Medical College of Georgia Annual State of the College Address
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The Continuum of Leadership II:
Medical College of GeorgiaAnnual State of the College Address
May 4, 2012
AAMC Herbert W. NickensMedical 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
• 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
BUILDING ON OUR MOMENTUM:Outline of Presentation
Academic DepartmentsCenters, Institutes & Service LinesMedical Students
M.D./Ph.D. studentsResidents in programsPostdoctoral fellowsFull‐time facultyPart‐time faculty
Temporary/administrative appointments
Clinical/adjunct appointmentsfull‐time staff
part‐time staffmillion budget
MCG 2012… By The Numbers…
• 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
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
• Key component of
• All GHSU colleges and colleagues at Augusta State University
Advancing InterprofessionalCollaboration & Education
Education Innovation Institute (EII)
• Successful transition in duty hours
• Enhanced residency workplace and salaries
• Enhanced opportunities and involvement in research and quality activities
• 12 RRC site visits AY 2011‐2012
We Are Developing Leaders In Our Residency Training Too…
American Journal of Medicine, Volume 125, No 1, January 2012
Handoff Training & Evaluation on 30-day Risk-adjusted Mortality
Rates for Pneumonia
• On target for 30% medical student increase by 2016
• Federal redistribution left Georgia ‘out in the cold”
• Perhaps further federal GME opportunities… or cuts
• Year‐long Board of Regents comprehensive needs assessment for GME
Physician shortages are expected to exceed 90,000 over the next decade
650,000700,000750,000800,000850,000900,000950,000
2010 2015 2020 2025
Projected Supply & Demand of Physicians, 2010 ‐ 2025
PhysicianSupply(All…
Shortage of130,600 Physicians
Source: Association of American Medical Colleges, 2010
• Georgia per capita physician workforce ranks 40th (2009):
– GA Per Capita rate ‐ 204.5
– US Per Capita rate – 254.5
• 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
• Sponsored events:‐ Freshman Brunch
‐ Raft Debate‐ Graduation Dinner
‐ Hooding‐ Family Day‐ White Coat
889921
1042
8508708909109309509709901010103010501070
2009‐2010 2010‐2011 2011‐2012
MCG Alumni Association Membership 2009‐2012
• Graduates with medical school debt:• Public medical schools: • All medical schools: • MCG Average:
Medical Student Debt & Scholarship: An Increasing Focus of Our Efforts
Dean’s Endowed Scholarship
• 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
BUILDING ON OUR MOMENTUM:Research Snapshot
Increasing Our Reach Globally…
• Collaboration
• High quality presentations
• International presence
There Has Been a Substantial Increase in Medical Student Research
0
20
40
60
80
100
120
Year2003
Year2004
Year2005
Year2006
Year2007
Year2008
Year2009
Year2010
Year2011
*Year2012
• Expanded research program
• New support and resources
supportive faculty
• Revamped MD/PhD program
Strategy for Improving Translation
• Inventions and licensing as promotion & tenure criteria
• Online store• Facilitate industry
sponsored research
• Institute for Public & Preventive Health
• Improve infrastructure & support
• Recruit active & productive clinical research faculty
Develop a more entrepreneurial, industry‐ facing environment
Grow clinical & translational research
Executive Health Program… Coming Soon
• Longstanding non‐alignment a chronic source of frustration and underachievement
'Taking on' Ambulatory Care... The Next Great Frontier of Clinical Integration
• Development of a Medical Group culture
• Partnering with Medical Leadership to ensure an integrated approach to providing clinical service
• Enhanced scheduling and access
0%5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
Other 8%
AMI 2%
SCIP 0 Pn
eumon
ia 8%
HAIs 8% Heart Failure 16%
HCA
HPS
50%
Quality & Improvement Is Now ‘Center Stage’
• Focus on ambulatory care re‐design to enhance access, growth, & quality
• CDC 2011 infection control guidelines for ambulatory care
• AMA 2012 report focuses on Quality in outpatient care– Research on Quality metrics
and IT– Communications– Safety conscious culture
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
GHSU Average: June = 2.78, Dec = 3.36
2.78
3.36
2.82
3.39
1
2
3
4
5
June December
Ratings
GHSU MCG
21%
21%
31%
32%
48%
47%
0 20 40 60 80 100
Dec MCG
June MCG
Unfavorable Neutral Favorable
• 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
MCG Diversity Programs: A Sustained and Increasingly Robust Portfolio
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
• 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
Transformation 2020
• Increased media coverage• GHSU averages hits per month in various local and national media 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
“Making Noise”… Media Hits Across Country
GHSU Medical College of Georgia2012 Investiture Ceremony
Honoring: Stephen Black, PhD
Regents’ Professor
W. Bruce Davis, MDJ.H. Keels, Jr. Chair in Pulmonary Medicine
Lawrence Devoe, MD Emeritus Professor
Zheng Dong, PhD Regents’ Professor
Ruth‐Marie Fincher, MD Emeritus Professor
Charles G. Howell, Jr., MD Moretz/Mansberger Distinguished Chair in
Surgery
Vinayak Kamath, MBBS Robert G. Ellison, M.D. Distinguished Chair in
Cardiothoracic Surgery
William Kanto, MD Emeritus Professor
Lawrence C. Layman, MD Robert B. Greenblatt, M.D. Chair in
Endocrinology
Bruce MacFadyen, MD Emeritus Professor
Amyn M. Rojiani, MD/PhD Edgar R. Pund, M.D. Distinguished Chair in
Pathology
Betty S. Pace, MD Francis J. Tedesco, M.D. Distinguished Chair
in Pediatric Hem/Onc
Martha K. Terris, MDRoy Witherington, M.D. Distinguished Chair
in Urology
Martha S. Tingen, PhD Charles W. Linder, M.D. Endowed Chair in
Pediatrics
Clinton Webb, PhD Regents’ Professor
Surgeon General of the U.S. Navy Chief, Navy Bureau of Medicine & Surgery
2012 Hooding CeremonyMay 10, 2012 at 2:00 p.m.
Bell Auditorium
Vice Admiral Matthew L. Nathan
MCG Distinguished AlumnusVÄtáá Éy DLKD
Medical College of GeorgiaAnnual State of the College Address
May 4, 2012
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