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Minutes: October 18, 2006


3 p.m., Wednesday, February 15, 2006
School of Medicine Administration, Board Room 103

PRESENT: Drs. Adger, Dagnelie, Efron, Flynn, Gabrielson, Hillis, Holcroft, Honeycutt, Huang, Lehmann, Martins, Mooney, Robinson, Sterni, Zellars, Messrs. Prucz and Watkins, Mss. Foy and Sandone.

ABSENT: Drs. Ain, Aucott, Bergles, Bhatti, Blok, Caterina, Chan, Choi, Colecraft, Cooper, Cormack, DeLeon, Denmeade, Guity, Iacobuzio-Donahue, Liu, Lorsch, Magaziner, Miller, Niv (excused),  Peters, Pidcock (excused), Pomper, Roper, Schulick, Tompkins, Walker, Woolf, Yaster, Messrs. Bagga and Grelotti.

GUESTS:  Drs. Barone, Dover, and Wiener, Ms. Heiser.

I.  Minutes

The minutes of the January 25, 2006 meeting were approved.

II. Update on Proposed Changes in the Medical School Curriculum – Drs. Charles Wiener and Michael Barone

            Dr. Wiener reviewed the structure of the curriculum reform effort and reported on suggested changes emanating from various sub-committees charged with developing a revised curriculum.  He provided the following summary:

                Scientific Foundations of Medicine – Chaired by Dr. Gerald Hart

This course will start on day one and be heavily weighted to basic science.  The current proposal has Anatomy as the first course in year one.  Students will also start training in clinical skills, and be introduced to communication skills and professionalism early in the first year.  Content now included in the Physician and Society course will also be incorporated into the first year

                Longitudinal Ambulatory Clerkship – Chaired by Dr. Maura McGuire

Students will have the opportunity to participate in a required multidisciplinary longitudinal ambulatory clerkship starting early in the curriculum.

                Genes to Society – Chaired by Dr. Lorraine Racusen

This course will run from January of the first year to March of year two.  There will be both vertical and horizontal integration of disciplines now covered in the second half of the first year and the second year curriculum.

                Intersessions – Chaired by Drs. Jon Lorsch and Patricia Thomas

It is anticipated there will be six intersession periods in years one and two, and perhaps three intersessions in the clinical curriculum which will be devoted to integration of basic and clinical sciences, exploration of areas of interest, and opportunity for specialization.

                Areas of Interest – Chaired by Dr. Charles Wiener

Opportunities will be presented for students to focus attention in-depth in a specialized area.  Dr. Wiener noted the following six areas the sub-committee has addressed: Basic Investigation, Clinical Investigation, Educational Scholarship, Medical Humanities, Public Health, and Public Policy.

There is preliminary discussion of having a scholarly requirement and offering an option to graduate with distinction.  The definition of scholarship, logistical issues relating to time for completion of a project, and who judges the adequacy of the work are being discussed.              

Transition to Clerkships – Chaired by Dr. David Newman-Toker

Preparation for clinical clerkships will be covered in this one month experience to follow the Genes to Society course in March of the second year.  There will be problem-based learning modules, clinical content, and additional instruction in communication skills, ethics, and professionalism.

Advanced Clerkships – Chaired by Dr. Chris Durso

In addition to required basic clerkships students will be expected to complete several advanced clinical experiences.  The number, the timing, and the disciplines to be covered are under discussion.

It has been suggested students complete a subinternship, have a chronic care experience, and an intensive care physiology elective.  The requirement and placement of the advanced clerkships is under discussion.

Preparation for Life and Residency – Chaired by Dr. Roy Ziegelstein

This component of the curriculum will be placed at the end of the fourth year.  The committee is in the early stages of discussing this module.

Required Clerkships – Chaired by Dr. Michael Barone

Dr. Barone reported on the strengths and weaknesses of the current basic clerkship curriculum.  His sub-committee has recommended clerkship begin earlier; all should be done in a defined block of time to allow completion before starting electives; and pairing of clerkships for better integration of basic science and clinical science.  The sub-committee has not finalized the number of clerkships or the amount of time each should receive.

Dr. Wiener noted the curriculum reform is still a work-in-progress.  He commented on the LCME standard that Dean’s Office central oversight of the curriculum is recommended.  He also noted the integration of the medical school curriculum with the graduate curriculum is unresolved.  In summary, Dr. Wiener stated the Curriculum Reform Committee is committed t

                - Basic science integration into the four year curriculum

                - Improvement in clerkships

                - Developmental curriculum concept

                - Student well-being.

III. Outcome of Diversity Retreat – Dr. George Dover

Dr. Dover reported on the Johns Hopkins Medicine Diversity Retreat called by Dean Miller in late 2005.  The Diversity Committee has been modified to include all of Johns Hopkins Medicine.  As a result of discussion at the retreat the mission statement of Johns Hopkins Medicine has been modified to include diversity as a core value.  The term “diverse and inclusive environment” has been added to the mission statement.

Dr. Miller has asked each department director t 1) assess the current level and commitment to diversity within their department, particularly with regard to trainees, faculty, staff and management/leadership positions; 2) develop a specific plan to improve diversity, inclusion, and respect for the individual in their area of responsibility; and 3) to develop an early warning system and retention plan for key individuals in their areas that promote inclusion and diversity.  Dr. Miller has asked for a response by May 1, 2006.  He will share the responses with the Diversity Committee and ask that areas of synergy, best practices, and proposed milestones be developed for use throughout Johns Hopkins Medicine.

IV. Follow up of Guidelines for Family Leave – Dr. Hillis

Dr. Hillis noted the Family Leave Guidelines have been in place for several years.  As they are guidelines rather than policy, she is interested in knowing if the guidelines are being followed in departments.  Dr. Hillis asked the membership to survey their department faculty to determine how the guidelines are being followed.

V. Other Business

There being no further business this meeting was adjourned at 4:45  p.m.

                                                                                                                Respectfully submitted,

                                                                                                                Mary E. Foy


Future Medical School Council meetings:

All meetings will be held in the School of Medicine Board Room (SOM 103), 3:00 to 5:00 p.m.
March 15, 2006
April 19, 2006
May 24, 2006
June 21, 2006