College of
Human
Medicine

2019 Curriculum Committee Minutes

September 24

Voting Members Present: Cindy Arvidson, Anita Avery, Colleen Bush, Jennifer Edwards-Johnson, John Fitzsmmons, Len Fleck, Laura Freidhoff, Nicholas Miller, and Steven Roskos

Ex-Officio Members Present: Robin DeMuth, Churlsun Han, Rebecca Schein, Aron Sousa, Margaret Thompson and Dianne Wagner

Guests: Carol Parker, Mark Trottier

Minutes prepared by: Lisa Galbavi

Call to order: A. Sousa called the meeting to order at 1:05 p.m.

Approval of August meeting minutes:

Action:  A motion was made and seconded to approve the minutes from the August 27, 2019 meeting as written. The motion was unanimously approved.

Research certificate program request: M. Trottier provided handouts of the program request and requirements (copies appended to minutes on file). After discussion the following actions were taken:

The committee requested the following changes:

7) Enrollment: What is the minimum enrollment acceptable: “4 1”

10) Staff requirement: Who will provide the primary instruction. Describe any external linkages (industry, government, etc.): “CHM Director of Student Research, research mentors at MSU or educational partners“

15g) Requirements: “II. Intro to Biostatistics Intersession (80 hours) that falls within HM 553, HM 554 or HM 556”

15h) If the program will be offered in a location other than the main campus in East Lansing, specify the location(s): “The program will can be administered available at all campuses of the MSU College of Human Medicine.”

Action: A motion was made and seconded to approve the Research certificate as amended. The motion was unanimously approved.

LCME monitoring: C. Parker gave a presentation (copy appended to minutes on file) that outlines the college’s plan for continuous quality improvement (CQI) that is required by the LCME and how we will prepare for the next full site visit, which is expected to occur in the fall 2022. The presentation will be emailed to the committee.

3-year model: A. Sousa gave a presentation (copy appended to minute on file) reviewing what was discussed by the committee during the 2018-2019 committee year. There will be more discussion on this topic as this committee year progresses.

Adjournment: 3:00 p.m.                                                      

August 27

Voting Members Present: Cindy Arvidson, Anita Avery, Len Fleck, Laura Freidhoff, Zachary Jodoin, Steven Roskos and Andrea Wendling

Ex-Officio Members Present: Churlsun Han, Wanda Lipscomb, Joel Maurer, Rebecca Schein, Aron Sousa, Margaret Thompson and Dianne Wagner

Guests: Michael Brown, Gary Ferenchick, Carol Parker

Minutes prepared by: Lisa Galbavi

Call to order: A. Sousa called the meeting to order at 1:04 p.m.

Welcome and introductions: A. Sousa welcomed everyone to the committee for the 2019-2020 year and everyone introduced themselves.

Election of chair and secretary to the executive committee:

Action: A motion was made and seconded to nominate A. Wendling to serve as Chair for the 2019-2020 year. No other nominations for chair were made. By unanimous voice vote A. Wendling was elected Chair.

Action: A motion was made and seconded to nominate S. Roskos to serve as Secretary for the 2019-2020 year. No other nominations for secretary were made. By unanimous voice vote S. Roskos was elected Secretary.

Approval of April & May meeting minutes:

Action:  A motion was made and seconded to approve the minutes from the April 23, 2019 meeting as written. The motion was unanimously approved.

Action:  A motion was made and seconded to approve the minutes from the May 28, 2019 meeting as written. The motion was unanimously approved.

EM 631 and EM 633 course requests: M. Brown provided handouts of the course requests (copies appended to minutes on file). After discussion the following actions were taken:

EM 631: The committee requested the following change:

18) Associated Courses(s): “EM 632

Action: A motion was made and seconded to approve EM 631 as amended. The motion was unanimously approved.

EM 633: The committee requested the following change:
11) Outline of major topics: “Examples may include: Toxicology, Point-of-care ultrasound, Pediatric emergency medicine, Wilderness medicine, Sports medicine, Hyperbaric medicine, Observation medicine, Sedation medicine“

Action: A motion was made and seconded to approve EM 633 as amended. The motion was unanimously approved.

Charge for the year: A. Sousa stated the committee charge, as discussed with the Curriculum Committee Executive Committee, for the year will be the following:

  1. Evaluate vertical integration in the curriculum and come up with a system for the Curriculum Committee to evaluate Chief Complaints and Concerns (C3) documents.

He noted the college’s next LCME site visit will occur during the 2022-2023 academic year. This means the LCME reports will be written in 2021-2022; the data collection year will be 2020-2021; and this, 2019-2020, is the year to make updates as appropriate. Vertical integration will be a monthly topic and the program, as discussed in the next agenda item, is a pilot at this time.

Vertical Integration: G. Ferenchick gave a presentation and provided a handout of the proposed 2019-2020 C3 review schedule (copies appended to minutes on file). The goal is to complete a full review of all C3 documents every three (3) years. A subcommittee to complete these reviews will consist of Gary Ferenchick, Director of Just In Time/C3s, Anthony Paganini, Director of Integration and Innovation, and a variable member (a different Curriculum Committee voting member each month). The subcommittee will review C3 documents on a monthly basis and presentations of these reviews will be given each month starting in October 2019.

Clerkship ET grade policy: C. Han noted that when the Late Clinical Experience (LCE) began in 2018 the Curriculum Committee approved a second attempt for all high stakes written exams for required clerkships (per the 7/24/2018 meeting minutes). The committee was provided data at the May 2019 meeting regarding scores for the 2018-19 academic year, but did not vote at that time whether or not to continue this policy. The policy will continue for 2019-20 academic year as the year has already begun and it is too late to make changes at this time. The committee will need to make a decision to continue this policy 1) for the 2020-2021 academic year, 2) permanently, or 3) not at all. After discussion the committee decided they need to see more data. this topic will be added to the November 2019 agenda for further review and vote.

Admissions report: J. Maurer gave a presentation outlining the 2019 matriculating class (copy appended to minutes on file). A total of 7959 applications were received and, through the process, narrowed down to the final selection of 190 matriculating students. The entering class profile was reviewed and the admissions process was discussed.

Legacy curriculum celebration: A. Sousa noted the legacy curriculum started in 1992 and after 27 years the last, full class graduated in 2019. There are a few legacy students who WILL graduate in 2020, but there is no appreciable, on-going legacy curriculum, just a few clerkships, this year.

Adjournment: 3:00 p.m.                                                      

May 28

Voting Members Present: Anita Avery, Colleen Bush,Migdalisel Colon-Berlingeri, John Fitzsimmons, Sabrina Ford, Harland Holman, Lynn Munoz, Anthony Paganini, Maureen Schaefer and Andrea Wendling

Ex-Officio Members Present: Robin DeMuth, Churlsun Han, Joel Maurer, Rebecca Schein, Aron Sousa, Margaret Thompson and Helga Toriello

Guests: Robert Malinowski

Minutes prepared by: Lisa Galbavi

Call to order: A. Wendling called the meeting to order at 1:04 p.m.

Written exam policy update: R. Malinowski provided a handout (copy appended to minutes on file) and reviewed the written exam scores in the legacy curriculum vs. the SDC for the 6 core clerkships.

HM 612 course change: M. Thompson provided a handout of the course request (copy appended to minutes on file). After discussion the following action was taken:

Action: A motion was made and seconded to approve HM 612 as written. The motion was unanimously approved.

2019 Student Manual for Assessment and Promotion (MAP): R. DeMuth provided a copy of the 2019 MAP redlined with changes and a document with the summary of changes (copies appended to minutes on file). After discussion, the following action was taken:

  • Under Suspension Pending Dismissal on page 20: The committee requested the following change:

    “If a student is reinstated by the dean, the number of N credits accrued toward dismissal is re-set to zero from the time of reinstatementthe dean will set the requirement for return to suspension pending dismissal status in terms of N and CP credits (in the case of clerkships).”

    Figure 3 Process for Appealing or Grieving Non-Passing Grades: The committee requested the following changes:

 Figure 3 shows the process for appealing or grieving non-passing grades in HM courses

Action: A motion was made and seconded to approve the 2019 MAP as amended. The motion was unanimously approved.

HM 555 course expectations for Comprehensive Necessary Science Exam (CNSE): R. DeMuth noted the Curriculum Committee approved an adjustment in the CNSE score criteria for HM 555 after the first iteration of the Middle Clinical Experience (MCE). At that time meet expectations was changed from 55 to 52. It has since been determined there is a need to identify struggling students in the fall semester (HM 555) vs in the spring semester (HM 556). Therefore, she is proposing that for the 2018 cohort who will enter HM 555 in fall 2019 to raise the meets expectations requirement back to 55.

Action: A motion was made and seconded to approve the CNSE meets expectations score criteria increased to 55 for the students taking HM 555 in fall 2019. The motion was unanimously approved.

Curriculum Review: Early Clinical Experience (ECE) annual report: M. Colon-Berlingeri provided a handout of the report (copy appended to minutes on file). Areas reviewed include: calendar, weekly activities, learning modalities, evaluation of student performance, accomplishments, strengths and weaknesses and goals for the next iteration of the ECE.

Action: A motion was made and seconded to accept the report. The motion was unanimously approved.
 
3-year model: Due to time limitations, this item will be discussed at a future meeting.

Adjournment: 3:06 p.m.

April 23

Voting Members Present: Anita Avery, Colleen Bush, Migdalisel Colon-Berlingeri, John Fitzsimmons, Emma Frost, Harland Holman, Lynn Munoz, Anthony Paganini, Maureen Schaefer and Andrea Wendling

Ex-Officio Members Present: Cindy Arvidson, Robin DeMuth, Churlsun Han, Joel Maurer, Rebecca Schein, Aron Sousa, Margaret Thompson, Helga Toriello and Dianne Wagner

Guests: Cheryl Celestin, Mohammad Fassia, Bryan Smith
 
Minutes prepared by: Lisa Galbavi
 
Call to order: A. Wendling called the meeting to order at 1:03 p.m.

Approval of March meeting minutes:

Action: A motion was made and seconded to approve the minutes from the March 26, 2019 meeting as written. The motion was unanimously approved.

BME 891 elective course: M. Fassia and B. Smith provided a copy of the course syllabus (copy appended to minutes on file). After discussion the following action was taken:
 
Action: A motion was made and seconded to approve the course as an elective option for CHM MD students with amendments for CHM students only to 1) add HM 553 as a prerequisite and 2) add approval of college as a restriction. The motion was unanimously approved.

MED 619, 621 & 634 course requests: C. Han provided handouts of the course requests (copies appended to minutes on file). After discussion, C. Han withdrew the requests for MED 619 and 621, and the committee took the following action:

MED 634: No changes requested.

Action: A motion was made and seconded to approve MED 634 as written. The motion was unanimously approved.

Leadership in Medicine for the Underserved (LMU) certificate program and course changes: A. Wendling provided copies of the requests (copies appended to minutes on file). After discussion, the following action was taken.

LMU Certificate program: The committee requested the following change:

7) Enrollment: What is the expected enrollment per year: “20 18”
 
HM 629: The committee requested the following changes:

5) Catalog Course Description: “Culturally appropriate, patient centered, and community-based experience working with urban underserved populations and community-based services.

22) Prerequisites: “HM 554 556”

HM 631: The committee requested the following changes:

11) Outline of Major Topics: “Clinical Experience in underserved international/urban/rural community

22) Prerequisites: “HM 554 556”

Action: A motion was made and seconded to approve the LMU program, HM 629 and HM 631 as amended. The motion was unanimously approved.

Medical Partners in Public Health (MD-PH) certificate program and course changes: A. Wendling provided copies of the requests (copies appended to minutes on file). After discussion, the following action was taken:

MD-PH Certificate program: No changes requested.

HM 622: The committee requested the following change:

22) Prerequisites: “HM 554 556”

HM 623: The committee requested the following changes:

11) Course objectives: “Students will meet with selected community agencies, groups and individuals to be able to: 1) survey community resources pertinent to public; 2) report on local databases of information pertinent to public health; 3) report on community resource characteristics; 4) match community problems to available governmental and nongovernmental resources; 5) report on environmental health impacts and threats; 6) begin to outline a focused evidence-based Community Health Assessment; 7) select resource services that can be adapted to provide public health programming; 8) design and implement needs-based community wellness programming. Student will apply core principles of public health to group project to: 1) implement project as previously planned; 2) analyze progress and make any needed adjustments; 3) collect data according to plan; 4) analyze data per plan; 5) formulate and write results of project; 6) formulate discussion of results in comparison to the literature; 7) formulate health implications of results for the selected population; 8) formulate any needed policy changes; 9) design a campaign to advance needed policy changes; 10) write a group capstone paper”

22) Prerequisites: “HM 554 556”

24) Recommended Background: “Completion of 6 credits of HM 622 Medical Partners in Public Health Community Resources and Wellness Programs.”

HM 822: No changes requested.

HM 823: No changes requested.

Action: A motion was made and seconded to approve the MD-PH program and written, HM 622 and HM 623 as amended and to delete HM 822 and HM 823. The motion was unanimously approved.

Leadership in Rural Medicine (LRM) certificate program and course changes: A. Wendling provided copies of the requests (copies appended to minutes on file). After discussion, the following action was taken:

LRM Certificate program: The committee requested the following change:

15) Program Description: “1. Participation in 100 hours of Medical Partners in Public Health Leadership in Rural Medicine didactic/experiential learning.”

HM 632: The committee requested the following change:

22) Prerequisites: “HM 554 556”

HM 633: The committee requested the following change:

22) Prerequisites: “HM 554 556”

Action: A motion was made and seconded to approve the LRM program, HM 632 and HM 633 as amended. The motion was unanimously approved.

Advanced Medicine and Senior Surgery options for legacy students: M. Thompson provided the below proposal that will begin with the fall 2019 semester for any remaining legacy students who have yet to take these two courses:

1. Allow legacy students to take the Medicine Critical Care Selective in place of Advanced Medicine

2. The Department of Surgery will keep some sections of Senior Surgery running for students to complete this requirement

Action: A motion was made and seconded to approve this proposal as outlined above. The motion was unanimously approved.

Vertical Integration: A. Sousa noted the Curriculum Committee needs a system for reviewing and actively managing the curriculum. He proposed forming a subcommittee to review the Chief Complaints and Concerns (C3) documents to ensure the appropriate topics are being covered and in the appropriate places. Potential membership was reviewed.

Action: A motion was made and seconded to create a Vertical Integration Subcommittee with details to follow. The motion was unanimously approved.

Early Clinical Experience (ECE) scholarly project: M. Colon-Berlingeri gave a presentation (copy appended to minutes on file). She reviewed how the project went during academic year 2018-19 and the proposal for academic year 2019-20.

Action: A motion was made and seconded to endorse the ECE scholarly project for the 2019-20 academic year and for the ECE director to report on the project again this time next year. The motion was unanimously approved.

Curriculum Review: Block III annual report: M. Thompson provided a copy of the report and gave a presentation (copies appended to minutes on file). Areas reviewed included: Block III student performance on Step 2 and NBME exams; academic review and suspensions; clerkship grades and evaluations; milestones and goals.

Action: A motion was made and seconded to accept the report. The motion was unanimously approved

Adjournment: 3:04 p.m.                                                      

March 26

Voting Members Present: A. Avery, M. Colon-Berlingeri, J. Fitzsimmons, S. Ford, H. Holman, A. Paganini, M. Shaefer

Ex-Officio Members Present: C. ArvidsonC. Han, J. Maurer, B. Mavis, R. Schein, M. Thompson, H. Toriello, D. Wagner

Guests: Eron Drake, Christine Shafer

Minutes prepared by: Lisa Galbavi

Call to order: H. Holman called the meeting to order at 1:03 p.m.

Approval of February meeting minutes:

Action:  A motion was made and seconded to approve the minutes from the February 26, 2019 meeting as written. The motion was unanimously approved.

Student mistreatment policy revisions: C. Shafer provide a handout of the policy with the suggested revisions (copy appended to minutes on file). After discussion the following action was taken:

Action: A motion was made and seconded to approve the policy as written. Motion was unanimously approved.

HM 616 new course request: M. Thompson provided a handout of the course request (copy appended to minutes on file). After discussion the committee requested the following changes and took the following action:

5. Catalog course description: “Diagnosis, staging, and treatment of cancers amenable to radiation therapy modalities. Indications for and complications of radiation therapy in definitive and palliative settings.Patient consultation, tumor board, Interdisciplinary conferences, treatment planning, follow-up.”

13. Target student audience: Selective audience: “College of Human Medicine and College of Osteopathic Medicine students.

22. Prerequisite(s): “HM 556 or approval of college

23. Restriction(s): “Open to graduate-professional students in the College of Human Medicine or in the College of Osteopathic Medicine.

Action: A motion was made and seconded to approve HM 616 as amended. The motion was unanimously approved.

HM 655 course change request: M. Thompson provided a handout of the course request (copy appended to minutes on file). After discussion the committee requested the following change and took the following action. They also request that the outline of major topics be reviewed for all Advanced Skills and Knowledge courses.

11. Outline of major topics: “Infertility; Menopause; Gender Identity Disorder; Burns; Spinal Trauma; Drowning/Near Drowning; Fetal Distress; Pregnancy Loss; Chronic Renal Failure Clinical topics and experiences to prepare students for residency”

Action: A motion was made and seconded to approve HM 655 as amended. The motion was unanimously approved.

FM 641, MED 641 and PHD 641 course change requests: C. Han provided copies of the course requests (copies appended to minutes on file). After discussion the following action was taken:

Action: A motion was made and seconded to approve FM 641, MED 641 and PHD 641 as written. The motion was unanimously approved.

Academy report: B. Mavis gave a presentation on the Academy (copy appended to minutes on file). He reviewed the Learning Society/Academy structure and evaluation data. 

Academic Achievement report: E. Drake gave a presentation on Academic Achievement (copy appended to minutes on file). She reviewed the programming, services, and evaluation data of the unit.

Adjournment: 2:56 p.m.                                                 

February 26

Voting Members Present: C. Bush, M. Colon-Berlingeri, J. Fitzsimmons, S. Ford, E. Frost, H. Holman, M. Liggett, M. Shaefer, A. Wendling

Ex-Officio Members Present: C. ArvidsonR. DeMuth, B. Mavis, R. Schein, A. Sousa, M. Thompson

Guests: Matt Emery, Rob Malinowski

Minutes prepared by: Lisa Galbavi

Call to order: A. Wendling called the meeting to order at 1:10 p.m.

Approval of January meeting minutes:

Action:  A motion was made and seconded to approve the minutes from the January 22, 2019 meeting as written. The motion was unanimously approved.

Curriculum review: Assessment annual report: R. Malinowski gave a presentation (copy appended to minutes on file). An overview of the progress testing components was discussed and student scores on the components for the 2017-2018 academic year were reviewed. End of semester grade results for 2017-2018 were discussed.

Action: A motion was made and seconded to accept the report. Motion was unanimously approved.

Service requirement changes: R. Malinowski gave a presentation (copy appended to minutes on file) outlining the proposed changes to the service requirement to the Manual for Assessment and Promotion (MAP) for the 2016, 2017 and 2018 cohorts. After discussion the following action was taken:

Action: A motion was made and seconded to approve the change to the 2016, 2017 and 2018 MAPs.  After discussion, it was noted the graduation requirement cannot be changed for those who have already matriculated. The motion was amended to make this change for the 2019 matriculating class. The motion was seconded. The motion was unanimously approved.

MAP/Leave of Absence policy changes: R. DeMuth provided a handout with the requested addition to the MAP to allow for an extra time for illness or caring for a family member (copy appended to minutes on file). After discussion the following action was taken:

Action: A motion was made and seconded to approve the addition to the 2016, 2017 and 2018 MAPs as written. The motion was unanimously approved.

Council On Diversity Education (CODE) update: A. Sousa noted the last CODE meeting was canceled and therefore there is nothing new to report at this time.

Culture of Safety – vertical integration of Virtuous Professional (VP): A. Sousa provided a handout of the Student Resolution Advocate (SRA) report (copy appended to minutes on file). And M. Emery gave a presentation indicating were VP currently exists in simulation (copy appended to minutes on file). After discussion of the SRA report and simulation presentation, the committee identified the following areas they would like to discuss further and/or hear more about:

  1. Follow up with the SRA regarding the following:
    1. Has the fairness of examinations concern been addressed?
    2. Is there more detail we could consider in the concern about learning modalities?
    3. Are you aware of concerns that the CC should consider?
  1. Present information from the AAMC Graduation Questionnaire (GQ)
  2. Consider/Evaluate/Review how faculty and staff communicate with students
  3. Address insensitive comments to students by attendings and residents
  4. More VP explicitly in Sim and small groups
  5. Stereotyping in the small group cases

EM 632 course change request: M. Emery provided a copy of the course request (copy appended to minutes on file). After discussion the following action was taken:

Action: A motion was made and seconded to approve EM 632 as written. The motion was unanimously approved.

Adjournment: 2:56 p.m.                                                    

January 22

Voting Members Present: A. Avery, C. Bush, J. Fitzsimmons, S. Ford, H. Holman, M. Liggett, F. Manfredsson, L. Munoz, A. Wendling
Ex-Officio Members Present: R. DeMuth, C. Han, J. Maurer, B. Mavis, R. Schein, A. Sousa, M. Thompson, D. Wagner

Call to order: A. Wendling called the meeting to order at 1:05 p.m.

Approval of November meeting minutes:

Action: A motion was made and seconded to approve the minutes from the November 27, 2018 meetings as written. The motion was unanimously approved.

SUR 615, 618, 630 & 632 course requests: M. Thompson provided copies of the course requests (copies appended to minutes on file). After discussion the following action was taken:

Action: A motion was made and seconded to approve SUR 618, SUR 630 and SUR 632 as amended. The motion was unanimously approved.  

MED 628 course request: C. Han provided a copy of the course request (copy appended to minutes on file). After discussion the following action was taken:

Action: A motion was made and seconded to approve MED 628 as written. The motion was unanimously approved.

Shared Discovery Curriculum annual report: D. Wagner gave a presentation on the Shared Discovery Curriculum (copy appended to minutes on file). An overview of the curriculum, progress suite of assessments, Student Competence Committee were reviewed. Program evaluation data, student performance data, course outcomes and areas of strength and area that need improvement were also discussed.

Action: A motion was made and seconded to accept the report. The motion was unanimously approved.

3-year model: A. Sousa presented a document prepared by the ad-hoc group (copy appended to minutes on file). He discussed the reasons why we are investing a 3-year model option and the three proposed models.

After discussion the committee noted they would like to see other schools models and would like to know if the number of students who would be interested in this option would support all the work on this type of program.

Council On Diversity Education (CODE) update: A. Sousa noted the council has workgroups in the following areas: 1) Sexual Orientation and Gender Identity (SOGI), clinical case review, and auditing the AAMC Took for Assessing Cultural Competence (TACCT).

Adjournment: 3:02 p.m.