2017 CFAS/ORR Joint Spring Professional Development Conference Meeting Summary March 9-12, 2017 Orlando, Fla.

What Is CFAS? The Council of Faculty and Academic Societies (CFAS) represents U.S. medical school faculty and academic societies within the AAMC CFAS membership consists of 379 reps from medical schools and academic societies CFAS has direct representation on the AAMC’s Board of Directors through its chair and chair-elect

Issues Addressed by CFAS Faculty resilience and vitality NIH funding and research support GME support and advocacy Faculty identity and development Health equity and diversity Faculty professional development and training …and more issues as CFAS reps raise them

2017 CFAS/ORR Conference Basics Included representatives from CFAS and the Organization of Resident Representatives (ORR) More CFAS reps attended than in the past: 200 attendees total, including CFAS and ORR reps, guests, speakers, and AAMC staff. More than 140 attendees were directly affiliated with CFAS. Nine CFAS committees and working groups met prior to the general sessions to discuss topics ranging from resiliency, the role of basic science in academic medicine, advocacy, communications, faculty identity, and CFAS leadership Most committees and working groups are open to all CFAS reps who wish to participate

2017 Conference Basics Conference featured more than 30 sessions, including plenaries, concurrent breakouts, and networking opportunities over three days All 12 breakout sessions originated from an open call for proposals to CFAS and ORR reps, and the majority of speakers were pulled from CFAS and ORR ranks Posters presented for the first time at this meeting as an additional way to engage representatives Strong bias to feature CFAS and ORR reps whenever possible to get faculty or resident perspective; sessions featured both clinical and basic science perspectives whenever possible

Plenary Overview Plenary sessions covered key concepts facing faculty and academic societies today: The faculty of tomorrow’s academic health center Academic health center finance 101 Personal transitions in the lifecycle of academic medicine Navigating academic health center governance The opioid dilemma The place for PhD’s in the medical school of tomorrow AAMC leadership report and Washington policy update

Faculty of Tomorrow’s Academic Health Center Moderator: Rosemarie Fisher, MD, Professor of medicine; Director and Associate Dean of Graduate Medical Education, Yale University School of Medicine Speakers: Rebecca Ganetzky, MD, Human Genetics Attending Physician, Children’s Hospital of Philadelphia Cynda A. Johnson, MD, President and Founding Dean, Professor, Family and Community Medicine, Virginia Tech Carilion School of Medicine Kevin Pearce, MD, MPH, Department Chair and Associate Dean for Rural and Community Health, University of Kentucky College of Medicine Tika Benveniste, PhD, Senior Associate Dean for Research Administration and Development, UAB School of Medicine Katherine Gold, MD, Assistant Professor, Department of Family Medicine, University of Michigan Medical School Jerome Breslin, PhD, Associate Professor, Molecular Pharmacology and Physiology, USF Health Morsani College of Medicine

Faculty of Tomorrow’s Academic Health Center Addressed issues related to defining faculty in today’s academic health centers. Also addressed unique challenges for basic science faculty and how to support faculty throughout a high-stress career Key takeaways: Basic science faculty must embrace change to survive, should know how to lead change To resolve issue of artificial metrics for research success, educate those above you about what’s actually important and valuable Thinking about what matters to you and how to stay aligned with that is crucial for long-term success

Faculty of Tomorrow’s Academic Health Center Key takeaways, continued… Have a diverse group of mentors for every stage of your career Robust bridge funding mechanisms are invaluable for faculty doing research To reduce clerical burden, give access to tools such as voice recognition software or provide EHR scribes Dept. chairs need to be better mentors and guides to younger faculty by telling them how much of the different missions they should be contributing to

Academic Health Center Finance 101 Moderator: Scott Gitlin, MD, CFAS Chair, Professor of Hematology/Oncology, University of Michigan Medical School Speakers: Joe Doty, Senior Vice President and COO, Baylor College of Medicine Carolyn Meltzer, MD, Chair, Department of Radiology, Associate Dean for Research, Emory University School of Medicine Steven V. Angus, MD, Associate Professor, Department of Medicine, University of Connecticut School of Medicine, and DIO at UCONN Covered measurements of an institution’s financial health, how GME is financed, and the pros and cons of different funds flow models

Academic Health Center Finance 101 Measures of institutions’ financial health Long-term financial trends through balance sheets, income statements, etc. An institution’s “days of cash on hand” (if all cash stopped coming in, how many days until the institution runs out of everything?) The institution’s ability to extinguish debt Institutional financial strategic plan and ROI knowledge by calculating potential cost of new investments and how to get back the money Know internal rate of return requirements (what rate of ROI you want – 5%, 7%, etc.)

Academic Health Center Finance 101 Key takeaways: Growth not always the right answer – comprehensive review of all aspects of funds flow is important Have to define what success means for your institution Dept. chairs must have seat at the table in funds flow distribution Faculty have a role in GME finance reform – must be aware, involved in suggestions for reform

Personal Transitions in the Life Cycle of Academic Medicine Moderator: Maureen Connelly, MD, MPH, Dean for Faculty Affairs, Harvard Medical School Speakers: Kathleen Nelson, MD, Clinical Professor of Pediatrics, Associate Chair for Faculty Development, Children’s Hospital Los Angeles Matthew McDougall, MD, Medical Director of Psychiatry, Sioux Falls Veterans Health Administration Marcia F. Katz, MD, Associate Dean for Clinical Affairs, Professor of Medicine, University of Central Florida, College of Medicine. Discussed how to prepare for and be successful in transitions, and featured advice and perspectives from speakers with diverse backgrounds and experience

Personal Transitions in the Life Cycle of Academic Medicine Career advice: Frame your strengths by saying “I accomplished X in comparison to Y by doing Z” Choose a career path that allows you to have synergy with family, friends, life passions Think about the roles you take on, and structure them to drive you in your desired direction Be entrepreneurial to make your past skill sets and experiences relevant to new jobs

Personal Transitions in the Life Cycle of Academic Medicine Career advice, continued… When moving to different institution, view the culture like an anthropologist: there’s different customs, symbols, languages, dress codes, and values Can’t learn these things by reading about them; need to live it and have a “cultural broker” – someone who helps you navigate the new culture

How to Understand, Navigate, and Be Part of Your Academic Medical Center’s Governance Moderator: Vincent D. Pellegrini, MD, Professor and Chair of Orthopaedics, Medical University of South Carolina College of Medicine/American Orthopaedic Association Speakers: David Guzick, MD, PhD, President, UF Health, University of Florida Donald Wilson, MD, Dean Emeritus, University of Maryland School of Medicine Session described different governance models in academic health centers, what makes a model successful, and how faculty can engage with them; discussed how faculty at all levels need to understand the governance model of their institutions to understand opportunities and advance

How to Understand, Navigate, & Be Part of Your Academic Medical Center’s Governance Main points: Academic health center governance typically represented by a familiar triumvirate: the college of medicine, the faculty practice, and the hospital Important questions: is your hospital owned or affiliated? What’s the role of the dean in clinical matters? Who hires the doctors? How is the academic mission supported and how is it set? Any governance model works only when the right people are in the right positions There must be equal relationship/appreciation between hospital and medical school Putting faculty on key committees (practice plan committees, financial committees, etc.) is key to keeping faculty engaged

The Opioid Dilemma Moderator: VJ Periyakoil, MD, Director, Palliative Care Education and Training, Stanford University School of Medicine Speakers: Alison Holmes, MD, Vice Chair for Education, Department of Pediatrics, Associate Professor of Pediatrics and of the Dartmouth Institute Robert Sokol, MD, Emeritus Dean and Emeritus Distinguished Professor of Obstetrics/Gynecology and Physiology, Wayne State University School of Medicine Session described extent of opioid epidemic, treatment for neonatal abstinence syndrome (NAS), and efforts to get more doctors certified in addiction medicine during training

The Opioid Dilemma Main points: Opioid dilemma is concurrent feast and famine: Feast: too much medication in certain places Famine: Too little is available for patients in pain, especially chronic pain toward end of life Unconscious bias in prescribing opioids leads to health disparities; under-represented minority patients systematically undertreated for pain Pregnant women addicted to opioids or heroine need to be in a treatment program because it’s the withdrawal symptoms that hurt fetus Rooming-in is very effective treatment for neonatal abstinence syndrome

The Opioid Dilemma America needs more physicians who are trained and credentialed in addiction medicine CFAS can help in opioid crisis by: Taking more informed, comprehensive approach back to our institutions – “We can’t just prescribe our way out of this.” Focusing on better opioid education at the GME level Closing gaps between health care and research by connecting clinicians to most current research on opioids

The Place for PhDs in the Medical Schools of Tomorrow Moderator: Gabriela Popescu, PhD, Professor of Biochemistry, Anesthesiology, and Neuroscience, Jacobs School of Medicine and Biomedical Sciences at the University of Buffalo Speakers: Richard Eckert, PhD, Professor and Chair, Department of Biochemistry and Molecular Biology, University of Maryland School of Medicine Lawrence Marnett, PhD, Dean of Basic Sciences, Vanderbilt University School of Medicine Lee Fleisher, MD, Professor and Chair of Anesthesiology, Perelman School of Medicine at the University of Pennsylvania

The Place for PhDs in the Medical Schools of Tomorrow Discussed current realities and challenges of being a scientist in academic medicine Future strategies to support new PhD faculty: Create environments for clinical, basic science mingling Give PhDs clinically relevant training The optimal home for PhDs must be decided locally by each individual academic health center Chairs of PhDs should cultivate relationships with clinical departments Set aside money for bridge funding for research faculty and for seed grant support Require them to write at least 4 grants per year Advocate for NIH/NSF funding Encourage meaningful participation in philanthropy

Leadership Plenary Speakers: Darrell G. Kirch, MD, AAMC President and CEO; Karen Fisher, JD, AAMC Chief Public Policy Officer Update on AAMC initiatives of interest to faculty and residents, and the AAMC’s advocacy efforts in Washington, DC Achievements: New AAMC reports and publications on best practices for interviewing residents AAMC updated MSPE (“dean’s letter”) AAMC had legislative language inserted in 21st Century Cures Act to say SES must be accounted for in Medicare payment policies 21st CC Act increases research funding for cancer, neurosciences, precision medicine

Leadership Plenary Achievements: CFAS Communications Chair Amy Hildreth representing AAMC in National Academies of Medicine/ACGME/AAMC “Action Collaborative” focused on clinician wellbeing CFAS Faculty Resilience Working Group Chair Mona Abaza now serves on ACGME Board of Directors AAMC updating StandPoint surveys (formerly Faculty Forward) to look at satisfaction, culture, diversity, and inclusion among medical school faculty Big challenge: Boost in defense spending at expense of discretionary spending

Leadership Plenary AAMC’s 5 key advocacy issues:: NIH and research funding ACA Medicare VA Student issues AAMC has launched an online advocacy toolkit to help CFAS reps engage. New “Ask Me About My Research” buttons were debuted and distributed at the meeting to generate public conversations about science and academic medicine research Contact Congressional representatives to support FY17 spending bill because if continuing resolutions persist, $2B increase for NIH disappears

Business Lunch

Business Lunch Select CFAS Committee and Working Group Updates: Advocacy Committee developed an online advocacy resource linked to overall AAMC advocacy efforts Basic Science Working Group developed a priority list of topics to address among members Communications Committee developing letters that CFAS will send to medical school deans and academic society executive directors explaining meeting activity Evaluation Committee is redeveloping its plan to measure the effectiveness of CFAS work; presented survey on “critical issues”

Business Lunch

Business Lunch CFAS Committee and Working Group Updates: Faculty Resilience Working Group Continued to develop and promote content on the AAMC’s “well-being” website: www.aamc.org/wellbeing Mission Alignment Impact of Faculty Increasing alignment with work done by the AAMC’s Group on Faculty Affairs Diversity Committee (newly established) developing long-term agenda Value of Faculty as Educators Working Group Submitted a “framework” report highlighting the accomplishments of the group Program Committee sending out detailed evaluation of meeting Definition of Faculty Working Group Developed overarching white paper that will act as a guideline for project

Business Lunch CFAS Leadership Slate for November 2017 Scott Gitlin, MD, Chair, Professor of Hematology/Oncology, University of Michigan Medical School, Representing the American Society of Hematology Gabriela Popescu, PhD, Chair-Elect, Professor of Biochemistry, Anesthesiology, Neuroscience, Jacobs School of Medicine and Biomedical Sciences at the University of Buffalo Vincent D. Pellegrini, Jr., MD, Immediate Past Chair, Professor and Chair of Orthopaedics, MUSC

Networking Opportunities and Social Engagement The meeting offered several networking opportunities including breakfasts with on-the-fly table topics (one session included an activity to write letters to Congress), receptions, and poster display in the break area

For More Details… Learn more about CFAS Membership Issues Leadership www.aamc.org/cfas Learn more about our spring meeting: Full program of the conference, including speakers Access to additional slides and other materials www.aamc.org/members/cfas/resources