Third- and Fourth-Year Curriculum Committee Meeting
Julie Byerley, M.D., and Timothy Farrell, M.D., Co-Chairs
March 30, 2010, 7:30 a.m. – 8:30 a.m., 133 MacNider
In Attendance:
Tim Farrell
Julie Byerley
Beat Steiner
Cheryl McNeil
Robert Gwyther
Tony Lindsey
Rebecca Chasnovitz
Lydia Efird
Ellen Roberts
Jim Barrick
Alice Chuang
Cristin Colford
Ana Felix
Deb Bynum
Georgette Dent
Karen Stone
Mindy Roush
Cam Enarson
Warren Newton
 Neurology Course Review
 Highlights
 All students are in Chapel Hill and have both inpatient and outpatient exposure.
 Consistently have high evaluations with very positive student feedback due to Dr. McNeil.
 Dr. McNeil provides direct, hands-on teaching and has lots of face time with the students which lead to
consistency and clear communication throughout the course.
 Suggestion: Need more capacity for learners. They are limited by clinic growing space.
 Active Learning Task Force
 Students are unable to write orders at UNC.
 The screen view for medical students is different from what attendings/residents have and it causes difficulty in
sorting through the kinds and the age of some orders.
 Recognized that they needed to build a system in which students can write an order and can see the same
version a resident can view.
 Students’ orders will be considered “unverified” until a resident or attendant cosigns the order.
 The new system will be previewed at the Clinical Design and Documentation Committee on April 24, 2010, and
will go into effect on May 4, 2010.
 It is hopeful that the training for students will occur during the Transitions course.
 Advanced Practice Selective Course Review
 Components include orientation day with a lot of topics, workbook project, clinical work and assessment.
 It is a required selective effective last year and is seen as an audition elective.
 The first year offered a lot of flexibility with 78 options.
 Student evaluations of the course were highly favorable because they go to do what they wanted.
 The course requires a lot of collaboration with different departments and is incredibly well organized.
 Challenges:
 First day session may be long but it is too difficult to have ½ day sessions.
 Need more clinical options and sub-specialty divisions.
 Competencies Update
 The last draft of the competencies was presented to the Curriculum Committee on March 22, 2010, and was
endorsed and adopted.
 Next steps:
 A subcommittee will be established for each one of the 7 competencies.
 Members of each one of the curriculum committees will serve on these 7 subcommittees.
 The request will be to look at what needs to be accomplished at each stage of the curriculum to achieve the
overall competency.
 From those subcommittees it will come back to CC34 and there will be conversations within this committee
on how this would be accomplished which then forms the development of the individual clerkship
objectives.
 Case Log Update
 When should the students start using the new log?
 Unable to use both logs concurrently
 There are over 16,000 entries in the current logs (equal to approximately 100 entries per student).
 Data can be exported and a pdf of a student’s old log can be emailed to each student.
 The data cannot be retained live with reporting capabilities.
 Most important consideration is that the clerkship directors are reviewing the logs and altered the student’s
experience if needed.
 Assessment Committee / Guidelines for Grading
 Documentation provided by Article 6.05 of the School of Medicine guidelines.
 We must have an honor, high pass, pass, condition pass, fail, condition fail.
 Grades defined:
 Honors should be awarded to top 25% of the class.
 It’s impossible to do because it’s not the same 160 students each time.
 Redefining of honors, high pass and pass is needed.
 Should we use high pass as our average?
 Announcement: Effective June 30, 2010, Dr. Julie Byerley will be stepping down as clerkship director for Pediatrics
and therefore also stepping down as co-chair for the CC34 Committee. Dr. Newton will be choosing the new cochair. Dr. Kenya McNeal-Trice will be replacing Dr. Byerley as clerkship director for Pediatrics.