Curriculum Committee Minutes 3/12/18

University of Virginia School of Medicine

Curriculum Committee

Minutes – 3.12.18

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

Present (underlined) were:

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

Voting: Juliana Bueno, Donna Chen, 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

Guests: Kush Patel and Anne Knisley (SMD18)

Minutes Reviewed/Accepted. The Committee unanimously approved the minutes from the March 5, 2018 meeting.

Announcement: Graduation Exercises. Graduation exercises are Sunday, May 20, 2018. All faculty are encouraged to order their regalia to attend this special event and walk the lawn.

 AOA Peer Mentoring Program Update – Kush Patel and Anne Knisley. Graduating medical students, Kush Patel and Anne Knisley (SMD18) presented an update on the AOA Peer Mentoring Program’s second year. Changes to the program this year; a career mentorship component was added, the request process was more streamlined and regular follow-up of pairings was emphasized. Step 1 examination study planning was, by far, the area where the most requests were made, tutoring in the basic sciences and the integrated organ systems was next, finally, a few requested help with core clerkships and step 2 planning. Eighty-three students met with thirty-three mentors for a total of ninety-one meetings. Self-confidence and stress management were two main topics discussed. Benefits reported by mentees included, connection to upper level medical students, identification of new a learning style or resource, increased knowledge in a particular subject, increased confidence and decreased overall stress. Mentors also reported having higher self-confidence in mentoring. Future plans include; a continued emphasis on Step 1 preparation throughout the pre-clerkship curriculum, emphasis on a career mentorship extension of the program. Kush and Anne enjoyed working on this peer program and moving forward, the new leaders will be, Umair Syed and Ahmed Hamed (SMD19).

 System Review: Endo/Repro – Elizabeth Bradley.

Conclusions/Recommendations 2017:

  1. System leaders and instructors: As in the years past, the System Leaders, Drs. Padia and Redick received strong praise from the students. They found them to be responsive and to care about student learning. The students also commented on the excellence of their teaching, and like last year’s class wished they taught more in the System. The students highlighted a handful of instructors that they found to be very strong as well including Drs. Atkins, Moyer, Iezzoni and others. One theme that did arise this year was that some students felt the System would benefit from fewer instructors, to minimize the variability in instruction quality, and to improve the overall organization and flow of the System. They pointed to prior fall Systems that had just a handful of instructors that were very familiar the content and flow of the Systems, providing an overall cohesiveness to these Systems that may be lacking in Endo/Repro. The System Leaders may want to consider these comments to determine if they are useful to them, or feasible for the System.
  2. Assessments: Many students commented on the formative and summative assessments. Some felt that the Bloom’s level was too often at the fact level, rather than at a higher application level, and they felt this did not reflect the types of questions they had practiced in the case based sessions. The System Leaders can review the assessments to determine if the question-types seem off balance in relation to the learning objectives.
  3. Practice questions: The students had mixed reviews about the practice questions. Many students were very appreciative of the weekly practice questions, and small, frequent quizzing that occurred across the System. Some however felt that they often didn’t match up with the content in the week, and felt this needed to be improved for next year.
  4. Organization: Some students commented that they appreciated how Endo/Repro revisited content taught in prior Systems. Several student voiced concerns about the organization/placement of some of the sessions, the overall flow of the System, and well as about administrative issues and instructions. Drs. Reddick and Padia heard some of these concerns in the mid-System feedback and worked on addressing the issues even during the System.

 

Clerkship Reviews.

Anesthesiology.

Reviewer: Aaron Freilich, MD,

Clerkship Director: Vaia Abatzis, MD

Assitant Directors: John McNeil, MD and Jason Sheehan, MD

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

Strengths of the Clerkship.

  • Clear communication on scheduling via the website and emails with students and faculty.
  • Case based workshops and in OR teaching.
  • The simulation center provides an excellent complement for the practical activities of the students during the rotation.
  • Customized learning experiences when scheduling allows.
  • Faculty in charge of the clerkship have experience in medical education and strong interest in improving the experience of students during the rotation. Clearly recognized in OASIS comments.
  • Continued iterative improvement in clerkship organization and learning experiences.

Unique Challenges.

  • Large degree in variability among instructors, learner experiences and between rotations. This has been partially mitigated by further involvement of the directors and core faculty as well as Sim sessions and assessment. Plan to further address this issue with “topic of the day” as below.

Update on Actions Required from Prior Year (2016).

  • We strongly recommend that an assistant clerkship director be elected, a clerkship coordinator be hired, and some thought given to mentoring and training future clerkship leadership.

Both done;2 assistants and a new coordinator

  • We recommend that the LOs be revised to reflect a more realistic expectation of the students and that these revisions are circulated amongst the faculty.

-LOs were updated for this year

  • 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.

-They are working on developing “topics of the day” to allow for more consistency among students and rotations

  • Additional improvements per Clerkship Director:

-Orientation is led by clerkship directors now

        -Airway workshop taught by core faculty now

        -Review session taught by faculty now

        -Required case presentations to clerkship directors now

Actions Required for the Upcoming Year.

  • Adding either a form of PRL or “topic of the day” to allow for consistency among learners and rotations
  • Integration of EPA evaluation regarding the consistent assessment of CPR and masking(BVM) (EPA#12) through SIM center or other means
  • Integrate planned PETC component of clerkship

Note: The next Curriculum Committee meeting will be held on Monday, March 19, 2018 in MCBR, #2700.