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Summary of 12-13-01 CME Minutes 

  1. Curriculum Leadership Council (CLC) Update

  • Faculty dissatisfaction with routine practice of audiotaping and/or audio streaming of lectures for students with study skills problems without obtaining prior faculty consent

  • Faculty consensus that no lecture with patients present be audiotaped or audio streamed for legal and ethical reasons

  1. Clinical Rotation Development Council (CRDC) Update

  • Dissatisfaction of Psychiatry faculty with the 2 one-week Psychiatry clerkship block components of the third year.  (There is also 1 four-week Psychiatry clerkship block.)

  • Psychiatry faculty feel they lack enough block time to achieve their objectives.  Two-to-three alternatives are under consideration now.

  • Scheduling deadlines require that we learn by the January 24, 2002 CME meeting whether Psychiatry will remain the same or be modified for the 2002-2003 academic year.

  1. Presentation on Incentives for Medical Teaching – Dr. Norman Robbins, Professor of Neurosciences

Goal:  Reduce the number of teachers to accomplish better integration, and have this core of the best teachers cover more of the material, thus, eliminating fragmentation and redundancy.

Nationwide problem:  Fewer faculty are willing to volunteer or are able to devote time to high-quality undergraduate teaching.

Disincentives for basic scientists:  i) Ranking research and graduate level teaching as higher priority than undergraduate medical teaching, ii) Lacking the necessary teaching expertise

Disincentives for clinicians:  i) Increasing pressure to see patients and generate hours, ii) Lack of accountability of any department chair—subject committee chair has no power to offer “rewards” for teaching

Some solutions already implemented by other institutions for this “structural” problem:  i) New funding to reimburse excellence in teaching and departmental-endowed “teaching chairs,” ii) Commitments and evaluative tools to give teaching more weight in the promotion and tenure process, iii) Standardized portfolios for promotion, iv) Serious, hands-on faculty development programs

Ideas suggested at CWRU:  i) Analyze each subject committee and clerkship and decide the ideal allocation of the number of teaching faculty.  Look into all financial mechanisms to make it happen.  ii) Track the use of medical school funds going to departments that are used for undergraduate teaching.  If necessary, make special allocations for that purpose.  iii) Reward basic scientists who devote extra effort to teaching with substantial research support.  iv) Have Core and Clerkship chairs/directors report annually on the quality and the quantity of the teaching contribution by department, so that department chairs can participate in Continuous Quality Improvement (CQI).  v) Allocate departmental funds to sufficiently reimburse excellent teaching by adjunct professors.

Discussion ensued.  Dr. LaManna suggested forming a CME subcommittee that can include people outside the CME to look into incentives for undergraduate medical teaching.  A description of the problems and suggestions for solutions is to be presented at the February 14, 2002 CME meeting.  Dr. Terry Wolpaw is to chair the subcommittee on Incentives for Undergraduate Medical Teaching.  Other members of the subcommittee include Drs. Kent Smith, Joe LaManna, Keith Armitage, Hue-Lee Kaung, Joe Miller, Norman Robbins, and Dan Wolpaw.

  1. This year’s major CME agenda item:  evaluating and making recommendations for the Flexible Program

Our next task is to decide the future direction of the Flexible Program and have this information available prior to the LCME site visit in March.  Dr. LaManna recognized Dr. Tarvez Tucker, Coordinator of the Flexible Program, and Dr. Charles Malemud, Co-Coordinator of the Flexible Program, for the work they have done to date.  The Flexible Program is difficult to oversee, because it is composed of so many different electives, many of which are offsite.  It was acknowledged that the size of the Flexible Program has increased over the past few years and that a formal analysis of the Flexible Program has not been done.

Originally intended prior to discussion, recommendations for renovating the Flexible Program would be based on input from a CME subcommittee to be charged at today’s meeting.  Members wishing to serve on the CME subcommittee were present at today’s meeting and include Drs. Mireille Boutry, Joe Miller, Clyde L. Nash, Kent Smith, Marcia Wile, and Mr. Joe Corrao.  However, after much discussion, it was decided to first hear a report from the newly formed Flexible Program Advisory Committee, chaired by Dr. Tucker, at the January 24 CME meeting, before actually charging the CME subcommittee in an effort to avoid duplication.  Dr. LaManna requested from Dr. Tucker’s advisory committee a document listing Flexible Program i) objectives, ii) activities, iii) evaluations, and iv) outcome assessments of both students and the program itself, as well as that attention be paid in particular to both the dual degree programs and the vertical themes.  The electives program spans Years I, II, and IV.

  1. Announcements by the Vice Dean:

  • LCME site visit for accreditation takes place Sunday, March 10, through Thursday, March 14, 2002

  • Discussion regarding the GI committee is taking place.

  • Placement of students in clerkships at Henry Ford for next year is unlikely.  Elective offerings are to continue.

  1. Area of Concentration (AoC) Fair will take place Tuesday, January 15, 2002 , at 12:30 p.m. in the Student Lounge.  Food will be served.

  2. A write-up of the complete education retreat at Landerhaven, November 28, 2001 , will be put on the CME Web site.

See Curriculum Revision Update

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This page was last updated on 12/12/01 by John Graham.

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