College of
Human
Medicine

2020 Curriculum Committee Minutes

December 15

Voting Members Present: Cindy Arvidson, Colleen Bush, Len Fleck, Laura Freidhoff, Amber Heard-Booth, Brittany Lane, Steven Roskos, Maureen Schaefer, Andrea Wendling

Ex-Officio Members Present: Jennifer Edwards-Johnson, Helga Toriello, Dianne Wagner, Amy Ward

Guests: Carol Parker

Minutes prepared by: Lisa Galbavi

Call to order: A. Wendling called the meeting to order at 1:08 p.m.

Approval of November meeting minutes:

ACTION:  A motion was made and seconded to approve the minutes from the November 24, 2020 meeting as written. The motion was unanimously approved.

Review and approval of 12/08/2020 Curriculum Committee Executive Committee minutes: A. Wendling provided a copy of the December 8th Executive Committee meeting minutes (copy appended to minutes on file). After discussion the following action was taken.

ACTION: A motion was made and seconded to accept the Executive Committee minutes from 12/08/2020 as written. The motion was unanimously approved.

Curriculum review: Middle Clinical Experience 2019-2020 annual report: C. Arvidson provided a copy of the report (copy appended to minutes on file). Areas reviewed include: student evaluations, program improvements, curriculum content, student satisfaction and comparability across campuses. After discussion the committee asked for the following changes and took the following action.

Description of the Middle Clinical Experience (MCE) Curriculum Development Group (CDG): Include the role(s) the CDG members serve

Table 7.1-3 Curricular Content: Check box that Population-based medicine is taught in the pre-clerkship phase

ACTION: A motion was made and seconded to accept the MCE report as amended. The motion was unanimously approved.

Vertical Integration / C3 review: September 2020 Associate Dean for Undergraduate Medical Education (ADUME) report: D. Wagner provided a document with her findings on the September 2020 reports (copies appended to minutes on file). The topics include: 1) abdominal mass, 2) abdominal pain 3) acute kidney and 4) dysphagia & dysphonia. After discussion, including a request to ensure that needle stick curriculum appears in the C3 documents, the following action was taken.

ACTION: A motion was made and seconded to accept the report as written and send the items to the Director of the Chief Complaints and Concerns and the Director of Integration and Innovation as assigned. The motion was unanimously approved. 

Vertical Integration / C3 review: L. Fleck provided copies of four C3 review summaries: 1) coma, head injury & brain death, 2) headache, 3) numbness & sensory alteration and 4) seizures (copies appended to minutes on file). After review of the documents the asked for the following changed and took the following action.

Coma, Head Trauma & Brain Death document - Under errors of omission add:

  1. Should include minimally conscious state as distinct from coma and PVS
  2. “brain death” is “death as determined by neurologic criteria” (Academy of Neurology)

ACTION: A motion was made and seconded to accept the audit reports as amended and send them to the ADUME to address the points discovered and return to the committee with a report. The motion was unanimously approved. 

Adjournment: 2:58 p.m.              

December 8 | Executive Committee

Attendees:

  • Andrea Wendling, Curriculum Committee Chair
  • Dianne Wagner, Curriculum Committee Executive Vice-Chair; Interim Senior Associate Dean for Academic Affairs
  • Steve Roskos, Curriculum Committee Secretary
  • Aleena Hajek, Curriculum Committee student representative (voting rights given by executive committee)
  • Lisa Galbavi, Curriculum Committee Coordinator
  • Robin DeMuth, Assistant Dean for Clinical Experiences (guest)
  • Matt Emery, Director of Simulation (guest)
  • Heather Laird Fick, Director of Assessment (guest)

PCSE spring 2021 Decision

Due to limitations caused by the COVID-19 pandemic, all PCSE testing (1st iteration, 2nd iteration, and makeup PCSE) for ECE, MCE, and LCE students during Spring 2021 term will be held virtually.

ASK IV scheduling Decision

Scheduling a 2-week ASK IV block is beneficial for students as ASK IV involves 80 hours of didactic work. In rare circumstances where a student is not able or not willing to schedule a 2-week block for ASK IV, they may receive credit by completing all ASK IV requirements during the semester without 2-weeks of blocked time.

Early Clinical Experience (ECE) update

R. DeMuth asked for guidance on what to bring to the Curriculum Committee regarding ECE changes. She will prepare a plan that explains how different activities within the Community Health Pandemic Response experience meet the objectives of the ECE

November 24

Voting Members Present: Cindy Arvidson, Anita Avery, Modupe Awonuga, Colleen Bush, Len Fleck, Laura Freidhoff, Aleena Hajek, Amber Heard-Booth, Brittany Lane, Steven Roskos, Andrea Wendling

Ex-Officio Members Present: Migdalisel Colon-Berlingeri, Robin DeMuth, Jennifer Edwards-Johnson, Joel Maurer, Rebecca Schein, Helga Toriello, Dianne Wagner, Amy Ward

Guests: Matt Emery, Gary Ferenchick

Minutes prepared by: Lisa Galbavi

Call to order: A. Wendling called the meeting to order at 1:05 p.m.

Approval of October meeting minutes:

ACTION:  A motion was made and seconded to approve the minutes from the October 27, 2020 meeting as written. The motion was unanimously approved.

Review and approval of 11/10/2020 Curriculum Committee Executive Committee minutes: A. Wendling provided a copy of the November 10th Executive Committee meeting minutes (copy appended to minutes on file). After discussion the following action was taken.

ACTION: A motion was made and seconded to accept the Executive Committee minutes from 11/10/2020 as written. The motion was unanimously approved.

Changes to PSCE for fall 2020 makeup and spring 2021 exams: M. Emery provided a copy of the proposal (copy appended to minutes on file). There was discussion of possible delivery options for the spring 2021 exam and it was noted when making these decisions need to be sure college goals are met as well as preparing our students for the next stage in their learning. The committee decided the Curriculum Committee Executive Committee would discuss delivery options for the spring 2021 exams at their December meeting, After further discussion the following action was taken.

ACTION: A motion was made and seconded to approve virtual delivery of the fall 2020 PSCE makeup exams. The motion was unanimously approved.

Admissions report follow-up: J. Maurer provided follow-up to a couple questions asked at last month’s meeting. He noted the Admissions office will include more gender and race/ethnicity data in next year’s report. He also noted that implicit bias training is provided to committee and interviewers, but in the past was focused on committee members. This information is shared with the committee members during a summer retreat and online modules are given to both committee members and interviewers.

Early Clinical Experience (ECE) changes: R. DeMuth noted that it was decided to pull ECE students from their clinics the week prior to the Thanksgiving week. This was a decision made due to culmination of multiple circumstances and the Curriculum Committee Chair, A. Wendling, was consulted before the announcement was sent to students. It was noted that the ECE students will still complete their scholarly projects and will be provided feedback on how to adjust if clinic work was a key component of their research. After additional discussion the following action was taken.

ACTION: A motion was made and seconded to accept the decision to pull ECE students from clinics for the reminder of the 2020-2021 ECE portion of their curriculum. The motion was unanimously approved.

FM 615 course request: A. Wendling provided a copy of the course request (copy appended to minutes on file). After discussion the following action was taken.

ACTION: A motion was made and seconded to approve FM 615 as written. The motion was unanimously approved.

Vertical Integration / C3 review: August 2020 Associate Dean for Undergraduate Medical Education (ADUME) report: D. Wagner provided a document with her findings on the August 2020 reports (gait disturbance/movement disorders, hemiplegia, visual disturbance and weakness) (copies appended to minutes on file). After discussion the following action was taken.

ACTION: A motion was made and seconded to accept the report as written and send the items to the Director of the Chief Complaints and Concerns and the Director of Integration and Innovation as assigned. The motion was unanimously approved. 

Vertical Integration / C3 review: A. Wendling and L. Fleck provided copies of four C3 review summaries (anxiety, delirium & dementia, depression and psychosis) (copies appended to minutes on file). After review of the documents the following action was taken.

ACTION: A motion was made and seconded to accept the audit reports and send them to the ADUME to address the points discovered and return to the committee with a report. The motion was unanimously approved. 

Adjournment: 3:32 p.m.

November 10 | Executive Committee

Attendees:

  • Andrea Wendling, Curriculum Committee Chair
  • Dianne Wagner, Curriculum Committee Executive Vice-Chair; Interim Senior Associate Dean for Academic Affairs
  • Steve Roskos, Curriculum Committee Secretary
  • Aleena Hajek and Brittany Lane, Curriculum Committee student representative (voting rights given by executive committee)
  • Lisa Galbavi, Curriculum Committee Coordinator
  • Robin DeMuth, Assistant Dean for Clinical Experiences (guest)

Late Clinical Experience (LCE) clerkship issues:

It was noted the community campuses have noted an increase in clerkship interruptions due to 1) student having to quarantine for exposure or COVID positive results and 2) sites turning away students due to the physician quarantines or low patient numbers. The community campuses anticipate things will get worse get worse as some sites start to limit students on a rotation.

It was noted a policy for moving required clerkships to a 3+1 model was previously discussed and approved by the Curriculum Committee Executive Committee on August 11, 2020. R. DeMuth noted she discussed this policy and the policies from the LCE Guide at yesterday’s LCE Curriculum Development Group. It was noted the policy from the August 11, 2020 meeting is to help resolve/guide issues with the clerkship sites and if a student has to miss in person activities due to quarantine that falls under policies in the LCE guide.

There are two situations with differing responses:

  1. A student has to miss days of the clerkship for illness or other life circumstances. The guidelines for this are contained in the LCE Guide and depending on the number of days missed, the student can do make up activities (5 or fewer days) or be given an ET and have make up days scheduled at a later time (more than 5 days.)
  2. If the college cannot provide the standard clerkship experience, then a plan for non-direct care activities (totally up to 25%) that can fulfill specific goals and objectives of the clerkship can be presented to a subcommittee for approval (CC Chair, LCE Director, Student Rep of CC), as previously designated by the Curriculum Committee.  Proposals for non-direct care beyond 25% will require review by the executive or full Curriculum Committee.

At this time the Executive Committee does not propose moving away from the August 11, 2020 decision, but would like the following to occur:

  1. ensure all parties, including those in the community campuses, are all aware of the policy
  2. Clerkships should be reminded to have their 1 week of materials ready. They will still come to the Curriculum Committee, as stated in the August 11, 2020 policy, if need to move any student to a 3+1 week model.
  3. Pediatrics should work on extra materials for students due to low census numbers that will help the students meet the clerkship objectives. This is in process.

Dr. DeMuth, as interim LCE Director, agreed to communicate these issues to the appropriate teams.

The requirement for the Primary Care Selective was also changed at the August 11, 2020 meeting to 2 weeks (from 4 weeks) for the class of 2021. However, it has come up that students may be pulled after 1 week due to clinical site limitations. In these instances, the Executive Committee noted the students can be placed in a different primary care selective experience as long as it falls under the same discipline. Also, the department will be responsible for determining what the experience will be called on the student’s transcript.

October 27

Voting Members Present: Cindy Arvidson, Anita Avery, Modupe Awonuga, Colleen Bush, Len Fleck, Laura Freidhoff, Aleena Hajek, Amber Heard-Booth, Harland Holman, Brittany Lane, Steven Roskos, Maureen Schaefer, Andrea Wendling

Ex-Officio Members Present: Robin DeMuth, Jennifer Edwards-Johnson, Rebecca Schein, Margaret Thompson, Helga Toriello, Dianne Wagner, Amy Ward

Guests: Gary Ferenchick, Liz Lyons, Carol Parker

Minutes prepared by: Lisa Galbavi

Call to order: A. Wendling called the meeting to order at 1:01 p.m.

Approval of September meeting minutes: The committee asked for the following change:

March Match report 2020: J. Phillips provided a copy of the report…”

Vertical Integration / C3 review: June 2020 Associate Dean for Undergraduate Medical Education (ADUME) report: D. Wagner provided a document with her findings on the June 2020 reports (bleeding and bruising and bleeding, hypercoagulable states, and pallor & plethora states) (copies appended to minutes on file).

G. Ferenchick noted he and A. Paganini are working on a process to implement the action items approved in the ADUME reports. They will meet with the clinical experience directors and shepherds to discuss ideas for streamlining the process for all involved parties.”

ACTION:  A motion was made and seconded to approve the minutes from the September 22, 2020 meeting as amended. The motion was unanimously approved.

Review and approval of 10/13/2020 Curriculum Committee Executive Committee decisions: A. Wendling provided a copy of the October 13th Executive Committee meeting minutes (copy appended to minutes on file). After discussion of learning/teaching opportunities to give the students additional observed simulation experiences later in the curriculum, the following action was taken.

ACTION: A motion was made and seconded to accept the Executive Committee decisions from 10/13/2020 as written. The motion was unanimously approved.

Curriculum review: Intersessions 2019-2020 annual report: H. Toriello provided a copy of the report (copy appended to minutes on file). An overview of intersession types and structure were reviewed. Assessment, evaluation, updates and changes were also discussed. It was noted the report needs to be edited in some areas with 2020 Intersession data and indicate that these Intersessions occurred during the COVID-19 pandemic. H. Toriello will update the report and send to L. Galbavi for inclusion in the official committee file. After additional discussion the following action was taken.

ACTION: A motion was made and seconded to accept the Intersessions report as amended. The motion was unanimously approved.

HM 628 course request: J. Edwards-Johnson provided a copy of the course request (copy appended to minutes on file). After discussion the committee asked for the following changes and the following action was taken.

4. Course Title: “Racism and Other Health Disparities”

19. Relationship to this course to similar courses offered by the primary administrative unit: HM 625, Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, Asexual+ Health Care, discusses health disparities in a specific area, while HM 628 discusses a wider variety of topics, including LGBTQIA+.”

ACTION: A motion was made and seconded to approve HM 628 as amended. The motion was unanimously approved.

Curriculum Committee subcommittees (CDGs) voting member composition: A. Wendling noted the Curriculum Committee previously voted to allow faculty and students to vote on the Curriculum Development Groups (CDGs). The Curriculum Committee CDG representatives discussed the options for a staff/administrative vote with their CDGs. The ECE, MCE and Intersessions CDGs said they would welcome a staff vote. The LCE CDG said they would welcome two (2) staff votes, one from the administrative side and one from community campuses (ie: a Director of Student Programs).

ACTION: A motion was made and seconded to approve the voting compassion as noted above. The motion was unanimously approved.

There was additional discussion included how CDG rosters will be determined. A. Wendling, C. Parker and D. Wagner will work on a process and bring it back to the committee.

Admissions report: J. Maurer provided the report outlining the 2020 matriculating class and A. Wendling gave the presentation (copy appended to minutes on file). A total of 8221 applications were received and, through the process, narrowed down to the final selection of 188 matriculating students. The entering class profile was reviewed and the admissions process was discussed. It was noted interviewers receive implicit bias training. The committee noted they would like to see a breakdown of gender by race/ethnicity in future reports if possible.

Vertical Integration / C3 review: July 2020 Associate Dean for Undergraduate Medical Education (ADUME) report: D. Wagner provided a document with her findings on the July 2020 reports (cough, hematuria, hemoptysis and upper respiratory symptoms) (copies appended to minutes on file). After discussion the following action was taken.

ACTION: A motion was made and seconded to accept the report as written and send the items to the Director of the Chief Complaints and Concerns and the Director of Integration and Innovation as assigned. The motion was unanimously approved. 

Vertical Integration / C3 review: S. Roskos, G. Ferenchick and L. Fleck provided copies of four C3 review summaries (abnormal stature, childhood communicable diseases, pediatric emergencies and pediatric nutrition concerns) (copies appended to minutes on file). After review of the documents the following action was taken.

ACTION: A motion was made and seconded to accept the audit reports and send them to the ADUME to address the points discovered and return to the committee with a report. The motion was unanimously approved. 

Adjournment: 3:23 p.m.                                                   

October 13 | Executive Committee

Attendees:

  • Andrea Wendling, Curriculum Committee Chair
  • Dianne Wagner, Curriculum Committee Executive Vice-Chair; Interim Senior Associate Dean for Academic Affairs
  • Steve Roskos, Curriculum Committee Secretary
  • Aleena Hajek, Curriculum Committee student representative (voting rights given by executive committee)
  • Lisa Galbavi, Curriculum Committee Coordinator
  • Robin DeMuth, Assistant Dean for Clinical Experiences (guest)
  • Carol Parker, Assistant Dean for Program Evaluation and Continuous Quality Improvement (guest)

PCSE testing for fall semester MCE, Class of 2023: 

Situation: It was noted, as discussed at the September 18, 2020 Executive Committee meeting, that there a continued decrement in the number of standardized patients (SPs) for the PCSE. The simulation team is working on recruitment so that these exams can operate as designed in the spring 2021 semester, but there will not be enough SPs for the second iteration of the exam for the fall 2020 semester.

Since the Curriculum Committee Executive Committee waived the first round of the PCSE for the ECE students at it’s September 18, 2020 meeting, the ECE students will need to take the PSCE during the fall 2020 second iteration. It was noted that LCE students are not required to take the exam twice a semester as long as they meet expectations with their first exam; therefore, the only LCE students who would need to take the exam during this second iteration are those who did not meet expectations of the exam during the first iteration or who have not already tested.

Proposal: MCE students who have met expectations on all areas during the first iteration of the exam will not take the second iteration; therefore, the only MCE students who will test during the second iteration in fall 2020 are those who have not met expectations on all areas of the exam or have not yet tested during the fall 2020 semester.

Discussion: There was discussion of ways that simulation may need to be altered in spring 2021 for ECE and MCE to respond to deficits. Also, there could potentially be some simulation refreshers prior to the start of LCE to prepare the students better or that experience.

ACTION: The committee voted unanimously that due to limitations in simulated patient availability because of COVID-19, only specific MCE students will need to take a second iteration of the PCSE testing during the fall semester of 2020. Students required to participate in the second iteration of PCSE testing are 1) MCE students who have not yet met expectations for all areas of the PCSE during fall semester of 2020 or 2) MCE students who have not yet tested during the fall semester of 2020.

September 22

Voting Members Present: Cindy Arvidson, Anita Avery, Modupe Awonuga, Colleen Bush, Len Fleck, Laura Freidhoff, Aleena Hajek, Amber Heard-Booth, Harland Holman, Brittany Lane, Steven Roskos, Andrea Wendling

Ex-Officio Members Present: Robin DeMuth, Rebecca Schein, Helga Toriello, Dianne Wagner, Amy Ward

Guests: Gary Ferenchick, Carol Parker, Julie Phillips, Deana Wilbanks

Minutes prepared by: Lisa Galbavi

Call to order: A. Wendling called the meeting to order at 1:01 p.m.

Approval of August meeting minutes: The committee asked for the following change:

Curriculum Committee subcommittee member composition/voting rights – second Action item: “A motion was made and seconded to add a mechanism were are whereby Early Clinical Experience (ECE), Middle Clinical Experience (MCE), Late Clinical Experience…”

ACTION:  A motion was made and seconded to approve the minutes from the August 25, 2020 meeting as amended. The motion was unanimously approved.

Martch report 2020: J. Phillips provided a copy of the report (copy appended to minutes on file). Discussion included: how the match process will be handled this year due to the pandemic.

Review and approval of 9/8/2020 and 9/18/2020 Curriculum Committee Executive Committee decisions: A. Wendling provided a copy of the September 8th and September 18th Executive Committee meeting minutes (copies appended to minutes on file). After discussion the following action was taken.

ACTION: A motion was made and seconded to approve the Executive Committee decisions from 9/8/2020 and 9/18/2020 as written. The motion was unanimously approved.

HM 627 course request: A. Wendling provided a copy of the course request (copy appended to minutes on file). After discussion the following action was taken.

  1. Catalog Course Description: “An iInterdisciplinary VA medical education elective in the care of a Veteran population within a Federal Veterans’ Affairs system. Students may work with a variety of preceptors from various specialties who serve a veteran population.”
  2. Prerequisite(s): “FM 641 644 and MED 641”

ACTION: A motion was made and seconded to approve HM 627 as amended. The motion was unanimously approved.

Family Medicine course changes: H. Holman provided copies of 3 course change requests (copies appended to minutes on file). After discussion the committee decided to table the FM 620 course request until a future meeting and took the following action on FM 613 and FM 616.

ACTION: A motion was made and seconded to approve FM 613 and FM 616 as written. The motion was unanimously approved.

Vertical Integration / C3 review: June 2020 Associate Dean for Undergraduate Medical Education (ADUME) report: D. Wagner provided a document with her findings on the June 2020 reports (bleeding and bruising, hypercoagulable states, and pallor & plethora) (copies appended to minutes on file).

  1. Ferenchick noted he and A. Paganini are working on a process to implement the action items approved in the ADUME reports. They will meet with the clinical experience directors and shepherds to discuss ideas for streamlining the process for all involved parties.

After additional discussion the following action was taken:

ACTION: A motion was made and seconded to accept the report as written and send the items to the Director of the Chief Complaints and Concerns and the Director of Integration and Innovation as assigned. The motion was unanimously approved. 

Vertical Integration / C3 review: L. Freidhoff, G. Ferenchick and L. Fleck provided copies of four C3 review summaries (abdominal mass, abdominal pain, acute kidney injury, and dysphagia & dysphonia) (copies appended to minutes on file). After review of the documents the following action was taken:

ACTION: A motion was made and seconded to accept the audit reports and send them to the ADUME to address the points discovered and return to the committee with a report. The motion was unanimously approved. 

Adjournment: 2:45 p.m.                                                   

September 18 | Executive Committee

Attendees:

  • Andrea Wendling, Curriculum Committee Chair
  • Dianne Wagner, Curriculum Committee Executive Vice-Chair; Interim Senior Associate Dean for Academic Affairs
  • Steve Roskos, Curriculum Committee Secretary
  • Aleena Hajek, Curriculum Committee student representatives (voting right given by executive committee)
  • Heather Laird Fick, Director of Assessment (guest)
  • Carol Parker, Assistant Dean for Program Evaluation and Continuous Quality Improvement (guest)

PCSE for ECE students

Sim is having significant difficulties recruiting standardized patients for PCSE. We’ve had one 4th year cohort take PCSE which highlighted these challenges.

Options:

  1. spreading out events and having fewer banks of patients (student scheduling problems; unclear if the necessary changes can be implemented in time for the first wave of testing dates)
  2. hiring more standardized patients (would require training and travel from GR to EL – violates principles of no travel so would require special waiver forms with no guarantee of approval – we also cannot hire fast enough for next week);
  3. waiving second exams for ECE/MCE students if they meet the bar for the first PCSE (this doesn’t help our staffing issue for the first exam);
  4. waiving first round of the PCSE for ECE students - ECE is the group that gets the least benefit for their skills development and that contributes limited useful information on assessing their development and progression; comes with risk as we are uncertain what the situation will look like later this semester.

Discussion on the recommended option – Assessment/Sim is recommending 4. Questions asked about what value students are losing when they do not do the first PCSE. Ms. Hajek shared from a student perspective that the expectations for the first PCSE were so low that she does not feel that ECE students lose much if they do not do the first PCSE, except for low stakes practice for future exams.

Dr. Roskos expressed discomfort that we have no good options. He wondered why we cannot do half the cases. Discussion about challenges related to making these changes for a Monday start. Dr. Roskos as Ms. Hajek to share more of her experience during the first PCSE. The only negative from her perspective is that it is an opportunity to learn the format of the exam. She does believe students have a lot of opportunity to feel comfortable with the exam format before the stakes increase significantly.

Uncertain on what the end of the semester will look like. Assessment/Sim will return to the committee if the situation has not improved.

ACTION: The committee voted unanimously to waive the first PCSE for ECE students. They ask that the assessment and simulation teams be thoughtful about how we help the ECE students get appropriate practice for PCSE so they are comfortable with the exam structure.

September 8 | Executive Committee

Attendees:

  • Andrea Wendling, Curriculum Committee Chair
  • Dianne Wagner, Curriculum Committee Executive Vice-Chair; Interim Senior Associate Dean for Academic Affairs
  • Aleena Hajek and Brittany Lane, Curriculum Committee student representatives (voting rights given to one by executive committee)
  • Robin DeMuth, Assistant Dean for Clinical Experiences (guest)
  • Carol Parker, Assistant Dean for Program Evaluation and Continuous Quality Improvement (guest)
  • Lisa Galbavi, CHM Curriculum Committee Coordinator

Two proposals were presented to the Executive Committee of the Curriculum Committee. Committee members discussed the details of the proposals. Following discussion and asynchronous confirmation with Steve Roskos, Curriculum Committee Secretary, the following decisions were made:

ECE experience for 2020-2021:

For the academic year 2020-21, there will be three ECE clinical experiences offered as tracks for students. Track 1 will be the traditional ECE clinical experience model where students spend time longitudinally in clinics over 16 weeks. Track 2 will be an immersion ECE clinical experience where students will spend 2 weeks in a clinical setting at the start of ECE (weeks 9 and 10). These students will then receive the educational material and experiences from weeks 9 and 10 longitudinally throughout the remaining weeks of ECE. Track 3 will be a community health ECE clinical experience where students will engage in group experiences with patients and will plan and deploy community health interventions longitudinally throughout ECE. All three tracks will meet the core learning objectives for the clinical experience component of the ECE. Further details about all three tracks are available within the approved proposal.

HM 651 Exams:

During Fall 2020 only, to respond to the additional challenges of the COVID-19 pandemic, namely, the need for remote testing for all iterations of multiple choice exams, the CNSE requirements for HM 651 will consist of two iterations, with the second iteration waived for those who meet expectations for the Transformation competency based on the first exam. Students who do not meet expectations on the 1st exam will still be required to take the second exam during the fall semester; and any student, regardless of score, may opt to take the second exam if desired. The Office of Assessment will work with campuses of students who either require or desire a second iteration of testing in order to maximize advanced planning.

August 25

Voting Members Present: Cindy Arvidson, Anita Avery, Modupe Awonuga, Colleen Bush, Len Fleck, Laura Freidhoff, Aleena Hajek, Amber Heard-Booth, Harland Holman, Brittany Lane, Steven Roskos, Maureen Schaefer, Andrea Wendling

Ex-Officio Members Present: Robin DeMuth, Rebecca Schein, Helga Toriello, Dianne Wagner, Amy Ward

Guests: Gary Ferenchick, Carol Parker, Julie Phillips

Minutes prepared by: Lisa Galbavi

Call to order: D. Wagner called the meeting to order at 1:03 p.m.

Welcome and introductions: D. Wagner welcomed everyone to the committee for the 2020-2021 year and everyone introduced themselves.

Election of chair and secretary to the executive committee:

ACTION: A motion was made and seconded to nominate A. Wendling to serve as Chair for the 2020-2021 year. No other nominations for Chair were made. By unanimous voice vote A. Wendling was elected Chair.

ACTION: A motion was made and seconded to nominate S. Roskos to serve as Secretary for the 2020-2021 year. No other nominations for Secretary were made. By unanimous voice vote S. Roskos was elected Secretary.

Approval of July meeting minutes:

ACTION:  A motion was made and seconded to approve the minutes from the July 28, 2020 meeting as written. The motion was unanimously approved.

Review and approval of 8/11/2020 Curriculum Committee Executive Committee decisions: A. Wendling provided a copy of the August 11th Executive Committee meeting minutes (copy appended to minutes on file). After discussion the following action was taken.

Pediatrics Clerkship: “…If that move happens, it is considered an equivalent of comparable to a 4-week experience, e.g. students in 3 +1 clerkship will be considered as having adequate opportunities for extra work to earn extra points for honor grades…”

Psychiatry Clerkship: “…If that move happens, it is considered an equivalent comparable model of the 2020-2021 academic year psychiatry clerkship as outlined in [points 1-3, of the psychiatry clerkship proposal].”

General Rule for all Clerkships: “…If that move happens, it is considered an equivalent of comparable to the 4-week clinical experience.”

ACTION: A motion was made and seconded to approve the Executive Committee decisions from 8/11/2020 as amended. The motion was unanimously approved.

Charge for the year: D. Wagner stated the committee charge, as discussed with the Curriculum Committee Executive Committee, for the year will be the following:

  1. Continue the evaluation of vertical integration in the curriculum and comprehensive review of the Chief Complaints and Concerns (C3) documents.
  2. Monitor program outcomes.
  3. Identify and strategize resolutions for programmatic weaknesses in preparation for LCME self-study committees.
  4. Monitor programmatic changes necessitated by realities of training physicians during a global pandemic.

Family Medicine course changes: H. Holman provided copies of 3 course change requests (copies appended to minutes on file). After discussion it was noted the course titles and descriptions need to be updated at a future meeting and the following action was taken.

ACTION: A motion was made and seconded to approve FM 613, FM 616 and FM 620 as written. The motion was unanimously approved.

Curriculum Committee subcommittee member composition/voting rights: A. Wendling noted that the Curriculum Development Groups (CDG) are subcommittees of the Curriculum Committee and as such, the Curriculum Committee will set who has voting rights on the CDGs per the CHM bylaws. It was noted that faculty and staff are current members of the CDGs and student members need to be identified. Currently, faculty members are voting members on the CDGs. The question to the curriculum committee is whether students and/or staff should be voting members on the CDGs. It was noted the staff on the CDGs includes Curriculum Assistants and Directors of Student Programs. It was also noted that per the LCME the curriculum needs to be under the control of the faculty; therefore, any votes added to staff and students to the CDGs should not outnumber faculty votes.

ACTION: A motion was made and seconded to allow faculty and students, once identified, to vote on the CDGs. The Curriculum Committee will receive a proposal regarding how students will be identified and placed on the CDGs. A vote on staff voting rights on CDGs is tabled and will be discussed at a future meeting. The motion was approved by a vote of 12 acceptances and 1 objection.

There was also a proposal and discussion regarding having the CDGs provide their minutes to the Curriculum Committee for review and approval.

ACTION: A motion was made and seconded to add a mechanism whereby Early Clinical Experience (ECE), Middle Clinical Experience (MCE), Late Clinical Experience (LCE) and Intersessions CDGs submit minutes to Curriculum Committee. The representative to the Curriculum Committee from each of these CDGs will provide a brief report to the Curriculum Committee. The motion was unanimously approved.

Vertical Integration / C3 review: M. Schaefer, G. Ferenchick and L. Fleck provided copies of four C3 review summaries (gait disturbance/movement disorders, hemiplegia, visual disturbance, weakness) (copies appended to minutes on file). After review of the documents the following action was taken:

ACTION: A motion was made and seconded to accept the audit reports and send them to the ADUME to address the points discovered and return to the committee with a report. The motion was unanimously approved. 

Vertical Integration / C3 review: February 2020 Associate Dean for Undergraduate Medical Education (ADUME) report: D. Wagner provided a document with her findings on the February 2020 reports (dysuria, temperature regulation, WBC abnormalities) (copies appended to minutes on file). After discussion the following action was taken:

Temperature Regulation: Move #1 under Director of Integration & Integration (red bucket) to Director of C3s (yellow bucket).

ACTION: A motion was made and seconded to accept the reports as amended and send the items to the Director of the Chief Complaints and Concerns and the Director of Integration and Innovation as assigned. The motion was unanimously approved. 

Adjournment: 3:11 p.m.                                                   

August 11 | Executive Committee

Attendees:

  • Andrea Wendling, Curriculum Committee Chair
  • Dianne Wagner, Curriculum Committee Executive Vice-Chair; Interim Senior Associate Dean for Academic Affairs
  • Zachary Jodoin & Nicholas Miller, Curriculum Committee student representatives (voting rights given to one by executive committee)
  • Mahesh Sharman, Pediatrics Clerkship Director (guest)
  • Robin DeMuth, Assistant Dean for Clinical Experiences (guest)
  • Carol Parker, Assistant Dean for Program Evaluation and Continuous Quality Improvement (guest)
  • Lisa Galbavi, CHM Curriculum Committee Coordinator

Pediatrics Clerkship: The pediatric clerkship will start the 2020-2021 academic year with plans for 4-week clinical experience for Pediatrics for all campuses. If clinical resources change substantially due to COVID repercussions, a campus could move to a 3+1 (75%) direct/non-direct patient care model. If this becomes necessary the specific campus may need to demonstrate that all other options/resources have been exhausted. Further, the 3+1 proposal and the reasons for the request will need to be presented to a subgroup consisting of the Chair of the Curriculum Committee, the LCE Director, and a student member of the Curriculum Committee. At least two of three of those members need to be present for the discussion and need to approve the request to proceed. If that move happens, it is considered comparable to a 4-week experience, e.g. students in 3 +1 clerkship will be considered as having adequate opportunities for extra work to earn extra points for honor grades, implying that the maximum utilization of 3 weeks by students is enough for all required and voluntary clinical opportunities.

Psychiatry Clerkship: The psychiatry clerkship will start the 2020-2021 academic year with a 2 week/2 week model of direct/non-direct patient care, as outlined [in the psychiatry clerkship proposal points 1-3]. The committee did not approve point 4 [of the psychiatry proposal], but instead noted that if the situation arises that there are not adequate clinical experiences available to provide 2 weeks of direct patient care experiences for students, rescheduling the student to a time/location with resources would be preferable. In the rare occurrence that a situation arises where rescheduling the clerkship is not a possibility, the psychiatry department would present the proposed adjustment to the model and the reasons for the request to a subgroup consisting of the Chair of the Curriculum Committee, the LCE Director, and a student member of the Curriculum Committee. At least two of three of those members need to be present for the discussion and need to approve the request to proceed. If that move happens, it is considered a comparable model of the 2020-2021 academic year psychiatry clerkship as outlined in [points 1-3, of the psychiatry clerkship proposal].

Primary Care Selective: Approved to change the Primary Care Selective requirement to 2 weeks for the Class of 2021, keeping the course options unchanged.  The graduation for general electives in the LCE would increase from 20 weeks to 22 weeks for this class only.  Overall weeks of required LCE rotations will then remain unchanged.  Students who have already completed four weeks of a PCS course would have the other two weeks apply to the general elective requirement.  The 4-week PCS requirement would remain for subsequent classes.

General Rule for all Clerkships: For all clerkship models that are starting the academic year 2020-2021 with the plan of 4 weeks of clinical experiences, if clinical resources change substantially due to COVID repercussions, a campus could move to a 3+1 (75%) direct/non-direct patient care model for a clerkship if all other options/resources have been exhausted. If this becomes necessary, the 3+1 proposal and the reasons for the request will need to be presented to a subgroup consisting of the Chair of the Curriculum Committee, the LCE Director, and a student member of the Curriculum Committee. At least two of three of those members need to be present for the discussion and need to approve the request to proceed. If that move happens, it is considered comparable to the 4-week clinical experience.

July 28

Voting Members Present: Cindy Arvidson, Anita Avery, Colleen Bush, John Fitzsimmons, Len Fleck, Laura Freidhoff, Zachary Jodoin, Nicholas Miller, Anthony Paganini, Steven Roskos, Maureen Schaefer, Andrea Wendling

Ex-Officio Members Present: Migdalisel Colon-Berlingeri, Robin DeMuth, Joel Maurer, Dianne Wagner

Guests: Jed Magen, Carol Parker

Minutes prepared by: Lisa Galbavi

Call to order: A. Wendling called the meeting to order at 1:04 p.m.

Approval of June meeting minutes: The committee asked for the following change:

Early Clinical Experience scholarly project update: M. Colon-Berlingeri provided a copy of the report (copy appended to minutes on file). After discussion about the importance of the scholarly projects, including the need for messaging to students on its value, the following action was taken.

Action:  A motion was made and seconded to approve the minutes from the June 23, 2020 meeting as amended. The motion was unanimously approved.

Psychiatry clerkship proposal: J. Magen provided a copy of the proposal (copy appended to minutes on file). After discussion the committee noted they would like to see how the goals and objectives of the clerkship experience will be met, with the proposal of less clinical time. The Curriculum Committee Executive Committee will review the revised proposal at their August 11, 2020 meeting.

Review and approval of 7/14/2020 Curriculum Committee Executive Committee decisions: A. Wendling provided a copy of the July 14th Executive Committee meeting minutes (copy appended to minutes on file). After discussion the following action was taken.

ACTION: A motion was made and seconded to approve the Executive Committee decisions from 7/14/2020 as written. The motion was unanimously approved.

Early Clinical Experience proposal: R. DeMuth reviewed the options and noted the options are outlined in the Executive Committee minutes. The ECE leadership will continue to explore the 3-track option and will discuss further at a future meeting.

Curriculum review: Shared Discovery Curriculum annual report: D. Wagner provided a copy of the report (copy appended to minutes on file). After discussion the committee asked for the following changes and the following action was taken.

Executive Summary:

Page 2 last paragraph under Experiences: “Clerkship passage, honors percentages, and shelf examination performance have all been improved or stable when compared to legacy student performance, with the exception of the OB Gyn clerkship where shelf examination scores have been somewhat lower (see slides).

Page 2 first paragraph under Data: “Student assessment data reveals improved Step 1 scores over historical performance, stable Step 2 performance, stable or improved clerkship performance with respect to shelf exam averages, with the exception of the OB Gyn clerkship.”

Page 3 item 3.a.vii: “LCE successes: Adjustment to 4 week clerkships with exam and grade stability or improvement with the exception of OB Gyn shelf scores which were somewhat lower (see chart)/ASK improvements in response to first iteration with improved offerings and satisfaction/R4R student…”

Page 4 item 3.a.ix: “LCE works-in-progress:  Concerns about student clinical performance and improvement over course of shortened clerkships/Concerns about lower OB Gyn shelf examinations/Concerns about continuity of relationships for students with multiple effects/Core EPA ratings did not differentiate as well as PCSE.”

Page 4 item 3.c.ix: “Clerkship grades/honors percentages/shelf exam performance stable or improved with exception of OB Gyn shelf examination scores.

ACTION: A motion was made and seconded to accept the report as amended. The motion was unanimously approved.

Academic Achievement, Outcomes & Simulation report outcomes: A. Wendling noted the committee voted electronically on these reports (copies appended to minutes on file). All reports were accepted and answers to questions will be shared with the committee.

Graduation requirement actions taken by the SADAA: No actions were taken since the last meeting.

Vertical Integration / C3 review: January 2020 Associate Dean for Undergraduate Medical Education (ADUME) report: D. Wagner provided a document with her findings on the January 2020 reports (breast cancer, health maintenance, lumps) (copy appended to minutes on file). After discussion the following action was taken:

ACTION: A motion was made and seconded to accept the reports as written and send the items to the Director of the Chief Complaints and Concerns and the Director of Integration and Innovation as assigned. The motion was unanimously approved. 

Vertical Integration / C3 review: C. Bush and A. Paganini provided copies of three C3 review summaries (cough, hematuria, hemoptysis, upper respiratory symptoms) (copies appended to minutes on file). After review of the documents the following action was taken:

ACTION: A motion was made and seconded to accept the audit reports and send them to the ADUME to address the points discovered and return to the committee with a report. The motion was unanimously approved. 

Additional item: thank you to outgoing members: D. Wagner thanked outgoing members J. Fitzsimmons, A. Paganini and student members Z. Jodoin and N. Miller. She also thanked the entire committee for their hard work this past year.

Adjournment: 3:04 p.m.

July 14 | Executive Committee

Attendees:

  • Andrea Wendling, Curriculum Committee Chair
  • Steve Roskos, Curriculum Committee Secretary
  • Dianne Wagner, Curriculum Committee Executive Vice-Chair; Interim Senior Associate Dean for Academic Affairs
  • Zachary Jodoin, Curriculum Committee student representative (voting rights given by executive committee)
  • Robin DeMuth, Assistant Dean for Clinical Experiences (guest)
  • Migdalisel Colon-Berlingeri, Director of the Early Clinical Experience (guest)
  • Carol Parker, Assistant Dean for Program Evaluation and Continuous Quality Improvement (guest)
  • Lisa Galbavi, CHM Curriculum Committee Coordinator

SBAR: ECE experience for 2020-2021

Situation

Recruiting of primary care sites for the Early Clinical Experience shows a significant reduction of confirmed sites.  The ECE team has identified that we will likely need alternative strategies for the clinical experience during the 2020-21 year.

Background

An ECE student experience has included beginning their clinical time at a primary care practice during Week 9 (Oct. 19th for this year), attending two half-days weekly for 8 weeks, and then one half-day weekly for another 8 weeks. This time includes functioning as a part of the team, working with medical assistants, nurses or care managers, and providers in a progressive way through their time.  Objectives are attached.  This experience also inspires the student’s scholarly project.

The COVID-19 pandemic has led to significant changes in our communities and in our health care landscape.  Practices are worried about the de-densifying their practices, managing frequent cleaning, and minimizing exposures.  As a result, some sites do not feel they can have a student present and still distance appropriately, and others have reduced the number of students they can host.  Example: To date, in East Lansing, clinics that harbored 17 students in 2019-20 have declined participation completely due to COVID-19 related issues.

Assessment

The number of confirmed slots in each campus are approximately 50 of the 98 sites needed to accommodate each campus cohort.   Although we expect more sites to confirm participation, we need to work with the possibility of needing to accommodate at least 30 students in each campus in alternative clinical experiences in ways that allow all students to meet the objectives for this portion of the ECE. 

Recommendation

The group has considered multiple strategies for alternatives, including:

  • creative/alternate scheduling with the clinical sites we have
  • inclusion of other clinical sites beyond primary care or beyond our current geography
  • experiences outside of the standard clinical setting

Important principles:

  • Must meet educational objectives and provide a quality experience
  • Must consider comparability. Students may have different tracks of experience, but the overall effort expected and access to ability to achieve objectives must be comparable

Strategy Option 1: To place students in one of the following three tracks:

This strategy increases the flexibility in placing students by utilizing both a broadening of geography and the creation of one track that will not depend on clinic site recruitment.  It also provides potential advantages of rich opportunities for students interested in rural medicine or community health. 

Track A: Traditional ECE clinical experience over 16 weeks

  • Student attends outpatient clinic for 2 half days from weeks 9-16 and 1 half day on weeks 17-24
  • Students are assessed based on Core learning objectives of the experience
    • Training in SIM
    • Clinic preceptors will evaluate professionalism and care of patients competencies
    • Debriefing during PCGs 1-2x weekly
    • Scholarly project/capstone project will be based on the clinic experience- present at the end of ECE; counts for HM553
    • ~96 hours in clinic spread through weeks 9-24


Track B: ECE clinical experience via immersion experience at a rural practice 

  • Students would be immersed in a rural site for 2 weeks, likely during weeks 9-10 
  • Students are assessed based on Core learning objectives of the experience
    • Training in SIM
    • Clinic preceptors will evaluate professionalism and care of patients competencies
    • Debriefing during the immersion experiences in evenings followed by contributions during PCG debriefings to compare experiences with students in different tracks
    • Scholarly project/capstone project will be based on the rural clinic experience-present at the end of ECE; counts for HM553
    • Approximately 80-90 hours in clinic in 2 weeks, along with additional evening debriefings equals 90-100 hours
    • Other details:
      • To allow for this immersive clinical experience, students will miss the curricular activities that run during those two weeks.  Students will instead engage in the learning activities around this C3 topic utilizing a longitudinal approach (making use of the additional time flexibility in their schedules upon return to EL/GR as their clinical time will have been completed).

Track C: Patient navigator/community outreach track

  • Students will be engaged in a longitudinal experience with a family/families as patient navigators
    • Students are assessed based on Core learning objectives of the experience
      • Training via Sim and additional training for navigator role
      • Preceptors working with Track C will evaluate professionalism and care of patients competencies
      • In addition to student-family interactions 2-3x/month, students will research information on resources to assist their family, when needed, and have weekly meetings with their preceptor/peers
      • This track also involves implementation of one or more outreach activities that will benefit underserved patient populations (health fairs, immunization clinics, etc.)  Students will engage in the design and implementation of these project with oversight and support.
      • Debriefing occurs in both PCGs and in weekly Track C meetings
      • Scholarly project/capstone project will be based on the patient navigator experience-present at the end of ECE; counts for HM553
      • 1-2 hours of patient contact per week on average + 2 hrs team meetings/week + 1-2 hours of preparation for patient encounters + ~25-30 hours of organization and implementation of outreach activities sums to approximately 100 hours
      • Other details:
        • Preceptors/team leaders will be recruited to guide students through these experiences.

Strategy Option 2: To place students in an 8 week traditional ECE clinic experience combined with asynchronous online experiences for 8 weeks

This strategy focuses on maintaining the local primary care clinic experience for students, and makes maximum use of our sites.  It does require soliciting agreement of these sites to accept one student from Oct-Dec and another from Jan-Feb. This is thought likely to be acceptable from most though likely not all sites.  It utilizes the least resources to create new/different experiences and minimizes differences in the clinical experiences of students. 

  • Half the students in each campus cohort will visit the clinics two half days during weeks 9-16 and the second cohort will attend clinics during weeks 17-24.
  • During the weeks that students are not in clinic, students will engage in online learning modules based around patient cases, with integration of clinical and basic science
  • Students are assessed based on Core learning objectives of the experience
    • Training in SIM during weeks 1-8 -- refresher will be needed for students entering week 17
    • Clinic preceptors will evaluate professionalism and care of patients competencies
    • Weekly debriefing during PCGs during the weeks that they are in clinic. Students will listen to debriefings of others during the other weeks.
    • Scholarly project/capstone project will be based on the clinic experience-present at the end of clinic time.  With 8 weeks of clinic visits, the nature of the project will be significantly different but we can still require a product that will involve observation and reflection of the clinic experience.  In both groups grading of this final project will be for HM553, and the presentation will need to be moved to intersessions.

ACTION: A motion was made and seconded to endorse the ECE team to investigate option 1 as the first choice, but if they find barriers as they work out the details, then option 2 is the Executive Committee’s second choice. The ECE team will work on details and bring a more fleshed out plan to the full committee for discussion and vote with the caveat that they can change details as necessary for feasibility. The motion was unanimously approved.

June 23

Voting Members Present: Cindy Arvidson, Anita Avery, Colleen Bush, Len Fleck, Laura Freidhoff, Zachary Jodoin, Nicholas Miller, Anthony Paganini, Maureen Schaefer, Andrea Wendling

Ex-Officio Members Present: Migdalisel Colon-Berlingeri, Robin DeMuth, Churlsun Han, Joel Maurer, Rebecca Schein, Helga Toriello, Dianne Wagner

Guests: Michael Borgeld, Gary Ferenchick, Heather Laird Fick, Robert Malinowski

Minutes prepared by: Lisa Galbavi

Call to order: A. Wendling called the meeting to order at 1:04 p.m.

Approval of May meeting minutes:

Action:  A motion was made and seconded to approve the minutes from the May 26, 2020 meeting as written. The motion was unanimously approved.

Review and approval of 6/9/2020 Curriculum Committee Executive Committee decisions: A. Wendling provided a copy of the June 9th Executive Committee meeting minutes (copy appended to minutes on file). After discussion the following action was taken.

ACTION: A motion was made and seconded to approve the Executive Committee decisions from 6/9/2020 as written. The motion was unanimously approved.

Waving Step 2 CS requirement for Class of 2021: A. Wendling provided a copy of the proposal (copy appended to minutes on file). After discussion the following action was taken.

ACTION: A motion was made and seconded to approve waiving the Step 2 CS graduation requirement for the class of 2021. The motion was unanimously approved.

PSC 592 new course request: A. Wendling noted the committee previously reviewed this course request in December 2019 as course number PSC 591. This request is to give the course a new course number and no other items were changed in the course request. (A copy of the course request is appended to minutes on file.) After discussion the following action was taken.

ACTION: A motion was made and seconded to approve PSC 592 as written. The motion was unanimously approved.  

2020 Student Manual for Assessment and Promotion (MAP): H. Laird Fick provided a copies of the 2020 MAP redlined with changes and a summary document outlining the changes, including those that would affect the 2017, 2018 and 2019 versions. After discussion that following action was taken.

ACTION: A motion was made and seconded to approve the Student MAP for 2020 and changes for 2017, 2018 and 2019 where applicable as written. The motion was unanimously approved. 

Curriculum review: Assessment annual report: H. Laird Fick provided copies of the fall 2019 and spring 2020 semester reports (copies appended to minutes on file). After discussion the following action was taken.

ACTION: A motion was made and seconded to accept the report. The motion was unanimously approved.

Curriculum review: Early Clinical Experience annual report: M. Colon-Berlingeri provided a copy of the report (copy appended to minutes on file). After discussion the following action was taken.

ACTION: A motion was made and seconded to accept the report. The motion was unanimously approved.

Early Clinical Experience scholarly project update: M. Colon-Berlingeri provided a copy of the report (copy appended to minutes on file). After discussion about the importance of the scholarly projects, including the need for messaging to students on its value, the following action was taken.

ACTION: A motion was made and seconded to endorse the ECE scholarly project for the 2020-2021 academic year and for the ECE director to report on the project again next spring. The motion was unanimously approved.

Graduation requirement actions taken by the SADAA: No actions were taken since the last meeting.

Vertical Integration / C3 review: December 2019 Associate Dean for Undergraduate Medical Education (ADUME) report: D. Wagner provided a document with her findings on the December 2019 reports (genetic concerns, palpitations, and abnormal pulses) (copy appended to minutes on file). After discussion the following action was taken:

Genetic Concerns: addition to parking lot bucket: “genetic content that exists is in the genetic C3”

ACTION: A motion was made and seconded to accept the reports as amended and send the items to the Director of the Chief Complaints and Concerns and the Director of Integration and Innovation as assigned. The motion was unanimously approved. 

Vertical Integration / C3 review: L. Fleck, G. Ferenchick and A. Paganini provided copies of three C3 review summaries (bruising and bleeding, hypercoagulable state, and pallor & plethora states) (copies appended to minutes on file). There was discussion about a systematic review of capstone patients, which will be discussed further by other groups and this committee. After review of the documents the following action was taken:

ACTION: A motion was made and seconded to accept the audit reports and send them to the ADUME to address the points discovered and return to the committee with a report. The motion was unanimously approved. 

Adjournment: 3:10 p.m. 

June 9 | Executive Committee

Attendees:

  • Andrea Wendling, Curriculum Committee Chair
  • Steve Roskos, Curriculum Committee Secretary
  • Dianne Wagner, Curriculum Committee Executive Vice-Chair; Interim Senior Associate Dean for Academic Affairs
  • Zachary Jodoin, Curriculum Committee student representative (voting rights given by executive committee)
  • Robin DeMuth, Assistant Dean for Clinical Experiences (guest)
  • Carol Parker, Assistant Dean for Program Evaluation and Continuous Quality Improvement (guest)
  • Lisa Galbavi, CHM Curriculum Committee Coordinator

Unconscious bias – Andrea Wendling

Andrea inquired about required content for unconscious bias in the curriculum. It was noted it is discussed during orientation and in the Early Clinical Experience (ECE) and should also be in parts of the Advanced Skills and Knowledge (ASK) course.

Three-year completion extension for those who have not yet taken boards – Dianne Wagner

Specific student circumstances: The Student Manual for Assessment and Promotion (MAP) specifies students must complete Step 1 and enter the Late Clinical Experience (LCE) within 3 years of matriculation, with the ability to apply for a one-year extension to that rule if they have taken a Leave of Absence for personal health or for serving as primary giver for someone with health issues. The categories the students fall into include:

  1. Students who completed HM 556 in 2019 and have not yet taken Step 1 (usually would be expected to sit for Step 1 by this summer (2020) and post a passing score before entering LCE
    1. Those who have taken a LOA
    2. Those who have not taken a LOA
  2. Students who completed HM 556 in 2019 and have taken Step 1 one or more times but have not yet posted a passing score

Proposal: Students approaching the three-year window of completion of ECE, MCE, & intersession coursework and achievement of a passing score on USMLE Step 1 (as outlined on p.19 of the Student Manual for Assessment and Promotion) in August of 2020 are granted an extension to November 1, 2020 to post a passing score on Step 1. If a student who matriculated in 2017 or earlier does not post a passing score by Nov. 1st, 2020, they will be Suspended Pending Dismissal.  A student who has previously been on a Leave of Absence and requests an extension under the Illness and Caregiver Exception (also on p.19 of the MAP) must be approved for that extension before this deadline.

ACTION: A motion was made and seconded to approve the proposal as written. The motion was unanimously approved.

Reports to the committee for remainder of 2019-2020 committee year (June and July) – Andrea Wendling

Andrea and Lisa provided the list of reports yet to be reviewed by the committee in the remaining 2 months of this committee year:

  1. Curriculum Review: ECE annual report – committee vote required
  2. ECE scholarly project update – committee vote required
  3. 2020 MAP (moved from May) – committee vote required
  4. Assessment report – committee vote required
  5. Curriculum Review: Full Annual Report – committee vote required
  6. Match report – FYI
  7. Simulation report – FYI
  8. Academic Achievement report – FYI
  9. Outcomes report – FYI

After discussion, it was decided:

  1. FYI reports will be distributed, along with an executive summary addressing any important details and anything they would like committee input on. Reports and Executive summaries will be sent to committee for review, approval and input (if requested). Any feedback provided will be sent to the report writer. If during this process there are more complex issues that arise or it appears further discussion is necessary, report writer will be invited to the July meeting.
  2. The MAP, Assessment and both ECE reports will be presented and voted on at the June meeting.
  3. The Full Curriculum Review report will be presented and voted on at the July meeting.

May 26

Voting Members Present: Cindy Arvidson, Laura Freidhoff, Steven Roskos, Anita Avery, Zachary Jodoin, Colleen Bush, Andrea Wendling, John Fitzsimmons, Anthony Paganini, Len Fleck 
Ex-Officio Members Present: Migdalisel Colon-Berlingeri, Margaret Thompson, Robin DeMuth, Joel Maurer, Helga Toriello, Rebecca Schein, Dianne Wagner, Churlsun Han
Guests: Kim Ludwig, Jed Magen, Carol Parker

Minutes prepared by: Lisa Galbavi

Call to order: A. Wendling called the meeting to order at 1:02 p.m.

Approval of April meeting minutes:

Action:  A motion was made and seconded to approve the minutes from the April 28, 2020 meeting as written. The motion was unanimously approved.

Review and approval of 5/12/2020 and 5/20/2020 Curriculum Committee Executive Committee decisions: A. Wendling provided copies of the May 12th Executive Committee meeting minutes and May 12th and May 20th Executive Committee decisions (copies appended to minutes on file). After discussion the following action was taken.

Action: A motion was made and seconded to approve the Executive Committee decisions from 5/12/2020 and 5/20/2020 as written. The motion was unanimously approved.

Middle Clinical Experience rotations content changes: K. Ludwig provided a copy of the proposal to change content in the Nursing and Adult Wards rotations (copy appending to minutes on file). After discussion the following action was taken.

Action: A motion was made and seconded to approve the MCE content changes as written. The motion was unanimously approved.

Vertical integration / C3 review update: A. Wendling provided a copy of the review schedule for the remainder of this committee year and confirmed the topics and committee members who will present at the June, July and August 2020 meetings. G. Ferenchick and A. Paganini will work with the committee chair and LCME leadership to devise a plan to catch up on the topics missed due to no reporting at the March, April and May 2020 meetings to ensure all topics are covered prior to the next LCME site visit.

Psychiatry clerkship telehealth proposal: J. Magen provided a copy of the proposed plan (copy appended to minutes on file. After discussion the following action was taken.

Action: A motion was made and seconded to approve the Psychiatry Clerkship telehealth option as written. The motion was unanimously approved.  

Issues surrounding Late Clinical Experience (LCE) start for class of 2022: D. Wagner provided a document outlining the questions to be addressed for the class of 2022 (copy appended to minutes on file). After discussion the following was proposed. This policy applies only to the Class of 2022 (students who will enter the LCE in fall 2020):

  1. Students will be allowed to enter the LCE without passing Step 1.
  2. Students must pass HM 556 in order to advance to the LCE.
  3. Students must sit for Step 1 no later than April 1, 2021.
  4. If students sit for Step 1 and do not pass:
    1. Students have the option of either finishing their current clerkship or dropping that clerkship immediately
    2. Students will enroll in HM 591 (independent study) until their retake of the exam
    3. Once the exam has been retaken, students may resume clinical clerkships or electives until their score is posted. If they do not pass again, they will return to step 4a.
  5. If students do not sit for Step 1 by April 1, 2021, they will be dropped from their clerkship and enrolled in HM 591.

Action: A motion was made and seconded to approve the above proposal. The motion was unanimously approved. 

Internal policy regarding away and audition electives for LCE students: D. Wagner provided a document with the proposal (copy appended to minutes on file) and reviewed the plans. There was discussion about adding a date to the policy at which time the policy will be revisited by the committee; however, it was noted that the policy can be revisited at any time if circumstances change. After discussion the following action was taken.

Action: A motion was made and seconded to approve the proposal as written. The motion was passed by a vote of 8 in favor and 1 opposed. 

Early Clinical Experience annual report: Due to time constraints this item will be discussed at a future meeting.

Early Clinical Experience scholarly project update: Due to time constraints this item will be discussed at a future meeting.

Graduation requirement actions taken by the SADAA: This item was discussed under Curriculum Committee Executive Committee decisions from 5/20/2020 (above).

Adjournment: 3:22 p.m. 

May 12 | Executive Committee

Attendees:

  • Andrea Wendling, Curriculum Committee Chair
  • Steve Roskos, Curriculum Committee Secretary
  • Dianne Wagner, Curriculum Committee Executive Vice-Chair; Interim Senior Associate Dean for Academic Affairs
  • Zachary Jodoin and Nicolas Miller, Curriculum Committee student representatives (voting rights for one student vote given by executive committee)
  • Robin DeMuth, Assistant Dean for Clinical Experiences (guest)
  • Churlsun Han, Late Clinical Experience Director (guest)
  • Carol Parker, Assistant Dean for Program Evaluation and Continuous Quality Improvement (guest)
  • Lisa Galbavi, CHM Curriculum Committee Coordinator

Modifications to Clerkship Exam Policy:

Current policy: Timing of clerkship exams: Students may be taking Non-Direct Care (NDC) portions of clerkships and Direct-Care (DC) portions of clerkships in a block.  Students can choose to take one exam at the end of each block, choosing between the NDC clerkship exam or the DC clerkship exam. If exam is deferred at close of the block in which student completed their non-direct care portion of the clerkship, students may choose to schedule/take the exam at the close of any block following this one up through the completion of the student’s clinical experiences for this clerkship, with the following caveat: A student who is scheduled for the direct-care portion of a clerkship at the end of a block may only take the shelf exam of a discipline that the student engaged in (via direct-care or non-direct care portions of the clerkship) during the same block.

Issues: 1) Can campuses schedule any clerkship dates week 2 of block? 2) Exam during last week of clerkship. Can we universally allow this so that students don’t need permission from each clerkship to take these exams?

Proposal:

  • Additional shelf exam testing dates will be added for Summer terms so that testing dates will be available every 2 weeks for summer semesters.
  • If a student schedules a shelf exam for a different discipline during the direct care weeks of a clerkship, then the student will need to either use a PTO day or make up the absence.
  • Students still need to provide 2-week advanced notice for shelf exam scheduling as per previous clerkship guidelines.

ACTION: A motion was made and seconded to approve the proposal for the class of 2021. The motion was unanimously approved.

ASK 2-week in person session for ASK III and ASK IV:

Current policy: The content for ASK III and ASK IV for summer and fall 2020 was made available to all students in April so that requirements could begin to be completed during the time students were not able to participate in clinical experiences.

Proposal: Students do not need to schedule a protected 2-week block of time during Summer 2020 or Fall 2020 semesters to complete ASK requirements.

ACTION: A motion was made and seconded to approve the proposal for the class of 2021. The motion was unanimously approved.

Primary Care Selective:

Proposal: For students in the class of 2021, the primary care selective may now be accomplished in two 2-week blocks of time, similar to the modification in place for required clerkships. Students will receive an ET or ‘no grade’ designation until the full 4 weeks are completed.

ACTION: A motion was made and seconded to approve the proposal for the class of 2021. The motion was unanimously approved.

April 24

Voting Members Present: Cindy Arvidson, Anita Avery, Colleen Bush, John Fitzsimmons, Len Fleck, Laura Freidhoff, Zachary Jodoin, Nicholas Miller, Anthony Paganini, Steven Roskos, Maureen Schaefer, Andrea Wendling

Ex-Officio Members Present: Migdalisel Colon-Berlingeri, Robin DeMuth, Jon Gold, Churlsun Han, Joel Maurer, Rebecca Schein, Margaret Thompson, Dianne Wagner

Guests: Michael Borgeld, Gary Ferenchick, Heather Laird Fick, Robert Malinowski

Minutes prepared by: Lisa Galbavi

Minutes prepared by: Lisa Galbavi

Call to order: A. Wendling called the meeting to order at 1:04 p.m.

Approval of March meeting minutes:

Action:  A motion was made and seconded to approve the minutes from the March 24, 2020 meeting as written. The motion was unanimously approved.

Curriculum Committee Executive Committee update: A. Wendling provided a copy of the minutes from the April 17th Executive Committee meeting (copy appended to minutes on file). She noted that the Executive Committee will meet in between the full committee meeting to review items in order to keep them moving forward. The full committee will still have the opportunity to review items discussed and voted on by the Executive Committee.

Assessment: Progress Clinical Skills Exam (PCSE): H. Laird Fick provided a copy of the PCSE proposal (copy appending to minutes on file). After discussion the following action was taken.

Action: A motion was made and seconded to approve the PCSE plan as written. The motion was unanimously approved.

LCE: Required clerkships overall plan: D. Wagner noted the three principles that are guiding decisions right now: 1) provide the highest education quality as possible, 2) enable students to progress to a timely graduation and 3) help students to achieve their career goals. The plan that is outlined in the April 17, 2020 Executive Committee minutes (copy appended to minutes on file) was reviewed. After discussion the following action was taken.

Action: A motion was made and seconded to approve the required clerkships overall plan as written. The motion was unanimously approved.  

LCE: Required clerkships objectives direct vs non-direct care: M. Thompson provided a document with the clerkship objectives and goals and whether it will be in the direct or non-direct teaching module (copy appended to minutes on file). It was noted that Ob/Gyn is working on their list, they currently do not have any non-direct care objectives. Also, ECE/MCE objectives were not reviewed, but will certainly find a lot of the required clerkship objectives in those components. After discussion the following action was taken.

Add a footnote to the document: “All of the non-direct care experiences have synchronous and asynchronous interactive components.”

Action: A motion was made and seconded to approve the required clerkship objectives direct and non-direct care as amended. The motion was unanimously approved. 

LCE: Clerkship shelf exam modification: A. Wendling provided a document with the proposal (copy appended to minutes on file) and reviewed the plans and concerns. It was noted that the shelf exams are being proctored remotely at this time. After discussion the following action was taken.

Action: A motion was made and seconded to approve Plan C for the clerkship shelf exam modification as written. The motion was unanimously approved. 

LCE: EM 634, FM 614, HM 625 and HM 626 new course requests: R. DeMuth provided copies of the four course requests (copies appended to minutes on file). After discussion the following actions were taken:

EM 634, FM 614, HM 625

  1. General Reason: “clinical elective course to expand topic options”

HM 625

A motion was made to endorse the inclusion of “Asexual” and “A+” to the title, description and other appropriate areas of the course request. A. Wendling will discuss with the faculty member who developed the course to ensure they are okay with the change.

Action: A motion was made and seconded to approve EM 634, FM 614 and HM 625 as amended and HM 626 as written. The motion was unanimously approved.

LCE: Non-clinical elective limits: A. Wendling provided a document outlining the request to increase the number of non-clinical electives that can be counted toward a student’s graduation requirement (copy appended to minutes on file). After discussion the following action was taken.

Action: A motion was made and seconded to maintain 20 weeks of electives for the class of 2021 but to increase the allowable limit for non-clinical weeks from 8 to 12. The motion was unanimously approved.

Academy annual report: J. Gold provided a handout and gave a presentation (copies appended to minutes on file). The Learning Society/Academy structure and evaluation data were reviewed.

MCE: Changes: C. Arvidson and M. Borgeld provided a document and reviewed the recommended changes to the Middle Clinical Experience for the 2020-2021 year (copy appended to minutes on file). For the rotations that provide a range of half-day clinical time, the goal will be to get the students into clinical time at the higher end of a range; however, the range exists in case there is no access to clinical time in those rotations. After discussion the following action was taken:

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Palliative Care

0 1-3 half-days clinical time and 3-6 half-days alternate experiences (currently 6 half-days)”

Action: A motion was made and seconded to approve the recommendation for the 2020-2021 MCE year as amended. The motion was unanimously approved. 

Graduation requirement actions taken by the SADAA: Due to time constraints this will be discussed at a future meeting.

Vertical integration / C3 review update: Due to time constraints this will be discussed at a future meeting.                                             

April 17 | Executive Committee Minutes

Attendees:

  • Andrea Wendling, Curriculum Committee Chair
  • Steve Roskos, Curriculum Committee Secretary
  • Dianne Wagner, Curriculum Committee Executive Vice-Chair; Interim Senior Associate Dean for Academic Affairs
  • Zachary Jodoin, Curriculum Committee student representative (voting rights given by executive committee)
  • Robin DeMuth, Assistant Dean for Clinical Experiences (guest)
  • Carol Parker, Assistant Dean for Program Evaluation and Continuous Quality Improvement (guest)
  • Lisa Galbavi, CHM Curriculum Committee Coordinator

Background

  • The executive committee will review changes that are a result of the COVID-19 that require a decision in order for the curriculum leadership to move forward with planning. Voting members of this group will either give preliminary approval or defer to the full committee meeting. The full committee will have the opportunity to review and vote/approve on all matters, whether or not voted on by this group, at the regularly scheduled full meeting.

Discussion and preliminary approval of Clerkship plan, to start April 20, 2020

  • Update on Clerkships:
    • M3 students: most have 2 or 3 clerkships remaining
    • Clerkship directors have all designed ways to accomplish a portion of their clerkship objectives in non-direct-care ways
    • M3 students will all start one of these clerkships on Monday
      • Surgery, which has two months on same discipline and with one shelf exam, will offer the non-direct care portions of Surgery 1 & Surgery 2 in same month
      • All others have option to also do a 2-week elective in the same month as their non-direct care component
      • In a few cases where direct-care portion is available for second half of the month, student may complete entirety of clerkship
      • Also enrolling students for Summer A in same fashion
    • Clerkships have kept same goals and objectives, creating addended syllabi/handbooks to address shifts (such as inclusion of online cases etc.)
  • Shelf exams – LCE CDG vote 4/13/2020
    • Students have the option to sit for the shelf exam after completion of the non-direct care portion of the clerkship. Exams will be given on the final Friday of a block. A student must alert appropriate staff member of their plan to sit for the exam by 2 weeks (14 days) prior to the exam administration.
    • If exam is deferred at close of the block in which student completed their non-direct care portion of the clerkship, student may choose to schedule/take the exam at the close of any block following this one up through the completion of the student’s clinical experiences for this clerkship. 
    • Only one shelf exam can be completed at the end of any given block. 
    • If not yet taken, the first attempt will occur at the exam administration at the end of the block in which the student completes their in-person clinical activities for this clerkship, with any needed second attempt occurring later, according to the usual LCE Guide expectations. 
    • If shelf exam is taken prior to direct care portion of clerkship, and pass criteria is not reached, the second attempt at shelf exam will follow completion of clinical work for this clerkship. 
    • As per usual, Honors criteria can only be earned on the first attempt.
  • Individual clerkships (per course directors/depts)
    • How many weeks of the clerkship will be completed as part of the non-direct-care portion?
      • For each clerkship, this portion will comprise 1-2 weeks of the four-week clerkship.
      • IM – 1 of the four weeks
      • FM – 2 of the four weeks
      • Peds – 2 of the four weeks
      • OB/Gyn – 1 of the four weeks
      • Psych – 2 of the four weeks
      • Surgery 1 – 2 of the four weeks
      • Surgery 2 – 2 of the four weeks
    • What sorts of activities will happen during the non-direct-care portion of the clerkship?
      • Each clerkship will have different activities and their own schedule. Small group discussions via zoom, case reviews via zoom, asynchronous use of learning resources, online case modules, simulation, and telemedicine are among the possibilities.  You will have the clerkship’s objectives and learning resources to work with and study.
    • Electives
      • Breastfeeding and Lactation (FM 614 pending CC approval) – offered May 4
      • Clinical Bioethics HM 620 – offered April 20
      • General Radiology RAD 590 – offered April 20 or May 4
      • LGBTQI Health Care (HM 625 pending CC approval) – offered May 4
      • Medical Humanities HM 624 – offered April 20 or May 4 
      • Pathology Clerkship HM 610 – offered April 20 or May 4
      • Surgical Anatomy ANTR 685 – offered April 20 or May 4
      • Individual engagement in research or student-designed electives (per usual approval processes of individual experiences).
    • Discussion
      • It was noted students qualify for financial aid when enrolled in 6 credits
      • The end of shelter-in-place will not change this plan much. It is the lack of PPE and experiences in general (ie: no non-essential surgeries), not the shelter-in-place order, that are prohibiting students from participating in clinical experiences

Action: The Executive Committee gave unanimous preliminary approval on the clerkship model as outlined above.

Student designed electives

  • This is an FYI item for this committee. Margaret Thompson prepared an option for students to design electives in a more formal way in that they will do a reflection/turn a paper in at the end. The Executive Committee all agreed this is okay to do

New courses that are planned for 4/20 

  • 2 new courses (Breastfeeding and Lactation (FM 614) and LGBTQI Health Care (HM 625)) will be presented in full at the April 28th meeting

 

Action: The Executive Committee gave unanimous preliminary approval for these 2 new courses.

PCSE and CNSE

  • PCSE needs alternative for summer 2020 administrations to end 1st and end 3rd year students
    • Development underway of clinical reasoning exam and telemedicine abbreviated PCSE
      • Practice versions before they go live at the end of May
      • Attenuated expectations needed for initial round
      • It was noted there are 6 components of the exam being rolled into 2 components. For the April 28th meeting, will layout the strategy on how all 6 original components will be addressed
    • CNSE via remote proctoring
    • No vote required by the Executive Committee, but they did give their approval to move forward with planning the online versions of the PCSE and to ensure the integrity of the exam is maintained

Change in C3 reporting schedule

  • Due to the constraints on everyone’s time to make the necessary changes to adjust to the current circumstances in response to COVID-19, vertical integration/C3 reporting will be on hold until the June 2020 meeting. Carol suggested an additional meeting be scheduled this fall to ensure we stay on track to complete all C3s prior to the LCME site visit. The Executive Committee all agreed this is a good plan.

March 24

Voting Members Present: Cindy Arvidson, Anita AveryJohn Fitzsimmons, Len Fleck, Laura Freidhoff, Zachary Jodoin, Anthony Paganini, Steven Roskos, Maureen Schaefer, Andrea Wendling

Ex-Officio Members Present: Migdalisel Colon-Berlingeri, Robin DeMuth, Jon Gold, Churlsun Han, Wanda Lipscomb, Rebecca Schein, Margaret Thompson, Dianne Wagner

Guests: Michael Borgeld, Joseph Crutcher, Jennifer Edwards-Johnson, Matthew Emery, Gary Ferenchick, Raza Haque, Valerie Overholt, Angela Zell

Minutes prepared by: Lisa Galbavi

Call to order: A. Wendling called the meeting to order at 1:02 p.m.

Approval of January meeting minutes:

Under Vertical Integration / C3 review: October 2019 Associate Dean for Undergraduate Medical Education (ADUME) report: “…hte The committee asked that a 4th bucket “parking lot” be added to each C3 review.”

Action:  A motion was made and seconded to approve the minutes from the January 28, 2020 meeting as amended. The motion was unanimously approved.

Approval of February meeting minutes:

Action:  A motion was made and seconded to approve the minutes from the February 25, 2020 meeting as written. The motion was unanimously approved.

HM 617 new course request: M. Emery, V. Overholt, and J. Crutcher provided a copy of the course request (copy appended to minutes on file). After discussion the following action was taken:

Action: A motion was made and seconded to approve HM 617 as written. The motion was unanimously approved.

HM 618 new course request: R. Haque and A. Zell provided a copy of the course request (copy appended to minutes on file). After discussion the following action was taken:

Item 26 Reenrollment Course: “A student may earn a maximum of 6 credits in all enrollments for this course.”

Action: A motion was made and seconded to approve HM 618 as amended. The motion was unanimously approved.

Curriculum changes in response to COVID-19: R. DeMuth provided copies of a summary of current academic circumstances, requested actions from the CHM curriculum committee, and four new course requests (copies appended to minutes on file). After discussion following actions were taken:

HM 643

No changes

Action: A motion was made and seconded to approve HM 643 as written. The motion was unanimously approved.  

HM 619

Item 5 Catalog Course Description: “Survey of clinical knowledge and principles of necessary science, epidemiology, economics, ethics, and public health policy required in primary and tertiary health care settings during pandemics for advanced medical students.”

Action: A motion was made and seconded to approve HM 619 as amended. The motion was unanimously approved. 

HM 620

Item 5 Catalog Course Description: “Offers students an opportunity to discuss Complex bioethical issues including COVID-19 pandemics, physician aid-in-dying, futility/non-beneficial care, and treatment refusal by competent patients and case discussions.

Action: A motion was made and seconded to approve HM 620 as amended. The motion was unanimously approved. 

HM 624

Item 5 Catalog Course Description: “Reflection thoughtfully and critically on professional medical practice by employing the skills and perspectives of the humanities, specifically literary studies, visual and performing arts. Examine how those disciplinary perspectives might deepen understanding of doctoring and allow them to see, hear and appreciate doctor and patients’ values and experiences related to health, illness, and medical care.

Action: A motion was made and seconded to approve HM 624 as amended. The motion was unanimously approved. 

Requested Actions from the CHM Curriculum Committee

It was noted the request for approval of equivalent experiences is only for current 3rd and 4th years. The committee would need to vote again if need to extend these actions beyond those years. The committee will receive a report from the Senior Associate Dean for Academic Affairs (SADAA) with graduate requirement decisions made that are different from the three listed on the document.

Action: A motion was made and seconded to approve the three (3) equivalent experiences on the Requested Actions from the CHM Curriculum Committee document as written. The motion was unanimously approved. 

Action: A motion was made and seconded to endorse the SADAA to make individual decisions, in consultation with the Curriculum Committee Chair and the Dean, regarding graduation requirements and according to principles of the committee. The motion was unanimously approved. 

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Adjournment: 2:22 p.m.

February 25

Voting Members Present: Cindy Arvidson, Anita Avery, John Fitzsimmons, Len Fleck, Laura Freidhoff, Zachary Jodoin, Steven Roskos, Andrea Wendling

Ex-Officio Members Present: Migdalisel Colon-Berlingeri, Robin DeMuth, Churlsun Han, Joel Maurer, Rebecca Schein, Margaret Thompson, Dianne Wagner

Guests: Gary Ferenchick, Heather Laird Fick, Brian Mavis, Carol Parker

Minutes prepared by: Lisa Galbavi

Call to order: A. Wendling called the meeting to order at 1:05 p.m.

HM 651, 652, 653, 654, 655 course change requests: C. Han provided a copy of the course change requests (copies appended to minutes on file). After discussion the following action was taken:

Action: A motion was made and seconded to approve the courses as written. The motion was unanimously approved.

CNSE changes for HM 654, 655: H. Laird Fick provided a copy of the proposed changes (copy appended to minutes on file). After discussion the following action was taken:

Under Strategies for Mitigating Risk (last paragraph): “The second HM 654 examination and all the HM 655 examination(s) would be administered in proctored settings.  (Voucher not provided to student until they arrive at site.)”

Action: A motion was made and seconded to approve the request as amended. The motion was unanimously approved.

PCSE changes to score expectations: H. Laird Fick provided a copy of the proposed changes (copy appended to minutes on file). After discussion following action was taken:

Action: A motion was made and seconded to approve the request as written. The motion was unanimously approved.  

ECE & MCE content changes: C. Arvidson and M. Colon-Berlingeri provided a copy of the proposed changes (copy appended to minutes on file). It was noted that content is not being taken out of MCE, but rather introducing the content in the ECE so students are better prepared for the MCE. After discussion following action was taken:

Action: A motion was made and seconded to approve the request as written. The motion was unanimously approved. 

Graduate Follow-up Study: B. Mavis provided the full report and gave a presentation (copies appended to minutes on file). Areas discussed include: residency director ratings, satisfaction with CHM, career satisfaction, curriculum weaknesses and strengths, debt, practice setting and community and scholarship involvement.

Vertical Integration / C3 review: November 2019 Associate Dean for Undergraduate Medical Education (ADUME) report: D. Wagner provide a document with her findings (copy appended to minutes on file). After discussion the following action was taken:

Action: A motion was made and seconded to accept the reports as written and send the items to the Director of the Chief Complaints and Concerns and the Director of Integration and Innovation as assigned. The motion was unanimously approved. 

Vertical Integration / C3 review: C. Arvidson and G. Ferenchick provided copies of three C3 review summaries (dysuria, temperature regulation, white blood cell abnormalities) and Z. Jodoin provided a student review of the same C3s (copies appended to minutes on file). After review of the documents the following changes were requested and action was taken:

Dysuria under Are There Errors of Omission:

  • Management Plan > Pharmacologic Management - Students will be able to rationally prescribe pharmacological treatment that incorporates the following knowledge and principles - not covered adequately in curriculum
    • Recommendations: add content on principles of antibiotic therapy and mechanisms of action to PCGs and LGAs (ECE and MCE Dysuria weeks, possibly others)

WBC Abnormalities under Errors of Omission:

  • Student recommendation: add learning activity to help students categorize WBC malignancies

Action: A motion was made and seconded to accept the audit reports, as amended, and send them to the ADUME to address the points discovered and return to the committee with a report. The motion was unanimously approved. 

 

Adjournment: 3:02 p.m.

January 28

Voting Members Present: Cindy Arvidson, Anita Avery, John Fitzsimmons, Len Fleck, Laura Freidhoff, Zachary Jodoin, Nicholas Miller, Steven Roskos, Andrea Wendling

Ex-Officio Members Present: Robin DeMuth, Churlsun Han, Joel Maurer, Rebecca Schein, Margaret Thompson, Dianne Wagner

Guests: Judy Brady, Jennifer Edwards-Johnson, Gary Ferenchick, Heather Laird Fick, Brian Mavis

Minutes prepared by: Lisa Galbavi

Call to order: A. Wendling called the meeting to order at 1:05 p.m.

Approval of December meeting minutes:

Action:  A motion was made and seconded to approve the minutes from the December 17, 2019 meeting as written. The motion was unanimously approved.

LCE Progress Clinical Skills Exam (PCSE) Interactional Skills score changes: H. Laird Fick provided a copy of the proposed changes (copy appended to minutes on file). After discussion the following action was taken:

Action: A motion was made and seconded to approve the proposed changes to the interactional skills scores as written with a request that the committee reviews the standard for earlier in the curriculum at a future meeting. The motion was unanimously approved.

MD program change: A. Wendling provided a copy of the program change request (copy appended to minutes on file). After discussion the following action was taken:

Under Early Clinical Experience (paragraph 4): "Early Clinical Experience Chief Complaints include: abdominal pain, anxiety, blood glucose concerns, blood pressure concerns, depression, diarrhea, dizziness, dyspnea, dysuria, health maintenance, immunizations, joint pain, palpitations, temperature regulation, upper respiratory symptoms, vomiting."

Under Late Clinical Experience (paragraph 2): “…Elective programs may include a variety of courses offered by the college and university, research projects, and placements in hospitals clinical settings….”

Action: A motion was made and seconded to approve the MD program change as amended. The motion was unanimously approved.

FM 644, MED 644 and PHD 644 course name change requests: A. Wendling showed a PowerPoint slide showing the course name change requests for these three courses (copy appended to minutes on file). After discussion following action was taken:

Action: A motion was made and seconded to approve the course name change requests for FM 644, MED 644 and PHD 644 as written. The motion was unanimously approved.

MED 645, PHD, 645 and SUR 645 new course requests: M. Thompson provided copies of the three course requests (copies appended to minutes on file). After discussion following action was taken:

Action: A motion was made and seconded to approve MED 645, PHD 645 and SUR 645 as written. The motion was unanimously approved. 

Student wellness (process/system): J. Brady gave a presentation (copy appended to minutes on file). Areas discussed include: LCME requirements, structural and curricular approaches, policies and procedures, challenges and opportunities.

Student Experience Survey / student wellness (data): B. Mavis provided a handout and gave a presentation (copies appended to minutes on file). Student ratings on the following areas were reviewed: satisfaction with CHM, CHM is person-centered, satisfaction with resources, faculty-student interaction, student-student interaction, emotional climate, meaningful learning experience and perceived stress.

Linked clerkship proposal: A. Wendling provided a document (copy appended to minutes on file). The committee noted additional input is needed from Clerkship Directors and the Late Clinical Experience Curricular Development Group. Committee members are encouraged to send comments and/or suggestions to A. Wendling. The proposal will be discussed again at a future meeting.

Vertical Integration / C3 review: October 2019 Associate Dean for Undergraduate Medical Education (ADUME) report: D. Wagner provide a document with her findings (copy appended to minutes on file). The committee asked that a 4th bucket “parking lot” be added to each C3 review. The committee also asked to discuss redundancy as a separate agenda item at a future meeting. The following action was taken:

Heart Murmur: Move item 3 from the “no change” bucket to the “parking lot” bucket.

Action: A motion was made and seconded to accept the reports as amended and send the items to the Director of the Chief Complaints and Concerns and the Director of Integration and Innovation as assigned. The motion was unanimously approved.

Vertical Integration / C3 review: A. Avery and G. Ferenchick provided copies of three C3 review summaries (breast cancer, health maintenance and lumps new diagnosis of cancer) (copies appended to minutes on file). After review of the documents the following action was taken:

Action: A motion was made and seconded to accept the audit reports and send them to the ADUME to address the points discovered and return to the committee with a report. The motion was unanimously approved. 

 

Adjournment: 3:01 p.m.