Clerkship Committee Minutes 04/16/2018

April 20, 2018 by

­University of Virginia School of Medicine

Clerkship Director Meeting

Minutes – 4.16.18

MCBR, #2700, 5:00 p.m.

Present (underlined) were: Vaia Abatzis, Ashok Asthagiri, Jonathan Black, Elizabeth Bradley, Megan Bray, Catherine Casey, Huai Cheng, Katherine Fedder, Jeff Gander, Maryellen Gusic, Evan Heald, Pam Herrington, Molly Hughes, Katherine Latimer, Meredith Lee, John McNeil, Linda Martin, Jeremy Middleton, Alex Millard, Mark Moody, Yvonne Newberry, Binit Shah, Ryan Smith, Guillermo Solorzano, Heather Streich, Amita Sudhir, William Wilson, David Craig, Rebecca Hensley, LeAnn Hopkins, Freda McClung, Lisa Morton, Debbie Perry, KarenMarie Smith, Jessica Tawney, Heather Trainum, Karen Ward, Kyle Williams, Nell Brooks-Harlow, Bobbi May.

Clerkship Coordinator of the Year Award. Megan Bray was pleased to announce Heather Trainum as the recipient of the Coordinator of the Year Award. Drs. Eugene McGahren and Anneke Schroen offered the highest praise for Heather’s work ethic and her assistance with the transition of new leadership to the Surgery Clerkship.

Final Clerkship Reviews. All Clerkship reviews have been finalized by the Curriculum Committee for this academic year. Dr. Megan Bray thanked the Directors for their work on these annual reviews and relayed that she will share the final reviews electronically with all Department Chairs. Next year’s reviews will differ in that they will include the SMEC (Student Medical Education Committee) Representatives input to allow for more timely receipt of student reviews of each clerkship. A list of SMEC reps for each clerkship for 2018-19 will be distributed.

NBME Shelf Examination Doodle Poll. In order to be respectful of clinical schedules and to accommodate as many CD’s as who would like to participate, a second doodle poll will go out to those Directors who expressed an interest in sitting for this examination. A date will be selected and an invitation sent out early next week to secure this event on participant’s calendars.

Praise/Concern Cards. Bray reminded the Directors, if there are issues related to student professionalism, Praise/Concern cards can be submitted. She then showed attendees how to find them on the SOM Website by clicking; “Faculty Source, Faculty Tools, Praise/Concern Cards.”

VMED Update. The new VMED scheduling and information system will first be tested on the pre-clerkship phase of curriculum before finally being rolled out to the clerkships beginning in March 2019.

Grading Policy Questions. Dr. Bray fielded questions regarding new grading calculations for OASIS. She expressed the importance of evaluators utilizing the same scale, methods and reasoning to evaluate students and the need for this to be reiterated in faculty and resident meetings. This will reduce the confusion associated with grade calculation and will bring all clerkships under single grading scale. She is happy to answer any individual questions as needed.

Medical Management Tool Charts. Dr. Bray presented a document from the AAMC which contains 3 years of data on our school of medicine.  The main sources of data for these reports is the Graduate Questionnaire as filled out by SOM graduates annually.   She focused time on several charts reporting Mission #4 information- Provide High-Quality Medical Education as Judged by our Recent Graduates. She asked the group to consider their individual clerkship data and potential reasons for upward and downward trends as well as considering ways to help improve the data as reported by our students in the future.

OSCE Report/Lessons Learned – Maryellen Gusic, MD. Dr. Gusic presented a report on the most recent Objective Structured Clinical Exams (OSCEs) and some lessons learned therein. Two main areas assessed during the exam are patient-centered communication skills (are assessed by standardized patients) and patient encounter skills (are assessed by standardized patients and by assessors grading the post-encounter notes.) She explained what was tested under both of these headings and how it compares to the USMLE Step CS.  She then reviewed results of this year’s 1a, 1b and 1c OSCE’s and delineated some common mistakes made by students during these exams.   There was discussion of how clerkships can help reinforce some of the new didactic material being introduced into the future FCM classroom to help streamline how we teach and then assess things like obtaining standard histories, performing physical exams, developing differential diagnoses and helping students learn to think critically and prioritize their differentials.

Note: Next meeting, Monday, May 21, 2018, in MCBR, 2700.

Filed Under: Clerkship/PostClerkship Committee Minutes