CURRICULUM COMMITTEE MEETING

Thursday, November 10, 2011, 4:00 p.m.

Room MDC 1101

AGENDA

I. Approval of Minutes - October 13, 2011

II. Committee Processa. AY 11-12 Quorumb. Curriculum Committee Charge Overviewc. Sub-committee Organization

III. 3 rd Year Clerkship Review

IV. 4th Year Tracks and Basic Science Courses

V. Curriculum Updatesa. NeuroPsychb. Scholarly Concentrations

VI. New Business

OTHER BUSINESS

Next Meeting - December 8, 2011, 4-5:30, MDC 1101

COM CURRICULUM COMMITTEE MEETINGThursday, November 10, 2011,4:00 p.m.

Room MDC 1100Minutes

Present: Ingrid Bahner, Rossitza Chichkova, Craig Doupnik, Maria Gieron-Korthals, William Johnson, John Kiluk, Mary Lien, Charles Preuss,Eric Rinehardt, Laura Lee (Dolly) Swisher, Kira Zwygart, Drew Keister, Ed Norris, Alan Otsuki, Barbara Lubrano, Frazier Stevenson, StanNazian, Rachel Forbes, Trevor Lewis, Marianne Koening, Marrissa Cook, Bobby Collins, Michael Ramsamooj

Not Present: Karl Muffly, Donald Wheeler, Tim Goede, Alicia Monroe, W. Sandy Quillen, Joanne Valeriano, Josh Rge, Tina Lorenzo, JonathanLopez, Jennifer Escobar, Crystal Whisenant, Vignesh Doraiswamy, Lisa Hayman, Nicole Teal, Leanna Bolyard, Tanisha Battle

I. The meeting was called to order at 4:04 p.m.

II. Motion accepted to approve minutes from October 13, 2011

III. Guest visitor introduction:Marianne Koenig B.S., PharmD, BCPS. Dr. Koenig is the Curriculum Committee Chair for the College ofPharmacy. She contacted Dr. Doupnik and indicated that they are just getting started and wanted to seehow the College of Medicine Curriculum Committee operates. Dr. Doupnik invited her to sit in ontoday's meeting.

IV. Recognition and welcome to new committee members for 2011-12:1. Maria Gieron-Korthals, MD, Professor, Dept. of Pediatrics.2. Donald E. Wheeler, MD, Associate Professor, Dept. of Pathology and Cell Biology3.. Eric Rinehardt, PhD., Assistant Professor, Dept. of Psychiatry and Neurosciences

V. Overview of the Curriculum Committee for AY 2011-2012:Dr. Doupnik presented slides reviewing the Committee Charge, the new roster, curriculumresponsibilities, and subcommittee organization. These slides are included as an addendum.

1. Purpose: The Curriculum Committee Advises, Reviews, and makes Recommendations to theDean on 3 Distinct Programs within the College of Medicine;

a. MD Core Curriculum Programb. MD SELECT Curriculum Programc. DPT Curriculum Program

2. Committee Structure: 3 subcommittees review different aspects of the different programs:a. Course and Clerkship Review Subcommittee: Reviews courses and c1erkships on a

periodic (2yr) basis. Dr. Kira Zwygart agreed to serve as Chair of this subcommittee.b. Curriculum Integration Subcommittee: Reviews curricular integration within individual

years and between multiple years. Dr. Ingrid Bahner agreed to serve as Chair of thissubcommittee.

c. Process and Outcomes Subcommittee: Reviews methods of assessing specific programoutcomes with linkage to specific learning objectives & competencies. Dr. Dolly Swisherdeclined to serve as Chair of this subcommittee. Dr. Doupnik will serve on an interimbasis given the new faculty members on the subcommittee. The OEA is in the process ofposting a position fora PhD that would provide support to the process and outcomesubcommittee.

d. The Curriculum Committee also receives input from the following Ad Hoc Taskforcesthat have been called by the OEA Administration;

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i. Year 3 TaskforceiL Med-Peds Clerkship Taskforce (with External Review)iiL Taskforce on Integrated Instruction in Anatomy and the Basics Sciencesiv. SELECT Program Taskforce - focusing on the planned curriculum for the MSIII

and MSIV years at LVHN. There was a suggestion that the SELECT Taskforceinterface with Curriculum Integration Subcommittee. Drew Keister, MD and EdNorris, MD (LVHN Faculty) are a part of this Taskforce and will be getting backon whether they wil.1 be on the Curriculum Integration Subcommittee and theEducational Outcomes Committee.

VI. Curriculum Committee Tasks for 2012.1. Preparation for LCME Visit Academic year 2014/2015. A suggestion was made to review the

preparations made for the last LCME survey, Le. look at the previous "game plan" and revise.2. Dr. Johnson stated that in the Vertical Integration subcommittee, it was found that half of the

proposed basic science courses for year 4 are lacking volunteers to teach classes. Radiology,Surgery, and Family Medicine were identified where faculty recruitment is needed.

3. Dr. Kiluk suggested revisiting the :r-d year Honors, Pass, Fail grading (Future agenda item)a. Complaints and issues raised by studentsb. Current policy has made it more competitive, as everyone is going for honors.c. It was suggested that it might be too premature, as it hasn't been a full year yet.d. Also suggested was the idea to poll students in a survey.

4. Dr. Lubrano indicated lots of concern from both faculty and students on how clerkshipevaluations translate into a grade. (Future agenda item). The evaluation is not transparentenough.

VII. 3rd Year Clerkship Review - Dr. Kira Zwygart1. Med-Peds: There are many issues. An external review is about to start for the Integrated

Internal Medicine Pediatrics clerkship. There will be no recommendations from the taskforceuntil final recommendations from that external review are available.

2. Neuropsychiatry: An external review was just completed. No recommendations will be givenuntil the Med-Peds external review is completed, given its potential impact on theNeuropsychiatry Clerkship.

3. Urgent and Emergent Care (Emergency Medicine): There have been communication issues withthe course directors and concerns over the feasibility of having this clerkship a requirement inthe 3rd year. Leaders of the 4th year tracks were polled on what they thought of EmergencyMedicine if it were not a 3rd year requirement. Many medical schools and the LCME do not havea specific requirement for Emergency Medicine.

a. All except the Emergency Medicine leadership said they don't think it should be a 3rd

year requirement; instead it should be an elective/selective.b. Most 4th year track directors said they would still require it as an elective requirement

(Le. prerequisite).c. Historically the Urgent and Emergent Care clerkship was put into the 3rd year to get

students exposed to patients who didn't have a diagnoses attached to them (the'undifferentiated' patient). The goal was for the student to initiate H&P workups, whichis now being done in the other 3rd year c1erkships.

d. The subcommittee recommendation was to remove Urgent and Emergent Care as a 3rd

year requirement and to let the leaders of all the 4th year tracks know. The track leaders

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would then subsequently decide if they want to make the EM elective a requirementwithin their track.

4. Motion: Dr. Zwygart made a motion that the Emergent & Urgent Care Clerkship be changedfrom a required clerkship to an elective course offered in Year 3. The new Emergency medicineelective would have as prerequisites, successful completion of both the Year 3 InpatientMedicine & Pediatrics Clerkship (Med-Peds) and the Surgical Care Clerkship. Dr. Norris offered afriendly amendment that the changes be specifically applied towards the Year 3-4 MD Corecurriculum in Tampa, and not be binding to the Year 3-4 MD SELECT Curriculum currently underdevelopment in Allentown. The Motion with friendly amendment was seconded by Dr. Kiluk.All voting members present (12) voted in favor of the motion. None were opposed. The motioncarried. Dr. Doupnik will communicate the committee's recommendation to Vice Dean Monroefor further consideration.

VIII. New Business (agenda order changed until Dr. Bahner's arrival)1. Reconsider the timing of meetings due to faculty teaching conflicts in CPS (i.e. Dr. Bahner)

a. Point rendered moot as CPS is ending next week.2. Dr. Zwygart discussed the SELECT curriculum design at LHVN for the MSIII and MSIV years.

a. Sixteen 3-week blocks, with every other block identified as an outpatient experience.b. The alternating blocks are 'call' immersion. Inpatient rotations, but might include some

outpatient as well.c. Would still follow the USFCOM core integrated c1erkships.d. Dr. Stevenson commented that there are a lot of good models that he saw at the AAMC

meetings that will help with the planning.3.. Dr. Gretchen Koehler also commented on the recent AAMC meeting she just attended.

a. With increased inter-professional student preceptors, there wss talk of changing thestandards requiring all volunteer and courtesy faculty to have appointments. If somearen't doctors they can be appropriately qualified.

b. Inter-professionalism was a major theme at the meetings.c. Competency-based outcomes was another major theme discussed.

4. Dr. Dolly Swisher further commented on Inter-professionalism initiatives here at USF.a. A series of modules have been developed. First is an Intro to interprofessional

education to be presented to nursing, physical therapy, athletic training, medicine andpharmacy. The second module was Roles and responsibilities of different health careproviders to be presented within the doctoring courses and subsequently rolled out toPublic Health and Pharmacy.

IX. 4th Year Tracks and Basic Science Courses- Dr. Ingrid Bahner1. The Curriculum (vertical) Integration subcommittee developed a proposal for recruitment of

faculty to initiate basic science courses in the MSIV year. Th~re are interested faculty membersthat have been self-identified for about half the professional tracks. There is also interest fromthe basic science chairs. Generic emails will be sent out to the Dept chairs along with anattached form. The form is like a short syllabus template, with the goal to have an agreementby the end of the year. It was suggested that this needed to be done by February (MarrissaCook - UME Registrar) or by late January (as recommended by Frazier Stevenson). Needrecruitment of Dermatology, Anatomy, and Radiology faculty. Also will need resources and toget the word out.

2. Dr. Stevenson indicated that Dr. Deschenes (Chair of Molecular Medicine) has stated that hewould like increased opportunities for junior faculty in the basic sciences to be involved in the

4th year tracks as well as Colloquium activities. This brought up the issue of Colloquium and theScholarly Concentration Program. Currently, about 95% of 1st Year student's sign up for theScholarly Concentration Program which has led to a decline in Colloquium registration. Re­assessment of the Colloquium program, the participation of the basic sciences in them, and howit's going to be required or not required, was recommended to be an agenda item for the nextmeeting.

x. Scholarly Concentration Program - Drs. Susan Pross1. Updates and improvements to the SCP were presented to the members. I~e available

concentration selections have increased and therefore the student's opportunity to"individuate" has benefited. It is currently a robust and large program. The most recent AnnualReport from AY09-10 was shared with the committee members, as was the newly createdprogram and course syllabus. Discussion took place with regards to the "Courses" within theMSI and MSII years for members ofthe SCPo Current enrollment numbers for all years werereviewed, with over 95% of the Class of 2015 having selected a SCP.

2. A lack of administrative support and leadership for both the program infrastructure and theindividual concentrations promptetl a suggestion that it was time to consider moving the SCPtowards an inter-professional experience. Dr. Bahner stated that this is not a new idea, but it isdue to the lack of available faculty and administrative resources. With more resources(administration and oversight of a program) it would not be a problem.

3. This year a SCP student commitment form was initiated, that outlined the programrequirements for participation and capstone components needed to successfully complete theprogram. As a result, students know up front what is required of them and there is no penaltyfor withdraw!.

4. E-value is being setup as a database for assessment purposes. The goal is to easily search andretrieve information.

5. External grant funding was also discussed, with a potential to collaborate with Dr. Swisher.

XI. Meeting adjourned at 5:35pm.

XII. Next Meeting - December 8- 2001 4-5:30, MDCllOI.

COMMITTEE ON CURRICULUMCOURSE/CLERKSHIP REVIEW SCHEDULE

AY 2010-2012

SeD 10Course,reviews:

···~BCP

Jan 10 Feb 10

Feb 11Coursereviews:Maternal/NB

Mar 10 ADr 10

ADr 11

Mav 10

Mav 11

Jun 10

Jun 11

Aua 10

Aua 11