Curriculum Committee Meeting Minutes May 5, 2015 Voting Members in Attendance: Meenu Jindal, MD Phillip Callihan, PhD Faye Towell, MLS Jayne Reuben, PhD Bill Wright, PhD Jeremiah White. M1 Rick Hodinka, PhD Sergio Arce, MD Jayne Reuben, PhD Lauren Demosthenes Lily Barkin. M2 Tom Jarecky, MD Andrew Binks, PhD Asa Black, PhD Other Attendees: Mendy Ingiaimo I. II. Non-Voting Members in Attendance: Lynn Crespo, PhD Tom Pace Andrew Buhr (M1 Student President) Greg Hawkins April Buchanan, MD Voting Members Not in Attendance: Rob Morgan, MD Minutes from 4-7-2015 A motion to approve the meeting minutes from 4/7/2015 was made and seconded; all in favor so approved. M3 Mid-Year Clerkship Report a. Dr. Buchanan presented the information noting the highlights of the grades for middle of the M3 year. The clinical grades are not distributed on development. The mean final grade distribution is b – b+. There are more A’s as the year progresses. She went through the different clerkships noting the grades of the students. There was only one individual who received an A in Clinical Evaluation. The Adjusted Shelf Grades Distribution was presented. It was noted that there were five shelf failures. The failures could not be represented on this document. It you get less than the 5th percentile then you fail the exam. What is the remediation? Dr. Buchanan meets with the student and the clerkship director and then schedules a retake of the exam. There is a Jan. retake and a late end-of the year for any spring failures. . i. The OSCE grade distribution scores were presented. The evaluations of the clerkship responses were presented. The M3/M4 Retreat Decisions were presented. They decided to take a closer look at the M3 assessment instrument, remove items they are unable to evaluate, shorten the form by removing comment boxes, and have more faculty and resident development. ii. There was a comparison of the instrument with no grounding versus the instrument with grounding. It matched for the most part, 70 to 80% of the time. Overall, the comments were very good. The box for comments will be a 1 iii. iv. v. vi. vii. viii. summative comment box. The students stated that they were not getting good feedback on their OSCE’s. The intention was that the clerkship director was supposed to give the student the score and the comments. This was not happening as sometimes the comments could not be retrieved. Ryan has pulled all comments and is sending them to the directors and the coordinators. The students were given opportunity to review these scores with their clerkship director and opted not to do so. Step One holds the most weight in determining their residency. They do consider grades and comments as well. This team has decided to put the distribution right beside the clerkship grade so that it will be known exactly where the student stands in comparison to the class. Letters of recommendation are critically important as well. A new faculty and resident evaluation will be presented as they are combined into one faculty/resident evaluation for this next year and it will hold the same weight. The student evaluations were also shown. The M3 assessment evaluation should be looked at more closely. It was noted that the overall grades are B+ or B. The students asked for further discussion regarding the ratings. They did consider a “unable to evaluate” option. At this point the faculty has voted to keep it as it is. There was a motion to send this rating of 3 and 4 back to the clerkship directors so that this can be discussed. Before this is brought to the directors, look at statistics and look at the different models to see what is most effective. The big question is “Does it make a difference in the grade with the way it is currently being done?” The scenarios can be run if there is a motion. It was also noted that there was no standardization with the clerkship directors. There was a motion to look at a model and how it would affect it and take it back to the M3 clerkship directors. The motion was seconded and all were in favor. Family Medicine Clerkship is going from current structure of 2 weeks inpatient, 2 weeks outpatient and 2 weeks in community to the proposed of 1 week inpatient, 1 week outpatient and 4 weeks of community. There was a motion to approve this proposed restructuring, it was seconded and all were approved. Medical Spanish – there is a proposal for students who are applying to encourage them to take a 200 level class in Spanish after their M1 year. There is a medical Spanish course at Furman and there is an effort to work out an agreement with them to integrate this course. The course starts the 12th and this takes 5 days away from Step 2 studying. This will be after the M1 or M2 year. This is a summer elective. They can choose this tract. They would do the longitudinal Spanish and would continue with the Furman instructors and work through the M4 year with this program. As they were looking for a module director, this option became available. The elective is pass/fail. It is summertime and 4th year elective. Those who choose must make sure they took the Step 1 before the start of the Maymester. The M4 elective is the same as 2 III. IV. V. the longitudinal elective. Currently there is a proficiency level question but the plan in place is to make sure that everyone comes in on the same level of Spanish. This allows students to plan across the 4 years to make provision for doing this elective. The students can pick and choose how much they would like to be involved in this. There was a motion to continue to investigate and integrate this into the curriculum. It was noted that the Dean’s cabinet felt this should not be a core requirement of the curriculum. However, this can be brought back up and the committee can bring it back up. Even in Orlando, medical Spanish was an online course and it was a struggle. There was a motion to continue to explore this and have conversations with Furman to bring this back to the committee. ix. This document did not need a vote of approval. M3 and M4 Assessment Instruments a. The Faculty/Resident Evaluation by the Student Form was presented i. The boxes are radio buttons in Oasis. The only things different is the verbiage of organization of the learning environment through team leadership. The tool is a fair tool. These forms are sent out twice a year. The form was streamlined to make it easier to use. There were a motion to approve, it was seconded, all were in favor and it was approved. b. Student Evaluation of the Clerkship form i. The form was presented and there was no change. c. M2 and M3 Elective Evaluation i. This form was presented and it is working well. There was no change on this form. These are held until the end of the year so they are being distributed as needed. ii. In addition, there was a motion to approve this as a M4 instrument. There was a second; all were in favor so this was approved. 2015 – 2016 Foundations Documents i. The Module Change form was presented and Dr. LeClaire discussed how the assessment plan was changed to include the portfolio. There was a motion to approve. It was seconded and all were in favor. Module Change Form a. This form was discussed and the proposed change is to bring the recommendations from the EOM report from the last year. Look at the deficiencies and then look at EOM report recommendations. An example would be a change in the number of evenings, nights or weekends. It could be a significant change in call time as the verbiage. Motion to approve this document, seconded and all in favor. The recommendation is to bring the EOM report recommendations and then submit no change. This committee does not have to approve items that have no changes. 3 VI. VII. VIII. The M3 and M4 IPM objectives a. Dr. Pace noted that there are no changes to the objectives. The Grand Rounds turned out to be pretty good. The structure is the same and within that basic structure, it will become richer and fuller with content and material. They will work to make the whole week a better experience. There was a bad timing of a movie that was viewed by the students. There was a motion to approve the M3 Description and Objectives. It was seconded and approved. There was a note to add the specialties into the IPM4 objectives. Policies and Procedures Manual a. Within Canvas we will post a working copy something like a wiki so that everyone can make edits and adjustments. These must be done by June 1st to June 15th this needs to go to Dr. Best. Have faculty look at it and make suggestions, comments, etc. The faculty can come to you and make suggestions. There will be a draft completed by the next meeting, June 2nd. Adjourn a. There was a motion to adjourn the meeting. There was a second and all were in favor. 4