MINUTES
CC34 Clinical Curriculum Committee – January 31, 2012, 7:15-8:30 AM, Bondurant G010
Attendees: Alice Chuang, Timothy Farrell, Cristin Colford, Erin Malloy, Beat Steiner, Kenya McNeal-Trice,
Christopher Klipstein, William Mills, Ana Felix, Renae Stafford, Amy Shaheen, Lisa Slatt, Mike Meyers, Georgette
dent, Dale Krams, Karen Stone, Kurt Gilliand, Katie Smith, Michel Branch, Cam Enarson, Kristen Rake, Megan
Jordan , Anne Mounsey, Emily Gifford, Mindy Roush
Topic
Clerkship Directors
only (Chuang, 30
minutes)
AY 2012-2013 for
MS4 (Chuang, 30
seconds)
Absentee policy
(Chuang, 4
minutes 30
seconds)
Discussion
Websites Observations* and Common Website Outline*
Move to accept minutes from last CC34 meeting
(12/13/11)*
Review:
Clinical Rotation Absence Policy
Students who become ill or must be absent from their
duties for any reason, for one day or more, must notify the
Clerkship and Elective Program Manager in the Office of
Student Affairs to obtain an administrative excuse. The
Clerkship and Elective Program Manager will notify the
clerkship coordinator who will notify the appropriate
faculty and house staff. All excused absences are subject to
being made up at the discretion of the course/clerkship
director. In the event of extended absences the Office of
Student Affairs will consult with the clerkship/course
director. A cumulative absence of two days or more from a
four-week clerkship or three days or more during an six or
eight-week rotation could result in a grade of Incomplete,
Withdraw, Condition or Fail unless the absence is approved
ahead of time by the Office of Student Affairs. Personal
medical care including preventive care, personal illness,
family emergencies, jury duty, the Clinical Practice
Examination (CPX), the USMLE Step 2 Clinical Skills, or
Clinical Knowledge examinations are examples of
legitimate reasons for being absent. Students may be
excused to meet with their advisor or the financial aid
officer. Students with leadership positions in national
organizations may be excused so that they can fulfill their
leadership responsibilities. Students who are presenting
their work at professional meetings may be excused for
enough time to travel and present their research but may
not be able to attend the meeting in its entirety. Students
are expected to use free months for residency interviews,
but in the event that an interview is offered during a clinical
course, the absence will be granted at the discretion of the
clinical preceptor. Visits to family and friends and prepurchased airline tickets are not example of acceptable
reasons for being absent from a clinical rotation. We
understand that some family events such as weddings of
siblings are important to work- life balance. All requests
for absence due to such events must be submitted to the
clerkship and elective program manager at least 90 days
Action Items
See attached with summarized
discussion and further
questions.
Minutes accepted
Duly noted.
ahead of time. Whether or not such absences are excused
will be based on the course director’s discretion, in concert
with the office of student affairs, based on exactly what
will be missed, the feasibility of remediation, and the
number of excused absences the student has accumulated
Approved by CMPC June 14, 2006
Professionalism in the First Two Years, Guidelines for Use of Class Time, and
Attendance Task Force Conclusions and Recommendations
Approved by CMPC July 27, 2006
Approved by CC ¾ April 26, 2011
Approved by Education Committee, May 5, 2011
Approved by Education Committee, January 9, 2012
Additional notes: Students who are away should arrange
teleconferencing.
Policy review
(Dent, 5 min)
Article 5: Responsibilities of Medical Students*
http://www.med.unc.edu/www/education/mdprogram/g
overnance/policies/files/Article5ResponsibilitiesofMedical
Students20120106.pdf
Alice: Will follow up with
Whitehead on Professionalism
document
Article 8: Student Progression Revised*
http://www.med.unc.edu/www/education/mdprogram/g
overnance/policies/files/Article8StudentProgressionRevise
d20120106.pdf
Article 9: Appeals Process*
http://www.med.unc.edu/www/education/mdprogram/g
overnance/policies/files/Article9AppealsProcess20120105.
pdf
New Learning Environment Policy*
http://www.med.unc.edu/www/education/mdprogram/g
overnance/policies/additionalpolicies/Enhancing%20Our%20Learning%20Environment.p
df
Important points: Students may not be decelerated
without the opportunity to address Promotions
Committee in person.
Electives Course
Review
(Farrell/Gilliland,
15 min)
LCME (Newton, 20
min)
Does there need to be a policy re: communications with
faculty, course directors, administration? Whitehead is
currently writing a professionalism document/policy which
could address this.
http://clipper.med.unc.edu/electivesbook/
http://www.med.unc.edu/md/curriculum/welcomev3/curriculum/welcome-v3/curriculum/welcomev3/curriculum/electives-information/two-week-careerexploration-electives/two-week-career-explorationelectives
Mock Site Visit Review
Strengths:
 Rich network of clinical opportunities
Requiring additional monitoring:
If in charge of any electives,
please be sure course offering
updated.
Reviewed and approved
electives.
Revisit Asheville issue in
February. Perhaps ask Jeff
Heck to come to CC34.
Obtain copies of LCME

Competencies are used for determining curricular
content, educational structure and assessment
 Timeliness of grades…last iteration everyone was
on time
Unresolved issues:
 Learning environment…there has been lots of
effort towards decreasing mistreatment and
promoting learning environment, but should be
brought up in session VOLUNTARILY during
clerkship director sessions
 We are continuing to search for opportunities and
are track for class size increase to 180-200
 Are we ensuring that all students meet
requirements for clinical log? How are we
managing this?
Significant vulnerability
 Our role for oversight of offsite clerkships,
particularly in Asheville
Other:
Residents at Teachers curriculum and how they are made
aware of objectives
Mid clerkship review
Monitoring of clinical experience and adjustments made
Duty hours policy
All teachers are “faculty”; all AHEC clinicians have faculty
appointments
questions and distribute prior
to final visit.
Review final documents sent to
LCME.
Obtain duty hours policy and
distribute
EVERYONE review log
IMMEDIATELY AND SEND
CHANGE IN STATUS (observed,
participated, performed, etc)
for CLINICAL LOG
PROCEDURES…send these recs
to Alice and Dale for updating
immediately.
Will need to move up to
Education Committee: Process
for Clinical Log
Additional:
Faculty need to know about clinical log
Core didactics
How is common assessment working?
Process for Clinical log: Student has responsibility to come
to advisor in the spring of their third year with clinical log
for review so deficiencies can be identified. Advisor can
assist in identifying fourth year courses which can help
meet these requirements in the process of helping to
schedule fourth year courses.
* See Attached Document(s)
Next meeting: Feb 28, Location TBA, 7:15-8:30, agenda pending
Next Course Review: as below
Topic
Using simulations, teaching
procedures
How is course feedback used and
changes made?
Meeting
Primary Reviewer
date
Secondary
reviewer
Farrell/Charles
Barrick
Shaheen
Colford
Student Reviewer
Feb 28
Wurzelmann