Curriculum Committe Minutes - December 14, 1999

Present

Rooks, Cheong, Cohen, Davidson, Goldfeder, Koroly, Ledbetter, Lind, Lowenthal, Moore, Moseley, Normann, Pauly, Small, Hall, Madani, Berns, Bottom, Butson, Duerson, Genuardi, Harris, Romrell, Stevens, Watson, Wright

Absent

Burchfield, Dwyer, Desai, Socarras, Jones, Harman, Hull, Hurt, McElroy, Rarey, Rathe, Rowe, Suter

Announcements

Dr. Watson announced that 50 students went to the AMA meeting. He also reported that the MGT consulting firm for FSU documents are now up on the webb at http://www.fsu.com.

Dr. Rooks stated that the committee approved the 3rd and 4th year structure and that the Executive committee had endorsed it. The next step is to get approval from the Faculty Council. In January, Drs. Ledbetter and Kays will be reporting for surgery and pediatrics, respectively.

So here is what has taken place:

1) a new principle - the committee was in favor of adopting the new principle

Principle 12 - Learning and professional development requires a humane environment which fosters respect, personal integrity, service orientation and a sense of personal well being.

• Our students are being trained to become care givers. We must insure that the environment in which they train cares for them. Our program should be attentive to the student's sense of well being and foster personal growth, which will engender successful human relationships which is the cornerstone of care giving.

Dr. Goldfeder asked if there was any thought on a way to implement this principle?

Dr. Berns: on the part of Faculty Council there's an effort to establish a mentoring program, which is in the process of being developed.

Dr. Pauly asked how do we implement it?

Dr. Rooks responded that it's done on the exit interview. Dr. Watson then remarked that the graduation questionnaire is one mechanism that can be used.

The question was then asked: How do we structure this? The response was that one way is through the evaluation subcommittee but there are other avenues.

Beverly Wright suggested that we not wait until the senior year; that we should survey each class.

Dr. Rooks indicated that he would get a task force together to look at this issue.

2) new competency category 11:

11. Problem Solving

• Demonstrates the ability to identify and find information relevant to a clinical problem, using consultation, texts, and the archival literature.
• Demonstrates the ability to generate an initial list of differential diagnoses given a specific chief complaint and patient characteristics (such as age, sex, vital signs, etc).
• Demonstrates the ability to use history taking, physical exam, and auxiliary studies to test initial hypotheses/differential diagnoses.
• Demonstrates the ability to re-rank the differential diagnoses based on information gathered from the history, physical, and auxiliary studies. Demonstrates the ability to explain a mechanism for each aspect of a patient's problem, including biological, behavioral, and social aspects.
• Demonstrates the ability to evaluate scientific/clinical information and critically analyze conflicting data and hypotheses.

Dr. Genuardi asked: should we mention internet resources? Then Dr. Berns indicated that we should add under "a" archival reference on internet.

3) Educational program, goals and objectives. The link below will take you to the web site Exhibit 2 - Educational Program and Curriculum Goals and Objectives

Dr. Rooks asked for approval of this new format, which was unanimously approved by all. The committee agreed to adopt the document with specific goals and objectives as written.

Basic Life Support presentation: Josepha Cheong

Class is not certified in basic life support. It will cost approximately $5,000 to certify a class. She suggested to the committee that they considerr a one-day, 2-hour session before the current 3rd years start their rotation.

Dr. Watson indicated that it will be part of the 1st year orientation. ACLS will be best at 3rd.

Already done 1st year in preceptor week. About 68 of the 85 students were trained. This was voluntary. Dr. Berns said it should not be voluntary.

Main points of Dr. Cheong's presentation:

1) BCLS certification required through medical school

2) 1st year orientation is covering the BCLS (Emergency Med).

3) Recertify at orientation of 3rd year

The CC would approve recommendation (copy to Dr. Romrell). All were in favor.

Second issue: what to do about the current 3rd years who are not BCLS certified?

It was suggested to hold a Saturday session to certify current 3rd years. The Committee agreed. Dr. Romrell will work with Shireen Madani to see that this gets done.

A late announcement was made that the LCME mock site visit is on track.

Dr. Harris agreed to head clinical presentation model task force. The Curriculum Committee has already made decisions on implementing this.

Meeting adjourned!