Mount Sinai School of Medicine

Achieving and Maintaining Greatness

Accelerating ScienceAdvancing Medicine

Mount Sinai School of Medicine Mount Sinai School of Medicine

DENNIS S. CHARNEY, M.D.Dean

September 22, 2009



Quality Quality Best Doctors in NY

• 152 FPA Doctors in 49 specialties Total 415 in 56 specialties (includes voluntaries, affiliates and non-FPA)

US News & World Report Rankings• Medical School 2009 #22 (from #33 in 2004)• Hospital Honor Roll 2009-2010 #19 (never before)

(out of 4,861 hospitals analyzed) Top 20 in 6 Specialties Top 50 in 11 Specialties

NIH Funding Rank• Academic Medical Centers 2009 #18 (from #25 in 2004)• U.S. Medical Schools (AAMC) 2009 #3 Research Dollars/Principal Investigator

#2 Research DensityThe Scientist's annual "Best Places to Work in Academia Survey"

• MSSM in Top 152009 AAMC Spencer Foreman Community Service Award



Tripartite Missions of MSSMTripartite Missions of MSSM

1. Clinical

2. Education

3. Research



Faculty PracticeFaculty Practice

The practice has seen exceptional growth •Jan-Jun 2008 vs 2009

–Membership in FPA has grown by 7%–Number of visits grew by 10%–wRVUs grew by 12%–Receipts grew by 7%

•Successful recruitment of outstanding clinicians has driven the volume and receipts•Emphasis on core values has resulted in better patient satisfaction

–Studer Group training for doctors and staff–Press-Ganey surveys and reports for feedback and coaching



Faculty Practice ReceiptsFaculty Practice Receipts

Name Receipts Clinical MDs

Receipts /MD 2008

Northwestern U Feinberg SOM $ 403,534,216 600 $672,557Weill Cornell Medical College $ 395,356,507 707 $559,203Emory Univ. SOM $ 435,246,077 928 $469,015Wake Forest Univ. SOM $ 277,581,384 615 $451,352Mount Sinai SOM $ 363,526,485 828 $439,041Washington Univ. in St. Louis SOM $ 464,400,000 1,061 $437,700Univ. of WI SOM & Public Health $ 448,616,038 1,107 $405,254Columbia Univ. Coll of P & S $ 435,065,000 1,200 $362,554Duke Univ. SOM $ 359,974,095 1,006 $357,827Univ. of Rochester SOM and Dentistry $ 294,492,579 985 $298,977Yale Univ. SOM $ 264,092,763 908 $290,851Univ. of Virginia SOM $ 200,678,554 728 $275,657Univ. of CA Los Angeles SOM $ 336,777,755 1,275 $264,139Medical Univ. of SC Coll of Med $ 198,219,334 761 $260,472Univ. of Iowa Coll. Of Med $ 175,108,351 683 $256,381Univ. of Utah SOM $ 242,079,755 950 $254,821Univ. of CA, San Francisco, SOM $ 293,199,914 1,180 $248,475Univ. of Minnesota Medical School $ 176,050,588 721 $244,176Massachusetts General Hospital $ 497,476,362 2,123 $234,327Beth Israel-Deaconess Med Ctr $ 210,649,000 923 $228,222Oregon Health & Science Univ. SOM $ 183,597,355 839 $218,829Univ. of NC at Chapel Hill SOM $ 166,967,686 1,012 $164,988Univ. of CA San Diego SOM $ 120,974,174 780 $155,095

FPA Patient Care Receipts compared to other Top Ranked Schools



FPA Strategic Goals FPA Strategic Goals

• Continue to develop a patient-centered, efficiently-run, professionally-managed FPA without losing any of the entrepreneurial spirit that has led to the unmatched success in growth over the past 5 years

• Continue to develop a culture of service, so that our patient satisfaction matches our outstanding quality of patient care

• Continue to improve operational efficiency, such as in the revenue cycle, realizing economies of scale where appropriate

• Continue our practice growth

• Expand primary care on campus and develop strategic alliances to expand our primary care reach

• Rebrand the FPA – Name, East Coast Mayo/Cleveland Clinic



Education: Recognition Education: Recognition

Recognition• 2009 AAMC Spencer Foreman Community Service Award • AMA Foundation

– Pride in the Profession Awarded to Dean for Medical Education, David Muller MD– Student Leadership Awarded to 2 students– AMA Foundation Minority Scholars Awarded to 2 students



Education: Quality – Matriculating Class of 2009Education: Quality – Matriculating Class of 2009

MD Students

Number of Complete Applications: 4,768Number of Interviews (excl EA/MSTP) 853Size of Class 140MSTP 11

NYS State Residents 33%Women 53.6%URM 17.9%Average MCAT 34.9Average GPA 3.69Number of Undergraduate Schools 48(Penn=12, Harvard=9, Brown=8, Columbia=7, NYU=7)



Education: Quality – Matriculating Class of 2009Education: Quality – Matriculating Class of 2009

PhD Students Number of Complete Applications: 359Size of Class 30NYS State Residents 37%Women 77%URM 17%Average GRE 1280Average GPA 3.54

Number of Undergraduate Schools 28(UChicago=1, Emory=1, Cornell=2, Peking University=1, Columbia=1, Bates=1, Williams=1, Wellesley=1)



Education: Strategic PlanEducation: Strategic Plan

Our goal is to prepare physicians and scientists to enter society as informed advocates and activists ready to advance research and clinical care and capable of promoting change. All our efforts and reforms are focused on creating a more integrated, patient-centered learning experience in both basic science and clinical medicine.

David Muller, MDMarietta and Charles C. Morchand Chair in Medical Education andDean for Medical Education

I am proud to introduce Mount Sinai’s vision for the School of Medicine. The programs and advances you will read about

here represent a bold departure from the traditional medical

school model. They also reflect Mount Sinai’s deep and long-

standing commitment to translational medicine.

Dennis S. Charney, MDAnne and Joel Ehrenkranz Dean of Mount

Sinai School of Medicine andExecutive Vice President for Academic

Affairs of The Mount Sinai Medical Center



Education: Education: Notable curriculum and programsNotable curriculum and programs

• Competencies-based Curriculum– A more individualized approach to education

A more even distribution of science and medicine• Longitudinal Clinical Experience (LCE)

– one of two schools in the country to implement a Longitudinal Clinical Experience for an entire entering class, allowing students to experience doctoring from the very start, and helping them ‘translate’ the science they learn into a clinical context.

• INSPIRE– 3-4 months of protected time in the fourth year for mentored scholarly projects

• 5 year MD/MSCR - PORTAL• East Harlem Health Outreach Partnership (EHHOP)• Visiting Doctors • Adolescent Health Center



Education: Institute for Medical EducationEducation: Institute for Medical Education

Director: Lisa Coplit, MD

Goals of the new Institute:• Recognition/Reward for Excellence in Education • Support for Promotion on Educator Track • Support and development in Teaching/Education • Support and development of Scholarship • Create an Educational community



Education: Strategic Goals Education: Strategic Goals

• Recruitment of outstanding medical and graduate students

• Develop unique cutting edge curriculum in medical and graduate school

• Establish new PhD programs (Computational Genetics, Global/Public Health)

• NAS Report: A New Biology for the 21st Century: Ensuring the United States Leads the Coming Biology Revolution

• Continue to align PhD programs with focus of the Research Institutes

• Mentorship



• Institutional Accreditation Middle States Commission on Higher Education

• Charter Amendment, New Name New York State Department of Education

Target Date: November, 2010

Independent StatusIndependent Status



Research ProductivityResearch Productivity

• MSSM is now #18 in NIH Funding with ~$200M in grants

• AARA Funding Outstanding

• The efficiency of space utilization has improved– In 2006, the average institutional research density was $565/sf– In 2007, the average institutional research density was $639/sf– In 2008, the average institutional research density is $651/sf

• This increase has enabled us to make major recruitments within our existing space



Direct Expenditures per Principal InvestigatorPurpose: Assesses research productivity of faculty engaged in research

Higher Number is FavorableFormula: Direct Expenditures / Number of PIs



Grant $s per Net Assignable Square Foot (NASF)Purpose: Reflects productivity of research space

Higher Number is FavorableFormula: Total Grant $s / NASF



Research Space UseResearch Space UseResearch Space at 95% occupancy



Center for Science and Technology at East River Science ParkCenter for Science and Technology at East River Science Park



Strategies for Facilitating Biomedical BreakthroughsAcademic Medical Centers

Mount Sinai 1. Create multidisciplinary interdepartmental research institutes

and centers which are high in scientific diversity, depth, and integration.

2. Encourage a highly focused research effort and intense and frequent interaction of faculty from diverse backgrounds

3. Create a Departmental-Institute matrix that results in scientific breakthroughs relevant to human disease

4. Recruit great scientists



Genomics Institute Genomics Institute

NEW NIH DIRECTOR’S TOP TWO OBJECTIVES

“Apply High-Throughput Technologies to

Understand Fundamental Biology and

Uncover the Causes of Disease.”

“Support Translational Research to Take

Advantage of New Discoveries that Can

Lead to New Diagnostics and Treatments.” Francis Collins, MD, PhD

August 17, 2009



Mount Sinai Genomics Institute - Mount Sinai Genomics Institute - A Core Technology InstituteA Core Technology Institute

MISSION:

To provide the latest Genetic/Genomic Technologies

and Computational and Analytical Capabilities for

MSSM Investigators




• Provide Latest Technologies & Analytical Capabilities:– Expand Current Genome Capabilities:

• Recruit Expert Faculty and Staff• High Throughput Sequencers• Chip-Based Technologies

– Expand Proteomics/Metabolomics Technologies:• Recruit Expert Faculty and Staff• Mass Spectrometers

• Provide Bioinformatic/Computational Capabilities:– Recruit Expert Faculty and Staff– Super Computer Power– Develop & Provide New Analytical Tools




• Recruit World-Class Director• Provide the Latest Technologies for

Genomic, Proteomics, & Metabolomics: $15M Recruit Expert Faculty & Staff– Next Generation Sequencers– Whole Genome Sequencers– Mass Spectrometers, etc.

• Markedly Expand BioInformatics & Computational Capabilities: $15M Recruit Expert Faculty & Staff

– Hardware and Software, etc.– Tool DevelopmentTotal Costs $30M



Mount Sinai Institutes of Clinical Mount Sinai Institutes of Clinical & Translational Sciences& Translational Sciences

CTSACTSA: PI: PIH Sampson, MDH Sampson, MD Dean for TranslationalDean for Translational Biomedical SciencesBiomedical SciencesAward: $35m over 5 yearsAward: $35m over 5 years



~500,000 GSF devoted to Translational Research & Clinical functions Occupancy: 2012/13

Successful recruitment of outstanding faculty with research support has exceeded the strategic plan targets

Center for Science & MedicineCenter for Science & Medicine



Center for Science & MedicineCenter for Science & Medicine



Keys to Our Continued SuccessKeys to Our Continued Success

• Great leadership at all levelsGreat leadership at all levels• Financial disciplineFinancial discipline• Transparent decision-making based on Transparent decision-making based on

performanceperformance• Recruitment and retention at all levelsRecruitment and retention at all levels• Alignment of Education, Research & Clinical Alignment of Education, Research & Clinical

missionsmissions

A CULTURE OF EXCELLENCEA CULTURE OF EXCELLENCE

Mount Sinai School of Medicine

Documents