1. Medical Education at CCHS: Presentation for Delaware Healthcare Commission Neil Jasani, MD VP, Academic Affairs Lisa Maxwell, MD Director, Undergraduate Medical Education

2. 11,000+ Employees 1,500 + Medical-Dental staff

3. We are a small state, but….. Among hospitals in the United States 17 th in admissions 20 th in emergency visits 23 rd in total surgeries Among hospitals on the East Coast 10 th in admissions 10 th in emergency visits 11 th in total surgeries

4. Great Clinical Experience 279 Residents & Fellows 18 residencies 6 fellowships Medical, NP, PA, Pharmacy, Podiatry and Allied Health students

5. Over 20 Residency & Fellowship Programs  Internal Medicine (41)  Medicine – Pediatrics (16)  Family Medicine (18)  Emergency Medicine (36)  EM/FM (10)  EM/IM (15)  General Surgery (30)  Diagnostic Radiology (24)  Obstetrics & Gynecology (24)

6. Fellowships: Cardiovascular Disease Fellowship (13) Interventional Cardiology Fellowship (2) Nephrology Fellowship (2) Surgical Critical Care Fellowship (2) Otolaryngology Fellowship (1) Vascular Interventional Radiology Fellowship (1) Sports Medicine Fellowship (2)

7. New Fellowships: Heart Failure and Transplant Fellowship: (1) Medical Physics: (1) Conceptual Phase: Pain and Palliative Care Fellowship (partnering with A. I. duPont Hospital for Children)

8. Medical/PA/Pharmacy Students 3% 13

9. Medical Students: 64% 190 26% 76 14 5% 11 4% 7 2%

10. NP students 2011-2012 7/2011-6/2012: 81 students 7/2012- Present: 59 students Schools University of Delaware Wilmington University Penn State Immaculata College Drexel

11. Allied Health 1973-First affiliation with Delaware Technical and Community College Programs: Diagnostic Medical Sonography Histo-technology Nuclear Medicine Technology Physical Therapy Assistant Radiologic Technology Respiratory Therapy Technology

12. Allied Health: 2012-2013 146 students across all programs 14 Program Coordinators and Instructors

13. Jefferson DE Campus

14. Overview of Medical School Years 1 & 2 Years 3 & 4 Basic Science Lectures / Small Groups Some Clinical Experiences Clinical Rotations Inpatient / Outpatient Some Basic Science

15. Years 3 & 4 Consists of Clinical Rotations Required “Core” Rotations Internal Medicine, Family Medicine, Surgery, OB, Psych, EM, Peds) Electives Many schools (including Jefferson) utilize large affiliate networks to provide clinical training in the 3 rd and 4 th years.

16. Years 1 & 2 Jefferson Campus Years 3 & 4 20 Affiliate Sites CCHS = largest Students participate in a lottery for rotation sites Rotations at many sites

17. Idea of a Branch Campus Medical schools are expanding Expansion typically follows one of two models: “In Place” More students on existing campus and facilities “Regional campus model” offer some curriculum to a portion of the class (most commonly clinical education).

18. Rationale for a DE Branch Campus Delaware has no medical school One of 5 in the country Jefferson acts as the medical school for DE CCHS is the largest affiliate

19. DE Campus Started 2 years ago Jefferson students spend 3 rd and 4 th year in Delaware for clinical rotations CCHS, AI DuPont Voluntary Chosen by students in 2 nd year

20. Advantages of Branch Campus For Students: Eliminate orientation to constantly changing locations Learning one computer system Learning one hospital system Creating connections with students, residents and faculty Becoming part of local culture Personal relationships for mentoring, letters of recommendations, etc.

21. Advantages of Branch Campus For DE: Engaged / invested learners Potential pipe-line

22. Status of DE Branch Campus 29 current Branch Campus Students Class of 2013 11 students Class of 2014 6 students Class of 201512 students

23. DE Connection

24. DE Connection - Total

25. DIMER Students and the DE Branch Campus

26. Conclusions Anecdotally- Branch Campus students are very satisfied Formal Exit Interviews and Evaluations of first graduating class pending Match results Pending Attractive to students from DE As expected

27. Path Forward Increase enrollment Promoting earlier and frequently Explore feasibility of more official DIMER linkage Mentoring Conferences Admissions Process ? Commitment of DIMER students to DE Branch Campus

28. Path Forward Explore expansion of clinical opportunities in DE Inter-Professional training DHSA Rural Rotations