Albert Einstein College of Medicine Academic Year 2014-2015 SECTION I. INSTITUTIONAL SETTING Part A: Key Quantitative Indicators Please provide the following information. For U.S. medical schools, use the school’s copy of the Longitudinal Statistical Summary Report (LSSR) as the data source, unless otherwise indicated. Include data for 2013-2014, if available. a. Number of vacant department chair positions for each of the following academic years # of chair vacancies 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 1 1 1 1 3 2 2 b. Total numbers of students enrolled in medical school-sponsored undergraduate programs; Master’s and doctoral degree programs in the biomedical sciences; other professional degree programs; and certificate programs Undergraduate programs (e.g., BA/BS) Master’s program(s) in biomedical sciences* Doctoral program(s) in biomedical sciences Other professional degree program(s) (e.g., MPH, DrPH) 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A 318 303 291** 17 22 20 Certificate programs N/A N/A N/A * Students in the PhD program receive the MS degree en route to the PhD. ** As of May 2014, 58 of the 291 were MD/PhD students in the PhD phase of their training. c. Total numbers of residents and clinical fellows on duty in ACGME-accredited programs (for U.S. medical schools) or in RCPSC or CFPC-accredited programs (for Canadian medical schools) that are the responsibility of the medical school faculty 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14* Residents 1740 1775 1823 1829 1720 1964 1252* Fellows 398 406 419 463 404 434 349* * Residents and fellows in sponsored programs only (Montefiore and Jacobi Medical Centers, respectively.) There are an additional 1,026 residents and 173 fellows teaching our medical students at affiliated institutions. IS-1 Albert Einstein College of Medicine Academic Year 2014-2015 d. Percentage of graduating medical students who participated in a research project with a faculty member (Source: AAMC Medical School Graduation Questionnaire (Question 12), or CGQ for Canadian Schools, the independent student analysis, or internal data sources) % participation 2007-08 80.0 2008-09 85.1 2009-10 84.2 2010-11 79.1 2011-12 80.0 2012-13 85.7 2013-14 85.6 Note: All Einstein students are required to complete a mentor-guided Scholarly Project (SP) and a smaller number may elect to substitute this requirement with participation in the Student Opportunities for Academic Research (SOAR) Program e. Percentage of graduating medical students who participated in a service-learning project. (Source: AAMC Medical School Graduation Questionnaire (Question 11), or CGQ for Canadian Schools, the independent student analysis, or internal data sources) % participation 2008-09 N/A 2009-10 42.6 2010-11 43.2 2011-12 50.0 2012-13 47.6 2013-14 33.6 Note: All Einstein students are required to complete a Community Project and participate in the student-run Einstein Community Health Outreach (ECHO) clinic during the Family Medicine Clerkship. In addition, under the auspices of the Office of Community-based Service Learning, many students participate in a variety of projects benefitting the Bronx community. IS-2 Albert Einstein College of Medicine Academic Year 2014-2015 SECTION I. INSTITUTIONAL SETTING Part B: Narrative Data and Tables IS-1. An institution that offers a medical education program must engage in a planning process that sets the direction for its program and results in measurable outcomes. To ensure the ongoing vitality and successful adaptation of its medical education program to the rapidly changing environment of academic medicine, the institution needs to establish periodic or cyclical institutional planning processes and activities. Planning efforts that have proven successful typically involve the definition and periodic reassessment of both short-term and long-term goals for the successful accomplishment of institutional missions. By framing goals in terms of measurable outcomes wherever circumstances permit, the institution can more readily track progress toward their achievement. The manner in which the institution engages in planning will vary according to available resources and local circumstances, but it should be able to document its vision, mission, and goals; evidence indicating their achievement; and strategies for periodic or ongoing reassessment of successes and unmet challenges. _________________________________________________________________________________ a. Provide a brief statement of the mission and goals of the College of Medicine. When were these last reviewed and/or revised? The Mission Statement of Albert Einstein College of Medicine: http://www.einstein.yu.edu/about/ “The Albert Einstein College of Medicine of Yeshiva University (Einstein) is a premier, researchintensive College of Medicine dedicated to innovative biomedical investigation and to the development of ethical and compassionate physicians and scientists. Inspired by the words of our namesake, we welcome students, faculty and staff from diverse backgrounds who strive to enhance human health in the community and beyond.” Einstein Goals Einstein goals are defined in the context of each of its mission-oriented activities. These involve future directions for research and medical education, for the continuous renovation of the physical plant (Campus Master Plan), and for Einstein’s relationships with its clinical affiliates. Each of these mission-oriented goal sets is continuously evolving. The appointment in 2006 of Allen M Spiegel, MD as the Marilyn and Stanley Katz Dean of the Albert Einstein College of Medicine has been followed by on-going, mission-focused reviews and planning efforts. Dean Spiegel’s most recent review of accomplishments at Einstein was prepared in 2013. A summary is appended (IS Appendix A). b. Provide an executive summary of the College of Medicine’s current strategic plan, if any. Note if the strategic plan was developed independently of or in collaboration with the parent university or the health system. Einstein’s mission-oriented plans are developed by the College’s administration in collaboration with faculty and other appropriate partners. They are reviewed and approved by the Einstein Board of Overseers and by the administration and Board of Yeshiva University as required. Brief summaries follow: IS-3 Albert Einstein College of Medicine Academic Year 2014-2015 1. Research: Research Strategic Plan 2007 (IS Appendix B) Executive Summary: The Albert Einstein College of Medicine biomedical research community has engaged in an intensive, collaborative, and rigorous strategic planning process to create a vision that will guide Einstein research over the next 5 years. The resulting Strategic Research Plan builds on more than 50 years of scientific excellence at Einstein to position the College at the leading edge of biomedical research with the ultimate purpose of improving human health and reducing the burden of disease. Einstein is one of the nation’s leading research institutions, ranking 27th out of 123 colleges of medicine in NIH funding received in 2005. In the same year, Einstein ranked 6th in NIH funding obtained per principal investigator. The gap between these rankings suggests that individual investigators have built productive, scientifically meritorious research programs and that Einstein’s overall standing could be further improved by the targeted recruitment of additional researchers who would complement the strengths of these existing faculty and programs. To achieve this goal, Einstein must also identify and exploit new technologies and research disciplines that have emerged from the explosion in biomedical knowledge that has occurred since its founding 52 years ago. Through the development and implementation of this Strategic Research Plan, Einstein has an opportunity to foster a bidirectional, cross-disciplinary research environment that meets the challenges of the increasingly collaborative and technology-oriented nature of the biomedical research enterprise. By strategically expanding the research faculty and ensuring access to state-ofthe-art technologies, Einstein will strengthen the research base, enhance its leadership position in the research community, and continue a long tradition of translating fundamental scientific discoveries into meaningful clinical breakthroughs that improve the human condition. Development of a Strategic Research Plan for Einstein: A Transformative Era: Several factors have created a timely opportunity for the College to evaluate the status and direction of its research programs. In 2006, Einstein recruited its seventh Dean, Allen M. Spiegel, M.D., to succeed Dominick P. Purpura, M.D. who had led the College for 22 years. Dr. Spiegel is an internationally recognized physician-researcher and the former Director of the National Institute of Diabetes and Digestive and Kidney Diseases. His leadership coincides with the construction and renovation of new facilities that will facilitate significant faculty recruitment and resource development. The Michael F. Price Center for Genetic and Translational Medicine (CGTM)/Harold and Muriel Block Research Pavilion will open in late 2007 with 212,000 square feet of new space. Approximately 40 new faculty are expected to be recruited to direct disease-oriented research programs in such areas as cell transplantation, liver diseases, human genetics, infectious diseases, mouse genetics and models of human disease, diabetes and metabolism, cardiovascular disease, and cancer. Renovation of the Block Building to house the new Institute for Clinical and Translational Research will provide centralized infrastructure for bidirectional bench-to-bedside research. Both facilities will improve Einstein’s ability to engage the local Bronx community in cutting-edge research that will advance our understanding of human biology and address the unmet medical needs of this diverse population. This Strategic Research Plan responds to these current challenges and opportunities in a way that supports existing investigators and research programs while also providing for an expansion of research resources and personnel that will benefit the entire Einstein community. The planning process, which began in June 2006 at meetings of the Faculty Senate, the Science Council, and departmental chairs, was intended to emphasize the need to increase linkages between basic and IS-4 Albert Einstein College of Medicine Academic Year 2014-2015 clinical research programs in ways that would address the overarching purpose of enhancing Einstein contributions to improving human health. The plan was also intended to: increase the College’s competitiveness for funding; increase competitiveness for top-quality faculty, graduate student, and postdoctoral fellow recruitment; define a recruitment plan for the CGTM and other space; define space and infrastructure needs; and enhance fundraising efforts. Research Strategic Plan Update 2010 (IS Appendix C) Executive Summary: A Vision for the Einstein Research Enterprise: Beginning in 2006, the leadership and research community of the Albert Einstein College of Medicine have undertaken a dynamic strategic planning process that is predicated on a vision for Einstein’s future in which: Einstein research is characterized by true collaboration and synergy between basic, translational, and clinical investigators. Einstein research informs both our educational mission in training the next generation of physicians and scientists, and our clinical agenda in partnership with our medical center affiliates. Einstein research leads to measurable improvement in the health of our Bronx community, of our nation, and of people throughout the world. The initial planning process resulted in the publication of a Strategic Research Plan in April 2007 that proposed the development of new scientific directions and innovative research resources and infrastructure in seven science and technology theme areas and eight major health-related focus areas. In 2010, a planning process was undertaken to review progress made in response to the Plan, identify issues that may have limited implementation in any areas, and propose new or amended opportunities for ongoing development of the Einstein research enterprise. Updating the Strategic Research Plan To ensure that the direction of the Einstein research enterprise remains current and on course, the Dean initiated a process to update the 2007 Strategic Research Plan. The objectives were to review progress, identify stumbling blocks, and determine which areas require expansion or a change in direction. The update process also provided an opportunity to identify new areas of investigation whose importance or existence was unappreciated during the 2006-2007 strategic planning process. The update process was tempered by fiscal realities and required Einstein faculty and leadership to prioritize where best to invest the College’s resources to maintain and grow Einstein research. 2. Education: Educational Initiatives Planning 2012-13 Einstein’s educational program and teaching and assessment methods are continually being updated to meet the challenge of training the next generation of physicians. This review occurs under the auspices of the Senior Associate Dean for Medical Education and the Executive Committee of the Medical Education Committee (MEC). It is carried out by pertinent standing subcommittees and task forces. Recent education planning activities include: Development of the Einstein Educational Competencies: In 2012, Einstein adopted a set of educational goals based on seven competencies that reflect the educational mission and goals of the school. A school-wide educational process and roll out occurred from January- June, 2013. IS-5 Albert Einstein College of Medicine Academic Year 2014-2015 All course and clerkship objectives have been mapped to the competencies and subcompetencies. Assessment of student performance within each educational unit is also mapped to these competencies, and measures are being developed to evaluate the effectiveness of the competency-based educational program. Design of a new Education Center: A task force developed a learning facilities plan based on an MEC decision to focus on active learning. The spaces are designed to accommodate largegroup, small-group and theater-based activities, and to encourage team-based collaboration and life-long learning. Developing “flipped classroom” didactics: Lecture material for the physiology section of the GI course have been converted to short videos with on-line MCQs following each video as a pilot for a new approach applying technology to teaching. Student Opportunities for Academic Research (SOAR) program: The graduation requirement for completion of a scholarly paper has been enhanced by establishment of a more structured experience of mentor-guided, creative discovery. This is intended to develop a student’s analytic, critical thinking, and leadership skills. A research paper or other capstone project is required (IS Appendix D). http://www.einstein.yu.edu/education/md-program/soar/ Social Media and Professionalism Curriculum: A task force has been designated to examine these educational elements and plan for curricular inclusion. Population Heath and the Practice of Medicine: A task force has been designated to develop this as a new curricular theme. Dermatology: A task force has been designated to develop an enhanced curricular theme. The Teaching Star Program: An institution-wide skills development and evaluation program for residents and other non-faculty teachers on clerkship rotations was initiated in 2013 (IS Appendix E). Alignment of physical exam training with content in the preclinical courses: Elements of the physical exam (e.g., thorax and abdomen) are being taught in year 1, concurrent with anatomical dissection; other elements (e.g., the musculoskeletal exam) are taught in conjunction with the related second-year systems courses. Basic skills of physical exam have been relocated to the first year of Introduction to Clinical Medicine in support of student clinical placement experiences. Faculty Development Task Force: A diverse group of faculty has been organized to create both stand-alone and ongoing training programs focusing on undergraduate medical education teaching and assessment methods, as well as faculty career development, to meet the needs of the basic and clinical scientists involved in teaching medical students. On-line learning management system- eMED: All course and clerkship materials now available on-line. Students create personal electronic library with all learning materials. Electronic lecture-capture technology: All preclinical lectures are video- and audio-recorded (unless patients being interviewed opt out). IS-6 Albert Einstein College of Medicine Academic Year 2014-2015 Structured curriculum for inter-professional learning: A task force has been designated to create this curricular theme. This topic was the focus of the 14th annual Clerkship Retreat (May 29, 2014). Jo Ivy Boufford, M.D., President of the New York Academy of Medicine, was the keynote speaker and workshop leader. 3. Campus Master Plan: (IS Appendix F) Executive Summary: In its 2007 Research Strategic Plan, Albert Einstein College of Medicine declared its intent to position itself at the leading edge of biomedical research with in the next five years. The Master Plan presented in the following pages is part and parcel of the College's ambitious agenda. It presents a group of strategies for enhancing, redeveloping, and expanding the Einstein campus in order to realize the ultimate goal of the Strategic Research Plan: the creation of a “state-of-the-art research environment that will foster scientific investigation at all levels from the bench to the bedside and from the clinic to the community.” This master plan provides a highly flexible, cost-effective and sustainable roadmap for campus expansion. It emphasizes consolidation, relocation and reorganization rather than new building, which is mainly reserved for research,. The goal is to create a far more coherent, convenient, and pleasant campus experience, one that draws people onto campus and provides them with an inspiring setting for scientific education, collaboration and research. 4. Clinical Affiliations: Einstein is situated in a complex clinical environment that comprises multiple medical schools and academic medical centers (AMC’s). Einstein does not own or operate any of the clinical facilities in which its undergraduate and graduate medical education programs take place; rather there is an extensive network of clinical resources maintained through contractual affiliation agreements. Significant realignment has been occurring among the medical schools and the AMC’s in the New York metropolitan area, and has necessitated continuous planning to assure the availability of adequate and appropriate clinical training resources for Einstein students. These planning efforts involve the dean’s staff responsible for academic affairs, medical education and student affairs. In the interval since the last LCME review (2006) the following changes have occurred in Einstein’s clinical network: Flushing Hospital Medical Center, Queens… affiliation discontinued in 2007 due to hospital’s acceptance of offshore medical students. Wakefield Division of Montefiore, Bronx (formerly Our Lady of Mercy Hospital)... taken over by Montefiore in 2007, with an agreement with Montefiore to incorporate as an additional clinical site. Students placed in clerkships beginning in 2011. Jamaica Hospital Medical Center (Queens)… affiliation established in 2008 to provide additional clerkship resources for Family Medicine. St. Barnabas Hospital (Bronx)… affiliation established in 2008 to provide additional clerkship resources for Pediatrics and Internal medicine and clinical placement resources for Introduction to Clinical Medicine. IS-7 Albert Einstein College of Medicine Academic Year 2014-2015 Maimonides Medical Center (Brooklyn)… affiliation established in 2011 to provide additional clerkship resources for General Surgery, Internal Medicine, Pediatrics, Ob/Gyn, and Psychiatry. Beth Israel Medical Center (Manhattan)… affiliation terminated June 30, 2014 due to purchase of BI by Mt. Sinai Health System. Most important to Einstein is the ongoing relationship with Montefiore Medical Center. Montefiore and Albert Einstein College of Medicine established their affiliation in 1963. In 2009, that agreement was renewed assigning responsibility for clinical care to Montefiore and for medical education and research to Einstein. In June 2014, an agreement was reached among Einstein, Yeshiva University and Montefiore Medical Center that will result in formation of a new entity in which Montefiore will assume significant governance and financial management responsibility for Einstein, while Yeshiva University will remain the degree-granting institution. The LCME was notified of this planned change in governance on August 11, 2014 (See Appendix G for correspondence related to recent changes in affiliations.) c. Date of most recent review and/or revision of the strategic plan: Ongoing d. How often is the strategic plan reviewed and/or revised? Planning is an ongoing process with different elements under review at different times. The research plan was developed in 2007 and updated in 2010. The education plan, including the establishment of a comprehensive set of competency-based goals and objectives and the creation of a new education center was initiated in 2012-2013, with other curricular elements undergoing planning and development on a continuous, as-identified basis.. The master plan for the physical development of the college campus was prepared in 2008. The relationships among Yeshiva University, Einstein and Montefiore Medical Center, involving a change in governance and clarification and realignment of clinical, research, and educational activities, was updated most recently in August 2014. e. Briefly summarize or outline the planning process for the strategic plan, including the main participants and the names or titles of individuals or groups whose approval is required to finalize and approve it. Planning is specific to the different aspects of Einstein’s mission. As such, the individuals responsible for leadership and participation will vary depending on the specific mission element involved. Specific associate deans lead planning activities in their areas of responsibility. Department chairs, faculty representatives, members of the Einstein Senate, and individual Center directors all participated in the Research Strategic Plan. Students and staff members participated in the Campus Master Plan, and the Medical Education Council’s Executive Committee participate in Educational Initiatives Planning. Primary leadership and ultimate responsibility for approval rests with Dean Allen M. Spiegel IS-8 Albert Einstein College of Medicine Academic Year 2014-2015 IS-3. The institution sponsoring a medical education program must meet all eligibility requirements of the LCME for initial and continuing institutional accreditation. Note: This standard does not apply to Canadian Colleges of Medicine. g. State in which the institution is chartered/legally authorized to offer the MD degree. New York b. Accredited by the following regional accrediting body (check one): X Middle States Association of Colleges and Schools New England Association of Schools and Colleges North Central Association of Colleges and Schools Northwest Commission on Colleges and Universities Southern Association of Colleges and Schools Western Association of Schools and Colleges c. Current institutional accreditation status: (as of June 30, 2014) Full Accreditation d. Year of next regional accreditation survey: June 2019 IS-9 Albert Einstein College of Medicine Academic Year 2014-2015 IS-4. The manner in which an institution that offers a medical education program is organized, including the responsibilities and privileges of administrative officers, faculty, medical students, and committees must be promulgated in programmatic or institutional bylaws. g. Provide an electronic copy of the faculty bylaws that apply to the College of Medicine in the ISsection of the Appendix. If the material comes from a Web site, provide the relevant URL(s) below, along with a PDF of all relevant online materials in the appendix. By-Laws of the Senate of the Albert Einstein College of Medicine (IS Appendix H.) https://www.einstein.yu.edu/administration/senate/ System of Appointments, Titles and Compensation Arrangements (IS Appendix I.) https://www.einstein.yu.edu/administration/policies.asp b. Date of the most recent bylaws revision: Senate By-Laws…Feb 8, 2010 Systems of Appointments, Titles and Compensation Arrangements… July 1, 2012 c. Describe the process for approval of bylaws changes. As stated in section 13 of the By-laws: AMENDMENTS TO THE BY-LAWS 13.1 Adoption of Amendments to the By-Laws shall require approval of two-thirds of the membership of the Senate in two separate sessions of the Senate, and by the Dean, the President of the University and the Boards. For this purpose a session shall be defined as the meetings of the Senate for one year following each general election. Amendments that have been adopted by the Senate shall be circulated to the Faculty, Research Fellows, Students, Administration and President of the University and the Board of Overseers once per year, following the second vote of approval by the succeeding sessions of the Faculty Senate. 13.2 Proposed amendments shall be presented for discussion at one meeting of the Senate and circulated to all Senators. The first vote of the Faculty Senate by mail ballot shall take place within two months after the initial discussion of the Amendment. If the Amendment is approved by a number equal to two-thirds of the elected Faculty membership of the Senate and of those voting on the first ballot, the second ballot shall take place in the following Senate year. The Amendment shall become effective immediately after the second Senate approval and approval by the Dean, President, and Boards, unless another date is provided for in the Amendment. Approval by the Dean, President, and Boards is assumed unless objection is received within three months. d. Briefly describe how the bylaws are made available to the faculty. Each new faculty member receives a letter of appointment that refers all individuals to the institutional website to access and familiarize themselves with the Faculty By-Laws and The System of Appointments, Titles and Compensation Arrangements of the Albert Einstein College of Medicine. The letters state that they will find this, plus all other pertinent policies pertaining to faculty, on the website. IS-10 Albert Einstein College of Medicine Academic Year 2014-2015 IS-5. The governing board responsible for oversight of an institution that offers a medical education program must have and follow formal policies and procedures to avoid the impact of conflicts of interest of members in the operation of the institution and its associated clinical facilities and any related enterprises. There must be formal policies and procedures at the institution to avoid the impact of conflicts of interest (e.g., the requirement that a board member recuse him or herself from any discussion and vote relating to a matter where there is the potential for a conflict of interest to exist). The institution also must provide evidence (e.g., from board minutes, annual signed disclosure statements from board members) that these policies and procedures actually are being followed. Some conflicts related to personal or pecuniary interests in the operation of the institution may be so pervasive as to preclude service on the governing board. IS-6. Terms of governing board members of an institution that offers a medical education program should be overlapping and sufficiently long to permit them to gain an understanding of its program. The following questions relate to standards IS-5 and IS-6. g. Provide the name of the governing board with responsibility for the College of Medicine. Albert Einstein College of Medicine Board of Overseers b. Check all units for which this governing board is directly responsible: x Parent University Health Science Center College of Medicine Other (describe below) The Board of Trustees of Yeshiva University has charged the Albert Einstein College of Medicine Board of Overseers with responsibility for the governance of the College of Medicine. c. Provide the names and the occupations/affiliations of the current governing board members, along with their dates of initial appointment. If the College of Medicine is, or is part of, a for-profit/investorowned company, identify any board members who are shareholders/investors in the holding company for the College of Medicine. NAME Mr. Philip Altheim Mrs. Linda Altman* LENGTH OF SERVICE TERM 1987 // 26 years 2003 // 10 years 2 years (5/22/13) 3 years (5/16/12) IS-11 OCCUPATION Hatzel & Buehler, Inc.; Union Commercial Electrical Contractor Volunteer Leader Albert Einstein College of Medicine Mr. Irving Baumrind Mrs. Diane Belfer Mrs. Renée E. Belfer Mr. Robert A. Belfer* Mr. Robert A. Bernhard Mr. John D. Cohen Dr. Gerald Dorros, ‘68 Mrs. Joan K. Eigen Mr. Roger Einiger* Mrs. Betty Feinberg Ms. Sue-Ann Friedman Mr. Nathan Gantcher* Mr. Jay N. Goldberg Dr. Ruth L. Gottesman* Mr. Arthur Hershaft* Dr. Rivkie PensteinHirt Mr. Michael Jesselson Mr. Richard M. Joel Mr. Nathan Kahn* Mr. Ernest Kalman Mrs. Marilyn Katz Mr. Stanley M. Katz* Dr. Arthur M. Kozin, ‘82 Mr. Charles A. Krasne Dr. Henry Kressel Academic Year 2014-2015 2004 // 9 years Honorary 1989 // 24 years 1995 // 18 years 1972 // 41 years 1986 // 26 years 1989 // 23 years 2001 // 12 years 1997 // 16 years 2005 // 8 years 3 years (5/16/12) Volunteer Leader 3 years (9/14/11) Volunteer Leader 3 years (5/22/13) Private Investor 1990 // 23 years 2011 // 2 years 2 years (5/22/13) Volunteer Leader 2 years (2/16/11) Retired; Computer Manufacturing Corporation 2010 // 3 years 3 years (5/16/12) EXOP Capital, LLC; Asset Management Firm 1998 // 15 years 2002 // 11 years 2000 // 13 years 2012 // 1 year 3 years (5/22/13) Hudson Ventures, LLP; Venture Capital Inventments Retired; Professor Emeritus, Pediatrics 1999 // 14 years 2003 // indefinite 2007 // 6 years 2 years (5/22/13) The Jesselson Capital Corporation; Private Investments President, Yeshiva University 3 years (9/14/11) 2001 // 12 years 1997 // 16 years 1983 // 30 years 2013 // 1 year 3 years (5/22/13) Empire Resources, Inc.; President & CEO; distributor of semi-finished aluminum products Private Investments 3 years (5/16/12) Volunteer Leader 3 years (9/14/11) Real estate investor, Developer 1993 // 20 years 2009 // 4 years Chair Emeritus Honorary Retired, Certified Public Accountant Belfer Management, LLC; Private Investments Honorary McFarland Dewey & Co., LLC; Investment Banker Retired, Law 3 years (5/22/13) Dorros-Feuer Foundation; Medical Director Honorary 3 years (9/14/11) Chair Emerita 3 years (5/16/12) 2 years (11/5/12) Alumni Association Honorary Bd. Of Trustees, YU IS-12 Volunteer Leader Avery Dennison Corporation; Labeling and Inventory Obstetrics and Gynecology Nephrologist Krasdale Foods, Inc.; Food Distribution Warburg Pincus, LLC; Private Investments Albert Einstein College of Medicine Academic Year 2014-2015 Mrs. Emily Fisher Landau Dr. Evelyn Lipper ‘71 Mr. Ronald J. Lissak Mr. Martin Luskin 1999 // 14 years 2004 // 9 years Honorary 2004 // 9 years 2014 // 2 years Mrs. Karen Mandelbaum Mr. Ira M. Millstein* Mr. Peter Neufeld 2010 // 3 years 3 years (5/16/12) Men’s Division Representative 3 years (5/16/12) Mrs. Sylvia Olnick 1987 // 30 years 2011 // 2 years Mr. Edward S. Pantzer Mr. Arnold S. Penner Mr. John J. Pomerantz Mr. Michael F. Price Mr. Burton P. Resnick* Mr. Toby G. Ritter Mrs. Carol Roaman Dr. Ronald J. Ross, ‘60 Mr. Howard J. Rubenstein Ms. Joanna Steinberg Mr. David Tanner Mr. Daniel R. Tishman* Mr. Samuel G. Weinberg* Mr. Zygmunt Wilf* Mr. Benjamin Winter* Mr. Elliot K. Wolk 1977 // 36 years 2010 // 5 years Honorary Chair Emeritus Philanthropist; member of real estate family that runs Fisher Brothers Management Weill Cornell Medical College; Pediatrician Philanthropist Attorney Philanthropist Weill, Gotshal & Manges; Attorney Montefiore Representative 3 years (10/6/10) Attorney 3 years (5/22/13) Pantzer Properties, Inc.; Real Estate Investment and Management Arnold S. Penner Foundation, Inc.; Real estate investor JJP Advisory; 1998 // 15 years 1985 // 28 years 2001 // 12 years 1976 // 37 years 1994 // 19 years 2013 // x year Women’s Division 2012 // 1 year 2 years (11/5/12) Radiologist 1997 // 16 years 2012 // 1 year 1 year (5/22/13) Rubenstein Associates, Inc.; Public Relations 2007 // indefinite 2003 // 10 years 1996 // 17 years 2003 // 10 years 2009 // 4 years 1990 // 23 years * Executive Committee member 3 years (9/14/11) Philanthropist; Real estate Honorary 3 years (5/22/13) Chair Emeritus Honorary Einstein Emerging Leaders Montefiore Representative 3 years (5/16/12) MFP Investors, LLC; Private investments Jack Resnick & Sons, Inc.; Real estate Real Estate Volunteer Leader Finance: Conti Group 3 years (9/14/11) Tishman Construction Corporation; Construction management Weinberg Properties; Real estate 3 years (5/16/12) Garden Homes, Inc.; Real estate 3 years (5/16/12) The Winter Organization; Real estate Honorary IS-13 Elliot K. Wolk Investments; Private investments Albert Einstein College of Medicine Academic Year 2014-2015 d. If the College of Medicine is part of a for-profit/investor-owned company, does it have a subsidiary board whose members are not shareholders/investors? Provide the names and occupations/affiliations of the members of the subsidiary board. N/A Einstein is not part of a for-profit/investor-owned company. e. Year of the governing board chair’s initial appointment as chair and length of the board chair’s term(s) of office. Chair: Roger W. Einiger Year of initial appointment: 2014 Length of term(s) of office: 5 years f. Summarize the procedures for the appointment and renewal of governing board members, including the procedures for the selection of the chair. Describe the length of members’ terms, the number of times that a member can be reappointed, and the system for staggering of appointments, if appropriate. At each Annual Meeting, Overseers shall be elected for terms of one (1), two (2) or three (3) years to fill the terms of those whose terms have expired and to keep the Overseers elected for each term as nearly equal as practicable. Each Overseer shall be elected by a plurality vote of the Board and shall serve for the term for which elected and until a successor is elected and qualified. At the expiration of any term, an Overseer may be re-elected. At the Annual Meeting the Board shall elect a Chairperson, Vice-Chairpersons, Chairperson of the Executive Committee, Treasurer and Secretary from their own number and an Assistant Secretary, who need not be an Overseer. Each officer elected by the Board shall hold office at the pleasure of the Board and, unless the Board shall at any time otherwise provide, only until the next Annual Meeting following such election and until a successor is duly elected and qualified. A person may hold two (2) or more offices and serve on two (2) or more Committees, except that the Chairperson shall not also be the Secretary. An officer may hold the office to which he or she is elected for a maximum of five (5) consecutive one-year terms. After the expiration of the fifth consecutive term the person may be elected to a different office. g. Describe the strategies for dealing with actual or perceived conflicts of interest if they arise. Provide examples to illustrate that these policies are being followed. Members of the Board of Overseers are required to submit annually a conflict of interest disclosure statement. (IS Appendix J.) They are also required to recuse themselves from voting on any matter in which they might have a personal or financial interest. (IS Appendix K. pg. 3) Einstein does not contract for services with entities in which members of the Board of Overseers might have interests. The Yeshiva University Board Conflict of Interest Policy is posted on Einstein’s COI web page. https://www.einstein.yu.edu/administration/conflict-of-interest/ (policy tab) IS-14 Albert Einstein College of Medicine Academic Year 2014-2015 IS-7. Administrative officers and members of the faculty must be appointed by, or on the authority of, the governing board of the medical education program or its parent institution. Briefly describe the role of the governing board in the appointment of the administrative officers and the faculty of the College of Medicine. All faculty of the College of Medicine are appointed by the dean on the recommendation of the department chairs and on the authority of the Board of Overseers. Administrative staff/officers of the College of Medicine are appointed solely by the dean. IS-15 Albert Einstein College of Medicine Academic Year 2014-2015 IS-8. The chief official of a medical education program, who usually holds the title “dean,” must have ready access to the university president or other official of the parent institution who is charged with final responsibility for the program and to other institutional officials as are necessary to fulfill the responsibilities of the dean’s office. IS-9. There must be clear understanding of the authority and responsibility for matters related to the medical education program among the vice president for health affairs, the chief official of the medical education program, the faculty, and the directors of the other components of the medical center and the parent institution. The following questions relate to standards IS-8 and IS-9 a. Provide the position description for the dean and, if applicable, the vice president for health affairs or equivalent. The Marilyn and Stanley M. Katz Dean of Albert Einstein College of Medicine is Vice President for Medical Affairs of Yeshiva University. The following position description was recently used in the process of evaluating the incumbent dean for reappointment. Marilyn and Stanly Katz Dean Position Description The Marilyn and Stanley Katz Dean (Dean) is the Chief Executive Officer of Albert Einstein College of Medicine. S/he must be an individual capable of dealing with a wide range of responsibilities including: guidance for basic, translational and clinical research programs and graduate education in the bio-medical sciences; liaison with and leadership for a diverse set of academic medical centers; and assurance of the breadth and quality of undergraduate, graduate and continuing medical education. The Dean must embody the mission of this College of Medicine, which has deep and abiding commitments to innovative medical education, socially responsible medical care, community engagement, and the highest standards of scientific achievement. The position requires an individual willing to work for the good of the school; one who encourages and welcomes constructive debate and criticism. The Dean should appoint appropriate professional and administrative staff to support faculty, student and staff activities and development. The Dean serves as advocate for faculty, students and fellows to the Board of Overseers and the President of Yeshiva University. S/he should assure the implementation of decisions in ways that increase the esprit of the faculty, students and employees and facilitate future progress. Specific responsibilities include: 1. Leadership in Research a. Establish research priorities i. Identify best current programs as basis for even more successful programs ii. Phase out or redirect marginal programs iii. Identify and prioritize the future scientific opportunities iv. Develop new programs to meet future opportunities b. Encourage scientific excellence in basic, translational and clinical research programs IS-16 Albert Einstein College of Medicine Academic Year 2014-2015 c. Maintain and grow successful multidisciplinary research programs and develop new ones d. Maintain and develop infrastructure, services, and shared resources e. Identify new funding opportunities from federal, industrial and foundation sources including patent opportunities 2. Leadership in Education a. Initiate Educational Strategic Planning: i. Strengthen current teaching ii. Support educational innovation b. Encourage faculty development as clinician educators c. Implement curriculum revisions as appropriate 3. Leadership in Community and Affiliation Relationships a. Maintain active liaison with clinical affiliates b. Identify appropriate organizations and entities for academic partnerships c. Assure quality of institutional and community-based clinical teaching resources d. Foster clinical teaching and both clinical and translational research e. Encourage and facilitate the highest quality clinical care and training in the affiliated medical centers 4. Leadership in Faculty Development a. Support recruitment and retention of outstanding clinical investigators b. Initiate recruitment of new faculty to support new directions c. Develop retention plans for key basic science faculty to maintain strengths d. Negotiate “buy-out” arrangements as appropriate 5. Leadership in Facilities Development a. Define criteria for equitable allocation of space b. Develop plans for new undergraduate medical teaching facilities c. Develop student and fellow housing d. Initiate planning for growth of research space e. Initiate planning and partnership development for technology transfer f. Increase responsiveness and effectiveness of supporting services 6. Leadership in Philanthropy a. Encourage and facilitate discovery of new donors b. Actively participate in fund raising c. Foster relationships between faculty and donors so as to promote continued support b. Supply a chart showing the relationships among the members of the College of Medicine and university administrations and the administrations of other schools and colleges, institutes, centers, etc. Include, if appropriate, information about the reporting relationships for the director(s) of any teaching hospitals owned or operated by the College of Medicine or university and of the medical faculty practice plan. If the College of Medicine is part of a for-profit/investor-owned company, the chart should describe the reporting relationship(s) that the dean or other senior academic officers have with the board of directors or officers of the corporation. Albert Einstein College of Medicine is a constituent school of Yeshiva University. The Table of Organization of the Office of the Provost of Yeshiva University is provided. (IS Appendix L) IS-17 Albert Einstein College of Medicine Academic Year 2014-2015 The Dean of Albert Einstein College of Medicine is Vice President for Medical Affairs of Yeshiva University. Neither Yeshiva University nor Albert Einstein College of Medicine currently owns or operates any clinical facilities; operation of three clinical programs previously managed by Einstein has been (or is in process of being) transferred to the aegis of Montefiore Medical Center. c. Describe any compensation or other arrangements that the dean or other senior academic officers have with institutional leadership (including, but not limited to, shareholder status, bonus criteria) which are dependent upon the financial success of the medical education program. N/A. No such arrangements exist. IS-18 Albert Einstein College of Medicine Academic Year 2014-2015 IS-10. The chief official of a medical education program must be qualified by education and experience to provide leadership in medical education, scholarly activity, and patient care. ___________________________________________________________________________________ Provide a brief resumé of the dean’s academic and administrative experience. In the Appendix, provide an electronic copy of the dean’s full curriculum vitae. (IS Appendix M) ALLEN M. SPIEGEL, M.D. The Marilyn and Stanley M. Katz Dean Albert Einstein College of Medicine of Yeshiva University Allen M. Spiegel, M.D., an internationally recognized researcher and endocrinologist, assumed office as Dean of the Albert Einstein College of Medicine of Yeshiva University on June 1, 2006. Prior to joining Einstein, Dr. Spiegel was Director of the National Institute of Diabetes & Digestive Diseases & Kidney Diseases (NIDDK) at the National Institutes of Health, the culmination of a distinguished 33-year-career at the NIH. A member of the Institute of Medicine of the National Academy of Sciences, Dr. Spiegel earned his bachelor's degree summa cum laude and Phi Beta Kappa from Columbia University in 1967. He received his M.D. degree cum laude from Harvard College of Medicine in 1971 and completed his clinical training at Massachusetts General Hospital. He began his career at the NIH in 1973 as a Clinical Associate in its Endocrinology Training program. He then served as a Senior Investigator in the Metabolic Disease Branch from 1977 to 1984. In 1985 he was appointed Chief of Molecular Pathophysiology, and then Chief of the Metabolic Diseases Branch. In 1990, he was appointed Director of the NIDDK's Division of Intramural Research. He served in these various capacities until his appointment as Director of the NIDDK in 1999. In this role, Dr. Spiegel had responsibility for a staff of 625 full-time employees and a $1.7 billion budget. Dr. Spiegel is a widely renowned physician-scientist and endocrinologist with extensive experience in translational research programs. His research has centered on G-protein-regulated signaling dysfunction in human disease, and his work on signal transduction helped to clarify the genetic basis of several endocrine diseases. He has published extensively, with more than 250 peer-reviewed papers and 100 reviews and book chapters to his name, as well as two books on G proteins. IS-19 Albert Einstein College of Medicine Academic Year 2014-2015 IS-11. The administration of an institution that offers a medical education program should include such associate or assistant deans, department chairs, leaders of other organizational units, and staff as are necessary to accomplish its mission(s). There should not be excessive turnover or long-standing vacancies in the leadership of the institution. Areas that commonly require administrative support include admissions, student affairs, academic affairs, educational affairs/curriculum, faculty affairs, graduate education, continuing education, relationships with clinical affiliates, research, business and planning, and fund-raising. ___________________________________________________________________________________ a. Attach a chart showing the organizational structure of the dean’s office See page IS-21 below. IS-20 Albert Einstein College of Medicine Academic Year 2014-2015 IS-21 Albert Einstein College of Medicine Academic Year 2014-2015 b. List the percent of effort contributed by each associate and assistant dean to the administrative support of the College of Medicine and, for each, indicate his or her date of appointment to the administrative position. Indicate if any associate/assistant dean position is being filled on an interim basis. If there are interim appointments for positions in the dean’s office, describe the status of recruitment(s) to fill the position(s) on a permanent basis. Executive Dean Dr. Edward Burns 100% 1/01 Senior Associate Dean for Student Affairs Dr. Stephen Baum 100% 7/07 Senior Associate Dean for Medical Education Dr. Martha Grayson 100% 12/09 Associate Dean for Diversity Enhancement Dr. Yvette Calderon 40% 9/11 Associate Dean for Graduate Medical Education (JMC) Dr. Brian Cohen 50% 7/10 Associate Dean for Public Affairs and Communications Mr. Gordon Earle 100% 7/07 Associate Dean for Graduate Studies in the Biomedical Sciences Dr. Victoria Freeman 100% 7/11 Associate Dean for Scientific Resources Dr. Harris Goldstein 50% 3/07 Associate Dean for Continuing Medical Education and Research Administration Dr. Victor Hatcher 100% 7/04 Associate Dean for Admissions Ms. Noreen Kerrigan 100% 7/10 Associate Dean for Clinical Research Education Dr. Paul Marantz 100% 3/06 Associate Dean for Institutional Advancement* Mr. Ira Lipson (Interim) 100% 11/13 Associate Dean for Diversity Mentoring Dr. Genevieve Neal-Perry 30% 9/11 Associate Dean for Clinical & Translational Research Dr. Harry Shamoon 100% 7/99 Associate Dean for Finance and Administration Mr. Jed Shivers 100% 5/07 Associate Dean for Graduate Medical Education (MMC) Dr. Catherine Skae 50% 4/13 Assistant Dean, Jacobi Medical Center Dr. Rachel J. Katz 10% 11/13 Assistant Dean, Maimonides Medical Center Dr. David Cohen 10% 1/13 Assistant Dean, Montefiore Medical Center Dr. Rosemarie Conigliaro 10% 8/12 Assistant Dean for Faculty Development Dr. Christina Coyle 20% 11/07 Assistant Dean for Educational Information Resources Dr. Terence Ma 100% 7/13 Assistant Dean for Clinical Research, MMC Dr. Brian Currie 50% 9/06 Assistant Dean, NSLIJ Dr. Lawrence Davis 10% 7/04 Assistant Dean for Scientific Operations Mr. John Harb 100% 1/01 Assistant Dean of Medical Education Dr. Pablo Joo 100% 2/12 Assistant Dean, BLHC Dr. Jeffrey Levine 10% 10/08 Assistant Dean for Academic Affairs Ms. Barbara Levy 100% 1/01 Assistant Dean for Educational Resources* ___________TBA______________________100%_____ Assistant Dean for Student Affairs Dr. Allison Ludwig 100% 11/12 Assistant Dean for Academic Administration Ms. Shelly Motzkin 100% 9/06 Assistant Dean for Student Affairs Dr. Joshua Nosanchuk 50% 9/12 Assistant Dean, St. Barnabas Dr. David Rubin 10% 6/10 Assistant Dean for Diversity Enhancement Ms. Nilda Soto 100% 1/01 Assistant Dean for Biomedical Science Education Dr. Howard Steinman 100% 1/06 Assistant Dean for Community Engagement Dr. Harold Strelnick 75% 7/10 *Position under recruitment IS-22 Albert Einstein College of Medicine Academic Year 2014-2015 Provide data on medical students’ satisfaction with the accessibility and awareness of student concerns of the members of the dean’s office. Office of the Senior Associate Dean for Students – Data from GQ 2014 Very Dissatisfied Neutral Satisfied Dissatisfied Accessibility 1.5% 3.8% 9.0% 41.4% Awareness of student 2.3% 9.8% 20.3% 36.1% concerns Office of the Senior Associate Dean for Medial Education – Data from GQ 2014 Very Dissatisfied Neutral Satisfied Dissatisfied Accessibility 0.8% 46% 19.8% 45.0% Awareness of student 3.1% 8.5% 20.0% 42.3% concerns Very Satisfied 44.4% 31.6% Very Satisfied 29.8% 26.2% c. Indicate the term of appointment for department chairs and the number of times that the appointment can be renewed. The term of appointment for all Department Chairs is five years; there are no term limits. d. Indicate the date of appointment for each currently sitting department chair. Department Chair Anatomy & Structural Biology John Condeelis, Ph.D Robert H. Singer, Ph.D. Effective Date of Chair 3/20/2002 3/20/2002 Anesthesiology Biochemistry Cardiovascular & Thoracic Surgery Cell Biology Dentistry Developmental and Molecular Biology Emergency Medicine Epidemiology & Population Health Family and Social Medicine Genetics Medicine Microbiology & Immunology Molecular Pharmacology Ellise Delphin, M.D. Vern L. Schramm, Ph.D. Robert Michler, M.D. Arthur I. Skoultchi, Ph.D. Richard Kraut, D.D.S. Liang Zhu, Ph.D. (Interim) E. John Gallagher, M.D. Thomas E. Rohan, M.D., Ph.D. Peter A. Selwyn, M.D. Jan Vijg, Ph.D. Laurie G. Jacobs, M.D. (Interim) Arturo Casadevall, M.D., Ph.D. Susan B. Horwitz, Ph.D. Charles S. Rubin, Ph.D. 7/1/2010 8/1/1987 4/2/2005 11/17/1998 3/31/2003 9/1/2010 2/7/1996 4/12/2000 3/1/1999 7/1/2008 8/1/2014 1/1/2006 7/1/1985 7/1/1985 IS-23 Albert Einstein College of Medicine Neuroscience Neurology Neurological Surgery Obstetrics & Gynecology and Women's Health Ophthalmology & Visual Sciences Orthopaedic Surgery Otorhinolaryngology - Head & Neck Surgery Pathology Pediatrics Physiology & Biophysics Psychiatry and Behavioral Sciences Radiation Oncology Radiology Physical Medicine and Rehabilitation Systems & Computational Biology Surgery Urology Academic Year 2014-2015 Kamran Khodakhah, Ph.D. (Interim) Mark Mehler, M.D. Eugene S. Flamm, M.D. Irwin R. Merkatz, M.D . Roy S. Chuck, M.D., Ph.D. Neil J. Cobelli, M.D. Marvin Fried, M.D. Michael B. Prystowsky, M.D., Ph.D. Judy L. Aschner, M.D. Denis Rousseau, Ph.D. T. Byram Karasu, M.D. Shalom Kalnicki, M.D. E. Stephen Amis, Jr., M.D. Matthew N. Bartels, M.D. Aviv Bergman, Ph.D. Robert Michler, M.D. Mark Schoenberg, M.D. 9/1/2013 7/1/2004 1/1/2000 10/1/1981 7/1/2009 7/1/2012 5/1/1999 11/26/1997 4/1/2013 10/1/1998 9/1/1993 6/1/2004 9/3/1991 9/1/2013 4/1/2008 4/1/2008 4/1/2014 e. List the departments that are currently without a permanent chair and the date on which the last permanent chair left office. Describe the status and timelines of recruitments to fill vacant chair positions. Developmental & Molecular Biology Liang Zhu, Ph.D., Interim Chair 9/1/2010 Status and Timeline of Recruitment: Decision on search to be made. This department may be consolidated into Cell Biology. Medicine Laurie G. Jacobs, Interim Chair Status and Timeline of Recruitment: Search in progress. 8/1/2014 Neuroscience Kamran Khodakhah, Ph.D., Interim Chair Status and Timeline of Recruitment: Search to begin in 2015. 9/1/2013 f. Briefly describe how, how often, and by whom the performance of chairs is reviewed The dean evaluates each chair as part of an annual departmental review. Criteria for review include the chair’s ability to recruit and retain faculty, mentor young faculty, and provide an academic vision for the department’s growth. In addition, the chair’s own academic performance is assessed. During the fourth year of a five-year term, the dean will make an assessment of the chair’s performance and consult with faculty within that department as to the chair’s performance. If the dean determines that service has been excellent, the term of appointment is automatically extended. Should performance be considered suboptimal then the dean may request a formal departmental review by either an internal or external group of knowledgeable faculty. The results of that review will guide the dean’s decision of the chair’s reappointment to an additional term. On occasion, a chair’s performance may be deemed highly unsatisfactory within the early-tomiddle portion of a term. In such cases, the dean will undertake a comprehensive internal review, IS-24 Albert Einstein College of Medicine Academic Year 2014-2015 relying heavily on the department’s own faculty to determine whether the chair should continue in a leadership position. g. Briefly describe the budgetary authority of department chairs and the sources of funding for departmental budgets. Each year, the departmental chair prepares a budget that includes continuation of ongoing programs and personnel as well as proposed new programs. The budget is reviewed and discussed at a meeting, which includes the chair, the Dean, the Executive Dean and the Associate Dean for Finance and Administration. At that meeting the total amount of University Funds to be allocated to the department is agreed upon and decided. The chair has full budgetary authority to spend and allocate those funds in the next fiscal year. In the event that additional funds are needed within a given fiscal, the chair will request same from the Dean or Executive Dean during the fiscal year. Additional University Funds may then be allocated to the chair for worthwhile purposes. The College maintains a policy of interim support or bridge funding for researchers who have lost funding due to the loss of an externally funded grant in order to maintain their scientific program while they attempt to regain funding. The researcher details his/her financial needs for the salaries of the investigator, technician, graduate student, postdoc and supplies in a request to his/her department chair. The department chair vets and fine tunes the request and sends it to the Office of the Dean. The request is then analyzed by the deans and, where deemed appropriate, is granted for periods up to a year. IS-25 Albert Einstein College of Medicine Academic Year 2014-2015 IS-12. Medical students should have opportunities to learn in academic environments that permit interaction with students enrolled in other health professions, graduate, and professional degree programs and in clinical environments that provide opportunities for interaction with physicians in graduate medical education and continuing medical education programs. These academic, graduate medical education, and continuing medical education programs should contribute to the learning environment of the medical education program. Periodic and formal review of these programs culminating in their accreditation by the appropriate accrediting bodies would provide evidence of their adherence to high standards of quality in education, research, and scholarship. Whenever appropriate, medical students would be able to participate in selected activities associated with these programs in order to facilitate achievement of their personal and professional goals. ___________________________________________________________________________________ Graduate Education a. Indicate the number of students enrolled in Master’s and doctoral degree programs taught by College of Medicine faculty. Include degree programs in the biomedical sciences and other programs (e.g., public health) that are taught by College of Medicine faculty. Department or Program (2013-2014) # of Masters Students Graduate Program in the Biomedical Sciences Rotational Students Anatomy & Structural Biology Biochemistry Cell Biology Clinical Investigation Developmental & Molecular Biology Microbiology & Immunology Molecular Genetics Molecular Pharmacology Neuroscience Pathology Physiology & Biophysics Systems & Computational Biology Clinical Research Training Program Masters in Public Health Masters in Bioethics # of Doctoral Students 291 31 10 30 23 5 22 51 40 10 38 17 7 7 16 3 1 b. Are there university or College of Medicine policies that require regular review of graduate education (Master’s, doctoral) programs? If so, include an electronic copy of the policy or related documents in the Appendix. Review and oversight responsibilities of the Graduate Division lie with the division’s Academic Affairs Committee and its Graduate Executive Committee. The Academic Affairs Committee (AAC) consists of a representative from each of the Basic Science Departments and the PhD in Clinical Investigation (PCI), the Senior Academic Advisor for the IS-26 Albert Einstein College of Medicine Academic Year 2014-2015 Graduate Division, and the Director of the Medical Scientist Training Program (MSTP). The Chair of the AAC, with the approval of the Associate Dean for Graduate Studies in Biomedical Sciences, may invite other members of the faculty of the Graduate Division to participate as non-voting members of the AAC. The AAC monitors the academic progress of all graduate students with active status in the program, including MSTP (MD-PhD) students in the PhD phase. The AAC reviews the full academic standing including all courses, rotational evaluations, Thesis Research/Laboratory Rotation grades, Qualifying Exam and Thesis Defense grades and comments. The AAC informs the student, the student's mentor, and the Department Chair of any academic problems and works with the Student (Thesis) Advisory and Department Committees (and the MSTP Steering Committee for MSTP students) to ensure that all students progress in a timely fashion towards the PhD degree. The AAC ensures that the academic policies of the Graduate Division and those of the individual Departments are applied in evaluating students' progress. The AAC also reviews the academic record of students in the program five years or longer, and requests that the student and the mentor provide a written Exit Strategy detailing the steps the student will take to ensure timely completion of the PhD degree. In addition, the Academic Affairs Committee monitors the progress of any student previously placed on academic probation, until that status is relieved. The Academic Affairs Committee also reviews Student (Thesis) Advisory Committee reports and may request students and mentors to appear before the Committee. The Graduate Executive Committee is the executive committee of the Graduate Division and is comprised of representatives from each of the Basic Science Departments, the PhD in Clinical Investigation (PCI), the Associate and Assistant Directors of the Graduate Division, the MSTP Director, the PhD Program Director, the Associate Dean for Graduate Studies in Biomedical Sciences, who serves as Chair, and three students selected by the Graduate Student Council (GSC). The Committee recommends to the Associate Dean additions or changes to policies of the Graduate Division, and approves changes or additions to the Graduate Curriculum and Qualifying Examination Guidelines. Its members provide direct representation and feedback to and from the Department faculty. The Academic Policies and Guidelines of the Graduate Division appear as IS Appendix N. c. Describe the process used for review of doctoral programs in the biomedical sciences. The graduate programs are registered by the New York State Department of Education. The doctoral programs of the university were reviewed (April, 2012) by the Middle States Commission on Higher Education. The NIH pre-doctoral training grant programs are also subject to annual external review (non-competing renewals) or comprehensive review at 4-5 years (competing renewals). In addition, individual academic departments occasionally convene external reviews. For example, the Genetics Department had an extensive external review in 2009, and the Microbiology and Immunology Department held a retreat and review of its training programs in 2012. Graduate Medical Education a. For each clinical facility at which one or more medical students take a required core clerkship rotation (except ambulatory, community-based sites), mark a “+” if residents in an ACGME-accredited program (for U.S. College of Medicines) or in an RCPSC or CFPC-accredited program (for Canadian College of Medicines) are involved in medical student education in that clerkship rotation at that site; place a “–” for any clerkship rotation offered at that site in which there are no residents (“na” clerkship not offered at the site). IS-27 Albert Einstein College of Medicine Internal Clinical Facility Name Medicine Beth Israel Medical Center* + Bronx Psychiatric Center na Bronx-Lebanon na Four Winds Hospital na Jacobi Medical Center + North Shore-LIJ + Maimonides + Montefiore (Moses) + NCB na St. Barnabas + Montefiore (Wakefield) na Montefiore (Einstein) + Academic Year 2014-2015 Obstetrics/ Gynecology + na + na + + + + na na + + Pediatrics na na + na + + + + na + + na Psychiatry + + + + + + + na Surgery + na + na + + + + na na + + na + * As of July 2014, Einstein students no longer rotate at Beth Israel, the result of a change in affiliation. b. If the medical curriculum does not include a separate required clerkship rotation in one or more of the above disciplines (e.g., when the curriculum includes an integrated experience for some medical students), describe these students’ interactions with residents, including the residents’ specialties and the settings in which these interactions occur. Einstein has required clerkships in all the above disciplines. c. Provide the number of residents who are the responsibility of the College of Medicine’s faculty, by training program, including those programs at affiliated hospitals at which residents are taught by College of Medicine faculty. (Note: If the College of Medicine operates geographically separate clinical instructional sites/campuses, provide a separate table for each site.) Einstein-sponsored Program Montefiore Medical CenterMoses & Weiler Anesthesiology Dentistry Emergency Medicine Family Practice General Surgery Internal Medicine Neurology Neurosurgery Nuclear Medicine Ob/Gyn Ophthalmology # of PGY-1 Residents 21 12 32 64 1 13 # of Clinical Fellows (in NonACGME/RCPSC/ CFPC-accredited Programs) Total # of Residents # of Clinical Fellows (in ACGME/RCPSC/ CFPC-accredited Programs) 50 5 2 132 4 4 1 78 36 78 162 27 11 6 46 15 128 15 4 IS-28 1 19 1 Albert Einstein College of Medicine Academic Year 2014-2015 Otorhinolaryngology Orthopaedic Surgery Pathology Pediatrics Physical & Rehab Medicine Podiatry Plastic Surgery Psychiatry Radiation Oncology Radiology Urology Vascular Surgery 4 6 6 29 Einstein-sponsored Program Montefiore Medical CenterWakefield Division # of PGY-1 Residents Total # of Residents Internal Medicine Podiatric Medicine & Surgery 28 74 Einstein-sponsored Program Jacobi Medical Center # of PGY -1 Residents Total # of Residents Internal Medicine Nephrology Pediatrics Pediatric Emergency Med. Radiology Dentistry Burn Unit Podiatry 40 104 15 45 12 20 30 20 86 28 1 10 53 4 12 46 6 36 8 11 7 1 12 1 2 7 2 # of Clinical Fellows (in ACGME./RCPSC/ CFPC-accredited Programs) # of Clinical Fellows (in NonACGME/RCPSC/ CFPC-accredited Programs) 10 12 # of Clinical Fellows (in ACGME/RCPSC/ CFPC accredited Programs) # of Clinical Fellows (in NonACGME/RCPSC/ CFPC-accredited Programs) 4 6 16 35 4 1 The following affiliates sponsor their own residency programs: IS-29 Albert Einstein College of Medicine Academic Year 2014-2015 Bronx-Lebanon Hospital Center # of PGY-1 Residents Total # of Residents Family Practice General Surgery Internal Medicine Ob/Gyn Ophthalmology Pediatrics Psychiatry Radiology Dentistry 14 0 44 4 43 24 106 17 5 45 28 3 Maimonides Medical Center Anesthesiology Emergency Medicine General Surgery Internal Medicine Ob/Gyn Orthopaedic Surgery Pediatrics Pediatric Emergency Med. Psychiatry Radiology Vascular Surgery Urology Dentistry 15 9 # of Clinical Fellows (in ACGME/RCPSC/ CFPC accredited Programs) # of Clinical Fellows (in NonACGME/RCPSC/ CFPC- accredited Programs) 20 12 53 # of PGY-1 Residents 30 42 40 99 20 14 69 16 9 44 5 10 20 9 North Shore/ Long island Jewish Medical Center Dentistry Emergency Medicine Emergency medicine/Medicine General Surgery Internal Medicine Neurology Neurosurgery Ob/Gyn Ophthalmology Orthopaedic Surgery Pathology Total # of Residents # of Clinical Fellows (in ACGME/RCPSC/ CFPC accredited programs) # of Clinical Fellows (in NonACGME/RCPSC/CFP C- accredited programs) 5 62 7 5 38 16 2 4 10 # of PGY-1 Residents Total # of Residents # of Clinical Fellows (in ACGME/RCPSC/ CFPC-accredited Programs) # of Clinical Fellows (in NonACGME/RCPSC/ CFPC-accredited Programs) 69 19 2 20 57 2 12 4 66 10 63 141 21 5 42 12 15 14 7 8 103 9 1 2 4 1 1 2 IS-30 1 Albert Einstein College of Medicine Pediatrics Physical & Rehab Medicine Plastic Surgery Psychiatry Radiation Oncology Radiology Urology 34 1 17 Academic Year 2014-2015 107 12 8 62 4 39 12 63 32 2 2 St. Barnabas Hospital # of PGY-1 Residents Total # of Residents Internal Medicine Pediatrics 30 6 88 17 Bronx Psychiatric Center # of PGY-1 Residents Total # of Residents Forensic Psychiatry 2 3 1 # of Clinical Fellows (in ACGME./RCPSC/ CFPC-accredited Programs) # of Clinical Fellows (in ACGME/GME/RCPS C/CFPC accredited programs) # of Clinical Fellows (in NonACGME/RCPSC/ CFPC-accredited Programs) # of Clinical Fellows (in NonACGME/RCPSC/CFP C- accredited programs) 2 Beth Israel Medical Center (affiliation discontinued June 2014) # of PGY-1 Residents Total # of Residents Emergency Medicine Family Practice General Surgery Internal Medicine Neurology Ob/Gyn Orthopaedic Surgery Otolaryngology Pain Medicine Pathology Psychiatry Radiation Oncology Radiology Urology Dentistry 12 9 14 51 36 26 32 121 9 16 4 # of Clinical Fellows (in ACGME/RCPSC/ CFPC accredited Programs) # of Clinical Fellows (in NonACGME/RCPSC/ CFPC accredited Programs) 4 7 46 2 6 12 5 1 9 47 24 5 3 1 2 1 12 IS-31 Albert Einstein College of Medicine Academic Year 2014-2015 d. Describe the mechanism(s) used for oversight and coordination of graduate medical education, including the evaluation and allocation of training positions. Note any programs currently on probation, as well as any programs whose size is being substantially expanded or reduced. The Albert Einstein College of Medicine is the ACGME-designated sponsor for 85 residency and fellowship programs (including 66 ACGME accredited and 19 others) based at Montefiore Medical Center, Jacobi Medical Center and Bronx Psychiatric Center. In its role as sponsor, the College is responsible to oversee academic and accreditation-related aspects of these programs. To fulfill these responsibilities, the College has established a Committee on Graduate Medical Education (COGME), an Office of Graduate Medical Education, and has designated two associate deans to be responsible for GME (Montefiore Medical Center and Jacobi Medical Center, respectively). COGME was established in 1989 as an open forum for all program directors, department chairs, department administrators, residents and others interested in GME. It has functioned continuously in this capacity since that time. COGME meetings are chaired by an appointed chair separate from the DIO. Detailed minutes are maintained by the senior administrator, reviewed by the chair and the DIO and circulated to all program directors, coordinators, residents and fellows. COGME meets monthly (except during August). All program directors are invited to attend and participate. COGME discussion emphasizes how programs can satisfy ACGME program requirements. A regular schedule of internal reviews is being followed and it timed to the mid-cycle for all program. These reviews are detailed and focus on the program requirements. The associate deans for GME meet at intervals with chairs and program directors to discuss their programs and to follow-up on issues of concern identified on internal or RRC review. The associate deans for GME meet regularly with the administrations of MMC and JMC, respectively, to discuss issues pertaining to GME. e. For each accredited institution, provide the following information regarding ACGME/RCPSC/CFPC institutional review of graduate medical education programs sponsored by the College of Medicine or its major teaching hospital(s): Date of Last ACGME/RCPSC/CFPC Institutional Review Status 7/2011 Favorable Date of Next Review NAS Self-Study 2018 Continuing Medical Education/Continuing Professional Development a. If the College of Medicine or its clinical affiliates are accredited by the ACCME/RCPSC to sponsor continuing medical education for physicians, indicate each sponsoring organization’s current accreditation status, the length of accreditation granted, and the year of the next accreditation review. Program Sponsor Accreditation Status Einstein-Montefiore Full, with commendation IS-32 Length of Accreditation Term 6 Year of Next Review July 2015 Albert Einstein College of Medicine Academic Year 2014-2015 b. Describe the opportunities available to medical students for participation in continuing medical education/continuing professional development programs. Is student participation in any continuing medical education programs expected or required? The Albert Einstein College of Medicine (Einstein) Center for Continuing Medical Education (CCME) was founded in 1976 to provide professional assistance to physicians to organize symposia for medical professionals. The CCME coordinates participation of all major clinical departments in the Continuing Medical Education (CME) program. Contributing to professional education is viewed as a faculty responsibility, and participation in CME is accepted as essential. The CME program has national, international and community based scope. The program continues to experience steady and sustained growth in the activities that it sponsors. The overall goal of the CCME is to enhance patient care through dissemination of information, integration of basic and clinical science, and promotion of a dialogue between the scientist and clinician. In addition to the faculty, CCME works with other academic institutions, professional organizations and learned societies to extend our educational mission to new audiences of practicing physicians. The Center for Continuing Medical Education sponsors approximately 400 activities consisting of 3,000 hours per year; 40 live conferences take place on the Einstein/Montefiore campus; 30 live conferences occur every year in New York City (mainly Manhattan); and CCME sponsors 80 weekly grand rounds meetings. Students regularly attend the grand rounds meetings. The CCME/Einstein policy states that any medical student with valid ID card attends all Einstein sponsored CME programs with no charge. Medical students attend the live conferences at the Montefiore/Einstein campus, and a significant number also attend the Manhattan conferences. Also see Part A, items (b.) and (c.) in this section of the database. IS-33 Albert Einstein College of Medicine Academic Year 2014-2015 IS-13. A medical education program must be conducted in an environment that fosters the intellectual challenge and spirit of inquiry appropriate to a community of scholars. IS-14. An institution that offers a medical education program should make available sufficient opportunities for medical students to participate in research and other scholarly activities of its faculty and encourage and support medical student participation. The institution is expected to provide an appropriate number and variety of research opportunities to accommodate those medical students desiring to participate. To encourage medical student participation, the institution could, for example, provide information about available opportunities, offer elective credit for research, hold research days, or include research as a required part of the curriculum. Support for medical student participation could include offering or providing information about financial support for student research (e.g., stipends). ___________________________________________________________________________________ The following questions relate to standards IS-13 and IS-14. a. If not already described in the response to standard IS-1, briefly summarize institutional goals and priorities relating to research and scholarship, including any areas of research emphasis. The Albert Einstein College of Medicine is a basic science research-intensive institution, with major clinical partners collaborating to support clinical, translational and population-centered research programs. A summary of Einstein’s research strategic plan have been presented (pp. IS 2-3). Einstein faculty are distributed among 30 academic departments and participate as members of multi-disciplinary research centers focused on diabetes, cancer, intellectual and developmental disorders, HIV/AIDS, stem cell research, cardiovascular diseases, liver and GI diseases, genetics, clinical and translational sciences, aging, and ethnic and racial health disparities. In 2013, Einstein principal investigators received more than $155 million from the National Institutes of Health, and the College of Medicine has a total research portfolio of approximately $202 million. b. Briefly describe the opportunities available for medical student participation in research, including the time periods when students may do so, the average number of students in the base year who were involved in each type of program (e.g., M.D./Ph.D., M.D./M.S., summer research, year-out research), and the funding sources and other resources that are available to support student participation. Note if there is a research requirement for all medical students (e.g., a thesis or required research/scholarly project). The Office of Medical Student Research (OMSR) is charged with promoting, supporting and evaluating students’ research experiences. The overarching goal is to assure that students acquire the competency, Physician as Scientist: “Students will acquire appraise, and apply knowledge of biomedical, clinical, psychosocial, and population health sciences as the foundation for all their endeavors. Students will understand the critical role of basic, clinical and translational research in enhancing the health of individuals and populations. By participating in scholarly investigation, students will advance scientific knowledge and master principles that can be used to improve health and health care.” The OMSR develops, administers and evaluates programs established to promote, facilitate and enrich the research experience for Einstein medical students, works with students to help them locate mentors, and monitors their progress. The office is staffed by a full-time director (Ellie E. Schoenbaum, MD, Professor of Medicine, Epidemiology and Ob/Gyn, and Director, Clinical Research Training Program, The Institute for Clinical and Translational Research), who is supported by a full-time administrator and a secretary. The Medical Student Research Committee IS-34 Albert Einstein College of Medicine Academic Year 2014-2015 advises the OMSR on policy and assists with adjudication of fellowships and review of Scholarly Papers. The Committee is co-chaired by Dr. Schoenbaum and Joan Berman Ph.D. (Professor of Pathology and Microbiology and Immuology, and Senior Academic Advisor to the Graduate Division), and comprises social science, clinical, translational and basic science research faculty. Scholarly Paper (SP): Every Einstein student must submit a mentor-guided Scholarly Paper (SP) as a graduation requirement. All SPs must include a focused review of the literature synthesized appropriately to address the context of the paper. Global Health papers are included in this requirement. The Scholarly paper may take any of the following forms: a. An original research paper - Most students work on clinical investigation or translational/basic science projects. However projects that use social scientific, psychological or other approaches are acceptable, as long as they address an issue related health. b. A review paper in the form of a formal systematic review (in collaboration with a mentor and a librarian) or a translational/basic science. c. A bioethical paper. d. A case report or series. e. Other types of papers requiring approval from the OMSR, e.g., an educational or public health capstone project. First-year students may apply for SOAR, a scholarly concentration program for students who are able to commit to a track and a mentor during the first year and work on their project throughout their College of Medicine years (See IS Appendix D) The SOAR project culminates in the Scholarly Paper. SOAR Concentrations include: Clinical Investigation, Translational Science, Bioethics, Integrative Medicine, Global Health, Public Health, Aging and TOUCH (Track on Urban Community Health). SOAR accepts 20 students per year, who receive mentoring by faculty and the concentration director and dedicate the summer to their SOAR project. SOAR students attend monthly supper seminars covering such topics as “What is a Research Question?” How to Construct an Abstract,” “Mentoring Up,” and “Professionalism for Medical Students.” The January students will have a workshop in public speaking with a coach. Research conducted during the summer between the first and second year is the “anchor” that leads to the Scholarly Paper. Students are assisted in finding a mentor for the SP at Einstein or Montefiore Medical Center, or they may elect to work with mentors from institutions outside of Einstein. Summer research stipends are provided for students who submit a brief application with a mentor letter and a credible research project. “Extra-Year” Research Programs: Many students elect to devote 12 months to research usually during an “extra-year” most frequently taken between the third and fourth years of the MD curriculum. Einstein offers research stipends for enrollment in Einstein Masters degree programs and for students who want to apprentice to research faculty at Einstein or elsewhere. In addition, many Einstein students apply to outside research programs such as Doris Duke, HHMI, CDC et al. Regardless of the program in which they participate, students electing to take an extra-year are expected to produce an original first-authored research paper in fulfillment of their SP requirement. The Clinical Research Training Program (CRTP) confers a Master of Science degree and is supported by our Institute for Clinical and Translational Research. Its goal is to train physician IS-35 Albert Einstein College of Medicine Academic Year 2014-2015 scientists to become independent researchers. Each year we accept three medical students to join the class of clinical MD fellows, MD junior faculty, MSTP and PhD students. The assembled class of ~15 scholars progresses through the curriculum together. All CRTP students have mentors and a plan for a project. The curriculum includes epidemiology, biostatistics, data analysis (with STATA) and bioethics and is designed to allow the scholars time to conduct their research. Medical students produce two first-author papers in which they conduct the analysis and write the paper. These papers are completed during the fourth-year research elective time, and students graduate with an MD, MSc. The Masters in Bioethics comprises a courses and a capstone project that may be submitted as the SP. In this program, medical students are integrated into classes with lawyers, judges, physicians, nurses and other professionals. In 2012-13, 20 students applied for “extra-year” research experiences: of these, 13 apprenticed to mentors and worked full-time on research projects, three enrolled in the CRTP, and one in the MBE. Each of the latter two programs can accommodate three medical students per year. One student also participated in the MPH program that year. Financial Support for Student Research: Stipends are available for student research programs. These stipends are provided by the Dean’s office and represent Einstein’s strong commitment to training our medical students to be academic physicians. Stipends are available during three periods during College of Medicine: the summer after year 1, the “extra-year” and senior year research electives. Senior-year research includes a two months integrated in the curriculum for time for students to complete their research project and the SP. As students plan their fourth year, they can elect to spend three additional months doing research and apply for a senior research stipend. The summer stipend is $2,500 and requires that students provide a description of a project and a letter from the mentor attesting to their working with the student and providing an evaluation. Students work a minimum of 8 weeks. A progress report is required by November 1 of the second year. The sum of $2,000 is provided during the summer and $500 on submission of the progress report. Almost all students who apply for the summer stipend and fill out the application do receive the stipend. Students are strongly encouraged to develop a project and a strategy for completion of their SP during this period. Research year stipends: These Einstein Research Fellowships are competitive. The stipends are $16,000. There are eight for student and mentor-initiated projects, three each for students admitted to the CRTP and the MBE. If fewer students elect a master’s program there are more stipends for the other program. Senior year stipends: Students committing to five months of research including the two SP months in their senior year, may apply for a $3,500 stipend. A stipend of $2,000 is provided during the elective and $1,500 when a paper is submitted. Travel funds: Funds are available for students who travel to present their work at national meetings. Students must apply in advance of the trip and are reimbursed for their first trip at $1,500 and $500 for their second trip. Frequently, mentors help pay for additional travel, if needed. The CRTP has separate travel funds for students. IS-36 Albert Einstein College of Medicine Academic Year 2014-2015 c. Describe how medical students are informed about opportunities for participation in research. The Einstein website contains information about the medical student research programs. At orientation for the incoming class students meet the director and staff of the Office of Medical Student Research and learn about the programs. The OMSR has a table at orientation, and all students must stop there during orientation. Students also can access this information in eMED, Einstein’s learning management system. Detailed information about the SP and the SOAR program, finding a mentor, and criteria for evaluation of the SP and for graduation with “distinction” are available on eMED. Applications for research stipends, forms for mentors, and the travel grants policy and application are provided, as is material for SOAR concentrations and directory listing faculty projects open to students. Information about the masters programs is also provided and linked to these programs’ websites. Class meetings are held in early October of each year to describe the SP and SOAR. During the base year of 2012-2013, a panel of students presented their research and SP experiences to the firstyear class. Students were introduced to the director of the SP program and to the faculty member responsible for basic science projects. Subsequent to this meeting, each of SOAR Concentration directors held lunch discussions enabling interested students to ask questions and meet the directors. Students also were introduced to the systematic review of the literature as an option for an SP. A guest speaker presented information to the class about doing a systematic review, which was videotaped and made available to other interested students. Brochures describing SOAR and the CRTP are designed for dissemination at class meetings. They are also used by students when they meet with potential mentors. In addition, periodic class-wide emails are sent out by the Office of Medical Student Research to announce opportunities for summer and gap-year external fellowships. Each program lists a key faculty contact who is expected to help students with the application. Emails are sent with reminders about SOAR, the fellowships, SP deadlines and other timely information. The research program director meets with 10-15 students per week and has an active email correspondence answering questions from students about their research and their SPs. d. Provide evidence that students desiring to participate in research or other scholarly activities have the opportunity to do so. Every student in the 2013 graduating class submitted an approved SP by the May 1 deadline. Fifty student SPs merited graduation with distinction. These students had committed to an “extra-year” of research, a master’s program, or a five-month senior research elective. All SPs were reviewed by the OMSR director, and selected SPs were reviewed by members of the Medical Student Research Committee. In addition, mentors are asked to comment on the quality of his/her student’s work. Beginning with the class of 2016 SPs, will be due March 1, allowing more time for the review and revision process. The 2012-13 was the pilot year for the SOAR program; there were 35 applications in summer of 2012, with 18 students accepted into the program. In the summer of 2013, 107 students applied for and received summer research stipends. The “extra-year” programs received 16 applications for student- and mentor-initiated projects, of which 13 were awarded. Three students applied to the CRTP; all three were admitted and received stipends. Senior fellowships were awarded to all 35 students who applied. Travel grants were awarded to 54 students to present their work at national research meetings. Finally, in March 2013, a Medical Student Research Poster Exhibition was IS-37 Albert Einstein College of Medicine Academic Year 2014-2015 presented in the main corridor of the Forchheimer Building. The posters stayed up all month. The expense of printing and mounting the posters was borne by the OMSR. We expect this to be an annual program. Also see Part A, item (d.) in this section of the database. IS-38 Albert Einstein College of Medicine Academic Year 2014-2015 IS-14-A. An institution that offers a medical education program should make available sufficient opportunities for medical students to participate in service-learning activities and should encourage and support medical student participation. ___________________________________________________________________________________ a. Is there a school requirement that medical students participate in a service-learning experience, either as part of a regular course or clerkship rotation or as a selective? If so, describe the opportunities for participation and reflection on the experience. Einstein requires all MD students to participate in service learning and has established an office of Community-Based Service Learning (CBSL) to support this requirement. This office is staffed by Maria A. Marzan, Ed.D., M.P.H., Assistant Professor of Family and Social Medicine , assisted by a masters-prepared counselor working directly with student projects and an administrative assistant. Family Medicine clerkship: Service Learning is formally integrated into the curriculum as part of this required rotation, during which students learn principles of community health, health literacy, and advocacy. Students choose a community project of their preference. These are based on the Community- Oriented Primary Care framework (COPC) and involve the use of health education modules. Projects have included health center, community, and school-based interventions related to nutrition, diabetes, substance abuse, postnatal care, asthma, high blood pressure, and physical activity, among others. Students have the opportunity to build upon an on-going activity or they can initiate a new project by identifying a specific health problem and/or creating unique initiatives and assessments. Student pairs deliver weekly presentations at the community project site, with a final presentation by each team to peers, department faculty, and invited guests. Students are required to be present and complete peer evaluations for each presentation. Einstein Community Health Outreach (ECHO) Clinic: During the Family Medicine clerkship, each student has a required assignment at the student-run free clinic known as ECHO. Each student participates on two Saturdays during the four-week clerkship. While at ECHO, they gain experience in providing direct care to uninsured patients with limited resources, working with an interdisciplinary team that includes nurses and social workers. International Health Fellowship: Any student who wishes can participate in an international health fellowship as an elective experience. Students may go abroad either the summer after their first year (minimum 4 weeks) or during their fourth year (minimum 8 weeks). Experiences include learning medical Spanish, shadowing in clinics (for first years), or research, clinical, public health or education projects for fourth year students. b. Briefly describe the opportunities for medical student participation in voluntary service-learning and community service activities. Include the types of service-learning/community service opportunities that are available and the general level of student involvement. Numerous community-based service learning voluntary opportunities are available through the Community-Based Service Learning (CBSL) program and the Einstein Community Action IS-39 Albert Einstein College of Medicine Academic Year 2014-2015 Network (E-CAN). These provide a “home” for service-learning activities, provide oversight and continuity for community projects initiated by students, and offer students the opportunity for instruction and reflection. Specific objectives of the of CBSL program are to: Offer students guidance in the development of action plans and supervision for their community outreach Provide students with opportunities to learn about the health inequities and social justice issues affecting the Bronx community Develop curriculum appropriate and needed for students involved in community action projects Foster leadership development, engagement in meaningful service, and community outreach At the start of the academic year, “An Evening with Einstein-CAN” allows representatives from ECAN groups to present their projects to incoming first-year students. Approximately 118 students attended this event in 2013. Throughout the year, E-CAN provides a series of workshops to enable students to learn the skills to help members of the community they will be serving. Volunteer opportunities include: ECHO, the student-run free clinic: Volunteers at ECHO learn how to manage a clinic for uninsured patients, evaluate clinic performance, pursue quality improvement initiatives, secure grant funding, and disseminate information about the clinic in community and academic settings. Volunteers can obtain elective credit for a focused project during fourth year. In 20122013 there were approximately 150 student volunteers working at ECHO (this was in addition to the students doing the required Family Medicine assignment at the clinic). Patient Advocate Connection (PACt), currently involves 39 first and second year student in faculty-mentored, longitudinal relationships linking pairs of students with patients with complex medical needs. Students learn from patients about social determinants of health; they act as health coaches, serve as advocates at the doctor's appointments, visit patients in their homes, and work with patients on setting and achieving goals to improve health outcomes and quality of life. Students are in touch with patients at least every 2 weeks in-person or by phone, and are required to keep regular progress notes. Monthly student-faculty meetings include skill-building workshops and patient case discussions: these provide an opportunity to reflect on the case and receive guidance and counseling regarding the patient. Bronx, Obesity, Diabetes and You (BODY): is dedicated to addressing the high rate of diabetes and obesity in the Bronx. The group includes 55 registered volunteers and has several arms through which it serves the community. These include a partnership with "Doctors for a Healthier Bronx," where students volunteer weekly at a local elementary school doing educational outreach. Activities include "Nutrition and Education Workshops" and an "Active Life Program," which runs after-school exercise programs. BODY also maintains a community garden located behind Montefiore-Weiler Hospital; this serves as a place for exercise, a source of fresh, healthy food, and a common space to hold workshops on health and nutrition education. The BODY Garden Project received a $5,000.00 grant from the American Medical Association to help fund the project. Their faculty advisor is Dr. Meredith Hawkins, the director of the Global Diabetes Institute. HIV Education and Rapid Testing (HEART): allows Einstein students to play a direct role in increasing knowledge of HIV status among Bronx adolescents, and in reducing the stigma and fear associated with HIV testing. The group operates in partnership with Montefiore's IS-40 Albert Einstein College of Medicine Academic Year 2014-2015 Adolescent AIDS program and currently includes 46 student members who have been trained to administer HIV testing and counseling. Participants conduct weekly testing at Bronx Community College and Lehman College, and hold bi-weekly STD seminars at the Horizon Juvenile Detention Center. They also conduct sex education at neighboring middle and high schools throughout the Bronx. Their faculty advisor is Dr. Donna Futterman, Professor of Clinical Pediatrics and Director of the Adolescent AIDS Program at Montefiore. Homeless Outreach Program at Einstein (HOPE): is focused on the needs of the homeless individuals. In the past year 68 students participated. The group’s efforts include weekly health education classes at "The Living Room/Safe Haven," a 24/7 drop-in shelter located in the Bronx. Participants also advocate for homeless clients by connecting them to a consistent source of primary care through their network of physicians and social workers. In addition, weekly teams of 2 students partner with a faculty member who specializes in homeless medicine, to treat patients on the street. The program also teaches a weekly GED class for the homeless at the Living Room. MSTP Continuity Clinic. This is a voluntary program for MSTP students during their research years, enabling them to participate in a clinic treating Bronx residents. Volunteers must commit to a calendar year of clinic hours. The students take histories and physicals on patients and present to the attending physician at Jacobi Medical Center. The attending will review the case with the student and discuss a plan of action, which may entail blood draws, urinalysis, administration of medicine, etc. To allow for continuity of care, patients are rescheduled to see the same student provider, as necessary. MSTP students who will soon be returning to the clinical phase of the MD curriculum are offered the opportunity to participate. This clinic is based in Jacobi Medical Center. Einstein Human Rights Clinic (EHRC): provides students the opportunity to work with a family medicine physician with 10 years of asylum experience, in performing a history and physical and write legal/medical affidavits for immigrants seeking asylum in the US. The group now has 30 members. Students learn about the physician's role in the asylum process and partner with him to interview patients and draft their legal/medical affidavits on a monthly basis. Track on Urban Community Health (TOUCH): as previously described (pg. IS-33) this is an area of concentration available to students in the SOAR Program with an interest in improving the health status of diverse urban underserved patients, families, and communities. The goals of the TOUCH concentration are: 1) to allow students to develop a longitudinal community-based health initiative with community involvement and participation 2) to allow students to formulate a research project that assesses health outcomes linked to their initiative and 3) to provide mentorship to students in developing critical thinking, leadership and advocacy skills. These initiatives can take the form of a longitudinal community-based health outreach project or a clinical health systems research project. Additional groups develop as student interest dictates. Among these are: B-BOP – Bronx Barbershop Outreach Program - the goal of this new project is to provide men’s health information and referrals for services – including but not limited to prostate health — for men at barbershops throughout the Bronx. EiSci - The EiSci High School Mentoring Program focuses on mentoring and exposing Bronx high school students at a young age to careers in science and medicine. Einstein IS-41 Albert Einstein College of Medicine Academic Year 2014-2015 medical and graduate students meet with high school students in a bi-monthly after school program. Consistent mentoring groups are established to foster connections between students in the program and Einstein students. Einstein Buddies - Students work with people with mental and physical disabilities early on in their medical careers. Partnering with Einstein’s Children’s Evaluation and Rehabilitation Center, a multidisciplinary center targeted at treating and serving children with various disabilities, students will have the opportunity to act as mentors, tutors, and help with various occupational therapies. Veteran’s Outreach- students work with homeless veterans living in the Hunt’s Point area of the Bronx to assist and encourage the development of more stable situations. In addition to these formally organized service- learning groups, numerous students have volunteered their services in times of communal need, under the direction of the Office of Student Activities. Some recent ad hoc volunteer efforts have included: o o o o Hurricane Sandy relief work in Long Island Community cleanup days Community coat, clothing, book collections Veterans Day and Columbus Day community activities c. Describe how medical students are informed about opportunities to participate in service-learning activities. Students are made aware of service-learning opportunities offered by the Community-Based Service Learning (CBSL) program during orientation and at the annual club night, where every club and service group presents its work at booths. Informational meetings are held on regularly scheduled basis broadcast through class-wide emails from the Office of Student Activities, via email list serves and social media advertisements, through posters, flyers and announcements on the flat-screen TVs around campus, and by accessing the CBSL webpage www.einstein.yu.edu/cbsl on the Einstein website. Fellowship and Research Opportunities Incorporating Service Learning: Announcements containing information about research and fellowship opportunities are sent regularly to students via class-wide emails. Students also receive invitations to informational meetings with both faculty and past participants involved, as well as invitations to meet with Global Health Center for advisement during the year. d. Describe how student participation in service-learning activities is encouraged, supported, and acknowledged. Include information about the sources and levels of funding available for such activities. Encouragement of student participation of service-learning activities is evidenced by the large number of community service-based student groups that have been initiated in the past five years. Prior to 2008, the student-run ECHO clinic and the MSTP clinic were the primary community service based-learning student groups. In response to student interest and the need for faculty mentoring for specific programs that go deep into the Bronx community, an office of CommunityBased Service Learning (CBSL) was created to support these groups. The Office of Student Activities, working with the Student Governing Board (SGB), discusses the proposed upcoming club and special interest group activities for the year. Each club and interest IS-42 Albert Einstein College of Medicine Academic Year 2014-2015 group submits an annual budget and a plan of activities to the SGB at "budget night." In addition, over the year new clubs apply for funding and new programs develop, to which the Student Activities office is very responsive. Support is provided for any feasible idea or program. Einstein also promotes service learning as form of rigorous academic scholarship equal to that of clinical research and translational science by making the TOUCH concentration available to students through the SOAR program. The TOUCH program and the parent SOAR program is funded and supported by the Office of Medical Education (OME). Student fellowships also are partially funded through the OME, with the students paying the balance. e. Provide evidence that students desiring to participate in service learning have the opportunity to do so. As noted above, there is a wide array of service-learning opportunities, and that these are well subscribed by the student body. The CBSL program provides support and encouragement to student who which to develop new programs. NOTE THAT STANDARD IS-15 HAS BEEN DELETED. IS-43 Albert Einstein College of Medicine Academic Year 2014-2015 IS-16. An institution that offers a medical education program must have policies and practices to achieve appropriate diversity among its students, faculty, staff, and other members of its academic community, and must engage in ongoing, systematic, and focused efforts to attract and retain students, faculty, staff, and others from demographically diverse backgrounds. The LCME and the CACMS believe that aspiring future physicians will be best prepared for medical practice in a diverse society if they learn in an environment characterized by, and supportive of, diversity and inclusion. Such an environment will facilitate physician training in: Basic principles of culturally competent health care. Recognition of health care disparities and the development of solutions to such burdens. The importance of meeting the health care needs of medically underserved populations. The development of core professional attributes (e.g., altruism, social accountability) needed to provide effective care in a multi-dimensionally diverse society. The institution should articulate its expectations regarding diversity across its academic community in the context of local and national responsibilities, and regularly assess how well such expectations are being achieved. The institution should consider in its planning elements of diversity including, but not limited to, gender, racial, cultural, and economic factors. The institution should establish focused, significant, and sustained programs to recruit and retain suitably diverse students, faculty members, staff, and others. _____________________________________________________________________________________ a. Provide a copy of all current institutional (College of Medicine and/or university) policies that are specifically related to assuring a diverse student body, faculty, and staff. Policy on Diversity and Affirmative Action (IS Appendix O) http://www.yu.edu/hr/diversity/ Policy on harassment (IS Appendix P) Policy on Disability Accommodation (IS Appendix Q) http://www.yu.edu/hr/disability/ Einstein LGBT Steering Committee, Office of Student Affairs (http://www.einstein.yu.edu/education/student-affairs/safe-zone/) i. Describe the process by which these statements and policies were/are being developed, approved, and implemented at the institution. Yeshiva University Yeshiva University’s diversity policies were most recently reviewed in 2011. They were developed by Human Resources administration and were reviewed with revisions recommended by stakeholders including faculty and staff; the proposed policies and procedures receive legal review and are ultimately approved and implemented on the authority of the governing board. Albert Einstein College of Medicine IS-44 Albert Einstein College of Medicine Academic Year 2014-2015 Einstein eschews discrimination with regard to race, religion, creed, color, national origin, sex, age, disability, veteran or disabled veteran status, marital status, sexual orientation, or citizenship status. As a basic premise stipulated by Albert Einstein in granting the use of his name (IS Appendix R), it has been Einstein’s policy from its inception that admissions and hiring be based on merit. Einstein’s mission statement, which reflects this commitment, includes the following statement (see pg. IS-1): “…Inspired by the words of our namesake, we welcome students, faculty and staff from diverse backgrounds who strive to enhance human health in the community and beyond.” These institutional expectations were reasserted in 2013 when the Executive Dean convened a group including the associate deans of admissions, student affairs, diversity and medical education to develop an updated mission statement for the Office of Diversity Enhancement, as follows: “The mission of the Office of Diversity Enhancement is to establish and maintain an environment that celebrates diversity that emphasizes professionalism and excellence, and that promotes and nurtures future leaders in Medicine. Einstein has always had an interest in providing support for historically underrepresented students in Medicine. Our aim is to reflect and complement the diversity of the Bronx community in which the school is located and which it serves. We are committed to developing a broadly diverse cadre of clinicians, researchers and educators in order to effectively promote health and address health disparities in our local community, in the nation and abroad. Our Vision: Our overall vision is to create an Office of Diversity Enhancement that focuses on one of the core Einstein values: the excellence and integrity of all our students. The combination of the following goals will allow us to achieve our vision.” The goals of the Office of Diversity Enhancement are to: Recruit the most qualified and broadly diverse students who share our vision of excellence, integrity and commitment to providing the best health care Ensure academic success and provide career development support Develop student leadership initiatives and representation at national and regional academic conferences and organizations Support diversity in all areas of medical education Provide critical pipeline programs for racial/ ethnic minorities and socioeconomically disadvantaged students– beginning in high schools Supporting the development of community based service learning experiences for all students http://www.einstein.yu.edu/education/md-program/diversity/ Additional institutional efforts pertaining to diversity include: IS-45 Albert Einstein College of Medicine Academic Year 2014-2015 Einstein LGBT Steering Committee: Following federal reports calling for increased protections for LGBT individuals, Einstein students, staff, and faculty drafted a report describing best policies and practices for developing a supportive climate for LGBT individuals. As a result, the dean sanctioned the Einstein Lesbian, Gay, Bisexual, and Transgender (LGBT) Steering Committee, a standing committee under the Office of Student Affairs, to promote the personal and professional development of LGBT graduate students at Einstein. The committee consists of 23 members including staff of the institution and students and distinguished faculty from the various academic programs. The mission and goals of the LGBT Steering Committee are as follows: http://www.einstein.yu.edu/education/student-affairs/safe-zone/ Mission The mission of the Einstein LGBT Steering Committee, of the Office of Student Affairs, is to establish and maintain an environment to support the personal and professional development of LGBT students and to prepare all students to address LGBT-related health disparities and health care issues. The committee, through collaboration with institutional, local, national, and international entities strives to ensure that all interested students are supported to achieve scholarship in LGBT-related patient care, research, educational initiatives, and community service and eventually serve as the next generation of health care leaders. Goals Consistent with the mission of Einstein “to promote the pursuit of scientific excellence with the social mission to improve human health” our goals are to: 1. Help develop and attract qualified LGBT students and students interested in LGBT-related health care disparities and health care to Einstein’s academic programs; 2. Through mentorship, ensure the personal and professional development of LGBT students and students interested in LGBT-related health disparities and health care; 3. Create an institutional climate that supports all LGBT students, staff, faculty, and patients; 4. Raise an awareness of LGBT history and current challenges in promoting LGBT health equity; 5. Facilitate the development of future LGBT leaders by promoting student involvement in institutional, local, national, and international leadership roles. A link to the Einstein LGBT Steering Committee webpage is provided on the Office of Admissions webpage. http://www.einstein.yu.edu/education/md-program/admissions/interview-invitation.aspx and http://www.einstein.yu.edu/education/md-program/admissions/instruction-for-new-applicants/ Admissions: Einstein’s admissions practices are consistent with this institutional commitment. The Committee on Admissions updated its mission statement in 2012, as follows: “The Albert Einstein College of Medicine strives to matriculate a diverse group of outstanding students whose academic accomplishments, clinical experiences, community service and research indicate that they will become exceptional healers, educators, colleagues, patient advocates, scientists, role models and life-long learners. We are committed to identifying individuals who already have demonstrated the qualities of compassion, empathy, kindness, creativity, professionalism, leadership and maturity. A diverse student body is consistent with the history and IS-46 Albert Einstein College of Medicine Academic Year 2014-2015 mission of Einstein and supports a key educational objective to raise the cultural awareness and competence of our graduates.” (http://www.einstein.yu.edu/education/md-program/admissions/admissions-mission-statement/) ii. Describe how these statements and policies will be made known to current and applicants, students, employees, faculty, and staff. prospective The diversity-related mission statements and goals of the College of Medicine, of the Office of Diversity Enhancement, of the LGBT Steering Committee, and for Admissions are located on the Einstein website. (See URLs noted above) University policies are communicated at orientation for newly hired faculty and staff, and at student orientation; yearly reminders are communicated via email, University websites and electronic board postings; and, the various policies are included within all employee, faculty and student handbooks. b. Describe how the institution defines or characterizes diversity for its students, faculty, and staff. If different definitions will apply to any of these institutional constituencies, provide each relevant definition. Yeshiva University The term “Diversity” is used to describe the individual differences of faculty, staff and students within the Yeshiva University community. There is a composition of different cultures, values and the ways in which individuals interact with one another. YU considers the following dimensions of diversity: religious beliefs, race, gender, marital status, ethnicity, age, education, physical and mental ability, income, sexual orientation, occupation, language, geographic location, etc. Yeshiva University cannot thrive unless each faculty, staff or student is a respected participant in the life of the University, without regard to individual characteristics. Freedom of expression and respect is vital to the University’s living mission. The University maintains a commitment to sustain a diverse and inclusive academic community. These efforts are integral to every aspect of our recruitment, hiring, promotion, training & development, policies, procedures and various other practices in order to be viewed as a workplace of choice. Albert Einstein College of Medicine Students Einstein uses an enhanced definition of diversity with respect to the students it seeks to enroll. In addition to the long-recognized definition of those historically underrepresented in medicine (African American, Latino, and Native American) we include students from socioeconomically and educationally disadvantaged backgrounds regardless of race or ethnicity (with an emphasis on inner-city/urban location), and those self-identified as LGBT. Using a holistic, competency-based review process, the admissions committee also identifies applicants who have demonstrated exceptional performance or backgrounds that may be in the minority at Einstein, and who, by virtue of these characteristics, would contribute significantly to our student body. Faculty IS-47 Albert Einstein College of Medicine Academic Year 2014-2015 Einstein uses the National Institute of Health’s definition for diversity to describe our faculty. This includes those historically underrepresented in medicine, the natural sciences, technology, engineering, and mathematics. Therefore faculty and staff from the following groups currently are representative of diversity at Einstein; African Americans, Hispanic Americans and individuals with disabilities (those with a physical or mental impairment that substantially limits one or more major life activities). We recognize that Native Americans/Alaska Natives who maintain tribal affiliation or community attachment, Hawaiian Natives and natives of the U.S. Pacific Islands fall under the prevue of the NIH definition of diversity, however, at this time we do not have faculty who represent these groups. We do not systematically collect race, sexual orientation or gender identity data for faculty. c. In the context of the definition of diversity, describe how institutional policies related to diversity will be put into practice in each of the following areas: i. Student recruitment, selection, and retention Student Recruitment Einstein maintains outreach efforts on-site, and is active in New York, the region and nationally. In 2012, the Office of Diversity Enhancement devised a tracking system to record the number of contacts made at each event or activity. In the first year of tracking, 164 individuals were seen on campus for either a program activity or for a one-on-one meeting. In addition, 888 individuals were seen off campus at recruitment fairs, conferences and college presentations. In total, 1,052 individuals learned about Albert Einstein College of Medicine during this first year of tracking. This information is provided to the Admissions office, which tracks offers of acceptance and matriculant numbers. Through AMCAS, it is also possible to determine how many may have been accepted to other medical schools. Einstein students who are members of the Student National Medical Association (SNMA), and the Latino Medical Student Association (LMSA) give tours, communicate with applicants and prospective applicants and may host an interviewee overnight on campus. Einstein students also mentor undergraduates who attend three local colleges: Fordham, Lehman, and Queens through Minority Association of Pre-medical Students, MAPS. Einstein hosts a series of activities directed at diversity students. These include: o Diversity Open House: held each fall since the 1980’s, this averages 160 individuals from the tri-state area o Anatomy Day: held since 2006 in collaboration with the Anatomy Department, approximately 35 students from local colleges participate each year. o Campus visits by programs working with students historically underrepresented in medicine. Involved colleges have included: Fordham University; Barnard College Lehman College; and Syracuse University On a regional level, Einstein participates in recruitment fairs and conferences including: City College of New York recruitment fair Mentoring in Medicine annual, “Yes I Can be a Health Care Professional Conference” Cornell’s annual Black Bio-Medical & Technical Association’s conference City University of New York’s Black Male Initiative recruitment fair Presentations to: Columbia College’s Charles Drew Society; Hunter College’s Pre Medical Club; City College’s Caduceus Society IS-48 Albert Einstein College of Medicine Academic Year 2014-2015 Nationally, Einstein has been represented at the following events: AAMC – both national and northeast regional recruitment events National Association of Medical Minority Educators, NAMME, both national and northeast regional recruitment events Summer Medical Dental Education Program, SMDEP, recruitment fairs at Duke/North Carolina at Chapel Hill; combined SMDEP fair with Yale, Columbia and UMDNJ-Newark campus Student National Medical Association, Region IX (NY&NJ) recruitment fair Morehouse/Spelman recruitment fair National Hispanic Medical Association annual recruitment fair Recruitment trip to Florida: Florida International University, University of Miami, and the University of Central Florida ABCRMS- Annual Biomedical Research Conference for Minority Students Admissions-related activities: The Admissions Office provides the Office of Diversity Enhancement a list of diversity students scheduled for interview. Each of these receives an email outlining the services and activities coordinated by the office. Applicants are encouraged to visit the office while they are on campus for their interview. Students being interviewed account for some of the 69 students who were seen one-on-one. The visit to the Office provides applicants a more personal view of the office and the support provided. All accepted diversity students receive a congratulatory letter from the Office of Diversity Enhancement and are invited to obtain additional information about Einstein. Diversity medical students make individual calls to provide peer-to-peer opportunity to obtain information and discuss concerns or questions. Accepted diversity students are invited to the campus to meet and interact with medical students, faculty and administrators in an informal and social setting. The LGBT Steering Committee has worked closely with students, staff, faculty, and senior leadership to design and implement materials and activities to build a more supportive climate for applicants and matriculants. At the core is “visibility” of an active, engaged and scholarly LGBT community at Einstein. This includes: A LGBT webpage, documenting mission, objectives, upcoming activities, and additional resources; A video on LGBT Perspectives on Medicine and Academia, in partnership with the Center for Lesbian and Gay Studies of the City University of New York; A LGBT Safe Zone lapel pin for individuals to wear in support of the community; A Safe Zone magnet/sticker for individuals to locate on the door frame or in their office indicating a welcoming space for LGBT individuals; A brochure documenting various internal and external resources to help ensure the personal and professional development of students; A quarterly newsletter describing changes in federal, state and organizational policies towards LGBT individuals and highlighting the achievements of LGBT students, staff, and faculty at Einstein and its affiliates. For recruitment, printed materials have been disseminated to prospective applicants through multiple venues: IS-49 Albert Einstein College of Medicine Academic Year 2014-2015 2013 GLMA: Health Professionals Advancing LGBT Equality Conference, Denver, Colorado, September 2013.(25 brochures given to prospective students) 2013 LGBT Health Workforce Conference, NYC, NY, June 2013 (25 brochures given to prospective students) Through the Office of M.D. Admissions (in 2013 approximately 50 brochures given to prospective applicants) Through the Office of Graduate Studies in the Biomedical Sciences (in 2013 approximately 50 brochures given to prospective applicants) In addition the MD and graduate admissions offices have been provided a list of Einstein LGBT Allies and LGBT students and faculty with whom interested applicants can speak. LGBT students on the steering committee have also been active in giving campus tours and in delivering workshops to the high school and college students in Einstein’s pipeline programs to show Einstein’s commitment to inclusiveness. Student Selection The Committee on Admissions uses a holistic approach to the acceptance process and has developed a set of “competency-based” admissions criteria. (IS Appendix S) The domains include: knowledge; co-curricular activities; communications skills; and professional development. The committee recognizes the impact that minority status and disadvantaged educational opportunity can have on standard measures of knowledge performance, and adjusts the criteria applied to fit the full profile presented by each applicant. The admissions process also includes judicious use of scholarship support to encourage students of limited financial means to select Einstein for matriculation. Retention There are annual programs and initiatives that have been implemented to ensure the support, growth and retention of our diversity students. Academic monitoring is a critical retention strategy and students are assessed for academic challenges and successes, social or economic issues, and family concerns. The Office of Diversity Affairs closely monitors exam and clerkship grades of diversity students. Faculty advisors meet with students in preparation for USMLE Step exams. As needed, students are referred to Academic Support Services for more formal coaching, assessment and evaluation. In academic year 2012-13 the academic and resource advisor provided diversity students with consistent, comprehensive and confidential academic advisement, resources and referrals. These included 142 student evaluations and 90 funded educational reviews at the cost of $38,743. Fifty-one (51) students received USMLE (Step I and/or Step II) preparation support at a cost of $21,627 Einstein supports travel and participation of diversity students at the Annual Student National Medical Association (SNMA) meeting and the Latino Medical Student Association (LMSA). A newsletter that highlights successes of Einstein students at the regional and national levels is distributed to all diversity students. This serves as a tool to build morale and confidence, and disseminates information pertaining to scholarships, externships, and conferences. Newly accepted diversity students receive a copy of the newsletter, so they can familiarize themselves with the activities and achievements of our diversity medical students. IS-50 Albert Einstein College of Medicine Academic Year 2014-2015 A minority faculty advisory team consisting of senior, minority faculty members bring experience and vision to the office. A mentoring program matches students with minority faculty to provide advice and support. Third and fourth year students are connected with faculty who represent the field in which they are interested. Annual workshops for 3rd and 4th year students help them prepare for residency selection, and workshops on skills for residency interviewing are provided. The LGBT Steering Committee also has implemented numerous activities for retention and for personal and professional development of LGBT students. The core program is the Safe Zone LGBT Allies and Mentoring Training Program designed to increase the overall campus community’s understanding of and capacity to address issues faced by LGBT persons. o Safe Zone LGBT Allies Training was specifically designed for Einstein community members to acquire the knowledge and skills to serve as an “Ally”. Since its inception in February 2012, 12 sessions have been implemented at Einstein and its teaching affiliates and >200 unique allies trained. There is an annual training for allies to remain up to date on best policies and practices in building a more supportive climate for LGBT Individuals. o Safe Zone LGBT Mentoring Program is intended to better prepare students and faculty to serve as mentors for LGBT students. The program has been offered in modified form three times and has trained 45 individuals. o Safe Zone materials include: Training Manual for allies and mentors; various versions of a PowerPoint presentation tailored for different audiences (i.e. security, students, faculty, staff, etc.); and a pre- and post- evaluation to document the impact of the training workshops. Since 2005, Einstein has offered a LGBT Elective for medical students to learn about LGBT Health from an expert mentor. This elective examines the health and healthcare needs of LGBT patients through readings, educational videos, and seminars, as well as by direct patient encounters and community based experiences. The fall 2013 LGBT Bulletin is attached elective (IS Appendix T). In 2011, the Bronx Pride Research (BPR) Working Group was created to develop a local, multidisciplinary network of clinicians and researchers who are actively engaged in promoting the health and well-being of LGBT persons. Members offer skills and expertise in (1) clinical, behavioral and social research; (2) program development and evaluation; (3) dissemination of evidence-based public health interventions; and (4) community health policy and advocacy. The BPR Working Group affirms that communities of LGBT persons are diverse in gender identity, race, ethnicity, and culture, but that its members share common experiences with stigma, discrimination, and the threat of HIV infection. Members represent a variety of disciplines, including preventive medicine, psychology, public health, and sociology. We work in New York City and State, nationally, and internationally. The research group provides mentored opportunities for students to engage in LGBT related research. There are several strategic efforts to build relations with Einstein’s clinical affiliates. The LGBT steering committee currently has a faculty member from 5 of our 7 teaching IS-51 Albert Einstein College of Medicine Academic Year 2014-2015 affiliates, who make research and service activities available to Einstein students. Students also are informed of LGBT events organized by our teaching affiliates including lectures and social events, such as: o HIV testing and outreach at the Bronx Pride festival o Tutoring at the Bronx Community Pride Center o Lectures offered by the Center of Lesbian and Gay Studies, CUNY ii. Financial aid Einstein tracks the number of students who are socio-economically disadvantaged and who participate in the Fee Assistance Program, as well as those who receive financial counseling once enrolled. Einstein will waive application fees for students approved for FAP. Beginning in 2013 (with the 2014 entering class) the new, Socioeconomic Status Disadvantaged Indicator has been used to identify applicants who come from socioeconomically disadvantaged backgrounds and is intended to assist in putting the application information in context as part of a holistic review process. In addition, inclusion of information whether the applicant received a Pell Grant is helpful in ascertaining economic background. The office of student finance works with students to assemble a package of awards to meet individual need; financial aid packages typically consist of scholarships, grants and loans. The office of student finance administers available funds uniformly and equitably in accordance with the existing regulations and policies. The number of applicants who applied, were accepted and enrolled with a FAP for the classes entered in 2011, 2012 and 2013: 2011 Applied Disadvantaged FAP Accepted Disadvantaged FAP Matriculated Disadvantaged FAP iii. Educational program 2012 2013 2014 893 639 981 721 1081 1092 778 818 35 35 42 38 56 45 40 32 15 17 21 18 22 22 11 16 The Albert Einstein College of Medicine encourages its students to become involved in projects and programs that focus on the Bronx community where 53% of the residents are Latinos and 33% are African American. Content specifically pertaining to cultural competence and diversity is incorporated into several required courses and clerkships: Introduction to Clinical Medicine: Introduction to the Patient (year 1) In this course there is are sessions devoted to the following elements related to cultural competence: health belief model, cultural and religious elements of healthcare, health literacy, patients’ use of traditional/complementary and alternative medicine. IS-52 Albert Einstein College of Medicine Academic Year 2014-2015 A small-group session uses both a videotaped case of a Muslim man undergoing treatment for cancer which focuses on the health beliefs of him and his family, as well as a role play of a Latina patient whose medication non-adherence involves issues of health literacy, health explanatory model and use of traditional medications. “Communication Challenges” session emphasizes issues of diversity and incorporates both simulated and actual patient encounters in the classrooms. Actors play simulated patients with sexual chief complaints. The cases involve a male patient who identifies as bi-sexual and reports a recent history of sex with men, and in the female case, the patient identifies as straight, but has a past history of sex with a woman. Discussion about differences, biases and disparities follow the role-play. Actual patients interviewed in the session have longstanding poly-substance abuse histories. The sociocultural, class, ethnic and other issues raised in these encounters add to the discussion of diversity. Throughout the course a Communication Skills Checklist is used for both teaching and assessment purposes. It is used to guide feedback for all sessions. Family Medicine Clerkship (year 3) In this ambulatory clerkship based in the Bronx, students see a very diverse patient population in their Family Medicine clinical sites. The patients come from different ethnic and cultural backgrounds, and students learn from their clinical preceptors about the importance of respecting the patients’ beliefs and values to form an effective therapeutic relationship. Incorporating the patients’ preferences and negotiating mutually acceptable treatment plans are important to ensure adherence and provide the optimal care. We introduce the students to the ETHNIC (Explanation, Treatment, Healers, Negotiation, Incorporation, Collaboration) framework during one of the team-based learning sessions, and discuss how to incorporate this in formulating a culturally sensitive and patient-centered management plan. Cultural differences are also discussed as they pertain to the patients’ and families’ understanding of their illness and its management. Patients, Doctors & Communities (PDC) (year 3) The interview and communication skills that are practiced and reflected upon in PDC involve the patient’s perspective of his/her illness. Specific learning objectives are included in sessions on: professional attributes; shared decision making/ informed consent; behavior change; goals of care and communicating bad news. Identifying the patient’s perspective and values are of paramount importance in the student’s attitude and knowledge regarding these topics and is very much expressed in the communication skill acquisition. There are several electives offered in the 1st and 2nd year that put in practice the instruction of the basic principles of culturally competent health care, recognition of health care disparities and the development of solutions to such burdens, the importance of meeting the health care needs of medically underserved populations, and the development of core professional attributes needed to provide effective care in a multi-dimensionally diverse society. Medical Spanish: IS-53 Albert Einstein College of Medicine Academic Year 2014-2015 The large and still growing population of Spanish-speaking persons in this nation, particularly in many of its largest cities, compels many medical schools to provide future physicians with at least a basic level of competence in conversational Spanish. The Medical Spanish program at Einstein has been evolving over a period of more than 25 years and is still expanding to meet students’ needs. In the current program, students begin language classes in the first year and continue to practice and expand language-building skills throughout the second year. Classes are offered at the beginner-, intermediate- and advanced- levels. In addition, during the summer between first and second year, about 25 students receive funding to participate in Spanish language programs in Central America and Mexico. Spring 2014 Fall 2013 Spring 2013 Fall 2012 Spring 2012 Fall 2011 Spring 2011 Registered students 112 41 97 29 84 42 93 Students who completed the program 79 30 74 19 75 26 81 Medical Mandarin: an elective is being offered beginning in 2014. The Health Disparities: Awareness to Action Elective This elective, offered in the spring, enables students to define health disparities, describe the social determinants of health, including the impact of bias on medical decision making, and identify strategies for physicians to advocate for patients in the community. Students gain experience in planning and organizing advocacy campaigns. Nutrition and Health: Patients and Populations Elective This elective, offered in the spring, provides students with an understanding of the USDA Dietary Guidelines, nutrition assessment and effectiveness of popular diets. Other topics include integration of motivational interviewing in discussions of nutrition & lifestyle issues with patients. Students also learn how to discuss the Nutrition Facts labels with patients with limited English literacy. LGBT curricular content is incorporated in a variety of ways: Introduction to Clinical Medicine – Year I 1) LGBT patients are included in the recruitment for an interviewing session related to HIV as a paradigm for chronic illness. Students elicit a partial sexual and drug history, and a more comprehensive history of psychosocial issues. 2) Workshops focus on gender-related issues: a. How to create a safe and welcoming clinical environment for LGBT patients. b. Transgender patients and their sexuality. c. Same sex partner violence. 3) Written exam questions include LGBT patients among the case examples, even when their sexual orientation is incidental to the clinical issue. IS-54 Albert Einstein College of Medicine Academic Year 2014-2015 4) Students have the option of a community clinical placement with either an identified LGBT preceptor, or at a clinic site known for treatment of LGBT patients. Human Reproductive Systems – Year II 1) Lectures on sexuality explicitly address LGBT individuals and discusses standards of care for LGBT patients 2) A confidential 37-item questionnaire is delivered to students that include questions about same sex activities and attitudes, followed by some discussion. Family Medicine clerkship – Year III: A one hour session dedicated to LGBT clinical issues and standards of care is included in each rotation’s didactics, and utilizes a case-based format for discussion. Students are tested on content form the session in the clerkship exam. LGBT Healthcare Elective: An elective of at least 4 weeks dedicated to examining the health and healthcare needs of LGBT patients through readings, educational videos, and seminars, as well as by direct patient encounters and community based experiences. The Course Director is a member of the Einstein LGBT Steering Committee. The Building the Next Generation of Academic Physicians Initiative Reading Elective:, The Einstein Hispanic Center of Excellence has focused on engaging diverse medical students, including LGBT, to consider academic medicine careers. Over the past year, five LGBTidentified medical students have participated in the program and completed notable scholarship, including: o LGBT Perspectives in Medicine and Academia Video. o BNGAP Diversity video on the AAMC Wing of Zock blog at http://wingofzock.org/2013/12/19/diversitys-next-frontier-careers-in-academic-medicine/ o The 2014 AAMC GSA/GDI/OSR Conference entitled Lessons learned from developing a Safe Zone LGBT Program in Graduate Medical/Biomedical Education. iv. Faculty/staff recruitment, employment, and retention- Einstein, an equal opportunity employer, actively encourages groups historically underrepresented in science and medicine and women to submit applications for all levels of employment. In addition to institutional efforts lead by human resources the Office of Diversity Mentoring actively engages in activities that are designed to positively affect faculty recruitment and retention and to increase faculty diversity. The associate dean for diversity mentoring leads workshops on unconscious bias with search committees. The associate dean for diversity mentoring reviews the criteria for appropriate and inappropriate questions with search committee members. The Office of Diversity Mentoring developed an objective Candidate Evaluation Form to be universally used by faculty evaluating potential recruits. v. Faculty development The Office of Diversity Mentoring was created in the fall of 2011 with the expressed goal of enhancing the career development and mentoring of underrepresented faculty and staff. To that end the following strategic issue was identified; IS-55 Albert Einstein College of Medicine Academic Year 2014-2015 The numbers of women and underrepresented minorities in academic medicine do not reflect the current demographic profile of race and gender in the United States. Diversity in academic medicine is adversely affected by multiple complex factors. Current evidence indicates that absence of career development plans and suboptimal mentoring significantly contributes to disparities in the advancement of women and underrepresented minorities in academia. This in turn negatively impacts workforce diversity in academic medicine. In response to the strategic issue the following five-year plan was developed by the current associate dean for diversity mentoring. Goals include: • Identify Einstein’s academic community needs and determine gaps in career development and mentoring opportunities for underrepresented minorities and women. • Develop and institute formal Individual Career Development Plan (IDP) for faculty. • Develop and institute programs that support mentor-mentee peering. • Facilitate mentor-mentee pairing for new faculty hires. • Track turnover and career development of faculty through department leadership and exit interviews. • Facilitate and Increase mentoring opportunities within Einstein. 1) Creation of a Circle of Mentors to provide guidance to Junior and Midlevel Faculty seeking grant funding. Faculty will be appointed by department chairs as well as selected by the Dean's office. 2) Expand mentoring opportunities by creating a Mentoring Coalition. This interactive program is intended to provide a venue where faculty can easily identify someone who can provide mentoring on diverse topics that may include family and career management, how to develop an IDP, etc. 3) Create a mechanism through which mentoring of faculty is recognized as an important and necessary element for the promotions process. • Increase opportunities and create venues for networking and peer mentoring. • Create a Mentor Institute that offers courses focused on training Mentors (certificate course as well as continuing medical education). • Organized annual activities focused on mentoring and networking for underrepresented minorities and women faculty and basic science trainees. • Engage and invite Einstein Alumni to participate in institutional activities focused on the career development and mentorship of underrepresented minorities and women. • Develop innovative training programs focused on cultural sensitivity and faculty mentoring • Announce and support faculty attendance to the AAMC faculty development programs focused on underrepresented minorities and women; develop a follow-up program so that attendees can share their insights with faculty at Einstein. Strategic goals achieved by the Office of Diversity Mentoring since it’s inaugural opening in 2011 include: Underrepresented faculty sponsored by the Office of Diversity Mentoring to attend the AAMC Minority Faculty Development Conference. The Office of Diversity Mentoring developed an Individual Development Plan for faculty (IS Appendix U) and a universal annual faculty performance tool (IS appendix V) Annual Mentoring Award Reception: an award given to clinical and basic science faculty who demonstrate an exemplary record of mentoring women and underrepresented Einstein faculty. IS-56 Albert Einstein College of Medicine Academic Year 2014-2015 The Office of Diversity Mentoring has created a web page that announces career development opportunities and grants targeting faculty and trainees from groups underrepresented in medicine and science. (http://www.einstein.yu.edu/administration/diversity-mentoring/get-theword-out/) The mentoring committees are currently being assembled. A faculty needs assessment survey for mentoring and career development has been developed and will be distributed in December 2013. The Office of Diversity Mentoring has assisted with the development of mentoring and diversity recruitment plans for the following faculty and trainee programs; 2012 Post-Baccalaureate Research Education Program (PREP) (trainees) 2012 Clinical and Translational Science Award (CTSA) program (faculty) 2013 Calabresi K12 (faculty) 2013 Center for Aids Research (faculty) 2013 PAR-10-227--Science Education Drug Abuse Partnership Award (R25): The Bronx Bonds Resilient & Activates Innovative Neuroscientists (BRAIN) into a Posse (trainees) The Office of Diversity Mentoring hosted the first Town Hall Meeting titled “Achieving Academic Excellence through Diversity.” Presentations were made by Dean Allen Spiegel, and by leaders of Einstein’s clinical affiliates, Dr. Steven Safyer, the CEO and President of Montefiore Medical Center and Mr. William Walsh, Senior Vice President and executive Director of North Central Bronx Hospital System. This open forum allowed for discussion among stakeholders about how to celebrate diversity and optimize community diversity for scientific excellence. The Einstein LGBT Steering Committee was invited to speak at the Town Hall Meeting to describe how it was promoting a supportive climate for students, staff and faculty. Achieving Excellence Through Scientific Diversity Seminar Series--this seminar series invites faculty from diverse backgrounds to give scientific seminars. The goal of this seminar serious is to create opportunities for faculty as well as trainees to network and develop mentor-mentee relationships. Scientific Careers and Alternative Pathways in Science Seminar Series-- this seminar series invite individuals from diverse backgrounds and who have pursued not traditional pathways or multifaceted career pathways in medicine. The goal of this seminar serious is to create opportunities for faculty as well as trainees to network and develop mentor-mentee relationships. vi. Liaison activities with community organizations SNMA/LMSA minority medical student group at Einstein is developing a mentoring program for the Health Ambassador which is part of service learning for EEP Teen Action Planning. Approximately 12 high school students will be mentored by our medical students. Medical students will provide information on health careers, conduct monthly seminars on leadership skills, public speaking, etc. and organize opportunities for the high school students to go into their community, high schools, health fairs, as health ambassadors (peer counselors) for the purpose of providing information to other teenagers. IS-57 Albert Einstein College of Medicine Academic Year 2014-2015 Community Based Service Learning – E-Community Action Network: eiSci high school mentors are a new group of medical students at Einstein who are submitting a proposal to CBSL to be one of the E-CAN groups. Their mission is to address educational disparities in our local Bronx high schools. They will offer academic tutoring for high school students, provide an afterschool health program (monthly) and hope to target 20 – 30 high school students. In addition, they will collaborate with SNMA/LMSA in establishing an annual Youth Conference at the College of Medicine for the purpose of providing information on health careers. Einstein LGBT Steering Committee has partnered with the Center for Lesbian and Gay Studies at the City University of New York as well as several other national organizations and institutions to implement the LGBT Health Workforce Conference (June 2013, May 2014). This involvement allows for our students and faculty to serve as leaders on the regional and national level while learning about best practices and policies implemented through other institutions and federal agencies. The conference also consists of a pipeline component for students interested in the graduate health professions to meet LGBT role models and possible future mentors. In 2013, over 220 individuals from across the country attended the conference. d. For each of the institutions categories of diversity, complete the following tables with the number of offers made to students and faculty, along with the number of offers that were made but were declined. Offers of Admission Made to College of Medicine Applicants School Identified Diversity Categories 2013 entering class Number of Number of 2013 Offers Students Total Declined Enrolled Offers African American 9 12 21 Latinos Socio-economic disadvantaged 2014 entering class (as of August 7, 2014) Number of Number of Offers Students Declined Enrolled 2014 Total Offers 19 6 25 24 9 33 13 10 23 34 22 56 41 45 86 2014 Number of Offers Declined Number of Faculty Hired Offers of Employment Made to Applicants for Faculty Positions 2013 Number of Number of 2012 School Identified Offers Faculty Total Diversity Categories Declined Hired Offers Einstein does not record this information in its faculty records 2013 Total Offers e. Based on the institution’s definition of diversity, and the statement in the annotation to this standard that “Colleges of Medicine should consider in their planning elements of diversity including, but not limited to, gender, racial, cultural, and economic diversity,” report in the table below information regarding the percentage of enrolled students, employed faculty, and staff in each of the categories included in the institution’s specific definition of diversity. IS-58 Albert Einstein College of Medicine Category First-Year Students Academic Year 2014-2015 All Students** African America 12/183 6.6% 40/779 (5.1%) Latinos 5/183 (2.7%) 54/779 (7%) Employed/ Full-time) Faculty Staff* See below 16% Einstein does not record this data for faculty 33/183 (18%) 135/779 (17.3%) Socio-economical disadvantaged * Note that “staff” can include residents and other health professionals. ** 201 students did not respond 23% NA Underrepresented% Male% Female% Staff* 11 26 74 34 39 61 Executive/Managers, First/Mid-Level Officials Professionals 57 13 87 Secretarial/Clerical 65 34 66 Technical 53 99 1 Skilled Craft Workers 77 82 18 Service/Maintenance Workers Also see standards ED-21 and MS-8. IS-59