Curriculum Committee Minutes 4/9/18

University of Virginia School of Medicine

Curriculum Committee

Minutes – 4.9.18

MCBR, #2700 -4:00 p.m.

Present (underlined) were:

Chair (votes only to break a tie): Megan Bray

Voting: Juliana Bueno, Donna Chen, Aaron Freilich, Barry Hinton, Rachel Kon, Robin LeGallo, Keith Littlewood, Vishal Madaan, Juan Olazagasti, Margaret Plews-Ogan, Steven Powell, Theresa Schlager, Neeral Shah, Ryan Smith, Carlos Tache-Leon, Stephen Wolf

Students: John Hickman, Elizabeth Hoang, Ory Streeter

Non-voting: Gretchen Arnold, Elizabeth Bradley, Maryellen Gusic, Mark Moody, Selina Noramly, Bill Wilson

Staff: Bobbi May

Minutes Reviewed/Accepted. The Committee unanimously approved the minutes from the March 19, 2018 meeting.

Suggested Edit to the Research Status Policy. Dr. John Densmore, Associate Dean for Student Affairs contacted Dr. Bray regarding some VISA concerns that have arisen with students requesting this Research Status, a policy the Committee approved in the fall of 2017. Depending upon the specific Visa, there are “work” constraints.  The policy as it exists now has a requirement “Students must work 35 hours per week.” He is recommending that we change the language in the policy to “Students are expected to engage in research, as part of the research course, for at least 35 hours per week.” The Committee discussed this proposed change and had no concerns regarding it.

Vote: The Committee voted unanimously to approve the revisions to the Research Policy verbiage as outlined above.

Nomination of Peter Schofield, MD to Psychiatry Clerkship Site Director at Western State. Dr. Ann Walling has recently stepped down from the Psychiatry clerkship site director position at Western State. Dr. Jonathon Anderson, Medical Director at Western State Hospital nominated Dr. Peter Schofield who is a senior faculty member there and has held this position in the past. His letter of nomination and CV were circulated electronically to members of the Committee prior to the meeting. No concerns were raised.

Vote: The Committee voted unanimously to approve Dr. Peter Schofield as the Clerkship Director of Psychiatry, Western State Hospital.

Announcement of New SOM Faculty Leadership Positions: Dr. Bray announced to the Committee the recent selection of faculty to open leadership positions. Each of these positions involved an interview process by Medical Education faculty within the SOM.

Dr. Andrew Parsons, Assistant Professor of Medicine, will become the new Foundations of Clinical Medicine Clinical Skills Course Director (formerly CPD).  Andrew has served multiple roles in medical education including as a CPD mentor and assisting with both our intern readiness program as well as the Medicine Residency Program.  In this new position, he will work with Dr. Peggy Plews-Ogan on the design, implementation, and evaluation of the 18-month pre-clerkship Clinical Skills Course to help prepare our medical students for their clerkships.  He will continue as a CPD Coach.

Dr. Kathryn Mutter, Assistant Professor of Emergency Medicine, will become our “Transitions” Director.  She currently manages the 4th-year Internship Readiness Course, coordinating eight separate courses.  She has also served as a CPD mentor.  In her new leadership position, she will use her proven capacity to juggle the required trainings, skills updates, clerkship tours, and other myriad pieces that have become a part of the two-week Transition Course—all designed to help prepare students as they move from the classroom to their clerkships.

Drs. Leigh-Ann Jones Webb, Assistant Professor of Emergency Medicine, and Linda Waggoner-Fountain, Professor of Pediatrics, will work together on our leadership curriculum.  Deans Wilkes and Canterbury have made providing leadership training to all our medical students a priority.  Leigh brings a fresh perspective, experience at other institutions, and soon, an MBA from Darden.  Linda brings long-term experience with our undergraduate medical education curriculum from her many roles including System Leader, Master Assessor, and Residency Director along with a Master’s in Education.  This combination will help move our leadership curriculum to its next phase.

 

Clerkship Reviews- continued.

Otolaryngology.

Reviewer: Carlos Tache-Leon, MD,

Subspecialty Clerkship Director: Katherine Fedder, MD

Subspecialty Clerkship Contact person: Tina Cross

A formal report on the Otolaryngology Component of the Surgical Subspecialty Clerkship was submitted to the Curriculum Committee. The highlights are listed below.

Strengths of the Clerkship.

  • Engaged and energetic clerkship director that is actively evaluating and improving the structure and design of the course, along with its performance and results.
  • Variety of available rotations with flexibility to choose areas of focus and tailor the clerkship to individual interests and needs.
  • Clear interest and commitment to education from faculty and residents that provides a consistently positive experience for students.
  • Good exposure to various procedures in the Operating Room and in the office.

Unique Challenges.

  • Short clerkship, part of the surgical subspecialties that has several generic goals that are tangential to the specific context of the routine practice in this highly specialized field. The students come with insufficient knowledge about the anatomy, physiology and pathology that they will encounter during the clerkship.

Update on Actions Required from Prior Year (2016).

  • The transition to the new clerkship director happened smoothly and without difficulties.
  • The shelf exam is no longer a requirement. Instead the clerkship director has instituted a case report presentation in a small group format, with content review and a feedback session directly with each student.
  • Students are receiving more responsibility and opportunities for direct interaction with patients in clinic and other environments.
  • In response to comments from students and previous clerkship reviews there have been deliberate efforts to expose students prior to their clerkship to the pertinent subjects including:
    • Presence of faculty and residents during first year neck anatomy dissections.
    • Dr. Early is involved in the medical student ENT interest group.
    • Dr. Kesser provides lectures during years 1, 2 and 4.
    • Dr. Fedder, Dr. Daniero and Dr. Shonka participate in surgical boot camp.
    • Dr. Moyer and Dr. Fedder have revamped 4th year head and neck anatomy elective to include faculty from clinical departments   This elective is much more clinically oriented now.

Actions Required for the Upcoming Year.

  • Incorporate Entrustable Professional Activities in the clerkship, including specific requirements for all students, and a way to monitor that they have the opportunity to participate actively in the care of patients under the supervision of a faculty member, and receive useful feedback following the encounter.
  • Standardize a core set of requirements across the five different rotations, in order to ensure a consistently positive and fruitful experience for all students, while meeting the educational goals.
  • Carry to fruition the initiative of a series of sessions focused on faculty and residents as teachers.
  • Continue to expand the participation of the Department in activities prior to the 3rd year clerkship.
  • Provide students coming to the clerkship with study guides, required and optional reading suggestions and other tools to optimize their educational experience, and maximize the utility of their exposure in the clinical setting to ENT pathology and the various surgical procedures.

Plastic Surgery.

Reviewer: Gretchen Arnold

Subspecialty Clerkship Director: Jonathon Black, MD

Subspecialty Clerkship Contact person: Freda McClung

A formal report on the Plastic Surgery Component of the Surgical Subspecialty Clerkship was submitted to the Curriculum Committee. The highlights are listed below.

Strengths of the Clerkship.

  • Experience and volume of OR time.
  • Diversity of the field demonstrated in 2 weeks
  • Inpatient rounding experience.
  • Administrative Leadership

Unique Challenges.

Is one of five Subspecialty Surgical services offered to third year students without required prior general surgery experience.

Update on Actions Required from Prior Year (2017).

  • Improved OR student experience
  • SOM has improved the preparation for student OR work
  • Added more clerkship specific skill training
  • EMR documentation – this improvement will be achieved now that legal limitations have been removed recently. As mentioned earlier, Dr. Black has worked closely with students to develop appropriate patient notes.

Actions Required for the Upcoming Year.

  • Integrating the EPAs into the entire clerkship experience
  • Develop a curriculum for wound care

Obstetrics/Gynecology.

Reviewer: Neeral Shah, MD

Clerkship Director: Megan Bray, MD

Assistant Clerkship Director: Yvonne Newberry, FNP

Clerkship Coordinator: Jessica Tawney

A formal report on the Obstetrics and Gynecology Clerkship was submitted to the Curriculum Committee. The highlights are listed below.

Strengths of the Clerkship.

  • Overall organization of Clerkship.
  • Comprehensive all-day clerkship specific Orientation to set the tone for clerkship.
  • Wahoo Wisdom booklet.
  • 30 minute sit-down Mid-Clerkship Feedback sessions at Ch’ville campus with each student.
  • Daily lecture/discussions address objectives of the clerkship
  • 2-week preceptor exposure at Bon Secours

Unique Challenges.

  • Lack of volume inpatient OB and numbers of learners
  • Lack of hands on experience
  • 1-2 malignant residents currently- being addressed
  • Richmond – less teaching, more observational, more private practice based (good and bad)

Update on Actions Required from Prior Year (2016).

  • Decrease learner: teacher ratio at Charlottesville.   Leadership sending a few students to Culpeper for new Ob/Gyn experience to help this ratio. Not consistent every week given the schedules of three practitioners there.
  • EPIC or comparable EMR for student notes not available in Richmond. Administrative Leadership at Bon Secours is not amenable to this despite continued discussion.
  • Create more enduring materials that can be accessed by Richmond students.

Actions Required for the Upcoming Year.

  • LO’s for this clerkship are complete/extensive. Reviewer requesting re-assessment. After discussion at CC meeting and discussion- less concerned about this given 6 week clerkship is only time to deliver this content.
  • Continue to search for additional sites for students to provide equal clinical experiences to those in Ch’ville.

 

Note: The next Curriculum Committee meeting will be held on Monday, April 16, 2018 in MCBR, #2700.

Curriculum Committee Minutes 2/5/18

University of Virginia School of Medicine

Curriculum Committee

Minutes – 2.5.18

MCBR, #2700 -4:00 p.m.

Present (underlined) were:

Chair (votes only to break a tie): Megan Bray

Voting: Juliana Bueno, Donna Chen, Aaron Freilich, Barry Hinton, Rachel Kon, Robin LeGallo, Keith Littlewood, Vishal Madaan, Juan Olazagasti, Margaret Plews-Ogan, Steven Powell, Theresa Schlager, Neeral Shah, Ryan Smith, Carlos Tache-Leon, Stephen Wolf

Students: John Hickman, Elizabeth Hoang, Ory Streeter, Rick Vavolizza

Non-voting: Gretchen Arnold, Elizabeth Bradley, Maryellen Gusic, Mark Moody, Selina Noramly, Bill Wilson

Staff: Bobbi May

Guests: Mohan Nadkarni, MD, Jeremy Middleton, MD

 

Minutes Reviewed/Accepted. The Committee unanimously approved the minutes from the January 29, 2018 meeting.

Clerkship Reviews.

Pediatrics.

Reviewers: Drs. Rachel Kon and Elizabeth Bradley

Clerkship Director: William G Wilson, MD

Assistant Director: Jeremy Middleton, MD

Strengths of the Clerkship:

Per the Self-Study, the strengths of the Pediatric Clerkship include a “strong tradition of teaching at all levels. Faculty have won numerous teaching awards; clerkship coordinator has won a national award from her peers.”

The strengths noted in prior years remain:

  • Faculty and housestaff educators. The students comment upon the supportive educational environment that is especially important in learning to care for children. The department has received several teaching awards and has several faculty members involved in the SOM educational efforts.
  • Department priorities: The department articulates and appears to practice a high priority for education of medical students
  • The use of CLIPP scenarios help to standardize student experience to help balance differences of seasonal illnesses and patient populations of different rotations.
  • Efforts to improve offsite rotations, particularly Bons Secour, may be gaining traction as judged by comparison to the prior year’s data. The only concerns are those noted above regarding Fairfax.

Unique Challenges: There is a lack of community sites in which to place students for outpatient rotations.

Update on Previous Recommendations from Prior Year (2016) & Remedies:

  • The clerkship website requires continued updating of links following the university revision in 2015. Dead links noted above should be corrected or deleted Reference materials are being updated.
  • The reviewers endorse consideration of educational workshops or seminars for offsite faculty, particularly in the case of Bon Secours. Bon Secours- problems were discussed with the local clerkship director, and the attending about which most of the negative comments were made is no longer there. We have not done specific educational workshops with the Bon Secours faculty- but the leadership has attended Joint Clerkship Meetings.
  • The requirement of observing relevant history taking and examination should be reinforced to faculty both in terms of actual practice and in clarifying to students that said observation is occurring. We have reinforced the importance of direct observation by faculty to our faculty. The EPA pilot will be helpful in this regard.
  • The newborn nursery experience is an ongoing project.

Recommendations for the Upcoming Year:

  • The website still needs to have the links fixed.
  • The Cultural Competency learning objectives should be edited to be Pediatric specific.
  • Clekrship needs to solidify a uniformway to given midclekrship feedback. Suggestions have been reviewed at CD meetings.
  • Continue to work on smoothing out variations in teaching and experience across sites and on inpatient and outpatient settings. This includes considering adjustments to when and how the CLIPP cases are completed.

Plan for Leadership Transition:

Jeremy Middleton will become the Clerkship Director starting with the 2018-19 clerkship year. Dr. Wilson will remain on the leadership team as the Associate Director, and Marlo Meyer will continue as the Coordinator.

 Geriatrics.

Reviewers: Drs. Selina Noramly and Stephen Wolf

Clerkship Director: Huai Cheng, MD

Assistant Director: Justin Mutter, MD

Strengths of the Clerkship:

  • Longitudinal learning experience with faculty mentor
  • Varied and unique rotation sites
  • Interprofessional team-based care environment
  • LOs and curriculum based on national geriatric education standards
  • Responsive leadership that focuses on curriculum innovation and evolution

Unique Challenges:

  • Perceived relevance of geriatrics to student’s chosen future specialty
  • Position within the 4th year
  • Timely feedback in a compressed 2 week schedule
  • National shortage of geriatricians

Update on Previous Recommendations from Prior Year (2016) & Remedies:

Last year there was discussion of removing the 2-week clerkship and turning the content into a “thread” of sorts through the four years of medical school. The final decision arrived upon was that there was not enough time to successfully convert to a geriatrics thread prior to the upcoming clerkship year beginning in March 2017 and DOM as well as SOM leadership still see value in this 2 week clerkship, so it will continue as it stands.  The following (in quotes) were provided by Dr. Mo Nadkarni, Division of Geriatrics, as commitments to improve the geriatric clerkship in 2017-2018.

    • Work to improve the student to patient ratios in clinics. There has been an increase in patient volume at JABA and additional teaching sites will be added this year [Memory & Aging Care Clinic – (Mutter), Charlottesville Health & Rehabilitation – (Cheng), Albemarle Health & Rehabilitation-( Cheng). PACE site will be reactivated (Ombres)].
  • Commitment to work hard to recruit and hire more geriatric faculty to decrease the burden of teaching on current faculty. 3 new faculty (Drs. Mutter, Tieu, Ombres) have been hired and recruitment efforts continue to secure 2 additional physicians.
  • Faculty have committed to avoiding last minute cancelations of their clinics, which leave students scrambling for assignments. The division is implementing a central scheduling tool (Qgenda) to better track and plan for faculty absences. There is also a new rule limiting the number of faculty who can be on vacation/conference at the same time. Qgenda is currently being used.
  • Improve Orientation to help students understand the structure and reasoning behind placements at various sites. Orientation has been condensed to one hour with emphasis on educational value of each site.
  • Limit, as well as improve on line materials for students on the rotation. Continue to improve the website. There is continued effort in this arena. The additionof an Assistant Director will help accomplish this task.
  • Improve commitment to faculty- student continuity in preceptor assignments. This will happen with expansion/reactivation of clinical sites & increased number of faculty described above.
  • Continue ongoing monitoring and feedback regarding success of the clerkship utilizing student evaluations and programmatic evaluation. Ongoing efforts in this area.
  • With new hires, will work to identify an assistant or co-clerkship director. In process of nominating Justin Mutter, MD.- a former UVA student and resident who is extremely enthusiastic about this educational role.
  • Work to actively encourage note writing in EPIC and offer feedback on notes. Each student writes and presents a case including submission of EPIC note to clerkship director for review & comment.

 

Recommendations for the Upcoming Year:

  • Continue faculty recruitment & retention efforts with the intent of having a more stable faculty with a longitudinal interest in teaching.
  • Define role of Assistant Director and assess contributions.
  • Improve orientation re clarity of clerkship requirements & expectations (due to a few complaints in the student evaluations).
  • Incorporation of EPAs over the next year (as for all clerkships). It seems that some headway has already been made with EPA4 & 7.
  • Final assessment validity – the MCQ assessment should be reviewed and discussed as per the standards of the pre-clerkship MCQ assessments.
  • LO Reduction/Review – perhaps there needs to be a distinction between LOs that may be covered/needed during the clerkship and those that will definitely be mastered e.g. more specific LOs need to be grouped under general LO subheadings?Dr. Mo Nadkarni was present to hear the review and offered his support and commitment as Division Director to the overall stabilization and improvement of this 2 week Clerkship.

Nomination: Assistant Clerkship Director, Psychiatry – Dr. Meredith Lee. Dr. Anita Clayton, Chair of the Department of Psychiatry and Neurobehavioral Sciences, submitted her nomination for Dr. Meredith Lee as Assistant Clerkship Director. Dr. Lee is invested in the training and education of residents and students alike and is well qualified for this position.

Vote: The Committee voted unanimously to approve Dr. Meredith Lee as the Assistant Clerkship Director for Psychiatry.

 

Note: The next Curriculum Committee meeting will be held on Monday, February 12, 2018 in MCBR, #2700.

Curriculum Committee Minutes 8/28/2017

University of Virginia School of Medicine

Curriculum Committee

Minutes – 8.28.17

MCBR, #2700 – 4:00 p.m.

Present (underlined) were: Gretchen Arnold, Elizabeth Bradley, Megan Bray, Juliana Bueno, Kathleen Carlson, Donna Chen, Aaron Freilich, Maryellen Gusic, John Hickman, Barry Hinton, Elizabeth Hoang, Rachel Kon, Robin LeGallo, Keith Littlewood, Vishal Madaan, Mark Moody, Selina Noramly, Juan Olazagasti, Margaret Plews-Ogan, Steven Powell, Theresa Schlager, Neeral Shah, Ryan Smith, Ory Streeter, Carlos Tache-Leon, Rick Vavolizza, Bill Wilson, Stephen Wolf, Bobbi May (Administrative Cord.)

Minutes Reviewed/Accepted. Observing governing bylaws, an electronic vote was distributed. A quorum of Committee Members voted to approve the minutes from the 8/21 meeting.

VOTE – Approved

ACE Assignments. All materials have been distributed for ACE reviews. A new addition to review materials includes a summary of student performance evaluations completed by ACE Supervisors. These evaluations include commentary which should be lengthy enough to provide a thorough evaluation of the students’ performance while on the ACE. The ACE PowerPoint by Lee Eschenroeder has information for each of these services on activities or ideas students recommended to improve the ACE experience. Please review these suggestions with Supervisors to encourage what may be easily implemented. Committee Members are encouraged to contact ACE Supervisors to schedule interviews as soon as possible. All interviews should be completed by October 2, so that reports to the Committee may begin on October 19.

Clerkship/Elective Calendars. Observing governing bylaws, an electronic vote was distributed. A quorum of Committee Members voted to approve the SOM2021 Clerkship calendar and the SOM2020/SMD2021 Elective Calendars.

VOTE – Approved

Clinical Performance Development Review. Dr. McDaniel presented the review of CPD for SMD2019. This is the CPD1, 18-month portion of this course referred to as the pre-clerkship phase. The majority of students are happy with CPD and enjoy this experience. Drs. Moak and McDaniel strive to continually evolve its progression in what is taught and how it is taught. Going forward, Dr. McDaniel is retiring and Dr. Plews-Ogan is now the new Director of Clinical Development. EPA teaching will become integral in CPD and will play a vital role in tracking learning objectives and assessment. Additionally- beginning next August each student will participate in a longitudinal patient experience where they will be assigned a patient to follow through the first 3 years of medical school.

Conclusions:

The CPD course provides students critical foundational experiences in clinical skill development. The wide variety of activities offered across the 18 months brings together the foundational science with core skills of clinical practice including patient interviewing, physical examination, clinical reasoning, and exposure to procedural skills. Additionally, it presents students with opportunities to think about and practice social issues in medicine, ethical issues, and challenging conversations. The students appreciate the majority of activities but highlight more opportunities for presentation, physical exam practice, and continued refinement of the timing of activities as activities that may be considered for improvement.

Policy on Technical Standards Required for Matriculation, Progression and Graduation. Going forward, this policy will be reviewed annually to reaffirm the language used to describe the abilities deemed necessary for completion of medical school. There was some discussion which centered around the specific requirement; “ability to demonstrate physical stamina to work for 28 hours without sleeping.” An addition of the phrase, “as required,” was suggested. Another suggestion was to change language to “ability to demonstrate physical stamina to work a mid-level resident shift”.This mirrors duty hour requirements listed elsewhere in our policies.   The latter was supported. Observing governing bylaws, a quorum of Committee Members voted to approve the policy, pending the above revision.  This information will be forwarded to the Technical Standards Committee.

VOTE – Approved

 

Note: The next Curriculum Committee meeting will be held on Monday, September 11, in the MCBR, #2700.

Curriculum Committee Minutes 6/12/17

University of Virginia School of Medicine

Curriculum Committee

Minutes – 06.12.17

MCBR, #2700 4:00 p.m.

Present (underlined) were: Gretchen Arnold, Jonathan Black, Elizabeth Bradley, Megan Bray, Donna Chen, Aaron Freilich, Jose Gurrola, Maryellen Gusic, John Hickman, Barry Hinton, Rachel Kon, Robin LeGallo, Keith Littlewood, Vishal Madaan, Nancy McDaniel, Mark Moody, Selina Noramly, Juan Olazagasti, Steven Powell, Theresa Schlager, Neeral Shah, Ryan Smith, Linda Waggoner-Fountain, Bill Wilson, Stephen Wolf, Liz Hoang, Elizabeth Graham, Bobbi May (Administrative Cord.)

Minutes Reviewed/Accepted. The Committee accepted the minutes from the June 5, 2017, meeting. 

System Review: MSI – Bradley.

Conclusions/Recommendations 2017:

  • Moyer, the instructors and the teaching assistants: Dr. Moyer and the MSI instructors continue to meet the students where they are, supporting and challenging them as they learn the MSI content and as they perform in the Anatomy Lab. The students find Dr. Moyer to be caring, engaging, available, and dedicated, and they were appreciative of all that he, and the Anatomy instructors and TAs, did from being available after hours, to answering questions, and everything in between. Several of the MSI instructors were also praised for their effective teaching and dedication to student learning.
  • Instructional sessions: The feedback on the instructional sessions this year was almost identical to last, and that of years’ past. As Dr. Moyer continues as System Leader, perhaps he can review the feedback from this and prior years and determine if adjustments need to be made.
  • Active learning and engagement: Based on the quantitative data out of OASIS, and the qualitative comments provided by students, it appears that MSI provides students with a variety active and engaging learning opportunities. The students stated that the hands-on learning in the Anatomy lab, as well as the engaging problem sets and TBLS, reinforced their learning, placing the content in a clinically applicable context that made for more meaningful learning.
  • Dermatology thread: Many students comments that they did not find the concentration of Dermatology content at the end of the System effective for their learning. Several suggested that the content could be spread out across the weeks, and additionally that the class time could be spent applying what was learned in PRLs, rather than merely rehashing or reviewing the same content.

System Review: GI – Bradley.

Conclusions/Recommendations 2017:

  • System Leaders and Instructors: The System Leaders for GI, Drs. Shah and Tuskey, continue to support the students in their learning, to encourage and provide opportunities for students to think clinically, and lead in a way that though the System is densely packed and challenging, leaves the students feeling confident that they have learned the material well. The students also find the instructors and teaching assistants in GI to be very high quality and supportive of their learning.
  • Front-loading of material: Each year, the students voice concern about the large volume of material that faces them when they start GI. The System Leaders assure the students that after about week three it decompresses. This year the students commented that it never really decompressed, and asked that in the future, the expectation is set that GI is a dense System with a lot of material throughout the weeks.
  • Clinical relevance and integration: Even with the densely packed and challenging nature of the content, the students overall found the integration of the content, as well as the continual revisiting and review of it, effective in helping them learn the material well. Placing the content in a clinical context through case discussions, TBLs, and other engaging activities was very effective for student learning. Faculty, residents and fellows from at least 10 departments work together in this highly-integrated System.

Epidemiology Thread Leader Nomination – Targonski. Dr. Bernheim, Chair, Department of Public Health Sciences, offered her support for Dr. Targonski to assume the role as Epidemiology Thread Leader. His CV was provided and reviewed by the Committee. There were no concerns voiced about his nomination.

VOTE: The Committee voted unanimously to approve Dr. Targonski as Epidemiology Thread Leader.

Grading Policy and LOA/Withdrawal and Readmission Policies:

The majority of changes to these policies were previously discussed and passed by the Committee. All policies were highlighted and addressed in this final discussion.

VOTE: The Committee voted unanimously to approve these policies which will be in place for the new matriculating SOM Class 2021 in the first week of August 2017.

Note: The next meeting will be held on Monday, June 19, in MCBR, #2700.

Curriculum Committee Minutes 10/10/16

University of Virginia School of Medicine

Curriculum Committee

Minutes – 10.10.16

MCBR, #2700, 4:00 p.m.

Present (underlined) were: Gretchen Arnold, Jonathan Black, Elizabeth Bradley, Megan Bray, Donna Chen, Aaron Freilich, Jose Gurrola, Maryellen Gusic, John Hickman, Barry Hinton, Donald Innes, Robin LeGallo, Keith Littlewood, Vishal Madaan, Nancy McDaniel, Mark Moody, Selina Noramly, Juan Olazagasti, Steven Powell, Theresa Schlager, Neeral Shah, Ryan Smith, Linda Waggoner-Fountain, Casey White, Bill Wilson, Rachel Kon, Stephen Wolf, Jessica Lukacs, Lee Eschenroeder, Elizabeth Graham, Bobbi May (Administrative Coord.)

Minutes Reviewed/Accepted. The Committee unanimously accepted the minutes from the September 26, 2016 meeting.

Duty Hours/Grade Submission Reports. All clerkship grades were submitted on time this quarter (June 10, 2016 through September 30, 2016).  Duty hours violations for this same period were minimal. Only 2 were reported on Surgery rotation.  Comments continue to reflect a disconnect in the students understanding of how the duty hours are averaged over four weeks.

Graduate Questionnaire SOM2016. The Committee discussed the various elements of the report from SMD16 as compared to national responses. Overall – last year the was the lowest response rate that UVA has had in 5 years.  Only 118 students completed the survey.  Eighty-nine percent of students reported being satisfied with their medical education [ slightly down from 94% in 2015].  Seventy-nine percent students felt  “confident they have acquired skills to begin residency” [ same as 2015].  Specific data reflecting preclerkship and clerkship curriculum was reviewed.  Committee looked separately at negative behaviors chart which showed very low number of concerning incidents and were similar within a few percentage points over the past 5 years. A few actionable items identified- like trying to increase number of students completing the survey next year, reviewing some specific basics science threads in preclerkship curriculum, working to increase the opportunities for students to be observed obtaining histories and performing physical exams, consistently providing feedback to students and reviewing student documentation.

Clerkship Grades SOM2017. The Curriculum Committee reviews the Clerkship grades annually to ensure that the learning experience and assessment is equitable across affiliate sites  in addition to UVa.  The group reviewed third year clerkship shelf exam grades and final grades for SMD17 which were provided to them in graphic format.  There appeared to be no obvious advantage or disadvantage to site.  A request was made to review all components of clerkship grade by site.  Mark Moody will work on this request to present to the committee.

Note: The next Curriculum Committee meeting will be held on Monday, October 17, in CMMEB, #G165.

Curriculum Committee Minutes 10/03/16

The Curriculum Committee will not meet this week in observance of Rosh Hashanah.

The next meeting is scheduled for Monday, October 10, 2016, in MCBR #2700.

Curriculum Committee Meeting Minutes 09/19/2016

University of Virginia School of Medicine

Curriculum Committee

Minutes – 9.19.16

CMMEB, #G165, 4:00 p.m.

Present (underlined) were: Gretchen Arnold, Jonathan Black, Elizabeth Bradley, Megan Bray, Donna Chen, Aaron Freilich, Jose Gurrola, Maryellen Gusic, John Hickman, Barry Hinton, Donald Innes, Robin LeGallo, Keith Littlewood, Vishal Madaan, Nancy McDaniel, Mark Moody, Selina Noramly, Juan Olazagasti, Steven Powell, Theresa Schlager, Neeral Shah, Ryan Smith, Linda Waggoner-Fountain, Casey White, Bill Wilson, Rachel Kon, Stephen Wolf, Jessica Lukacs, Lee Eschenroeder, Elizabeth Graham, Bobbi May (Administrative Coord.)

Minutes Reviewed/Accepted. The Committee unanimously accepted the minutes from the September 12, 2016 meeting.

SMD2020 Clerkship Calendar. At the March 7, 2016 meeting, the Committee voted unanimously that students would be required to take their Step 1 examination at least ten days prior to the beginning of their Transition Course. Since students must pass the Step 1 before starting their clerkship, this would avoid having to remove a student who fails the Step 1 after starting his/her first clerkship. Committee members agreed that students will continue to be required to take the USMLE Step 1 Exam at least 10 days prior to the start of the Transition Course to ensure that results would be back before starting Clerkships.

USMLE Step 2 Annual CK Results. Dr. Wolf presented the Step 2 CK results to the Committee. It was noted that 100% of students passed and that all scored above the mean.

Educational Fellowship Update: “Project to Develop Multimedia Resource for Renal System” – Dr. Kambiz Kalantari. Dr. Kalantari began the discussion by stating that in this age of medicine some students still utilize textbooks for education, yet some are more inclined to be visual learners. This project is beneficial for all since it encompasses both. He further stated that, this project is being built from the ground up in order to avoid any copyright infringement and has and will require a great deal of time on his part. He is in the process of creating an interactive resource that will allow students to read the information on a subject and to click on a short animation video that explains the text. Dr. Kalantari explained that he uses several textbooks; histology, physiology, pathophysiology and clinical books, plus his own knowledge to create sessions that are all encompassing and move from basic physiology to clinical. He added that he has concentrated on the LOs associated within the Renal System in order to stay on topic and not move too far into other areas. There was some commentary on tying this into the 4th year student obligation and possibly having them provide assistance with these types of projects, while at the same time earning credit for curriculum/leadership development. The Committee was very receptive to this project and commented on its depth, breadth and usefulness. We look forward to a final presentation within the next six months.

Thread Review Process. Dr. Mary Kate Worden joined the Committee to discuss the past and current procedures for formal review of the NxGen Pre-clerkship Learning Objectives. She explained the process for choosing a thread to review, convening a review committee and the outcome and consequences of a review. She worked to create two electronic surveys and sent invitations to potential reviewers. Various incentives were utilized to recruit faculty and students, including miscellaneous gift cards. The reception was lukewarm and results were minimal. She asked the Committee for suggestions to improve participation. The Committee liked the idea of electronic surveys, thus eliminating too many meetings. Many suggested shortening the survey as one may take as long as one hour to complete. Suggestions were also made to increase the monetary incentives and allow faculty to use this toward travel or parking expenses. Faculty development providing CME credit or teaching portfolio expansion was another. Still, some felt if this were mandated by the Dean’s office or Chair of the Department then participation would be guaranteed. A sure way to increase student participation was to provide lunch.

Note: The next Curriculum Committee meeting will be held on Monday, September 26, in MCBR, #2700.

Curriculum Committee Minutes 9/19/16

University of Virginia School of Medicine

Curriculum Committee

Minutes – 9.19.16

CMMEB, #G165, 4:00 p.m.

Present (underlined) were: Gretchen Arnold, Jonathan Black, Elizabeth Bradley, Megan Bray, Donna Chen, Aaron Freilich, Jose Gurrola, Maryellen Gusic, John Hickman, Barry Hinton, Donald Innes, Robin LeGallo, Keith Littlewood, Vishal Madaan, Nancy McDaniel, Mark Moody, Selina Noramly, Juan Olazagasti, Steven Powell, Theresa Schlager, Neeral Shah, Ryan Smith, Linda Waggoner-Fountain, Casey White, Bill Wilson, Rachel Kon, Stephen Wolf, Jessica Lukacs, Lee Eschenroeder, Elizabeth Graham, Bobbi May (Administrative Coord.)

Minutes Reviewed/Accepted. The Committee unanimously accepted the minutes from the September 12, 2016 meeting.

SMD2020 Clerkship Calendar. At the March 7, 2016 meeting, the Committee voted unanimously that students would be required to take their Step 1 examination at least ten days prior to the beginning of their Transition Course. Since students must pass the Step 1 before starting their clerkship, this would avoid having to remove a student who fails the Step 1 after starting his/her first clerkship. Committee members agreed that students will continue to be required to take the USMLE Step 1 Exam at least 10 days prior to the start of the Transition Course to ensure that results would be back before starting Clerkships.

USMLE Step 2 Annual CK Results. Dr. Wolf presented the Step 2 CK results to the Committee. It was noted that 100% of students passed and that all scored above the mean.

Educational Fellowship Update: “Project to Develop Multimedia Resource for Renal System” – Dr. Kambiz Kalantari. Dr. Kalantari began the discussion by stating that in this age of medicine some students still utilize textbooks for education, yet some are more inclined to be visual learners. This project is beneficial for all since it encompasses both. He further stated that this project is being built from the ground up in order to avoid any copyright infringement and has and will require a great deal of time on his part. He is in the process of creating an interactive resource that will allow students to read the information on a subject and to click on a short animation video that explains the text. Dr. Kalantari explained that he uses several textbooks; histology, physiology, pathophysiology and clinical books, plus his own knowledge to create sessions that are all encompassing and move from basic physiology to clinical. He added that he has concentrated on the LOs associated within the Renal System in order to stay on topic and not move too far into other areas. There was some commentary on tying this into the 4th year student obligation and possibly having them provide assistance with these types of projects, while at the same time earning credit for curriculum/leadership development. The Committee was very receptive to this project and commented on its depth, breadth, and usefulness. We look forward to a final presentation within the next six months.

Thread Review Process. Dr. Mary Kate Worden joined the Committee to discuss the past and current procedures for formal review of the NxGen Pre-clerkship Learning Objectives. She explained the process for choosing a thread to review, convening a review committee and the outcome and consequences of a review. She worked to create two electronic surveys and sent invitations to potential reviewers. Various incentives were utilized to recruit faculty and students, including miscellaneous gift cards. The reception was lukewarm and results were minimal. She asked the Committee for suggestions to improve participation. The Committee liked the idea of electronic surveys, thus eliminating too many meetings. Many suggested shortening the survey as one may take as long as one hour to complete. Suggestions were also made to increase the monetary incentives and allow faculty to use this toward travel or parking expenses. Faculty development providing CME credit or teaching portfolio expansion was another. Still, some felt if this were mandated by the Dean’s office or Chair of the Department then participation would be guaranteed. A sure way to increase student participation was to provide lunch.

Note: The next Curriculum Committee meeting will be held on Monday, September 26, in MCBR, #2700.