Transcript Mount Sinai

Mount Sinai School of Medicine
DENNIS S. CHARNEY, M.D.
Dean
September 22, 2009
Accelerating Science
Advancing Medicine
Achieving and Maintaining
Greatness
Quality
Best Doctors in NY
•
152 FPA Doctors in 49 specialties
Total 415 in 56 specialties (includes voluntaries, affiliates and non-FPA)
US News & World Report Rankings
•
Medical School 2009
#22 (from #33 in 2004)
•
Hospital Honor Roll 2009-2010
#19 (never before)
(out of 4,861 hospitals analyzed)
Top 20 in 6 Specialties
Top 50 in 11 Specialties
NIH Funding Rank
•
Academic Medical Centers 2009
#18 (from #25 in 2004)
•
U.S. Medical Schools (AAMC) 2009
#3 Research Dollars/Principal Investigator
#2 Research Density
The Scientist's annual "Best Places to Work in Academia Survey"
•
MSSM in Top 15
2009 AAMC Spencer Foreman Community Service Award
Accelerating Science
Advancing Medicine
Achieving and Maintaining
Greatness
Tripartite Missions of MSSM
1. Clinical
2. Education
3. Research
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Greatness
Faculty Practice
The practice has seen exceptional growth
• Jan-Jun 2008 vs 2009
–Membership in FPA has grown by 7%
–Number of visits grew by 10%
–wRVUs grew by 12%
–Receipts grew by 7%
• Successful recruitment of outstanding clinicians has driven the volume and
receipts
• Emphasis on core values has resulted in better patient satisfaction
–Studer Group training for doctors and staff
–Press-Ganey surveys and reports for feedback and coaching
Accelerating Science
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Greatness
Faculty Practice Receipts
FPA Patient Care
Receipts
compared to other
Top Ranked
Schools
Accelerating Science
Advancing Medicine
Name
Receipts
Clinical Receipts
MDs
/MD 2008
Northwestern U Feinberg SOM
Weill Cornell Medical College
Emory Univ. SOM
Wake Forest Univ. SOM
Mount Sinai SOM
Washington Univ. in St. Louis SOM
Univ. of WI SOM & Public Health
Columbia Univ. Coll of P & S
Duke Univ. SOM
Univ. of Rochester SOM and Dentistry
$
$
$
$
$
$
$
$
$
$
403,534,216
395,356,507
435,246,077
277,581,384
363,526,485
464,400,000
448,616,038
435,065,000
359,974,095
294,492,579
600
707
928
615
828
1,061
1,107
1,200
1,006
985
Yale Univ. SOM
Univ. of Virginia SOM
Univ. of CA Los Angeles SOM
Medical Univ. of SC Coll of Med
Univ. of Iowa Coll. Of Med
Univ. of Utah SOM
Univ. of CA, San Francisco, SOM
Univ. of Minnesota Medical School
Massachusetts General Hospital
Beth Israel-Deaconess Med Ctr
Oregon Health & Science Univ. SOM
Univ. of NC at Chapel Hill SOM
Univ. of CA San Diego SOM
$
$
$
$
$
$
$
$
$
$
$
$
$
264,092,763
200,678,554
336,777,755
198,219,334
175,108,351
242,079,755
293,199,914
176,050,588
497,476,362
210,649,000
183,597,355
166,967,686
120,974,174
908
728
1,275
761
683
950
1,180
721
2,123
923
839
1,012
780
$672,557
$559,203
$469,015
$451,352
$439,041
$437,700
$405,254
$362,554
$357,827
$298,977
$290,851
$275,657
$264,139
$260,472
$256,381
$254,821
$248,475
$244,176
$234,327
$228,222
$218,829
$164,988
$155,095
Achieving and Maintaining
Greatness
FPA Strategic Goals
• Continue to develop a patient-centered, efficiently-run, professionally-
managed FPA without losing any of the entrepreneurial spirit that has led
to the unmatched success in growth over the past 5 years
• Continue to develop a culture of service, so that our patient satisfaction
matches our outstanding quality of patient care
• Continue to improve operational efficiency, such as in the revenue cycle,
realizing economies of scale where appropriate
• Continue our practice growth
• Expand primary care on campus and develop strategic alliances to
expand our primary care reach
• Rebrand the FPA – Name, East Coast Mayo/Cleveland Clinic
Accelerating Science
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Greatness
Education: Recognition
Recognition
• 2009 AAMC Spencer Foreman Community Service Award
• AMA Foundation
– Pride in the Profession Awarded to Dean for Medical Education, David Muller MD
– Student Leadership Awarded to 2 students
– AMA Foundation Minority Scholars Awarded to 2 students
Accelerating Science
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Greatness
Education: Quality – Matriculating Class of 2009
MD Students
Number of Complete Applications:
Number of Interviews (excl EA/MSTP)
Size of Class
MSTP
4,768
853
140
11
NYS State Residents
33%
Women
53.6%
URM
17.9%
Average MCAT
34.9
Average GPA
3.69
Number of Undergraduate Schools
48
(Penn=12, Harvard=9, Brown=8, Columbia=7, NYU=7)
Accelerating Science
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Greatness
Education: Quality – Matriculating Class of 2009
PhD Students
Number of Complete Applications:
Size of Class
NYS State Residents
Women
URM
Average GRE
Average GPA
359
30
37%
77%
17%
1280
3.54
Number of Undergraduate Schools 28
(UChicago=1, Emory=1, Cornell=2, Peking University=1, Columbia=1,
Bates=1, Williams=1, Wellesley=1)
Accelerating Science
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Greatness
Education: Strategic Plan
I am proud to introduce Mount
Sinai’s vision for the School of
Medicine. The programs and
advances you will read about
here represent a bold departure
from the traditional medical
school model. They also reflect
Mount Sinai’s deep and longstanding commitment to
translational medicine.
Dennis S. Charney, MD
Anne and Joel Ehrenkranz Dean of Mount
Sinai School of Medicine and
Executive Vice President for Academic
Affairs of The Mount Sinai Medical Center
Our goal is to prepare physicians
and scientists to enter society as
informed advocates and activists
ready to advance research and
clinical care and capable of
promoting change. All our efforts
and reforms are focused on
creating a more integrated,
patient-centered learning
experience in both basic science
and clinical medicine.
David Muller, MD
Marietta and Charles C. Morchand Chair
in Medical Education and
Dean for Medical Education
Accelerating Science
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Greatness
Education: Notable curriculum and programs
• Competencies-based Curriculum
– A more individualized approach to education
A more even distribution of science and medicine
• Longitudinal Clinical Experience (LCE)
– one of two schools in the country to implement a Longitudinal Clinical Experience
for an entire entering class, allowing students to experience doctoring from the
very start, and helping them ‘translate’ the science they learn into a clinical context.
• INSPIRE
– 3-4 months of protected time in the fourth year for mentored scholarly projects
• 5 year MD/MSCR - PORTAL
• East Harlem Health Outreach Partnership (EHHOP)
• Visiting Doctors
• Adolescent Health Center
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Education: Institute for Medical Education
Director: Lisa Coplit, MD
Goals of the new Institute:
•
•
•
•
•
Recognition/Reward for Excellence in Education
Support for Promotion on Educator Track
Support and development in Teaching/Education
Support and development of Scholarship
Create an Educational community
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Education: Strategic Goals
• Recruitment of outstanding medical and graduate students
• Develop unique cutting edge curriculum in medical and graduate school
• Establish new PhD programs (Computational Genetics, Global/Public Health)
• NAS Report: A New Biology for the 21st Century: Ensuring the United States
Leads the Coming Biology Revolution
• Continue to align PhD programs with focus of the Research Institutes
• Mentorship
Accelerating Science
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Greatness
Independent Status
• Institutional Accreditation
Middle States Commission on Higher Education
•
Charter Amendment, New Name
New York State Department of Education
Target Date: November, 2010
Accelerating Science
Advancing Medicine
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Greatness
Research Productivity
• MSSM is now #18 in NIH Funding with ~$200M in grants
• AARA Funding Outstanding
• The efficiency of space utilization has improved
– In 2006, the average institutional research density was $565/sf
– In 2007, the average institutional research density was $639/sf
– In 2008, the average institutional research density is $651/sf
• This increase has enabled us to make major recruitments within our
existing space
Accelerating Science
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Greatness
Direct Expenditures per Principal Investigator
Purpose: Assesses research productivity of faculty engaged in research
Higher Number is Favorable
Formula: Direct Expenditures / Number of PIs
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Grant $s per Net Assignable Square Foot (NASF)
Purpose: Reflects productivity of research space
Higher Number is Favorable
Formula: Total Grant $s / NASF
Accelerating Science
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Research Space Use
Research Space at 95% occupancy
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Greatness
Center for Science and Technology at East River Science Park
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Strategies for Facilitating Biomedical Breakthroughs
Academic Medical Centers
Mount Sinai
1. Create multidisciplinary interdepartmental research institutes
and centers which are high in scientific diversity, depth, and
integration.
2. Encourage a highly focused research effort and intense and
frequent interaction of faculty from diverse backgrounds
3. Create a Departmental-Institute matrix that results in scientific
breakthroughs relevant to human disease
4. Recruit great scientists
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Greatness
Genomics Institute
NEW NIH DIRECTOR’S TOP TWO OBJECTIVES
“Apply High-Throughput Technologies to
Understand Fundamental Biology and
Uncover the Causes of Disease.”
“Support Translational Research to Take
Advantage of New Discoveries that Can
Lead to New Diagnostics and Treatments.”
Francis Collins, MD, PhD
August 17, 2009
Accelerating Science
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Greatness
Mount Sinai Genomics Institute A Core Technology Institute
MISSION:
To provide the latest Genetic/Genomic Technologies and
Computational and Analytical Capabilities for MSSM Investigators
Accelerating Science
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Mount Sinai Genomics Institute A Core Technology Institute
• Provide Latest Technologies & Analytical Capabilities:
– Expand Current Genome Capabilities:
• Recruit Expert Faculty and Staff
• High Throughput Sequencers
• Chip-Based Technologies
– Expand Proteomics/Metabolomics Technologies:
• Recruit Expert Faculty and Staff
• Mass Spectrometers
•
Provide Bioinformatic/Computational Capabilities:
– Recruit Expert Faculty and Staff
– Super Computer Power
– Develop & Provide New Analytical Tools
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Greatness
Mount Sinai Genomics Institute A Core Technology Institute
• Recruit World-Class Director
• Provide the Latest Technologies for
Genomic, Proteomics, & Metabolomics:
$15M
Recruit Expert Faculty & Staff
– Next Generation Sequencers
– Whole Genome Sequencers
– Mass Spectrometers, etc.
• Markedly Expand BioInformatics
& Computational Capabilities:
$15M
Recruit Expert Faculty & Staff
– Hardware and Software, etc.
– Tool Development
Total Costs
Accelerating Science
Advancing Medicine
$30M
Achieving and Maintaining
Greatness
Mount Sinai Institutes of Clinical
& Translational Sciences
CTSA: PI
H Sampson, MD
Dean for Translational
Biomedical Sciences
Award: $35m over 5 years
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Greatness
Center for Science & Medicine
~500,000 GSF devoted to Translational Research & Clinical functions
Occupancy: 2012/13
Successful recruitment of outstanding faculty
with research support has exceeded the
strategic plan targets
Accelerating Science
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Greatness
Center for Science & Medicine
Accelerating Science
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Greatness
Keys to Our Continued Success
• Great leadership at all levels
• Financial discipline
• Transparent decision-making based on
performance
• Recruitment and retention at all levels
• Alignment of Education, Research & Clinical
missions
A CULTURE OF EXCELLENCE
Accelerating Science
Advancing Medicine
Achieving and Maintaining
Greatness