state of the department department of medicine case western reserve university university hospitals...

State of the Department

Department of Medicine Case Western Reserve UniversityUniversity Hospitals Case Medical CenterVeteran Affairs Medical Center

October 20, 2015

Case Medical Center Louis Stokes Cleveland VA Medical Center Case School of Medicine Case Research Institute University Hospitals UH Medical Group University Hospitals at Case Medical Center is the primary affiliate of Case Western Reserve University School of Medicine.

Louis Stokes Cleveland VA Medical Center

University Hospitals Case Medical Center / Case Western Reserve University School of Medicine / Cleveland VA Medical Center 2

Mission Statement:

Advancing Science and Education. Improving Care.

Vision Statement:

To maintain and enhance our cutting-edge clinical expertise for the care and treatment of all patients and their families. To draw upon and balance this clinical excellence with the other elements of our tripartite mission (medical research and education). To remain equally committed to all elements of this mission through our outstanding faculty, staff and trainees; and nimbly navigate the ever changing landscape in health care delivery with commitment to diversity among our ranks.

Department of MedicineVision and Mission

10/20/2015


Department of MedicineAt a Glance

10/20/2015

10/20/2015 University Hospitals Case Medical Center / Case Western Reserve University School of Medicine / Cleveland VA Medical Center 5

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

AY 10-11 AY 11-12 AY 12-13 AY 13-14 AY 14-15

Research

Clinical

UHCMC

VAMC

SOM

Endow/gifts

Department of MedicineSources of Operating Support


Department of Medicine

Full-Time Faculty

10/20/2015


AY 10-11 AY 11-12 AY 12-13 AY 13-14 AY 14-15

Clinician-Educators 146 152 156 173 171

Physician-Scientists 59 59 57 61 57

Research-Scientists 31 31 32 23 24

Total 236 242 245 257 252

Women

African-American

Mid-East/Asian

Hispanic/Latino

* Source: AAMC median - Faculty Roster System 2010

** Estimated 2016 hires: 26 Clinician Educators

92

5

82

17

DOM (37%)

AAMC (34%)

DOM (2%)

AAMC (3%)

DOM (30%) AAMC (14%)

DOM (7%)

AAMC (4%)

Department of MedicineFull Time Faculty


Department of MedicineFaculty Compensation Funding

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

AY 10-11 AY 11-12 AY 12-13 AY 13-14 AY 14-15

Faculty Practice

VAMC

Grants

UHCMC

SOM

Endow , gifts

UH-based Faculty RecruitmentJuly 2014 - Present


Abdelmoneim, Sahar (Card) Malek, Ehsan (Hem/Onc)Attizzani, Guilherme (Card) Metheny, Leland (Hem/Onc)Farah, George (Card) Tomlinson, Ben (Hem/Onc)Oliveira, Guilherme (Card) Prosdocimo, Domenick (Card) Zacharis, Michael (Card) Saha, Sharmeela (Neph) Ali, Meer A. (GI) Fabien, Andre (Pulm)Dave, Maneesh (GI) Folz, Rodney (Pulm)Glessing, Brooke (GI) McKell, Joanne (Pulm)

Teba, Catalina (Pulm)Thomas, Patricia (GIM) Venizelos, Paul (Pulm) Kirkova, Yordanka (Ger) Mattar, Maya (Rheum)Khatibi, Parisa (Ger) Saade, Elie (Ger-ID)Singh, Mriganka (Ger)

Department of MedicineFaculty Awards and Honors2014 -2015

• Marco Costa, MD, PhD, was selected to lead the Executive Office of Innovation as a Vice President and Chief Innovation Officer of University Hospitals.

• Mukesh Jain, MD, PhD, was named Chief Scientific Officer for University Hospitals. Dr. Jain also received the Faculty Distinguished Research Award from Case Western Reserve University and was presented with the 2015 North American Vascular Biology Organization (NAVBO) Judah Folkman Award in Vascular Biology.

• Daniel Simon, MD, became the President of the University Hospitals Harrington Heart & Vascular Institute.

• Donald Hricik, MD, received the American Society of Transplantation's Lifetime Achievement Award at the American Transplant Congress.

• Joshua Augustine, MD, received the 2015 Person of the Year Award from the Kidney Foundation of Ohio.

• Sandy Markowitz, MD, PhD, became the Distinguished University Professor.

• Stanton Gerson, MD, received the Academy of Medicine of Cleveland and Northeast Ohio Distinguished Membership award at the 2015 annual meeting.

• Robert Salata, MD, became the Master Clinician in Infectious Diseases.

• Goutham Narla, MD, PhD, became the James T. Pardee - Carl A. Gerstacker Professor of Cancer Research at Case Western Reserve University School of Medicine. Dr. Narla also received the John S. Diekoff Award for Mentoring.

• Clark Distelhorst, MD, became a 2015 recipient of Harrington Scholar-Innovator award for his work entitled "Targeting a New Pathway to Treat Blood Cancers."



• Robert Bonomo, MD, was selected as a 2015 Harrington Scholar-Innovator recipient for his work on novel bacterial agents to treat drug-resistant infections.

• Sahil Parikh, MD, was appointed Director of the Center for Research & Innovation at UH Harrington Heart & Vascular Institute.

• Hiram Bezerra, MD, PhD, was appointed Director of Cardiac Catheterization Laboratory at UH Case Medical Center.

• Richard Josephson, MD, was appointed as head of the Cardiac Rehabilitation Work Group for the American College of Cardiology.

• Shaveta Vinayak, MD, became the inaugural Becky Hennessy Endowed Master Clinician in Breast Cancer Genomics.

• Judith Mackall, MD, received the Irving B. and Virginia Spitz Master Clinician in Cardiology award from University Hospitals Harrington Heart & Vascular Institute.

• Kingman Strohl, MD, was recognized for his leadership in sleep research and community service with a Resolution of Recognition by the Cleveland City Council.

• Jennifer Eads, MD, was selected as a 2015 Mary Hellerstein Junior Faculty Professional Development awardee. • Charles Malemud, PhD, received the 2015 Gender Equity award for preclinical faculty and was named the

Founding Editor and Editor-in-Chief of Global Vaccines and Immunology.• Keith Armitage, MD, Karen Horowitz, MD, and Arthur Halle, MD, were presented with Master Clinician Educator

awards.


12

• Usha Stiefel, MD, became the Vice Chair for Diversity and Faculty Development

• Mimi Singh, MD, was presented with SGIM Midwest award for Excellence in Clinical Education

• Megan McNamara, MD, received the I CARE award for LGBT veteran service

• Najeeb Osman, MD, had the first percutaneous right ventricular assist device placed in Ohio at the LSVAMC

• Anselma Intini, MD, and Jay Sahadevan, MD, had the first implantable cardioverter defibrillator (ICD) system approved for use with magnetic resonance imaging at the LSVAMC

• Raj Chandra became the Vice Chair for Clinical Affairs and Transformation


10/20/2015 University Hospitals Case Medical Center / Case Western Reserve University School of Medicine / Cleveland VA Medical Center

Department of MedicineFaculty Promotions and Tenure2014 -2015

13

Clinical Assistant Professor

May Al-Abousi, MD

Clinical Associate Professor

Haspreet Kaur, MD

Assistant Professor

Hiloni Bhavsar, MD

Mirela Dobre, MD

Stephen Fink, PhD

Xudong Liao, PhD

Charles LoPresti, MD

Yuan Lu, MD

Krisztina Papp-Wallace, MD

Mohammad Shatat, MBBS

Rehan Waheed, MD

Associate Professor

Rajesh Chandra, MD

Anne Hamik, MD

Amy Ray, MD

Usha Stiefel, MD

Professor

Curtis Donskey, MD

Richard Silver, MD

Tenure

Curtis Donskey, MD

Anne Hamik, MD

Frank Jacono, MD



Department of MedicineCleveland Magazine 2015 – Full-Time Faculty Top Doctors

10/20/2015

Cardiovascular Medicine

Mauricio Arruda

Ivan Cakulev

Marco Costa

Barry Effron

Daniel Simon

Albert Waldo

Endocrinology

Baha Arafah

Gastroenterology & Liver Disease

Amitabh Chak

Fabio Cominelli

Gregory Cooper

Ashley Faulx

Pierre Gholam

Jeffry Katz

Anthony Post

Sapna Thomas

Richard Wong

Geriatrics & Palliative Care

Taryn Lee

General Internal Medicine

Carla Harwell

Debra Leizman

Jackson Wright

Hematology & Oncology

Joseph Baar

Matthew Cooney

Brenda Cooper

Marcos de Lima

Afshin Dowlati

Stanton Gerson

Joseph Gibbons

Lyndsay Harris

Henry Koon

Smitha Krishnamurthi

Hillard Lazarus

Jane Little

Sanford Markowitz

Neal Meropol

Alvin Schmaier

Paula Silverman

Infectious Diseases & HIV Medicine

Keith Armitage

Robert Bonomo

Barbara Gripshover

Michael Lederman

Robert Salata

Nephrology & Hypertension

Donald Hricik

Pulmonary, Critical Care & Sleep Medicine

Lee Baggott

Hugo Montenegro

Robert Schilz

Kingman Strohl

Rheumatology

Donald Anthony


Department of MedicineCleveland Magazine 2015 – Community Physicians Top Doctors

10/20/2015

Cardiovascular Medicine

Ismail Ahmed

Agustus Beck

Thomas Wilson

Gastroenterology & Liver Disease

Robert Cameron

Michael Koehler

Raymond Rozman

General Internal Medicine

Debra Anne DeJoseph

David Headen

Alan Hirsh

Karen Hummel

Philip Junglas

Jonathan Klarfeld

Chenguttai Manohar

Janet Morgan

William Steiner

Virginia Vatev

Hematology & Oncology

Judah Friedman

Joel Salzman

Pulmonary, Critical Care & Sleep Medicine

Samuel Friedlander

Rheumatology

Elizabeth Brooks

Douglas Flagg

Richard Stein

16University Hospitals Case Medical Center / Case Western Reserve University School of Medicine / Cleveland VA Medical Center 16


Research Programs

10/20/2015


0

50

100

150

200

250

AY 10-11 AY 11-12 AY 12-13 AY 13-14 AY 14-15

Department of MedicineNew and Competing Renewal Grant Proposals

(Based on grant start date)


18

$705,880

$814,234

$935,176

$921,740$942,934

$392,619$388,245$344,264

$424,201

$313,918

$0

$100,000

$200,000

$300,000

$400,000

$500,000

$600,000

$700,000

$800,000

$900,000

$1,000,000

AY10-11 AY 11-12 AY 12-13 AY 13-14 AY 14-15

Direct costs per Physician-Scientist(PS)Direct costs per Research-Scientist(RS)

FTE=PS 59,RS 31 FTE =PS 59, RS 31 FTE=PS 57, RS 32 FTE PS=61, RS 23 FTE PS 57, RS 24

Department of MedicineGrant Proposal TrendDirect Costs per FTE


AY 2009-10 AY 2010-11 AY 2011-12 AY 2012-13 AY 2013-14 AY 2014-15

CV Med $4,414,696 $5,188,815 $5,674,283 $5,354,682 $4,925,995 $6,516,884

Endocrine $4,990,102 $3,340,343 $876,015 $2,033,616 $2,872,031 $2,925,215

GI $5,706,619 $3,911,888 $3,574,394 $4,981,180 $3,780,772 $5,763,182

Gen Med $219,480 $299,500 $435,750 $313,600 $0 $0

Geriatrics $112,361 $105,945 $70,229 $0 $0 $0

HemOnc-SCC $23,378,669 $15,919,572 $10,298,894 $18,404,262 $13,707,579 $12,483,880

ID $16,343,991 $24,077,082 $20,772,138 $25,938,806 $13,985,426 $12,844,645

ITMM $1,140,228 $4,069,321 $3,342,200 $4,038,678 $2,704,799 $2,308,666

Neph $5,661,722 $3,196,268 $4,758,218 $2,956,438 $6,909,501 $5,989,833

Pulm $2,065,948 $3,101,377 $3,094,745 $2,165,156 $2,070,504 $1,627,798

Rheum $241,111 $447,284 $0 $322,750 $291,189 $0

Total $64,274,927 $63,657,395 $52,896,866 $66,509,168 $51,247,796 $50,460,103

* Includes CWRU and VA-based awards

Department of MedicineAward Total by Period *


FTE=PS 59, RS 31 FTE PS 59, RS 31 FTE=PS 57, RS 32 FTE=PS 61, RS 23 FTE=PS 57, RS 24

Department of MedicineGrant Award Trend

Direct Costs per FTE

$551,059

$583,030

$505,912

$566,684

$461,028

$143,201

$174,855

$135,942$143,148

$183,195

$0

$100,000

$200,000

$300,000

$400,000

$500,000

$600,000

$700,000

AY 10-11 AY 11-12 AY 12-13 AY 13-14 AY 14-15

Direct costs per Physician-Scientist (PS)

Direct costs per Research-Scientist (RS)

Department of MedicineTotal Research Expenditures – Direct Costs(millions)

AY 11-12 AY 12-13 AY 13-14 AY 14-15

$26.9 $26.8$24.4 $28.0

$2.7$2.0

$1.3 $2.2

$1.8$2.6

$2.9 $3.0

$13.6 $11.2$13.0 $16.0

NIH VA Other Federal Non-Federal (Industry & Fdn.)


$45.0 $42.6 $41.6 $44.5


AY 10-11 AY 11-12 AY 12-13 AY 13-14 AY 14-15

Physician- Scientists

63.1% 58.1% 56.1% 51.7% 50.7%

PhD Scientists 66.6% 64.0% 72.0% 66.5% 59.6%

* Extramural salary funding as a % of the cap. Where salary is below the cap, actual salary is used.

Department of MedicineAverage funded salary to the NIH cap *



Patient Care Operations

10/20/2015


Department of MedicineU.S. News & World Report Rankings

2014 - 2015

Cancer #30

Cardiology #38

Gastroenterology #27

Geriatrics #34

Nephrology #48

10/20/2015


Department of MedicineUH Clinical Activity and Hospital MarginCY 2014 vs. CY 2015 (projected)

2014 2015 % Change

• Admissions 14,000 13,486 (3.6)

• Outpatient Encounters 200,000 227,730 13.9

• UH direct contribution margin $192.5M $204.8M 6.4

• UH total contribution margin $73.9M $77.8M 5.3

10/20/2015


Department of MedicinePhysician ServiceswRVU Trend

2011 2012 2013 2014 2015

(projected)

Cardiovascular Medicine 193,389 210,480 203,168 220,169 222,413

Endocrinology 12,506 12,713 11,365 14,059 15,152

Gastroenterology 67,512 71,630 75,862 77,347 89,580

General Medicine 51,808 49,925 54,101 55,026 56,486

Geriatrics 8,022 4,198 3,373 7,861 10,058

Hem/Onc * 71,397 78,180 85,335 91,523 97,724

ID/HIV Medicine 42,484 38,710 42,698 41,007 45,174

Nephrology 41,520 40,807 33,973 32,709 33,746

Pulmonary/CC/Sleep 51,109 50,297 39,590 43,106 50,134

Rheumatology 14,008 12,674 15,926 16,433 16,632

Totals 553,755 569,614 565,391 599,240 637,099

* Includes Onc hospitalists based in Gen Med

Year to year percentage change 2.9% (0.7%) 6.7% 6.3%


Department of MedicinePhysician Services

Net Collections Trend

Clinical Collections 2011 2012 2013 20142015

(projected)

CARDIOLOGY $10,100,922 $10,814,065 $10,355,130 $11,588,595 $11,328,971

ENDOCRINOLOGY $859,293 $967,221 $867,180 $1,053,164 $1,149,224

GASTROENTEROLOGY $3,675,480 $4,133,167 $4,160,896 $4,332,381 $4,705,452

GERIATRICS $420,801 $139,255 $143,773 $376,360 $491,268

HEMATOLOGY/ONCOLOGY * $3,457,163 $3,960,947 $4,772,812 $4,840,369 $4,916,599

INFECTIOUS DISEASE $2,111,523 $2,070,563 $2,156,663 $2,279,124 $2,228,414

GEN MED $1,960,818 $2,194,192 $1,916,197 $2,524,997 $2,384,676

NEPHROLOGY $1,967,948 $1,935,428 $1,674,118 $1,574,002 $1,633,499

PULMONARY DISEASES $2,415,797 $2,348,111 $2,034,286 $2,179,358 $2,293,562

RHEUMATOLOGY $1,673,409 $1,703,202 $1,735,060 $1,840,019 $1,669,997

* Includes Onc Hospitalists based in Gen Med$28,643,116 $30,266,165 $29,816,115 $32,588,369 $32,801,662


Department of MedicineUHMG Financial Performance

Net Income Variance to Budget

CY 2011 CY2012 CY 2013 CY 2014 CY 2015 (projected)

$194,230 $1,534,060 $257,224 $2,184,823 $1,000,000

University Hospitals Case Medical Center / Case Western Reserve University School of Medicine / Cleveland VA Medical Center



Educational Programs

10/20/2015

University Hospitals Case Medical Center / Case Western Reserve University School of Medicine / Cleveland VA Medical Center

30

Department of MedicineEducation Programs

Student Teaching Time

• Third-Year Core Clerkship Student 3,120 hours *

• Basic Science Curriculum 2,200 hours

• Fourth-Year Students

•25% direct contact time

Total hours represents approximately 30% of total faculty teaching time in the School of Medicine

3,080 hours *



Department of MedicineEducational Programs

AY 10-11 AY 11-12 AY 12-13 AY 13-14 AY 14-15

Composition of House Staff

Categorical 105 104 104 105 106

Special Programs 14 16 18 19 19

Harrington -- -- -- 2 4

Fellows 81 81 82 82 84

* International Health, Leadership in Medical Education, Primary Care, Med-Peds, Med-Genetics

10/20/2015

32

Department of MedicineEducational Programs

Graduating Resident Career Plans

UHCMC Non-UHCMC UHHS-affiliated Non-UHHS

Fellowships Fellowships General Medicine General Medicine

2009 10 15 3 2

2010 12 13 3 1

2011 9 15 1 6

2012 11 13 3 7

2013 8 12 6 6

2014 8 20 4 4

2015* 6 26 3 6


* In 2015 65% of graduates placed in their first choice


Significant Accomplishments

AY 2014-15



CLINICAL

•47 Department of Medicine full-time faculty members recognized as “Top Doctors” by Cleveland Magazine.

•The trend in benchmarked physician services remained positive with year over year gains of 7% wRVU/cFTE and 10% net patient revenue/cFTE.

•In-hospital productivity under a high case mix index again grew positively in 2014 as defined by hospital contribution margin.

•Ambulatory and inpatient “Top Box % for overall Doctor Rating and Satisfaction with Care were at an impressive 82 and 72, respectively. The Fifth Annual Medicine Quality Summit again contributed to these quality initiatives.




RESEARCH

•Overall, research support to the Department of Medicine remains strong. Total awarded funds to departmental faculty, including the cancer center, totaled $63 million in 2014 – 2015. Direct cost expenditures were nearly $50 million, with 67 percent coming from federal sources.

•In 2014 – 2015, the fraction of funded salary to the NIH cap for physician-scientists and PhD scientists remained impressive at 51 percent and 60 percent, respectively.

•The Division of Gastroenterology and Liver Disease. Fabio Cominelli, MD, PhD, was awarded $6 million from the NIH to establish a Silvio O. Conte Digestive Diseases Research Core Center.

•The Division of Clinical and Molecular Endocrinology Tim Kern, PhD, received a new 5-year R24 focusing on characterizing and testing potential therapies for diabetic and other ischemic retinopathies with total costs for the project life of the grant in excess of $8 million.

Significant AccomplishmentsRESEARCH cont.

• The Division of Infectious Diseases and HIV Medicine. Henry Boom, MD, secured a new $3.5M UO1 for the study and identification of natural resistance mechanisms to Mycobacterium tuberculosis. Michael Lederman, MD, was awarded a new R56 and R21 totaling nearly $1 million supporting work in the study of vascular inflammation in treated HIV infection and targeting cytolytic cells to lymphoid sites of HIV persistence.

• The Division of Cardiovascular Medicine. Mukesh Jain, MD, received another RO1 totaling over $1 million to define the mechanisms by which endothelial cells’ Krüppel-like transcription factors regulate the prothrombotic response to antiphospholipid antibodies. Dan Simon, MD, received a new RO1 for the study of MRP-14, CD36 and Thrombosis.

• The Louis Stokes Cleveland VA Medical Center has highly funded programs in implementation, quality and education research, and is home to one of eight VA National Quality Scholars Sites.

• Research Day 2015 attracted 87 posters from a record number of house staff, fellows, graduate students and post-docs.

• A second round of intramural Team Science challenge grants were awarded. The three awardees from the inaugural round where center stage at the 2015 Research Day presenting their progress under the award.



EDUCATION

•The 2015 residency match was highly successful with 36 interns from strong medical schools (e.g. CWRU, Cornell, Rush) including seven underrepresented minorities.

•The program introduced the new Leadership in Medical Education track focused on training future educators.

•In addition to our residents entering strong subspecialty fellowships, several will be joining UH and VAMC in general medical practices.

•UH and the VAMC remain the teaching hospitals of choice for core medical clerkship and acting internships.

•Clerkship and residency leaders continue to have high visibility at national educational meetings with multiple posters, presentations and workshops.



Department of MedicineMedia and Communication Enhancements

10/20/2015

• On average, the website receives over 9,100 hits a month

• 38% more people are visiting the website as compared to last year – we are reaching a larger audience

• 34% increase in the amount of time users spend on the department’s website – visitors are spending more time reading the website

• 25% increase in total number of pages viewed when visiting the website – visitors are more active in exploring the website resources

• A total of 112 new pages were added to the website over the past year; website documents and links are updated on a daily basis

• User opinions are captured through 18 annual surveys, user feedback is implemented into new initiatives and content


Department of MedicineMedia and Communication Enhancements

10/20/2015

• 9 fellowship programs restructured and standardized to include overview, clinical training, research training, curriculum, conferences, application and benefits

• Growth of Internal Medicine Residency website from 7 basic webpages in 2012 to 96 webpages (including Med-Peds) with resources, links, presentations, graphics in 2015. The main page of Internal Medicine Residency program is the most visited page on the website.

• Medical student education program (including Clerkship and AI) total 44 webpages

• Enhanced viewing for Grand Rounds compiled into playlists by specialty, a library comprised of over 80 videos

• Designated pages for Leadership Council and Senior Advisory Committee minutes

• Protected webpages for committees, leadership and trainees



Future Strategies

10/20/2015


Department of MedicineFuture Strategies 2015…

Clinical

•Expansion of the Antibiotic Stewardship Program.

•Expanded involvement of the hospitalists in ACO-based care initiatives.

•Accelerate the development of the RHI and system-wide MICU initiatives.

•Enhance diabetes/obesity management, bone disease and Geriatrics/palliative care.

•Secure appropriate and sustained levels of programmatic support for a new Chief of Cardiovascular Medicine.

•Continue to support the adaption of new clinical management support systems such as electronic charge capture.

10/20/2015

42

Department of Medicine2015 VA Initiatives

Enhanced patient care through improvements in access and efficiency

• Real-time, same-day access system in all subspecialties

• Increase in hours of operations

• Decrease wait time for new patients to <30 days in all specialties

• New telehealth programs to provide specialty services to access remote areas (>40 miles)

• Identify section specific clinical goals and work to improve patient care:– Renal insufficiency and hypertension– Diabetes, obesity and diabetes care coordination

• Active clinic profile review to improve efficiency and access

• Outpatient Clinic Room Committee participation to maximize usage and identify opportunity across services


Department of MedicinePotential challenges to the clinical mission

• Securing appropriate and sustained levels of programmatic and developmental support for a new Chair.

• Managing 2016 financial and volume targets to realistic levels.

• Greater patient consumerism/choice.

• The new faculty compensation plan.

• The movement from volume to value-based metrics.

• The ICD-10 change and electronic charge capture.

• Incomplete and unsigned EMR notes.

• Reputational scores, access and new system affiliations.

• FACULTY MORALE!




Research

•Ensure a re-investment in the academic mission by our continued visibility in affiliation discussions, and through the new Chief Scientific Officer role for the health system

•As part of new departmental development, procure support packages that assist long-standing successful programs to maintain their momentum.

•Support the enhancement of an infrastructure for Innovation and Technology development system-wide.

•Further diversify research funding sources to including enhanced industry and philanthropic support.

•Explore the feasibility of clinically-related team or team science on a national and even international basis.

•Work with institutional partners to develop a philanthropic support base for trainees in clinical investigation.

10/20/2015



Education

• Enhance our role as a leader in innovative teaching of patient safety and quality.

• Increase system-wide involvement (MP) in the ambulatory aspects of house staff training and precepting.

• Continue to enhance the depth and diversity of the residency.

• Strengthen the ABIM Resident (Harrington) Research Pathway and enhance recruitment of research oriented applicants.

• Resurrect and re-invigorate our CME offerings.

• Maintain unblemished accreditation status for all training programs.

• Increase scholarly output of educational leaders and trainees.

10/20/2015



Strategic Development

•Restore a perfect balance in our tripartite mission

•Recruit and develop new roles for Vice Chair for Faculty Development and Diversity and Clinical Affairs.

•Increase faculty diversity and development.

•Increase intramural mentoring of new recruits, early career faculty and young investigators.

•Redouble efforts associated with enhanced philanthropic support of the Department.

•Fully engage our VA affiliate and enhance research opportunities to complement their outstanding educational and clinical activities.

•New Interim Chairman’s Strategic Plan10/20/2015

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