Curriculum Committee Minutes 1/8/18

University of Virginia School of Medicine

Curriculum Committee

Minutes – 1.8.18

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

Minutes Reviewed/Accepted. The Committee unanimously approved the minutes from the December 11, 2017 meeting.

Clerkship Director Nominations:

Dr. Megan Bray presented the nominations of three new clerkship directors. The letters of support from the respective department chairpersons as well as the individual’s CV had been circulated to CC Members electronically prior to the meeting for their review.  All three CD’s will assume their new roles officially as of the beginning of the new Phase 2 year beginning February 26th, 2018.

Dr. Katherine Latimer has been nominated to fill the position of Clerkship Director for the Ob/Gyn Clerkship. She is an Assistant Professor who joined faculty in 2016 and quickly was recognized for her UME efforts by both students and faculty.  She has won the “Best Teaching Faculty” award as voted by students on each block 4 times in her first year on staff.  She was also been awarded the 2017 Association of Professors in Gynecology and Obstetrics (APGO) Medical Student Teaching award.  She regularly participates in teaching, assessing and clinically instructing students within the clerkship.  She has voiced a strong future career interest in UME and has been participating in varying aspects of the clerkship to learn the ropes.  Additionally- she just completed the APGO Clerkships Directors School this month.  Ms. Yvonne Newberry will be staying on as Assistant Clerkship Director which will help to make the transition as smooth as possible. Dr. Latimer’s nomination was unanimously approved by all voting members in attendance.

Dr. Linda Martin and Dr. Jeff Gander were nominated to fill the positions of Clerkship Director and Associate Clerkship Director respectively for the General Surgery Clerkship. Dr. Martin is an Associate Professor in the Division of Thoracic Surgery who joined faculty in 2016. She has participated in GME and UME curricular events since coming to the department and has voiced a career interest in becoming more involved in UME activities. She currently provides several didactic sessions for the clerkship and the department has agreed to her further professional development in this role by committing to send her the highly selective American College of Surgeons “Surgeon as Educators” course this year.

Dr. Jeffrey Gander, an Assistant Professor in the Division of Pediatric Surgery, has been a faculty member since 2014. Since his arrival he has shared many innovative ideas with clerkship administration including ways in which to convert standard topical lectures to educational podcasts and creating small group discussions across subspecialty areas.  He’s excited about the new curricular initiatives like the implementation of EPA’s.  The nominations of both these individuals were discussed and then voted unanimously to approve by all voting members in attendance.

Continuation of ACE Reviews.

Inpatient Family Medicine ACE Review. Director: Dr. Sean Reed. Reviewers: Drs. Aaron Freilich and Selina Noramly.  Dr. Freilich presented the review on behalf of him and Dr. Noramly. Their report found this rotation to meet the outlined criteria set for an ACE. Students assume the role of an acting intern and become members of the Family Medicine Inpatient Clinical Team.

Strengths of ACE as outlined in report:

  • Students carry intern pagers and receive information as front line for their patients.
  • Students participate on transition care team to evaluate high risk patients in order to reduce readmission rates.
  • Breadth of patient type exposure for students.
  • Students receive regular feedback and have substantial commentary on their final evals

The recommendation from the reviewers is that this elective remains an ACE. A formal written review was submitted to CC.

Outpatient Family Medicine ACE Review. Director: Dr. Sean Reed.   Reviewers: Drs. Aaron Freilich and Selina Noramly.  Dr. Freilich presented the review on behalf of him and Dr. Noramly. Their report found this rotation to meet the outlined criteria set for an ACE. Students assume the role of an acting intern and become members of the Family Medicine Outpatient Clinical Team.

Strengths of ACE as outlined in report:

  • Practice setting is primary Care clinic with integrated behavioral health support.
  • Students are involved in other aspects of FM care including colonoscopy clinic and nursing home care.
  • Students work with multiple faculty during clinical sessions but are assigned a “primary preceptor”.
  • Students receive regular feedback and have substantial commentary on their final evals

The recommendation from the reviewers is that this elective remains an ACE. A formal written review was submitted to CC.

Urology ACE Review. Director: Dr. Noah Schenkman. Reviewers: Drs. Neeral Shah and Carlos Tache-Leon. Dr. Shah presented the review on behalf of him and Dr. Tache-Leon. Their report found this rotation to meet the outlined criteria set for an ACE. Students report only great satisfaction with the elective.

Strengths of ACE as outlined in report:

  • Students highly regard their experience and feel as though they are given ample opportunity to excel while on rotation.
  • Good exposure to attendings while in clinics.
  • Incredibly detailed evaluations on all students that will benefit student understanding their performance on the rotation.

The recommendation from the reviewers is that this elective remains an ACE. A formal written review was submitted to CC.

Ambulatory PEDS ACE Review. Director: Dr. Amy Wrentmore. Reviewers: Dr. Bill Wilson and Gretchen Arnold. Ms. Arnold presented the review on behalf of her and Dr. Wilson. Their report found this rotation to meet the outlined criteria set for an ACE. Students report being treated and an intern and given a commensurate level of responsibility.

Strengths of ACE as outlined in report:

  • Strong teaching faculty and house staff, with a departmental commitment to teaching.
  • Large variety of patient opportunities.
  • Supportive learning environment.
  • Students receive frequent and helpful feedback.

The recommendation from the reviewers is that this elective remains an ACE. A formal written review was submitted to CC.

Critical Care Medicine ( STICU) ACE Review. Director: Dr. Stuart Lowson Reviewers: Drs. Juliana Bueno and Keith Littlewood. Dr. Bueno presented the review on behalf of her and Dr. Littlewood. Their report found this rotation to meet the outlined criteria set for an ACE. Students reported support in opportunities to participate in procedures.

Strengths of ACE as outlined in report:

  • Unique setting for students to learn in.
  • High turnover of patients provides increasing breathe of exposure.
  • LO’s were updated and improved with assistance of Vera Chen in Med Ed.
  • Number of students on ACE at one time reduced to improve individual experience.
  • Have modified evaluation process to utilize more sources of feedback on students.
  • New educational resource created to compile readings on relevant topics for students.

The recommendation from the reviewers is that this elective remains an ACE but have a one year review. A formal written review was submitted to CC.

Blue Surgery ACE Review. Director: Dr. Charles Friel. Reviewers: Drs. Neeral Shah and Carlos Tache-Leon. Dr. Shah presented the review on behalf of him and Dr. Tache-Leon. Their report found this rotation to meet the outlined criteria set for an ACE. Student reviews are excellent.

Strengths of ACE as outlined in report:

  • Very clear LO’s and course description

The recommendation from the reviewers is that this elective remains an ACE. A formal written review was submitted to CC.

The final 2 ACEs requiring presentation to CC are Emergency General Surgery ACE and Neurosurgery ACE. These will be accomplished at the next meeting.  A final vote on acceptance of all reviewed ACEs for upcoming year will then be undertaken.

 Note: The next Curriculum Committee meeting will be held on Monday, January 22, 2018 in MCBR, #2700.