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CME AGENDA - June 24, 1999


CME Agenda – June 24, 1999

1. Approval of Minutes

2. Announcements

3. Student CME

4. Core Academic Program Annual Report – Dr. Charles Malemud

5. Update on Vertical Themes

6. Update on Years One and Two Curriculum – Dr. David Katz

7. Continuation of Discussion of Role of the CME

8. Other Business (Time Permitting)

a. Discussion of Requests for Quantitative Assessment Data


Summary of 6-24-99 CME Minutes

1. Recognition of outgoing CME members Drs. James Carter, Mark Cohen, and George Dubyak for their committed participation and insightful contributions during their three-year terms of service.

2. Presentation of Core Academic Program Annual Report, 1998-1999 by Dr. Charles Malemud, Core Academic Program Coordinator

Dr. Malemud highlighted personnel changes; interim examination results; the Year One Comprehensive Examination results; feedback, oversight, and curriculum reform. Tables both for Year One and Year Two listed by subject committee the mean, prospective passing score, and number of identifications on these secure interim exams. When questioned about comparing the total number of identifications on interim exams for the Year One class of this year and last, Dr. Malemud replied that the number of identifications was exactly the same. The secure Year One Comprehensive exam was a mix of old and new questions. We have an increasing number of questions in the item bank. The mean for the Year One Comprehensive was 76, and the passing score was 60%. One (1) student was identified. Discussants brought up the suggestion to alert in some manner students who scored between 60% and 70% on the Year One Comprehensive as being at risk for passing the USMLE Step 1. This past year was the first time that the Year Two class had secure exams. A relatively low number of students were identified. The means on the interim exams were very similar to those of past years. Weekly student feedback luncheons take place on Thursdays for Year One and on Fridays for Year Two. This year Student CME feedback letters have been slow in coming, and Dr. Malemud did not receive many of those that were expected. The Student CME needs to take on the responsibility for ensuring timely submission of the formal feedback letters. These letters, more reliable than anecdotal information, are valuable in providing constructive feedback not only for the CAP coordinator, but also for the section leaders, subject committee chairs, and the individual faculty members teaching. Faculty in attendance at the Core Academic Program Spring Workshop held June 15 at Squire Valleevue approved extending the Year Two schedule to May 22, 2000.

2. Presentation of Patient-Based Program Annual Report, 1998-1999 by Dr. Jay Wish, Patient-Based Program Coordinator

Dr. Wish emphasized how the change of affiliates has impacted on the apportionment of students. As of July 1, 1999, there is no longer a Mt. Sinai Medical Center affiliate. Dr. Wish commended Mr. Joe Corrao and the Registrar’s Office and the clerkship directors for their special efforts in accommodating more students at fewer sites. Dr. Wish reviewed the three Clinical-Pathologic Conferences (CPCs) that took place this past academic year. His immediate goals included 1) engaging first and second year students into the CPC activities, and 2) integrating the CPC activities into the third year clerkships as part of the required curriculum. There is a program to pilot CLICS (Contemporary Learning in Clinical Settings) longitudinal small groups this coming year with the Primary Care Track. The program will reinforce and integrate various CPDP themes. If the pilot is successful, the CLICS program will be incorporated into the mainstream 12-month clerkship third year beginning in July 2000. Dr. Wish next called attention to the clerkship grade distribution chart for the various clerkships for both the class of 1999 and the class of 2000. He noted the progress, or lack thereof, to redistribute grades. The "commendable" category was originally introduced to decrease the number of "honors" awarded and recognize approximately the second quartile of students. There has not been a decrease in the number of "honors" or "commendable" grades awarded.

3. Dr. Marjorie Greenfield is working on the new third year curriculum beginning in July 2000 that has as its goal the completion by students of all core clerkship requirements, including Neurology, during the twelve-month third year period. She inquired about piloting one week at the end of June 2000 as an orientation to the clerkships for second year students. Students will be studying and taking the USMLE Step 1 between May 22 and July 1. Dr. Wish suggested using Monday through Friday before the July 4 holiday. The orientation would not be required. Under current rules: Students must take the USMLE Step 1 examination before they start the clerkships. Dr. Wish would have "ownership" of the orientation to the clerkships. Dr. LaManna encouraged Dr. Greenfield to include in her design at least a one-week program plus a few multiple options that could be potential pilots.

4. Distribution of the Physical Diagnosis Annual Report, 1998-1999, prepared by Dr. Baha Arafah, Physical Diagnosis Director

5. Distribution of the Clinical Science Program Annual Report, 1998-1999, prepared by Clinical Science Co-Directors, Dr. Ted Parran and Ms. Kathy Cole-Kelly

6. See Curriculum Revision Update

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This page was last updated on 7/09/99 by Lawrence Yang.

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