SCHOOL OF MEDICINEGENERAL FACULTY MEETING

Wednesday, April 21, 2010

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

LCME ACCREDITATION

Richard DiCarlo, MDAssistant Dean, Undergraduate Medical Education

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.

Accreditation

• Final report issued February 2010• Full accreditation – 8 years• Six minor citations

– Partial compliance or in transition– Interim report due in December 2010

FACULTY VOTE ON CURRICULUM CHANGES

Richard DiCarlo, MDAssistant Dean, Undergraduate Medical Education

GRADUATE LIST APPROVAL

Joe Delcarpio, PhDAssistant Dean, Undergraduate Medical Education

2010 MATCH RESULTS

Joseph Delcarpio, PhDAssociate Dean, Student Affairs and Records

Charles Hilton, MDAssociate Dean, Academic Affairs

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

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

2010 Match

2010 Match

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    

CAMP TIGER

Joseph Delcarpio, PhDAssociate Dean, Student Affairs and Records

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

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

LEADERSHIP SEARCHES

Steve Nelson, MDDean

Dereck J. Rovaris, Sr., PhD

Associate Vice Chancellor for Academic and Multicultural Affairs

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

RESEARCH

Wayne Backes, PhDAssociate Dean, Research

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

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

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

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

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

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)

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

CLINICAL AFFAIRS

Steve Nelson, MDDean

Tom Nolan, MDAssociate Dean, Clinical Affairs

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”

QUALITY/PROCESS IMPROVEMENT&

HEALTH DISPARITIES RESEARCH CONSORTIUM

Dwayne Thomas, MDAssociate Dean, Health Quality and Patient Safety

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

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

STRATEGIC PLAN

Janis Letourneau, MDAssociate Dean, Faculty and Institutional Affairs

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

FACULTY FORWARD

Janis Letourneau, MDAssociate Dean, Faculty and Institutional Affairs

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

Faculty Forward• Strengths

– Collegiality– Resilience– Strong leadership

• Relative or potential weaknesses– Entrepreneurialism– Understanding of governance– Understanding of finances– Understanding of advancement expectations

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

NEW ACADEMIC MEDICAL CENTER

Steve Nelson, MDDean

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

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

The Health Sciences Center has completed $44.1M in capital improvements since Katrina.

John P. Ische LibraryResource Center

Medical Education Building2nd Floor

Medical Education BuildingLecture Rooms

Center for Advanced Practice, 5th floor, Lions Building

StudentLearning

Center6th floor, Lions Building

Lab Renovations

Lab Completion

BUDGET

Steve Nelson, MDDean

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

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

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

School of Medicine SGF Budget

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

LSUNO Graduated Physicians

Tulane Graduated Physicians

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

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%

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

“Money matters, performance counts, time is the enemy”.

John Lombardi, PhD LSU System President