UPDATE University of the Virgin Islands School of Medicine Aelvg+.1-4..A EFTA01092499 Vision The vision of the University of the Virgin Islands School of Medicine (UVISM) is to improve the health care of the people of the Territory and wider Caribbean community and to address pressing national and international health issues in support of the global community. Mission The mission of UVISM is to educate students from the diverse communities of the U.S. Virgin Islands, the wider Caribbean and the Continental US as physicians dedicated to the health and well-being of their communities. These physicians will be prepared through innovative pedagogy that results in physicians who are life-long learners, solution finders, team players and leaders of the 21st Century. EFTA01092500 University of the Virgin Islands Medical School Classroom Building St. Thomas Campus spring spring0 EFTA01092501 Medical Education Building St Thomas 28,947 GSF West View EFTA01092502 191,11, 3PnnIE East View EFTA01092503 Simulation Center St. Croix Square Footage19,401 GSF spelnp., •• Entry View EFTA01092504 UVI School of Medicine: Why? • To Improve the healthcare of the people of the USVI • Improve Schneider and Juan Luis Hospitals • Will become teaching hospitals • Facilitate recruitment of physicians • Medical school brings new expertise in healthcare policy & management • Simulation center: emphasize on patient safety and quality • Research: public health & Infectious disease • Train next generation of physicians for the USVI • USA: growing shortage of physicians • Economic impact: $6om / year • University of the Virgin Islands: Grow biomedical sciences • Train allied health professionals EFTA01092505 Figure 1. Baseline scenario projections of FTE physicians. FTE Physicians 900.000 850,000 800,000 750,000 700.000 Baseline demand Baseline supply 650,000 2005 2010 2015 2020 2025 Year FTE = Full-time equivalent. Shortage: 124,400 EFTA01092506 First-Time Applicants, Total Applicants, and First-Time Enrollees to U.S. Medical Schools, 2014 FIRST-TIME APPLICANTS TOTAL APPLICANTS FIRST-TIME ENROLLEES EFTA01092507 BACKGROUND Only 3 I io6 HBCUs have medical schools. The first new HBCU medical school in over 38 years. 2015: 6% of medical school enrollees African-American 39 Caribbean for profit medical schools NOT LCME accredited. Graduates classified as foreign medical graduates. <5o% enter residency programs in USA Historically Black College & University EFTA01092508 Figure 4 100% 75% 50% 25% 0% PGY-1 Match Rates by Applicant Type, 1982 - 2012 Percent Matched U.S. Seniors Non-U.S. IMGs 1982 1985 1990 1995 2000 2005 2010 EFTA01092509 Liaison Committee Medical Education (LCME) Timetable • August 1- submission • November 2016 — Site visit? • February 2017 preliminary accreditation • August 2017 — 1st class 25 students • August 2018 — 2nd class 50 students • Full Accreditation -2021 EFTA01092510 Why Liaison Committee on Medical Education Accredited Medical School? Quality of the education Ability to enter residency program Ability to practice in USA EFTA01092511 n3 ro0 O Septembe UVI School of Medicine Curriculum Ma October Novembe Dec em be Anatomy and Physiology (i6 weeks) January Februar Cellular Function & Medical Genetics (8 weeks) Health and Disease (8 weeks) Pyschosocial Issues in Healthcare ii weeks Hematolog ylOncology (4 weeks) Practice of Medicine including Community of Practice I Emergency Medical Services, Autopsies - Medical Examiner, MPH-course work (elective), Institute for Healthcar improvement Certification USMLE STEP 1 I Adult Medicine Primary care OB/GYN,Peds Psychiatry/Neur. Surgery Cardiovascular and Pulmonary Systems (6 weeks) Endocrine and Reproductive Systems (6 weeks) Gastrointestinal and Renal Systems (6 weeks) Skin and Musculoskelet al Systems (4 weeks)Brain and Behavior () weeks) Practice of Medicine including Community of Practice II Emergency Medical Services, Autopsies — Medical Examiner, MP H•course work (elective), Institute for Healthcare Improvement Certification Adult Medicine (8 weeks) Primary care (Outpatient:Family Medicine, Internal Medicine, Pediatrics and Women's Health/Gynecology) (8 weeks) Maternal/Newborn and Pediatric Inpatient Care (8 weeks) Surgical Care (General Surgery, GYN surgery & surgical subspecialties) (io weeks) Psychiatry & Neurology (1c, weeks) Review Course (4 weeks) ocl m u USMLE STEP 2 CK/CS Capstone 1 Graduation Graduates Emergency Medicine (4 weeks) begin USF Affiliate(8 weeks including I. sub-internship) Residency Electives (26 weeks) Training as M Longitudinal Curricular Themes: Culture, Health & Society tfii& Medical umanities Gender Based Medicine G&ia ncs & Principles of_Pallative_Care Medical Informatics Medical Nutrition EFTA01092512 II. Number Students Departments: Medical Science Clinical No lectures Total 200 (50/ year) 1 3 (each STT & STX): Chairs nary and specialty care, chief ambulatory medicine "flipped" classroom — Just in Time Teaching (JiTT) Anatomy 3D simulation + autopsies with Medical Examiner Introduction to clinical medicine. Full-time faculty General faculty Total EMS, homeless clinic, geriatrics I 102 (32 basic science) 32 134 EFTA01092513 How We Teach Physicians will be prepared for the challenges of the 21st century: doctors who are life-long learners, solution finders, team players and educators. The nippec) Classroom iA W SecoAcis EFTA01092514 U V I SO M Medical School Clinical Rotations St Thomas St Croix USF Tampa General Tampa VA 3rd Year Schneider Regional East End Clinic Juan Luis Hospital Frederiksted Clinic 8-10 weeks 4th Year Electives 8 weeks Classroom Building St Thomas Years 1 & 2 Simulation Center St Croix Years 1-4 Private offices Public health clinics Autopsies with Medical Examiner Service learning: EMS , Homeless clinic, elderly housing facility, EFTA01092515 UVISOM Leadershi• Team ill Medical Science Chair Professor Donna Nemeth PhD i• Associate Deans: Clinical Affairs Dr. Ruth Watson MD Student Affairs Dr. Lori Thomson PhD Faculty & Academic Affairs Dr. G. Moolenaar PhD Clinical Chairs: Primary Care Specialty Medicine Ambulatory Care M. Dizon MD STX, J.Wilson MD STT D.Galiber MD STX, G. Comissiong MD STT S.Karel MD STX, D.Frances MD STT EFTA01092516 Partners • University Central Florida (established 2006) — Curriculum & assessment — UVI faculty development — Safety net in the event of exigency • University of South Florida — 3rd & 4th year clinical rotations at USF teaching hospital — Master in Public Health — on line — Development and management of simulation center EFTA01092517 Medical School Simulation Center To be Initially Managed by USF - CAMLS Tampa FL • Professional education • Surgeons, cardiologists etc. • First responders: EMS, coast guards, military etc. • Nurses & allied healthcare professionals • Medical students 20 EFTA01092518 The USF Health Center for Advanced 21 Medical Learning and Simulation in Tampa, Florida EFTA01092519 First Responder Training US Military, National Guard EFTA01092520 Estimated Annual Economic Impact St Thomas St Croix I I 7r,`,7-11 Medical school classrooms $24-30m SIM $31m 64 5-10 69-74 Medical school simulation center 0 50 50 Fully operational Classrooms + simulation center $24-30m $30M $54-6om EFTA01092521 Liaison Committee Medical Education (LCME) Timetable • August 1- submission • November 2016 — Site visit? • February 2017 preliminary accreditation • August 2017 — 1st class 25 students • August 2018 — 2nd class 50 students • Full Accreditation -2021 EFTA01092522 Benjamin Sachs MB.BS Background: clinical medicine (Obstetrics & Gynecology, Maternal — Fetal Medicine), public health-health policy and finance -business administration with extensive executive experience in physician and hospital management • Dean University Virgin Islands School of Medicine • Senior Vice President of Tulane University and Dean, School of Medicine James R. Doty Distinguished Professor and Chair (2007- 2013) • Harvard Medical School & Harvard School Public Health (1978-2007) Chair: Obstetrics & Gynecology (1989-2007) ➢ The Rosenfield Professor (1997-2007) ➢ President: Beth Israel-Deaconess Physician Organization (1999-2007) 1600 physician organization ➢ Massachusetts General Hospital - HMS (2013-) Born London UK, graduate of Imperial College (St Mary's) Medical School EFTA01092523 University Central Florida New medical school —17 miles south Orlando Florida Brainchild Governor Jed Bush Investment: $3om / year 3 years Size of investment proportional to economic benefit EFTA01092524 vNIVERSITV Or criutuAL FLORIDA U N I C E C Economic Impact The College of Medicine, combined with a life sciences cluster, by 2017, could create: 30,000 jobs $459.9 million in annual tax revenue $2.8 billion in annual wages $7.6 billion in annual economic activity Current activity generates SO percent of the 2006 study's Octimated economic Impact from the Potential cluster. 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