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CME AGENDA - October 22, 1998

1. Approval of Minutes
2. Announcements
3. Student CME
4. Continuation of Discussion of Proposal to Change the Exam System
5. Curriculum Proposal Development

a. Assessment and Management of Chronic Neurologic Diseases – Dr. John Chae
b. Geriatric Medicine and Aging – Drs. Jerome Kowal and Robert Bonomo
c. Acute and Chronic Care – Dr. Patrick Murray

6. Other Business

a. Discussion of Authorization of Additional Curriculum Themes along the Model of the Public Health Theme b. Continuation



Summary of 10-22-98 CME Minutes


1. In response to a CME request resulting from the October 8 CME meeting, Dr. Tarvez Tucker, Flexible Program Coordinator, presented a report on the workings of her seven-member Committee to Oversee the Flexible Program. Dr. Tucker began by delineating three goals for the Flexible Program for the 1998-99 academic year:

a. Every Type A elective will have stated learning objectives.

b. Flexible Program afternoon time will be chronologically matched with the morning content of the core curriculum.

c. Within electives, there will be an attempt to "wed" basic science teaching with clinical teaching.

The Committee to Oversee the Flexible Program is focusing on quality assurance, evaluation of new Type A electives, and developing a uniform evaluation system for all electives—where both students and faculty evaluate electives. Dr. Tucker mentioned that her committee views its charge as stipulated in the by-laws to provide students with electives that "extend and complement" the Core Academic Program. She mentioned the mentoring program, early "hands-on" clinical experience, in-depth basic science programs, support for student-initiated and student-driven electives, and dual degrees. One directive that evolved out of Dr. Tucker’s committee is to weight basic science electives with emphasis on the first year. There have been basic science requirements—previously, three out of the thirteen Type A electives had to be in basic science categories. The recent change increased the first year elective requirement from three to four. One of the five Type A electives in the second year has to be in basic science. Summarizing the change, 50% of the first year elective requirement (4 of the 8) must be in basic science, and 20% of the second year elective requirement (1 of the 5) must be in basic science. Students are able to take any Type A elective in any year. However, to receive credit, the Alternative Medicine and One-to-One fitness electives were to be taken in the second year. However, the committee has decided to rescind that decision for this year. The committee is reconsidering this aspect of the Flexible Program for all Type A electives to be instituted next year. Most students take many more electives than those required. The Committee to Oversee the Flexible Program is composed of an equal amount of faculty representatives from basic science and clinical science departments. There are no student members. Student input is solicited by invitation.

CME opponents of the Committee to Oversee the Flexible Program’s initial restriction on Alternative Medicine to second year students brought up 1) the CWRU philosophy regarding the student as a colleague who is capable of making wise choices for him/herself, 2) the role of the CME in curriculum oversight, and 3) the interpretation of the language of the by-laws that call for electives to "complement and extend" the core curriculum. Discussion concluded with an agreement that the Flexible Program Coordinator will report back to the CME before the end of the academic year. By said time, the Committee to Oversee the Flexible Program will have had the opportunity to evaluate electives.

2. Dr. LaManna recently e-mailed CME members the latest version of the exam system proposal. He welcomes discussion and feedback and would like to vote on the exam proposal in the immediate future.

3. A proposal for the curriculum revision will be e-mailed to CME members shortly. A general plan for all four years has been formulated with an outline of the first two years, including a rationale and description. Again Dr. LaManna welcomes feedback. A vote needs to be taken soon, as August 1999 is the implementation start date.

4. Curriculum Revision Update

5. The Health Sciences Library will soon have access to the Cochrane Collection. OhioLINK may sponsor the Evidence-based Medicine Database, of which OVID is the vendor, and which includes the Cochrane Collection.

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This page was last updated on 11/6/98 by Colin Richmond.

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