1. Advancing Social Mission in Health Professions Education Fitzhugh Mullan, MD Residency Elective in Health Policy Kaiser Permanente/Southern California May 11, 2017

2. Social Mission of Medical Education: Ranking the Schools

3. Medical Schools Social Mission Score, Primary Care, HPSA and Minorities Highest Scores

4. Medical Schools Social Mission Score, Primary Care, HPSA and Minorities Lowest Scores

7. Flexner’s Legacy - Upside
Linked medical education to science
Standardized the curriculum
Demanded excellence in teaching
Promoted medical research

8. Flexner’s Legacy - Downside
A formula for large, ultimately less flexible, institutions
Did not contemplate the social determinants of health
Did not envision health as a human right

9. Social Mission of Health Professions Schools
The social mission of a health professions school is the contribution of the school in its mission, programs, and the performance of its graduates in addressing the health disparities of the society in which it exists

10. Manifestations of Social Mission in Medical Education
Community Engagement
Diversity promotion
Disparities reduction
Cost/value concern
Engagement with social determinants of health

11. Beyond Flexner 2012 University of Oklahoma – Tulsa School of Community Medicine

12. Beyond Flexner 2015 University of New Mexico Albuquerque, NM

14. The Beyond Flexner Alliance
Communications Platform
Clearing House
Social Mission Standards
Beyond Flexner Conferences

15. CORE CONCEPTS AND PRINCIPLES
Promote a culture of accountability in health professions education that values health equity
Raise public consciousness about social mission
Impact future leaders’ understanding and commitment to social mission
Create social mission standards and metrics
Support pathways to assure a diverse workforce including leadership

20. BF 2016 Workshop Sampler Pipeline to Enhance Diversity
SDoH Interventions
Social Mission Accountability and Metrics
Social Mission Research
Teaching Health Center GME: A National Residency Program
Teaching Social Determinants of Health
Admissions and Recruitment to Enhance Diversity Enhancement:
Global Social Mission
Hotspotting to Address SDOH
Interprofessional Education and Health Equity
Medical-Legal Partnerships
New Models for GME funding

27. Social Mission Metrics Study
Fitzhugh Mullan, MD
Professor of Health Policy
Professor of Pediatrics
Sonal Batra, MD
Assistant Professor of Emergency Medicine

28. Social Mission Metrics Study Year 1 -- 2016
RWJF funding
Interprofessional study (dentistry, medicine and nursing)
Advisory Committee
Consultant metrician
Developed SMM survey based on domains and activities

29. SMMS Year 1 (cont.) Piloted at 6 school Debrief calls Survey revisions
Presentations at Beyond Flexner conference and RWJF

31. Social Mission Domains and Activities
A health professional school function that has the potential to promote social mission
Activities
Measurable components of the domain
Describe the process starting with the very idea of Ds&As
Then the iterative process (which is very much still underway
Show 1.0 and discuss.

33. SMMS Year 2 – 2017 Stakeholder Engagement RWJF and HRSA funding
Progressive field testing (two rounds – 60 schools)
Site Visits (3 schools)
Stakeholder Engagement
Accreditation bodies
Student organizations

34. Potential Impact of SMM
Influence the concept of what good health professions education is – education, service, research and social mission
Impact the conversation on educational mission, quality and standards
Stimulate school self studies
Stimulate IPE engagement around social mission
Affect accreditation standards for HPE

35. SMM Next Steps Publish and publicize results
Method and substance
Promote national initiative of SMM self studies
Convene national conference on social mission measurement
Design and implement study of purposeful social mission augmentation using the SMM instrument
Share best practices from “high achieving” schools
Sharing of best practices from “high achieving” schools

36. Beyond Flexner Alliance http://beyondflexner.org

37. The arc of the moral universe is long but it bends towards justice -- MLK