
4. Professional Expectations. Peer assessment and mentoring relationships, in part through the "college advisory system" hold the most promise to actively promote professionalism in medical training. Recent questions such as “make[ing] Monday or Friday classes optional for those of us who need to go somewhere on the weekend”, spring examination schedules, failure to wear white coats, or “clicker tests” and other issues regarding responsibility, accountability, communication, conflict resolution, team motivation, self-motivation, and humility.
   
   We should consider an update on professionalism expectations, perhaps early in the new year to address these. Domains of professionalism that allow for a measure of evaluation and formative feedback are as follows: respect, responsibility and accountability, knowledge and skills, excellence and scholarship, honor and integrity, altruism, leadership, caring, compassion and communication.
   
   A reminder that the first of the Competencies Required of the Contemporary Physician is the development and practice of a set of personal and professional attributes that enable the independent performance of the responsibilities of a physician and the ability to adapt to the evolving practice of medicine. These include an attitude of:
   
   

   a)	Humanism, compassion and empathy,
   b)	Collegiality and interdisciplinary collaboration,
   c)	Continuing and lifelong self education,
   d)	Awareness of a personal response to one's personal and profession limits,
   e)	Community and social service,
   f)	Ethical personal and professional conduct,
   g)	Legal standards and conduct,
   h)	Economic awareness in clinical practice;
   i)	Cultural competency in clinical practice and professional relationships.

   
   
5. Use only the generic names of drugs. No trade names. GENERIC ONLY in classroom discussion, handouts, and examination questions.
   
   
6. PRAISE and CONCERN Cards. When Systems Leaders have concerns about the performance and/or professional behavior of a student they should use the following mechanism to express this concern. This information is collected by Student Affairs and is transmitted to the Student Affairs Deans. The information will be used by the Deans to constructively to help the student. If you wish to praise the performance and/or professional behavior of a student the information will be conveyed to the student and noted in their file. The website for expression of Praise or Concern is
   
   http://www.med-ed.virginia.edu/forms/professionalismeval.cfm
   
   John Densmore, Associate Dean for Student Affairs 1st year students
   Richard Pearson, Associate Dean for Student Affairs 2nd, 3rd, and 4th year students
   
   FYI, we are getting our annual, or bi-annual, complaints about the use of the library study space by students from outside the SON and the SOM.  I am working with Karen Knight to get a message out to the students to explain that we are different from the Law or Darden in our broader mission and funding sources and that we serve a wide constituency.  I am also reminding them, though, that access to the 24-hour study area is limited to only Health System affiliates.
   
   
7. Note added following the meeting:
   
   LGBT Thread. A new thread has been added  - the LGBT Thread. The "Thread Leader" in this instance is a group of students from qMD. Because they are students and come form all years they may not be readily available for meetings. Having several people involved should allow for at least one individual to be present. Also it allows for some measure of continuity as the students come from various graduating classes. Although there are several people in the LGBT Thread, this Thread has no more or less voice or vote than any other Thread. Bob Bloodgood will be adding the contact information to the Thread list.
   
    

DJI

12.14.10