University of Virginia School of Medicine
Minutes – 5.21.18
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, Ory Streeter, Vat Patel, Erin Andoninno, John Popovich
Non-voting: Gretchen Arnold, Elizabeth Bradley, Maryellen Gusic, Mark Moody, Selina Noramly, Bill Wilson
Staff: Bobbi May
Guests: John McNeil, MD
Minutes Reviewed/Accepted. The Committee unanimously approved the minutes from the May 14, 2018 meeting.
Educational Fellowship Presentation, Develop a Student Rotation, “Perioperative Surgical Home,” John McNeil, MD. Dr. McNeil began by explaining his motivation to create this rotation was twofold; the implementation of EPAs, and a desire to assist the clerkship students with their orientation prior to rotating on the perioperative service. Each third-year student must complete and anesthesia perioperative rotation, spending two weeks primarily in the operating room, L&D, pain clinic, and simulation center. Prior to this project, no formal instruction in pre-operative evaluation or post-operative care was offered. Dr. McNeil was eager to link students and patients to offer an experience which would integrate the pre-operative, PETC, and post-operative clinical visits. There were some challenges related to scheduling since many patients do not perform their Pre-Anesthesia Evaluation and Testing on the same day as their clinical evaluation. Many times, students have completed their rotation prior to the patient’s surgery date. Dr. McNeil has been working with PETC to identify patients who potentially are able to expedite their procedures. Each student now receives a lecture about pre-operative principles during their orientation. They also must complete an Anesthesia Quiz and exam and go on to complete a Peri-operative day splitting the morning and afternoon between the on-call resident in the morning and PACU resident in the afternoon. Dr. McNeil will further this work by developing a formal PACU curriculum and continuing the EPA education and implementation within the department.
Intern Prep Survey – Elizabeth Bradley, PhD. Dr. Bradley shared the results from the 2017 graduate survey. A short, several question survey is sent annually to recently graduated student during their intern year as well as their respective residency directors. Response rates were similar to the past (around 60% for both). The findings were similar to years past, with a slightly higher average rating of interns by Residency Directors this year. The broad themes from the comments this year were the same as last, as well. Specifically, when asked how the SOM could have better prepared the students for residency, 2 broad commentaries were received: 1). Give students more authentic clinical care responsibilities in 3rd and 4th year (note writing, entering orders, taking pages, doing procedures, etc.) and 2). Have all students participate in an Intern Prep Course. Overall, the Committee felt that the survey indicates we are doing a good job in preparing our students for their first year of residency. Additionally- there are several programs already underway to address their main concerns. The institution of EPA’s is directly related to giving students a more authentic role in patient care and as of 2018- all students are now required to take an intern preparedness program.
NBME: Step 1, Step 2 CK/CS Reports for 2016-2017 and spring 2018. Results were shared and discussed.
Note: The next Curriculum Committee meeting will be held on Monday, June 4, 2018 in MCBR, #2700.