West Virginia Higher Education Policy Commission A Primer on Health Sciences for Board Members Presented to the West Virginia Higher Education Policy Commission August 1, 2014

West Virginia Higher Education Policy Commission The purpose of human life is to serve and to show compassion and the will to help others. Albert Schweitzer

West Virginia Higher Education Policy Commission Background and Apologies Brief overview of terms covered

West Virginia Higher Education Policy Commission “Because of the complexity of serving three separate but related purposes—education, research, and patient care—and because of the growing number of internal and external influences on governance, I have come to describe the process as a tiger by the tail.” Academic Medicine

West Virginia Higher Education Policy Commission Available Slots Number of qualified West Virginia applicants West Virginians accepted/enrolled Out of State accepted/enrolled Key Policy Numbers

West Virginia Higher Education Policy Commission Key Policy Facts Retention is pretty good Recruitment from outside is poor Graduate Education is critical

West Virginia Higher Education Policy Commission It is health that is real wealth and not pieces of gold and silver. Mahatma Gandhi

West Virginia Higher Education Policy Commission Key Characteristics High Demand, Limited Supply Expensive Highly Regulated, often conflicting National accountability

West Virginia Higher Education Policy Commission There are costs and risks to a program of action, but they are far less than the long-range risks and costs of comfortable inaction. John F. Kennedy

West Virginia Higher Education Policy Commission Different from Governing Other Institutions A World Unto Themselves… Not only education…. Dual, sometimes opposing, missions… Provide West Virginians with a good medical education Provide West Virginia communities the professionals they need

West Virginia Higher Education Policy Commission Communities have problems and medical schools have departments... and that’s the problem. Anonymous

West Virginia Higher Education Policy Commission Issues

West Virginia Higher Education Policy Commission Are The Needs Being Met? Institutional Needs Competence and Excellence Balance Reputation, Advancement, Effectiveness, Research, and Practice Regional and State Needs Workforce

West Virginia Higher Education Policy Commission Health Science Centers Revenue Sources Graph and information from Academic Medicine

West Virginia Higher Education Policy Commission National Health Science Centers Annual Gains and Losses Graph and information from Academic Medicine

West Virginia Higher Education Policy Commission Did you ever see the customers in health food stores? They are pale, skinny people who look half- dead. In a steak house, you see robust, ruddy people. They’re dying, of course, but they look terrific! Bill Cosby

West Virginia Higher Education Policy Commission Sustainability Infrastructure Excellence and Relevance External Oversight Income and Investment

West Virginia Higher Education Policy Commission “The fundamental question is whether virtue is to be considered a necessary or sufficient condition for the practice of an ethical medicine.” Academic Medicine

West Virginia Higher Education Policy Commission “The system is driven by virtue, not facts and skills, and it is high time that medical education made concerted efforts to claim a higher moral ground by recognizing its obligation to train virtuous as well as technically competent and knowledgeable practitioners.” Academic Medicine

West Virginia Higher Education Policy Commission Always do what is right. It will gratify half of mankind and astound the other. Mark Twain