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Summary of October 24, 2002 CME Minutes


1.                  Report from the Student CME

Year I student representative Ms. Connie Liu

a)      Requested student input on any future action regarding the substance and content of the Dean’s Letter.  This is based on the position of the Advisory Committee of the AAMC advocating that the Dean’s Letter serve as a student evaluation rather than as a letter of recommendation.  Student representatives will be provided the opportunity to participate fully in any deliberations by the CME, and additionally, class meetings will be set up on the subject of the Dean’s Letter.

b)      Relayed positive student feedback with regard to the Introduction to Clinical Medicine (ICM) course.


Year IV student representative Mr. Scott Walker expressed student criticism of the USMLE Step 2½ Standardized Patient Clinical Skills Examination.  Mr. Walker inquired whether the CME on behalf of the School of Medicine was interested in developing a formal position statement on the USMLE Step 2½ Standardized Patient Clinical Skills Examination.  During discussion the following points were made that ultimately led to the conclusion by Dr. Altose that there was not a consensus on developing a formal institutional position statement:

·        At the AAMC conference this past spring, the vice deans of medical education were generally in favor of the USMLE Step 2½ due to the perception that a simulation serves as a better means of assessing clinical, interpersonal, and communication skills than a paper/pencil test.

·        Many faculty members felt that the examination tests for competency in important areas of medical professionalism.

·        Many state medical licensing boards are likely to require the Step 2½ for licensure.

·        It is possible that the NBME may not permit students to take Step 3, if they have not successfully completed Step 2½.

CME members recalled that Dr. Peter Scoles, former CWRU faculty member and Interim CME Chair, now Senior Vice President for Assessment Programs at the National Board of Medical Examiners, conducted a presentation on the USMLE Step 2½ at the November 8, 2001, CME meeting.  Students were also invited to an additional presentation by Dr. Scoles.


A suggestion was made to organize a forum for students and faculty/administration to dialogue regarding the USMLE Step 2½ that will include participants who are knowledgeable in the purpose and objectives of the examination and representatives of the state medical licensing board.  The end-of-Year III OSCE, proposed by the CRDC, could serve as a mechanism for preparing the students for the Step 2½ examination.


2.                  Report from the Clinical Rotation Development Council (CRDC) – Dr. Chris Brandt, Chair


A CRDC meeting is planned for next week with Dr. Andrew Fishleder to discuss collaboration in the development of the clinical curriculum at the CCLCM.  The CRDC will meet again in November when the CCLCM task force holds its retreat.  Currently, the CRDC is re-examining the structure of the third year curriculum.


3.                  Report from the Flexible Program Council – Dr. Charles Malemud, Flexible Program Coordinator/Flexible Program Council Chair

Focus:  progress by students in the Class of 2005 in completing their 13 Type A electives requirement


Medical students choose one of two programs:  1) an Area of Concentration (AoC), with each AoC having its own course menu, or 2) Diversified Electives, with the number of credit requirements from specific categories indicated.  Between 30-45% of our students elect to take an Area of Concentration.  The remainder of the students are either in dual degree programs or the diversified electives program.  Neither the M.S.T.P. (Medical Scientist Training Program) students nor other dual degree students who are pursuing graduate degrees are required to complete Type A electives.


The following percentages refer to students in the Class of 2005 who are enrolled in either the Area of Concentration or Diversified Electives programs:

·        About 38.9% of students in the Class of 2005 have already completed their Type A elective requirements, with three elective periods to go—an indication that many of our students doubled up on their elective scheduling during Years I and II.

·        Roughly 50% of Year II students are progressing reasonably and have been notified of what they specifically need to meet their requirement.

·        Only 2.3% of students are seriously deficient and may not meet the requirement deadline.  These students will talk with the Flexible Program Coordinator and the Associate Dean for Student Affairs.

Dr. Malemud felt that our Type A electives program seems to be working well, with students averaging two courses every elective period.


Dr. Altose requested that Dr. Malemud allow for CME input before changes are published in the annual Flexible Program Type A Catalog.


4.                  Report from the Director of the Cleveland Health Sciences Library – Mrs. Virginia Saha

A free trial of MDConsult is going on at CWRU through November 18.  MetroHealth and University Hospitals already subscribe to this service.  MDConsult’s change of ownership has resulted in uneven pricing and a complicated password process.  Positive user feedback will be critical in determining if the Library should offer this service.  Mrs. Saha’s instructional PowerPoints on the LinkOut function of PubMed, presented at the October 10 CME meeting, can be found under the Faculty Resource Guide of the eCurriculum.


5.                  Report from the Associate Dean for Residency and Career Planning – Dr. Richard Aach

November 1 is the deadline for the Dean’s Letter.  Students are currently reviewing their Dean’s Letter.  Dr. Aach compared some specialty interests of this year’s CWRU graduating class with past years:

·        44% of the students are going into a Primary Care field, although some will go into a subspecialty field after graduation.

·        The number of students entering Family Medicine is down somewhat.

·        There is a decrease in the number of students pursuing a career in surgery, which is a national trend and not just limited to CWRU.

·        The following fields remain of great interest to our students:  ENT, radiology, anesthesiology, and Emergency Medicine.

·        The percentage of students entering Pediatrics is back up again.


6.                  New Business

Informal discussion of a journal article focused on the Animal Laboratories section and sparked interest in how CWRU handles the situation where students will not or cannot participate in the animal lab.  Students uncomfortable with participating in live animal experiments are excused from the activity, and CME discussants were interested whether alternate means of learning the material should be provided.  To further assess whether the school has a responsibility to present alternative ways in which the students opting not to participate in the live animal studies can acquire those skills, the CME will invite Dr. John Mieyal and Dr. Amy Wilson-Delfosse, co-chairs of the Year I Fundamentals of Therapeutic Agents (FTA) committee to address the CME on December 12.


See Curriculum Revision Update section.

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