Department of Medicine
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STATE OF THE DEPARTMENT OF MEDICINE JUNE 18TH, 2014 The Academic Year that Was (2013-2014) Implementation of Recommendations of Strategic Task Force Plan Challenges Identified by Task Force • The department has outstanding institutions and faculty, but the “whole is less than the sum of its parts” • There is a lack of a cohesive vision as a department • There is evidence of decline in the quality and competiveness of the GME education programs • There is a lack of a research strategy that synergizes across divisions • There is no departmental clinical strategy that facilitates the efforts to address healthcare reform Recommendation to Reorganize Structure to Improve Function Steven B. Abramson, MD Chair, Department of Medicine David Stern, MD Mark B. Pochapin, Katherine MD Wesnousky Vice Chair, Education/Faculty Vice Chair, Administrator/Chief Affairs Clinical of Staff Patrick M. Cocks, Doug Bails, MD MD Chief of Medicine, Associate Chair, Bellevue GME Michael LoCurcio, MD Associate Chair, UME TBD Associate Chair, CME Martin Kahn, MD Associate Chair, Academic Affairs TBD Associate Chair, Mentoring David T. Stern, MD Chief of Medicine, VA Fritz Francois, MD Chief of Medicine, Tisch Michael H. Perskin, MD Associate Chair Ambulatory Katherine Hochman, MD Associate Chair, Quality Glenn I. Fishman, MD Vice Chair, Research Division Chiefs Glenn I. Fishman, MD Dir., Cardiology Joel D. Ernst, MD, Int Dir., I.D. & Immunology Ira Goldberg, MD Dir., Endocrinology Davd M. Oshinsky, MD Dir., Med. Humanities Mark B. Pochapin, MD Gastroenterology Edward Y. Skolnik, MD Dir., Nephrology Sondra R. Zabar, MD Interim, Dir., GIM William N. Rom, MD Dir., Pulmonary Caroline S. Blaum, MD Dir., Geriatrics Jill Buyon, MD Dir., Rheumatology Howard A. Fine, MD Dir., Hem./Medical Onc. Bruce N. Cronstein, MD Dir., Translational Med. Recommendation: Promote One Clinical Faculty • Begin with fundamental respect for colleagues across institutions and practices • Strategic growth of Academic Divisions – Targeted world-class programs in specialized areas • Responding to the external threats • Share best practices across teaching hospitals One Faculty: Tri-institutional Council New Division Directors Dr. Jill Buyon Rheumatology Dr. Ira Goldberg Endocrinology, Diabetes and Metabolism New Associate Directors (Divisions Clinical) Dr. Steven Hodak Dr. Michael Philips Endocrinology, Diabetes and Infectious Diseases and Immunology Metabolism New Associate Directors Medicine Quality First Dr. Laura Evans Bellevue Dr. Katherine Hochman Tisch Hospital Department of Medicine Administrative Leadership 11 Thank You… Dr. Ann Danoff Contributions as Director, Division of Endocrinology, Diabetes and Metabolism Dr. Iven Young Contributions as Firm Chief MEDICAL EDUCATION Trends in Specialty Matching PGY-1 Students Matched to Internal Medicine 2004-2013 SHOW DATA FROM 2014 Departments that have 5 or more direct contact hours with UME students DEPARTMENT 1 Medicine UME Effort Hrs▼ 11938 2 Cell Biology 6242 3 Emergency Medicine 4316 4 Pediatrics 4025 5 EFAA 2583 6 Radiology 1512 7 Pathology 1199 8 Obstetrics and Gynecology 947 9 Microbiology 932 10 Psychiatry 516 11 Biochemistry and Molecular Pharmacology 500 12 Population Health 485 13 NYU Cancer Institute 374 14 Physiology and Neuroscience 338 15 Skirball Institute 296 16 Hospital Operations 294 17 Dermatology 214 18 Neurology 150 19 Neurosurgery 92 20 Surgery 70 21 Neuroscience Institute 62 22 Child and Adolescent Psychiatry 57 23 Anesthesiology 26 24 Orthopedic Surgery 26 25 Rehabilitation Medicine 22 Medical Student Education Michael LoCurcio Acting Internship Associate Chair, Education Anthony Grieco Core Clerkship Michael Tanner Ambulatory Care Norma Keller Critical Care Pamela Rosenthal CFM Medical Student Education Firm Chiefs: ANTHONY GRIECO MICHAEL BRABECK ELIZABETH WEINSHEL DOREEN ADDRIZZO-HARRIS MARTIN KAHN JEROME LOWENSTEIN MITCHELL CHARAP RUTH ORATZ IVEN YOUNG *Dr. Paru Patrawalla 2013-2014 Residency Program Directors Patrick Cocks Louis Miller Program Director Senior Associate Program Director Assessment and Evaluation Associate Program Directors Restructuring Mary Fishman Barbara Porter Jennifer Rockfeld FGP Outpatient Experience Outpatient Experience Quality Improvement and Patient Safety Amit Uppal Neil Shapiro Margaret Horlick Critical Care Experience Inpatient Experience Curriculum Directors: Primary Care Residency Program Sondra Zabar Jennifer Adams Mack Lipkin Kathleen Hanley Richard Greene 2013-2014 Chief Residents Pavan Bhatraju Inpatient Brian Greet Matthew Ingham Rani Nandiwada VA Outpatient VA: QI & Safety Inpatient Brandon Oberweis Laura Van Metre Alexander Volodarskiy Matthew Vorsanger Pascale White Senior Chief Primary Care Inpatient Inpatient BH Outpatient 2014 -2015 Chief Residents Mark Adelman Josh Denson Karen Kan Andrew Levy Inpatient Inpatient Inpatient Senior Chief Sarah MacArthur Robert Mocharla Jack Naggar VA: QI & Safety VA Outpatient BH Outpatient Greg Schrank Inpatient Jessica Taft Primary Care RESEARCH Goals: Research Getting Divisions to the Top Ten • Valorize the Division Directors to develop strategic vision for translational research • Recruit four Division Directors, national leaders with clinical vision and translational research bona fides • Promote collaborative grants (RFP PPG) • Develop integrated clinical practice space that promotes clinical research (e.g., CMC, Cancer Center) • Nurture and support junior investigators (Saperstein, Colton, Farber, Fast-tracking, PSTP, Hirschl, other) Millions Department of Medicine is the Leader in Research Funding $80 Medicine $68M $70 $60 $50 $40 $30 $20 $10 $0 Pop Health $29M Skirball $22M CLINICAL AND TRANSLATIONAL MEDICINE PROGRAMS Center for Musculoskeletal Care Center for Diabetes and Metabolic Care Center for Cardiovascular Care Cancer Center Institute Existing (Dr. Steven Hodak) In progress Existing Recruitment of additional disease-based clinicians & clinician-investigators (6-8) Integrated with NYULMC Clinical Research Unit/Health Outcomes & Population Science/CTSI/CHIBI (6-8) Immunity & Inflammation Auto-Immunity Inflammatory Bowel Disease Infectious Diseases/Microbiome Asthma Metabolomics Diabetes Obesity Metabolic Disorders Cardiovascular Disease Precision Medicine Vascular Disease Structural Heart Disease Arrhythmias Heart Failure Genetic Basis of Disease Targeted Therapeutics THE NAMED CENTER FOR MOLECULAR MEDICINE Rheum, ID, GI Expansion Endocrine Division Director CV, Renal Expansion Precision Medicine Program Director Associate Prof (4-6) Associate Prof Associate Profs (2) Associate Prof Assistant Profs (4-6) Assistant Profs (2) Assistant Profs (4) Assistant Prof (2) Berger, Buyon, Chen, Cho, Cronstein, Delmar, Ernst, Fisher, Fishman, Gardner, Maass, Moore, Mor, Morley, Philips J, Philips M, Ramasamy, Reibman, Schmidt, Shopsin, Silverman, Skolnik Integrated with I-CUBED / PATHOLOGY / CELL BIOLOGY / CANCER CENTER / NEUROSCIENCE Katy Wesnousky Department Administrator Glenn Fishman Vice Chair Research Yelena Sionova Director, Research Administration Phil Himmelstein Finance Manager Clinical Trials Coordinators Grants Manager – Translational/ DGIM Financial Analyst Endo/Nephrology/ Translational/ DGIM Grants ManagerPulmonary Grants ManagerRheumatology Financial Analyst Pulmonary/Infectious Disease/Gastroenterology Grants ManagerCardiology Grants ManagerEndocrinology Financial Analyst Geriatrics/Humanities/ Rheumatology Grants ManagerInfectious Disease Financial Analyst Cardiology Grants ManagerGeriatrics/GI/ Medical Humanities Department of Medicine Creating a Pathway for Success for Young Investigators Timeline 0 1 2 Clinical Fellowship Training 3 4 5 6 7 Intensive Research Training (Asst in Service or Instructor) 8 9 10 11 Assistant Professor (CIE or ICE) NIH K Awards T32 training grants KL2 grants Foundations Philanthropy Physician-Scientist Training Program (SoM) Physician-Scientist Development Program (DoM) PSDP Program Details (work in progress) 80% Protected Research Time Salary Support: Shared by Department, Division and other Sources Modest Project Support Nominations by Division Directors and Program Directors Selection Committtee of Physician-Investigators Anticipate ~ 3/year (Funded by Coltons, Sapersteins, new philanthropy) NIH R awards Weissmann Scholars (within 6 yrs) 12 MEDICINERESEARCH DISCOVERY THROUGH COLLABORATION 2014 DEPARTMENT OF MEDICINE RESEARCH DAY MAY 14, 2014 / 7:45 AM - 6:00 PM ALUMNI HALL B / NYU LANGONE MEDICAL CENTER 550 FIRST AVE / NEW YORK, NY 10016 MORNING PROGRAM AFTERNOON PROGRAM 7:30 AM 12:10 PM Continental Breakfast - Outside Farkas Hall Posters Session II and Lunch Research Day & Awards Dinner Presentation Title 30 Medicine@NYULMC Co-editors: David Oshinsky, PhD Stacy Bodziak Editorial Board: Steven Abramson, MD Doug Bails, MD Lucy Bruell Bruce Cronstein, MD Laura Evans, MD Carl Glenn Lisa Greiner Anthony Grieco, MD Kathy Hochman, MD Jonathan LaPook, MD Michael LoCurcio, MD Donna Marino Mark Pochapin, MD Harmony Reynolds, MD Neil Shapiro, MD Alex Sherman, MD Katy Wesnousky Jessica Wilson 31 Medicine@NYULMC Spotlight Videos Presentation Title 33 Donna Marino Department of Medicine Philanthropy FY’14 YTD (Thru June 16th) Division Rheumatology $10,818,835 Endocrinology $7,666,667 Translational Medicine $1,383,333 Cardiology $1,245,585 General Internal Medicine $981,976 Geriatrics $498,100 All Other Total Department of Medicine $1,492,450 $24,086,946 Promotions First Annual Appointments & Promotions Reception Presentation Title 37 Appointments and Promotions • Division of Cardiology Sripal Bangalore, MD, Associate Professor of Medicine Howard Weintraub, MD, Clinical Professor of Medicine • Division of Gastroenterology Fritz Francois, MD, Associate Professor of Medicine Jonathan D. LaPook, MD, Mebane Professor of ` Gastroenterology and Professor of Population Health • Division of General Internal Medicine Douglas B. Bails, MD, Clinical Associate Professor of Medicine Michael LoCurcio, MD, Associate Professor of Medicine Marc M. Triola, MD, Associate Professor of Medicine 38 Appointments and Promotions • Division of Hematology & Oncology Lawrence P. Leichman, MD, Professor of Medicine Yelena Novik, MD, Associate Professor of Medicine Ruth Oratz, MD, Clinical Professor of Medicine • Division of Infectious Diseases Melanie Maslow, MD, Professor of Medicine • Division of Pulmonary & Critical Care Laura E. Evans, MD, Associate Professor David L. Kamelhar, MD, Clinical Professor • Division of Rheumatology Brian D. Golden, MD, Clinical Associate Professor Sara B. Kramer, MD, Clinical Associate Professor Paula Rackoff MD, , Clinical Associate Professor 39 Major Awards and Appointments Laura Evans, MD, was named Bellevue's "Physician of the Year" at the annual New York City Health and Hospitals Corporation (HHC) Doctors’ Day Celebration. Martin J. Blaser, MD, was honored as the 2014 recipient of the NIH Clinical Center's Distinguished Clinical Research Scholar and Educator in Residence. David S. Goldfarb, MD, received the 2014 Distinguished Teacher Award in the Basic Sciences at NYU School of Medicine. William N. Rom, MD, received the 2014 Distinguished Achievement Award from the American Thoracic Society Harmony Reynolds, MD, named Saul j. Farber Assistant Professor Edward A. Fisher, MD, delivered the George Lyman Duff Memorial Lecture at the last annual scientific sessions conference of the American Heart Association Presentation Title Goes Here 40 Major Awards and Appointments Norman B. Javitt, MD, PhD received the American Physiological Society’s History of Physiology Group 2014 Recognition Award Bruce N. Cronstein, MD, received the 2013 Arthritis Foundation Lee C. Howley Sr. Prize for Research in Arthritis. Barry Rosenzweig, MD, has been appointed Assistant Dean for GME. Neil Shapiro MD Clinical Correlations published an article celebrating our 1000th article published and won a Silver Award from the American Society of Healthcare Publication Editors Rochelle (and Kurt) Hirschhorn MD awarded the 2013 Victor A. McKusick Leadership Award by American Society of Human Genetics Presentation Title Goes Here 41 Department of Medicine Goals for 2014-2015 Clinical 1. Continue to promote One Faculty across institutions and practices – – Clinical Tri-institutional leadership group Improve communication with Monthly Newsletter: Medicine@NYULMC 2. Develop New Centers for Clinical and Translational Research – – – – – – Diabetes and Endocrine Autoimmunity Liver Disease, IBD, Advanced endoscopy Pulmonary Hypertension Asthma, Lung cancer LVAD/CHF, Arrhythmia, Interventional Cardiology 3. Promote Strength, Growth and Reputation of Clinical Practices Research 1. Leadership Role of Division Directors: (Recruitment, NIH grants, faculty development, mentoring, etc) 2. Implement a strategic translational research plan that enables collective success of divisions 3. Committee on Research Collaboration – – – – RFP ($25K X 4) Promote inter-divisional/departmental collaboration Develop collaborative NIH submissions of grants >$350K (RO1, PPG/Center, Co-PD/PI) Promote joint recruits with basic science departments (Cell Bio, Pathology, Genetics, Pop Health) – Promote collaborative opportunities for young scientists Education and Academic Affairs 1. Focus on faculty leadership development 2. Increase mentoring of faculty (Mentoring “champion”, programs) 3. G21: Re-engineer GME programs – – – – – – Implementation of CLER/NAS (B. Rosenzweig, Lou Miller) Compliance with RRC (ICU, ambulatory) Develop tracks for PC/IM, Research, Hospitalists, Specialists Technological innovation (iPads, handheld ultrasound, education data warehouse) Develop innovative models for GME financing for ambulatory training Develop competency based pathways to “graduation” of residents and fellows Next Steps “In real life, strategy is actually very straightforward. You pick a general direction and implement like hell." ― Jack Welch Chair and CEO General Electric In real life… Our successes flow from the talent and commitment of our physicians, scientists and staff. Thank you all for your many contributions to the missions of this great department!
