Curriculum Committee Minutes - January 14, 2003

Present: Bottom, Davidson, Small, Lawson, Wright Genuardi, Hatch, Wallace, Merani, Burchfield, Normann, Allen, Pauly, Karle, Romrell, Meuleman, Butson, Wright, Watson, Sumners, Douglas, Harrell, Gulig, Rooks


Announcements
Dr. Romrell announced the PBE III testing is underway to get mid-yr performance information. Dr. Watson stated that he is working on updating sections of the strategic plan.

Guest speaker: Phillip G. Clark, Professor of Gerontology, Director, Geriatric Education Center, U of Rhode Island

Agenda

Dr. Clark, our guest speaker, will focus on the academic and inspiration aspects of interdisciplinary education programs and their value to the education of health professions students.

Interdisciplinary Education for Teamwork in the Health Professions: What it is and Why it is Important ?

Dr. Clark's presentation
Discussion

Dr. Clark was asked if he used Myers-Briggs to get started. He used that as well as a lot of additional assessment tools.

Some faculty disagreed wtih the concept and thought it to be artificial. Other faculty thought the team concept was essential, especially for residents. Still another comment was that the greatest barrier in having successful teams is the pecking order we have within our system. Two of 10 students perceive that you don't ask questions of a nurse, but go back to the attending. They lose sight of where their real education is going to occur because they get caught up in the "pecking" order. Another comment was that, as Dr. Clark stated, the M.D. is the conductor of the orchestra.

Dr. Clark states that in a clinical setting, he observed that physicians are going to be leaders and are not always comfortable with that, and are not trained for that role. Social workers are the real team leaders but are likewise not always trained to be leaders. We need to put people into situations during their education so that they won't have to learn this on their own, but as a group. It was noted that each professor has his/her own unique responsibility. Faculty are too focused on doing and not reflecting. In no part of the curriculum do we teach group dynamics, as stated by Dr. Small. As a group we are ignorant about the tools used. Another comment from a faculty member was that even if it happens (learning in a multidisciplinary unit) doesn't mean students learn from it.


Dr. Clark recommended the book: The Missing Voice in Education by Marilyn M. Cohn, Robert B. Kottkamp. There is an article in this book on health care decision-making. It makes a difference in outcomes. The challenge is: how do we sustain the change.

Dr. Harrell was asked to relate to the committee on the reflective exercise she is working on and she commented that she asks the students to keep a student portfolio during their medical clerkship and write down things that are good or bad in a few sentences. It can be done anonymously. Students meet in groups of 6 where these comments are shared. This generates a lot of discussion. Most of the students have found it valuable in reflecting.

Bill Allen states that he asks his class how their mind has changed on an issue in his ethics class. The insights from that are far more valuable for telling him how the course affects the students.

Dr. Watson reports that the College of Medicine has a real commitment to this idea of reflection. The Maren Reading Room is a place for sitting and reflecting; not a study or a lounge.

The Keeping Families Healthy course is a source of reflection for students. The students enjoy talking to each other. Four colleges of the Health Science Center (Medicine, Dentistry, Health Professions, and Pharmacy) have provided institutional support for the Keeping Families Healthy program for the next 2 years, and we will continue to need the support of the COM faculty in teaching and supporting this novel program.


Meeting adjourned at 8:51 a.m. Next meeting will be the Curriculum Retreat held at the Sheraton Hotel on February 10, from 8:15-1:00. There will be no meeting on January 28, 2003.