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Summary of June 26, 2003 CME Minutes

  1. Comments from the Chair

Dr. Murray Altose reviewed the plans to reorganize the curriculum councils to provide oversight of all four years of the undergraduate medical school curriculum:  1) Basic Science Curriculum Council, 2) Clinical Curriculum Council, and 3) replacement of the Flexible Program Council by a new broad-based council focusing on scholarship and civic professionalism involving both student and faculty community participation.  A letter signed by Dean Horwitz, Dr. Henson, and Dr. Altose has been distributed requesting applications for the three council chair positions.  The range of responsibilities of each council will include content of curriculum, presentation of curriculum, and evaluation methodologies of the curriculum and students.  Dr. Altose emphasized that revising and refining the curriculum should be an ongoing and continuous process rather than a project of fixed duration.

  1. Comments from the Vice Dean for Education and Academic Affairs

Dr. Lindsey Henson distributed the revised, shortened Year I calendar for 2003-04.  Modifications to the original schedule include a shortened orientation that starts this year on Thursday, August 7.  The last subject committee of Year I will end May 20, 2004.  The Year I Comprehensive Examination will take place May 28 (the day before Memorial Day weekend).  There will be a full ten weeks of unscheduled time during the summer between Year I and Year II.

Dr. Henson anticipates that by beginning-to-mid-August, chairs for the new curriculum councils will have been identified.  Cross-representation on the councils is encouraged so that each council will be apprized of relevant happenings.  A Curricular Advisory Committee, consisting of the Vice Dean for Education and Academic Affairs, the CME Chair, the Associate Dean for Curricular Affairs (Dr. Terry Wolpaw), and the three council chairs, will serve as an executive group.  The new curriculum councils will have oversight for what we are currently doing as well as planning the new curriculum.

Dr. Merrick requested timely inclusion of written policy regarding 1) the Year I Comprehensive Examination and 2) the remediation process prior to publication of the Curriculum Handbook for this year’s entering students.  Discussants showed interest in re-examining and revising the remediation process.

  1. Cleveland Clinic Lerner College of Medicine Curriculum Steering Council

CCLCM CSC Year-End Report

Co-Chair of the CCLCM Curriculum Steering Council along with Dr. Henson, Dr. Andrew Fishleder distributed the annual report.  Dr. Fishleder highlighted this year’s accomplishments since the formal establishment of the CCLCM on May 15, 2002, with intent to enroll its first class of students in July 2004.  Dr. Fishleder explained the roles of various planning committees, highlighted the various stages of development brought before the CME, listed other major developments as well as faculty development and retreats, and specified goals for 2003-2004.  Because the CCLCM deals with a relatively small number of students, a small number of faculty—16 tutors per year—4 tutors at one time, 8 weeks in a row for a course—is involved.  The goal is to develop consistency of faculty.  Dr. Fishleder acknowledged the outstanding coordinating efforts of Alan Hull, M.D., Ph.D., Director of the Center for Medical Education, Research, and Development, and Wilma Doyle, M.A., Director of Academic Operational Services.

Plans for “overlap” or integration of College and University students will be accomplished through the Clinical Learning Groups (CLG’s) during the first two years.  Additionally, a major goal is to create more opportunities for College faculty to teach at University programs and vice versa and to get credit for this teaching from their respective chairs.  Dr. Altose views the CME’s role as promoting relationships between both the College and University programs so that they do not appear as separate entities.

  1. Clinical Rotation Development Council Year-End Report

Dr. Chris Brandt, CRDC Chair, described the major activity as the design and implementation of the revised core clerkship schedule that begins in July.  Psychiatry is back in a contiguous block, and there are more elective opportunities in Year III.  Future re-examination and follow-up will focus on:

  • Core clerkships, such as Neurosciences, where both third and fourth year students will be together on the same rotation

  • The incorporation of “orphan topics” into the new format

  • Continuing faculty retreats to develop a new model for the clinical curriculum within the next 2-3 years that will be used by both the College and University programs.

Dr. Brandt wished to acknowledge the valued efforts of CRDC members:  Drs. Jason Chao, Michael Dell, Nicola Helm, Kathy Klegg, Linda Lewin, Trish Moore, Michael Nieder, Marjie Persons, David Preston, Jay Wish, Terry Wolpaw, and Ms. Kathy Cole-Kelly.

Dr. Henson mentioned upcoming retreats July 9, August 6, and September 10.  The goal is to create a blueprint indicating the direction we are headed for the clinical curriculum.  Each subsequent retreat is based on the brainstorming session of the previous one.  At the July 9 retreat, Dr. Ted Parran, Ms. Kathy Cole-Kelly, and Dr. Bud Isaacson will focus on where student competencies should be at the end of Year II for both the College and University programs.  The last retreat yielded two key concepts:  1) Students during the first two years need exposure to more seriously ill hospitalized patients.  A preceptorship in the Emergency Room, Intensive Care Unit, or Anesthesiology is being considered.  2) We need to ensure—rather than leave to random exposure—that our students acquire a certain set of skills over a period of time.  Important issues yet to be decided:  1) What kind of skill sets do students need at certain points in time?  2) What are the principles for the evaluation of students?  University and College faculty have been collaborating at the ongoing retreats.  There is a desire to create a model to enable both the College and the University to plan within the same general blueprint.  The curriculum will not be the same because the goals are different.  The LCME mandates “equivalent” mastery of clinical skills, regardless of rotation site and particular program.  There has been much interaction of the CCLCM faculty with the clerkship directors.

  1. Information Management Update

Dr. Thomas Nosek, Associate Dean for Biomedical Information Technologies, listed programs in progress:

  • Pilot of online evaluation system for faculty to assess student performance during the Neurology core clerkship

  • System for the new “society deans,” student advisers, to view student information and track and record student information

  • Walter Nord Grant applications for both 1) Preventive Medicine (Dr. David Litaker, PI), and 2) continued development/enhancement of the Core Physician Development Program (CPDP) P4 (Portable Patient Problem Pack) case-based program (Dr. Steven Ricanati) were submitted.  Past Nord-grant funding of Dr. Georgia Wiesner and Dr. Anne Matthews’ Cancer Genetics proposal led to a three-year grant from the National Cancer Institute (NCI) to continue work on this vertical theme.

  • Increasing requests from faculty to incorporate more multi-media features into their eCurriculum material

  • Establishment of a committee of representatives from each of the Year III core clerkships to evaluate the use of PDAs for next year.  Student Use of Hand-Held Computers in the current Ambulatory Clerkship under the leadership of Dr. Jason Chao will be used as the starting point for this discussion.

  1. Update on Recognition of Teaching

Dr. Dan Wolpaw provided an update on revision of the Faculty Activity Summary.  It has been slightly reorganized and contains more areas and choices.  The next step is to test pilot the new electronic version of the Faculty Activity Summary on the CME, Faculty Council, and perhaps a group at the Cleveland Clinic with the intended outcome being:  1) Suggestions to improve the online system and make it as user-friendly as possible, and 2) To stimulate peer-reviewed educational scholarship and provide the foundation for building an educational portfolio.  Once faculty access to the Activity Summary through the URL is ready, potential CME pilot participants will be notified via e-mail and given the necessary information.  Dr. Wolpaw is seeking both positive and negative feedback.  In August, Dr. Henson and Dr. Wolpaw will meet with Dean Horwitz regarding the Faculty Activity Summary, which must be formally approved by the Faculty Council.

Dr. Merrick noted that the Activity Summary is geared toward medical school teaching, and he suggested expanding the scope to include medical school faculty who teach in undergraduate courses (Biochemistry and Nutrition) and graduate programs (all basic science faculty teach graduate students.)  While the initiative was originally intended to recognize teaching in medical education, there was interest among discussants in increasing the scope to include teaching within the School of Medicine.

  1. Geriatrics Vertical Theme Update

Dr. Jerome Kowal announced that the Cleveland Foundation had awarded $50,000 to expand the Geriatric Student Scholarship Program to Support Summer Research.  Currently, there are seven students doing clinical work in geriatrics this summer.  This program hopes to encourage students to go into geriatrics.

  1. Announcement

Dr. Altose concluded the meeting by thanking Dr. James Arnold for his three years of service as a CME member.  Recognition of other outgoing members completing their three-year terms:  Dr. G. David McCoy and Dr. Robert Harvey, who could not be present at the meeting.

 

See Curriculum Revision Update section.

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