Curriculum Committee Minutes – February 22, 2005

Present: (Margie McGarva recording), Davidson, Watson, Doug, Layton, Rarey, Duerson, Normann, Karle, Harrell, Meuleman, Burchfield

Guest: Any Stevens, Department of Surgery, and Eric Rosenberg

Announcements:

• Doug Arnold announced that the first years had Family Day, where families are invited to spend a Saturday being able to see what students do during their first year of medical school. Apparently, Family Day was in its 27th year.
• Dr. Watson reported that Drs. Rarey and Duff are going to Jax residency graduation in June. Plans are underway to double the size of the Harrell Professional Development and Assessment Center. Plans are moving ahead with the The Simulator Center.
• A search us under way for a new Associate Dean for CME and to for a new Sr. Associate Dean replace Dr. Cassisi. Also, there is a planning committee for the College of Medicine’s 50th anniversary celebration. Dr. Watson has identified several people to chair various committees. The anniversary celebration is planned for March 10-12, 2006. Also, the library has a very big part in this as well. As part of the ceremony, George Harrell’s ashes will be donated to the archives.
• Heather’s grandfathers ashes were noted to the com and hopefully will be donated to the archives.
• LCME: March 2007 is when the LCME begins.Patient Safety in the Curriculum

What is Patient Safety?

Click on the pdf document below to view the presentation by Dr. Davidson.

Patient Safety in the Curriculum
Identifying and Preventing Medical Errors

Dr. Rosenberg gives presentations to 4th year students. Suggestion was made to introduce concept of errors as a system problem. As third-years it is part of their portfolio – the paper is an option they can do. Dr. Rosenberg states that the lecture presentation has been modified into small group discussion. At present, he is trying to find the best way to teach this material. He tries to come across how to students on how to prevent patient from being harmed and how do you take responsibility. There is a pilot project underway. It will be taken by the 2nd and 3rd years about patient safety and first year residents will be doing two seminars with them.

Amy Stevens, MD, is a hospitalist and Assistant Professor (Courtesy), Department of Surgery
She works with surgery residents at the VA.

• We need to empower the people we are teaching about patient safety.
• We try to get residents to think they are part of the system.
• Resident participation in RCA. Given feedback too.
• Workshop with residents. (Root cause analysis module, which is a 3 hours workshop.)
  17 residents participated.

Dr. Watson stated that Martin Smith's office has a rich database with the most common errors made here.

• Trying to implement an interdisciplinary experiment.
• Planned expansion
• Topic is an obvious one for interprofessional learning
• Implementation in this year’s clerkship
• Orientation and the EBM course
• Possibility of adding content during the capstone.
  Capstone will be folded in to clerkship internship 101.
• Simulation can plan role in identifying errors (not a substitute for a longitudinal curriculum)
  

Dr. Burchfield requested Dr. Stevens give a 15-minute talk to pediatric residents
It was mentioned that the VA has bar coded patient medications. Dr. Rosenberg is on Clinical Practice Committee (CPC); however, bar coding is not a panacea for medical prescriptions. FDA is mandating bar coding.