Report from the Executive Vice President, Provost and Dean of the School of Medicine For the Faculty Senate Meeting, 6/10/13 Contents: UTMB HEALTH 2020 AND THE ACADEMIC ENTERPRISE o Phase II of the CIRRA Engagement -- Planning For Our Future Together EDUCATION o School of Medicine Commencement held June 1st o UTMB Welcome Weekend o White Coat Ceremony RESEARCH o Spotlight on Research PATIENT CARE o Updated Faculty Group Practice (FGP) Physician Guidelines o Hand Hygiene UTMB HEALTH 2020 AND THE ACADEMIC ENTERPRISE Phase II of the CIRRA engagement -- Planning For Our Future Together: The UTMB community was invited to participate in sessions on June 5th through June 7th and then online through June 2013 to help create a picture of what the academic enterprise of our Institution should look like in 2020 and then determine steps necessary to get there. This process is designed to celebrate the diversity of ideas and capture the creative thinking of faculty members, staff, students and the broader UTMB community. This is an opportunity to clarify who we are today, coalesce our recent planning efforts and reaffirm our current strategic initiatives, in particular as they contribute to our vision of UTMB Health 2020 and the Academic Enterprise. Our plan for the academic and clinical enterprise will complement the thoughtful efforts of our broader University, our strategic partners, ongoing strategic planning processes, and the plans of our various schools, departments and units. They should be mutually supportive – even synergistic. The perspective of the planning process is University wide – our schools, departments, centers, institutes, community, hospital and institutional support. We are more than the sum of our parts; the refresh must reflect and respect the parts but create synergy among them. EDUCATION School of Medicine Commencement: The UTMB School of Medicine celebrated its 123rd commencement exercises on Saturday, June 1st, at 10 a.m. at the Moody Gardens Convention Center. Crossing the stage were more than 200 graduates, including four members of the class Report from EVP/Provost & Dean, SOM Page 1 who received the Doctor of Philosophy degree concurrent with the MD degree. Their PhD degrees were recognized at the Graduate School commencement exercises in May. Our graduates have been offered residencies in 28 states with the majority in Texas. Most of the residencies are in urban locations at major independent hospitals or university affiliated hospitals. Below is a listing of our graduates’ chosen specialties. The top five are highlighted. Specialty # Internal Medicine Pediatrics Family Medicine Prelim/Transitional Anesthesiology Psychiatry Surgery Emergency Medicine Ophthalmology Radiology Orthopedics OB/GYN Dermatology Neurology Pathology Neurosurgery Research Medicine Plastic Surgery Total 45 39 20 19 17 14 13 12 8 8 7 7 6 3 3 1 1 1 224 % 20.1% 17.4% 8.9% 8.5% 7.6% 6.3% 5.8% 5.4% 3.6% 3.6% 3.1% 3.1% 2.7% 1.3% 1.3% 0.4% 0.4% 0.4% UTMB Welcome Weekend Welcome Weekend is scheduled for Saturday, August 17, 2013 at the Moody Gardens Convention Center and the Galveston Island Convention Center. The event is held each year to welcome and provide a brief orientation for our Fall incoming students. White Coat Ceremony The School of Medicine will hold its annual White Coat Ceremony for the Class of 2017 on Sunday, August 18, 2013, 10:00 a.m., William C. Levin Hall Clark W. Thompson Auditorium. The White Coat Ceremony is the School's formal welcoming and introduction of incoming medical students to the profession of medicine. The ceremony is a rite of passage for first-year medical students and a demonstration of the pride and tradition associated with becoming a physician. During the ceremony, new medical students pledge to always do their best for their patients. The white coats they receive are an outward sign of their commitment to compassion and excellence as well as their entry into medical school. RESEARCH Spotlight on Research Report from EVP/Provost & Dean, SOM Page 2 UTMB is home to some of the nation’s most respected and recognized researchers. Below are three recent articles that highlight some of the research being conducted at our University. From trauma to tau: Researchers tie brain injury to toxic form of protein UTMB researchers have uncovered what may be a key molecular mechanism behind the lasting damage done by traumatic brain injury. The discovery centers on a particular form of a protein that neuroscientists call tau, which has also been associated with Alzheimer’s disease and other neurodegenerative conditions. Dr. Bridget Hawkins, Assistant Director in the Sealy Center for Vaccine Development (SCVD), is lead author of a paper on the research now online in the Journal of Biological Chemistry. Dr. Rakez Kayed, Associate Professor in the Department of Neurology and SCVD, is senior author on the paper. Read news release at: http://www.utmb.edu/newsroom/article8596.aspx. Research shows mindless eating associated with complex TV plots Researchers have proved what has long been suspected by couch potatoes: the more engaging the TV show, the more calories are consumed while watching. Dr. Elizabeth Lyons, Assistant Professor in the Institute for Translational Sciences, is lead author of the study which currently appears in the International Journal of Behavioral Nutrition and Physical Activity. Read news release at: http://www.utmb.edu/newsroom/article8594.aspx. Testosterone therapy increased threefold in 10 years; one quarter took the therapy without being tested for testosterone levels Prescriptions for testosterone therapy have increased significantly during the last 10 years, according to a study in the current issue of JAMA Internal Medicine conducted by researchers at UTMB. About 50 percent of the men in the study who had received testosterone therapy had been diagnosed as having hypogonadism, a condition where a man is unable to produce the normal levels of testosterone. But the study also found that, among new users of a prescription androgen product, about 25 percent did not have their testosterone levels tested before starting the treatment. In addition, it’s unclear what proportion of the 75 percent who were tested had a low level of testosterone. Dr. Jacques Baillargeon, Associate Professor in the Department of Preventive Medicine and Community Health, is lead author of the study. Read news release at: http://www.utmb.edu/newsroom/article8611.aspx. PATIENT CARE Updated Faculty Group Practice (FGP) Physician Guidelines FGP Physician Guideline have been changed and approved by the FGP Clinical Operations Committee. A summary of the approved changes follows: 1. Inpatient emergency consultations now require requesting and consulting faculty attending interaction. The new language states, “An emergent consultation is defined as a consult for a condition that is considered immediately life or limb threatening. When a consult is considered emergent the requesting service’s faculty attending should contact the consulting service’s attending directly. The consulting service should see the patient in an expedited manner, ideally within 30 minutes of the request. At the completion of the evaluation the Report from EVP/Provost & Dean, SOM Page 3 consulting service attending should immediately speak with the requesting service attending, and document their consult in the medical record in a timely manner.” 2. Also, inpatient urgent consultations now require requesting and consulting faculty attending interaction. The new language states, “An urgent consultation is defined as a consult for a condition that is considered potentially life or limb threatening by the requesting service faculty. The consulting faculty should immediately contact the consulted service faculty directly and describe the patient’s condition and discuss management options. The patient should personally be seen by the consulting service attending, in a time frame agreed upon by the two faculty (six hours if both agree urgent). At the completion of the evaluation the consulting attending should speak directly with the requesting service attending and document their consultation in the medical record, within six hours of the request for consultation or the time frame agreed upon by the faculty.” Hand Hygiene Excellent hand hygiene is a critical component of optimal patient care. According to the Centers for Disease Control and Prevention, “In the United States, hospital patients get nearly 2 million infections each year. That’s about 1 infection for every 20 patients. Infections that patients get in the hospital can be life-threatening and hard to treat. Hand hygiene is one of the most important ways to prevent the spread of infections.” The evidence to support the effectiveness of hand hygiene in preventing the spread of infection is overwhelming. Hand hygiene with alcohol gel or soap and water should be practiced before and after every patient encounter. Only soap and water can be used effectively with C. difficile infections. We have been monitoring hand hygiene compliance to these criteria for a number of months (see chart below). We appreciate our health care workers’ diligence to hand hygiene to help make UTMB Hospital and clinics the safest place for our patients. Report from EVP/Provost & Dean, SOM Page 4