Minutes

Educational Policy Council Meeting

April 9, 2001

Carbondale:  Lindegren 310/Springfield:  Lincoln Conference Room


Present:

Jeff Suzewitz, MD
  for Amber Barnhart, MD

Peter T. Borgia, PhD

Terri Cameron, Staff

Donald A. Caspary, PhD

Erik J. Constance, MD

George Dunaway, PhD
  for Paul J. Feltovich, PhD

Sharon K. Hull, MD

Regina A. Kovach, MD

Jerry A. Kruse, MD

Gary Myers, PhD
  for Theodore R. LeBlang, JD

Joelle Lipcamon, Class of 2004

Tracy K. Lower, MD

Dean K. Naritoku, MD.

Sandra L. Shea, PhD

David R Wade, PhD


Absent:

Linda H. Distlehorst, PhD

Clint Farris, Class of 2002

Susan Thompson Hingle, MD

Matthew Lavery, Class of 2003

Rick Markiewicz, Class of 2001

David S. Resch, MD

Michael F. Shanahan, PhD

John Tomkowiak, MD


 

Guest:


David E. Steward, MD

Discussion Items

1.         Minutes

The March 26 minutes were unanimously approved with the following changes:

 

6.1.    Mentored Professional Enrichment Experience (MPEE): 

The first sentence to the second to the last paragraph of the report was amended as follows:

There was a brief discussion as to why projects in which students wished to participate in clinical activities with a mentor were not considered eligible, since that was one of the projects liste in early promotional materials and because they were supported and endorsed by the Steering Committee.

 

9.2       Year 2 Curriculum Committee:

The report was amended as follows:

Students performed at a higher level than on the previous end-of-block exam, probably based on greater student and faculty familiarity with the process.

 

Retreat organizers Drs. Borgia, Distlehorst, Kruse and Tomkowiak met with Dr. Getto to discuss plans for the retreat…

2.         Announcements

There were no announcements.

3.         EPC Faculty Development

Dr. Kruse explained that, in a continuing effort to bring all EPC members up-to-date on the Curriculum 2000 process, abbreviated versions of the faculty development workshops offered to faculty last summer are being presented at the next few EPC meetings.

3.1      Item Writing Workshop

Dr. David Steward distributed copies of the materials distributed at the two Item Writing Workshops scheduled last summer.  The session were well-attended by both clinical and basic science faculty. 

 

The basic organization of the workshop follows the NBME document Constructing Written Test Questions for the Basic and Clinical Sciences, with a one-week follow-up by review of questions written by participants.  The focus of the workshop is on “A” type questions (5-item multiple choice), since the NBME is no longer using other types of questions due to the poor data results obtained from their use.  Issues covered include:  question focus, test application, question clarity, avoiding clues in items, avoiding absolute terms, homogenous answers, and tips such as arranging options in alpha order.  Participants left the workshop with peer-evaluated questions and a template for future item writing.

4.         EPC Subcommittees:

4.1      Educational Value Unit (EVU) Task Force

Dr. Steward reported that an EVU survey had been distributed to all faculty so that the Task Force could obtain a clear understanding of faculty opinion regarding educational value units for the subcommittee’s use in developing guidelines and tools.  EPC members noted that the survey was a good beginning to the process, although the issue of quality of educational effort will need further development.

5.         Review of Operating Paper

Dr. Caspary reported that he had incorporated the changes suggested by EPC members the last time the group reviewed the operating paper.  The following additional changes were suggested:  1) last section: “anyone may suggest amendments…” 

 

Dr. Lower made a motion, seconded by Dr. Borgia, to accept the operating paper with the changes noted.  The motion passed with 10 votes in favor, none against, and two abstentions.  Ms. Cameron will make the final changes and re-distribute the operating paper.

6.         Year 3 Schedule

Dr. Kruse reported that the issue of the Year 3 Schedule was before the EPC again in light of events at the March 26 Year 3 Curriculum Committee meeting.  He asked Dr. Kovach to summarize those events.

 

Dr. Kovach summarized the process of the Year 3 Schedule:  a Year 3 Schedule Subcommittee was established soon after the inception of the Year 3 Curriculum Committee and spent several months evaluating various options that would allow Neurology to occur in Year 3 while resolving issues that had been problematic with the remainder of the schedule (reduced time for two of the short clerkships; 12-week rotations that made it difficult for students who had deferrals or leaves to graduate on time).  A proposed schedule was presented to the full committee and was approved.  The Department of Surgery Chair subsequently addressed the Year 3 Committee regarding concerns about down time in the Surgery Clerkship, and the Year 3 Committee deliberated those concerns but reiterated its approval of the previously-approved schedule.  That schedule was endorsed by the EPC at its March 12 meeting and subsequently distributed to students. 

 

Dr. Getto addressed the Year 3 Curriculum Committee at its March 26 meeting and strongly recommended that the Year 3 Committee not make any schedule changes until 2002.  He said he had knowledge that a group of faculty had become disenfranchised with the calendar and felt that their educational efforts were not being recognized or appreciated and would, therefore, not participate in the curriculum, and that this lack of support included multiple years of the curriculum.  He observed that educational principles were not followed, although the Year 3 Committee disagreed with that statement and noted the irregularity of the process the Dean had followed.  After Dr. Getto left, the committee deliberated possible responses, but none of the committee members felt that they could disregard the Dean’s recommendation.  Since the existing schedule had several noted problems, the committee voted to return to the pre-C2000 calendar, which means that Neurology no longer has a presence in Year 3.  A special meeting of the Year 3 Committee was held on April 2 to discuss the role and function of the Year 3 Committee in light of the events at the March 26 Y3 Curriculum Committee meeting.  Committee members reiterated that, while they disagreed with the Dean’s comments and recommendation, they felt that they had no choice but to follow his recommendation.  Dr. Kovach and Dr. Kruse met with the Dean subsequently to express the concerns of the Year 3 Committee and potential ramifications of this decision. 

 

After much discussion, Dr. Naritoku made a motion, seconded by Dr. Caspary, that the Dean be sent a memo stating that the EPC stands by its endorsement of the original schedule as developed by the Year 3 Curriculum Committee.  While the EPC recognizes the Dean’s prerogative to change the curriculum and will abide by the current decision, this situation raises serious concerns about governance of the curriculum and the governance process in general.  A failure to recognize the importance of the committees and their input will certainly have a deleterious effect on faculty committee and curriculum participation. 

 

Dr. Kovach was urged to work with the Year 3 Committee to develop a formal response to the situation and forward it to the EPC as soon as possible.  However, in light of the time of the year, the schedule voted on at the March 26 Year 3 Committee meeting (pre-C2000) will be distributed.

 

Dr. Caspary made a motion, seconded by Dr. Borgia, to table Dr. Naritoku’s motion until the next meeting so that Dr. Kruse can further develop the memo.  The motion passed unanimously.  In the meantime, Dr. Kruse will notify the Dean of the EPC’s concerns and plans.

7.         Committee Reports

7.1      Year 1 Curriculum Committee

Dr. Wade reported that the curriculum is progressing smoothly.  The only current issue of concern is the fees ($450) that students must pay to participate in any curriculum experiences during the summer.  Dr. Constance explained that this is a University requirement.  The actual costs have not changed – they have just been re-aligned to reflect the curriculum.  This is not an issue that can be easily dealt with – it includes Federal Law and University requirements.  While students see the situation as punitive to the MPEE, that is not the case.  The fees have always been paid, they were just not noticed because they were part of the tuition that was paid across three semesters instead of two.

7.2      Year 2 Curriculum Committee

Dr. Borgia reported that the Year 2 Committee will have a retreat next week.  Surveys have been distributed to all students and faculty.  The results will be compiled and distributed in the next few days.

7.3      Year 3 Curriculum Committee

Dr. Kovach reported that she had nothing to add to the earlier discussion regarding Year 3.

7.4      Year 4 Curriculum Committee

Dr. Lower reported that the Year 4 Committee had developed an orientation for Electives Advisors and that she had presented the first session.  The Committee has also reviewed the Graduation Questionnaire, which  did not have comments/information specific to Year 4, so does not plan to develop a response to the report for the EPC.

7.5      Four-Year Doctoring Streamer

Dr. Suzewitz reported that Doctoring is progressing smoothly, and that Dr. Barnhart continues to work with students with identified problems.

8.         Other Business

9.         Next Educational Policy Council Meeting:  Monday, May 14, 2001, 1:30 to 3 pm.