[Medical happenings of 1967]

              Minutes of the Joint Committee for Medical Education of the
Moses H. Cone Manorial Hospital and the University of North
Carolina School of Medicine.
June 21, 1967
The first meeting of the Joint Committee for Medical Education
was held on June 21, 1967, in the private dining room of the Moses
H. Cone Hospital cafeteria where dinner was served. After dinner,
business was conducted in the Board Room of the Hospital.
Members of the Committee that were present were Drs. Joseph Stevens
and Morris Smith, Edward Benbow, Julian Brantley, Maurice LeBauer,
Martha Sharpless, Louis G. Welt, Floyd Denny, and William B. Herring,
chairman. Attending as guests of the chairman were Drs. Herbert Lund
and William McLendon, Dr. Elbert Apple, and Mr. Harold Bettis and
Mr. Field Montgomery. Dr. Benbow announced that at his request
Dr. Samuel Ravenel had agreed to serve as his designee.
The chairman reported that the response of the rising fourth-
year class at the School of Medicine to invitations to accept acting
internships at Moses Cone Hospitsl had been excellent. Of thirty-
three indicating interest in Pediatrics, twenty-four have been
accepted. Sixteen of the sixty-four who responded listed Moses Cone
as their first choice for an acting internship in medicine. This
number will provide three students on Pediatrics and two on Medicine
during each of the eight rotations of the next academic year.
The unsucessful effort of the chairman and the Dean's office
to secure unmatched interns to begin work in July, 1967, was reported.
Progress toward preparation of offices and the hiring of a secretary
for the chiefs of the Teaching Programs was reported.
The schedule for the acting interns was discussed. The Committee
agreed that this should consist of ward rounds, s schedule of conferences,
and time spent in the clinics and emergency room. Mr. Bettis Indicated
that two rooms could be maintained in the hospital, probably on the
self-care unit, to accommodate students on night call. The Committee
agreed that the frequency of nights on call should be every third
night on Pediatrics and every second night on Medicine.
The Committee felt that two weeks is the optimal duration of
on-servlce tours for attending physicians. In order that the chiefs
of the Teaching Services and the students gst to know sach other
adequately, it was recommended that the chiefs hold teaching rounds. ..
once weekly, relieving the regular attending physician, in addition
to regular attending rotations and other appropriate contacts. The
Committee recommended that attending physicians on the Teaching
Services assume responsibility for sll service patients on Medicine
and Pediatrics respectively. The volume of clinical material available
to the Pediatrics Teaching Service is of great concern to the Committee,
who felt that.redefinition of service patients may be required to provide
a sufficient number of service patients. This matter-was-deferred pending
acquisition of sufficient experience to make a sound recommendation, after
a discussion of the determinants of service status at both institutions.