The Continuum of Leadership II:
Medical College of Georgia Annual State of the College Address May 4, 2012
AAMC Herbert W. Nickens Medical Student Scholarship Awarded to
3rd year MCG student
BUILDING ON OUR MOMENTUM… Literally…
The New Education Commons • Prior plans DOA
• BOR sets expectation of ‘skin in the game’ • Unprecedented philanthropic support • MASSIVE concerted effort at building design • Governor Deal and Georgia legislative support plan
“Georgians deserve a , public medical university, and it will be a priority of this administration to have a medical school among the top 50 nationally. – Governor Nathan Deal
BUILDING ON OUR MOMENTUM:
Outline of Presentation
• Attracting, training and placing medical student leaders • Leveraging our key recruits and already productive scientists to grow our research portfolio • Advancing Quality, clinical service development and growth • Expansion of our statewide reach and leadership • Illuminate critical points of inflection in each mission
MCG 2012… By The Numbers… Academic Departments Centers, Institutes & Service Lines Medical Students M.D./Ph.D. students Residents in programs Postdoctoral fellows Full‐time faculty Part‐time faculty Temporary/administrative appointments Clinical/adjunct appointments full‐time staff part‐time staff million budget
MD/PhD Program • Average of 3.5 peer‐reviewed publications per student • All students have first‐author publication “in press” at time of PhD defense • Students present their work during PhD Phase at national conferences • External review to guide MTSP application • “Serving Our Community” – Student led annual service project • Distinguished Physician‐Scientist Speaker Series (coming Fall 2012) • Flex MD/PhD Program
• 19 students currently enrolled (3URM) • 50 graduates (5 URM) • Average graduation time: 7.5 years • Graduates in faculty positions/pursuing academic careers: 10 • Graduates in residency/ fellowships: 17 • Graduates in private practice: 3
Our Educational Portfolio Has Become Increasingly Complex: A ‘Hub & Spoke’ Model
Advancing Interprofessional Collaboration & Education • Key component of • All GHSU colleges and colleagues at Augusta State University
Education Innovation Institute (EII)
We Are Developing Leaders In Our Residency Training Too… • Successful transition in duty hours
Handoff Training & Evaluation on 30-day Risk-adjusted Mortality Rates for Pneumonia
• Enhanced residency workplace and salaries • Enhanced opportunities and involvement in research and quality activities • 12 RRC site visits AY 2011‐2012 American Journal of Medicine, Volume 125, No 1, January 2012
Physician shortages are expected to exceed 90,000 over the next decade • On target for 30% medical student increase by 2016 • Federal redistribution left Georgia ‘out in the cold” • Perhaps further federal GME opportunities… or cuts • Georgia per capita physician workforce ranks 40th (2009):
Projected Supply & Demand of Physicians, 2010 ‐ 2025 Shortage of 130,600 Physicians
950,000 900,000 850,000 800,000
– GA Per Capita rate ‐ 204.5
750,000 700,000 650,000
– US Per Capita rate – 254.5
2010
2015
2020
2025
Physician Supply (All…
Source: Association of American Medical Colleges, 2010
• Year‐long Board of Regents comprehensive needs assessment for GME
• Educational affiliation to expand and enhance residency training opportunities in Augusta – Expansion of surgery rotation – New hospitalist rotation – Re‐start OBGYN rotation – Board of Trustees review next month – Launch July 1st
Engaging Our Alumni • 7,658 living, located alumni • 4,196 living, located in Georgia • MCG Alumni Association • Regional Alumni Events in Albany, Athens, Atlanta, Augusta, Macon, and Rome MCG Alumni Association Membership • Sponsored 2009‐2012 1070 events: 1050 1030 1010 990 970 950 930 910 890 870 850
1042
921 889 2009‐2010
2010‐2011
2011‐2012
‐ Freshman Brunch ‐ Raft Debate ‐ Graduation Dinner ‐ Hooding ‐ Family Day ‐ White Coat
Medical Student Debt & Scholarship: An Increasing Focus of Our Efforts • • • •
Graduates with medical school debt: Public medical schools: All medical schools: MCG Average:
Dean’s Endowed Scholarship
BUILDING ON OUR MOMENTUM:
Research Snapshot
• Areas of research excellence – Cardiovascular Biology & Disease Obesity, Diabetes, Hypertension
– Cancer – Neurosciences Stroke, Neurobiology, Neurodegeneration
• Emerging areas: – Regenerative & Reparative Medicine – Public & Preventive Health – Genomics & Personalized Medicine
Increasing Our Reach Globally… • Collaboration • High quality presentations • International presence
There Has Been a Substantial Increase in Medical Student Research 120
• Expanded research program
100
80
• New support and resources supportive faculty • Revamped MD/PhD
program
60
40
20
0
Year 2003
Year 2004
Year 2005
Year 2006
Year 2007
Year 2008
Year 2009
Year 2010
Year *Year 2011 2012
Strategy for Improving Translation Develop a more entrepreneurial, industry‐ facing environment
• Inventions and licensing as promotion & tenure criteria • Online store • Facilitate industry sponsored research
• Institute for Public & Preventive Health
Grow clinical & translational research
• Improve infrastructure & support • Recruit active & productive clinical research faculty
'Taking on' Ambulatory Care... The Next Great Frontier of Clinical Integration • Longstanding non‐alignment a Executive Health Program… chronic source of frustration Coming Soon and underachievement • Development of a Medical Group culture • Partnering with Medical Leadership to ensure an integrated approach to providing clinical service • Enhanced scheduling and access
• AMA 2012 report focuses on Quality in outpatient care – Research on Quality metrics and IT – Communications – Safety conscious culture
40%
25% 20% 15% 10% 5% 0%
HAIs 8%
30%
Pneumonia 8%
35%
Heart Failure 16%
45%
AMI 2% SCIP 0
• CDC 2011 infection control guidelines for ambulatory care
50%
Other 8%
• Focus on ambulatory care re‐design to enhance access, growth, & quality
HCAHPS 50%
Quality & Improvement Is Now ‘Center Stage’
Base = 179
Quality Improvement: A National Effort • BPBC Campaign commitment: – Teach Quality and Patient Safety to the Next Generation of doctors – Ensure Safer Surgery Through Surgical Checklists – Reduce Infections from Central Lines – Reduce Hospital Readmissions for High‐risk Patients – Research, Evaluate, and Share New and Improved Practices • Educational impact survey
Faculty Pulse: I am Confident I can accomplish my career objectives at GHSU Ratings 5 June MCG
21%
32%
47%
4 3.36 3.39 3
Dec MCG
21%
0
48%
31%
20
Unfavorable
40 Neutral
GHSU Average: June = 2.78, Dec = 3.36
60
80 Favorable
2.78
2.82
2
100
1 June GHSU
December MCG
MCG Diversity Programs: A Sustained and Increasingly Robust Portfolio • Student Educational Enrichment Program (SEEP) • Pre‐matriculation program for students entering medical and dental school • ECM & curriculum lectures • Health Equity and Access Leaders (HEAL) • Students for community involvement (SCI) • Health disparities research • Serve and Inspire Clinic and Indigent /Low income clinics • Addressing health disparities in rural and special populations • Presentation on Hispanic American heritage • Inaugural community conference
More Engagement: Internal & External • Academic Covenant Task Force • Joint New Faculty reception with Richmond County Medical Society • On‐boarding for New Faculty Committee • FaST, Dr. David Terris, Dr. Sally Atherton • New faculty introductions at MCG Faculty Senate • Bimonthly breakfast meeting for new faculty with dean and faculty senate chair Department faculty meetings with dean • Largest MAG constituent • MAG and affiliates membership and RCMS Community presence • Georgia Medicine revisions and thematic focus
Transformation 2020 • GHSU’s over‐arching strategic plan • Provides framework for tactical planning – Individual enterprise components: • GHSU colleges • Research Institute • Health System – MCG strategic planning will be: • Inclusive • Tactics driven • Time limited
“Making Noise”… Media Hits Across Country • Increased media coverage hits per month in various local and national media • GHSU averages outlets, such as:
‐ Atlanta’s local TV stations‐ a top 10 Nielsen Market ‐ Other diverse TV/Radio markets across the country
The Associated Press The Wall Street Journal Online New York Times NBC’s The Today Show MSNBC The Doctors HealthDay United Press International U.S. News and World Report Yahoo News
GHSU Medical College of Georgia
2012 Investiture Ceremony Honoring:
Stephen Black, PhD
Lawrence C. Layman, MD
Regents’ Professor
Robert B. Greenblatt, M.D. Chair in Endocrinology
W. Bruce Davis, MD J.H. Keels, Jr. Chair in Pulmonary Medicine
Bruce MacFadyen, MD
Lawrence Devoe, MD
Emeritus Professor
Emeritus Professor
Amyn M. Rojiani, MD/PhD
Zheng Dong, PhD
Edgar R. Pund, M.D. Distinguished Chair in Pathology
Regents’ Professor
Ruth‐Marie Fincher, MD
Betty S. Pace, MD
Emeritus Professor
Francis J. Tedesco, M.D. Distinguished Chair in Pediatric Hem/Onc
Charles G. Howell, Jr., MD
Martha K. Terris, MD
Moretz/Mansberger Distinguished Chair in Surgery
Roy Witherington, M.D. Distinguished Chair in Urology
Vinayak Kamath, MBBS
Martha S. Tingen, PhD
Robert G. Ellison, M.D. Distinguished Chair in Cardiothoracic Surgery
Charles W. Linder, M.D. Endowed Chair in Pediatrics
William Kanto, MD
Clinton Webb, PhD
Emeritus Professor
Regents’ Professor
2012 Hooding Ceremony May 10, 2012 at 2:00 p.m. Bell Auditorium
Vice Admiral
Matthew L. Nathan
Surgeon General of the U.S. Navy Chief, Navy Bureau of Medicine & Surgery
MCG Distinguished Alumnus
VÄtáá Éy DLKD
Medical College of Georgia Annual State of the College Address May 4, 2012