Next meeting which would be Oct. 26, is CANCELED. November 9 is the next meeting.
Dr. Rooks thanked everyone for coming to retreat. He also reminded the group of the deadline for turning in group retreat reports.
Discussion of how to deal with the 4th year:
Dr. Goldfeder asked that the committee tell him what the goals are so he can be better prepared. Dr. Rooks indicated that he is trying to come up with various thoughts as to how to combine things.
Dr. Burchfield asked the question: where in your mind is ACLS? Dr. Davidson: we are not certified in ACLS at this point, but can offer it as an elective during the pharmacology course for the 4th years who want to get certified before their externship.
Dr. Rooks would like for this to be the central issue of discussion because we have to get this decided as a model for the coming academic year.
Dr. Genuardi was glad that we are pushing toward a decision soon because of the issues as to where to put students and housing problems will need to be resolved. He indicated December would be a nice month, but then Dr. Ledbetter reminded the committee that December is pre-match time.
Dr. Rooks asked the Professionalism group for comments about the highlights from Curriculum Retreat which included Patti Moore, Marc Cohen, Margaret Duerson, Ankit Desai and Parker Small.
Dr. Small: It forced me to see a spectrum of concepts in professionalism, which on one end I see as almost innate in a 20-year old, which is moral and ethical behavior. On the other hand, there are all these learned skills and things we teach in medical school.
Dr. Duerson pointed out how we can measure a fair number of things with our standardized patient approach. The class developing it's own honor code and how we continue that focus came up in conversation. Has the faculty ever had an honor code was discussed?
Dr. Cohen: We all agreed that we should start at the admissions level. We talked about measurement and incorporating it into the OSCE to give it a professionalism score by having a station dedicated to professionalism. Dr. Duerson said we could consider doing it but what we need to work on is role modeling, and code of ethics.
Patti Moore: What is responsibility of UF for students who are not acting professional.
Dr. Duerson: What we do for national board is have students fill out PPQ which measures the patient's perspective. Looked at information and found SP's discriminate on how well students do on history and physical exam. The score was consistent with individual students across the stations.
What do you do with a faculty member who is not a good role model of professionalism? Patients are interested in communication, being a listener, and explaining things in simple fashion to patient.
Dr. Lowenthal: The student evaluation form, which we fill out on students, addresses judgment and professionalism, but is a mere statement of words. We do nothing to test to see if this is true. This needs to be looked at more objectively.
Dr. Pauly: When we assess professionalism, we need to assess early. Then, how do we help this person. When talk about revisiting, ethics, and code of involvement, have a reaffirmation for commitment.
Dr. Watson is asking the basic science faculty to assess professionalism and this needs to be noted.
Dr. Burchfield: What are we going to do with the student who is not progressing in the professionalism area?
The first two can be dealt with in the curriculum (the hidden curriculum). The whole thing takes place in an institution, not a vacuum. Does this model work?
Dr. Genuardi: We almost never talk about residents, what do you do about the resident role model?
Dr. Ledbetter: Protocol communication skills : evaluation with OSCEs
Patti Moore: There should be a consequence if they are treating people disrespectfully.
Dr. Goldfeder: Have we ever looked at other professions, i.e. lawyers, nurses. Have they looked into this before?
Dr. Small has a question for Dr. Duerson: At what stages do our OSCE actually measure our student's interactive skills?
Dr. Duerson's reply: We only use it in the 4th year exam. Dr. Small asked: Is it possible to make it a part of the OSCE earlier?
Dr. Duerson replied, definitely to the 3rd year, and possibly to the 2nd year. She was not sure about the 1st year.
Dr. Burchfield: Could this be set up in interviews? Dr. Watson asked how can/do we reward true caring? Dr. Duerson: if we measure professionalism we have to know what we are going to do with the information.
Dr. Rooks indicated that he wanted to deal with this issue more and told the committee he appreciated all their thoughts and that we will try to take some concrete steps as to how to report this.
Meeting adjourned!