EFTA01112042.pdf

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  Summary of Demand 1050000 - Scenarios Economic growth .• 1000000 - ..." iricroasing vlialts45 .• 950000 .• a* . .• a . Universal 900000 . ,•I: ..7"- .4. „ a Coverage .• .4 .• eir " • a .• Demand .4* 850000 , • 1.41Primary care cent,- .cr ' a •• a .• 'A NP/PA Expansion 800000 • .6- w...ffsiPAs 25% of prim carp Ir . • it ' 750000 Supply 700000 650000 2005 2007 2009 2011 2013 2015 2017 2019 2021 2023 2025 Physicians USA EFTA01112045  Grcwth in National Health Expenditures as a Percentage of GDP 20% aa. 15% 10% 2017: Medicare trust fund exhausted Medicare & Medicaid $1.7 trillion 0% 1965 1970 1975, 1980 1985 1990 1995 2000 2005 2010 2015 Saone: Ceparne---. cf MOM and Baran Setup(CenRersiar 1lptlksa aid MxMeld Se Rites). EFTA01112046 Vision Theedic vision ihe ( themUniversity niversityoftheVirgin healthIslands School t of m (UVISM) is is to improve the f h 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  Cellular Function and Psychosocial Issues in Healthcare (11 weeks) Medical Genetics (8 Structure and Function (17 weeks) Hematology/Oncology Health and Disease (8 weeks) [4 weeks) Imppkcl Practice of Medicine including Community of Practice I AQS Training 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 Internal Medicine ractice of Medicine including Community of Practice II Neurology-Psychiatry Ob/Gyn M2 Cardiovascular and Endocrine and Gastrointestinal and Skin and USMIE STEP 1 M3 Pediatrics Pulmonary Systems Reproductive Systems Renal Systems Musculoskeletal Brain and Behavior (7 weeks) Systems (4 weeks) Family medicine (6 weeks) (6 weeks) (6 weeks) Surgery Internal Medicine (12 weeks) Family Medicine (4 weeks) Ob/Gyn (6 weeks) 0 M USMLE STEP 2 a. 4 CK/CS by December Pediatrics (6 weeks) Psychiatry & Neurology (10 weeks) Surgery (10 weeks) Graduatior Emergency Medicine (4 weeks) Graduates begin 0 Tampa General Hospital (16 weeks including 2 sub-internships and critical care) Residency Training as to A M.D. Electives (22 weeks)' 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 50 1 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 33 UVI existing faculty, clinicians and new hires Develop curriculum 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  St Thomas St Croix St John Mainland Medical School: Years i & 2 —basic science Medical School Schneider Juan Luis Hospital Myrah 4th year Years 3 & 4 -clinical medicine Hospital Frederiksted Clinic Keating rotations East End family Clinic Clinic Medical School: Years 1,2,3 & 4 simulation Medical school simulation center Residency training (future plan) Schneider Juan Luis Hospital Hospital Continuing professional Medical school development: local, regional, simulation center2 national and international physicians and nurses Allied health professionals, is Medical school responders simulation center2 Additional biomedical research Combined with facilities for medical school & other Classroom UVI schools Building EFTA01112055 I 1 Estimated Annual Economic Impact Medical school classrooms) St Thomas $24-30m St Croi $1M Total $31m Comment 4 years -5o students/year FTEs 64 5-10 69-74 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 + $24-30m $30m $54-60m simulation 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 _ A NI 0 O Economic Impact NJ C. NI A 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 >7.6 1 4 Current activity generates 2 80 percent of ANNUAL the 2006 study's Act TYPO( animated economic 2 Impact from the 2 potential cluster. 2 3 0 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. EFTA01112058