School of MedicineNew Faculty

Welcome and Orientation

Thomas J. Lawley, M.D.Dean

October 18, 2006

Emory University School of Medicine

Vision Statement To approach top ten status by 2012 as a leader in

educational innovation, research achievement, and clinical excellence.

Core Values The core values of the Woodruff Health Sciences Center, of

which the Emory University School of Medicine is a part, are caring, excellence and integrity.

Emory University School of Medicine

Goal Statements • To transform medical education in the nation by

revolutionizing our curriculum to produce leaders in medicine with educated minds and informed hearts.

• Continue to expand our research enterprise in quality and quantity towards top 10 status.

• Be recognized for providing compassionate, state-of-the-art patient care to all patients.

• To recruit and develop additional leaders in education, science, and clinical care and provide resources to develop and sustain outstanding departments and programs in the School of Medicine.

Emory University School of Medicine

• Create better medical education, research and patient care environments that maximize personnel and material resources and promote new applications of basic knowledge.

• To achieve financial security that enables the School of Medicine to meet present and future needs of medical education, research, and patient care.

DeanSchool of Medicine

CEOHospitals & Clinics(Emory Healthcare)

Academic Health CenterExecutive VP for Health Affairs

(Director of the AHC)

Emory University

Emory University School of Medicine

1. Medical Students – 448

(We also have graduate and allied health students, but some schools do not.)

2. Faculty (full-time) – 1769

(Includes clinicians, investigators, teachers)

3. Faculty (volunteer) – 1000

4. Residents & fellows – 1090

Demographics School of Medicine Class of 2010

• 114 M1 students• 62 Women • 52 Men • Age

Range: 21 - 34 y/oMean: 23 y/o

• 32 “non-traditional” students (>2 yrs post-baccalaureate - 8 African-Americans; 8 Hispanic-Americans; 18 Asian-Americans)

Numbers School of Medicine Class of 2010

• Undergrad GPA (mean) = 3.66

• MCAT (mean) = 33

• 10 post-graduate degrees

(2 PhD; 6 MA or MS; 2 MPH)

• 3 MD/PhD; 14 MD/MPH

NIH RESEARCH FUNDING EMORY SOM FY1996-2005

$0

$20

$40

$60

$80

$100

$120

$140

$160

$180

$200

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

$55M

$190M

AVERAGE NATIONAL GROWTH RATE OF NIH FUNDING 1996-2005

Benchmark Schools

Emory Univ.Vanderbilt Univ.Univ. of PittsburghBaylor CollegeDuke Univ.Univ. of Penn.Washington Univ.Johns Hopkins U.Univ. of NCStanford Univ.UABYale Univ.

55 71 99 89128149162204 104132 98159

190244288257350399378449217264191298

14.8%14.8%12.6%12.5%11.9%11.6%9.8%9.2%

8.6% 8.0%7.7%7.2%

Rank/University SOM1996 2005

Ave. AnnualCompound

Growth Rate$ millions

1915 913 5 2 4 1171118 8

TOP-20 RANKING SOM DEPARTMENTS (2005 NIH Funding)

• Biomedical Engineering (1)• Dermatology (9)• Emergency Medicine (3)• Microbiology & Immunology (7)• Neurology (11)• Neurosurgery (20)• Otolaryngology (3)• Pathology & Lab Medicine (8)

• Pharmacology (11)• Physical Medicine &

Rehabilitation (14) • Psychiatry & Behavioral

Sciences (17)• Surgery (8)• Urology (11)

TERMS OF PROFESSIONALISM

• Honesty• Integrity• Altruism• Caring and

compassion• Respect• Leadership• Responsibility

• Accountability• Excellence• Scholarship• Competency• Special skills• Expert knowledge• Specialized training

WHAT DO OUR TRAINEES EXPECT?

• Trainees expect their physician-scientist-teachers to be role models– To teach them to do the right thing through the

formal educational programs– To teach them indirectly, by how we behave and

conduct ourselves, how to live their lives and make their professional choices -- the “hidden curriculum”

WHAT DOES THE PUBLIC EXPECT?

• The public expects physicians– To provide information and education that is

unbiased– To treat patients with unbiased competence– To contribute to healthcare policy – To practice medicine in ways that do not

inappropriately increase the cost of healthcare

WHAT DO OUR PATIENTS EXPECT?• Patients expect their physicians

– To provide compassionate, state-of-the-art medical care;– To be competent, altruistic, and ethical;– To use the most up-to-date diagnostic and therapeutic

techniques;– To conduct biomedical research they support,

uncontaminated by even a perception of bias;– To see that discoveries with the potential to improve

health are rapidly translated into practice through clinical trials;

– To know and inform them about any potential adverse effects that might influence their consent to participate in the research.

Emory Clinic

• This is the faculty practice plan of Emory School of Medicine.

• It consists of approximately 976 full-time faculty physicians (478.45 FTEs) with approximately 1.98M patient visits per year.

• Full-time faculty are not allowed to see patients in a private practice.

• All revenue from physician-patient contact flows through the Emory Clinic.

Emory Clinic (Cont.)

• All physicians in the Emory Clinic generate revenue that helps pay their salaries.

• All physicians in the Emory Clinic pay a “Dean’s Tax” that is used to help fund clinical departments.

• All physicians in the Emory Clinic have teaching responsibilities for medical students, residents, and fellows.

Emory Hospitals

• Emory University owns two hospitals:- Emory University Hospital- Crawford Long Hospital

• They are managed by professional hospital administrators who report to the CEO of Emory Healthcare and the Executive Vice President for Health Affairs.

An AHC is Successful:

When there is a shared vision among the partners that the missions of teaching, research, and clinical care are equally important.

An AHC is Successful:

When all the partners sacrifice some of their self-interests in order for the AHC to succeed. Financial cross subsidy is always necessary and always an issue that must be transparent and understood by all of the partners.

Principles for the Success of an AHC

• The hospital and clinics must be financially solvent by providing highly efficient medical care.

• The Hospital and Clinic must be well managed using best business practices and avoiding deficits.

• No margin, No mission!