Voting Members Voting Members Non-Voting Members Non-Voting Members (IS) Nelson, Bill (VIG) Ogrinc, Greg. Guest(s) Guest(s) Guest(s) Guest(s)

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1 MEDICAL EDUCATION COMMITTEE Meeting Date: Tuesday, March 15, 2016 Time: 4:00 6:00 pm Meeting Lcatin: DHMC Auditrium A Apprval: Tuesday, April 19, 2016 Recrded By: Cri R. Stebbins MEETING MINUTES ATTENDANCE Vting Members Vting Members Nn-Vting Members Nn-Vting Members Barnes, Aarn (4 th Yr. Rep) Black, Candice (Clinical-Pathlgy) Chidawanika, Tamutenda (PhD Rep) D Agstin, Erin (2 nd Yr. Rep) Freemantle, Sarah (Basic Science) Hyde, Rbert (Clinical-EM) Jhansen, Sarah (Chair) Manning, Harld (Clinical-Pulmnary) Merali, Natasha (1 st Yr. Rep) Mntana, Philip (2 nd Yr. Rep) Mrrw, Cathleen (Faculty Cuncil) Mrtn, Stephanie (3 rd Yr. Rep) Nierenberg, David (Clinical-Pharmaclgy) Rams, Jshua (1 st Yr. Rep) Rees, Christiaan (PhD Rep) Sachs, Marlene (CPEB) Smith, Marietta (3 rd Yr. Rep) Symnds, Lynn (4 th Yr. Rep) Usherwd, Edward (Basic Science) Weinstein, Adam (Clinical-Pediatrics) Cusineau, Laura (Library Sciences) Dick. III, Jhn (Yrs. III, IV) Eastman, Terri (On Dctring) Faye-Green, Brenda (Bimedical Libraries) Frew, Julia (SBM) Grllman, Diane (Assessment) Jaeger, Michele (Registrar) Kidder, Tny (Simulatin Lab) Lyns, Virginia (Year I) McAllister, Stephen (IS) Nelsn, Bill (VIG) Ogrinc, Greg (CCD-Cntinuus Curriculum Dvlpt) Ogrinc, Greg (SADME) Reid, Brian (IS) Sharma, Swapna (Resident, DHMC) Shp, Glenda (Learning Srv/Curric. Design & Evaluatin) Swensn, Rand (LCME) Hammnd, Rachel (Admin. Supprt) (Assciate Dean f Student Affairs) (Directr f Learning Services) (TDI) Guest(s) Guest(s) Guest(s) Guest(s) O Present = / Absent = -- / Excused = 0 Apprval Date: Tuesday, April 19, 2016 Page 1 f 5

2 Medical Educatin Cmmittee Meeting Date: 03/15/ Call t Order Sarah Jhansen, MD Dr. Sarah Jhansen, Chair, called the meeting t rder at 4:02 pm. 2. Apprval f February 2016 meeting minutes Sarah Jhansen, MD Minutes were nt vted n. 3. Annuncements Sarah Jhansen, MD N annuncements were made. 4. Old Business Sarah Jhansen, MD Curriculum Update Greg Ogrinc, MD Suggestin: Lk at Y3 when lking at Y4. When will new Y1 curse directrs be annunced? Next week: chair, faculty annunced as cmplete package (twn hall) What d yu invasin feel in Y1 curses next year cmpared t this year? Cnsistency in leadership f curses & day-t-week basis; curse directr ding bulk f teaching. Are we lsing a little/a lt f faculty that wrk in the curses? Gd cntinuity in secnd year curse directrs; 1 faculty turnver frm year-t-year. 2 new curse directrs being replaced. All clinicians fr teaching used at DH. Change in paymaster: dn t knw wh it will affect. Next year will be harder t get 10 dcs t teach fr 16 hurs because f greater prductivity pressures put n by the clinic in each sectin. Have the students been interested/wrried? Always curis and interested in what s ging n. A lt f questins abut it at the last meeting but seemed t get their questins answered. Health and Values VIG Update Bill Nelsn, PhD Charge: 1) Review current curriculum and see where themes frm health and values are currently in curriculum dcument sent utlines this; evlving dcument. 2) Create a set f gals and bjectives t integrate in the curriculum Lked last mnth; sme bjectives were changed t make less granular. Prpsing that gals and bjectives are integrated thrughut all 4 years; if apprved then implementatin and leadership n hw that gets dne is mre in the ffice f medical educatin. Gals and bjectives, statement f purpse: is there redundancy, verlap, etc. will g thrugh the ffice f med ed. Apprval Date: Tuesday, April 19, 2016 Page 2 f 5

3 Medical Educatin Cmmittee Meeting Date: 03/15/2016 Discussin Ptential addendum: narrative medicine will/shuld be used sense is that it shuld be stated as may be used Phrase used t imply many strategic pints; used as a tl mre and mre. did yu identify institutinal bjectives that were nt identified in the current curriculum? Thse are mre urgent. Gaps in the intrductin t sme f these themes. Launch int them but have n intrductin; why is health law imprtant. Hw t d an ethical analysis. 1 spt where it is identified in research ethics; what is ethical criteria fr human subject research? Curse bjectives in ethics and humanities but n sessin bjectives that tie t that and vice versa. Link sme f the themes with the PBL curses. They may nt be assessed r reviewed. Is this what peple are lking fr? Nt the intentin f the MEC t think abut hurs, but want t apprve bjectives and gals Hard t imagine there wuld be a lt f bjectins t general gals; time devted, where in curriculum delivered, etc. We re nt lking fr mre hurs; there is unintentinal redundancy in the curriculum. There are 2 sessins in neurlgy ding exactly the same thing. But we need t crdinate existing hurs. If MEC apprves the integratin, MedEd is prepared t find a way t supprt it. Final versin is thughtful and integrates mre themes than it did previusly. May need t be adjusted with the changes ging n in healthcare. Hear frm them regularly; kept abreast f the lgistical issues f hw it relates t the MEC. Prpsed mtin that was drafted by Bill Nelsn was psted. Lynn Symnds made a mtin t accept the fllwing: The systematic integratin f the health and values gals and bjectives thrughut the fur years f the Geisel educatin, mapped t Geisel s institutinal cmpetencies, as utlined in sectin II f the gals and bjectives dcument. The mtin was secnded by David Nierenberg. The mtin passed by unanimus vte. 5. New Business Year II: SBM Respiratin Julie Frew MD Tamutenda Chidawanika made a mtin t apprve the Respiratin curse review and actin plan. The mtin was secnded by Lynn Symnds. The mtin passed by a unanimus vte. Apprval Date: Tuesday, April 19, 2016 Page 3 f 5

4 Medical Educatin Cmmittee Meeting Date: 03/15/2016 Year III: Internal Medicine Clerkship Review Hilary Ryder, MD Embedding in the clinical cntext Pint was brught up abut inter-rater reliability n evaluatins (sme faculty nly give 3s and sme nly give 5s, etc.) Dn t eliminate fluid ; mved fluid management t essential skills mved fluid management ut f the cnditins but link curse bjectives t diagnses; ideally wuld need t map vte in favr f keeping in the bjectives Essential cnditins t be included in the bjectives but did nt include the skills in the curse bjectives. Discussin abut rubrics; 5-pint likert and RIME scale used in the clerkship. Is it reflected in bjectives that talk abut health and values; sessin bjectives but nt curse bjectives. Aarn Barnes made a mtin t apprve the Internal Medicine Clerkship review and actin plan. The mtin was secnded by Ed Usherwd. The mtin passed by a unanimus vte. Year I: CTO Curse Review Dave Nierenberg, MD & James Bell, MD Marietta Smith made a mtin t apprve the Year I: CTO curse review and actin plan. The mtin was secnded by Aarn Barnes. The mtin passed by a unanimus vte. Year I: Cardi/Physilgy Curse Review Virginia Lyns, PhD Actin plan nt develped since bth curse directrs will be stepping dwn Des everyne else end up with the same cntent? Everyne wrks n the same prblem set but an answer sheet is distributed with key messages but nt in great detail. There is an incnsistency in the speed in which students master the material. Perhaps give the students an answer key t the questins s they engage mre in the discussin. Actin plan: next week perhaps (befre the curse begins in July r August) Aarn Barnes made a mtin t apprve the Actin items. The mtin was secnded by Marlene Sachs. The mtin passed by a unanimus vte. Apprval Date: Tuesday, April 19, 2016 Page 4 f 5

5 Medical Educatin Cmmittee Meeting Date: 03/15/ Other Issues Perceptin issue: ethical situatin--plitical stance may influence the lecture. There are students that dn t want t care fr a patient even if the physician desn t agree with their attitude r plitical stance fr instance. There shuld be a discussin t address these issues yu can t pick and chse patients. Cncern: understanding the care relatinship between a patient that desn t share yur values; what level is the required respnsibility. Hw are students making it t third year withut this issue cming t term. 7. Adjurnment Sarah Jhansen, MD Dr. Sarah Jhansen, Chair, adjurned the meeting at 6:00 pm. 8. Actin Items Rachel Hammnd t send ut an abut labs as required sessins; faculty t make a decisin n nt making it required. 9. Future Business Incrprate a questin int curse review frmat t prvide pprtunity fr curse directr t anticipate future cncerns regarding faculty staffing, curse structure r functin f their curse. Plicy n Special Tpics: Independent Electives Residents as Educatr Review f current educatin structure Inter-Prfessinal Student Experience Determinants f Health-bjectives and hw t access Enrichment Electives 4-year Curriculum Develpment 10. Future Meetings *** Please nte these meetings are n the 3 rd Tuesday f each mnth, 4:00p-6:00pm March 15, 2016 April 19, 2016 May 17, 2016 June 21, 2016 Apprval Date: Tuesday, April 19, 2016 Page 5 f 5