Department of Medicine

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Transcript Department of Medicine

STATE OF THE
DEPARTMENT OF MEDICINE
JUNE 18TH, 2014
The Academic Year that Was
(2013-2014)
Implementation of
Recommendations of Strategic Task
Force Plan
Challenges Identified by Task Force
• The department has outstanding institutions and faculty,
but the “whole is less than the sum of its parts”
• There is a lack of a cohesive vision as a department
• There is evidence of decline in the quality and
competiveness of the GME education programs
• There is a lack of a research strategy that synergizes
across divisions
• There is no departmental clinical strategy that facilitates
the efforts to address healthcare reform
Recommendation to Reorganize
Structure to Improve Function
Steven B. Abramson, MD
Chair, Department of
Medicine
David Stern, MD
Mark B. Pochapin,
Katherine
MD
Wesnousky
Vice Chair,
Education/Faculty
Vice Chair,
Administrator/Chief
Affairs
Clinical
of Staff
Patrick M. Cocks,
Doug Bails, MD
MD
Chief of Medicine,
Associate Chair,
Bellevue
GME
Michael LoCurcio,
MD
Associate Chair,
UME
TBD
Associate Chair,
CME
Martin Kahn, MD
Associate Chair,
Academic Affairs
TBD
Associate Chair,
Mentoring
David T. Stern, MD
Chief of Medicine,
VA
Fritz Francois, MD
Chief of Medicine,
Tisch
Michael H. Perskin,
MD
Associate Chair
Ambulatory
Katherine
Hochman, MD
Associate Chair,
Quality
Glenn I. Fishman,
MD
Vice Chair,
Research
Division Chiefs
Glenn I. Fishman, MD
Dir., Cardiology
Joel D. Ernst, MD, Int
Dir., I.D. & Immunology
Ira Goldberg, MD
Dir., Endocrinology
Davd M. Oshinsky, MD
Dir., Med. Humanities
Mark B. Pochapin, MD
Gastroenterology
Edward Y. Skolnik, MD
Dir., Nephrology
Sondra R. Zabar, MD
Interim, Dir., GIM
William N. Rom, MD
Dir., Pulmonary
Caroline S. Blaum, MD
Dir., Geriatrics
Jill Buyon, MD
Dir., Rheumatology
Howard A. Fine, MD
Dir., Hem./Medical Onc.
Bruce N. Cronstein, MD
Dir., Translational Med.
Recommendation:
Promote One Clinical Faculty
• Begin with fundamental respect for
colleagues across institutions and
practices
• Strategic growth of Academic Divisions
– Targeted world-class programs in specialized areas
• Responding to the external threats
• Share best practices across teaching
hospitals
One Faculty:
Tri-institutional Council
New Division Directors
Dr. Jill Buyon
Rheumatology
Dr. Ira Goldberg
Endocrinology, Diabetes and
Metabolism
New Associate Directors
(Divisions Clinical)
Dr. Steven Hodak
Dr. Michael Philips
Endocrinology, Diabetes and
Infectious Diseases and Immunology
Metabolism
New Associate Directors Medicine
Quality First
Dr. Laura Evans
Bellevue
Dr. Katherine Hochman
Tisch Hospital
Department of Medicine
Administrative Leadership
11
Thank You…
Dr. Ann Danoff
Contributions as Director, Division of Endocrinology,
Diabetes and Metabolism
Dr. Iven Young
Contributions as Firm Chief
MEDICAL EDUCATION
Trends in Specialty Matching PGY-1 Students
Matched to Internal Medicine 2004-2013
SHOW DATA FROM 2014
Departments that have 5
or more direct contact
hours with UME
students
DEPARTMENT
1 Medicine
UME Effort Hrs▼
11938
2 Cell Biology
6242
3 Emergency Medicine
4316
4 Pediatrics
4025
5 EFAA
2583
6 Radiology
1512
7 Pathology
1199
8 Obstetrics and Gynecology
947
9 Microbiology
932
10 Psychiatry
516
11 Biochemistry and Molecular Pharmacology
500
12 Population Health
485
13 NYU Cancer Institute
374
14 Physiology and Neuroscience
338
15 Skirball Institute
296
16 Hospital Operations
294
17 Dermatology
214
18 Neurology
150
19 Neurosurgery
92
20 Surgery
70
21 Neuroscience Institute
62
22 Child and Adolescent Psychiatry
57
23 Anesthesiology
26
24 Orthopedic Surgery
26
25 Rehabilitation Medicine
22
Medical Student Education
Michael LoCurcio
Acting Internship
Associate Chair, Education
Anthony Grieco
Core Clerkship
Michael Tanner
Ambulatory Care
Norma Keller
Critical Care
Pamela Rosenthal
CFM
Medical Student Education Firm Chiefs:
ANTHONY GRIECO
MICHAEL BRABECK
ELIZABETH WEINSHEL
DOREEN ADDRIZZO-HARRIS
MARTIN KAHN
JEROME LOWENSTEIN
MITCHELL CHARAP
RUTH ORATZ
IVEN YOUNG
*Dr. Paru Patrawalla
2013-2014
Residency Program Directors
Patrick Cocks
Louis Miller
Program Director
Senior Associate Program Director
Assessment and Evaluation
Associate Program Directors
Restructuring
Mary Fishman
Barbara Porter
Jennifer Rockfeld
FGP Outpatient Experience
Outpatient Experience
Quality Improvement and
Patient Safety
Amit Uppal
Neil Shapiro
Margaret Horlick
Critical Care Experience
Inpatient Experience
Curriculum
Directors: Primary Care Residency Program
Sondra Zabar
Jennifer Adams
Mack Lipkin
Kathleen Hanley
Richard Greene
2013-2014
Chief Residents
Pavan Bhatraju
Inpatient
Brian Greet
Matthew Ingham
Rani Nandiwada
VA Outpatient
VA: QI & Safety
Inpatient
Brandon Oberweis
Laura Van Metre
Alexander Volodarskiy
Matthew Vorsanger
Pascale White
Senior Chief
Primary Care
Inpatient
Inpatient
BH Outpatient
2014 -2015
Chief Residents
Mark Adelman
Josh Denson
Karen Kan
Andrew Levy
Inpatient
Inpatient
Inpatient
Senior Chief
Sarah MacArthur
Robert Mocharla
Jack Naggar
VA: QI & Safety
VA Outpatient
BH Outpatient
Greg Schrank
Inpatient
Jessica Taft
Primary Care
RESEARCH
Goals: Research
Getting Divisions to the Top Ten
• Valorize the Division Directors to develop strategic vision for
translational research
• Recruit four Division Directors, national leaders with clinical
vision and translational research bona fides
• Promote collaborative grants (RFP PPG)
• Develop integrated clinical practice space that promotes
clinical research (e.g., CMC, Cancer Center)
• Nurture and support junior investigators (Saperstein, Colton,
Farber, Fast-tracking, PSTP, Hirschl, other)
Millions
Department of Medicine is the Leader in Research Funding
$80
Medicine
$68M
$70
$60
$50
$40
$30
$20
$10
$0
Pop
Health
$29M
Skirball
$22M
CLINICAL AND TRANSLATIONAL MEDICINE PROGRAMS
Center for
Musculoskeletal Care
Center for Diabetes
and Metabolic Care
Center for
Cardiovascular Care
Cancer Center
Institute
Existing
(Dr. Steven Hodak)
In progress
Existing
Recruitment of additional disease-based clinicians & clinician-investigators (6-8)
Integrated with NYULMC Clinical Research Unit/Health Outcomes & Population Science/CTSI/CHIBI (6-8)
Immunity &
Inflammation
Auto-Immunity
Inflammatory Bowel Disease
Infectious Diseases/Microbiome
Asthma
Metabolomics
Diabetes
Obesity
Metabolic Disorders
Cardiovascular
Disease
Precision
Medicine
Vascular Disease
Structural Heart Disease
Arrhythmias
Heart Failure
Genetic Basis of Disease
Targeted Therapeutics
THE NAMED CENTER FOR MOLECULAR MEDICINE
Rheum, ID, GI
Expansion
Endocrine
Division Director
CV, Renal Expansion
Precision Medicine
Program Director
Associate Prof (4-6)
Associate Prof
Associate Profs (2)
Associate Prof
Assistant Profs (4-6)
Assistant Profs (2)
Assistant Profs (4)
Assistant Prof (2)
Berger, Buyon, Chen, Cho, Cronstein, Delmar, Ernst, Fisher, Fishman, Gardner, Maass, Moore, Mor, Morley, Philips J, Philips
M, Ramasamy, Reibman, Schmidt, Shopsin, Silverman, Skolnik
Integrated with I-CUBED / PATHOLOGY / CELL BIOLOGY / CANCER CENTER / NEUROSCIENCE
Katy Wesnousky
Department
Administrator
Glenn Fishman
Vice Chair
Research
Yelena Sionova
Director,
Research
Administration
Phil Himmelstein
Finance Manager
Clinical Trials
Coordinators
Grants
Manager –
Translational/
DGIM
Financial Analyst
Endo/Nephrology/
Translational/
DGIM
Grants
ManagerPulmonary
Grants
ManagerRheumatology
Financial Analyst
Pulmonary/Infectious
Disease/Gastroenterology
Grants
ManagerCardiology
Grants
ManagerEndocrinology
Financial Analyst
Geriatrics/Humanities/
Rheumatology
Grants
ManagerInfectious
Disease
Financial Analyst
Cardiology
Grants
ManagerGeriatrics/GI/
Medical
Humanities
Department of Medicine
Creating a Pathway for Success for Young Investigators
Timeline
0
1
2
Clinical Fellowship
Training
3
4
5
6
7
Intensive Research Training
(Asst in Service or
Instructor)
8
9
10
11
Assistant Professor
(CIE or ICE)
NIH K Awards
T32 training grants
KL2 grants
Foundations
Philanthropy
Physician-Scientist Training Program (SoM)
Physician-Scientist Development Program (DoM)
PSDP Program Details (work in progress)
80% Protected Research Time
Salary Support: Shared by Department, Division and other Sources
Modest Project Support
Nominations by Division Directors and Program Directors
Selection Committtee of Physician-Investigators
Anticipate ~ 3/year
(Funded by Coltons, Sapersteins, new philanthropy)
NIH R awards
Weissmann Scholars
(within 6 yrs)
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MEDICINERESEARCH
DISCOVERY THROUGH COLLABORATION
2014 DEPARTMENT OF MEDICINE RESEARCH DAY
MAY 14, 2014 / 7:45 AM - 6:00 PM
ALUMNI HALL B / NYU LANGONE MEDICAL CENTER
550 FIRST AVE / NEW YORK, NY 10016
MORNING PROGRAM
AFTERNOON PROGRAM
7:30 AM
12:10 PM
Continental Breakfast - Outside Farkas Hall
Posters Session II and Lunch
Research Day & Awards Dinner
Presentation Title
30
[email protected]
Co-editors:
David Oshinsky, PhD
Stacy Bodziak
Editorial Board:
Steven Abramson, MD
Doug Bails, MD
Lucy Bruell
Bruce Cronstein, MD
Laura Evans, MD
Carl Glenn
Lisa Greiner
Anthony Grieco, MD
Kathy Hochman, MD
Jonathan LaPook, MD
Michael LoCurcio, MD
Donna Marino
Mark Pochapin, MD
Harmony Reynolds, MD
Neil Shapiro, MD
Alex Sherman, MD
Katy Wesnousky
Jessica Wilson
31
[email protected] Spotlight Videos
Presentation Title
33
Donna Marino
Department of Medicine
Philanthropy
FY’14 YTD (Thru June 16th)
Division
Rheumatology
$10,818,835
Endocrinology
$7,666,667
Translational Medicine
$1,383,333
Cardiology
$1,245,585
General Internal Medicine
$981,976
Geriatrics
$498,100
All Other
Total Department of Medicine
$1,492,450
$24,086,946
Promotions
First Annual Appointments &
Promotions Reception
Presentation Title
37
Appointments and Promotions
• Division of Cardiology Sripal Bangalore, MD, Associate
Professor of Medicine Howard Weintraub, MD, Clinical
Professor of Medicine
• Division of Gastroenterology Fritz Francois, MD, Associate
Professor of Medicine
Jonathan D. LaPook, MD, Mebane Professor of
`
Gastroenterology and Professor of Population Health
• Division of General Internal Medicine Douglas B. Bails,
MD, Clinical Associate Professor of Medicine Michael
LoCurcio, MD, Associate Professor of Medicine Marc M.
Triola, MD, Associate Professor of Medicine
38
Appointments and Promotions
• Division of Hematology & Oncology Lawrence P. Leichman,
MD, Professor of Medicine Yelena Novik, MD, Associate
Professor of Medicine Ruth Oratz, MD, Clinical Professor of
Medicine
• Division of Infectious Diseases Melanie Maslow, MD,
Professor of Medicine
• Division of Pulmonary & Critical Care Laura E. Evans, MD,
Associate Professor David L. Kamelhar, MD, Clinical
Professor
• Division of Rheumatology Brian D. Golden, MD, Clinical
Associate Professor
Sara B. Kramer, MD, Clinical Associate Professor
Paula Rackoff MD, , Clinical Associate Professor
39
Major Awards and Appointments
Laura Evans, MD, was named Bellevue's "Physician of the Year" at the annual New York City
Health and Hospitals Corporation (HHC) Doctors’ Day Celebration.
Martin J. Blaser, MD, was honored as the 2014 recipient of the NIH Clinical Center's Distinguished
Clinical Research Scholar and Educator in Residence.
David S. Goldfarb, MD, received the 2014 Distinguished Teacher Award in the Basic Sciences at
NYU School of Medicine.
William N. Rom, MD, received the 2014 Distinguished Achievement Award from the American
Thoracic Society
Harmony Reynolds, MD, named Saul j. Farber Assistant Professor
Edward A. Fisher, MD, delivered the George Lyman Duff Memorial Lecture at the last annual
scientific sessions conference of the American Heart Association
Presentation Title Goes
Here
40
Major Awards and Appointments
Norman B. Javitt, MD, PhD received the American Physiological Society’s History of
Physiology Group 2014 Recognition Award
Bruce N. Cronstein, MD, received the 2013 Arthritis Foundation Lee C. Howley Sr. Prize
for Research in Arthritis.
Barry Rosenzweig, MD, has been appointed Assistant Dean for GME.
Neil Shapiro MD Clinical Correlations published an article celebrating our 1000th
article published and won a Silver Award from the American Society of Healthcare
Publication Editors
Rochelle (and Kurt) Hirschhorn MD awarded the 2013 Victor A. McKusick Leadership
Award by American Society of Human Genetics
Presentation Title Goes
Here
41
Department of Medicine
Goals for 2014-2015
Clinical
1. Continue to promote One Faculty across institutions and
practices
–
–
Clinical Tri-institutional leadership group
Improve communication with Monthly Newsletter: [email protected]
2. Develop New Centers for Clinical and Translational
Research
–
–
–
–
–
–
Diabetes and Endocrine
Autoimmunity
Liver Disease, IBD, Advanced endoscopy
Pulmonary Hypertension
Asthma, Lung cancer
LVAD/CHF, Arrhythmia, Interventional Cardiology
3. Promote Strength, Growth and Reputation of Clinical
Practices
Research
1. Leadership Role of Division Directors: (Recruitment,
NIH grants, faculty development, mentoring, etc)
2. Implement a strategic translational research plan
that enables collective success of divisions
3. Committee on Research Collaboration
–
–
–
–
RFP ($25K X 4)
Promote inter-divisional/departmental collaboration
Develop collaborative NIH submissions of grants >$350K (RO1, PPG/Center, Co-PD/PI)
Promote joint recruits with basic science departments (Cell Bio, Pathology, Genetics, Pop
Health)
– Promote collaborative opportunities for young scientists
Education and Academic Affairs
1. Focus on faculty leadership development
2. Increase mentoring of faculty (Mentoring
“champion”, programs)
3. G21: Re-engineer GME programs
–
–
–
–
–
–
Implementation of CLER/NAS (B. Rosenzweig, Lou Miller)
Compliance with RRC (ICU, ambulatory)
Develop tracks for PC/IM, Research, Hospitalists, Specialists
Technological innovation (iPads, handheld ultrasound, education data
warehouse)
Develop innovative models for GME financing for ambulatory training
Develop competency based pathways to “graduation” of residents and
fellows
Next Steps
“In real life, strategy is actually very
straightforward. You pick a general
direction and implement like hell." ― Jack
Welch
Chair and CEO General Electric
In real life…
Our successes flow from the talent and
commitment of our physicians, scientists
and staff.
Thank you all for your many contributions
to the missions of this great department!