Medical College of Georgia Annual State of the College Address

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