University of the Virgin Islands Medical School Update Medical School Classrooms Medical School Simulation Center EFTA01112042 APPOINTMENT OF INTERIM DEAN OF MEDICAL SCHOOL (May 2014) Dr. Benjamin Sachs Harvard Medical School (1978-2007) Rosenfield Professor & Chair Ob/Gyn HMS and HSPH President Beth Israel Deaconess Physician Organization SVP & Dean, Tulane medical School (2007-13) Senior lecturer Harvard Medical School (current) EFTA01112043 UVI School of Medicine: Why? Train next generation of physicians for the USVI USA: growing shortage of physicians • To Improve the healthcare of the people of the USVI USVI hospitals to become teaching hospitals Teaching hospitals: Offer wider range of clinical services Easier to recruit MDs and allied health professionals Higher quality care Higher reimbursement — financial improvement Research: public health & Infectious disease Better understand healthcare needs of the Territory Economic impact on USVI: Classroom and simulation center facilities UVI: Grow biomedical sciences, raise stature of university EFTA01112044 1050000 - 1000000 - 950000 900000 850000 800000 750000 700000 650000 Summary of Demand Scenarios 2005 2007 2009 2011 2013 2015 2017 2019 2021 2023 2025 Economic growth .• .• ..." .• iricroasing vlialts45 . .• a a* . ,•I:..• Universal ..7"- • .4.• .4* .4. a „a Coverage .• eir " Demand • 1.41 Primary care cent,- , .cr ' a • • a .• 'A NP/PA Expansion Physicians USA .6-• w...ffsiPAs 25% of prim carp Ir. • it ' Supply EFTA01112045 Grcwth in National Health Expenditures as a Percentage of GDP 20% 15% 10% 0% 1965 1970 1975, 1980 1985 1990 1995 2000 200 5 Saone: Ceparne---. cf MOM and Baran Setup(CenRersiar 1lptlksa aid MxMeld Se Rites). aa. 2017: Medicare trust fund exhausted Medicare & Medicaid $1.7 trillion 2010 2015 EFTA01112046 Vision visionTheedic ih e is ( (UVISM) them University is to improve the healthIslands niversityoftheVirgin f h Schoolt of m 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. EFTA01112047 Liaison Committee Medical Education (LCME) Timetable • December 2014 - Preliminary submission • Including names of faculty • Spring 2015 - Site visit • Summer — Preliminary approval • August 2016 — 1st class 25 students • August 2017 — 2"d class 50 students • Full Accreditation -2020 Key issues: Facilities, Faculty and Finances EFTA01112048 Medical School Education • Year I: basic science e.g. physiology, anatomy, nutrition, biochemistry etc. • Other: medical ethics, public health, preventive medicine, culture & health • Taught by PhDs and MDs • Year 2: Understanding organ function health and disease e.g. Heart, kidney, brain etc. and disease e.g. diabetes • Other: Preventive medicine, communication skills, patient safety & healthcare quality • Taught by PhD scientists and MDs • Year 3: clinical experiences- hospitals, clinics etc. • Year 4: clinical experiences -sub internships, preparation for residency EFTA01112049 AQS Training Cellular Function and Medical Genetics (8 Imppkcl Structure and Function (17 weeks) Psychosocial Issues in Healthcare (11 weeks) Health and Disease (8 weeks) Hematology/Oncology [4 weeks) Practice of Medicine including Community of Practice I Emergency Medical Services, Autopsies - Medical Examiner, MPH-course work (elective), Institute for Healthcare Improvement Certification Emergency Medical Services, MPH - course work (elective), Institute for Healthcare Improvement Certification ractice of Medicine including Community of Practice II M2 Cardiovascular and Endocrine and Gastrointestinal and Skin and USMIE STEP 1 M3 Pulmonary Systems Reproductive Systems Renal Systems Musculoskeletal Brain and Behavior (7 weeks) (6 weeks) (6 weeks) (6 weeks) Systems (4 weeks) Internal Medicine (12 weeks) Family Medicine (4 weeks) Ob/Gyn (6 weeks) Pediatrics (6 weeks) Psychiatry & Neurology (10 weeks) Surgery (10 weeks) Emergency Medicine (4 weeks) Tampa General Hospital (16 weeks including 2 sub-internships and critical care) Electives (22 weeks)' 0 toA Internal Medicine Neurology-Psychiatry Ob/Gyn Pediatrics Family medicine Surgery 0 a.Graduatior M 4 USMLE STEP 2 CK/CS by December Graduates begin Residency Training as M.D. Culture, Health & Ethics & Medical Gender Based Geriatrics & Principles Medical Longitudinal Curricular Themes: Medical Nutrition Society Humanities Medicine of Pallative Care Informatics 1. MPH students required course work EFTA01112050 Models: Classical vs. New School Boston University /Tufts UVI # students/year 200 501 Departments: Preclinical 7+/- 1 clinical 12 +/- 3 (each STT & STX): Chairs nary and specialty care, chief ambulatory medicine Pedagogy: Lectures "flipped" classroom —Just in Time Teaching (JiTT) Anatomy Cadaveric labs 3D simulation + autopsies with Medical examiner Intro. Clinical med. Student clinic EMS, homeless clinic, geriatrics # FT faculty needed for UVI: 25 Develop curriculum 33 UVI existing faculty, clinicians and new hires Purchase curriculum 1. Limited by clinical sites: USVI can accommodate - 5o students 2. St. Thomas (STT) St. Croix (STX) EFTA01112051 Partnership Objectives • To provide high quality cost effective medical education ' To take advantage of an extremely high quality curriculum developed by another school. ' To take advantage of UVISOM's PhD faculty: • opportunity to teach in the medical school. • UVISOM faculty will be paid extra • Improve UVI's undergraduate education. • In the unlikely event of forced closure of the UVISOM (e.g. major hurricane) another school to take the responsibility of arranging the placement of the students so they will be able to complete their studies. EFTA01112052 Medical School Simulation Center CAMLS - model • https://www.youtube.comiwatch?v-OfdXCbk8pUs EFTA01112053 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." NO LECTURES The "flipped" classroom Just in Time Teaching (JiTT) https://www.youtube.com/watch?v=r2b7GeuqkPc EFTA01112054 Medical School: Years i & 2 —basic science Medical School: Years 1,2,3 & 4 simulation Residency training (future plan) Continuing professional development: local, regional, national and international physicians and nurses Allied health professionals, is responders Additional biomedical research facilities for medical school & other UVI schools St Thomas Medical School Years 3 & 4 -clinical medicine St Croix St John Mainland Schneider Juan Luis Hospital Myrah 4th year Hospital Frederiksted Clinic Keating rotations East End family Clinic Clinic Schneider Hospital Combined with Classroom Building Medical school simulation center Juan Luis Hospital Medical school simulation center2 Medical school simulation center2 EFTA01112055 1I Estimated Annual Economic Impact St Thomas St Croi Total Comment Medical school classrooms) FTEs $24-30m 64 $1M 5-10 $31m 69-74 4 years -5o students/year Includes approximately 24 existing faculty, support staff & 6 new faculty Medical school simulation center FTEs 0 5o 5o New Hires: technical jobs Fully operational Classrooms + simulation $24-30m $30m $54-60m EFTA01112056 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 EFTA01112057 UNIVERSITY OF CENTRAL LLOrT ioa 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 1 4 2 2 2 3 0 >7.6 2 ANNUAL Act TYPO( Current activity generates 80 percent of the 2006 study's animated economic Impact from the potential cluster. Source: Arduin. Laffer & Mawr Econometric, The l/CF College of Medicine'. Burnett School of Biomedical Sciences Is where the best and brightest graduate students can cream tomorrow's cures. _ A NI 0 O NJ C. NI A EFTA01112058