Agenda and Meeting Materials - UConn School of Medicine
Agenda and Meeting Materials - UConn School of Medicine
Agenda and Meeting Materials - UConn School of Medicine
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Approval <strong>of</strong> the minutes<br />
• April 28, 2013<br />
Consent Items<br />
• None<br />
Business Items<br />
• None<br />
Education Council<br />
<strong>Agenda</strong><br />
May 23, 2013<br />
Informational Items<br />
• Update on the ad hoc subcommittee on EC’s charge (K. Nissen)<br />
• Update on the ad hoc subcommittee on visiting students (K. Dieckhaus)<br />
• Update on the AMA Grant (S. Rose)<br />
• Proposed procedural requirement (E. Nestler)<br />
• Proposed policy on anatomical donation to the <strong>UConn</strong> <strong>School</strong> <strong>of</strong> <strong>Medicine</strong> (C.<br />
Thatcher)<br />
• Update on the anatomical donation program audit (C. Thatcher)<br />
• Discussion <strong>of</strong> the nomination <strong>of</strong> representatives for the Dean’s Council<br />
St<strong>and</strong>ing Monthly Reports<br />
• GME<br />
• GPC<br />
• CME<br />
• CUME<br />
The next meeting will be held on<br />
June 20 at 4:30pm<br />
Walker, AG070
Education Council<br />
April 18, 2013<br />
Minutes <strong>of</strong> the <strong>Meeting</strong><br />
Present (voting): Rose, S. (chair); Adler, A.; Dieckhaus, K.; Dimario, F.; Dodge-‐Kafka, K.; Guerrera, M.; Guha, A.; Kream, B.;<br />
Puddington, L.; Wetstone, S.;<br />
(non-‐voting): Mains, D.; Nissen, K.;<br />
Excused (voting): Alerte, A.; Angus, S.; Aguila, H.; Taxel, P.; Zalneraitis, E.<br />
(non-‐voting): Huey, L.;<br />
Guests:<br />
Topics Discussion Outcome/Action<br />
Items<br />
Minutes <strong>of</strong> March<br />
2013<br />
Reviewed. Approved.<br />
Nominations for Replacement members for the representatives to the Dean’s Council should be None.<br />
the Education nominated.<br />
Council<br />
• Members will need to vote on this matter in May/June<br />
• 3 year term renewable<br />
• Information on the regulations provided<br />
Two vacancies for basic scientists on Education Council:<br />
• Faculty names proposed<br />
GME Report Dr. Nissen provided an overview <strong>of</strong> the GME Program:<br />
• Accreditation<br />
• Match<br />
None.<br />
EC - May 23, 2013<br />
Page 1
• SOAP<br />
• Upcoming orientation<br />
• Visit in otolarynghitis<br />
• Process to capture radiation data from all <strong>of</strong> the other hospitals<br />
GPC Report Dr. Kream provided an overview <strong>of</strong> the Graduate Program.<br />
• Appointment <strong>of</strong> a new Dean <strong>of</strong> the Graduate <strong>School</strong><br />
• Overview <strong>of</strong> incoming students – highest caliber ever<br />
Integrative Member proposed speaking on integrative medicine in a 10-‐minute overview in May<br />
medicine<br />
or a future meeting.<br />
AMA Grant Dr. Rose provided an update on the AMA Grant:<br />
• Letters <strong>of</strong> support from the administration<br />
• Declaration <strong>of</strong> support<br />
Dr. Rajan noted the present status <strong>of</strong> the grant:<br />
• Basic structure <strong>of</strong> the proposed curriculum<br />
• Function <strong>of</strong> the classroom<br />
• Interpr<strong>of</strong>essional teams<br />
• VITAL teams<br />
• EMR case-‐based work<br />
• Logic behind the curriculum revisions<br />
• Based entirely on concept <strong>of</strong> milestones<br />
• Changes to the clerkship model – fashioned after patient-‐centered home<br />
medical model<br />
• Use <strong>of</strong> technology in the new model<br />
• Family case models<br />
• Names for the levels <strong>of</strong> learners<br />
None.<br />
None.<br />
Motion was made<br />
to endorse the AMA<br />
grant proposal.<br />
Seconded.<br />
Approved<br />
unanimously.<br />
EC - May 23, 2013<br />
Page 2
Suggestions from the EC:<br />
• Links to the Kahn Academy information<br />
• Send back out along with information on how it relates to the grant<br />
• Presently working to underst<strong>and</strong> the costs <strong>of</strong> the curriculum<br />
• How many FTEs are used<br />
• Cost <strong>of</strong> teaching hours in UME <strong>and</strong> the Graduate <strong>School</strong><br />
• Comments about engaging clinical faculty<br />
• Compensating faculty for time spent teaching<br />
• SCP issues with regard to specialists – some specialties may be broad enough<br />
• Suggestions to stick with the generalist approach in the first year<br />
• Details on what the specialist would be used for <strong>and</strong> how it would work<br />
logistically<br />
• There are financial challenges <strong>and</strong> much work is being done on keeping the<br />
curriculum cost-‐effective<br />
• Comments from the faculty that there are concerns about the grant<br />
• Suggestion for outside individual to speak about the relevance <strong>of</strong> medical<br />
education<br />
• Individuals have been invited to Med Ed GR<br />
• Suggestion that the support <strong>of</strong> the Education Council will assist with changing<br />
the culture<br />
• An additional forum will be held<br />
• The faculty need meaningful involvement in this process<br />
• The AMA’s process is very short, which has forced the grant process to move<br />
along quickly<br />
• Comments that change is needed in the curriculum<br />
• Member noted that the concern is that students will be unprepared for their<br />
courses in Neurology <strong>and</strong> Psychiatry<br />
EC - May 23, 2013<br />
Page 3
• Individuals are concerned about their positions <strong>and</strong> appointments<br />
• Response that in the new curriculum students will have more meaningful <strong>and</strong><br />
active learning<br />
• Comments that the learners in this generation are different <strong>and</strong> more<br />
involved in technology<br />
• The grant is just a guidepost <strong>and</strong> not necessarily exactly how it is going to be<br />
implemented<br />
• Next steps for the grant outlined<br />
All comments on the grant are welcome. The grant will be posted on 4/22/13 the<br />
committee will be emailed when it is available.<br />
<strong>Meeting</strong> adjourned at 5:47pm<br />
EC - May 23, 2013<br />
Page 4
Proposed Revisions to the Education Council<br />
Charge & Membership<br />
Compiled by the Ad Hoc Committee on EC’s Charge<br />
May 23, 2013<br />
PROPOSED DUTIES, AUTHORITY AND MEMBERSHIP<br />
Duties & Authority<br />
Education Council’s role is one <strong>of</strong> oversight <strong>and</strong> the Council is the central authority for all sponsored<br />
educational programs in the <strong>School</strong> <strong>of</strong> <strong>Medicine</strong> (SOM). EC plays a visionary role in that it considers future<br />
innovations, future needs <strong>and</strong> direction for the institution. The role <strong>of</strong> EC is not merely evaluative or<br />
reactionary; the Council is charged with inspiring <strong>and</strong> in some cases requiring the educational domains to<br />
consider new directions, discard old paradigms, <strong>and</strong>/or engage in collaborative work. The EC is also an<br />
advocate for the educational mission <strong>of</strong> school <strong>and</strong> will promote an appropriate balance between this <strong>and</strong><br />
the other missions <strong>of</strong> the school (i.e. research, clinical care, job development, etc.)<br />
Education Council, as a rule, delegates domain-‐specific functions such as policy, curriculum <strong>and</strong> evaluation<br />
to the appropriate <strong>and</strong> responsible academic governance committees: CUME for undergraduate medicine,<br />
GMEC for the graduate medical education program, GPC for the graduate program, <strong>and</strong> CCMEC for<br />
continuing medical education. Any actions that change the culture <strong>of</strong> the school or any actions that affect<br />
two or more <strong>of</strong> these academic domains (e.g. GPC <strong>and</strong> GMEC) will require the review <strong>and</strong> direct approval<br />
<strong>of</strong> the EC. In addition, the EC is responsible for ensuring that the academic domain committees are<br />
functioning effectively <strong>and</strong> that the school is in compliance with all accreditation st<strong>and</strong>ards.<br />
The EC reviews the Annual Reports from all Education Domains, including the Annual report from the<br />
Senior Associate Dean for Education. Additionally, the EC annually reviews the resources provided to<br />
each educational domain <strong>and</strong> determines if these resources are appropriate.<br />
Membership<br />
In order to ensure an appropriate faculty voice in the decisions made in the educational domains, 1<br />
membership in the EC is comprised <strong>of</strong> a number <strong>of</strong> voting elected faculty, voting appointed faculty, <strong>and</strong><br />
ex-‐<strong>of</strong>ficio non-‐voting faculty.<br />
Membership<br />
Ex-‐<strong>of</strong>ficio, Non-‐voting members (5) 2<br />
a) Sr. Assoc. Dean for Education, Chair<br />
b) Assoc. Dean for GME<br />
c) Assoc. Dean for the Graduate <strong>School</strong><br />
d) Assoc. Dean for CME <strong>and</strong>/or similar<br />
e) Director <strong>of</strong> Undergraduate Medical Education<br />
Voting Members (14) – quorum is 8 voting members<br />
f) 4 elected members <strong>of</strong> the basic sciences<br />
g) 4 elected members <strong>of</strong> the clinical sciences<br />
h) 3 appointed members <strong>of</strong> the basic sciences<br />
i) 3 appointed members <strong>of</strong> the clinical sciences<br />
Clinical faculty must be supported ≥10% financial support for education in “E” or “A1” (educational<br />
administration) on their CREATE pr<strong>of</strong>ile or its equivalent as determined by the Senior Associate Dean for<br />
Education. Basic Science faculty must be able to demonstrate a significant contribution to education.<br />
Elected members are staggered 3-‐year terms with a chance to be re-‐elected. Appointed members have<br />
EC - May 23, 2013<br />
Page 5
their appointments examined yearly with turnover as needed up to a three-‐year term. The Assoc. Dean<br />
for GME appoints one clinical faculty member. The Assoc. Dean for the Graduate <strong>School</strong> appoints one<br />
basic science faculty. All other appointments are made by the Senior Associate Dean for Education.<br />
Ongoing discussion<br />
1. In a similar vein, we have discussed the need to change the membership <strong>of</strong> CUME to have voting,<br />
elected faculty. More controversial was the idea <strong>of</strong> elected faculty on GMEC <strong>and</strong> that was an<br />
issue we said we’d put in front <strong>of</strong> EC.<br />
2. Should the majority <strong>of</strong> voting members be elected faculty?<br />
EC - May 23, 2013<br />
Page 6
Procedures requiring documented competency for graduation<br />
All others procedures are optional <strong>and</strong> require direct supervision<br />
Basic procedures: (General supervision appropriate when competent)<br />
Less rigorous supervision is required for procedures which carry minimal risk. Medical students<br />
should be observed by a qualified supervisor to assure that they are competent while<br />
performing any <strong>of</strong> these procedures until they meet the requirement for general supervision. A<br />
qualified supervisor must be readily available while these procedures are being performed.<br />
Students will be competent after successfully completing the specific procedure 3 times.<br />
Documentation (i.e. 3) must be finalized at completion <strong>of</strong> the ACE clerkships. Unless indicated<br />
by ⁺⁺, procedures can be observed <strong>and</strong> logged in any clerkship.<br />
*=skills are assessed by exam <strong>and</strong>/or direct observation <strong>and</strong> documentation(ED-‐2)<br />
⁺⁺=required in this Clerkship<br />
Procedure Clerkship<br />
Breast Exam PCM1/obgyn/surgery SCO⁺⁺<br />
EKG interpretation Bootcamp/EM/Inpatient med⁺⁺<br />
Finger stick PCM 1(Intro to Ambulatory<br />
procedures)/SCP/FM/other<br />
Immunization administration SCP/PCM 1/outpatient pediatrics or FM<br />
Intradermal skin testing PCM 1(Intro to Ambulatory<br />
procedures)/FM/pediatrics/other<br />
IV placement Bootcamp/ACE/EM⁺⁺<br />
Peak flow measurement (obtain) SCP/FM/outpatient IM/other<br />
Pelvic exam <strong>and</strong> PAP PCM2/ObGyn⁺⁺<br />
Phlebotomy/venipuncture SCP/Bootcamp/surgery/ACE<br />
Throat culture/rapid strep PCM1/Outpatient pediatrics⁺⁺<br />
Urethral catheterization <strong>of</strong> female ObGyn/Surgery<br />
Urethral catheterization <strong>of</strong> male(under anesthesia) Surgery<br />
Urinalysis technique (dipstick) PCM 1 (Intro to Ambulatory<br />
procedures)/FM/outpatient medicine<br />
ObGyn/other<br />
Wet prep <strong>and</strong> KOH ObGyn⁺⁺<br />
Competencies always requiring direct supervision:<br />
Those procedures carrying significant risk include any procedure requiring written consent from the<br />
patient as well as central venous line placement, external or internal jugular vein puncture, joint<br />
aspiration, <strong>and</strong> arterial line placement. Any student performing one <strong>of</strong> these procedures must be<br />
directly observed by a competent supervisor. The supervisor must be present <strong>and</strong> must be prepared to<br />
take over in the event <strong>of</strong> any difficulty.<br />
Procedure Clerkship<br />
Arterial puncture Surgery, AIE, EM or Critical Care*<br />
Knot tying Bootcamp/Surgery<br />
NG Tube Insertion ?Simulation/Surgery/Critical Care<br />
Ultrasound (neck veins) EM/CC<br />
Draft #5 eon<br />
EC - May 23, 2013<br />
Page 7
Anatomical Donation to the <strong>UConn</strong> <strong>School</strong> <strong>of</strong> <strong>Medicine</strong> Policy Proposal:<br />
The procurement, use <strong>and</strong> disposition <strong>of</strong> anatomical donations to the <strong>UConn</strong> <strong>School</strong> <strong>of</strong> <strong>Medicine</strong>, at the<br />
<strong>UConn</strong> Health Center (UCHC) <strong>and</strong> John Dempsey Hospital.<br />
I. Policy Statement:<br />
The University <strong>of</strong> Connecticut <strong>School</strong> <strong>of</strong> <strong>Medicine</strong> accepts the donation <strong>of</strong> bodies for the<br />
purposes <strong>of</strong> education <strong>and</strong> research. Individuals may donate their bodies pursuant to<br />
Chapter 368i <strong>of</strong> the Connecticut General Statutes. The <strong>School</strong> <strong>of</strong> <strong>Medicine</strong> recognizes the<br />
immensity <strong>of</strong> these donations, <strong>and</strong> makes every effort to respect the donor <strong>and</strong> their<br />
families. The University in its efforts to be compliant with health, safety <strong>and</strong> ethical<br />
st<strong>and</strong>ards is providing these procedures, which assigns appropriate oversight <strong>and</strong><br />
management in regard to the use <strong>of</strong> all cadavers/parts used by the <strong>School</strong> <strong>of</strong> <strong>Medicine</strong> <strong>and</strong><br />
any associated entity granted permission by the <strong>School</strong> <strong>of</strong> <strong>Medicine</strong>.<br />
II. Definitions:<br />
• Anatomy Donation Coordinator -‐ A position at <strong>UConn</strong> whose responsibility includes<br />
obtaining suitable bodies for the anatomy program, the embalming <strong>of</strong> the bodies,<br />
storage, transportation <strong>and</strong> cremation. This person has general oversight <strong>of</strong> all<br />
portions <strong>of</strong> the donation program, including correspondences, materials <strong>and</strong><br />
supplies, <strong>and</strong> documentation.<br />
• Cadaver <strong>and</strong> Human Body Parts: Human remains donated to the <strong>School</strong> <strong>of</strong> <strong>Medicine</strong><br />
for the purpose <strong>of</strong> dissection related to education <strong>and</strong> research.<br />
• Cost-‐Recovery Fee: Fees determined by the Anatomical Donation Advisory<br />
Committee (ADAC) for outside use <strong>of</strong> the anatomy lab facilities, equipment,<br />
curricular materials, faculty <strong>and</strong>/or the cadavers/body parts.<br />
• Cremation: The use <strong>of</strong> high temperature to reduce the remains <strong>of</strong> the deceased <strong>and</strong><br />
then processed to form the ashes associated with cremation. The cost <strong>of</strong> cremation<br />
for bodies used in the anatomy program is assumed by the University.<br />
• Final Disposition: Families are notified after cremation occurs that the final<br />
cremains are available. A memorial service is held for the families. If the cremains<br />
are picked-‐up or mailed to the donor’s designated agent, then any burial costs are<br />
assumed by the family <strong>of</strong> the deceased or agent. If, after notification, the cremains<br />
are not collected, the <strong>School</strong> <strong>of</strong> <strong>Medicine</strong> may bury the cremains in a common<br />
cemetery site.<br />
• Outside Use: Anyone who is not part <strong>of</strong> the Gross Anatomy program for medical<br />
<strong>and</strong> dental students at <strong>UConn</strong>. Internally – other schools within <strong>UConn</strong> <strong>and</strong> affiliates<br />
<strong>of</strong> <strong>UConn</strong>; Externally -‐ no formal relationship to the University, <strong>and</strong> at the discretion<br />
<strong>of</strong> ADAC.<br />
• Post-‐Mortem Donation: A body donation authorized after death.<br />
• Transfer: Any transportation between campuses <strong>of</strong> <strong>UConn</strong>.<br />
• Transportation: The Anatomy Donation Coordinator controls the transportation to<br />
<strong>and</strong> from UCHC <strong>and</strong> obtains any <strong>and</strong> all necessary permits.<br />
EC - May 23, 2013<br />
Page 8
III. Administrative Responsibility:<br />
UME Leadership<br />
It is the responsibility <strong>of</strong> the Senior Associate Dean <strong>and</strong> the Director <strong>of</strong> Medical Education to<br />
oversee all aspects <strong>of</strong> the anatomy donation program <strong>and</strong> the educational uses <strong>of</strong> these<br />
cadavers at <strong>UConn</strong>.<br />
Anatomy Donation Coordinator<br />
It is the responsibility <strong>of</strong> the Anatomy Donation Coordinator to determine acceptance <strong>of</strong> any<br />
cadaver, applying guidelines determined by this committee, to manage the social face <strong>of</strong> the<br />
University with the respective families, <strong>and</strong> to safely transport to the University facility. It is<br />
also the Coordinator’s responsibility to follow any <strong>and</strong> all State <strong>and</strong> Federal regulations in<br />
regard to preserving these bodies <strong>and</strong> storing them, as well as the final disposition <strong>of</strong> each<br />
body.<br />
The Coordinator is also charged with the following tasks:<br />
• Assigning a unique ID number: Each cadaver will be identified in an electronic<br />
database by a unique identifier. For each uniquely identified cadaver, a short<br />
description should be documented that includes gender, occupation, age at death,<br />
cause <strong>of</strong> death <strong>and</strong> any pertinent comments.<br />
• Recording any designation <strong>of</strong> the donation <strong>and</strong> actual use (research, education).<br />
• Documentation <strong>and</strong> receipt <strong>of</strong> transfer: Any UCHC cadaver that is transported to<br />
<strong>and</strong> used at another campus <strong>of</strong> the <strong>UConn</strong> must be tracked.<br />
• Final disposition: Record date <strong>of</strong> cremation <strong>and</strong> the final location <strong>of</strong> cremains.<br />
Faculty<br />
Faculty <strong>and</strong> preceptors are responsible for the curriculum <strong>and</strong> teaching in the classroom,<br />
which includes, but is not limited to, the respectful use <strong>of</strong> these cadavers in training medical<br />
<strong>and</strong> dental students, proper care <strong>of</strong> the cadavers <strong>and</strong> adhering to safety procedures.<br />
Anatomical Donation Advisory Committee (ADAC)<br />
This committee consists <strong>of</strong> faculty <strong>and</strong> administrative staff from the <strong>School</strong> <strong>of</strong> <strong>Medicine</strong>.<br />
The role <strong>of</strong> the ADAC will include:<br />
• Review any requests or changes to procedure in regard to the anatomical gift<br />
program.<br />
• Review any requests presented to the institution for use <strong>of</strong> anatomy labs <strong>and</strong><br />
materials.<br />
• All activities involved with procurement, use, storage, transport <strong>and</strong> final disposition<br />
<strong>of</strong> the cadavers/parts.<br />
• May also recommend any necessary sanctions for noncompliance.<br />
• Annual review <strong>of</strong> all donations.<br />
• Any ad hoc issues that may arise related to the cadaver program either internally or<br />
externally.<br />
• Annual Evaluation.<br />
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Page 9
IV. Financial Records:<br />
• All donations to the Anatomical Gift Program will be documented.<br />
• Donations are deposited in the W. Wilmont Memorial Research Fund.<br />
• A fee structure will be considered to cover cost <strong>of</strong> educational resources. Fees to be<br />
determined by ADAC.<br />
• Fees should be deposited in an account to cover the actual expenses. A separate<br />
account will be created.<br />
V. General Rules <strong>and</strong> Procedures:<br />
• The Anatomy Donation Coordinator at the <strong>UConn</strong> <strong>School</strong> <strong>of</strong> <strong>Medicine</strong> must hold a<br />
current Funeral Director’s <strong>and</strong> Embalmer’s license. The license must be current <strong>and</strong><br />
updated <strong>and</strong> filed in the HOME <strong>of</strong>fice.<br />
• Cadavers <strong>and</strong> body parts donated to the <strong>UConn</strong> must be approved as usable by the<br />
Coordinator. In cases where the Coordinator deems a body as unsuitable for<br />
anatomy lab, but suitable for research purposes, this distinction will be clearly<br />
communicated to the respective family <strong>and</strong> documented.<br />
• All bodies transported to UCHC <strong>and</strong> embalmed will be documented. Any<br />
components delivered to/accepted by the <strong>School</strong> <strong>of</strong> <strong>Medicine</strong> will be documented.<br />
• Cadavers/ body parts may only be used for Gross Anatomy Laboratory sessions<br />
associated with the Medical <strong>School</strong> unless expressly approved by ADAC.<br />
• Any project or activity outside <strong>of</strong> the Medical <strong>School</strong> must seek approval through an<br />
application process to the ADAC.<br />
• The request must allow four full weeks for turn around. Any costs associated with<br />
use <strong>of</strong> the anatomy laboratories or materials including facilities expenses,<br />
equipment, curricular materials, faculty, <strong>and</strong>/or storing or preparation <strong>of</strong> the<br />
cadavers/ body components will be the responsibility <strong>of</strong> the requesting party. These<br />
costs will be defined by the Committee <strong>and</strong> agreed upon between the requesting<br />
party <strong>and</strong> ADAC prior to final approval. The Committee will also determine any<br />
required supervision during laboratory time, <strong>and</strong> the appropriate fee for this<br />
service.<br />
• Transportation <strong>of</strong> cadavers must occur under the supervision <strong>of</strong> the University<br />
Coordinator. This transportation includes both to <strong>and</strong> from the UCHC facility. The<br />
Connecticut General Statutes (sections 7-‐69 <strong>and</strong> 19a-‐270 et seq.) authorizes a<br />
licensed embalmer or funeral director to remove the body <strong>of</strong> a deceased person.<br />
There are no state regulations that bind UCHC to different st<strong>and</strong>ards than a funeral<br />
home.<br />
• Cadavers are cremated <strong>of</strong>f-‐site, <strong>and</strong> cremains are <strong>of</strong>fered to the family <strong>of</strong> the<br />
deceased. The details, fees paid to the crematorium <strong>and</strong> documentation is under<br />
the responsibility <strong>of</strong> the HOME Office <strong>of</strong> Medical Education at the <strong>School</strong> <strong>of</strong><br />
<strong>Medicine</strong>.<br />
• Cadavers/Body parts are not to be sold or provided to any outside entity.<br />
• Employees unrelated to the donor are prohibited from signing donor authorization<br />
cards.<br />
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Page 10
VI. The Donation Process:<br />
• The following forms are available <strong>and</strong> required for those who wish to donate their<br />
bodies to education <strong>and</strong> research:<br />
o Document <strong>of</strong> Anatomical Gift<br />
o Document <strong>of</strong> Anatomical Gift: Post-‐Mortem<br />
o Supplementary Information About Donor<br />
o Donation <strong>of</strong> Body Identification <strong>and</strong> Authorization Card<br />
• Bodies donated according to State Statute are transported from locations within the<br />
State <strong>of</strong> Connecticut at no cost to the estate <strong>of</strong> the deceased.<br />
• Acceptability <strong>of</strong> the donated body is determined after death. Conditions which<br />
would prevent donation include obesity, edema, autopsy, infectious disease <strong>and</strong> the<br />
removal <strong>of</strong> organs for transplantation (other than eyes). Bodies cannot be accepted<br />
outside <strong>of</strong> Connecticut.<br />
• Post-‐mortem donations require appropriate authorization <strong>and</strong> documentation<br />
through use <strong>of</strong> the Post-‐Mortem Gift Form. Please see Appendix A.<br />
• A Death Certificate must be signed by the attending physician within 24 hours <strong>of</strong><br />
death, <strong>and</strong> it must be filed in the town <strong>of</strong> death within 5 days. A burial permit is<br />
obtained by the Coordinator.<br />
• The Coordinator must review all death certificates for completeness without<br />
exception.<br />
• Families are notified that the body will be kept by the <strong>School</strong> <strong>of</strong> <strong>Medicine</strong> for<br />
approximately 12-‐ 18 months.<br />
• If a body donation is accepted that is not acceptable for use in the medical <strong>and</strong><br />
dental school curriculum, families are asked for a donation to cover the expense <strong>of</strong><br />
the cremation.<br />
• A memorial service is organized by the first year students through the HOME Office<br />
<strong>of</strong> Medical Education.<br />
VII. The Embalming process <strong>and</strong> OSHA compliance:<br />
• The Coordinator <strong>and</strong> any staff who directly prepare <strong>and</strong> maintain cadavers will be<br />
provided with appropriate protective garments.<br />
• Ventilation in the laboratory <strong>and</strong> embalming location is maintained <strong>and</strong> monitored<br />
as required.<br />
• The Coordinator as well as any student or faculty member who works with the<br />
preparation <strong>of</strong> the cadavers will have Blood Borne Pathogen training.<br />
VIII. Costs associated with lab use:<br />
• Overhead fee (includes storage <strong>and</strong> preparation <strong>of</strong> cadaver/components)<br />
• Facilities fee<br />
• Curricular materials<br />
• Faculty or staff supervisory fees<br />
• Equipment/supply fee<br />
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IX. Rules for use <strong>of</strong> lab:<br />
• No photography is allowed unless permission is granted by ADAC.<br />
• No visitors are allowed in the lab, including family members <strong>and</strong> prospective<br />
students.<br />
• All learners in the lab are informed <strong>of</strong> basic health <strong>and</strong> safety rules, as well as care <strong>of</strong><br />
the cadavers during an orientation presentation prior to the start <strong>of</strong> laboratory<br />
sessions. All must comply with the rules as outlined.<br />
• All students, employees <strong>and</strong> approved volunteers or outside users who have access<br />
to the anatomy labs at UCHC receive the regulations for access, use <strong>and</strong> disposal <strong>of</strong><br />
cadavers/ partial cadavers <strong>and</strong> acknowledge comprehension through signature (to<br />
be implemented).<br />
X. Cremation <strong>and</strong> disposition <strong>of</strong> the bodies after use:<br />
• Cremation is performed by an outside agency.<br />
• A cremation permit must be obtained from Farmington, CT Town Hall before the<br />
body is transported.<br />
• An agreement is drawn between the cremation facility <strong>and</strong> UCHC.<br />
• The crematorium is paid a stipend for each body through UCHC.<br />
• Families are notified when the cremains are available to be picked up or mailed.<br />
• Cremains which are not picked up are stored at UCHC or appropriate outside<br />
location until which time a burial is arranged. Families or agents <strong>of</strong> the deceased<br />
will be informed <strong>of</strong> their time frame for claiming the cremains.<br />
• Unclaimed cremains are buried in a morally responsible fashion.<br />
XI. Communication with families:<br />
• The Coordinator is the main contact with families.<br />
• Families may also communicate with the program through the HOME <strong>of</strong>fice.<br />
• Families are treated with the utmost respect.<br />
• Students/learners are not informed about the identity <strong>of</strong> the cadaver.<br />
• All conversations with the families <strong>and</strong> with potential donors are recorded by either<br />
the Coordinator or an appropriate staff person.<br />
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Appendix A: Post-Mortem Procedure<br />
An electronic record is to be signed on an iPad with signature <strong>and</strong> photographic capability. The electronic<br />
record allows both signature <strong>of</strong> the donor or other authorized person <strong>and</strong> witnesses, <strong>and</strong> a means to<br />
capture oral communication evidencing intent to make an anatomical gift. Where there may be a written<br />
record, the iPad will be used to photograph the record. The device uses a fillable PDF format, <strong>and</strong> the<br />
record then is transferred daily to a confidential file on the UCHC server for long term storage <strong>of</strong><br />
electronic records. The records will be reviewed for completeness quarterly by a designee <strong>of</strong> the ADAC<br />
committee.<br />
A checklist <strong>of</strong> signatures acknowledging the donation includes:<br />
a. During the life <strong>of</strong> the donor, a signature from (1) The donor (must be an adult over the age <strong>of</strong> 45);<br />
(2) an agent <strong>of</strong> the donor, including, but not limited to, a health care representative appointed<br />
under CT section 19a-576, unless the power <strong>of</strong> attorney for health care or other record prohibits<br />
the agent from making an anatomical gift; or (3) the donor's guardian.<br />
b. During the life <strong>of</strong> the donor, if the donor or agent <strong>of</strong> the donor is unable to sign, another<br />
individual at the request <strong>of</strong> the donor or donor’s agent may sign the acknowledgement <strong>and</strong> shall<br />
be witnessed by at least two adults, one <strong>of</strong> which must be a disinterested party ("Disinterested<br />
witness" means a witness other than the spouse, child, parent, sibling, gr<strong>and</strong>child, gr<strong>and</strong>parent or<br />
guardian <strong>of</strong> the individual who makes, amends, revokes or refuses to make an anatomical gift, or<br />
another adult who exhibited special care <strong>and</strong> concern for the individual).<br />
c. Post-Mortem Donations require a signature <strong>of</strong> acknowledgement from one <strong>of</strong> the following<br />
individuals with the following order <strong>of</strong> priority provided by Connecticut regulations:<br />
(1)An agent <strong>of</strong> the decedent as described above who could have made an anatomical gift<br />
immediately before the decedent's death; (2) The spouse <strong>of</strong> the decedent; (3) A person<br />
designated by the decedent pursuant to section 1-56r; (4) Adult children <strong>of</strong> the decedent; (5)<br />
Parents <strong>of</strong> the decedent; (6) Adult siblings <strong>of</strong> the decedent; (7) Adult gr<strong>and</strong>children <strong>of</strong> the<br />
decedent; (8) Gr<strong>and</strong>parents <strong>of</strong> the decedent; (9) An adult who exhibited special care <strong>and</strong><br />
concern for the decedent; (10) The persons who were acting as the guardians or conservator<br />
<strong>of</strong> the person <strong>of</strong> the decedent at the time <strong>of</strong> death; <strong>and</strong> (11) Any other person having the<br />
authority to dispose <strong>of</strong> the decedent's body.<br />
d. According to Connecticut regulations, a donor may make an anatomical gift: (1) By authorizing<br />
donor designation in a donor registry; (2) by means <strong>of</strong> a will; (3) during a terminal illness or<br />
injury <strong>of</strong> the donor, by any form <strong>of</strong> communication addressed to at least two adults, at least one <strong>of</strong><br />
whom is a disinterested witness; or (4) through execution <strong>of</strong> a record such as a Document <strong>of</strong><br />
Anatomical Gift as provided by the University <strong>of</strong> Connecticut.<br />
e. Acceptability <strong>of</strong> the donated body is determined by the Coordinator after death. Conditions which<br />
would prevent donation include obesity, edema, autopsy, infectious disease <strong>and</strong> the removal <strong>of</strong><br />
organs for transplantation (other than eyes). Bodies cannot be accepted outside <strong>of</strong> Connecticut.<br />
The Coordinator’s decision will be recorded in the permanent record by his/her signature.<br />
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Timeline<br />
× October 22, 2102 – meeting with the Office <strong>of</strong> Audit,<br />
Compliance <strong>and</strong> Ethics<br />
× January 14, 2013 – Office <strong>of</strong> Audit, Compliance <strong>and</strong> Ethics<br />
submits the Report on the <strong>School</strong> <strong>of</strong> <strong>Medicine</strong> Anatomical<br />
Donation Program<br />
× January 27, 2013 – SOM response issued to concerns<br />
× February 13, 2013 – Review by Joint Audit <strong>and</strong> Compliance<br />
Committee, Storrs<br />
× April 1, 2013- Follow-up report on implementation<br />
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5/20/13<br />
1
Major Recommendations by the<br />
Office <strong>of</strong> Compliance<br />
× Cadaver Supply <strong>and</strong> Utilization<br />
× Database <strong>of</strong> living donors, forecast, alternative source, policy <strong>and</strong><br />
procedures for use by educational programs not affiliated with<br />
UCONN.<br />
× Donor Authorization<br />
× Post-Mortem donations<br />
× Update <strong>of</strong> Gift forms<br />
× Cadaver Transportation<br />
× Financial Contributions <strong>and</strong> Fund Use<br />
× Cadaver Storage <strong>and</strong> Security<br />
× OSHA compliance<br />
× Cremated Remains storage <strong>and</strong> disposal<br />
ACTION TIMELINE FOR COMPLETION/<br />
IMPLEMENTATION<br />
Database <strong>of</strong> Living Donors will be Created May 31, 2013<br />
Shared Document with Total Donations <strong>and</strong><br />
Targets will be Created<br />
May 31, 2013<br />
Alternative Source has been Identified COMPLETED<br />
Request Form <strong>and</strong> Authorized List is being Created May 31, 2013<br />
Anatomical Donation Policy has been created May 31, 2013<br />
Discussion on Post-mortem Donations <strong>and</strong> Post- ADAC meeting <strong>of</strong> February 15, 2013<br />
discussion Plans Established<br />
Documentation for AY 2011-2012 <strong>and</strong> AY 2012 –<br />
May 31, 2013<br />
2013 will be Reviewed <strong>and</strong> a Plan for Monitoring<br />
Future Documentation Established<br />
Plan for Documentation <strong>of</strong> Conversations<br />
May 31, 2013<br />
Established<br />
Prohibition <strong>of</strong> Auxiliary Signatories Completed, ADAC meeting <strong>of</strong> January 25, 2013<br />
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5/20/13<br />
2
ACTION TIMELINE FOR COMPLETION/<br />
IMPLEMENTATION<br />
Donor Authorization Updated May 31, 2013<br />
All Certificates will be Completed Ongoing<br />
Research outsourcing transportation Ongoing- Implement decision by<br />
August 15, 2013 with documentation <strong>of</strong> alternative<br />
plans in the absence <strong>of</strong> the coordinator.<br />
Contract negotiation with local embalmers August 15, 2013<br />
ADAC decision on appropriate procedure May 15, 2013<br />
ADAC specifies appropriate donation <strong>and</strong> defines<br />
acceptable use <strong>of</strong> Fund<br />
May 15, 2013<br />
Key pad code change August 15, 2013 <strong>and</strong> yearly<br />
Regulations for access, use <strong>and</strong> disposal August 15, 2013<br />
Testing <strong>of</strong> Embalming Facility May 15, 2013<br />
Address any test result issues Upon report<br />
Contract negotiation with local cemetery <strong>and</strong> stone<br />
purchased for plot<br />
August 1, 2013<br />
Revise Donor Authorization form May 15, 2013<br />
Current St<strong>and</strong>ing<br />
× All planned revisions to the program accepted at JACC<br />
× Progress on track for full implementation<br />
× Anatomy program presently in compliance<br />
× A fully functional ADAC (Anatomical Donation Advisory<br />
Committee) has been meeting bi-weekly <strong>and</strong> making great<br />
progress<br />
× A new Embalmer Coordinator has been hired as <strong>of</strong> April 19,<br />
2013- Mr. Joseph Shine<br />
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5/20/13<br />
3
Committee on Undergraduate Medical Education (CUME)<br />
Minutes <strong>of</strong> the <strong>Meeting</strong><br />
May 9, 2013<br />
Chair: Rose, S.<br />
Present (voting): Brenner, B.; Dodge, J.; Guerrera, M.; H<strong>and</strong>, A.; Henry, D.; Regan, T.; Siegel, G.; Watras, J.; White, S.<br />
Excused (voting): Gray, M.; Jacobs, L.; Makoul, G.; Palma-‐Sisto, P.; Rajan, T.; Steele, C.;<br />
Present (nonvoting): Henderson, D.; Nestler, E.; Thatcher, C.;<br />
Guest: Barbara Rickets<br />
<strong>Meeting</strong> called to order at 4:36pm<br />
COSC Update Dr. Henry provided an overview <strong>of</strong> the last meeting <strong>of</strong> the COSC None.<br />
AMA Grant Dr. Rose provided an update on the grant proposal to the AMA:<br />
• Submission scheduled for this evening<br />
• Grant should not be confused with curriculum reform<br />
• Process has been invigorating<br />
• Education Council has put forth a unanimous endorsement <strong>of</strong> the<br />
grant<br />
• Majority <strong>of</strong> the grant budget is in IT infrastructure<br />
Update on the transcripts (B.<br />
Rickets/C. Thatcher)<br />
Ms. Barbara Rickets provided an overview <strong>of</strong> the present transcript:<br />
• Changes have been proposed for a future transcript related to<br />
curricular changes<br />
• IT will be implementing changes<br />
• Transcripts are presently in templates<br />
• Presently grades are either Satisfactory or Unsatisfactory – a new<br />
grading system will be implemented as already passed by this<br />
committee starting with the incoming class in August 2017<br />
• Typically, sites are not listed in the third year but they are for the<br />
fourth year rotations– suggestion for sites not to be listed at all<br />
• Suggestion to spell out AIE<br />
None.<br />
Discussion on listing clerkships<br />
individually on the transcripts<br />
tabled to the next meeting.<br />
Dr. Thatcher will create a<br />
presentation <strong>and</strong> document that<br />
will go out to CUME <strong>and</strong> a<br />
meeting may be held earlier.<br />
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• Suggestion for a word document to be created from the detailed<br />
transcript back page so that it could be sent around for editing<br />
Dr. Thatcher discussed changes to the transcript:<br />
• Request for the CUME to make a statement charging Dr. Thatcher with<br />
making changes to the transcript aligned with curricular changes<br />
• Dr. Thatcher will provide updates to the CUME<br />
• Presently the change to the number <strong>of</strong> elective weeks is not apparent<br />
on the transcripts<br />
• Transcripts have already been sent out for the current year, template<br />
changes cannot be made but certain items can be added on to reflect<br />
accuracy<br />
Additional discussion:<br />
• Issues with the course numbers for electives<br />
• The transcript should be more streamlined <strong>and</strong> there may be options<br />
for streamlining the process<br />
• Presently, home weeks are listed that students are not taking part in-‐<br />
this must be rectified<br />
• IT constraints impact the ability to change the transcript for accuracy<br />
• Proposal to list each clerkship as a separate course next year<br />
• Proposal to add Barbara Ricketts to the membership <strong>of</strong> the CUME<br />
Minutes <strong>of</strong> March 2013 Reviewed. Approved.<br />
Anatomical Donation Policy (C.<br />
Thatcher)<br />
Dr. Thatcher provided an overview <strong>of</strong> the Anatomical Donation Program:<br />
• Compliance process<br />
• Committee <strong>and</strong> membership<br />
• Changes to forms <strong>and</strong> definitions<br />
• New embalmer hired<br />
• Transportation issues <strong>and</strong> changes<br />
• Correction to the last page <strong>of</strong> the policy – prospective vs. perspective<br />
• Correction to document so that it allows for options for disposal <strong>of</strong><br />
ashes by burial or scattering –in a morally responsible fashion<br />
Motion made to approve Dr.<br />
Thatcher making changes to the<br />
transcript to align it with the<br />
curriculum. Seconded. Approved<br />
unanimously.<br />
Motion made to add the Registrar<br />
as a non-‐voting member <strong>of</strong> the<br />
CUME. Seconded <strong>and</strong> approved<br />
unanimously. Membership will be<br />
added to the CUME information in<br />
the Academic Policies &<br />
Procedures document.<br />
Motion made to approve the<br />
policy. Seconded. Approved<br />
unanimously.<br />
Proposed procedural requirement Dr. Nestler discussed documentation for procedural requirements in programs: Motion made to approve the<br />
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(D. Henry/E. Nestler) • Tracking system<br />
• Log <strong>of</strong> procedures that will get put into an electronic list that allows<br />
for monitoring progress<br />
• Different rotations will have different procedural requirements<br />
• Request for approval – these will eventually become formal<br />
graduation requirements<br />
• Discipline-‐specific procedures may go into MyEvaluations.com<br />
concept <strong>of</strong> procedural<br />
requirements <strong>and</strong> the specific<br />
procedures as outlined by Dr.<br />
Nestler. Seconded <strong>and</strong> approved<br />
unanimously.<br />
Discussion:<br />
• States may have requirements for documentation <strong>of</strong> competency in<br />
procedures (e.g. NY). We should consider a certificate for these<br />
competencies<br />
• Procedures can be done through simulation<br />
• The purpose is to set goals that ultimately impact patient safety<br />
• Criteria has been discussed at the CCC<br />
Thanks to Stacy White who will be leaving the CUME after this meeting. Congratulations to Stacy on his graduation. The committee wished him continued<br />
success.<br />
<strong>Meeting</strong> adjourned at 5:33pm<br />
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