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SCHOOL OF MEDICINEGENERAL FACULTY MEETING
Wednesday, April 21, 2010
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AGENDALCME Accreditation Richard DiCarlo, MDFaculty Vote on Curriculum Changes Richard DiCarlo, MDGraduate List Approval Joe Delcarpio, PhD2010 Match Results Joe Delcarpio, PhD, Charles Hilton, MDCamp Tiger Joe Delcarpio, PhDLeadership Searches Steve Nelson, MDResearch Wayne Backes, PhDClinical Affairs Steve Nelson, MD, Tom Nolan, MDQuality/Process Improvement Dwayne Thomas, MDStrategic Plan Janis Letourneau, MDFaculty Forward Janis Letourneau, MDNew Academic Medical Center Steve Nelson, MDBudget Steve Nelson, MD
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LCME ACCREDITATION
Richard DiCarlo, MDAssistant Dean, Undergraduate Medical Education
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LCME Site VisitNovember 15 - 18, 2009
• Areas of Strength– The institution’s experience in recovering from a major disaster has created
an admirable culture that has fostered re-growth and loyalty.– The senior leadership has demonstrated accessibility and engagement with
faculty and students in the rebuilding of the academic environment.– The SLC and CAP have established extensive simulation training opportunities
to enhance skill-building and complement other areas of medical education.– The student-run Aesculapian Society enhances educational quality and
provides a valuable component to the overall program evaluation system.– The accessibility and responsiveness of the Student Affairs office is
admirable.
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Accreditation
• Final report issued February 2010• Full accreditation – 8 years• Six minor citations
– Partial compliance or in transition– Interim report due in December 2010
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FACULTY VOTE ON CURRICULUM CHANGES
Richard DiCarlo, MDAssistant Dean, Undergraduate Medical Education
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GRADUATE LIST APPROVAL
Joe Delcarpio, PhDAssistant Dean, Undergraduate Medical Education
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2010 MATCH RESULTS
Joseph Delcarpio, PhDAssociate Dean, Student Affairs and Records
Charles Hilton, MDAssociate Dean, Academic Affairs
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2010 Match
• Best match in 10+ years• Increased matching in Louisiana and LSU
– 59% of students staying in Louisiana– 34% of students staying at ILSUPH
• Only 7 vacancies in LSU-NO programs– Family Medicine– Preliminary Surgery
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2010 MatchSPECIALTY LSU-NO EKL UMC LAF LSU-Shrev TUL. OCHSNER LAKE
CHARLESLADY of
the LAKEB.R. GEN LSU BOG E.J. HOSP TOTAL IN
LA. 59%OUT OF
STATE 41%
TOTALS
MEDICINE (prelim)
6(3) 9(1) 1 2(3) 18 (7) 14(5) 44
PEDIATRICS 2 1 3 7 10MED/PEDS 1 1 2 0 2FAMILY MED. 4 3 2 2 1 12 1 13OB/GYN 1 2 3 0 3SURGERY (prelim)
7 (8) (1) 1 1(2) 9(11) 8(8) 36
ORTHO 2 2 4 4 8ANESTHESIA 3 1 4 2 6EMERG. MED. 6 1 1 8 6 14VASCULAR SURG.
0 1 1
ENT 2 2 0 2PSYCHIATRY 5 5 4 9PLASTIC SURGERY
0 2 2
RADIOL. (DX) 3 3 2 5P M & R 3 3 0 3PATHOLOGY 2 1 3 2 5TRANSITIONAL
0 1 1
E.M./I.M. 1 1 0 1NEUROLOGY 1 1 0 1TOTALS 42(11) 12(1) 5 1(1) 5 7(5) 3 1 2 2 1 81(18) 54(13) 166
L.S.U. SCHOOL OF MEDICINE - NEW ORLEANS PGY-1 POSITIONS CLASS OF 2010
SPECIALTY LSU-NO EKL UMC LAF LSU-Shrev TUL. OCHSNER LAKE CHARLES
LADY of the LAKE
B.R. GEN LSU BOG E.J. HOSP TOTAL IN LA. 59%
OUT OF STATE
41%
TOTALS
MEDICINE (prelim)
6(3) 9(1) 1 2(3) 18 (7) 14(5) 44
PEDIATRICS 2 1 3 7 10MED/PEDS 1 1 2 0 2FAMILY MED. 4 3 2 2 1 12 1 13OB/GYN 1 2 3 0 3SURGERY (prelim)
7 (8) (1) 1 1(2) 9(11) 8(8) 36
ORTHO 2 2 4 4 8ANESTHESIA 3 1 4 2 6EMERG. MED. 6 1 1 8 6 14VASCULAR SURG.
0 1 1
ENT 2 2 0 2PSYCHIATRY 5 5 4 9PLASTIC SURGERY
0 2 2
RADIOL. (DX) 3 3 2 5P M & R 3 3 0 3PATHOLOGY 2 1 3 2 5TRANSITIONAL
0 1 1
E.M./I.M. 1 1 0 1NEUROLOGY 1 1 0 1TOTALS 42(11) 12(1) 5 1(1) 5 7(5) 3 1 2 2 1 81(18) 54(13) 166
L.S.U. SCHOOL OF MEDICINE - NEW ORLEANS PGY-1 POSITIONS CLASS OF 2010
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2010 Match
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2010 Match
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LSU-New Orleans Scramble
2010 Match Quota Matched Pick-Up TOTAL Filled Notes
Anesthesiology 3 3 Y
Dermatology 5 5 Y
Emergency Medicine 11 11 Y
Medicine/Ermergency Medicine 2 2 Y
Family Practice 6 4 2 6 Y Filled in Scramble
Family Med/Rural-Bogalusa 4 2 2 4 Y Filled in Scramble
Internal Medicine 10 10 Y
Medicine-Preliminary 7 7 Y
Medicine/Pediatrics 6 6 Y
Neurology 3 3 Y
Neurosurgery 1 1 Y
OB/GYN 7 7 Y
Orthopaedics 4 4 Y
Otolaryngology 3 3 Y
Pathology 2 2 Y
Pediatrics 16 16 Y
PM&R 6 6 Y
Psychiatry 10 10 Y
Radiology-Diagnostic 3 3 Y
General Surgery 7 7 Y
Surgery-Preliminary 8 5 3 8 Y Filled in Scramble
TOTAL 124 117 7 124
Scramble
Lake Charles Quota Matched Pick-Up TOTAL Filled Notes
Family Medicine 8 7 1 8 Y Filled in Scramble
Grand Total 132 124 8 132 Y
EKL-Baton Rouge Scramble
Quota Matched Pick-Up TOTAL Filled Notes
Emergency Medicine 15 15 Y
Internal Medicine-C 13 12 1 13 Y Filled in Scramble
Internal Medicine-P 6 3 3 6 Y Filled in Scramble
OB/GYN 4 4 Y
TOTAL 38 34
UMC-Lafayette Scramble
Quota Matched Pick-Up TOTAL Filled Notes
Family Practice 7 5 2 7 N Filled in Scramble
Internal Medicine-C 8 8 Y
Internal Medicine-P 1 1 Y
Total 16 14 2 16
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CAMP TIGER
Joseph Delcarpio, PhDAssociate Dean, Student Affairs and Records
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CAMP TIGER 2010
• 25th Anniversary Auction NOMA• Total: $53,000.00
• Attendance: 800
• Number of Items: 300
• Live Auction $14,000
Gross to Date: $124,500.00
25th Y
ear
25th Y
ear
• Camp 2010 – 117 incoming L1 counselors
– 173 rising L2 counselors
– 132 campers
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CAMP TIGER 2010
Schedule for Week May 17 – May 21, 2010
• MON 5/17: Quail Farm/Radio Disney; Global Wildlife
• TUES 5/18: Swamp Tour; Aquarium• WED 5/19: Children’s Museum; Zoo• THUR 5/20: Laser Tag/ KidSports; City
Park/Storyland• FRI 5/21: Carnival at Jesuit; Banquet
25th Y
ear
25th Y
ear
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LEADERSHIP SEARCHES
Steve Nelson, MDDean
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Dereck J. Rovaris, Sr., PhD
Associate Vice Chancellor for Academic and Multicultural Affairs
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Searches• Ophthalmology
– Three candidates under review
• Obstetrics and Gynecology– Dr. Winters – chair of committee– Now advertising
• Associate Dean of Baton Rouge Affairs– Beginning second round of interviews
• Director, Pennington Biomedical Research Center• Chief Executive Officer, Interim LSU Hospital
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RESEARCH
Wayne Backes, PhDAssociate Dean, Research
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Research
• NIH Grant funding– FY 2005 - $31.3 M– FY 2006 - $28.8 M– FY 2007 - $33.1 M– FY 2008 - $27.9 M– FY 2009 - $28.8 M– FY 2010 - $43.5 M
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Research
• Upgrade of CSRB Exhaust System• Recent NIH Grant Recipients• Changes to Research Incentive Plan• Changes to Laboratory Supplement program• Institutional Support for Research - Status• Faculty Mentoring Efforts
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New and Competing Grants for 2009-2010
• New R01s– Davila, Eduardo– Gasparini, Sonia– Nichols, Charles D.– Wessely, Oliver– Worthylake, David
• New R03, R13, R21s– Koochekpour, Shahriar– Li, Xiao-Ching– Vander Heide, Richard– Worthylake, Becky
• New R13– Molina, Patricia E.
• Competing Renewals– Bazan, Haydee– Canavier, Carmen C.– Gasser, Raymond F.– Hill, James M.– Izumi, Tadahide– Kolls, Jay– Veith, Robert W.– Zieske, Arthur
• RC2– Bazan, Nicolas G.
Total research dollars for 2009 – 2010 - $43.5M
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New and Competing Grants for 2009-2010 (cont.)
• Program Grants P42, T32, & P60– Backes, Cormier, & Varner– Bagby, Gregory– Nelson, Steve
• Fellowships– Datta, Rahul– Melvan, John N.– Niemoller, Tiffany– Sheets, Kristopher
• Grant Transfers from other Institutions
– Del Valle, Luis– Foundas, Anne– Kolls, Jay– Liu, Siqiong June– Reiss, Kris– Tang, Ya-Ping– Vander Heide, Richard– Whim, Matthew
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Research
• Upgrade of CSRB Exhaust System• Recent NIH Grant Recipients• Changes to Research Incentive Plan• Changes to Laboratory Supplement program• Institutional Support for Research - Status• Faculty Mentoring Efforts
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Institutional Support for Research
• Bridge Grant Program– Awarded $661,000 since 2008
• New Project Grants– Awarded $141,000 since 2008
• Laboratory Supplements– Awarded $690,000 since 2008
• Total since 2008 - $1,492,000 ($665,000/year)• Previous 5 years – total awards $360,000
($72,000/year)
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Faculty Mentoring Efforts• Annual reviews by department heads/center directors• Informal mentoring by senior faculty• Creation of two positions
– Director of Research Development– Director of Faculty Development
• Mentoring/evaluation committees– Contacting mid-level and senior faculty– Creation of individualized committees for junior faculty
• Committees of 2-3 members• Will meet annually at the time of annual reviews• Will evaluate progress and report it to the individual faculty member, Department Head, and
the Dean• Meetings could be more frequent if desired/needed
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CLINICAL AFFAIRS
Steve Nelson, MDDean
Tom Nolan, MDAssociate Dean, Clinical Affairs
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OLOL Agreement
• Close EKLMC in-patient services over 3 years• Continue EKLMC out-patient services• OLOL commitment (with DHH agreement)
– Construct new Trauma and Acute Care towers– Construct Medical Education Building– Accommodate EKLMC training programs (not OB)– LSU with “right of first refusal” on new GME– Maintain EKLMC GME “caps”
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QUALITY/PROCESS IMPROVEMENT&
HEALTH DISPARITIES RESEARCH CONSORTIUM
Dwayne Thomas, MDAssociate Dean, Health Quality and Patient Safety
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Health Quality
• CMS: Value Based Purchasing Program (11/21/07)
• FY 09: Inpatient Prospective Payment System• Transitioning to a scoring system• Incentive based payments/revenue neutral• Expanded public reporting• Health Care reform
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Consortium Members• Xavier University• Dillard University• Southeast Louisiana Area Health Education Center• Pennington Biomedical Research Center• LSUHSC School of:
– Medicine– Nursing– Dentistry– Public Health– Allied Health
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STRATEGIC PLAN
Janis Letourneau, MDAssociate Dean, Faculty and Institutional Affairs
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Progress Report• Revised mission statement• Curriculum goals and objectives
– L3 curriculum under revision (neurology and elective)
• Student Learning Center fully operational• Key appointments• Expanded faculty development and orientation programs• Committee work – regular reporting to Faculty Assembly
• What’s next?– Rural Scholars Track (subcommittee)– Research Advisory– Clinical Practice Advisory– Faculty Development and Evaluation
– Continuing Medical Education– Community Outreach– Communications– Task Force for Faculty Forward
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FACULTY FORWARD
Janis Letourneau, MDAssociate Dean, Faculty and Institutional Affairs
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Faculty Forward
• High level of faculty participation• > 78%• Revised data January 2010
– Study cohorts and peer institutions
• Summary and numerical data posted– Strengths– Relative or potential weaknesses– Initiatives
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Faculty Forward• Strengths
– Collegiality– Resilience– Strong leadership
• Relative or potential weaknesses– Entrepreneurialism– Understanding of governance– Understanding of finances– Understanding of advancement expectations
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Faculty Forward
• Initiatives– Departmental faculty meetings– Promote Research Incentive Plan– Modify LSUHN faculty productivity incentives– Clarify governance issues– Improve information about budget allocations– Broaden reach with advancement workshops
• Need to emphasize scholarly achievements
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NEW ACADEMIC MEDICAL CENTER
Steve Nelson, MDDean
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AMC• Mediation decision – January 2010
– $475M of requested $494M
• Land acquisition underway• Site preparation to begin this summer• Ambulatory Center starts by November 2010• Completion of Ambulatory Center late 2012• Completion of in-patient facility late 2013• Occupancy of in-patient facility early 2014
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Medical Center Site Relationships
Canal St.Canal St.
Tulane Ave.Tulane Ave.
SelectedVA Site
SelectedLSU Site
Tulane Health Sciences Center
LSU AcademicMedical Center
Charity Hospital
VA Medical Center
Anchor forNew OrleansBio-scienceDistrict
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The Health Sciences Center has completed $44.1M in capital improvements since Katrina.
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John P. Ische LibraryResource Center
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Medical Education Building2nd Floor
Medical Education BuildingLecture Rooms
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Center for Advanced Practice, 5th floor, Lions Building
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StudentLearning
Center6th floor, Lions Building
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Lab Renovations
Lab Completion
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BUDGET
Steve Nelson, MDDean
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Hiring Freeze• Board of Regents oversight• LSUHSC campus has total FTE “cap”
– Includes EKL and UMC– BOR consent required to exceed FTE cap
• Direct patient care positions unaffected– Approvals are very specific to funding sources
• Hiring of personnel on federal awards accepted• Extremely limited hiring of administrative support• Reorganization of School operations
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Budget
• Second mid-cycle budget cut FY 10– Unresolved to date
• Legislative committee hearings have begun– FY 11 uncertain
• FY 12 – loss of stimulus funding– Significant projected deficits
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Our Position
• The SoM is different from other “institutions of higher learning.”
• 4-year graduation rate of 96%• Have already sustained significant cuts in our
SGF budget
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School of Medicine SGF Budget
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Our Position
• The SoM is different from other “institutions of higher learning.”
• 4-year graduation rate of 96%• Have already sustained significant cuts in our
SGF budget• We supply the state with its
physicians/healthcare workforce
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LSUNO Graduated Physicians
Tulane Graduated Physicians
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Our Position
• The SoM is different from other “institutions of higher learning.”
• 4-year graduation rate of 96%• Have already sustained significant cuts in our SGF
budget• We supply the state with its
physicians/healthcare workforce• SoM has already “downsized” since Katrina
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July 2005 March 2010 FTE Variance FTE % Variance
Classified, Non-Academic
268 90 178 66%
Unclassified 248 192 56 23%
Total, support 516 282 234 45%
Faculty FTE 745 652 93 12%
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Our Position• The SoM is different from other “institutions of higher learning.”• 4-year graduation rate of 96%• Have already sustained significant cuts in our SGF budget• We supply the state with its physicians/healthcare workforce• SoM has “downsized” since Katrina• Have implemented plans to:
– Improve efficiencies– Increase productivity– Enhance revenue streams
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“Money matters, performance counts, time is the enemy”.
John Lombardi, PhD LSU System President