School of Medicine New Faculty Welcome and Orientation Thomas J. Lawley, M.D. Dean October 18, 2006

Emory University School of Medicine Vision Statement To approach top ten status by 2012 as a leader in educational innovation, research achievement, and clinical excellence. Core Values The core values of the Woodruff Health Sciences Center, of which the Emory University School of Medicine is a part, are caring, excellence and integrity.

Emory University School of Medicine Goal Statements To transform medical education in the nation by revolutionizing our curriculum to produce leaders in medicine with educated minds and informed hearts. Continue to expand our research enterprise in quality and quantity towards top 10 status. Be recognized for providing compassionate, state-of-the- art patient care to all patients. To recruit and develop additional leaders in education, science, and clinical care and provide resources to develop and sustain outstanding departments and programs in the School of Medicine.

Emory University School of Medicine Create better medical education, research and patient care environments that maximize personnel and material resources and promote new applications of basic knowledge. To achieve financial security that enables the School of Medicine to meet present and future needs of medical education, research, and patient care.

Dean School of Medicine CEO Hospitals & Clinics (Emory Healthcare) Academic Health Center Executive VP for Health Affairs (Director of the AHC) Emory University

Emory University School of Medicine 1.Medical Students – 448 (We also have graduate and allied health students, but some schools do not.) 2.Faculty (full-time) – 1769 (Includes clinicians, investigators, teachers) 3. Faculty (volunteer) – Residents & fellows – 1090

Demographics School of Medicine Class of M1 students 62 Women 52 Men Age Range: y/o Mean: 23 y/o 32 “non-traditional” students (>2 yrs post-baccalaureate - 8 African-Americans; 8 Hispanic-Americans; 18 Asian-Americans)

Numbers School of Medicine Class of 2010 Undergrad GPA (mean) = 3.66 MCAT (mean) = post-graduate degrees (2 PhD; 6 MA or MS; 2 MPH) 3 MD/PhD; 14 MD/MPH

NIH RESEARCH FUNDING EMORY SOM FY $55M $190M

AVERAGE NATIONAL GROWTH RATE OF NIH FUNDING Benchmark Schools Emory Univ. Vanderbilt Univ. Univ. of Pittsburgh Baylor College Duke Univ. Univ. of Penn. Washington Univ. Johns Hopkins U. Univ. of NC Stanford Univ. UAB Yale Univ % 12.6% 12.5% 11.9% 11.6% 9.8% 9.2% 8.6% 8.0% 7.7% 7.2% Rank/University SOM Ave. Annual Compound Growth Rate $ millions

TOP-20 RANKING SOM DEPARTMENTS (2005 NIH Funding) Biomedical Engineering (1) Dermatology (9) Emergency Medicine (3) Microbiology & Immunology (7) Neurology (11) Neurosurgery (20) Otolaryngology (3) Pathology & Lab Medicine (8) Pharmacology (11) Physical Medicine & Rehabilitation (14) Psychiatry & Behavioral Sciences (17) Surgery (8) Urology (11)

TERMS OF PROFESSIONALISM Honesty Integrity Altruism Caring and compassion Respect Leadership Responsibility Accountability Excellence Scholarship Competency Special skills Expert knowledge Specialized training

WHAT DO OUR TRAINEES EXPECT? Trainees expect their physician-scientist- teachers to be role models –To teach them to do the right thing through the formal educational programs –To teach them indirectly, by how we behave and conduct ourselves, how to live their lives and make their professional choices -- the “hidden curriculum”

WHAT DOES THE PUBLIC EXPECT? The public expects physicians –To provide information and education that is unbiased –To treat patients with unbiased competence –To contribute to healthcare policy –To practice medicine in ways that do not inappropriately increase the cost of healthcare

WHAT DO OUR PATIENTS EXPECT? Patients expect their physicians –To provide compassionate, state-of-the-art medical care; –To be competent, altruistic, and ethical; –To use the most up-to-date diagnostic and therapeutic techniques; –To conduct biomedical research they support, uncontaminated by even a perception of bias; –To see that discoveries with the potential to improve health are rapidly translated into practice through clinical trials; –To know and inform them about any potential adverse effects that might influence their consent to participate in the research.

Emory Clinic This is the faculty practice plan of Emory School of Medicine. It consists of approximately 976 full-time faculty physicians ( FTEs) with approximately 1.98M patient visits per year. Full-time faculty are not allowed to see patients in a private practice. All revenue from physician-patient contact flows through the Emory Clinic.

Emory Clinic (Cont.) All physicians in the Emory Clinic generate revenue that helps pay their salaries. All physicians in the Emory Clinic pay a “Dean’s Tax” that is used to help fund clinical departments. All physicians in the Emory Clinic have teaching responsibilities for medical students, residents, and fellows.

Emory Hospitals Emory University owns two hospitals: - Emory University Hospital - Crawford Long Hospital They are managed by professional hospital administrators who report to the CEO of Emory Healthcare and the Executive Vice President for Health Affairs.

An AHC is Successful: When there is a shared vision among the partners that the missions of teaching, research, and clinical care are equally important.

An AHC is Successful: When all the partners sacrifice some of their self- interests in order for the AHC to succeed. Financial cross subsidy is always necessary and always an issue that must be transparent and understood by all of the partners.

Principles for the Success of an AHC The hospital and clinics must be financially solvent by providing highly efficient medical care. The Hospital and Clinic must be well managed using best business practices and avoiding deficits. No margin, No mission!