Legislative Health Care Workforce Commission University of Minnesota Health Professional Education Programs Terry Bock Associate Vice President and Chief.

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Legislative Health Care Workforce Commission University of Minnesota Health Professional Education Programs Terry Bock Associate Vice President and Chief of Staff University of Minnesota Academic Health Center August 25, 2014

AHC Professional Education Facts One of the most comprehensive health sciences centers in the nation Six schools: Dentistry, Medicine, Nursing, Pharmacy, Public Health, Veterinary Medicine, and a Center for Allied Health Professions 6,200 students in 62 programs (professional, graduate, undergraduate) 1,400 faculty Educate / train 70% of the health professionals in Minnesota Educate at over 1,700 sites across the state: hospitals, clinics, pharmacies, nursing homes, community agencies, and other sites 2

Professional Programs o Doctor of Medicine (MD) o Doctor of Pharmacy (PharmD) o Doctor of Dental Sciences (DDS) o Doctor of Veterinary Medicine (DVM) o Doctor of Physical Therapy (DPT) o Doctor of Nursing Practice (DNP) o Master of Occupational Therapy (MOT) o Master of Public Health (MPH) o Master of Healthcare Administration (MHA) Graduate Programs: e.g., Bioethics (MS), Health Informatics (MS, MHI, PhD), Nursing (MN) Baccalaureate Programs: o Bachelor of Nursing (BSN), Bachelor of Dental Hygiene (BSHD), Bachelor of Dental Therapy (BSDT), Mortuary Science (BS), Clinical Laboratory Science (BS) AHC Professional Education Programs 3

Highly regulated through accreditation standards, licensure and certification requirements for practice High workforce demand driven by an aging population, retirements, and health care reform High number of applicants; high retention; and high “on-time” graduation rates Lengthy time to educate and train health professionals: didactic and experiential Clinical and experiential learning, including over 1,700 affiliated training sites across Minnesota and internationally Competencies demonstrated through standardized patients and examinations Use of simulation and technology for competency development Interprofessional education and training Health Professions Education 4

3-4 years High School ~4 years BS or BA Degree 4 years Medical School 3-5 years Required Postgraduate Residency 1-5 years Fellowship (Specialty) CME Length of Doctoral Education Medicine, Nursing, Dentistry and Pharmacy Medicine (MD) Graduate Medical Education Nursing (DNP) 3-4 years High School 4-year Bachelor of Science in Nursing Degree 3-year Doctor of Nursing Practice in one of 13 specialties Optional post- grad Cert. CNE PhD 5

Length of Doctoral Education Pharmacy and Dentistry Dentistry (D.D.S.) 3-4 years High School ~4 years BS or BA Degree 4 years Dental School Optional Postgraduate (Specialty) CE Pharmacy (PharmD) 3-4 years High School 2-3 years Undergrad Study 4 years Pharmacy School 1-2 years Optional Postgraduate Residency or Fellowship CE MSPhD 6

Required Clinical Hours per Student 7

8

What We Have Done and Are Doing Increased enrollments in all of our schools Expanded programs o Pharmacy in Duluth o Nursing and Allied Health in Rochester o Nursing with Veterans Administration partnership o Doctor of Nursing Practice - 70% expansion Developed pipelines o Minnesota Future Doctors o Rural Physician Associate Program (RPAP) o Area Health Education Centers (AHEC) o Health Careers Centers o UM Morris and UM Duluth MN collaborative Nursing programming Developed new degree programs o Doctor of Nursing Practice and other Advanced Nursing programs o Dental Therapy Revamping our curriculum o Team-based care and interprofessional education o Greater emphasis on simulation o Greater emphasis on prevention and wellness 9

2000 N2012 NPercent Change School of Dentistry8698  14% Medical School  5% School of Nursing  17% College of Pharmacy  60% School of Public Health  17% College of Veterinary Medicine 7699  30% Entering Class Size Health Professions Programs 10

University of Minnesota Health Professional Enrollments ( ) 11 DentistryPharmacy Dental Students412Pharmacy Students674 Dental Residents100Pharmacy Residents21 Dental Therapists30 Dental Hygienists96Public Health Public Health Students1032 Medical School Medical Students986Veterinary Medicine Medical Residents910Veterinary Students474 Nursing BSN (for RN)395 Masters in Nursing (RN)127 Doctor of Nursing Practice275 PhD in Nursing44

Average Student Debt by Degree Degree # of Graduates% w / Loans Average Loans Doctor of Dental Surgery (DDS) 10985% $208,005 Medical Doctor (MD) 21791% $158,125 Doctor of Pharmacy (PharmD) 15794% $133,490 Doctor of Nursing Practice (DNP) 5859% $48,733 Master of Nursing (MN) 6692% $48,506 Bachelor of Science in Dental Hygiene (BS) 2391% $33,137 Bachelor of Science in Nursing (BSN) 12472% $34,239 12

Major Challenges Changing health care environment Difficulty predicting future workforce needs and practice models Growing disincentives for choosing and practicing primary care Reduced state and federal funding for education and training: impact on tuition and student debt Difficulty finding training/practice sites that model health care the way it should be delivered: working in teams with providers practicing at the top of their license Access to clinical rotation sites for education 13