Shield of the SOM Committee on Medical Education
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Summary of 10-28-99 CME Minutes


1. Positive feedback from both Year One students and their numerous Year Four student preceptors participating in the Year One Primary Care Track Physical Diagnosis pilot.

2. Assurance that support for the paper syllabus is not "under threat.

3. Dr. Jay Wish, Patient-Based Program Coordinator, presented a proposal for an End of Third Year Class Exercise, which has already been discussed with both the third year class and the clerkship directors. Dr. Wish cited the precedent of the ophthalmology half-day session required of third or fourth year students endorsed by the CME on April 24, 1997 and came today to elicit CME support for expansion. Since that time, other "holes" have been cited in the clerkship curriculum:

    1. Ophthalmology (now covered with the half-day requirement)
    2. ENT
    3. Dermatology
    4. Office orthopedics—"sprains and strains"—(medical orthopedics not surgical orthopedics)
    5. Chronic pain management (proposed by Year Three students themselves)
    6. Patient communication skills—to assess and reinforce skills related to the Macy Grant.

Dr. Wish explained that there is an extra week in the last third year clerkship. The last clerkship would be reduced to the same eight weeks as clerkships during the rest of the year, and the ninth week would be used to provide exposure for all Year Three students to areas not covered in the core clerkship curriculum. Dr. Wish envisioned the following activities: hands-on exercises, didactic lectures to review, pathophysiology, diagnosis and treatment, and case-based discussions. Dr. Wish favored an end of third year OSCE for traditional students as well as Primary Care Track students for purposes of 1) covering areas not previously covered in individual clerkship exams, and 2) testing traditional student performance and comparing it to that of the Primary Care Track students. However, the end of third year OSCE cannot be realistically implemented in time for the current third year class. A computer-graded written exam given at the end of the week is an option for this year.


The following motion passed unanimously:

That the last week of the last clerkship in the current third year be used as a whole-class weeklong curriculum to cover areas not addressed in the current core clerkships. The Patient-Based Program Coordinator will provide oversight. Students will be accountable for the content of the weeklong curriculum.

4. Distribution of updated table stating number of medical students involved in each dual degree program as indicated by class for fall 1999, prepared by Mr. Joseph Corrao, Registrar.

5. Analysis of the performance of the current third year class on the USMLE Step 1 that has just been completed was presented. The average score for the 141 CWRU first-time test-takers from the class of 2001 is 220.5. The passing score is 179. This group of CWRU students had a 96.5% pass rate. Our Year One comprehensive examination is a good predictor of USMLE Step 1 performance. Discussion ensued over the trend toward higher comprehensive scores with some of the high scorers’ performance significantly lower on the USMLE Step 1. Both exams are pass/fail. There are at least two different components making up the student body: 1) those desiring only to pass the USMLE Step 1, since this is a pass/fail exam, and 2) those needing a high NBME score to gain entrance into a competitive residency program. Support for counseling students who barely pass the Year One comprehensive was discussed as a proactive attempt to improve the performance of these students on the USMLE Step 1.

6. No Curriculum Revision Update

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This page was last updated on 11/08/99 by Eric Schmidt.

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