2018

Curriculum Committee Minutes 12/17/18

University of Virginia School of Medicine

Curriculum Committee

Minutes – 12.17.18

CMMEB, #G165 – 4:00 p.m.

Present (underlined) were:

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

Voting: Juliana Bueno, Donna Chen, Katharine DeGeorge, Aaron Freilich, Fern Hauck, Barry Hinton, Paul Kunk, Robin LeGallo, Keith Littlewood, Vishal Madaan, Juan Olazagasti, Margaret Plews-Ogan, Steven Powell, Neeral Shah, Ryan Smith, Carlos Tache-Leon

Students: Brielle Gerry, Vat Patel, Ory Streeter, Erin Adonnino, John Popovich, Monet Lane, Logan Shelnutt, Brett Whalen, Marc Vetter

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 November 26, 2018 meeting.

System Reviews. Dr. Elizabeth Bradley presented the System Reviews. Recommendations are listed here; detailed reports are on file.

Pulmonary.

Recommendations/Action Items 2018

  1. Continue to incorporate the clinically oriented engagement sessions: The students continue to appreciate the highly integrated and clinically oriented engagement sessions offered in the Pulmonary System. These engaging sessions bring together material from many disciplines, and help students think about content from multiple perspectives. They feel the System Leaders are exposing them to and modeling how clinicians think and interact with patients during these sessions. These sessions have a profound impact on the students both in terms of their learning, and in terms of further supporting why they wanted to be physicians in the first place.
  2. Maintain strong leadership and dedication to student learning and development: Even with the challenges students feel they experience in this System, they are confident in the System Leaders and their dedication to student learning. Many students commented that they appreciated Drs. Mihalek and Littlewood pushing them to think beyond learning objectives, which although stressful, they recognize as critical to their development as a physician.
  3. Refine and review and the overall introduction, organization, and application of content while explicitly linking learning objectives to resources and assessments: The students again this year commented on the difficulty they have determining what they need to focus on in their learning. Commenting that many learning objectives are vague, and resources are broad, they are unsure of where to focus their studies. It is clear that they believe that more effort spent on creating clear, foundational learning objectives with useful resources will go a long way to helping this issue. From this foundation, the students feel they will be able to build knowledge through well-designed application exercises and problem sets in which they are working through the material with peers, and asking questions of the faculty. This approach they believe (based on its successful use in prior systems) will help them feel more directed and confident heading into the assessments.

Foundations of Medicine.

Conclusions/Recommendations 2018

  1. Patient presentations and clinical context: Each year the students find the patient presentations extremely valuable, as they illustrate to students how the basic sciences and clinical medicine are intricately intertwined and they are examples that students remember for years to come. The students are able to remember the science more deeply through the patient presentations than they would through classroom activities alone.
  2. Integration and overall organization: The students again this year value the highly integrated teaching that occurs in FoM. The students are able to see connections between the cellular levels of health and disease and the patient embedded in a complex society. They still comment on how sometimes they have a difficult time moving among the many topics that are covered in a day or week, so continued work can be done in this area to connect the topics or reorganize some material in a meaningful way.
  3. The Biochemistry teaching and review sessions: Students were very appreciative of the thoughtful and meticulous approach Dr. Noramly took with the biochemistry teaching. They noted how helpful her drawings were in explain very complex pathways and concepts. Though some commented that they feel biochemistry sessions need more time, they were very pleased with the overall approach to the difficult content.
  4. Review of specific classes and activities: As in years past, some students commented on specific improvements that in their minds could be made to clusters of content. This year the comments focused on pharmacokinetics/dynamics, genetics, and epidemiology as content areas that could be adjusted for improved learning. Please see the student comments for specifics.

Clerkship Review.

Anesthesiology. Dr. Ryan Smith presented the Anesthesiology Clerkship Review. The highlights are listed here, a detailed report is on file.

CC Reviewers: Juan Olazagasti, MD, Ryan Smith, MD

Clerkship Directors: Vaia Abatzis, MD, John McNeil, MD

Strengths:

  • Strength of Faculty teaching is evident in multiple awards for faculty as well as Oasis Comments
  • SIM center experience remains very positive based on student review
  • Significant positive comments in Oasis regarding the structured lectures and procedural involvement of students

Challenges:

  • Negative student commentary centers on a perceived lack of preparedness for the rotation in the pre-clerkship. Particular areas of concern are pulmonary physiology and pharmacology.
  • This material is covered in the pre-clerkship curriculum and also reviewed in formal lectures (pharmacology>respiratory physiology) during the rotation. Students also receive lectures on ventilator managements
  • Consistency of intraoperative teaching
  • Clerkship director and assistant select faculty who are interested in teaching for students.
  • Timing on SIM seminars is limited due to availability and shared time with ER and other services. Modifications to the afternoon are not possible.

ACTION ITEMS: Recommendations from last year and updates.

  • Integrate planned PETC component of clerkship.
    • Completed
  • We recommend that the PRLs on common topics be developed as it may ease the administrative burden in the long run and provide a cohesive and standardized learning experience for the students (recommended 2017).
    • Remains Under Development 3/5 completed
  • Integration of EPA evaluation regarding consistent assessment of CPR and masking (BVM) (EPA#12) through SIM center or other means
    • Completed
  • Integration of more pulmonary physiology and anesthesia pharmacology in Pre-clerkship
    • They are going to discuss with Dr. Littlewood, but already appears to be occurring despite student commentary.
  • Students evaluate (interview, physical exam, note-writing and presentation) patients more in preoperative setting
    • Directors were universally in favor of adding this to the curriculum

Note: The next Curriculum Committee meeting will be held on Monday, January 7, 2018 in MCBR, #2700.

Curriculum Committee Minutes 11/26/18

University of Virginia School of Medicine

Curriculum Committee

Minutes – 11.26.18

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

Present (underlined) were:

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

Voting: Juliana Bueno, Donna Chen, Katharine DeGeorge, Aaron Freilich, Fern Hauck, Barry Hinton, Paul Kunk, Robin LeGallo, Keith Littlewood, Vishal Madaan, Juan Olazagasti, Margaret Plews-Ogan, Steven Powell, Neeral Shah, Ryan Smith, Carlos Tache-Leon

Students: Brielle Gerry, Vat Patel, Ory Streeter, Erin Adonnino, John Popovich, Monet Lane, Logan Shelnutt, Brett Whalen, Marc Vetter

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 November 12, 2018 meeting.

Announcements. Reminder: the ceremony to honor anatomical donors is scheduled for Friday, December 7, 2018, from 4-6pm in the Learning Studio of the Claude Moore Medical Education Building. Faculty and students are welcome.

ACE Review 2017-One Year Follow-Up. Regularly scheduled ACE reviews were completed last year, a few were recommended for a one-year follow-up to ensure changes were established toward “Actions Required.”

Family Medicine. A detailed interim assessment was presented to the Committee and outlined the items which required action from the original review. The main action item was the appointment of new ACE Directors to remove a faculty conflict of interest. This was accomplished and therefore the reviewers felt adequate actions were implemented. The updated review is on file.

VOTE: The Committee voted unanimously to approve Family Medicine remain an ACE.

Plastic Surgery. A detailed assessment was presented to the Committee and outlined the items which required action from the original review. The reviewers felt was adequate changes had been implemented. Dr. Black will receive assistance from MedEd to make necessary updates to information located on their ACE website. The updated review is on file.

VOTE: The Committee voted unanimously to approve Plastic Surgery remain an ACE.

Pre-Clerkship Phase Report, 18 Mo. Summary Review. Dr. Elizabeth Bradley presented the comprehensive report on the Pre-Clerkship Phase Curriculum for SOM Class of 2020. This report covers an outline of the curriculum, description of major changes implemented during its running, planned revisions for the SOM Class of 2021 and recommendations for future preclerkship phase reports.

Recommendations:

The following recommendations, based on prior recommendations, new curricular activities, and national data sources, will be worked on and monitored over the coming months to determine the extent to which they are achieved.

  • Continue to monitor nationally identified content priorities.
  • Continuous evaluation and monitoring of the new FCM course to ensure curricular goals are achieved.
  • Monitor new Coaching program to ensure program goals are met, and to provide evidence base for continuous faculty development to the coaches.
  • Continue to monitor the EPA program in the Preclerkship Phase to ensure goals are achieved and continuous improvement is ongoing.
  • Follow the year over year trends for the basic science disciplines illustrated in the Graduate Questionnaire.
  • Longer term, investigate the impact of the 2-week integrated block at the end of the Preclerkship Phase (SMD22) on student learning.

 

 

Note: The next Curriculum Committee meeting will be held on Monday, December 17, 2018 in MCBR, #2700. (December 3rd, and 10th meetings canceled as agenda items are up to date.)

Curriculum Committee Minutes 11/12/18

University of Virginia School of Medicine

Curriculum Committee

Minutes – 11.12.18

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

Present (underlined) were:

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

Voting: Juliana Bueno, Donna Chen, Katharine DeGeorge, Aaron Freilich, Fern Hauck, Barry Hinton, Paul Kunk, Robin LeGallo, Keith Littlewood, Vishal Madaan, Juan Olazagasti, Margaret Plews-Ogan, Steven Powell, Neeral Shah, Ryan Smith, Carlos Tache-Leon

Students: Brielle Gerry, Vat Patel, Ory Streeter, Erin Adonnino, John Popovich, Monet Lane, Logan Shelnutt, Brett Whalen, Marc Vetter

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 October 15, 2018 meeting.

Announcements. The ceremony to honor anatomical donors is scheduled for Friday, December 7, 2018, from 4-6pm in the Learning Studio of the Claude Moore Medical Education Building. Faculty and students are welcome.

Proposal – Summative Retakes, Number Permitted at Once. The issue of multiple summative retakes was brought to Committee for consideration. A lengthy discussion ensued- including the number of failures students are accruing, need for timely remediation, remediation limitations, purpose of remediation as well as availability of faculty and IT staff to support scheduled remediation. Input was considered by our Director of Academic Enhancement.  The greatest concern voiced was avoiding the additional pressure on students with multiple failures to study and pass more than one exam on a single day.

VOTE: The Committee voted unanimously to approve a limit of one summative re-take at a time.

Proposed Standard Times for FCM Coach Meetings During 3rd Year. Coaches have been assigned to 6-7 students in each class as part of Foundations of Clinical Medicine.  This has replaced our former Mentor system in CPD.  The FCM leadership asked the committee to consider a regularly scheduled meeting for 3rd year students with their FCM Coaches. This meeting is proposed to occur in the pm of the last Friday of the end of each twelve-week block for the 2019-2020 clinical clerkship year. This time will be used to de-brief, goal-set and devote time to academic remediation. There will be some time restrictions in the pm for students finishing up the Ob/Gyn clerkship as they have a clinical skills exam and shelf to take on these Fridays- but should still provide time enough to allow a meaningful meeting.

VOTE: The Committee voted unanimously to approve the FCM Coach/student meetings as part of the integrated curriculum.

Clerkship Review Assignments. Annual clerkship review information was provided to clerkship directors last week. Clerkship assignments, self-evaluation and final evaluation forms were reviewed and expectations discussed. Committee Members were asked to contact directors to schedule the in-person review as soon as possible. Clerkship review presentations are scheduled to begin at the January 7 meeting.

System Review, CV – Elizabeth Bradley, PhD. Dr. Elizabeth Bradley presented the annual review on CV in her usual format and found the System is very strong and mature. The document was sent to members electronically prior to the meeting for their individual review. Time was allotted for discussion and questions. Students report learning the content well, and perform as expected on the assessments.

Conclusions/Recommendations 2018

System Leadership, teaching faculty and TAs: Again this year the leadership, instructors, and fourth year teaching assistant (TA) have received high praise from the students. Drs. Soukoulis and Dent are praised for their dedication to student learning, their approachability, the excellent teaching, and their brilliance. The instructors are considered among the best in the curriculum, being recognized for their knowledge base, enthusiasm, and effective to teaching. Finally the fourth year TA was dedicated to supporting student learning and guiding them through the System.

Overall System organization: Again as last year, the students find the overall approach to this System, with content being introduced, revisited and built upon across the weeks, to be highly effective for their learning. It provides students the opportunity to master the foundational content necessary to grasp to more complex clinical manifestations of the material, which are learned and practiced during numerous active learning sessions.

Pharmacology: If there is a weaker aspect of the System, Pharmacology teaching and learning is it. Some students feel they do not have a full understanding of what information they need to take away from the pharmacology sessions and feel the overall approach to teaching this content could be improved. Given students’ concerns about Pharmacology over the past few years, and the strength of the System overall, a targeted effort to review and refine this content is recommended.

Engaging, clinically oriented learning sessions: The students appreciate the ample practice and application of the material in clinically relevant problem sets, TBLs, CAIL labs, etc. They also commented on how useful learning and practicing illness scripts is for solidifying concepts and for developing their clinical reasoning skills.

Sub-Committee Review, Clerkship Committee. Dr. Bray presented the update on the monthly Clerkship Committee Meetings. The directors and coordinators have worked diligently over the past six months to implement the improvement and streamlining of several processes. Some items she detailed included; the pilot of new competency-based student performance evaluation form, the revision and new process of  mid-clerkship feedback, overall grading standardization across clerkships, more accurate AAMC CI reporting, annual revision of clinical skills and conditions checklists, the continued rollout of EPA Assessments, the new initiative around CD’s taking their own shelf exam annually,  lessons learned from student OSCE performance, utilization of national management tools and our new conflict of interest policy. The Joint Clerkship meeting was held September 26th, and there was a large turnout from affiliate sites to discuss some of the issues above, in addition to, information regarding the new FCM program and best practices for writing effective learning objectives. The spring meeting is scheduled for Wednesday, March 20, 2019.

 

Note: The next Curriculum Committee meeting will be held on Monday, November 26, 2018 in MCBR, #2700.

Curriculum Committee Minutes 10/15/18

University of Virginia School of Medicine

Curriculum Committee

Minutes – 10.15.18

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

Present (underlined) were:

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

Voting: Juliana Bueno, Donna Chen, Katharine DeGeorge, Aaron Freilich, Fern Hauck, Barry Hinton, Paul Kunk, Robin LeGallo, Keith Littlewood, Vishal Madaan, Juan Olazagasti, Margaret Plews-Ogan, Steven Powell, Neeral Shah, Ryan Smith, Carlos Tache-Leon

Students: Brielle Gerry, Vat Patel, Ory Streeter, Erin Adonnino, John Popovich, Monet Lane, Logan Shelnutt

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

Staff: Bobbi May

Guests: Matthew Trowbridge

Minutes Reviewed/Accepted. The Committee unanimously approved the minutes from the September 24, 2018 meeting.

Educational Fellowship Presentation, “Develop a Series of Interactive Workshops Teaching Design Thinking to Future Physicians” – Matthew Trowbridge, MD, MPH. Dr. Trowbridge began his presentation by expressing his gratitude for the project funding. He started this project in 2015 by teaching design thinking to 1st-year medical students in monthly 4-hour workshops. He gave a brief explanation of the concept of design thinking; listening with empathy, synthesizing information and reframing the problem to decide what is best or most important for the user. Under this premise, the students were able to view various problems as potential opportunities while generating many solutions and creating diverse options. The enrollment in this extracurricular workshop has doubled since its inception and Dr. Trowbridge is looking forward to the future, continuing work on this valuable project.

System Review, MBB – Elizabeth Bradley, PhD. Dr. Bradley presented her System Review Report for MBB in her usual format.  The document was sent to members electronically prior to the meeting for their individual review. Time was allotted for discussion and questions.

Conclusions/Recommendations from 2018 Report:

The variety of engaging, clinically relevant learning sessions: Like last year and several years past, the students voiced their appreciation of the wide variety of active, clinically focused, and engaging learning sessions in MBB. From thought-provoking TBLs and small group discussions to strong problem sets to interesting labs, the students felt the sessions helped solidify and bring greater understanding of the complex content. Additionally, they appreciated the review and revisiting of the material across the System.

The organization of content and quizzing: The students had mixed reactions to the overall organization of the System. Some students appreciated the breadth of topics that were covered and reviewed across the System. Another group felt that some content areas would be more effectively learned if they were temporally grouped, rather than spread across several weeks. Some students referred to prior Systems (specifically GI) as a model for their overall organizational approach to the content. A portion of students commented that they appreciated the frequent quizzing, but another portion voiced concern about the weighting of some of these quizzes and the effect poor performance on them could have on the module grade. The System Leaders should carefully consider the specific content areas that students identified as concerning to determine if adjustments should be made for next year. These could include Anatomy content and stroke and cranial nerve content.

The Psychiatry thread: Students, in general, find the Psychiatry content very interesting, but voice concerns about the substantial pre-class prep with long PRLs. Some students also voiced concern about the content being older in nature and need revision to bring in more recent statistics. Perennially the students ask for the sessions to be recorded, but to date, this has not occurred. It is recommended that the resources, approach, and organization of the Psychiatry thread be reviewed.

Clerkship Director Survey – Elizabeth Bradley, PhD. Dr. Bradley presented the results of the annual survey of Clerkship Directors regarding third-year student performance at the end of the first 12-week clerkship block. In general, the clerkship directors found SMD20 as well prepared as previous classes overall and specifically on basic physical examination skills and basic science knowledge. About one-third (1/3) of respondents indicated some concern about their early ability to present patient cases or formulate a basic assessment and rudimentary management plan. The current changes being made to the Foundations of Clinical Medicine Course for SMD22 should help to address these concerns and will be tracked as this class transitions to their clinical third year in the future.

Nomination, Epidemiology Thread Leader – Carlene Muto, MD. Current Epidemiology Thread Leader, Dr. Paul Targonski has accepted a new position outside of the University causing a vacancy in this position.   Drs. Mitchell Rosner, Chair, Department of Medicine, and Ruth Gaare Bernheim, Chair, Department of Public Health Sciences both offered a recommendation for Dr. Carlene Muto to be appointed to this position. The Committee discussed Dr. Muto’s qualifications and no concerns were voiced. Her CV had been provided electronically for review prior to the meeting.

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

Nomination, Geriatrics Clerkship Director – Justin Mutter, MD and Christina Tieu, MD. The Department of Internal Medicine informed the Curriculum Committee that Dr. Huai Cheng is stepping down as Director of the Geriatric Clerkship to pursue other clinical and educational opportunities.   Drs. Justin Mutter and Christian Tieu were nominated as Geriatrics Co-Clerkship Directors. Dr. Mohan Nadkarni, Chief of Geriatrics Division, offered his recommendation for both of their appointments.   Dr. Justin Mutter is currently the Assistant Clerkship Director for Geriatrics. The Committee discussed Dr. Mutter and Dr. Tieu’s qualifications separately and no concerns were voiced for either candidate.

VOTE: The Committee voted unanimously to approve Drs. Justin Mutter and Christina Tieu as Geriatrics Co-Clerkship Directors.

 

 

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

Curriculum Committee Minutes 9/24/18

University of Virginia School of Medicine

Curriculum Committee

Minutes – 9.24.18

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

Present (underlined) were:

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

Voting: Juliana Bueno, Donna Chen, Katharine DeGeorge, Aaron Freilich, Fern Hauck, Barry Hinton, Paul Kunk, Robin LeGallo, Keith Littlewood, Vishal Madaan, Juan Olazagasti, Margaret Plews-Ogan, Steven Powell, Neeral Shah, Ryan Smith, Carlos Tache-Leon

Students: Brielle Gerry, Vat Patel, Ory Streeter, Erin Adonnino, John Popovich

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

Staff: Bobbi May

Guests: Meg Keeley

Minutes Reviewed/Accepted. The Committee unanimously approved the minutes from the September 17, 2018 meeting.

Update: 4th Year Electives Handbook – Meg Keeley, MD Dr. Meg Keeley, Assistant Dean for Student Affairs, presented the 4th Year Electives Handbook which contained no additions, corrections or edits since the last academic year.

Vote: The Committee voted unanimously to re-affirm and accept this document for the Class of 2019.

 Duty Hours/Grade Reporting. All clerkship grades were submitted on time since the last report in June. Duty hours violations for this period were minimal. Comments reflected that some students had less than 10 hours between shifts. Most of these instances occurred because the student was on call and had rounds early the next morning. Comments related to, “working over 80 hours;” two students logged over 80 hours, while a few others clicked the option, “chose to stay because I wanted to,” and did not log over 80 hours. The individual clerkship directors have been provided this information and asked to reiterate the duty hours policy to students and be mindful of scheduling students on shifts that are too close in timing.

Clerkship Calendar/Lottery. The SMD21 Clerkship Calendar was presented to the Committee for review. No questions or concerns were voiced.

Vote: The Committee voted unanimously to approve the SMD21 Clerkship calendar.

 

Note: The next Curriculum Committee meeting will be held on Monday, October 1, 2018 in MCBR, #2700. (Meeting postponed until 10/15/18-current on agenda items.)

Curriculum Committee Minutes 9/17/18

University of Virginia School of Medicine

Curriculum Committee

Minutes – 9.17.18

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

Present (underlined) were:

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

Voting: Juliana Bueno, Donna Chen, Katharine DeGeorge, Aaron Freilich, Fern Hauck, Barry Hinton, Paul Kunk, Robin LeGallo, Keith Littlewood, Vishal Madaan, Juan Olazagasti, Margaret Plews-Ogan, Steven Powell, Neeral Shah, Ryan Smith, Carlos Tache-Leon

Students: Brielle Gerry, Vat Patel, Ory Streeter, Erin Adonnino, John Popovich

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

Staff: Bobbi May

Guests: Jim Martindale

Minutes Reviewed/Accepted. The Committee unanimously approved the minutes from the September 10, 2018 meeting.

 Assessment Committee Update. Dr. Jim Martindale, Chair, of the Assessment Committee, was present to discuss curricular changes and answer any questions related to decisions made by the Committee since his last update.

 ACE Review Follow-up. ACE reviews are conducted bi-annually and during the previous year’s reviews, five electives were earmarked for a follow-up in one year. Curriculum Committee Members were notified that the final reviews from last year will be forwarded for referral of “actions required.” Reviewers were asked to report progress toward those actions and complete their follow-up as soon as possible since any changes could affect the electives offered.

Residents as Teachers Training Documentation. Data on resident and fellow attendance was provided by Diane Farineau, in our GME office; to confirm that all incoming residents and fellows fulfilled their mandatory “Residents as Teachers” training requirements in 2018.

Vote: The Committee voted to unanimously approve the reports from the GME office confirming that all residents and fellows have completed their mandatory training requirements in 2018.

Nomination: Clerkship Director, Emergency Medicine – James Moak, MD, RDMS. Dr. Moak’s CV was circulated electronically for review prior to the 9/10 meeting. Dr. Moak was newly elected as the Assistant Director of the Clerkship in June. Dr. Robert O’Conner, Chair of Emergency Medicine, offered the highest recommendation of Dr. Moak to assume this new role.

Vote: The Committee voted unanimously to approve Dr. James Moak as the Clerkship Director for Emergency Medicine.

Vice Chair Nominations. At-Large Committee Members were asked to offer nominations for the position of Vice Chair of the Committee. At-Large Members were provided nomination information by electronic vote.

Vote: The Committee voted unanimously to approve Dr. Ryan Smith as the Vice Chair of the Curriculum Committee.

 

 

Note: The next Curriculum Committee meeting will be held on Monday, September 24, 2018 in MCBR, #2700.

Curriculum Committee Minutes 9/10/18

University of Virginia School of Medicine

Curriculum Committee

Minutes – 9.10.18

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

Present (underlined) were:

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

Voting: Juliana Bueno, Donna Chen, Katharine DeGeorge, Aaron Freilich, Fern Hauck, Barry Hinton, Paul Kunk, Robin LeGallo, Keith Littlewood, Vishal Madaan, Juan Olazagasti, Margaret Plews-Ogan, Steven Powell, Neeral Shah, Ryan Smith, Carlos Tache-Leon

Students: Brielle Gerry, Vat Patel, Ory Streeter, Erin Adonnino, John Popovich

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 amended minutes from the August 20, 2018 meeting.

Graduate Questionnaire SOM2018. The Committee discussed the various elements of the report from SMD18 as compared to national responses. This year the response rate rose from last year but is still lower than in previous years.  Only 121 students completed the survey.  Forty-nine percent of students reported being satisfied with their medical education [an improvement from 41% in 2017].  Forty-two percent of students strongly agree they felt, “confident they have acquired skills to begin residency.” Specific data reflecting pre-clerkship and clerkship curriculum was reviewed.  These will be included in the clerkship reviews the Committee conducts each year. The Committee discussed the negative behaviors chart which showed a very low number of concerning incidents and was similar within a few percentage points over the past 5 years.

Curriculum Proposal, SIM Discussion/Lectures Mandatory. At the August 20 meeting, Dr. Megan Bray presented a request from several students concerning the “Social Issues in Medicine” lectures. This group of students felt the lectures were important enough to require them as part of the mandatory curriculum. In the interim, SMEC representative, Ory Streeter, SMD19, took initiative to create a survey which he distributed to all students within the school of medicine. Three hundred students across all four classes responded.  The results were shared and a lengthy discussion was held regarding the possible benefits and implications. SIM Director Dr. Mo Nadkarni was present to offer his input and answer any additional questions the members had. At the end of the discussion the following points were unanimously reaffirmed by CC members.

1). The current attendance policy for the Next Gen Curriculum should stand as originally designed which is predicated on the general principal that medical students are adult learners who will be entrusted with the future care of patients and can and should decide for themselves which learning sessions they should be physically present for.

2).  The Content of all SIM Lectures and learning about the social determinants of health and disease including their contribution to health disparities is of particular importance to the practicing and developing physician and we recommend students attend them.

3). We would encourage SIM Leadership to consider thoughtful ways in which patients and or clients be included in these learning sessions to increase the impact of the topical presentation and make students accountable to their patient/client instructors.

Nomination: Assistant Clerkship Director, Family Medicine – Annie Way, MD. Dr. Way’s CV had been circulated electronically for review prior to the 8/20 meeting. Initially, there were additional questions the committee members had regarding Dr. Way’s nomination. Dr. Bray requested additional information from Sue Pollart, MD, MS, Interim Chair of Family Medicine and Catherine Casey, MD, Director of the Family Medicine Clerkship.  Both Drs. Pollart and Casey provided additional information which was shared with the committee.  Both feel Dr. Way’s enthusiasm and vigor toward this new role is palpable and that she is committed to taking on these additional responsibilities.

Vote: The Committee voted unanimously to approve Dr. Annie Way as the Assistant Clerkship Director for Family Medicine.

Educational Fellowship Letters of Intent: The Committee received a total of 9 Educational Fellowship letters of intent. The Committee discussed each proposal, and 6 were unanimously accepted for further submission to the Educational Fellowship Review Committee for final review. The approved topics and authors are as listed:

  • Vaia Abatzis, MD: Develop a simulation-based ACLS Curriculum.
  • Catherine Casey, MD: Develop LGBTQ Longitudinal Curriculum.
  • Linda Martin, MD, MPH: Gamification of Surgery Clerkship Curriculum.
  • David Moyer, DC: M4 Revisit Surgical Anatomy Curriculum.
  • Michael Sneider, MD: Develop Radiology Student PACS Curriculum.
  • Eli Williams, MD: Develop Instructional Video on Laboratory Medicine

 

Note: The next Curriculum Committee meeting will be held on Monday, September 17, 2018 in MCBR, #2700.

Curriculum Committee Minutes 8/20/18

University of Virginia School of Medicine

Curriculum Committee

Minutes – 8.20.18

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

 

Present (underlined) were:

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

Voting: Juliana Bueno, Donna Chen, Katharine DeGeorge, Aaron Freilich, Fern Hauck, Barry Hinton, Paul Kunk, Robin LeGallo, Keith Littlewood, Vishal Madaan, Juan Olazagasti, Margaret Plews-Ogan, Steven Powell, Neeral Shah, Ryan Smith, Carlos Tache-Leon

Students: Brielle Gerry, Vat Patel, Ory Streeter, Erin Adonnino, John Popovich

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

Staff: Bobbi May

Introductions and Welcome. Dr. Megan Bray introduced and welcomed new members to the Committee: Katharine DeGeorge, MD, Assistant Professor of Family Medicine, Fern Hauck, MD, MS, Professor of Family Medicine, Paul Kunk, MD, Department of Medicine.

Governance Document. The Curriculum Committee Governance Document was presented and reviewed. Dr. Bray reminded members of the bylaws governing the Committee, which include the specification of attending 80% of meetings. If members are unable to attend, kindly inform Bobbi May of your absence.

CC Annual Schedule/Outlook Invitations. All members should have received Outlook invitations for each scheduled meeting of the Committee for this academic year. Please let Bobbi May know if you have not received these notices.

Enrollment. Each year, the number of students enrolled in each class is reviewed by the Committee. This year the numbers are as follows:

M1 156 (70 Female – 86 Male)

M2 164 (77 Female – 87 Male)

M3 162 (88 Female – 74 Male)

M4 141 (68 Female – 73 Male)

Neurology Assistant Clerkship Director, Nomination – David Lapides, MD. Dr. Guillermo Solorzano has resigned as Assistant Director of the Neurology Clerkship. Per protocol, a current CV and letter of nomination from the department chairman were provided electronically to Committee members in advance of the meeting for David Lapides, MD to fill this position. There was discussion supporting his nomination.  No concerns were voiced by members.

VOTE. The Committee voted unanimously to approve Dr. Davis Lapides as the Assistant Director of the Neurology Clerkship.

Family Medicine Assistant Clerkship Director, Nomination – Annie Way, MD. Given the passing of Peter Ham, MD – a avoid in the position of Assistant Clerkship Director for Family Medicine has existed. Family Medicine Department is currently under search for a Chair and faculty positions are limited. Per protocol, a current CV and letter of nomination from the department interim chairwoman were provided electronically to Committee members in advance of the meeting for Annie Way, MD, MS to fill this position. There was discussion regarding her nomination.  Additional information was requested.  A vote on her nomination was held over until next meeting.

SOM Policies:

Leave of Absence/Withdrawal. Provided to Committee electronically prior to meeting. Dr. Bray reminded the Committee that these policies were unanimously approved by a quorum of Committee Members at the June 11, 2018 meeting.

Policy on Academic and Professional Advancement. Provided to Committee electronically prior to meeting.  Dr. Bray reminded the Committee that this policy was approved by electronic vote over the summer break. She reviewed highlighted areas of change from previous year. She strongly encouraged new members to familiarize themselves with these documents.

Next Generation Policies and Procedures Manual. This manual has been updated and is available at the following link. https://med.virginia.edu/ume-curriculum/wp-content/uploads/sites/216/2018/08/Procedures-and-Policies-NxGen-July-2018-FINAL.pdf.

Committee Membership Homework: Dr. Bray presented a request from students to make future SIM lectures mandatory in attendance. The important considerations of issue were outlined.  Members were asked to review the electronic request for discussion and vote at next meeting. She additionally discussed the 2018 GQ report which is now available.  It will be sent electronically to the Committee for discussion at the next meeting as well. She requested time be spent reviewing the data.

 

Note: The next Curriculum Committee meeting will be held on Monday, August 27, 2018 in MCBR, #2700. (Meeting postponed to 9/10/18, Due to Salem site visit.) 

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 6/18/18

University of Virginia School of Medicine

Curriculum Committee

Minutes – 6.18.18

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

Students: Brielle Gerry, Vat Patel, Ory Streeter, Erin Adonnino, John Popovich

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

Staff: Bobbi May

Minutes Reviewed/Accepted. The Committee voted unanimously to approve the minutes from the June 11, 2018 meeting.

Educational Fellowship Update, “Develop a Simulation-Based Educational Program to Improve Medical Students BVM & CPR Techniques’ – Vaia Abatzis, MD. The Committee Members were provided the policies electronically, well in advance of the meeting, to allow time for adequate review. The proposed revisions were discussed, no additional revisions were suggested or concerns voiced.

Elective Credit Proposal.  The Committee was asked to consider the need to re-categorize certain electives and the number of credits earned in subspecialties. There was discussion regarding integrated programs particularly, Interventional Radiology. The association with residency applications and if there should be a variance for credits was a concern. Currently, subspecialty credits are limited in a uniform pattern to ensure a well-rounded experience. Dr. Freilich will work to create a list to consider where the line divides specialties and subspecialties and discussion will continue at a later date to determine if credits should be rearranged.

Vote: The Committee voted unanimously to consider Interventional Radiology as a subspecialty and to continue with what is already established, limiting credits in a uniform pattern as detailed within the 4th Year Electives Handbook.

Note: The next Curriculum Committee meeting will be held on Monday, August 20, 2018 in MCBR, #2700.