Medical Education Update
October 2015
Strategic Planning Process Fall 2013
November 21, 2013
Emory SOM Medical Education
Strategic Planning Process
Overall Medical Education Strategic
Plan Implementation FY16 (Year 2)
Overall Medical Education
Strategic Plan Implementation
FY15 (Year 1)
UME, Academic Health Planning
CME Planning
Fall/Winter 2013-2014
GME Planning
Summer 2013
1
Shared Goals
Across the Emory Medical Education Continuum
1. Reduce the financial burden on our students and residents.
2. Enhance collaboration between Emory School of Medicine and the health systems in
which we teach, train, and provide patient care.
3. Integrate patient safety and quality improvement education across the medical
education continuum.
4. Facilitate system-wide cultural changes to maximize the success and well-being of our
patients, learners, and teachers.
5. Create a medical education space plan that maximizes utilization and encourages an
interprofessional learning community.
6. Support professional and academic development across the medical education
continuum.
7. Enhance interprofessional education across the medical education continuum.
8. Assess and maximize opportunities for a shared services model across medical
education programs.
Reduce the financial burden on our
students and residents.
•
Define the financial burden and analyze the impact of the financial burden on
our learners
•
Engage with the Development office regarding scholarship opportunities for
medical education programs
•
Financial Counseling
– Pilot financial counseling programming.
– Develop a personal finance worksheet that includes estimates of yearly
expenses for MD and Allied Health students.
•
Alternative Solutions
– Assess the feasibility of launching a university-wide effort to negotiate preferred
vendor prices for graduate students.
Emory - By the Numbers
Emory Resident/Fellow Indebtedness
•
During the 2015 orientation sessions, incoming PGY1 residents, PGY2 residents, and fellows
were surveyed about their total educational debt.
•
Over 50% of Emory residents and fellows surveyed (149 people) have accumulated $150,000 or
more in debt, and 67 of those people have debt greater than $250,000.
•
Debt is causing some stress for most of the residents and fellows surveyed with 62% being
moderately or extremely stressed about their student debt. Thirty-eight residents and fellows
are extremely stressed due to their debt.
Emory Resident/Fellow Stress
Related to Debt
Emory Resident/Fellow Indebtedness
30%
25%
23%
20%
17%
15%
10%
10%
9%
11%
6%
24%
60%
49%
50%
40%
30%
21%
5%
20%
0%
16%
13%
10%
0%
Extremely
Stressed
DRAFT/CONFIDENTIAL
COPYRIGHT 2015 EMORY UNIVERSITY – ALL
RIGHTS RESERVED
Moderately
Stressed
No Stress
N/A (no debt)
Source: Resident Orientation
5
Emory - By the Numbers
Student Stress Related to Student Loan Debt- M1 and M2 Students
• Students were also asked about their stress levels from student loan debt.
• Over 42% of M1 students and over 40% of M2 students have some worry about their debt.
• Zero M1 students are overly stressed about their debt to an extent that it impacts other aspects of their life, while debt is
causing extreme stress in the lives of two M2 students.
• 80% of Allied Health students surveyed answered that debt causes some stress in their lives. Eighteen of those students
continually worry about their debt.
How would you rate your stress level with your student loan debt?
60%
53%
50%
40%
36%
30%
33%
25% 24%
20%
23%
22% 21%
17%
10%
13%
7% 7%
10%
0%
0%
2%
5%
3%
0%
Low or nonexistent
It’s something I
I worry from time to I’m worried and think It keeps me up at night
(in addition to school
occasionally think about time (especially when I
about all the time
see my statement)
work)
but I’m not worried
M1
DRAFT/CONFIDENTIAL
COPYRIGHT 2015 EMORY UNIVERSITY – ALL
RIGHTS RESERVED
M2
I don’t have debt
AH
Source: Financial Counseling Workshops
6
Philanthropic Support for Scholarships –
Addressing Medical Education
Strategic Plan Goal #1
Newly established scholarships to be awarded this
academic year:
•
•
•
•
•
•
Charles E. Suber Scholarship
David and Phyllis Fetters Scholarship
Jonas A. (Jack) Shulman Scholarship
Zoe Yang Pilgrim Scholarship
Robert W. Wellborn Scholarship
Class of 1963 Scholarship
• Robert E. Jewett Scholarship
Enhance collaboration between Emory
School of Medicine and the health systems in
which we teach, train, and provide patient care.
•
Establish a leader for educational programs with each of our clinical training
sites - EHC, Grady, VAMC, and CHOA - by FY17.
•
Standardize the clinical placement process and strengthen the recruitment
pipeline across our clinical training sites
– Implement the EHC APP placement optimization plan focused on primary care
and evaluate possibilities for expansion of the model to other entities (VA,
Grady, CHOA) and allied health students
Integrate patient safety and quality
improvement education across the medical
education continuum.
•
Define the need for Quality and Safety programming across our health
system and the medical education continuum
•
Implement the infrastructure and policies to formalize, standardize, and
coordinate quality improvement activities between inter-professional care
teams, physicians, and trainees at care sites across the continuum
•
Develop a system to track existing QI efforts across the system and the
education continuum, and disseminate the output
– Obtain Maintenance of Certification (MOC) Part IV Portfolio Sponsor Program
approval.
Facilitate system-wide cultural changes
to maximize the success and well-being of
our patients, learners, and teachers.
•
Establish a Diversity and Community committee and assess the current
state of diversity at the SOM.
•
Integrate the Emory Healthcare Pledge into SOM culture.
– Develop a program to teach our students, trainees and faculty motivational
interviewing techniques to align with patient engagement approach for risk
groups.
Cultivate wellness in the SOM
– Complete a needs assessment to define what it looks like for Emory
Medicine and maximize Healthy Emory initiatives.
•
Enhance interprofessional education
across the medical education continuum.
•
Collaborate with our colleagues across WHSC to develop an expanded,
integrated interprofessional education approach for all health programs (MD,
Allied Health, Nursing, and Public Health).
– Write an executive summary describing the interprofessional education
approach.
– Implement survey and analyze results to complete a catalog of all existing
classroom and clinic IPE activities.
– Look across all Emory Medicine medical education program curriculums and
identify intersections and opportunities to share resources and to foster
interprofessional learning.
– Define metrics for an IPE program and complete an assessment of the current
IPE programming.
Support professional and academic
development across the medical
education continuum.
•
Enhance faculty professional development in education and educational
scholarship
– Assess the feasibility of an educational research unit to function as a shared
service resource supporting faculty educational research projects.
•
Assess the feasibility of establishing an Office of Continuing Professional
Development (OCPD)
•
Define/redefine Faculty Appointment for academic health programs
Create a medical education space plan
that maximizes utilization and encourages
an interprofessional learning community.
•
Define education space issues and opportunities
– Develop plan to catalog and address medical education space needs, with a
focus on Allied Health and CME.
•
Enhance physical environment
– Pursue SOM dining opportunities.
Recent News
• HRSA grant to support expansion of the
“Pipeline” program
• AMA grant submission
• Students at NIH
• Brendan Lovasik
• GME : Assistant DIO position posted
Questions?
Assess and maximize opportunities for
a shared services model across
medical education programs.
•
Reorganize undergraduate medical education operations to optimize shared
services.
– Identify operations that can be managed or supported outside of OMESA.
– Update OMESA reporting structure and implement salary and job title
evaluation.
– Evaluate current meeting structure and align with shared services
management.
– Develop multiyear plan to promote AH integration within OMESA.
– Revamp ExCEL services and scope.