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Leadership Profile Chair, Department of Emergency Medicine El Paso, Texas CONFIDENTIAL Prepared by Marvene M. Eastham March 2015 This Leadership Profile is intended to provide information about TTUHSC at El Paso and the position of Chair, Department of Emergency Medicine. It is designed to assist qualified individuals in assessing their interest.

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Leadership Profile

Chair, Department of Emergency Medicine

El Paso, Texas

CONFIDENTIAL

Prepared by

Marvene M. Eastham March 2015 This Leadership Profile is intended to provide information about TTUHSC at El Paso and the position of Chair, Department of Emergency Medicine. It is designed to assist qualified individuals in assessing their interest.

Table of Contents _____________________________________________ Opportunity and Summary of Position Page 1 _____________________________________________

History Page 2 _____________________________________________ The Organization Page 3 _____________________________________________ The Department of Emergency Medicine Page 15 _____________________________________________ The Position Page 18

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Candidate Qualifications Page 18

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Goals and Objectives Page 20

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Organizational Chart Page 21

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The Community Page 22

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Procedure for Candidacy Page 25

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Opportunity and Summary of Position

Texas Tech University Health Sciences Center (TTUHSC) El Paso’s Paul L. Foster School of Medicine seeks a dynamic leader who will assume the position of Chair, Department of Emergency Medicine. This individual will be the academic and clinical chief of the Department of Emergency Medicine. The position reports to the President of the Texas Tech University Health Sciences Center El Paso/Dean of Paul L. Foster School of Medicine. The successful candidate will play an instrumental role in helping the President/Dean establish a national reputation for clinical excellence and sustain a commitment to leadership, vision and excellence in graduate and undergraduate education, resident and fellowship education and research for the Department of Emergency Medicine. On May 20, 2013, officials at the Texas Tech University System announced the establishment of Texas Tech University Health Sciences Center at El Paso as the fourth university under the Texas Tech University System. Preparations for the transition from a regional campus to a freestanding university with degree-granting authority have been underway since 2011. The El Paso campus currently consists of the Paul L. Foster School of Medicine, the Gayle Greve Hunt School of Nursing, and the Graduate School of Biomedical Sciences. As an independent university, Texas Tech University Health Sciences Center El Paso will benefit regional priorities by promoting access to healthcare and attracting more physicians and healthcare professionals to the area. The University will also be able to focus its research efforts on diseases affecting Hispanic and border populations and provide quality care in a medically underserved region. The faculty and staff are energized by the creation of this new entity and all of the opportunity this creates for growth. This transition comes at a particularly exciting time for the School of Medicine’s history, as a renewed commitment to excellence coupled with a substantial campaign to invest in faculty and facilities has begun. This new endeavor includes the potential for new and broadened provider relationships and affiliations. By further strengthening the operational, clinical, and financial performance of the Department of Emergency Medicine, by contributing to the growth and success of the Health Sciences Center as whole, and the growth and development of faculty, the Chair, as part of the leadership team, will continue to raise the profile of the institution and help the School fulfill its unique mission at a very opportune time in its history.

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History

In 1969, the 61st Texas Legislature approved the creation of Texas Tech University Health Sciences Center at El Paso with the intent of creating a School of Medicine in Lubbock with four regional campuses throughout West Texas. The mission and objective of this effort was to provide quality medical education, improve rural access to healthcare and develop programs throughout West Texas emphasizing the importance of primary healthcare. In 1973, a regional academic health center campus was established in El Paso, with a teaching affiliation with University Medical Center,

accepting third and fourth-year medical students from the Texas Tech School of Medicine in Lubbock. In 2007, state funding was provided to support a four-year School of Medicine, including the establishment of a new campus to consist of three buildings adjacent to the Health Sciences Center campus. In August 2007, it was announced that the El Paso School of Medicine would be named in honor of Paul L. Foster, President and CEO of Western Refining, Inc. of El Paso. Mr. Foster donated $50 million to the TTUHSC El Paso School of Medicine, the largest gift ever received by the Texas Tech University System. It was announced that the Paul L. Foster School of Medicine will focus on the following areas:

Training physicians capable of delivering quality, affordable healthcare.

Offering superior healthcare for the community of West Texas and Southeastern New Mexico.

Creating Centers of Emphasis for scientific research related to border health issues.

Generating significant health related economic expansion in the El Paso region.

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The Organization

Mission

The mission of the Paul L. Foster School of Medicine is to provide an outstanding education for students, residents, and faculty; to advance knowledge through innovation and research; and serve the needs of socially and culturally diverse communities and regions. The Paul L. Foster School of Medicine was approved for full accreditation by the LCME in 2013 for a period of eight years. The School’s curriculum received commendation by the LCME

for its’ innovative, clinically relevant, integrated approach to medical education. Special LCME commendation was given in six areas:

The focused efforts and progress toward creating an increased educational and academic presence and improving the health of the border region.

Effective integration, relevancy and reception of year one and two curriculum, organized around and taught through clinical problems and diagnostic algorithms that anchor and relate basic science concepts with clinical skills and behavioral science.

An effort to integrate its mission into the curriculum through courses and experiences that immerse students in the culture and community of the Texas border region including a required medical Spanish course.

Taking steps to minimize the education debt of medical students including maintaining low tuition rates and providing scholarship support.

The commitment and demonstrated effort of the faculty and administration in achieving excellence in medical education.

A robust faculty development process and mentoring system aimed at enhancing the skills of junior faculty.

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The Paul L. Foster School of Medicine matriculated its inaugural class of 40 students in July of 2009. The entering class size has gradually expanded, and total enrollment is expected to plateau at approximately 400 students in 2016. The admissions process is highly competitive, comparable to the other TMDSAS participating schools, as are all standard indices of student performance and success.

Curriculum The PLFSOM curriculum is a four year program divided into pre-clerkship and clerkship phases. The pre-clerkship phase consists of four interdependent courses that run concurrently for most of the first two years. An academic multidisciplinary Department of Medical Education is responsible for planning and directing the pre-clerkship curriculum, including management of all courses and teaching assignments. In addition to course administration and teaching, this diverse team of approximately 26 clinicians and basic scientists also engage in clinical practice, education-related scholarship and basic research, depending upon their individual credentials and goals. Pre-Clerkship The Clinical Presentation Model and Scientific Principles of Medicine Course ("SPM"): Our innovative pre-clerkship curriculum is structured around a highly integrated "Scientific Principles of Medicine" course, in which the learning objectives for each week of an organ system-based unit are derived from the diagnostic challenges posed by a common clinical presentation. This provides a highly motivating educational context, as well as regular opportunities for expert-guided exercises in introductory diagnostic reasoning. In addition, the clinical presentation themes facilitate synergistic linkages across all concurrent courses. Medical Skills Course: As alluded to above, the Medical Skills Course is tightly aligned with the clinical presentation structure of the Scientific Principles of Medicine Course. A typical two-hour session consists of two activities, a simulated patient encounter based on the clinical presentation of the week, and small group instruction in a related common clinical procedure or examination technique. In this way, the skills course is informed by and reinforces the SPM course. Society, Community and Individual Course ("SCI"): This course focuses on the fundamentals of public and community health, as well as on exposing students to relevant community and cultural experiences throughout El Paso. The PLFSOM curriculum begins with a one month 'SCI immersion', after which there are weekly didactic sessions as well as monthly structured community based activities. These activities include participation in community based medical clinics as well as exposures to other

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community based health system professions and settings. Regular instruction in medical Spanish is a unique component of the PLFSOM educational program, and this is administered through the Society, Community and Individual Course. Consistent with PLFSOM's overarching curriculum structure, SCI course activities are frequently aligned with the SPM clinical presentation of the week. Master’s Colloquium: Upon matriculating at PLFSOM, students are assigned to one of four colleges, and each college is overseen by two faculty College Masters -- one clinician and one basic scientist. At the end of each week, these colleges meet with their College Masters (in independent first and second year sessions) for discussion-based exploration of the complex, multidisciplinary aspects of professional development. Topics include critical thinking, medical decision making, learning skills and the structures of knowledge, scientific literacy and the appraisal of evidence, ethics, professionalism, leadership, citizenship in the medical community, and controversies in the socioeconomics of healthcare. Again, the Colloquium is frequently guided by themes or issues suggested by the current SPM course clinical presentation. Clerkship: The clerkship phase constitutes the third and fourth years of the educational program, with the third year consisting of three integrated clerkship blocks covering the traditional clinical disciplines of internal medicine, psychiatry, family medicine, surgery, obstetrics and gynecology and pediatrics. The fourth and final year of the curriculum is more flexible, with four required four-week rotations (neurology, critical care, emergency medicine and a 'subinternship') plus four months of electives. Also, there is a individual scholarly project requirement. Students are expected to plan their project by the end of their first year, and to present their completed project prior to graduation. These projects are faculty-mentored and may relate to basic, clinical or translational research, epidemiological and/or population-based studies, community-oriented participatory research, medical education or medical humanities.

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Graduate Medical Education Texas Tech University Health Sciences Center at El Paso is the sponsoring institution for nine residency programs including emergency medicine, family medicine, internal medicine, psychiatry, obstetrics and gynecology, pediatrics, diagnostic radiology, surgery, and orthopedic surgery(co-sponsored with William Beaumont Medical Center). All residency programs are fully accredited by the Accreditation Council for Graduate Medical Education (ACGME). The following fellowships are available: Sports Medicine, Cardiology, Nephrology, Toxicology, Gastroenterology, Child and Adolescent Psychiatry, Minimally Invasive Surgery (American Association of Gynecologic Laparoscopists) and Body Imaging (Texas Medical Board). The major participating hospitals involved in residency training include University Medical Center, El Paso Children’s Hospital, William Beaumont Army Medical Center, El Paso Psychiatric Center, Sierra Providence Memorial Hospital, Las Palmas Del Sol Hospital and the soon to be developed additional teaching hospital. Patient Care Texas Tech University Health Sciences Center at El Paso physicians belong to a network known as Texas Tech Physicians. The network includes more than 500 physicians, nurse practitioners, and physician assistants across four Texas Tech University Health Sciences Center campuses – the largest network of physicians and healthcare professionals in West Texas. Over forty years, Texas Tech Physicians has served more than 225,000 patients in El Paso alone. All Texas Tech – El Paso office locations are united through GE Centricity EMR platform. Departments

Psychiatry Biomedical Sciences Emergency Medicine Family and Community Medicine Internal Medicine Medical Education Neurology Obstetrics/Gynecology Orthopedic Surgery and Rehabilitation

Pathology Pediatrics Surgery Radiology

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TTUHSC at El Paso Faculty and Staff

Staff

Number

Percentage

PLFSOM Full-Time Faculty

269

11%

PLFSOM Part-Time Faculty

16

1%

Volunteer Faculty

440

18%

Resident Physicians

238

10%

Support Personnel TTUHSC EL Paso

1446

60%

Total:

2409

100%

Research at Texas Tech Health Sciences Center El Paso Introduction and Overview In 1999, the Texas Legislature awarded Texas Tech University Health Sciences Center (TTUHSC) El Paso a $25 million research endowment as a result of the Tobacco Industry Settlement. The interest earned from this fund has been used to develop research programs focusing on the broad topic of Border Health, a theme consistent both with the location of TTUHSC El Paso as the only medical university on the U.S. – Mexico border and with the range of medical problems facing residents of the Paso del Norte region. Additional financial support from the Texas Legislature facilitated construction of the first research building on campus, the Medical Sciences Building, which opened in 2006, and a combination of federal, state, and private grants has enabled the purchase of state-of-the-art equipment and other resources to jump start laboratory-based research programs at our institution. The Medical Sciences Building is the scientific home for the Department of Biomedical Sciences, including members of its four disease-focused Centers of Emphasis (COE), and also houses research support services, including core laboratories and animal facilities. At present, the nearly two-dozen faculty members in the Department have developed vibrant research programs, and have generated an externally funded grants portfolio averaging over $2.5 million per year during the past three years. The Department of Biomedical Sciences also includes the Division of Biostatistics and Epidemiology, whose faculty not only conduct their own independent research in

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several areas at the interface of epidemiology, biostatistics, and information sciences, but also staff the Biostatistics and Epidemiology Consulting Lab, which provides expertise and mentoring for clinical faculty in facets of experimental design, in the conduct and analysis of longitudinal and cohort studies, in statistical analyses, and in methods for evaluation of complex biomedical data. There are also research activities within many of the clinical Departments, with a focus on disease diagnosis, prevention, and on clinical trials of medications and devices. Funded research in this category has averaged over $1.0 million per year during the past three years. With the appointment of an institutional Assistant Vice President for Research in September 2014, a Director for the Office of Sponsored Programs in February 2015, and the hiring of additional staff for research administration and support services in 2014 and 2015, research at TTUHSC El Paso is now poised for a new accelerated phase in its development, coincident with anticipated funding by the Texas Legislature for a second Medical Sciences Building. Short-term goals will be to recruit new faculty in basic, translational, and clinical scientific areas, to grow programs in diabetes research, initially through recruitment of a Director for the COE in Diabetes and Metabolism, and to enhance research education and training through the Graduate School in Biomedical Sciences (GSBS), which currently includes 25 students studying for MS degrees. Faculty in the Department of Biomedical Sciences play key roles in the GSBS, serving as directors and teachers for formal coursework and as preceptors for mentored research projects. The demographics of El Paso city and county, and surrounding areas in Texas and New Mexico, are predominantly Mexican-American, with a majority of residents having multi-generational roots in the region, thus underscoring the opportunity and need for both basic and clinical research to address the genetic and environmental causes of disease within our community. Toward this end, scientific programs within the Department of Biomedical Sciences are organized into four thematic areas: cancer biology, diabetes and metabolism, infectious diseases, and neurosciences. A brief overview of each of these COEs is as follows: Center of Emphasis in Cancer The COE in Cancer is focusing its efforts on developing basic, translational, and clinical research programs, as well as screening and prevention activities, to address cancers with disproportionate impact on the Latino population in the Paso del Norte region. These diseases include hormone-mediated cancers, such as breast and prostate carcinomas, colon cancer, lung cancer, and others. Research by faculty in the COE in Cancer is supported by funding from the National Institutes of Health (NIH), from the Cancer Prevention and Research Institute of Texas (CPRIT), and from private foundations.

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Center of Emphasis in Diabetes and Metabolism Diabetes, obesity, and related disorders are at least as prevalent in El Paso as they are in other communities within the United States, and represent the convergence of genetic predispositions with environmental factors and lifestyle issues. The COE in Diabetes and Metabolism has plans to develop research activities that span the gamut from clinical investigation into disease prevention and early treatment strategies, to fundamental studies addressing the genetics of diabetes and its complications, and to translational efforts into regimens that enhance insulin secretion and effectiveness. Center of Emphasis in Infectious Diseases The COE in Infectious Disease has developed a two-pronged approach to understanding and preventing diseases that have potential for cross-border transmission. Faculty have established NIH-funded programs addressing the fundamentals of West Nile virus, influenza, and human immunodeficiency virus (the cause of AIDs), among other areas, and have a robust program in vaccine development, with a focus on improving the technology to generate better vaccines for seasonal infectious viruses, and against infectious agents that could be used as biological weapons. Center of Emphasis in Neurosciences Faculty in the COE in Neurosciences have active research programs in the genetics of psychiatric illness among Latino populations in the United States and Central America, and in several neurological disorders, including Parkinson’s disease and spinal muscular atrophy. COE faculty also are pursuing research in traumatic brain injury and in post-traumatic stress disorders in conjunction with medical staff at Fort Bliss, a major United States military installation that is centered in El Paso. Other areas of scientific interest include genetic diseases affecting vision and acquired optic nerve trauma. Research Services The Office of the Assistant Vice President for Research is also responsible for the development and maintenance of specialized research support activities that are available to the entire scientific community at TTUHSC El Paso, and also to neighboring institutions, including the University of Texas at El Paso, and New Mexico State University, located only 40 miles away in Las Cruces, NM. The Research Core Laboratories provide fee-based services in histology and histopathology, in microscopy and imaging, including laser-capture and confocal microscopy with immunofluorescence, fluorescence quantification, DIC, and 3D planar reconstructions, and in flow cytometry and cell sorting; staff are also available for consultation and technical assistance. In addition, the Core Laboratory maintains high-end instruments for genomic sequencing and genome analysis, for scanning electron microscopy, and for the precise recognition and measurement of metals and proteins of biomedical importance. The Laboratory Animal Resources Center (LARC) oversees an AALAC-accredited 11,000 square-foot facility with

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state-of-the-art housing for mice, rats, and zebra-fish, specialized surgical and other procedure rooms, and biological safety level-2 and-3 laboratories for research by the COE in Infectious Diseases. The LARC is staffed by trained personnel and is under the supervision of a full-time research veterinarian. Division of Biostatistics and Epidemiology The Division of Biostatistics and Epidemiology maintains a focus on the development and analytic methods for the design, conduct and analysis of research studies in the basic, educational and clinical sciences. The novel application of statistical methods to data collected by investigators within the Paul L. Foster School of Medicine is implemented for the best translation of findings to knowledge in the care of patients, the enhancement of education and advancement of science. Researchers in the division have extensive experience in health sciences research with specific expertise in the design of experiments, the conduct and analysis of longitudinal and cohort studies, and the interface of epidemiology, biostatistics and information science. The division developed and manages the Biostatistics and Epidemiology Lab for collaboration with Paul L. Foster School of Medicine faculty. Division members also teach medical classes and offer many short courses and workshops for other universities across the country as well as at the Infectious Disease Institute in Uganda. Current and ongoing research includes collaborations with scientists within TTUHSC at El Paso and other institutions through NIH-funded research projects studying problems like vaginal microbicide development, neurologic and cardiologic degeneration due to retroviruses and their treatment, and barriers in cervical cancer screening in Hispanic populations.

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Clinical Partners

El Paso Children’s Hospital is the largest expansion of pediatric medical services in West Texas. The 225,000 square foot hospital is the first and only separately licensed, independent, nonprofit children’s hospital in the El Paso region and is a the only dedicated pediatric hospital with a 280 mile radius. Opened in February 2012,

the facility features 122 private pediatric rooms, state-of-the-art equipment and technology, playrooms, a family resource center, kitchenettes, washers and dryers, a playground, and in-room parent sleep quarters. The hospital is home to 40 pediatric subspecialists, 200 credentialed pediatricians, and the only pediatric neurosurgery and pediatric radiologists in the county. The hospital is accredited by the Joint Commission and the College of American Pathologists. It is one of eight children’s hospitals in Texas, a member of the Children’s Hospital Association, and the designated hospital in El Paso County for Children’s Miracle Network.

El Paso Children’s Hospital by the Numbers

As of September 30, 2014

Pediatric Beds 122 Emergency Department Visits 21,769

Pediatric Sub-Specialists +40 Operations and Procedures 3,123

Credentialed Physicians +200 Inpatient Surgical Cases 941

Employees +600 Outpatient Surgical Cases 2,182

In-patient Admissions 2,400 Average Number of Children Hospitalized Per Day 62

Patient Days 13,000 Radiology Procedures 28,223

Outpatient Hematology/ Oncology Clinic Visits 5,000

Laboratory Tests 202,545

Rehabilitation Visits 3,400 Respiratory Therapy Treatments 86,429

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UMC of El Paso is the primary teaching hospital for the Paul L. Foster School of Medicine. UMC is El Paso’s only nonprofit community-owned hospital and healthcare system, and a regional referral center for patients in need of specialty care. It is the only El Paso hospital ever to be named one of America’s Top 100 hospitals, having earned the distinction three times, and is the only Level I Trauma Center within 280 miles of El Paso. A Women’s Pavilion and Labor and Delivery with three labor and delivery operating rooms The Emergency Department recently went through a $38 million renovation and now consists of 45 rooms. The Trauma Center is served by a helipad. Eighty-five percent of all trauma cases are transported to UMC.

University Medical Center of El Paso by the Numbers

Beds 342 Emergency Department Visits 70,000

Sub-Specialists 313 Operations and Procedures 6,804

Credentialed Physicians 427 Inpatient Surgical Cases 3,958

Employees 2,300 Outpatient Surgical Cases 2,846

In-patient Admissions 18,078 ADC 198

Patient Days 72,442 Radiology Procedures 191,193

Infusion Center 6,050 Laboratory Tests 1,340,030

Rehabilitation Visits (In & Out) 70,919 Respiratory Therapy Treatments 168,064

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William Beaumont Army Medical Center

Since 1921, William Beaumont Army Medical Center has provided care for military personnel and eligible family members. It specializes in complete medical care, hosts a medical education program and serves as a Level III trauma center for the surrounding community. William Beaumont Army Medical Center is also the sponsor of the Paul L. Foster School of Medicine Orthopaedic Residency Program. Residents and medical students rotate through the hospital. A replacement facility is under construction and is expected to be operational by 2016. El Paso Psychiatric Center

The El Paso Psychiatric Center is an accredited 74-bed psychiatric hospital. The hospital is managed by the Department of State Health Services and contracts with the Department of Psychiatry for physician services. The center provides services for adults in two acute and one sub-acute/specialty unit. It also has a child and adolescent unit that provides services to children ages 5 to 12, and adolescents to age 17.

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Medical Center of the Americas Foundation

The Medical Center of the Americas (MCA) Foundation is a nonprofit organization that works to advance the development of the Medical Center of the Americas campus and to advance the Paso del Norte community

research agenda. The 140-acre MCA campus is anchored by TTUHSC at El Paso, University Medical Center, El Paso Psychiatric Center and El Paso Children’s Hospital. The vision of the MCA is to position the Paso del Norte region as the premier center of health delivery, education and research concentration on issues unique to Hispanic, border and military populations. The Paul L. Foster School of Medicine also partners with:

Centro de Salud Familiar La Fe

Centro San Vicente

Sierra Providence Health Network

Las Palmas Del Sol Healthcare

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The Department of Emergency Medicine Originally part of the Department of Surgery, the Department established the emergency medicine residency program in 1980, graduating its first resident in 1984. In 1990, the Department of Emergency Medicine became its own Department and the first Department of Emergency Medicine in the State of Texas. The Department consists of 29 faculty, most of whom are part time, and 36 residents. The Emergency Medicine Department provides emergency care through University Medical Center, a Level I Trauma Center. The Trauma Center has adopted LEAN and the Intake Model from the Banner Health System in Arizona. The Department has a budget of $11,597,558 and has a fund balance of $3 million.

Emergency Resident Program The residency training program consists of didactic instruction, supervised clinical experience, and structured administrative and laboratory experience designed around a core curriculum to prepare the graduate to be able to successfully challenge the examination for certification of the American Board of Emergency Medicine. The core curriculum is based on The Model of the Clinical Practice of Emergency Medicine as adopted by ABEM, ACEP, SAEM, CORD, RRC-EM and EMRA.

The Regional Simulation and Training Center The Regional Simulation and Training Center (RSTC) is located within a 40,000 square foot building shared with the Texas Tech University Health Sciences Center Gayle Greve Hunt School of Nursing. The center is made up of the following:

Pediatric Room Geriatric Ward High Fidelity Critical Care Training Rooms OB/Neonatal Room Cardiorespiratory Several Partial Task Training Suites (eg. Central Line, Lumbar Puncture, Chest

Decompression, Intubation and Intraosseous) Debriefing Rooms

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Mission To promote a cohesive interdisciplinary relationship amongst healthcare providers as well as safe and efficient patient care by transforming clinical education utilizing research and simulation in a simulated clinical setting that allows practice of skills and healthcare principles in a safe and nurtured environment.

History In September 2010, the Division of Simulation Education grew out of the Division of EMS under the Department of Emergency Medicine at Texas Tech University Health Science Center (TTUHSC) at El Paso. Currently, the university is drafting plans to develop a new, state-of-the-art facility that would relocate the simulation center to the TTUHSC main campus. The focus of the simulation center is to increase patient safety by promoting collaborative practice among the full scope of healthcare professionals. The center trains all healthcare professionals in a team-based training setting known as Inter-Professional Education (IPE). Current learners encompass the entire continuum of care; including, pre-hospital staff, undergraduate medical students, graduate medical residents, post-graduate physicians, nursing students, nurses and other ancillary personnel.

Division of Medical Toxicology Medical Toxicology began as a section of the Department of Emergency Medicine in 1991, and became a division in 2009 providing care to patients at the affiliated teaching hospital, University Medical Center (UMC). Because of the TTUHSC-EP’s position along the US/Mexico border, exposure to an extensive scope of toxicological hazards is present. Consequently, faculty and residents gain experience in the evaluation and management of an array of differential diagnoses. Currently, there is one board-certified medical toxicologist on staff as well as several adjunct faculty members. The Division of Medical Toxicology at the TTUHSC-EP is responsible for the medical direction of clinical services at the West Texas Regional Poison Center (WTRPC), and the Medical Toxicology Consultation Services at UMC.

Residency Program The Department of Emergency Medicine has an accredited three-year program to train physicians. Funding Resources Main funding sources for the Department of Emergency Medicine are:

Contract with El Paso County Hospital District - The contract is for patient care in the UMC Emergency Department and for Toxicology Services in the West Texas Regional Poison Center.

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Contract with City of El Paso - This is a local government restricted contract to provide medical control for the City of El Paso EMS system.

Emergency Medicine Academic Support (State funding-EVU) - Provided by TTUHSC Paul L. Foster School of Medicine for educational activities based in Department of Emergency Medicine faculty and staff time allocated.

EMS/Simulation Training - Revenues from this account come from registration fees of internal and external participants as well as transfers from EVU funding, and departmental funds.

Research Funding - From grants awarded. Staff and Faculty: Professors: 3.0 Assistant Professors: 10.75 Relief Physicians (PT) 4.1 Faculty Associates: 5.0 Total 22.85 Administrative: Residency Program: 2 Educational Program: 1 Simulation Center: 5 Billing and Coding: 5 Research: 3 Administrative: 6 Total Staff: 22 Research Program Department of Emergency Medicine is involved in several programs, including impact of alcohol use in specific population as they present to the Emergency Department and toxicology studies. Residents are actively engaged in projects as part of their curriculum and must present a case study every year.

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The Position The Chair of Emergency Medicine will report to the Founding President of Texas Tech Health Sciences and Dean, Paul L. Foster School of Medicine. In collaboration with other department chairs, the Chair will play an instrumental role in helping the President/Dean establish a commitment to leadership, vision, and maintaining excellent graduate, undergraduate, resident and fellowship education and clinical quality for the Department of Emergency Medicine. Key Responsibilities The Chair of Emergency Medicine will be responsible for the following:

Develop, maintain and expand high quality clinical emergency services and programs at the Paul L. Foster School of Medicine, and at all clinical sites as a premier provider of emergency services.

Successfully recruit and mentor faculty to support the development of a scholarly department.

Proper oversight of the Department in a fiscally prudent, transparent, sustainable fashion.

Be accountable for compliance with Federal and State accreditation requirements within

the Department of Emergency Medicine.

Be accountable for the appropriate utilization of the electronic medical record within the Department of Emergency Medicine.

Develop a strong well-integrated research portfolio in the Department.

Develop and maintain a well-balanced Department in education, service, research and scholarship.

Candidate Qualifications Education

Must possess MD or DO degree, a Texas medical license or eligibility for licensure within twelve months in the State of Texas is required.

Board certification by the American Board of Emergency Medicine is required.

Must be qualified for faculty appointment at the rank of Associate Professor or Professor.

Possession of a graduate degree and/or additional leadership training is preferred.

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Experience

Should have proven leadership experience as a Chair, Program Director, Vice Chair, Division Chief, Assistant Chair, Medical Director or Physician-in-Chief for an Emergency Department.

Should be comfortable with maintaining a level of clinical practice.

Should exhibit strong business and organizational skills and be a highly effective negotiator.

Should have a demonstrated experience in the community needs, community health and service.

A proven track record of working effectively with residents and midlevel providers.

Strong scholarly credentials with a proven ability to recruit research faculty, partner with external organizations and secure additional research funding.

Proven leadership in recruiting, retaining, mentoring and developing highly qualified faculty, staff, residents and fellows.

A proven track record of leading diverse faculty and staff and in effectively serving a diverse patient population.

Should be an entrepreneurial and visionary leader with a successful track record of building departments and developing new programs and services.

A visionary who has a statewide and national perspective, sees potential and opportunity and provides solutions.

Should be a highly effective leader and manager who is fair, consistent and transparent – one who has strong conflict resolution skills.

Experience in or a willingness to learn the fundamentals of philanthropy. Personal Characteristics

A visible leader who enjoys interacting with people across disciplines and with external entities in the community.

Strong communication and relationship building skills.

A persuasive communicator with strong interpersonal skills who is an empathetic and respectful listener. One who can create an atmosphere that allows individuals to flourish.

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Should have an effective balance of one’s personal and professional life to ensure the ability to manage stress and a challenging work load.

Should possess high energy and enthusiasm balanced with a highly professional and stable personality and a calm, thoughtful demeanor.

One who understands and resonates with the mission of the Health Sciences Center.

Goals and Objectives

Develop personal and professional credibility within the Department, across the Health Sciences Center, and within the community.

Lead the development and implementation of a strategic plan for the Department in which each of the missions of research, education, patient care and service are enhanced. It will be imperative that the Chair lead this work in a style that is transparent and collaborative, seeking input widely from internal and external constituents.

Ensure a Departmental culture that emphasizes collaboration, trust, respect and mutual responsibility and accountability for performance across the Department.

Engage the Department and the Health Sciences Center with community providers and federal and state agencies to develop a comprehensive array of urgent care and, emergency programs to ensure coordination of services to patients in West Texas.

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TTUHSC at El Paso Paul L. Foster School of Medicine Department of Emergency Medicine Organizational Chart

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The Community El Paso is the county seat of El Paso County, Texas, United States, and lies in far West Texas. As of July 1, 2013, the population estimate from the U.S. Census was 674,433, making it the 19th most populous city in the United States. Its U.S. metropolitan area covers all of El Paso and Hudspeth counties, with a population of 831,036. The El Paso MSA forms part of the larger El Paso-Las Cruces CSA, with a population of 1,044,496. El Paso stands on the Rio Grande (Rio Brava del Norte), across the border of Juárez,

Chihuahua, Mexico. The two cities, along with Las Cruces, form a combined international metropolitan area, sometimes referred as the Paso del Norte or El Paso-Juarez-Las Cruces, with over 2.7 million people. The El Paso-Juárez region is the largest bilingual, binational work force in the Western Hemisphere. In 1659, Fray Garcia de San Francisco, established Our Lady of Guadalupe Mission of El Paso del Norte. Around this mission, the village of El Paso del Norte grew into what is now the El Paso-Juárez region. El Paso has been ranked the safest large city in the U.S. for four consecutive years and ranked in the top three since 1997. The city is the headquarters of one Fortune 500 and three publicly traded companies, as well as home to the Medical Center of the Americas, the only medical research and care provider complex in West Texas and southern New Mexico. The city hosts the annual Sun Bowl, the second oldest bowl game in the country. In 2010, El Paso received an All-America City Award. The Franklin Mountains extend into El Paso from the north and nearly divide the city into two sections; the west side forms the beginnings of the Mesilla Valley, and the east side expands into the desert and lower valley. The connect in the central business district a the south end of the mountain range. The city’s elevation is 3,800 ft (1,200m) above sea level. North Franklin Mountains is the highest peak in the city at 7,192 ft (2,192m) above sea level. The peak can be seen from 60 miles (100km) in all directions. The largest urban park in the nation, The Franklin Mountains State Park, with its over 24,248 acres is completely located within the city limits. The park is open for year-round recreation including hiking, mountain biking, picnicking, scenic driving and vistas. The city is also home to 242 municipal parks. The Wyler Aerial Tramway is operated by Texas Parks and Wildlife Department and is located in the Franklin Mountains State Park. The tramway covers 196 acres (0.79km) on the east side of the Franklin Mountains. The gondolas travel along two 2,600 foot 1-3/8” diameter steel cable to Ranger Peak, 5,632 feet (1,717m) above sea level. The trip takes about four minutes and lifts riders up 940 vertical feet above the boarding area.

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El Paso has a diversified economy focused primarily within international trade, military, government civil service, oil and gas, healthcare, tourism and service sectors. The El Paso metro area had a GDP of $29 billion in 2011. There were also $92 billion worth of trade in 2012. Over the past 15 years the city has become a significant location for American-based call centers. Cotton, fruit, vegetables, and livestock are also produced in the area. El Paso has added a significant manufacturing sector with items and goods produced that include petroleum, metals, medical devices, plastics, machinery, defense-related goods and automotive parts. The city is the second busiest international crossing point in the U.S. behind San Diego. El Paso is home to one Fortune 500 company in Western Refining, which is listed on the New York Stock Exchange. This makes the city one of six Texas metro areas to have at least one Fortune 500 company call it home. The city has three other publicly traded companies in Helen of Troy Limited, a NASDQ-listed company that manufactures personal health care products under many labels such as OXO, Dr. Scholl’s, Vidal Sassoon, Pert Plus, Brut and Sunbeam, among others. The third publicly traded company is El Paso Electric listed on the New York Stock Exchange, a public utility engaging in the generation, transmission, and distribution of electricity in west Texas and southern New Mexico. The fourth publically traded company is Western Refining Logistics also traded in the New York Stock Exchange. It is a Western Refining subsidiary which owns, operates, develops, and acquires terminals, storage tanks, pipelines, and other logistics assets. More than 70 Fortune 500 companies have offices in El Paso, including AT & T, ADP, Boeing, Charles Schwab, Delphi, Dish Network, Eureka, Hoover, Raytheon, State Farm and USAA. Hispanic Business Magazine included 28 El Paso companies in its recently released list of the 500 largest Hispanic owned businesses in the United States. El Paso’s 28 companies are second only to Miami’s 57. The list of largest Hispanic owned businesses include companies like Fred Loya Insurance, Dos Lunas Spirits, Dynatec Labs, Spira Footwear and El Taco Tote. El Paso is home to El Paso Corporation formerly known as El Paso Natural Gas Company. The city also has a large military presence with Fort Bliss, William Beaumont Army Medical Center and Biggs Army Airfield. The defense industry in El Paso employs over 37,000 and provides a $6 billion annual impact to the city’s economy. Fort Bliss was chosen as the newly configured U.S. Air Force Security Forces Regional Training Center which with bring 8,000 to 10,000 Air Force personnel annually. Tourism is another major industry in El Paso, bringing in $1.5 billion-a-year and over 2.3 million visitors annually due to the city’s sunny weather, natural beauty, rich cultural history and many outdoor attractions. Education is also a driving force in El Paso’s economy. El Paso’s three large school districts are among the largest employers in the area, employing more than 20,000 people among them. UTEP was recently ranked as the 7th best university in Washington Monthly’s 2013 National University Rankings, just behind Stanford and ahead of Harvard. Also, the university’s School of Engineering is the nation’s top producer of Hispanic engineers with M.S. and Ph.D. degrees.

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El Paso is also home to Texas Tech University Health Sciences Center at El Paso, Paul L. Foster School of Medicine. Texas Tech College of Architecture at El Paso, Kaplan College, Park University, Webster University and University of Phoenix. Also, many El Paso students attend New Mexico State University since the school offers instate tuition to El Paso County residents. The El Paso Community College serves most of the area, as do several technical schools and for profit schools. El Pasoans, also have access to the Dona Ana Community College with campuses in Sunland Park, Anthony and Chaparral, New Mexico.

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Procedure for Candidacy Please direct all nominations and resumes to Marvene M. Eastham via e-mail to: [email protected]

Marvene M. Eastham

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Texas Tech University Health Sciences Center at El Paso is an Equal Opportunity/Affirmative Action Employer.

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The material presented in this position specification should be relied on for informational purposes only. This material has been copied, compiled, or quoted in part from Texas Tech University Health Sciences Center at El Paso documents and personal interviews and is believed to be reliable. While every effort has been made to ensure the accuracy of this information, the original source documents and factual situations govern.

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