STATE OF THE

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April 24, 2007

• STATE OF THE
• SCHOOL OF MEDICINE
• Arthur Garson Jr., MD, MPH

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Our Students

• It is with a deep sense of joy that I move that
  the Faculty of the School of Medicine, contingent
  upon the students' completion of the final
  requirements for their degree, recommend to the
  Faculty of the University of Virginia that the
  listed students be awarded the degree of Doctor
  of Medicine.

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Our Faculty

• It is with a deep sense of joy that I thank our
  faculty.
• You ARE the School of Medicine

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Decade PlanUpdate 2007

• Values
• Education
• Research
• Patient care
• Recruitment/retention
• Resources

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Collaboration, Communication, Transparency

• 83 of the faculty say work environment is
  collaborative
• From 78 in 2003
• Transparency of budgets, processes, and
  accountability
• Pay-for-Teaching
• Committee appointment process
• Nominations this spring

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Medical Education

• LCME Full accreditation
• Broad faculty, staff, student participation
• 8 years (maximum)
• Next full survey 2014-2015
• Progress report due September 2008

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Medical Education

• LCME Strengths
• Faculty, admin responsiveness, accessibility
• Collegiality among faculty, admin, students
• Deans demonstrated commitment to medical
  education
• Decade Plan sets clear goals
• Innovative courses
• Extensive, well-conceived faculty development

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Medical Education

• LCME Improvement
• Culturally competent care and ethical issues
  instructional objectives focused on knowledge,
  not application
• Student promotion policies do not clearly
  describe process and student rights
• Absolute numbers and percentages of
  underrepresented minority faculty are low
• Lecture halls lack appropriate climate control,
  sufficient space. Adequacy of ventilation in
  anatomy lab uncertain

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Medical Education

• LCME Transition issues
• Curriculum changes
• Student diversity
• Tuition increases

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Graduate Medical Education

• GME Full accreditation of Institutional
  Standards by ACGME
• Accreditation 3 years (through Oct 2009)
• Duty hours and interim reviews

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Medical Education

• Medical Education Research Institute
• Evaluate curriculum and teaching modalities
• Develop, test, apply new and increasingly
  effective methods of teaching
• Search for director underway
• Fourth-year medical student project in
  underserved country
• Pending funding

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Diversity

• Wendi El-Amin, MD
• Assistant Dean for Medical Education
• Strategy
• To increase
• Overall URM student matriculation
• UVA undergraduate pre-meds
• Medical Education
• Cultural sensitivity task force established by
  Curriculum Committee, Fern Hauck, MD, Chair

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Students

• Medical Students
• Applicants 4,100
• Offers 320 (7.8)
• Students 142 (3.4)
• Underrepresented minorities
• 2002-3 (6) 2004-6 (13)
• National median 10
• Graduate Students
• Applicants 652
• Offers 112 (17.1)
• Students 36 (5.5)

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Research

• Improved investigator support
• Interim funding SOM, Dept, VPR
• Enhanced web resources
• Grants Contracts, Office for ResearchClinical
  Trials Office
• Streamline workflow, efficiencies
• Electronic preparation, submission, approval
• Clinical Data Repository
• Tissue Establish telemedicine clinical trials
  network
• NIH Clinical Translational Science Award
• Submitted in January 2007 - 53 million
• MS Clinical Investigation
• PhD Clinical and Translational Research

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Access, Service, Communication

• 50 Discharge by noonFY07 Q2 - averaged 46
• Toward 14 day non-urgent clinic visits
• 80 primary care FY07 Q1 67
• 66 specialty care FY07 Q1 53

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Buchanan EndowmentAwards - Clinical Programs

• Funded for FY07
• Translational Research and Clinical Development
  in Neuro Endovascular Surgery (1,000,650)
• Joint Replacement Center, 1-year pilot (181,831)
• Total awarded FY04-FY08 12.9 M

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Community Service

• UVA Health Home
• Unique integration of home telehealth
  technologies into newly constructed home for
  family with chronic illness
• Funded by University contributions to Habitat for
  Humanity
• Partnership with Comcast

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Faculty Development

• Retention/development programs
• Leadership in Academic Medicine
• New faculty orientation
• Transitions/Changes
• Portfolio development
• Chair on-boarding

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Recruits

• Robert E. OConnor, MD, MPHChair, Emergency
  MedicineJuly 1, 2007
• Patient flow, transport, service, satisfaction
• Collaborations with SON, College, community
  organizations for innovative teaching programs

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Recruits

• Mark Yeager, MD, PhDChair, Molecular
  Physiology Biological PhysicsJuly 1, 2007
• Practicing cardiologist
• Structural biologist
• Supported in part by BOV program

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Recruits

• Christine Thisse, PhD
• Bernard Thisse, PhDAugust 1, 2007
• Morphogenesis
• Zebra fish
• Likely candidates for genes that cause birth
  defects
• Supported in part by BOV program

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Recruits

• Stephen S. Rich, PhDDirector, Center for Public
  Health GenomicsJanuary 1, 2007
• Leading NIH-sponsored worldwide effort
• Genes for
• Type 1 diabetes
• Complications for diabetes
• Type 2 diabetes/insulin resistance in underserved
  populations
• Stroke, cancer
• Supported in part by BOV program

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New Facilities

• Research
• ART Building 2008
• Carter-Harrison Research Building 2008
• Ivy Translational Research Building - 2011
• Patient Care
• Emily Couric Clinical Cancer Center Building
  2010
• Childrens Hospital - 2011

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New Facilities

• Claude Moore Medical Education Building 2010
• Most common reason for not attending UVa
• 59 teaching facilities

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Development

• Development 101
• Grateful patients
• Major gifts
• 45 M - Ivy Foundation
• 25 M Ivy Translational Research Building
• 15 M Childrens Hospital Building
• 5 M Emily Couric Clinical Cancer Center
• 20 M - Philip Morris
• 9 M Rick and Sherry Sharp Womens Oncology
• 2 M John Galbraith Otolaryngology/HNS

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USNWR

• 25

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USNWR

• 23

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US News and World ReportTrends 2007 (vs 2002)

• OVERALL RANK 23/125 (27)Research
  IntensiveGPA 3.73 (19th) vs 3.70 (16th)
• MCAT 11.0 (22nd) vs 10.5 (24th)
• NIH grants - 144.9 M (38th) vs 93.6M (39th)
• 55 increase (NIH 24)
• NIH/faculty - 159,600 (24th) vs 154,500 (24th)
• Peer and residency reputation no change
• Primary care rank 38/125 (27)

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CONGRATULATIONSFACULTY!
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Distinguished Recognition
Christopher M. Kramer, MDElected, American
Society of Clinical Investigation Cato T.
Laurencin, MD, PhDElected, Third World Academy
of Sciences Bradford B. Worrall, MDMichael S.
Pessin Stroke Leadership AwardAmerican Academy
of Neurology

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National Leadership

Sabina A. Braithwaite, MDPresident, Virginia
College of Emergency Physicians Robert M. Carey,
MDPresident-Elect, The Endocrine Society Mary E.
(Lee) Jensen, MDPresident-Elect, American
Society of Interventionaland Therapeutic
Neuroradiology Cato T. Laurencin, MD, PhDChair,
College of FellowsAmerican Institution of
Medical and Biological Engineering
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National Leadership

• Timothy L. Pruett, MDPresident, United Network
  for Organ Sharing
• Bruce D. Schirmer, MDPresident, American
  Hepato-Pancrato-Biliary AssociationPresident,
  Society of Clinical Surgery
• James S. Tiedeman, MD, PhDChair, American Board
  of Ophthalmology

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Editorships
George A. Beller, MDJournal of Nuclear
Cardiology Edward H. Egelman, PhDBiophysical
Journal Nancy L. Harthun, MDYearbook of Vascular
Surgery Craig A. Peters, MDCampbell-Walsh
Textbook of Urology
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Distinguished Service

• Richard J. Bonnie, LLBChair, Commission on
  Mental Health Law Reform forCommonwealth of VA
  Appointed by Chief Justice of VA Supreme Court
• Joyce L. Hamlin, PhDWoman in Science
  DelegatePeople-to-People Ambassador Program
• Edward M. Kantor, MDBruno Lima Award, American
  Psychiatric Association

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Distinguished Service

• Richard L. Guerrant, MDAmbassador, Paul Rogers
  Society for Global Health Research
• Danny Mistry, MDVolunteer Physician, US Olympic
  Training Center
• John C. Rowlingson, MDDistinguished Service
  AwardAmerican Society of Regional Anesthesia and
  Pain Medicine
• Gregory Saathoff, MDExceptional Service in the
  Public InterestCommendation from FBI Director
  Robert Mueller

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Teaching Recognition
Stuart S. Berr, PhDNew Point of ViewSiemens
Preclinical Image of the Year Competition Aaron
S. Dumont, MDFellow, American Heart Association
and Stroke Council Bradley W. Kesser, MDEdmund
Prince Fowler AwardThe Triological Society
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Teaching Recognition

• Cato T. Laurencin, MD, PhDClemson Award for
  Contributions to the Scientific LiteratureThe
  Society for Biomaterials
• Gabrielle Marzani-Nissen, MDFaculty Development
  Award PsychopharmacologyAmerican Association
  of Chairmen of Departments of Psychiatry
• Robert S. Rust, MDHower Award, Child Neurology
  Society

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Study Section Members

• 66 Study Section Members
• 12 Special Emphasis Panel Members

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Top Best Doctors147/720 20.4
125 Best Doctors 50 Top Doctors 20
Americas Top Doctors for Cancer
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Research Recognition July 1, 2007 March 31,
2007 (9 months)
42.4 M 110 new renewal NIH 5.3 M 74
new non-federal, peer-reviewed
awards 2.2 M 14 new state awards 6.9 M
156 new renewal industry
awards
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Next year

• Complete Searches
• Neurology
• Pharmacology
• Cardiovascular Research Center
• Enhance clinical innovation
• Medical Center 25 million

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Next Year

• Institute for Improving Quality and Safety in
  Academic Medical Centers
• Best practices in patient care
• Model for regional collaboration
• GME
• Certificate program
• Clinical research
• Public health
• Institutional curriculum (e.g., professionalism)

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We aspire . . .

• Models for all of U.S. (20 by 2012)
• Model for Cells to society
• Cell to bedside Virginia Institute for Clinical
  and Translational Research
• Bedside to society Public Health
• Premier AHC in demonstrating value of
  interactions among our missions
• Graduate Medical Education
• Health care quality
• US News top 20

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• Academic medicine is driven by individuals
  committed to defeat the impossible.
• -Sylvia Priori