Clinical Education Committee (CEC) Meeting Minutes April 1, 2011 Attendance: Committee members: Robert Acton Sharon Allen Leslie Anderson Sally Berryman Holly Boyer Kathy Brooks Elke Eckert Paul Gleich Cullen Hegarty Alan Johns Michael Kim Cornelius Lam Betsy Murray James Nixon James Pacala Edward Santos Linda Perkowski David Power Ted Thompson Yasuko Yamamura David Walk Kathy Watson Majka Woods X
X
X
X
X
X
X
X
X
X
X
X
X
X
Students:
J Brintnall
A Carrow
N Cole
K Norby
A Nord
S Pleasants
B Varda
Guests: Karla Hemesath
Whitney Donigan
X X Minutes: March 4, 2011 – see addendum for RPAP grading. LCME: Update‐ Mock Site Visit in early October. Committees are meeting and reports will be going to Steering Committee in next couple months who will then write Executive Summary. Charge for Curriculum Database Workgroup‐ Members of OME will be meeting with Clerkship Directors to review data forms and additional information, including session objectives. Working with Duluth to create combined database of objectives and tag with meaningful information (eg mapped to Step 1, hot topics, themes, etc.). Kathy Watson will be taking point of this project and will send out a request for volunteers. If you are interested in contributing to this project, please contact Kathy Watson. Clinical and Translational Research‐ Working with SFC to determine how this is applied during program, specifically for CEC – how is this applied during clinical years? AHC Learning Commons, in conjunction with CTSI, is creating modules of learning for clinical and translational research. Will be discussed further at future meeting. Years 3&4 Subcommittee Recommendations ‐ Dr Friedman wants CEC to begin taking action on Level 1 recommendations. Will be discussed further at May meeting. Information: Match Day‐Kathy Watson – Data is posted on web site. Around 50% of students are staying in Minnesota; others attending elite national programs. Major representation in Family Medicine, which parallels overall national increase of 11% in Family Medicine programs. Annual Clerkship Summary: Emergency Medicine – Cullen Hegarty – Please see attachment. Overall, the EM clerkship is running very similar to last year. One thing that is different for 2010‐2011, new cadaver‐based procedure lab filled gap left after animal‐based lab ceased. Good opportunity for students to work on unpreserved cadavers and complete required procedures. Also, EM added Duluth as new site for Emergency Medicine. Duluth students return to TC for some training to create comparable overall experience. Will continue to use Daily Shift Cards for daily feedback. Dr Boyer (faculty advisor) – In context of writing dean’s letters…lots of daily feedback is hard to summarize for dean’s letters. Does not provide any summary of longer experience; only snapshot of each day. Dr Nixon – can feedback or assessment be completed at group simulation workshops? Same feedback cards are completed which include communication skills, professionalism, etc. Dr Acton – when Surgery added a site, they needed to add them as adjunct faculty. Did EM have that requirement when Duluth added? A: no, because Duluth practitioners were already faculty. DR Thompson contacted LCME to determine what is criteria for adjunct faculty in relation to teaching medical students. Was told individuals involved in evaluation should all be adjunct faculty. If groups split the experience, then perhaps only one would need to be an adjunct faculty. Also…all required procedures/complaints are completed during simulation workshops to ensure 100% completion rate. Exposure to POCC: Acute Care experiences may help increase interest/comfort in Emergency Medicine as well as reconsideration of prerequisites (must currently take Med 1 or Surgery first). Balance student volume at sites with timing of schedule will create opportunity for best experience. Connect better with faculty advisors to help them promote optimal scheduling for students. Large group orientation: conducted every four weeks by clerkship director. Has eliminated need for each site to conduct same training. Discussion: Grading ‐ Follow‐up from March – Grading scales and anchors: Various clerkships are using different systems. Elke Eckert – complaints from students that other clerkships don’t follow the exact system that Psychiatry was following. Different percentages for honors, failures, etc. Psychiatry uses clinical evaluations, academic paper, and shelf exam scores collected and compared to the norm of last year or cohort. There is also differences between use of E‐value (eg. Medicine uses an additional Grade Summary form that collates the clinical evaluations and shelf exam). Kathy Brooks – tremendous variation in evaluations from community preceptors due to promotion of FM, promotion of site, etc. Exam scores do not always correlate with positive clinical evaluations. Boyer – perhaps clerkships can vary on impact of exams and state to students that grades are criterion‐referenced based on what residency programs deem as important. Education Steering Committee has reviewed grading policies for Years 1 & 2. May be prudent for ESC to now address Years 3 & 4 grading as a separate project – will not be consistent with pre‐clinical policy because of different needs. No national norms currently to follow. Lots of ideas from clerkship directors that need to be submitted as short list of priorities to be presented. Dr Watson requests clarity from clerkship to clerkship for students to understand – analysis of use of Evalue, etc. Duty Hours/Time Away Policy – Drs Thompson and Hemesath worked on upgrading policy statements. Duty Hours= please see attachment. Clarification requested of moonlighting. Questions about logging of hours – drop down menu on clerkship evaluation. Time Away= please see attachment. Patient/Procedure Logs‐ Karla Hemesath will input individual lists in Evalue and send for approval. Next meeting: May 6, 2011