Committee # 3: Institutional Setting: Academic Environment: Clinical Departments Residencies

Membership H. James Brownlee, MD Don F. Cameron, PhD Anne B. Curtis, MD, FACC Michael Flannery, MD Rani Gereige, MD, MPH, FAAP Sandra Gompf, MD, FACP Jorge Lujan-Zilbermann, MD, MS Bruce Schnapf, DO Saundra Stock, MD Harry R. van Loveren, MD Don Luong, MD Stephanie Parks Pezzo Janelle Fauci Elizabeth Rommel Robert Belsole, MD, Administrative Liaison John Curran, MD, Administrative Liaison Peter J. Fabri, MD, Administrative Liaison William G. Marshall, Jr., MD, MBA, Administrative Liaison

Comments Regarding Process: The Committee met a total of seven times from December 2005 through March 2006. The self-study exercise consisted of evaluating our performance in meeting our mandate and mission. Assess our undergraduate medical education program identifying its strengths as well as those areas and concerns that we need to address. Participation from students, teachers, clinicians, and researchers in the group was consistently one of excitement to learn from the data base and from each other that we educate in an innovative and integrated manner. USF Faculty has succeeded in meeting a number of very important challenges since 1999 and yet our educational, clinical and research activities have improved such that the students receive an excellent undergraduate education. The Committee maintained an “open mind” attitude throughout our deliberations and we welcomed the opportunity to present to each other both the fruits of our best work as well as insights and advice from all engaged in the process regarding our weaknesses.

Highlights of Responses to Self Study Questions: General Issues A high quality leadership team representing the three core missions of the college has been identified and created. There is a strategic plan for the development of all three missions. The creation of a mission based management a system approach Asset Investment Management System (AIMS) Incorporates parameters and rewards for scholarship and excellence in teaching and into the practice plans of clinical faculty to further enhance all three missions. The number and type of faculty in the COM are sufficient to support the educational mission of the college. Of the three basic science and 17 clinical departments, all have permanent seated chairs except for one basic science department and one clinical department. Renewed emphasis placed on the medical curriculum with the development of a new clerkship model Fifty percent of clerkship education occurs in traditional inpatient setting and 50% outpatient setting. All affiliates support and value the educational mission for both students and resident physicians.

Highlights of Responses to Self Study Questions: Clinical USFPG continues to grow in RVUs, billings, collections and has met or exceeded its budget in each of the past 7 years. Clinical Departments are thriving with improvements in the practice plan that has allowed for changes to occur to enhance the intellectual home for each discipline. The clinical departments that contribute to clinical clerkship education are adequately staffed and funded for the educational mission. The plans underway for the Centers for Advanced Healthcare ensure the incorporation of education and research in its planning

Highlights of Responses to Self Study Questions: Research Research productivity has significantly increased since the last accreditation visit. Continued development and expansion of our clinical trials enterprise along with NIH funded investigators. A new vice-dean for research has been recruited and is developing signature programs to further enhance basic and clinical scientist interactions.

Highlights of Responses to Self Study Questions: GME & CPE USF College of Medicine sponsors 63 postgraduate training programs. 49 are accredited by the ACGME as either primary or advanced residencies. The core program in Anesthesiology was placed on probation two years ago and is soon undergoing its accreditation site visit Residents are an integral part of the educational program in the clinical years. The resident training programs have a major impact on education for Medical Student 3 and Medical Student 4 students especially on the inpatient services. Students have secured residency positions in highly competitive training programs. Continuing medical education is a major responsibility of each department and the Office of Continuing Professional Education Students are actively invited to attend regularly scheduled conferences (RSCs) and local CME events sponsored by the College of Medicine and its faculty.  The Center for Advance Medical Learning and Simulation will be constructed in conjunction with a hotel in the Technology Park to make CME opportunities even more accessible to students and resident physicians

Overall Strengths: Excellent clinical resources at teaching affiliates and in the community Students have ample opportunities for developing their clinical skills under appropriate supervision Resident physicians are active participants in medical education There is a high priority and substantial recognition of medical education as a continuum from undergraduate through post-graduate, to continuing medical education The new Center for Advanced Learning and the Center for Advanced Health Care will enhance the learning activities of medical students and residents Anticipated growth of numbers of researchers and overall funding for research will increase opportunities for learning and research that will enhance the intellectual base and scholarly environment for the medical students Development of new research groups in specialized areas providing new opportunities for student education and research High quality research faculty who teach throughout the medical student curriculum benefits the didactic and clinical curriculum Improved integration of educational and scientific activities between basic science and clinical departments will benefit the COM educational activities and programming

Overall Challenges: Space – The need for additional space for the growth of all three missions is recognized. Creation of new basic science departments as well as “signature” programs and “CRISPS” while important for the development of a “critical mass” of interdisciplinary research efforts may lead to some confusion Scholarly Activity – As a result of increased clinical expectations, faculty spend more time in clinical practice engaged in educational efforts with either medical students or residents or both and not in other scholarly activities. Implementing AIMS - Continued uncertainties in budget and move to mission based management (AIMS) and their effects on education and scientific pursuits is unknown. Communication – An area that requires more attention and the development of a strategic plan to strengthen inter-departmental communication and collegiality among the entire teaching faculty. More resources need to be allocated by our affiliates to the academic enterprise.