UNIVERSITY OF MEDICINE AND DENTISTRY OF NEW JERSEY SCHOOL OF OSTEOPATHIC MEDICINE July 2006 Report for the Commission on Osteopathic College Accreditation 1 UNIVERSITY OF MEDICINE AND DENTISTRY OF NEW JERSEY SCHOOL OF OSTEOPATHIC MEDICINE SELF-STUDY April 2006 Report for the Council on Osteopathic College Accreditation TABLE OF CONTENTS Page(s) Table of Contents i A Note of Thanks ii Listing of Appendices iii Good to Great Self-Study Committees iv - v Accreditation Standards Location Table vi - vii Exhibit Listings Table viii - x Chapter I: EXCELLENCE IN MEETING OUR MISSION MISSION, GOALS AND PLANNING 1-13 Chapter II: RESOURCES TO MEET OUR MISSION GOVERNANCE, ADMINISTRATION, FINANCE, FACILITIES 14-22 Chapter III: FACULTY DRIVING THE MISSION 23-29 Chapter IV: EXCELLENCE IN EDUCATION STUDENTS & CURRICULUM 30-44 Chapter V: EXCELLENCE IN RESEARCH SCHOLARLY ACTIVITIES 45-50 i A Note of Thanks The following self-study document outlines the University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine’s continued adherence to the educational standards set forth by the American Osteopathic Association. Within the UMDNJ-SOM community, faculty, staff, administration and students actively share the responsibility for the achievement of the mission of the school. We would like to thank those members of our community who dedicated their hard work to making the selfstudy a richer document by contributing to the process. We want to acknowledge those resource people who gave of their time and expertise to make the document live on paper—especially the student, academic affairs and educational media support staff. R. Michael Gallagher, D.O., FACOFP dist. Dean UMDNJ-SOM Paul M. Krueger, D.O., FACOOG dist. Assistant Dean for Education and Curriculum Chair, Self-Study Steering Committee Marilyn Kimmelman, Ed.D. Program Administrator, Academic Affairs Editor, Self-Study Document Regina Wilmes, M.Ed. Coordinator, Academic Affairs Coordinator, Self-Study Documentation ii APPENDICES Self Study Chapter Appendix Appendix Name Page(s) Mission, Goals, Planning Mission, Goals, Planning; Research 1 UMDNJ-SOM New Strategic Goals 3 2 NIH Ranking 6, 11, 45 Mission, Goals, Planning 3 Organizational Chart UMDNJ-SOM 7 Mission, Goals, Planning Mission, Goals, Planning; Students & Curriculum Governance, Administration Governance, Administration Governance, Administration 4 SWOT Analysis of UMDNJ-SOM 8 5 Alumni Survey 2004 Results 13, 33 6 Audited Financial Reports 14 7 Middle States Accreditation 15 8 Health Sciences Library Resources 19 Faculty 9 Faculty Adequacy Model - Current 23 Faculty 10 Faculty Adequacy Model - 3C 23 Faculty 11 Positions Held Outside UMDNJ-SOM 24 Faculty 12 28 Students & Curriculum 13 Code of Ethics- UMDNJ Executive Summary of Curriculum Reform at UMDNJ-SOM Students & Curriculum 14 43 Students & Curriculum 15 Clerkship Adequacy Model UMDNJ-SOM Learning Assessment Plan 37 44 Reader’s note: Appendices and Exhibits have been color coded and organized by standards. The color coding is designed to facilitate the reading of the document and the retrieval of exhibits on site. Standard 1 – Green Standard 2 – Red Standard 3 – Yellow Standard 4 – Grey Standard 5 – Orange Standard 6 – Blue Standard 7 – Purple iii UNIVERSITY OF MEDICINE AND DENTISTRY OF NEW JERSEY SCHOOL OF OSTEOPATHIC MEDICINE SELF-STUDY COMMITTEES Mission, Goals and Planning Chair: Committee Members: Paul M. Krueger, D.O., Assistant Dean for Education and Curriculum/Professor Thomas Cavalieri, D.O., Director, NJISA/Professor Allen Clowers, D.O., Family Medicine/Assistant Professor John Crosbie, Director, Strategic Planning and Program Development Marilyn Kimmelman, Ed.D., Program Administrator, Academic Affairs Stephen M. Scheinthal, D.O., NJISA/Assistant Professor Governance, Administration, and Finance Chair: Committee Members: William Ranieri, D.O., Assistant Dean for Clinical Affairs/Professor Renee Acconciamessa, Administrator Department of Medicine Mary Louise Bianco-Smith, Director, Marketing Carman Ciervo, D.O., Chair, Family Medicine/Associate Professor Allen Clowers, D.O., Family Medicine/Assistant Professor John Crosbie, Director, Strategic Planning and Program Development John Domanski, M.D., NJISA/Assistant Professor Sandra Rollins, M.A., Associate Director, Financial Aid Robert J. Schieri, M.B.A., Executive Director for Finance Larry Wyatt, D.O., Acting Chair, Department of Pathology Facilities Chair: Committee Members: Robert Prodoehl, M.B.A., Director, Operations Kathryn Glazer, M.S.Ed., Instructor, Center for Student Academic Resources Adarsh Gupta, D.O., Family Medicine/Assistant Professor Michael Henry, Ph.D., Molecular Biology Robert McBride, M.A., Manager, Education Media and Resources Janice Skica, M.L.S., Campus Library Edward Small, Facilities Management Ismael Tamba, Student Michael Wright, Executive Housekeeper, Physical Plant and Environmental Services Faculty Driving the Mission Chair: Committee Members: T. Peter Stein, Ph.D., Surgery/Professor Ronald Ayers, D.O., Chair, OB/Gynecology/Associate Professor Michele Bunnion, Staff Assistant Martin Finkel, D.O., Director, NJ CARES Institute/Professor Anne Hanan, Faculty Personnel Coordinator Carl Mogil, D.O., Chief Medical Officer, OPTI/Associate Professor Thomas Morley, D.O., Medicine/Professor Robert Nagele, Ph.D., Molecular Biology/Associate Professor Andrew Pecora, D.O., Asst. Dean for Edu. and Faculty Dev./Clinical Professor (continued on next page) iv Students Chair: Committee Members: Warren S. Wallace, Ed.D., Sr. Assoc. Dean, Acad. and Student Affairs/Asst. Professor Maureen Banafe, Student John Bertagnolli, D.O., Family Medicine/Assistant Professor Joann Garwood, Administrative Coordinator, Academic and Student Affairs Jackie Giacobbe, M.S.Ed. Coordinator, Center for Student Academic Resources Linda Jensen, Assistant Registrar, Academic and Student Affairs Rahsha Kothari, M.D., Medicine/Assistant Professor Karen Miklosey, Staff Assistant, Academic and Student Affairs Dean Micciche, M.P.A., Program Administrator, Alumni and Student Affairs Douglas Leonard, D.O., Psychiatry/Assistant Professor Shaun Quinn, Student Sandra Rollins, M.A., Associate Director of Financial Aid Paula Slade Watkins, M.A.S., Director of Enrollment Curriculum Chair: Committee Members: Paul M. Krueger, D.O., Assistant Dean for Education and Curriculum/Professor Pamela Basehore, M.P.H., Associate Director for Education, NJISA Frank Filipetto, D.O., Family Medicine/Assistant Professor Jackie Giacobbe, M.S.Ed., Coordinator for Student Academic Resources Russell Griesback, D.O., Medicine/Clinical Associate Professor Anne Jones, Student Marilyn Kimmelman, Ed.D., Program Administrator, Academic Affairs Kai Mon Lee, Ph.D., Molecular Biology/Assistant Professor David Mason, D.O., Vice-Chair, Osteosciences/Assistant Professor Claudia Switala, M.Ed., Program Development Specialist I, Family Medicine Regina Wilmes, M.Ed., Coordinator, Academic Affairs David deVinck, Student Research Chair: Committee Members: Carl Hock, Ph.D., Assistant Dean, Grants and Research/Associate Professor Salvatore Caradonna, Ph.D., Chair, Molecular Biology/Professor Shaun Carlson, Pharm.D., Director, Clinical Trials Management Anita Chopra, M.D., Director of Education and Clinical Programs, NJISA/Professor Janice Ciesielski, Program Development Specialist, Department of Medicine Deborah Hill, Grant Analyst, Grants and Contracts William T. McAllister, Ph.D., Chair, Cell Biology/Professor Elyse Perweiler, M.P.P., Assoc. Director, Planning, Development and Public Policy, NJISA Rachel Pruchno, Ph.D., Director of Research, NJISA Gilbert Siu, Student (D.O./Ph.D. Candidate) Gerald Sabawa, Manager Grants and Contracts Robert Steer, Ph.D., Psychiatry/Professor Jeong-Sook H. Yoo, Ph.D., Assistant Dean for Research/Assistant Professor v ACCREDITATION STANDARDS LOCATION TABLE This table lists the location of each COCA Standard by chapter and page within the UMDNJ-SOM SelfStudy document. Accreditation Standard 1.1 1.2 1.3 1.3.1 1.4 1.5 1.6 2.1 2.1.1 2.1.2 2.1.3 2.2 2.3 2.4 2.5 2.5.1 2.5.2 2.5.3 2.6 2.7 2.8 3.1 3.1.1 3.2 3.3 4.1 4.1.1 4.1.2 4.2 4.2.1 4.2.2 4.3 4.4 4.5 4.6 4.6.1 4.7 4.8 4.9 5.1 5.1.1 5.2 5.2.1 5.2.2 Chapter location (s) in Self-Study document 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 Page(s) 3 2 10 9, 10 11, 12 13 13 14 14 14 14 14, 16 14, 16 16, 17 15 15 15 15 16 17 18 18, 19, 20, 21 21 19, 20, 21 22 23 23, 24 24 25 25 25 25 25 25 26 26, 27 27 28 28 30 30 31 31 31 (continued on next page) vi ACCREDITATION STANDARDS LOCATION TABLE Accreditation Standard 5.3 5.3.1 5.3.2 5.3.3 5.3.4 5.4 5.4.1 5.4.2 5.4.3 5.4.4 5.5 5.6 5.7 5.8 6.1 6.2 6.3 6.4 6.5 6.6 6.7 6.8 6.8.1 6.9 6.10 6.11 6.12 6.13 6.14 7.1 Chapter location (s) in Self-Study document 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 5 vii Page(s) 31 32 32 32 32 32 33 33 33 33 34, 35 35, 36 36 36 37, 38 38, 39, 40 40 41 41 42 42 42, 43 42, 43 41, 43 41 44 44 44 44 45, 46, 47, 48, 49, 50 EXHIBIT LISTINGS TABLE Self Study Chapter Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Mission, Goals, Planning Governance, Administration Governance, Administration Governance, Administration Governance, Administration Governance, Administration Governance, Administration Governance, Administration Exhibit 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 Exhibit Name UMDNJ-SOM Charter SOM Strategic Plan - Completed 2004 Community Outreach and Education Services Centers of Excellence materials Problem-Based Learning materials Clinical Education and Assessment Center materials Project Interact Materials University Doctors Brochure Affiliation Agreement - Barnert Affiliation Agreement - Christ Affiliation Agreement - Kennedy Affiliation Agreement - Lourdes KHS Chiefs of Service Bylaws for UMDNJ and UMDNJ-SOM Former President Petillo's Reform Plan for UMDNJ Strategic Plan for UMDNJ Strategic Plan Town Meeting video Strategic Planning Retreat notes Faculty Practice Plan minutes Dean's Executive Council minutes Academic Chairs minutes Curriculum Committee minutes Dean's Academic Report Faculty Evaluation form Faculty Activity report COMLEX Scores NBOME Preparation Plan 2003 Pre-Matriculation Program materials Education Handbook Alumni Survey 2004 HRSA Grants NJISA Chair materials Osteopathic Heritage Chair materials Faculty Development for Research Faculty Publications Family Medicine Board Review brochures AROC brochures OPTI Report 2005 Members of the Board of Trustees Board of Trustees’ Four-Point Plan LCME Accreditation statement ADA Accreditation statement CV of Dean Gallagher Members of the Dean's Advisory Board Chief Financial Officer's materials (continued on next page) viii Page 2 3, 42 3 4 5 5 6 6 6, 25, 38 6, 25, 38 6, 25, 38 6, 25, 38 6 7, 14 7, 15 9 9 9 9 9 9 9, 38 10, 40 10, 25 10, 25 10 10, 33 10 11, 29, 30, 35 11, 33 11 12 12 12 12, 46 12, 50 12, 50 13 14 15 15 15 15 16 16 EXHIBIT LISTINGS TABLE Self Study Chapter Governance, Administration Governance, Administration Governance, Administration Governance, Administration Governance, Administration Governance, Administration Governance, Administration Governance, Administration Governance, Administration Governance, Administration Faculty Faculty Faculty Faculty Faculty Faculty Faculty Faculty Students, Curriculum Students, Curriculum Students, Curriculum Students, Curriculum Students, Curriculum Students, Curriculum Students, Curriculum Students, Curriculum Students, Curriculum Students, Curriculum Students, Curriculum Students, Curriculum Students, Curriculum Students, Curriculum Students, Curriculum Students, Curriculum Students, Curriculum Students, Curriculum Students, Curriculum Students, Curriculum Students, Curriculum Students, Curriculum Students, Curriculum Students, Curriculum Students, Curriculum Students, Curriculum Students, Curriculum Students, Curriculum Research Research Exhibit 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 Exhibit Name Senior Associate Dean's CV and job description Affirmative Action Fair Employment Practices UMDNJ-SOM Facilities UMDNJ-SOM Master Plan 2005 Facilities Monthly Reports Educational Media Equipment and Services Information Systems and Technology Services Public Safety Annual Security Report Health Science Library Committee minutes Affiliated Hospital Library Services Faculty Roster UMDNJ Policies Faculty Development materials Members of Executive Council Handbook on Appointments and Promotions Faculty Affairs Committee minutes CV of Professor of Bioethics – Dr. Erde AOA Code of Ethics signatures Admissions Manual Admissions Recruitment Activities Articulation Agreements Criminal Background Check policy Enrollment Statistics AACOM Annual Report statistics Improvement of At Risk Performance Student Organizations Financial Aid materials FERPA University Records Management policy Student Affairs Committee minutes 3C Curriculum Task Force Report DxR Clinician Curriculum Task Force minutes Assessment Subcommittee minutes Curricular Modifications 2003 - 2005 Punchlist for Action Course Evaluation results Clerkship Evaluation results OMM Resources Courses in the present curriculum Current First Year schedule Current Second Year schedule 3C Curriculum Schedule Current course syllabi COILS Competencies for 3C curriculum Policy on Misconduct in Science HIPAA Compliance training (continued on next page) ix Page 17 18, 26 18 18 19 20 20 21 22 22 23 25, 28 26 28 28 28 29 29 30 31 31 31 31 31 33 34 35 36 36 37 37 37 38 38 39 39 39 39 40 41 41 41 41 42 43 43 48 49 EXHIBIT LISTINGS TABLE Self Study Chapter Research Research Research Research Research Research Exhibit 94 95 96 97 98 99 Exhibit Name Vivarium accreditation NIA Funded Student Research Mini-Grants Summer Student Research Program Total & Annualized Amounts for Active Funding Clinical Drug Trials 1998-2005 Education and Training Grants x Page 50 50 50 50 50 50 CHAPTER I EXCELLENCE IN MEETING OUR MISSION MISSION, GOALS AND PLANNING During his tenure as Dean and chief operating officer of the University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine (UMDNJ-SOM), R. Michael Gallagher, D.O., FACOFP dist. has professed an overriding theme of a continuous improvement effort to propel the school from “good to great,” stating his vision is for UMDNJ-SOM to be the best medical school in the country of our size, allopathic or osteopathic. UMDNJ-SOM has been on the path to greatness, improving every year from the last accreditation visit in 1998 to the present. The heart of the UMDNJ-SOM mission is embedded in our academic programs, our instruction, our culture and our core values. UMDNJ-SOM is number one, among all osteopathic colleges of medicine, in NIH research dollars in the country, having increased the amount of NIH research dollars nearly 48 percent since 1998. It is a leading HRSA funded osteopathic medical school. Since 1998, the number of underrepresented minorities in our student population has increased by over 60 percent, making UMDNJ-SOM the number one osteopathic school in the country for women and underrepresented minorities. The school has two nationally recognized institutes, one of the largest paid faculties of any osteopathic medical school in the country, an innovative national model curriculum that incorporates the AOA competencies, cultural competency and interdisciplinary training throughout the educational continuum, and one of the largest osteopathic GME programs in the country. Our geriatric program has been selected as one of the best in the country, among such top schools as Johns Hopkins and Harvard, by U.S. News and World Report. Since 1998, UMDNJ-SOM has added four dual degree programs: a D.O/M.P.A.; a D.O. /J.D.; a D.O. /M.S. and a D.O. /M.P.H. UMDNJ-SOM has an association with the Kennedy Health System (KHS) that is unique in the osteopathic profession. As a principal hospital, KHS provides a large, stable, financially strong hospital for student training with UMDNJSOM having two seats on the KHS Board of Trustees. Under the terms of the expanded affiliation agreement, the school and the hospital are committed to joint strategic planning, and the hospital will provide one million dollars annually for joint efforts to develop and expand clinical programs. UMDNJ-SOM is committed to training primary care doctors for the state of New Jersey. Forty-six percent of our alumni practice in a primary care field; half of those in primary care are practicing Family Medicine; forty-nine percent maintain a practice in New Jersey. UMDNJ-SOM’s total building space has taken a twenty-six percent leap from 298,000 square feet to 376,000 square feet since 1998. We have added 95,000 square feet of research space to our Stratford Science Center. UMDNJ-SOM is the only academic institution in southern New Jersey that has a Ph.D. granting program. We are presently growing one of the largest continuing medical education programs in the country. Our students have an early preceptor program that introduces them to OPP, OMM and family Collins JC. Good to Great. HarperCollins Publishers, Inc. 2001. 1 AOA Standards medicine in the first year of medical school. Our vibrant and productive medical school is not dependent solely on tuition dollars; rather there is income from several sources—a $35 million faculty practice plan, extensive grants and state dollars. In 2004, UMDNJSOM contributed more than $4.2 million of uncompensated care to the community. In addition, UMDNJ-SOM University Doctors sponsored 184 community health programs from 2000 to 2004 and over 45,000 people attended these programs. “The Commission wants to make special mention of the contribution that UMDNJ has made to its communities across the State…a commitment to responding to community needs such as low income populations in Stratford and Camden…the Commission wants to unambiguously recognize and commend UMDNJ for its significant strides over the past three decades.” N.J. Commission on Health Science, Education and Training Final Report – October, 2002 The University of Medicine and Dentistry of New Jersey is the largest statewide freestanding health sciences university in the country. Created to consolidate and unify all of New Jersey’s public programs in medical and dental education, UMDNJ was founded in 1970 by an act of the State Legislature and was granted status as a freestanding university in 1981, in recognition of its growth and development as a statewide health sciences educational system. On February 10, 1975, the State of New Jersey approved the establishment of a medical school in South Jersey. This legislation passed in the Assembly of the State of New Jersey on April 7, 1975 and was signed by the governor on April 9, 1975. The State Board of Higher Education approved the establishment of an osteopathic medical school in South Jersey on December 17, 1976. UMDNJ-SOM subsequently received full accreditation by the Bureau of Professional Affairs of the American Osteopathic Association. UMDNJ-SOM is a member of the American Association of Colleges of Osteopathic Medicine. UMDNJ is accredited by the Commission of Higher Education of the Middle States Association of Colleges and Schools, who last visited the school in April 2005. The University’s eight schools are spread over four campuses in Camden, New Brunswick/Piscataway, Newark and Stratford, with a branch campus in Scotch Plains. The three medical schools and the dental school are the only institutions in the state that grant the MD, DO and DMD degrees. The University’s dominant role, as New Jersey’s health sciences university, is reflected in its four-part mission of education, research, health care delivery and service to the community. Its organizational structure provides centralized control through a single Board of Trustees, President and senior management. It is clear that UMDNJ is a powerful magnet for attracting external funding to healthrelated services and research in New Jersey. The faculty of educators and biomedical researchers are pioneering advances in health care. Their dedication drives fifteen statewide centers of excellence, including the Institute for Successful Aging and the CARES Institute at UMDNJ-SOM. And, last year, over 2.2 million patient visits were made to UMDNJ health care facilities and physician offices. Many of those receiving care are underserved and uninsured. 2 Standard 1.2 Exhibit 1 UMDNJ-SOM Charter The University of Medicine and Dentistry of New Jersey’s School of Osteopathic Medicine in Stratford, is a vital and dynamic organization that has grown remarkably in the years since it was founded in 1976. As the only osteopathic medical school in the state of New Jersey, and the only four-year medical school in southern New Jersey, UMDNJSOM has been committed to quality health care, innovative research and compassionate community service since its inception. The University has instituted a new strategic planning cycle this year. The School has, therefore, revisited the mission and developed new strategic goals and a new mission statement, pending approval by the UMDNJ Board of Trustees. UMDNJ-SOM‘s clearly defined mission addresses teaching, research and community service. UMDNJ-SOM MISSION STATEMENT Standard 1.1 The UMDNJ-School of Osteopathic Medicine is dedicated to providing excellence in medical education, research and health care for New Jersey and the nation. An underlying emphasis on primary health care and community services reflects the School’s deep ties to its osteopathic philosophy. The School is committed to developing compassionate and culturally competent physicians from diverse backgrounds, who are dedicated to becoming leaders in their communities. UMDNJ-SOM is dedicated to maintaining its position as a national leader in the education and training of primary care physicians who are devoted to excellence in their profession. Building on the rich heritage of the osteopathic profession, the school challenges its students and faculty to pursue new and creative approaches to addressing the health care needs of the diverse population it serves. UMDNJ-SOM has made notable progress in strategic planning since the last self-study, with a sustained effort in institutionalizing planning and assessment. The UMDNJ-SOM Strategic Plan aligns efforts to promote diversity and cultural competency across all missions, from recruitment of students to improvement of curriculum to extending care to underserved populations. It builds on the Centers of Excellence to strengthen the university’s reputation for excellence and its commitment to caring for the citizens of New Jersey. The current University strategic plan was a five-year plan, which ran from 1999 to 2004. It was extended for an additional year to allow for the transition in the University’s leadership and to provide time for the development of the new strategic plan. The 2005 Strategic Plan is under development, as of this writing, and will be available for review as an exhibit on site. UMDNJ-SOM’s Strategic Goals for the new planning cycle include contingency plans for threatened federal funding, partnerships with community health centers, promoting faculty diversity, an analysis of graduate medical education, the development of a primary care practice model for state-wide expansion, the expansion of specialty services, the initiation of a mini medical school and the expansion of continuing medical education. UMDNJ-SOM has set its mission to provide medical health services to the people living in the community. Our Stratford campus also houses programs and degree offerings from the School of Health Related Professions, the School of Public Health and the School of Nursing. UMDNJ-SOM provides community outreach programs in Stratford and Camden, New Jersey and throughout the neighboring region, extending the benefits of the 3 Appendix 1 UMDNJ-SOM New Strategic Goals Exhibit 2 SOM Strategic Plan Completed 2004 Exhibit 3 Community Outreach & Education Services school’s research, education and clinical care skills to citizens in surrounding communities. UMDNJ-SOM worked with state lawmakers to secure a special appropriation of $250,000 for the borough of Stratford. The UMDNJ-SOM Executive Director for Strategic Planning is president of the Stratford Borough Business Association. The school has reached out to the surrounding community with the establishment of the Dean’s Advisory Council, consisting of lay leaders in the community who meet regularly with the Dean, and a similar Dean’s Physicians’ Advisory Committee that reviews issues and environmental factors of concern to physicians regularly with the Dean. Over the years, UMDNJ-SOM has grown tremendously in the form of new buildings, new programs, and faculty, staff and students. On September 7, 1977, the first class with 24 students began its osteopathic medical training. In 1987, the school opened the Specialty Care Center, housing primarily specialty medical care offices and programs. At the time of its founding, a plan was developed to use the basic science facilities at UMDNJRutgers Medical School (now Robert Wood Johnson Medical School) in Piscataway for the first two years of the curriculum and then to have students rotate at affiliated hospitals in southern New Jersey for the last two years. In 1989, the School purchased the adjoining Primary Care Center building. In July of 1990, UMDNJ-SOM completed the first phase of the Science Center and became a unified four-year campus in Stratford. In the fall of 1993, the new Academic Center was opened offering a state-of-the-art teaching facility. Clinical departments have established satellite offices in eighteen office building sites in eleven communities throughout the southern region in order to provide medical services and patient care. The UMDNJ-SOM centers of excellence are nationally recognized and provide patient services that meet the diverse needs of the community. The Center for Children’s Support (now the CARES Institute at UMDNJ-SOM), the Center for Aging (now the New Jersey Institute for Successful Aging), Wellness Center and University Headache Center, along with the clinical offices throughout southern New Jersey, address the region’s health care needs by providing accessibility to primary and specialty health care services to the diverse members of the community. The UMDNJ-SOM University Headache Center was founded in Moorestown, New Jersey in 1978, by R. Michael Gallagher, D.O., FACOFP dist. to improve the lives of chronic headache sufferers with a multidisciplinary approach including biofeedback and muscular manipulation. At the Center, patients are encouraged to actively participate in their own healing. Recently, Philadelphia Magazine chose the University Headache Center, the CARES Institute at UMDNJ-SOM and the Institute for Successful Aging as among the brightest centers of excellence for health care services in the Delaware Valley. In 1988, the Center for Children’s Support, a truly innovative diagnostic and treatment center for children who have suffered physical or sexual abuse, was created by founding director Martin A. Finkel, D.O. who directs it today. More than 700 children per year are treated at the CARES (Child Abuse Research Education and Service) Institute at UMDNJ-SOM by a staff that understands their unique medical and psychological needs, and works hard to help them recover from the physical and mental trauma of child abuse. The Institute’s clinicians also provide more than 2,500 hours of free mental health services throughout South Jersey. In 2005, New Jersey Department of Human Services (DHS) committed $1.5 million to UMDNJ-SOM’s Center for Children’s Support to help 4 Exhibit 4 Centers of Excellence Materials establish the CARES Institute at UMDNJ-SOM to create protocols for treating abused children at four regional diagnostic treatment centers. The Center for Children’s Support was designated by the U.S. Department of Health and Human Services as one of only three exemplary programs in the nation for science-based mental health treatment services. The decade of the 1990’s brought great growth strides to UMDNJ-SOM. Dr. Thomas Cavalieri was the founding director of the Center for Aging, which was established in 1987. In 1990, UMDNJ-SOM became one of 47 Geriatric Education Centers (GEC’s) established nationally through funding from the U.S. Department of Health and Human Services to train faculty and the health care workforce to address the needs of the elderly. UMDNJ-SOM’s Center for Aging, renamed the Institute for Successful Aging in 2005, was named among the top 20 Best Graduate Schools nationally for geriatric medical education by US News and World Report in 2002, 2003, 2004, 2005. Development of the Institute for Successful Aging will draw larger patient populations, bring new talent to educational programs and provide opportunities to explore new partnerships. In 1997, the D.O./Ph.D. program was established at UMDNJ-SOM with UMDNJGraduate School of Biomedical Sciences and, that same year, the School became the first osteopathic medical school in the nation to offer dental medicine in its curriculum. In 1998, UMDNJ-SOM offered a problem-based learning curriculum. The School purchased the Specialty Care Center in 1999 and, in 2000, established a combined D.O. /J.D. program with Rutgers University School of Law. Exhibit 5 PBL Materials R. Michael Gallagher, D.O., FACOFP dist. was appointed Dean for UMDNJ-SOM in 2002. This same year, the Saturday Student Health Clinic was established in the Camden community in cooperation with the Department of Family Medicine and UMDNJ-School of Nursing. In 2003, the addition to the University Doctors Pavilion (UDP) opened on campus, doubling the size of the original building. UMDNJ-SOM hosts the only full-size basic science research facility in South Jersey. In 2004, the School renovated the Science Center to expand laboratory space on the first floor and then created a 21,000 square foot addition to the Center representing a 27 percent increase over the existing structure. In 1999, UMDNJ-SOM established a one room Standardized Patient Lab on campus in the Specialty Care Center. In 2000, the Center was expanded to four examination rooms and, in 2003, UMDNJ-SOM opened its state-of-the-art ten room Clinical Education and Assessment Center on the third floor of the new University Doctors Pavilion. The Center’s examination rooms are specially designed and equipped to allow unobtrusive monitoring by faculty from the centrally located control room. Student interactions are digitally recorded and can be viewed immediately in a consultation room. The Center provides students with the opportunity to practice communications and assessment skills and doctor-patient interactions by working through challenging and realistic cases. Often cases are designed to help students learn interdisciplinary care and broaden their cultural competencies. The center was developed in collaboration with the UMDNJ-School of Health Related Professions, the UMDNJ-School of Nursing and the Area Health Education Centers (AHEC). The UMDNJ-SOM Department of Family Medicine is a leader in programming in cultural competency and interdisciplinary training in medical education. Its three-year 5 Exhibit 6 Clinical Education and Assessment Center Materials grant, funded by the U.S. Department of Health and Human Services, entitled Project Interact, is a collaborative model of cultural and interdisciplinary training. The project is designed to develop, implement and evaluate cultural and interdisciplinary training programs throughout the predoctoral curriculum. Project Interact was ranked as the highest scoring grant of that cycle by HRSA peer reviewers. The interdisciplinary component prepares students and practitioners to work with each other and the community, developing basic skills in team collaboration, negotiation, conflict resolution and cultural competence. Exhibit 7 Project Interact Materials Despite its brief history, UMDNJ-SOM has established an impressive legacy in medical education and patient care that continues to build through the achievements of the School’s researchers, faculty, students and alumni. UMDNJ-SOM is deeply committed to research. Since the COM’s mission is to improve the health of New Jersey’s citizens, research programs focused on the state’s most urgent health needs provide a clinical practice focus for our research. The Health Resources and Services Administration, National Institutes of Health, National Aeronautics and Space Administration, U.S. Department of Agriculture, the New Jersey Department of Health, the American Heart Association, pharmaceutical companies and other state and local agencies support our researchers. UMDNJ-SOM has placed great emphasis on increasing its base from sponsored research, clinical drug studies and educational grants. In the last ten years, UMDNJ-SOM has more than doubled its funding from outside sponsors. FY2004 rankings for NIH Extramural Grant awards show UMDNJ-SOM ranked #1 among Osteopathic Schools in NIH funding. For more than a decade, the school has finished among the top three osteopathic schools for research funds received from the National Institutes of Health (NIH). The University Doctors, the school’s faculty practice program, touches the lives of thousands of area residents every day and provides a fertile environment where students experience patient care in all areas of medicine. The University Doctors is an extensive network of physicians with 60 clinical offices located in 10 communities and five counties in Southern New Jersey. UMDNJ-SOM is a leader in patient care, treating over 250,000 patients per year. UMDNJ-SOM has four major teaching affiliate hospitals in New Jersey: Kennedy Memorial Hospital/University Medical Center – at Stratford, Cherry Hill and Washington Township; Our Lady of Lourdes Medical Center in Camden; Christ Hospital in Jersey City and, the newest member of the UMDNJ-SOM OPTI, Barnert Hospital in Paterson, New Jersey. We also have a clinical partnership for Graduate Medical Education with Cooper Hospital/University Medical Center in Camden. As a UMDNJ principal hospital, KHS provides a large, stable, financially strong hospital for student training. In the Fall of 2005, UMDNJ and Kennedy Health System signed an agreement, harnessing the resources of the two systems to improve health care in the community. Goals of the affiliation are joint strategic planning, an expanded joint geriatric care program, a nursing education program and greater involvement with The Cancer Institute of New Jersey. Many UMDNJ-SOM faculty members are chiefs of service in the KHS system. Opportunities exist for joint venturing, improvement of 6 Appendix 2 NIH Ranking Exhibit 8 University Doctors Brochure Exhibits 9,10,11,12 Affiliation Agreements Exhibit 13 KHS Chiefs of Service clinical rotations, expansion of GME, expansion of CME and the addition of needed subspecialties. Organization of UMDNJ-SOM UMDNJ-SOM is under the umbrella of the Board of Trustees of the University and the President. The Dean of UMDNJ-SOM serves as the chief executive officer of the school and the Stratford campus and reports to the President through the Senior Vice President for Academic Affairs of UMDNJ. UMDNJ-SOM works closely with the Central Administration of the University to fulfill its statewide mission. See Appendix 3 for the organizational chart of UMDNJ-SOM. Both the University and the school have bylaws. The organization of the COM is further delineated in the Chapter on Governance, Administration and Finance. The Board of Trustees of the University provides the general supervision over and is vested with the conduct of the University. It determines the education policies and programs of the University and approves the educational curricula of the various schools. It determines policies for the organization, administration, and development of the University, determines fiscal policy and grants diplomas, degrees and certificates. It appoints the President, Deans and other members of the academic, administrative and teaching staffs, and determines compensation and terms of employment. Appendix 3 Organizational Chart of UMDNJ-SOM Exhibit 14 Bylaws for UMDNJ and UMDNJ-SOM UMDNJ’s organizational structure provides centralized control and coordination through a single Board of Trustees, President and senior management. The University operates within a single budget, institutional plan and policy environment. Many infrastructure services and administrative functions are centralized. However, UMDNJ’s eight school Deans have a high degree of autonomy and control over the allocation of resources, administrative operations, and academic and clinical affairs within their schools. In response to the Middle States self-study, the Deans agreed that this unity of institutionwide direction and control, coupled with significant operational decentralization to the mission-based schools, promotes the attainment of the University’s mission as a statewide, freestanding health sciences university. At the same time, the Deans suggested improvements in the administrative processes, including suggestions on how to foster collaborations among UMDNJ schools and external partners. As one of the eight schools of UMDNJ, the School of Osteopathic Medicine is cognizant of reports that have surfaced in the press and by federal and state officials relative to past business practices at the university level including the awarding of no-bid contracts, conflicts of interest within the UMDNJ Board of Trustees and inappropriate Medicare billing practices at University Hospital in Newark (a UMDNJ hospital but not a UMDNJSOM affiliate). The major concerns were focused on issues that existed within the University’s central administration in the northern area of the state. A comprehensive plan for reform has been adopted by the leadership of the University. Ranging from the tightening of executive perquisites on travel, the enforcement of bidding regulations, and the end of political contributions from the organization, these reforms were a first, but important, step. UMDNJ central administration is working with a federal monitor who provides financial oversight and will work with the university to resolve outstanding financial issues, particularly the Medicare billing concerns at University Hospital. 7 Exhibit 15 Former President Petillo’s Reform Plan for UMDNJ When former Governor Codey issued an executive order eliminating conflict of interest among the Boards of all state colleges and universities, in December 2005, there were several resignations on the UMDNJ Board, including the Chair. The University anticipates that Governor Corzine, who assumed office in January 2006, will appoint Board members who will not only be free of conflicts but also will possess the prestige and expertise to move the University forward. UMDNJ-SOM has also been challenged by the news that Cooper Hospital in Camden, New Jersey, has, on its agenda, to develop its own four-year medical school. UMDNJ has publicly stated that current dollars would not be diverted to support a fourth school and UMDNJ-SOM will not be negatively impacted. However, UMDNJ-SOM has some concern that future state dollars would have to be apportioned to four medical schools instead of three and this would reduce resources and funding potential for the three existing medical schools. The COCA Self-Study Process began in September 2004 with the Dean’s appointment of a Steering Committee and subcommittees charged with the analysis of strengths, weaknesses, opportunities and challenges, and the review of current policies and procedures. The Steering Committee was charged with the documentation of recent improvements and developments and the task of making recommendations to improve program objectives to plan for the future of UMDNJ-SOM. Paul M. Krueger, D.O., Assistant Dean for Education and Curriculum, was named to oversee the COCA inspection process. The self-study process at UMDNJ-SOM had the following goals: 1. To advance UMDNJ-SOM’s existing goal of continuous improvement in the quality of educational programs and services through a careful analysis of each COCA Standard. 2. To analyze the strengths, weaknesses, opportunities and threats that impact upon the school. 3. To obtain broad-based input to inform the design of the next strategic plan for the COM. The self-study process involved a Steering Committee, made up of the seven chairs of the subcommittees, and seven subcommittees, one for each COCA Standard. Membership of the subcommittees was comprised of a total of approximately seventy-five individuals— faculty, students, administrators, staff, alumni and members of the community. In April 2005, a Self-Study website was launched, containing information regarding the COCA working committees and an introduction to the process. The Self-Study website also has an “E-Learning” section where COCA reviewers can review online course contents. A request for feedback on the self-study drafts was issued in June of 2005. Chairs and selfstudy committee members are listed on page iv and v of this report. Each committee met multiple times, reviewed the document in draft form and contributed to the SWOT analysis. Students, faculty and staff comments on drafts were incorporated into the final document and the SWOT analysis. See Appendix 4 for the SWOT analysis of UMDNJSOM. 8 Appendix 4 SWOT Analysis of UMDNJ-SOM The SOM Strategic Planning Process The Director of Strategic Planning and Development, under the guidance of the Dean, and with input from various Chairpersons and Center Directors, compiles the School’s overall strategic plan. The strategic plan is borne out of an annual retreat where multiple committees, each with a distinct charge, discuss, prioritize and submit action plans. Their plans are synthesized into an overall plan intended to reflect the goals and objectives of the University and the School that are designed to enhance our School’s ability to achieve its mission. Through the deliberations of these committees, the balancing of multiple mission objectives and available resources is achieved. The strategic plan is not a plan for one specific year. Rather it is a plan spanning multiple years, reflecting both long term planning and a long term vision. At the annual retreat, the long term plan is updated, taking into account operating constraints or changes in strategic thinking. Each annual retreat is an opportunity for the planning committee to discuss updates to the mission statement and reaffirm the mission. Under the direction of the Dean, the Director of Strategic Planning and Program Development is responsible annually for working with all Deans, Chairs and Center Directors to perform a status report on the current year’s strategic plan which segues into the development of the strategic plan for the year ahead. Exhibit16 Strategic Plan for UMDNJ Exhibit 17 Strategic Plan Town Meeting Video With the inauguration of John Petillo, Ph.D. as the University President, the University undertook a sweeping review of the overall strategic plan and goals adopted by the UMDNJ Board of Trustees in the spring of 2005. Dr. Petillo initiated a university-wide planning process that included employees at all levels of the organization. He conducted three rounds of Town Hall meetings on each campus and publicized the results of each on the UMDNJ website, requesting feedback in the areas of education, research, clinical services, community and diversity, the impact on New Jersey, cultural values, resource allocation and image. The UMDNJ-SOM Dean appointed a new UMDNJ-SOM Planning Committee, working to link the UMDNJ-SOM plan to the UMDNJ plan in terms of goals and action plans under development in each area. The current strategic planning process at UMDNJ-SOM has been assigned to two distinct planning committees. The Dean appointed one panel that provides cross-representation of the departments on campus to work with Deans, Chairs and Center Directors to review the school’s mission statement and addresses all goals and benchmarks set by the University’s new strategic plan. At the same time, the Director of Strategic Planning, working with the Dean, and the Associate and Assistant Deans, Chairs and Center Directors, held a two-day retreat, where all parties reviewed and discussed the mission and vision for UMDNJ-SOM and the steps necessary for working toward the goals of the School. The process included a revisiting of the School’s mission statement, with the broadest campus-wide input. The School’s completed plan will be available for review on site. UMDNJ-SOM has several formal planning and review procedures in place to assure conformance with the School’s mission, goals and objectives. The School annually prepares a chapter of the University’s strategic plan which includes an environmental assessment, a discussion of challenges and strengths, a list of specific measurable objectives for the coming year, and a review of progress toward the prior year’s objectives. Also, regular reviews of the School’s position are made through its committee 9 Standard 1.3.1 Exhibit 18 Strategic Planning Retreat Notes Exhibits 19,20,21,22 Minutes of Standing Committees Faculty Practice Plan (19) Dean’s Executive Council (20) Academic Chairs (21) Curriculum Committee (22) structure, where substantive discussions occur in an open atmosphere. These committees, which meet regularly, include: Faculty Practice Plan, Dean’s Executive Council, Academic (department) Chairpersons, Chairpersons and Curriculum Committee. Student representatives attend meetings of the Curriculum Committee and Curriculum Task Force and communicate findings to their constituencies. Exhibit 23 Dean’s Academic Report Evaluation results for courses are sent to course directors and their department chairs and a summary report is sent to the Dean each semester. Student issues are communicated at meetings of the Student Affairs Committee and are attended by faculty and the Senior Associate Dean of Student and Academic Affairs who communicates to the academic support skills personnel and Academic Affairs program administrators who attend the meetings. The Academic Assistant Dean meets bi-weekly with a cross-disciplinary academic team and academic staff members to relate key findings. Evaluating Educational Outcomes and the Planning Process The Deans and faculty create clearly defined goals, plans and objectives against which educational outcomes can be evaluated. These goals, plans and objectives are reviewed in terms of their congruence with the university mission. Evaluations are built into the strategic planning and budget planning processes. The Dean and leadership select periodic ad hoc groups to re-examine the allocation of resources and re-visit the assumptions underlying the long-term vision of the school. These sessions frequently provide focused feedback to the school’s leadership to guide renewal efforts. Statements of desired educational objectives are created for specific competencies, for courses and for the degree program. Chairs and faculty members are evaluated annually on all four areas of the UMDNJ-SOM mission – education, research, patient care and service. The Assistant Dean for Education and Curriculum prepares an annual report outlining each department’s educational accomplishments and issues for the Dean. This report is used by the Dean in preparing each Chair’s evaluation. Similarly, each Chair uses the report to evaluate the educational efforts of course directors, clerkship directors and faculty. Raises and bonuses are distributed based on faculty evaluations. Faculty, along with the Assistant Dean for Education and Curriculum, choose measures for determining whether students have achieved agreed upon expectations. These decisions are often made based on the recommended evaluation tools in the ACGME toolbox. Course directors determine if each student has achieved the objectives and requirements of each course when they submit their final course grades. A summative evaluation is made when students take the National Board of Osteopathic Examiners (NBOME) examinations. When COMLEX scores were not consistently as high as historical scores, the Dean and the Assistant Dean of Education and Curriculum, along with the department chairs, implemented an intensive preparation program for students to participate in during their education at UMDNJ-SOM. Following the implementation of a COMLEX Preparation Program, scores increased dramatically. In the June 2005 sitting of COMLEX 1, UMDNJ-SOM students had a 92.3 percent pass rate and scored 24.88 points above the mean. Students scored above the mean in every discipline. Faculty review sessions and test taking skills, along with other content remediation, were all part of the concentrated effort to help students. Student learning assessment information is used to guide development of new curriculum and the development of focused academic support services to improve testing skills. 10 Standard 1.3 Exhibit 24 Faculty Evaluation Form Exhibit 25 Faculty Activity Report Standard 1.3.1 Exhibit 26 COMLEX Scores Exhibit 27 NBOME Preparation Plan 2003 Exhibit 28 PreMatriculation Program Materials UMDNJ-SOM provides continuous and comprehensive assessment and tracking of student achievement beginning with students’ first semester of medical school through licensure and beyond. Before classes begin, accepted students’ previous academic records are analyzed to determine if incoming students will need additional academic support. Students identified as needing support are required to attend UMDNJ-SOM’s Prematriculation Program, a five-week introduction to selected medical school disciplines as a condition of acceptance. Following completion of this program, the academic progress of participants is tracked closely by the Center for Student Academic Resources (CSAR). The progress of the entire student population is monitored throughout their four-year didactic medical training. The ongoing, formative review of academic performance and achievement is based on students’ individual exam scores, completion of assignments, performance results on COMLEX Level 1 and 2 exams, standardized shelf exams and faculty clinical evaluations. Students not achieving at an acceptable level are reviewed by the Student Affairs Committee and counseled according to the UMDNJ-SOM Academic Rules and Regulations. An individual achievement plan is often developed. The assessment of student learning outcomes is used to improve teaching and learning. Feedback from students on course evaluations, as well as in Curriculum Committee meetings and through student Curriculum Representatives’ meetings with the Assistant Dean for Education and Curriculum, is considered an impetus for consideration of change in the curriculum. Student learning outcomes and the achievement of program objectives are also assessed by the analysis of the results of the alumni surveys administered. These results are analyzed and assessed by the Senior Associate Dean for Academic and Student Affairs and the Assistant Dean for Education and Curriculum. This information is used in the design of new curricula and to determine necessary changes in the present curriculum that meet the needs of the profession. Exhibit 29 Education Handbook Exhibit 30 Alumni Survey 2004 Alumni outcomes information, curricular assessment and educational services assessments at UMDNJ-SOM are evaluated through bi-annual alumni surveys conducted by the Office of Alumni Affairs. The surveys supply data on alumni, including information about their residency experiences, post graduate training (internship, residency and fellowship), practice location, practice type, area of specialty and their practice in medically-underserved communities. Alumni achievement is also solicited via mail and email and self-reported by the alumnus, or obtained through the use of media clips. Research and Scholarly Pursuits UMDNJ-SOM has a process that contributes to the advancement of knowledge through research and scholarly contributions in the fields of the basic biomedical sciences, clinical medicine and osteopathic principles and practice. UMDNJ-SOM has undertaken, as part of its strategic plan, the continuous recruitment of respected and highly motivated research faculty to provide the core of the research leadership for the institution. The school’s strategic goals are to increase extramural funding for research, as well as education and training. Its strategic planning efforts are directed at increasing clinical trials and clinically-related research projects; expanding research training and education; increasing the number of publications, poster presentations and abstracts; and fostering the pursuit of training grants by clinical departments. Faculty is actively engaged in mentoring students and promoting both independent and collaborative interdisciplinary research. 11 Standard 1.4 Appendix 2 NIH Rankings Exhibit 31 HRSA Grants For the past 20 years, UMDNJ-SOM has ranked in the top three (most often first or second) among all osteopathic medical schools in NIH-funded research. UMDNJ-SOM strives to create an environment that is intellectually challenging and supports the spirit of inquiry among its students, creating opportunities to interact with academicians in a variety of scholarly pursuits, through participation in faculty research/scholarly activities, teaching, and delivery of health care. In support of its research mission, UMDNJ-SOM offers several unique options for students seeking to pursue careers in biomedical research or teaching graduate studies. These programs are outlined in more detail in Chapter V, entitled Excellence in Research: Scholarly Activities. The creation of a research infrastructure is providing UMDNJ-SOM with the momentum to realize its strategic plan for research and is benefiting the osteopathic profession, the University, the School, its faculty and its students. In July of 2004, a faculty member was hired at the rank of professor who serves as the Director of Research in the New Jersey Institute for Successful Aging (NJISA) and holds an endowed chair. She will spearhead the development of aging-related research through the newly developed New Jersey Institute for Successful Aging. In addition, the 2005 award of an endowed chair for primary care research from the Osteopathic Heritage Foundation will foster osteopathic and aging-related research projects and provide opportunities for faculty and students to pursue independent and collaborative research interests, within a mentored environment. Research and scholarly pursuits are identified as faculty goals and are reviewed as part of the annual performance appraisal process. The creation of “centers of excellence” that have evolved into statewide Institutes (e.g., the CARES Institute at UMDNJ-SOM and the NJ Institute for Successful Aging), support the mission of education, research, clinical and community service, and foster interdisciplinary collaboration and the development of partnerships for research and education. Ongoing faculty development programs offered through the Department of Medicine and the Institute for Successful Aging focus on the development of research skills and serve as research enhancement opportunities for faculty. As part of the ongoing effort to encourage faculty research, annual faculty performance appraisals include research and scholarship productivity and require that research and scholarship goals are established each year. Overall evaluation of research and scholarship effectiveness considers both quantitative and qualitative elements, which are reflected in individual curricula vitae, faculty performance appraisals, monthly departmental Dean’s Reports, and departmental annual reports. Those faculty who are successful in obtaining grants that support a portion of their salaries and are both the principal author and principal investigator on a project, may be eligible for extramural support incentive awards. Faculty research interests at UMDNJ-SOM are broad, with special interests defined by departments and/or clinical and academic interests of the respective faculty member. UMDNJ-SOM faculty are recognized for their expertise in a variety of areas and are called upon to present locally and nationally at conferences, sit on committees and boards, participate on grant review panels, and assume leadership positions in professional organizations. 12 Standard 1.4 Exhibit 32 NJISA Chair materials Exhibit 33 Osteopathic Heritage Chair materials Exhibit 34 Faculty Development for Research Exhibit 35 Faculty Publications, Exhibit 36 Family Medicine Board Review Brochures Exhibit 37 AROC Brochures UMDNJ-SOM provides distinctive osteopathic health care to the community including osteopathic manipulative medicine. The physicians and centers at UMDNJ-SOM have been recognized and acknowledged for the school’s commitment to top quality health care, groundbreaking research, and compassionate community service. UMDNJ-SOM provides essential health care for New Jersey residents. Forty-nine percent of our alumni practice in the state of New Jersey. Half of our graduates practice primary care (family medicine, general internal medicine, pediatrics or obstetrics and gynecology) and twentyeight percent practice family medicine. Thirteen percent of our alumni report that they practice more than fifty percent of the time in medically underserved communities. The University Doctors extend local access to the latest in specialized care, oncology, psychiatry, critical care, geriatric medicine, orthopedics, and headache care and neurology specialty services. UMDNJ-SOM responds to health disparities in underserved communities by providing care at more than 70 offices and community organizations throughout Southern New Jersey, including school systems, the New Jersey State Troopers Association, the Camden County health programs at Lakeland, and the Gloucester County Migrant Health program. University doctors offer more than 55 free health programs and screenings each year. Under the direction of David Mason, D.O., there has been an expansion of OMM, including its use in the Interdisciplinary Pain Center and a new OMM in-hospital consultant service. One new OMM faculty member has just been hired with plans for a second hire in the fiscal year 2006. A number of faculty are engaged in research related to osteopathic principles and practices. These have included studies investigating the effectiveness of osteopathic manipulative medicine in irritable bowel syndrome, emphysema and chronic bronchitis, pneumonia, infection, back pain, chronic headache, carpal tunnel, chronic pain, acute sinusitis, premenstrual syndrome, congestive heart failure, and falls prevention. In addition, biopsychosocial studies investigating the impact of osteopathic philosophy on outcomes as well as attitudes and practice patterns have been conducted in such areas as osteoporosis prevention, health promotion/disease prevention, hospice and end-of-life care and other ethical issues. This track record of osteopathic related research, much of which has been extramurally funded, has precipitated UMDNJ-SOM’s invitation to participate as one of five sites nationally in the Multi-Center Osteopathic Pneumonia Study in the Elderly (MOPSE) which is regarded in the profession as a high profile, groundbreaking endeavor. UMDNJ-SOM has a process that addresses the development and planning for the appropriate affiliations necessary to provide pre-doctoral clinical experiences sufficient in scope to accommodate the clinical curriculum for its students, and the development of postdoctoral relationships through affiliations. Through the UMDNJ-SOM OPTI, the school has one of the largest osteopathic GME program in the country. The program includes 77 interns, 153 residents, and 16 fellowship positions in the following areas: Cardiology, Child/Adolescent Psych, Critical Care, Gastroenterology, Geriatrics, Infectious Disease, Nephrology, Oncology, Pulmonary, Vascular Surgery. Great emphasis is placed on primary care programs including family medicine, general internal medicine, and the pediatric internship. UMDNJ-SOM is developing the new 3C Curriculum based on the seven competencies which will provide a continuum of education from admission to medical school through completion of residency training. 13 Appendix 5 Alumni Survey 2004 Results Standard 1.5 Standard 1.5 Standard 1.6 Exhibit 38 OPTI Report 2005 CHAPTER II RESOURCES TO MEET OUR MISSION GOVERNANCE, ADMINISTRATION, FINANCE, FACILITIES UMDNJ-SOM is one of eight schools within the University of Medicine and Dentistry of New Jersey (UMDNJ) under the umbrella of the Board of Trustees of the University and the President. The Dean of UMDNJ-SOM serves as the chief executive officer of the school and the Stratford campus and reports to the President through the Senior Vice President for Academic Affairs of UMDNJ. Each school of UMDNJ is required to develop its mission, goals and objectives and provide programs to carry out the educational, research and service delivery programs. AOA Standards The School has adequate funding resources to support its mission. As an entity within the UMDNJ state system, UMDNJ-SOM has the advantage of having multiple business associations with other schools and being a non-tuition dependent school that can leverage financial resources to obtain grant funding. Few osteopathic schools in the country have faculty practice plans that produce $35 million annually. The school also has centers for excellence that are consistently profitable. UMDNJ-SOM has the lowest default rate on student loans university wide. Appendix 6 Audited Financial Reports Standard 2.3 The control, conduct, management and administration of UMDNJ, including the patient care facilities owned, leased, or directed by the University, are governed by the Board of Trustees of the University. Both the University and the school have bylaws. The School of Osteopathic Medicine’s bylaws for governance were adopted in December 1980 and amended in 1989; April 1992 and October 2002. The Board of Trustees of the University provides the general supervision over and is vested with the conduct of the University. It determines the education policies and programs of the University and approves the educational curricula of the various schools. It determines policies for the organization, administration, and development of the University, determines fiscal policy and grants diplomas, and certificates or degrees. It appoints the President, Deans and other members of the academic administrative and teaching staffs and determines their compensation and terms of employment. The Board of Trustees can enter into contracts and agreements with the State or any of its political subdivisions or with the United States, or with any public body, department or other agency of the State or the United States or with any individual, firm or corporation which are deemed necessary or advisable by the Board for carrying out the duties and obligations of the Board as provided by law. The members of the Board of Trustees consist of the New Jersey Commissioner of Health who serves as ex-officio, without vote, and eleven voting members. The eleven voting members are appointed for a term of five years by the Governor, with the advice and consent of the Senate, and serve until his/her successor is appointed and has qualified. Annually, each member of the UMDNJ Board of Trustees signs a statement indicating that no conflict of interest would inhibit them from carrying out their duties and responsibilities as a trustee. 14 Standard 2.1 Exhibit 14 Bylaws for UMDNJ and UMDNJ-SOM Standard 2.1.1 Standard 2.1.2 Standard 2.2 Standard 2.1.3 Exhibit 39 Members of the Board of Trustees UMDNJ has been the subject of controversy over the past year. Medicaid billing irregularities in the UMDNJ operated University Hospital (not an affiliate of the School of Osteopathic Medicine) and the New Jersey Medical School’s Faculty Practice Plan are under investigation. Former federal Judge Herbert J. Stern was appointed as a federal monitor of UMDNJ financial processes as part of a deferred prosecution agreement. Justice Gary Stein has completed a report on purchasing and procurement. His recommendations are being reviewed and implemented, as appropriate. President Petillo resigned in February 2006. Prior to his resignation, he had enacted a detailed reform plan for UMDNJ that included the suspension of millions of dollars of management incentives, the review of billing issues, and an inquiry into contractual bidding procedures. The plan remains in place today. An interim chief operating officer is being appointed and a nationwide search for a new President will be undertaken. None of these issues, however, impact on UMDNJ-SOM’s commitment to the delivery of its mission to provide excellence in education, community service, research and patient care. During this time of renewal and change, the University will move forward, with vigor, to deliver its mission to contribute to the welfare of the people of New Jersey. UMDNJ remains fully accredited by the Middle States Commission on Colleges and Schools. Also, the Accrediting Council on Graduate Medical Education (ACGME), the American Dental Association (ADA) and the Liaison Committee on Medical Education (LCME) have all visited and inspected and approved UMDNJ institutions and programs. What concerns the Dean of UMDNJ-SOM is how media attention to these issues is overshadowing the important, productive and contributory work being done by UMDNJ. There is concern that the media have lost sight of how the university continues to fulfill its mission of improving access to quality health care throughout the state, with a faculty of educators and biomedical researchers pioneering important advances in health care. The UMDNJ-SOM Dean has urged that a greater effort be made to ensure that the positive contributions of thousands of dedicated health care professionals be recognized fairly and considered appropriately. UMDNJ-SOM is under the direction and supervision of a chief executive officer titled Dean. In 2002, R. Michael Gallagher, D.O., FACOFP dist. was named Dean for SOM following a national search. Dean Gallagher has relevant training and experience and a proven record of successful leadership in higher education. He holds this position full time and does not engage in gainful employment outside the institution. Dean Gallagher received his degree as Doctor of Osteopathic Medicine from Philadelphia College of Osteopathic Medicine. He is certified by the American Osteopathic Board of Family Physicians, the American Academy of Pain Management and has a certificate of added qualifications in Headache Management from the National Board for Certification in Headache Management. He is a graduate of Harvard Medical School’s Leadership Program for Physician Executives and a Colonel (Ret.) in the United States Air Force Reserves. He is a tenured professor in the Department of Family Medicine at UMDNJSOM, a clinical professor at the UMDNJ-School of Nursing, the Chief Operating Officer and Medical Director of the UMDNJ-SOM, P.C.-University Health care Services, and the Director of the UMDNJ-SOM University Headache Center. Dr. Gallagher has served in various administrative capacities at UMDNJ-SOM such as: Residency Program Director in Family Medicine, Acting Chair of Family Medicine, Assistant Dean of Primary Care, Assistant Dean of Clinical Affairs, Associate Dean of Academic and Clinical Affairs, and Vice Dean and Acting Dean, during his sixteen-year tenure with UMDNJ-SOM. Dean 15 Exhibit 15 Former President Petillo’s Reform Plan for UMDNJ Exhibit 40 Board of Trustees’ Four-Point Plan Appendix 7 Middle States Accreditation Statement Exhibit 41 LCME Accreditation Statement Exhibit 42 ADA Accreditation Statement Standard 2.5 Standard 2.5.1 Standard 2.5.2 Standard 2.5.3 Exhibit 43 CV of Dean Gallagher Gallagher currently chairs the UMDNJ Finance Committee. The UMDNJ-SOM Dean has brought together a number of influential residents who share a strong interest in promoting medical education, research and community-based health programs serving Southern New Jersey to establish a UMDNJ-SOM Advisory Board. The new UMDNJ-SOM Dean’s Advisory Board and Physician’s Advisory Board are helping to support and expand the school’s programs, sustain its leadership in diversity, and develop new alliances to further its mission. The Dean’s Advisory Board is invited to periodic roundtable discussions of the school’s progress and development plans and is helping the academic, research and health care leaders at the school meet with individuals and groups that share an interest in addressing the needs of the future. Upon the approval of the faculty and the Executive Council, UMDNJ-SOM confers the degree of Doctor of Osteopathic Medicine (D.O.) upon those students who have successfully completed the full course of study and have met the approved requirements for graduation. UMDNJ-SOM students fully meet the requirements set forth by the school. Robert J. Schieri, M.B.A. is the UMDNJ-SOM Executive Director of Finance. He has served in this capacity since November 2003. He was previously the Director of Finance for UMDNJ-SOM from 2000 to 2003. Prior to UMDNJ-SOM, he served as Strategic Financial Planner for University of Pennsylvania Health System. The Dean has the responsibility and authority for fiscal management of the school. UMDNJ-SOM submits an annual budget to the University that is reviewed and approved by the University Board of Trustees. It is combined with the budgets of the other seven schools and is sent to the State Treasurer in the Office of Management and Budget. Through this process, the UMDNJ Board of Trustees provides the resources necessary to achieve and sustain UMDNJ-SOM’s mission, goals and objectives. The UMDNJ-SOM budget development process begins in early October, with the State budget submission. This initial budget provides a high level overview of our sources and uses of funds as well as a comparison among budget and current year projections. Sources of funds include tuition and fees, indirect cost recovery, affiliation revenue and state appropriation. The variable components of our sources of funds (tuition and fees and indirect cost recovery) are projected based on known or anticipated changes in key variables such as student headcount and extramural awards. In addition, affiliation revenue is adjusted for general inflation and state appropriation funds are held constant pending feedback from the University Budget Office. The uses of funds component provides a high level breakdown among salary and nonsalary line items with accompanying detail provided in a separate schedule by department cost center. In accordance with the school’s strategic planning goals and objectives, the sources and uses of funds schedule is intended to reflect, albeit at a high level, the allocation of financial resources to meet these goals. A complete state budget package, including a narrative of strategic goals and objectives, is compiled and forwarded to the University Budget Office at the beginning of January. Concurrent with the State budget process, a more detailed budget planning process 16 Exhibit 44 Members of the Dean’s Advisory Boards Standard 2.2 Exhibits 45 Chief Financial Officer’s materials Standard 2.6 Standard 2.4 Standard 2.3 extends to the individual departments, centers and institutes. During this phase of budget development, specific budget goals are refined over the following months during a series of planning meetings with senior management, including the Assistant Dean for Faculty Practice Administration, Assistant Dean for Clinical Affairs and the CFO. Non-clinical areas involve the Senior Associate Dean for Academic Affairs and the Assistant Dean for Graduate Medical Education. It is the budget department’s responsibility to build the budget model for each department, train the administrators on its use, assist them with any issues, adhere to prescribed timelines, and recompile the budgets for consolidated reporting to the University Budget Office. As the final budget is intended to reflect strategic goals and objectives, collaboration with the Director of Strategic Planning & Development is ongoing. Final budgets are submitted to the Dean for approval, and then to the University Budget Office. The final approved state budget is reported in late May or early June. In essence, the state budget, developed in early Fall, provides a high level planning document used to guide the overall development of specific department budget submissions. Standard 2.4 In order to ensure that departments remain on target with their budget submissions, a review process takes place, where senior management meet monthly to assess progress, identify and resolve issues and review various aspects of financial performance. Recommendations are discussed with the relevant department leadership and, when necessary, approved by the Dean. It is through this collaborative process that the School’s mission, goals and objectives are realized. The Dean and the Senior Associate Dean provide administrative leadership for UMDNJSOM. Together, They have extensive experience and training in higher education and medical education. Warren Wallace, Ed.D., LPC is the Senior Associate Dean for Academic and Student Affairs. Dr. Wallace served as Associate Dean for Academic and Student Affairs for UMDNJ-SOM from 2003 to 2005 and prior to that as Associate Dean for Admissions and Student Affairs (1998-2003). Before joining UMDNJ-SOM in 1989, Dr. Wallace was Director of Rowan University’s Office of Educational Opportunity Fund/Program and Minority Achievement Program. Dr. Wallace’s curriculum vita is Exhibit 46. Other senior leaders include: Paul M. Krueger, D.O., FACOOG, Assistant Dean for Education and Curriculum; Andrew A. Pecora, D.O., Assistant Dean for Education and Faculty Development; William F. Ranieri, D.O., FACN, Assistant Dean for Clinical Affairs and Medical Director, Faculty Practice Plan, Yeongsook Yoo, Ph.D., Interim Assistant Dean for Research. The organizational structure of UMDNJ-SOM, as approved by the Board of Trustees, is attached as Appendix 2. The COM has an Executive Council; the composition and duties are spelled out in the bylaws. The Dean gives responsibility and authority to Chairs and Center Directors to oversee their individual departments including clinical services, academics, research and community service. There are standing committees of the faculty that include admissions, curriculum, faculty affairs, research and student affairs. In addition, there are the Faculty Practice Plan Committee and an Academic Chairs Committee. The Faculty Practice Plan meets monthly and the Academic Chairs Committee meets six times per year, alternating with the Executive Committee. The Dean’s Management Team meets weekly and is composed of the Dean, Senior Associate Dean for Academic and Student Affairs, Assistant Dean for Clinical Affairs, Assistant 17 Exhibit 46 Senior Associate Dean’s CV and job description Standard 2.7 Dean for the Faculty Practice Plan, Executive Director for Finance, Director of IS&T, the Chief Operations Officer and Director of Strategic Planning and Program Development. In selecting administrative personnel, UMDNJ-SOM does not discriminate on the basis of race, gender, color, religion, creed, sexual orientation, national origin or disabilities. The diverse staff provides the rich role models necessary for medical education. UMDNJSOM has some diversity in upper management and a number of high level chairs, deans and senior managers have a great deal of longevity and stability in the system. Among full and part-time staff at UMDNJ-SOM in 2003, 70 percent were women, 21 percent were minorities and 15 percent were underrepresented minorities (URM), which compares favorably with the national averages for women, minorities and underrepresented minorities. The percentage of URM students exceeds the percentage of URM faculty and staff but, with a range of programs that encourage and support diversity, including affirmative action in admissions as one aspect of a comprehensive approach, evolutionary change is occurring. UMDNJ-SOM’s student population presently mirror the diversity of the community the school serves; we continue to work toward the goal of having our faculty and staff also mirror the diversity of our community. Standard 2.8 Exhibit 47 Affirmative Action Fair Employment Practices Facilities, Equipment and Resources UMDNJ-SOM utilizes facilities belonging to UMDNJ as part of a state authority. The facilities are located on a 31-acre campus in Stratford, New Jersey in order for students and faculty to successfully pursue the educational goals and curriculum of the COM. The four main buildings have a combined total of 376,000 square feet. The main buildings where the curriculum is delivered are: the Academic Center, the University Doctors’ Pavilion, the University Educational Center and the Science Center. Within this complex are various educational and student/faculty support areas such as classrooms and lecture halls, small group teaching rooms, teaching laboratories for osteopathic manipulative therapy and basic science instruction, an Anatomy laboratory, a Health Sciences Library, skills enhancement workrooms, student lounges and dining facilities. The majority of our classrooms and meeting spaces are designed for multiple purpose use, allowing a broad range of activities to be held in a limited number of rooms. The buildings are clean and orderly and maintenance personnel are quick to respond. The present academic facilities were built and planned to accommodate class size of 100 plus students. Under the direction of the present Dean, class size has slowly risen. The Class of 2009 was the first class to reach the 100 students per class goal. Recently, the American Association of Medical Colleges has called for an increase in class size of 15 percent. The American Osteopathic Association and AACOM have held a workforce summit to evaluate issues in the osteopathic profession and make recommendations regarding class size expansion. If expansion of class size is approved, UMDNJ-SOM will need to reexamine the use of space on campus to accommodate the expansion. UMDNJSOM will make strategic decisions with UMDNJ Central Administration regarding future class size to seek a greater sense of parity with the two other medical schools. There is currently a master plan for campus expansion. The CARES Institute at UMDNJSOM and the new New Jersey Institute for Successful Aging are new state wide institutes 18 Standard 3.1 Exhibit 48 UMDNJ-SOM Facilities Standard 3.1 Exhibit 49 UMDNJ-SOM Master Plan 2005 housed within UMDNJ-SOM. To accommodate the expansion of these institutes, and to accommodate future growth, the UMDNJ Foundation has purchased land contiguous to the present campus with outlet onto the main artery, Route 30, the White Horse Pike, in order to provide greater visibility in the community. The State Legislature is working with UMDNJ-SOM to open this entrance and create a new four-story building. Architects drawings have been developed and plans for building and fundraising are ongoing. A new parking facility is planned. Attendance at professional and community meetings and seminars held on campus occasionally creates parking shortages now in the more convenient parking lots, resulting in overflow parking in the more remote parking areas of the campus. There is, however, adequate parking for the present student and faculty and this will be expanded as the campus grows The UMDNJ-SOM Health Sciences Library, comprising 13,500 square feet on the ground floor of the Academic Center, serves faculty, students and staff at the UMDNJ-School of Osteopathic Medicine. The Library is actively involved in support of all levels of education at the School of Osteopathic Medicine. The Library houses over 37,000 volumes, including more than 10,000 books and print subscriptions to 461 journals in the clinical and basic sciences. In addition, electronic resources include approximately 15,000 online journals and 325 electronic books. It has a seating capacity of 120, which includes twenty-three study carrels. See Appendix 8 for Health Sciences Library Resources. The Reserve Collection houses resources required or recommended for use by faculty members in all academic programs. Communication with faculty, regarding updated resources or course requirements, is constant throughout the year. The Library has also developed an Academic Resources section on its homepage. The Reserve Reading section is a secure, password protected area on the website. It incorporates links to online resources which are required readings, course syllabi, and support materials for a number of courses. The Center for Student Academic Resources (CSAR) staff offer peer tutoring and individualized content reviews by academically qualified teaching assistants. The CSAR staff offers a variety of services that fully support the curriculum including: a group study program with student groups and content leaders to build upon the student’s self-directed and collaborative learning skills; a peer tutoring and group study program, offering a learning experience for the tutors as well as the students; and workshops outlining study strategies to improve academic performance. In addition, the Center coordinates a PreMatriculation Summer Program for at-risk students and a science-focused summer program for educational opportunity students. The Assistant Dean for Education and Curriculum and the CSAR staff oversee the Fundamentals of Medicine I and II courses in the curriculum. The goal of the Fundamentals of Medicine I course is to provide a comprehensive review of the basic sciences and clinical medicine to help students integrate information in their clinical problem-solving and maximize their preparation for the COMLEX. The Fundamentals of Medicine II course provides students with an overview of the knowledge areas tested by COMLEX Level 2, CE and PE. Through the support of the CSAR and staff, the goal of these programs is to help all involved develop higher order thinking skills and move toward an in depth learning experience. Student tutors in the program gain the benefit of advancing their evaluation and presentation skills through the use of discipline knowledge. 19 Exhibit 50 Facilities Monthly Reports Standard 3.2 Appendix 8 Health Sciences Library Resources Standard 3.2 Standards 3.1, 3.2 The Educational Media and Resources Department maintains a suite of production, storage and studio space used in support of the school's curriculum. The staff of Educational Media provides consultation, production and/or support in the areas of graphics, photography, multimedia and video production, and audiovisual support including video teleconferencing. Technical staff is available to consult on production requests and to provide audiovisual support to classrooms and other venues on the Stratford campus. Staff provides support to events, classes and conferences on evening or weekend hours, and/or locations off-campus. Through the use of in-house cable, the media department sends video images to various classrooms, laboratories and meeting areas throughout the building. This cabling also enables the department to provide an electronic bulletin board that is available in the Academic Center lobby to keep students up-to-date on lectures, meetings, and events. Information Systems & Technologies (IST) supports UMDNJ-SOM’s curriculum with state-of-the-art technology and innovative instructional design programs. New technologies allow for improved services including wireless capability throughout the campus and constant improvements to instructional systems. A clear plan for life cycle review of equipment and computers and their financing will help meet future needs. IST issues academic computing accounts to students and faculty that provide access to email and the Internet. The staff designs and maintains the school Internet presence and SOM portal (intranet) content. The SOM portal is a new initiative that offers academic information targeted for students and faculty and group communication tools for use by student clubs and organizations. IST maintains the Faculty Development Resource Center, which houses high-end computers and scientific applications. Instructional design staff provides one-on-one training for faculty. IST conducts faculty development workshops in the use of WebCT and, for the design of interactive teaching materials, and supports faculty in transforming traditional lecture material to online formats. WebCT Campus Edition is licensed by the University and runs on a dedicated server in the IST Data Center in Newark. This application provides a platform for phased-in integration of on-line learning at SOM. Benefits of this technology include: enhanced opportunities for communication among faculty-students and students-students and the potential for enhancing courses with interactive student activities such as cased-based learning modules and threaded discussions. Other uses of WebCT at SOM include online course evaluations, communication tools for forums and committees, and delivery of continuing education. A new version of WebCT, Vista, has been licensed by the University and will be installed in the IST data center in Piscataway in 2005. Primary advantages of the new system include student enrollment management with Banner integration, and the ability of faculty to share content across courses. The Banner system is the central repository for student, personnel and financial recordkeeping, the comprehensive source of authoritative UMDNJ data. Current WebCT CE courses will be migrated to WebCT Vista by Fall 2007. Other supported instructional programs include DxR Clincian, a patient simulation program. The UMDNJ IAIMS Project (part of a grant from the Informatics Institute of UMDNJ) has purchased a one-year subscription to the library of 100+ DxR Clinician cases. The program consists of patient interviews, examinations, lab work, and diagnosis and patient management. 20 Exhibit 51 Educational Media Equipment and Services Standard 3.1 Exhibit 52 IST Services Standard 3.2 Standard 3.1 Students receive immediate self-assessment and faculty can access individual student records for evaluation. DxR Clinician can be employed as a case-based learning, problembased learning, or student-directed practice tool. Faculty and students will access DxR Clinician via secure log in on the web. The UMDNJ Department of Human Resources provides proactive approaches to recruitment, orientation, and retention of staff, interpretation and administration of benefits, compensation, and labor relations policies. Human resources provide technical expertise in staff motivation, performance management and employment relations. The Department has made significant developments in maximizing technology in order to render more comprehensive and enhanced services for customers, including students, faculty and staff. Information is available at http://www.umdnj.edu/hrweb/. Physical Facilities and Equipment at UMDNJ-SOM are continuously monitored for cleanliness and operability. Cleaning service staff is deployed daily throughout all buildings on campus. Regular inspections are made to verify that all rooms provide an efficient, comfortable, and supportive environment for teaching and learning, research and patient care. The departments of Facilities Management, Physical Plant, and Environmental Services conduct weekly inspections of all classrooms, teaching laboratories, computer laboratories and educational support areas to make certain that the rooms are well maintained and furniture is in good working order. Departments are regularly solicited for feedback regarding the quality and effectiveness of services provided by those responsible for the maintenance of physical facilities. With the ongoing support of Senior Management, maintenance and support requests are given priority status for these areas. The Public Safety Department has sixteen trained officers that patrol the campus on a twenty four-hour seven-day a week schedule dedicated to protecting the life and property of the school. UMDNJ-SOM has one of the lowest crime incident rates of all of the UMDNJ campuses. Standard 3.1.1 Exhibit 53 Public Safety Annual Security Report Educational Media and Resources assesses the appropriateness of its resources through several methods. Student and faculty course evaluations are reviewed with the Assistant Dean of Academic Affairs to identify potential issues. There is a continuous evaluation of requests for production and audio-visual support in order to identify needs, shortages or required upgrades in equipment and services. Communications with other institutions of higher learning in the South Jersey-Philadelphia region on topics and issues in audiovisual support and media production often prompt reexamination of inventory and services. The Library utilizes a variety of assessment and evaluation tools to analyze and improve the effectiveness of its resources and services. Standard collection development tools are utilized to ensure that the Library’s collection includes the books, journals, audiovisuals, and computer software necessary to provide a high level of support to students, faculty, and staff at the UMDNJ-SOM. Best practices at academic health sciences libraries are investigated and reviewed through participation in professional associations. In 2005, the University Library participated in a large scale survey entitled LibQUAL, a nationally recognized, Web-based survey whose goal is to assist libraries in fostering a culture of excellence in library service and identify best practices in library services. Information from the survey will be used to develop a new strategic plan for UMDNJ’s libraries. 21 Standards 3.1, 3.2 The Library Committee, comprised of students and faculty at UMDNJ-SOM, as well as other schools on the Stratford Campus, serves as a source of information for current academic, clinical and research needs. The Library’s hours have been extended during exam periods as a result of feedback from students on the Committee and support from faculty. All hospitals or health systems that are teaching affiliates of UMDNJ-SOM maintain staffed Library facilities. Print collections of books and journals and microcomputer resources are available at all sites. The computers provide access to Web-based information, including links to the UMDNJ Health Sciences Library’s licensed databases and extensive online book and journal collections. Students, paid, and volunteer faculty may access these online resources remotely, ensuring that they continue to have access to all of the scholarly information resources available at the Stratford Campus. Learning resources at all affiliated teaching sites are identified and monitored for functionality by the faculty located at those facilities. Support of those facilities is maintained by the affiliate or UMDNJ-SOM, based on the specific affiliation agreement. The Kennedy Health System has representation on the UMDNJ-SOM Library Committee. Currently, teaching affiliations are shared with three divisions of Kennedy HealthStratford, Cherry Hill and Washington Township; Our Lady of Lourdes Medical Center in Camden; Christ Hospital in Jersey City and Barnert Hospital in Patterson, New Jersey. These affiliates provide students with opportunities to conduct hospital-based clinical rotations in the third and fourth years of their education. Individual departments may use the facilities of volunteer faculty and local nursing homes to provide clinical rotation sites to third and fourth year students. Chairs of departments at UMDNJ-SOM serve as chiefs of services at several affiliated hospital sites and have resource and facility oversight through their active roles on Medical Executive Committees at the affiliated sites. 22 Exhibit 54 Health Sciences Library Committee Minutes Exhibit 55 Affiliated Hospital Library Services Standard 3.3 CHAPTER III FACULTY DRIVING THE MISSION The current number of faculty at UMDNJ-SOM is more than sufficient to fulfill its mission and objectives. UMDNJ-SOM currently employees 197 paid faculty members (184 FTE) and has a total of 365 osteopathic students, creating a student/faculty ratio of 1.85 (1.98 if utilizing FTEs). Of the 197 paid faculty members, 85 are DOs, 46 are MDs and 40 hold a PhD Others degrees include 20 RNs, three EdDs, one DVM and one PsyD and one MA. Thirty-three faculty members are basic scientists; 156 are clinicians and eight are classified as non-clinical faculty. The large full-time faculty, large number of primary care faculty, along with part time and volunteer faculty, help insure the fulfillment of the school’s academic, research and clinical missions. The fulltime faculty cannot have outside employment; therefore, they direct all their time and energy to the success of the school and its students. The school utilizes 345 voluntary faculty members who undergo the same faculty appointment process as the full time faculty. Two hundred twenty seven (66 percent) of the voluntary faculty are osteopathic physicians. When these voluntary faculty members are considered, the student to faculty ratio drops to 0.67. Because of the wide breath of faculty expertise at UMDNJ-SOM, only a limited number of non-affiliated faculty from other institutions is invited to provide expertise in certain areas not covered by UMDNJ-SOM full time faculty. In the first two years of the curriculum, less than one percent of instruction is given by external faculty. AOA Standards Standard 4.1 Exhibit 56 Faculty Roster The majority (79 percent) of our faculty are clinicians. Forty-three percent of the faculty and fifty-four percent of the clinical faculty are osteopathic physicians. Intermingled in the clinical faculty are allopathic physicians, many of whom have a long-term commitment to our school. The teaching programs of UMDNJ-SOM are augmented by our 345 volunteer faculty members distributed throughout the state of New Jersey. Two hundred twenty seven (66 percent) of the voluntary faculty are osteopathic physicians, 88 (26 percent) are MDs and 30 (nine percent) hold other degrees. Academic Affairs has completed a faculty work plan to insure faculty adequacy for both the present and new curricula. The present preclinical curriculum requires 2727 contact hours annually. The new 3C Curriculum is estimated to require 2753 contact hours annually. The existing preclinical curriculum, therefore, requires an average of 14.3 annual contact hours per faculty member; the 3C Curriculum will require an average of 21.6 annual contact hours per faculty member. This difference represents less than one faculty FTE. Clinical revenue from the faculty practice plan is a high portion of the operating budget and, in this time of declining revenue for clinical services, this presents a funding challenge. With malpractice insurance rates rising and the need for more physicians continuing, a possible expansion of our class size and opportunities in Graduate Medical 23 Appendices 9,10 Two Faculty Adequacy Models: Current Curriculum New 3C Curriculum Standard 4.1.1 Education offer opportunities for expansion. The Practice Plan will continue to expand and add sites and specialty services. The school’s recruitment, in an osteopathic rich state like New Jersey, will lend itself to acquiring more faculty and students in the future. Our faculty are recognized as leaders in their fields. Last year they published 105 scholarly papers (http://www3.umdnj.edu/stlibweb/bib/index.html). Members of our faculty have held numerous prestigious positions in organizations outside the COM since the last accreditation review. Appendix 11 Positions Held Outside the COM by UMDNJ-SOM Faculty The UMDNJ Administration and Board of Trustees expects UMDNJ-SOM to have a research program on par for an allopathic school of our size and age. UMDNJ-SOM has greatly expanded our research faculty in order to meet these requirements. Since the last site visit inspection, the size of the research laboratories has been increased from no research space in Stratford to 95,000 sq. ft. of research space in the new Stratford Science Center. This expansion has enabled UMDNJ-SOM to offer a Masters of Biomedical Sciences program, a DO/PhD dual degree program and a DO/MS program. Standard 4.1.1 Two clinical areas where there has been major growth are in the Institute for Successful Aging and NJ Cares Institute. UMDNJ-SOM expects to expand faculty numbers in these programs still further in the coming years. These are statewide programs with UMDNJSOM being the lead institution. The expansions attest to the high regard in which our faculty is held by both our peer allopathic institutions and the State of New Jersey. Expansion of our University Doctor’s Pavilion allows for further growth of the clinical faculty. UMDNJ-SOM appoints faculty members in accordance with established University policy and procedures. The method is consistent with achievement of its educational mission and objectives. In compliance with Title VI and other applicable laws, UMDNJSOM is committed to a program of Affirmative Action and Equal Employment and Educational Opportunity and does not discriminate on the basis of race, color, creed, religion, sex, national origin, handicap or other characteristics. The School works to have the diversity of the faculty and administration match the increasing diversity of the student body. However, as senior faculty age and retire, UMDNJ-SOM is challenged to identify, mentor and train the next generation of leadership. Dean Gallagher’s leadership training programs, offered regularly for staff and junior faculty, are one part of this mentoring process. Requests for permission to recruit faculty are initiated by the department chair and approved by the Dean. Searches for qualified faculty occur both within and external to the institution. Special recruitment efforts are undertaken to ensure a diversity of candidates. Applicant self-identification forms are sent to all qualified applicants for faculty positions. Positions are advertised in publications that reach diverse ethnic and cultural populations. Interviews of qualified candidates are conducted by duly constituted faculty committees that are structured in accordance with the policy of the University and the bylaws of UMDNJ-SOM. 24 Standard 4.1.2 UMDNJ-SOM has core associated hospitals and secondary affiliated hospitals. The affiliation agreements with associated institutions require that full time faculty oversee each program and that faculty be full-time on-site at affiliated hospitals. They are appointed by the school and faculty members report to the chair of their respective department for all academic matters. The core affiliation with Kennedy Memorial Hospital’s University Medical Center includes all full-time clinical faculty members and also delineates chiefs of service. Major affiliations with Our Lady of Lourdes Medical Center and Christ Hospital include the appointment of faculty members by the school and on site supervision by the appropriate Medical Director of Graduate Medical Education. Evaluation of all full time faculty members occurs on an annual basis according to procedures established by the university in negotiation with the American Association of University Professors. In this process, faculty members are evaluated on specific goals involving all four aspects of the university and school mission - teaching, research and scholarship, patient care and service. Evaluations are performed by the Chair based on a faculty data form completed by the faculty member. Each chair and center director is also evaluated annually by the Dean on the achievements of his/her department on all four aspects of the school’s mission. This evaluation is based on the department’s annual report, as well as reports completed for the Dean by the appropriate assistant/associate deans. Merit based salary increases are distributed based on these evaluations. The educational contribution of every faculty member is measured and reported to the Chair as part of the evaluation process utilizing a standard form. Selection of Department Chairs is preceded by an extensive search, interview and selection process that includes a review of the nominees experience in teaching and academic leadership in a medical education setting. The Department Chair must demonstrate that he/she is certified in their specialty, fully licensed to practice in the State of New Jersey and has demonstrated the qualities necessary to administer the clinical, as well as the academic programs, within the department or division. Exhibits 9,10,11,12 Affiliation Agreements Standard 4.2 Exhibit 25 Faculty Activity Report Exhibit 24 Faculty Evaluation Form Standard 4.2.1 Carman Ciervo D.O., the Chair of the Department of Family Medicine, is certified by the American Osteopathic Board of General Practitioners. Stephen Burnstein D.O., the Acting Chair of Department of Internal Medicine, is certified by the American Osteopathic Board of Internal Medicine and Martin Finkel D.O.,currently the Acting Chair of Pediatrics, is AOA Board Certified. Jacqueline Kaari D.O., the Vice Chair of Pediatrics, is certified by the American Osteopathic Board of Pediatrics. David Mason D.O., Vice Chair of Osteopathic Sciences, holds a certification in Neuromusculoskeletal Medicine. The Department of Osteopathic Sciences, this year, added one more Neuromusculoskeletal/ Osteopathic Manipulative Medicine Board certified physician to the department. All chairs and acting chairs of clinical departments are AOA Board-certified or ABMS certified in one of the disciplines included within the department. Standard 4.5 Standard 4.2.2 Standard 4.3 UMDNJ-SOM adheres to Title VII of the Civil Rights Act of 1964, as amended; the Age Discrimination in Employment Act of 1967, as amended; The Equal Pay Act of 1963, Section 504 of the Rehabilitation Act of 1973, as amended and 38 U.S.C. 4212 of the Vietnam Era Veterans Readjustment Assistance Act of 1974, Americans with Disabilities Act, and all other federal and state civil rights and anti discrimination statutes. UMDNJ- Standard 4.4 Exhibit 57 UMDNJ Policies 25 SOM operates under the policies of the University of Medicine and Dentistry of New Jersey. There are prohibitions against discrimination in the University’s Policy Manual in Section 00-01-20-05:00. The school has developed and published an Affirmative Action/Equal Employment Opportunity Fair Employment Practice Guide which fully explains the hiring procedure for all regular faculty appointments, regardless of full-time equivalency, all temporary faculty appointments, regardless of full-time equivalency, all academic administrative appointments and all full-time, part-time, regular and temporary executive, administrative, professional and other high level staff positions. In 2002, the Assistant Dean for Education and Faculty Development was charged with ensuring that faculty had the tools necessary to provide students with an excellent learning experience at the school. An office for faculty development was established that initially delivered a three-day program for new faculty that involved Chairs of all departments, Directors and Deans, presentations on campus technology, media and the library. The center offered an item-writing workshop presented by a faculty member from Rutgers University. They offered a four-part program on the Philosophy and Principles of Osteopathic Medicine, for staff and basic science faculty, and then a series for Doctors of Osteopathy at UMDNJ-SOM, as well as in the community. The center also offered a teaching workshop in collaboration with the local Area Health Education Center (AHEC). Over the past seven years, the Department of Family Medicine, with grant support from HRSA, has incorporated extensive faculty development training for its more than 20 fulltime faculty and 100 volunteer faculty. Initially, training focused on curriculum development and assessment, leading to the revision of all family medicine courses and clerkships. Faculty development is ongoing in cultural competency and interdisciplinary training with special emphasis on the Standardized Patient Laboratory. UMDNJ-SOM’s Department of Family Medicine has become a national leader in this realm. The Department of Family Medicine utilizes community-based physicians for preceptors. All those physicians must utilize OMM in their practices. Faculty development for these physicians, including faculty development in OMM, occurs annually during the New Jersey Association of Osteopathic Physicians and Surgeons (NJAOPS) Atlantic Regional Osteopathic Convention (AROC). One of the annual faculty development workshops offered focuses on the philosophy and principles of osteopathic medicine and is targeted towards non-D.O. faculty and staff, to provide them with an understanding of osteopathic philosophy and principles. Other workshop topics include the structural examination and diagnosis of systemic dysfunction; osteopathic manipulative techniques for specific organ systems; and osteopathic manipulative treatment for the bed-ridden patient. This year, the Department of Osteopathic Science hosted guest lectures, open to students and faculty, by Steven Blood, D.O., FAAO and John Capobianco, D.O., FAAO on “Introduction to Osteopathy in the Cranial Field.” A guest lecture was also offered by James Lipton, D.O., FAAO on “OMT in Low Back Pain from a Physical Medicine and Rehabilitation Perspective.” A sponsored CME event hosted at UMDNJ-SOM was done by Maude Nerman, D.O., FAAO, of the Cranial Academy on “MVA Crash Recovery: 26 Exhibit 47 Affirmative Action/Fair Employment Practices Standard 4.6 Exhibit 58 Faculty Development Materials Standard 4.6.1 Standard 4.6.1 The long road home.” UMDNJ-SOM faculty members, Drs. Mason, King and Gilliss were invited table trainers for the Philadelphia College of Osteopathic Medicine 40-hour CME Basic Osteopathy in the Cranial Field Course sponsored by the Cranial Academy in 2005. The Department of Osteopathic Science at UMDNJ-SOM has been meeting regularly with department chairs and faculty in Family Medicine, Internal Medicine, Surgery, Geriatrics, Pediatrics, OB-Gyn, Psychiatry, Physical Medicine and Rehabilitation and Emergency Medicine, to serve as a resource for osteopathic education and treatment services throughout the school, and to mentor faculty in these specialties to further the application of osteopathic principles and techniques. UMDNJ-SOM’s commitment to OMT education has been noted nationally, as demonstrated by the American Academy of Osteopathy’s request to hold two of its national Continuing Medical Education events at UMDNJ-SOM in the coming year. In addition, the Educational Counsel of Osteopathic Principles held their 2005 meeting at UMDNJ-SOM. Standard 4.6.1 After reviewing feedback from evaluation tools used in its early workshops, the Faculty Development Center changed its format, offering workshops every three months, with four workshops being offered simultaneously. Faculty attendance at workshops is a challenge due to clinical schedules. As is often the case with academic medical centers, clinical and research financial demands on faculty compete with educational needs. Faculty development workshops included in-house and outside experts on the topics of: How to Write a Scientific Paper for Publication, Power Point Trouble Shooting, Evidence-Based Medicine, Item Writing, Statistics for Medical Writers and Editors, Cultural Diversity and Curricular Development, and Problem- Based Learning. Recently, faculty development introduced an intensive program of teaching skills designed to meet the needs of the new clinical presentation curriculum, organized by body systems, that utilizes multiple learning formats and teaching techniques. Monthly workshops dedicated to topics of case-based learning styles and case development preparation have been introduced. The center for Faculty Development offers biannual workshops on teaching skills, mandatory for new faculty and for faculty designated by chairs. Faculty is videotaped and receives feedback on teaching skills and presentations. These workshops introduce faculty to the standardized patient laboratory and the teaching of specific physical diagnosis skills. The Dean has recently challenged leadership to achieve one hundred percent participation in faculty development. The Senior Associate Dean for Academic and Student Affairs, the Assistant Dean for Education and Faculty Development, and the Assistant Dean for Education and Curriculum, in conjunction with the Chairs, are developing plans to meet that challenge. An evaluation of departmental faculty development activities and participation in these events is part of every Chair and Center Director’s annual review with the Dean. In addition to our ongoing programs, the school plans a departmentally based faculty developmental program, including faculty development in OMM. Faculty at UMDNJ-SOM has several forums for the free exchange of ideas and concerns. These forums include the five committees of the faculty that are charged in the bylaws – curriculum, student affairs, faculty affairs, research and admissions. These committees report to the Executive Council. The bylaws of the University outline the organization of the faculty. Within the structure of each school, individual faculty members are organized 27 Standard 4.7 into departments. The clinical departments are organized along clinical lines while the basic sciences are organized into two departments, cell biology and molecular biology. Each department conducts periodic meetings that foster an opportunity for free and open discussion. The Dean conducts quarterly faculty meetings that are a forum for the frequent exchange of ideas and provide opportunities to bringing forward issues of concern. The Executive Council consists of each department chair, the faculty chairs of Standing Committees, in addition to the three at-large members elected by the faculty. The Executive Council meets on alternate months with the Dean and the Assistant Deans. The Executive Council considers important issues that have come to the attention of the administration. Reports from the Executive Council are distributed to the full faculty. Meetings for all full and part-time faculty are held at least four times during an academic year. This forum serves as the final decision-making authority for issues brought before the faculty from the Executive Council, the Dean and the departments. It also considers matters brought from the floor. Exhibit 59 Members of Executive Council Faculty members are unionized at UMDNJ. Each faculty member is represented in collective bargaining by the American Association of University Professors (AAUP). The AAUP has, through its leadership, the ability to conduct meetings for the purpose of expressing ideas and concerns. All new appointments and promotions to Assistant Professor or higher are reviewed by the UMDNJ-SOM Faculty Affairs Committee. This Committee is advisory to the Dean. As part of the multi-campus UMDNJ system, eligible faculty may be awarded tenured appointments. At present, 21 faculty members are tenured at the school. It is the intent of administration to substantially increase the number of tenured faculty. Members of the Faculty Affairs Committee are appointed by the Dean. The Committee consists of a balanced mixture of senior clinicians and basic scientists. Any faculty member can apply either through his/her department chair or, independently, for review for promotion. A Handbook on Appointments and Promotions has been prepared by the Faculty Affairs Committee, approved through the School’s Executive Council, and ratified by the Faculty. This handbook, which is given to all new faculty, addresses promotions, conferral of tenure for clinicians and basic scientists, designation of retiring or retired faculty as Emeriti, designation of Distinguished Professors, reappointment, terms of appointment and qualified academic rank. UMDNJ-SOM has established written policies and procedures that are applied in conjunction with the policies of the University of Medicine and Dentistry of New Jersey, collective bargaining agreements and AA/EEO guidelines. The UMDNJ Bylaws define issues of faculty employment. A Faculty Handbook is distributed to each new faculty member as a source of general information addressing policies and procedures, benefits, faculty privileges and faculty services. These manuals are periodically reviewed and revised by UMDNJ. A copy of the contract between the University and the AAUP is provided to all faculty members. All University policies are available to employees on the Web at: http://www.umdnj.edu/oppmweb/Policies/contents.html. UMDNJ has an administrative policy titled, “Code of Ethics: General Conduct” that is 28 Standard 4.8 Exhibit 60 Handbook on Appointments and Promotions Exhibit 61 Faculty Affairs Committee Minutes Exhibit 57 UMDNJ Policies Appendix 12 Code of Ethics Standard 4.9 distributed to all employees, trustees and faculty who must verify receipt on a signature page. This policy provides faculty, staff and trustee with the code of ethics by which their conduct will be governed. All D.O. faculty is expected to adhere to the code of Ethics established by the American Osteopathic Association. As evidence of our commitment to emphasizing the importance of ethics and professionalism, UMDNJ-SOM has a full time Professor of Bioethics and ethics is a designated part of our curriculum. An extensive professionalism component, with input from faculty, administration and students, will be integrated throughout the new 3C Curriculum. The student of osteopathic medicine is expected to observe the same high standards of self-discipline and ethical conduct as the practicing osteopathic physician. As future osteopathic physicians, all students agree to follow the Code of Ethics adopted by the American Osteopathic Association. Therefore, students of the UMDNJ-School of Osteopathic Medicine must demonstrate the spirit of honor, the conduct, and the personal integrity their profession expects. Every aspect of student life is considered under the Code of Ethics, from the most simple laboratory experiment to the relationship between student doctor and patient. 29 Exhibit 29 Education Handbook Exhibit 62 CV of Professor of Bioethics Exhibit 63 AOA Code of Ethics Signatures CHAPTER IV EXCELLENCE IN EDUCATION STUDENTS & CURRICULUM In 2004, the Office of Academic Affairs and the Office of Student Affairs were combined under the Senior Associate Dean of Academic and Student Affairs. The Office of Student Affairs serves as a focal point for matters pertaining to students. The mission of the Office of Academic Affairs is to promote and facilitate academic excellence and lifelong learning. All students are obligated to comply with University bylaws, policies and procedures at all times during their enrollment. The Education Handbook is available in the Department of Student Affairs and is also published on the UMDNJ-SOM web site. Each student is provided with a copy. Offices represented within the Student Affairs Department include: Admissions, Alumni Affairs, the Center for Student Academic Resources, Pre-College and College, Registrar, Student Health and Student Services, Financial Aid and Counseling and Student Health (Mental/Physical). The Admissions office maintains a policy and procedural manual that is reviewed and updated each academic year. All staff of the Admissions Office, along with members of the Admissions Committee, are given a copy of the manual. The information provided in the manual contains policies and criteria designed to meet the mission and objectives of UMDNJ-SOM. An annual training seminar is conducted by the Admissions Director for Committee members. AOA Standards Exhibit 29 Education Handbook Standard 5.1 Exhibit 64 Admissions Manual UMDNJ-SOM carefully considers the academic qualifications of all applicants to be sure each individual meets the minimum standards. UMDNJ-SOM uses the MCAT and undergraduate grade point average as two predictors of success, since research has proven these to be the most reliable. UMDNJ-SOM is proud that the school can maintain excellent admission GPA and MCAT’s and lead the country in the diversity of the student body. Our admissions GPA for 2005 is 3.48 and our mean MCAT score is 8.81. Our retention rates are very high. According to our June 2004 report, our average retention rate for the most recent cohort is 94.5 percent. Candidates are also evaluated on their letters of recommendation, interview, essay and the previous schools they attended. Noncognitive factors are based on their school’s ranking in Barron’s Guide and considered part of the interview process. Once admitted, students are continually evaluated quantitatively based upon their performance on individual exams and course requirements and their performance on the COMLEX. Our COMLEX pass rate is typically in the 90% or more range. Prior to the initiation of the computerized examination, the majority of our students have taken the Level 1 and Level 2 exams in June and January respectively. For these administrations, the UMDNJ-SOM seven-year average pass rate has been 94.54% for Level 1 and 93.17% for Level 2. Students are also evaluated by the faculty and attending physicians who complete their clinical evaluations. Their final records are approved by the Board of Trustees. Throughout the four-year curriculum, student performance and progress is closely monitored by our Center for Student Academic Resources (CSAR) and the Student 30 Standard 5.1.1 Affairs Committee. Students who begin to have academic difficulty at any point in the curriculum are counseled and supported by our academic support staff, a peer-tutoring program, study groups and weekly reviews, until their performance improves. Generally, students are able to return to their previous levels of performance within a semester; partly because we admit students who have the ability to complete the curriculum and, partly, because of these built-in student supports. In the 2000-2001 cohort, the latest completed cohort, the School had a 98.7 percent overall retention rate and a 100 percent retention rate for black and Hispanic students. The recruitment of a qualified student body is essential for the UMDNJ-SOM and the medical profession, in general. The quality and diversity of the student population impacts each component of Academic and Student Affairs. Various recruitment activities have been developed to insure the enrollment of a qualified diverse student body. The Admissions Committee of UMDNJ-SOM requires that every applicant submit results from the Medical College Admissions Test, as well as a premedical committee letter or at least two science faculty letters if the premedical committee letter is not appropriate. All accepted students must have earned a baccalaureate degree upon matriculation at UMDNJ-SOM with the exception of the student who has participated in an articulation agreement. UMDNJ-SOM does not accept any alternative educational experiences in lieu of this requirement. In addition, the school requires all perspective students to successfully complete a criminal background check. Prerequisites required for admission consideration include the successful completion of eight hours of biology (changed from 16 hours in August 2005), eight semester hours of organic chemistry, eight semester hours of inorganic chemistry, and eight semester hours of physics, all with laboratories. Additionally, three semester hours of English composition and three additional semester hours from the English department; six semester hours of college level mathematics, three semester hours of which may be satisfied by computer science or statistics and six hours of behavioral science (psychology, sociology or cultural anthropology) are required. All accepted students are required to furnish official post-secondary transcripts to the Office of Admissions for all schools attended prior to matriculation at UMDNJ-SOM. UMDNJ-SOM follows the University’s policy on Human Rights, a policy of equal opportunity without regard to race, color, sex, religion, creed, national origin, age or handicap. UMDNJ-SOM wishes to enroll students who present a broad spectrum of interests, achievements and characteristics. The school is committed to the recruitment and enrollment of qualified applicants from underrepresented groups and those who have a cultural or economic disadvantage. As of the 2003 academic year, 54% of all students at UMDNJ-SOM were women, 49% were minorities, and 24% were historically underrepresented minorities (Black, Mainland Puerto Rican, Mexican-American, Native American). The rates of enrollment at UMDNJ-SOM were demonstrably superior to the national average for all three groups, but especially for URMs, represented at more than three times the national average. (Figure 1, see next page of this report) As a state institution, UMDNJ-SOM has an obligation to consider transfers from qualified New Jersey residents providing that space is available. This transfer policy requires that the student complete a transfer application and have all official transcripts from each post 31 Exhibit 65 Admissions Recruitment Activities Standard 5.2 Standard 5.2.1 Exhibit 66 Articulation Agreements Exhibit 67 Criminal Background Check Policy Standard 5.2.1 Standard 5.2.2 Exhibit 68 Enrollment Statistics Exhibit 69 AACOM Annual Report Statistics Standard 5.3 secondary institution where they have attended forwarded to the Admissions Office. Transfer requests are considered in the second and third year classes only. The Dean makes the final determination regarding all transfer applicants. FIGURE 1 Enrollment of women, minorities, and UnderRepresented Minorities, 2003-2004: UMDNJ-SOM versus national average. (AACOM Annual Report, June 2004) UMDNJ-SOM 60 50 53.8 46.6 National Average 46.7 40 30 23.2 20 25.3 10 7.8 0 Wom en Minorities URMs Credits may be transferred only from medical schools and colleges accredited either by the COCA or by the Liaison Committee on Medical Education (LCME). At least two years of instruction must be completed at UMDNJ-SOM. When students transfer from an LCME accredited medical school or college to UMDNJ-SOM, at least two years of instruction must be completed here and the school requirement for osteopathic manipulative medicine must be completed prior to graduation. Standard 5.3.1 Standard 5.3.2 Standard 5.3.3 Standard 5.3.4 In the first two basic science years, students are evaluated based on written examinations, laboratory exercises, practical skills tests, and participation in small group discussions. Evaluation methods vary depending upon course goals, objectives, and content and are described in the course syllabus. See the Curriculum section of this chapter for more information. During the clinical years, the COM uses a multifaceted evaluation approach. Three components of the instructional process include: student performance; didactic and clinical content; and faculty instruction. Each course has a grading policy based upon the student performance evaluation criteria established by the COM. Similarly, grades for each course are determined according to the COM’s criteria and described in each course syllabus. Grades may be determined on the basis of written exams, practical exams, and other departmental evaluation instruments deemed appropriate. At the end of each rotation, student performance is reviewed with the student by the instructors. Across the four-year program, each student’s individual academic record is monitored by the Center for Student Academic Resources to ensure sufficient academic progress. Students that are not achieving satisfactorily are asked to appear before the Student 32 Standard 5.4 Affairs Committee, who provides guidance and decides under what conditions a student should be permitted to continue in the curriculum. The degree of Doctor of Osteopathic Medicine is awarded after all criteria have been met and all requirements of academic performance have been successfully completed. The Student Affairs Committee approves the records of prospective graduates. Its recommendation for graduation is routed through the Dean to the Executive Council and finally to the full faculty for recommendation to the UMDNJ Board of Trustees. UMDNJ-SOM policy on COMLEX conforms to the COCA standard. Until the recent change in COCA standards, students at UMDNJ-SOM were required to pass COMLEX Level 1 and to sit for COMLEX Level 2 prior to graduation. The school changed the policy to conform to the new standard. Now, all students must take and pass the National Board of Osteopathic Medical Examiners, (NBOME) Comprehensive Osteopathic Medical Licensing Examination (COMLEX) Level 1, prior to graduation. All students must take COMLEX Level 2 Cognitive Evaluation (CE) and Performance Evaluation (PE) components, prior to graduation. All students who enter in the 2004-2005 academic year, and all students who graduate after December 1, 2007, must also pass NBOME Cognitive Evaluation (CE) and Performance Evaluation (PE) components of COMLEX Level 2 prior to graduation. Individual and School COMLEX performance are reviewed regularly and compared against national scores and scores from previous years. These data are analyzed at the individual, departmental and institutional levels to identify content areas where students may not be achieving stated educational goals and to address deficiencies at any level. The Center for Student Academic Resources (CSAR) continually reviews student performance on all grading mechanisms, including COMLEX Levels 1 and 2, to ensure students are making appropriate progress toward degree completion. Following a drop in COMLEX scores in 2003, the school initiated a COMLEX preparation program that included, two semester-length courses entitled Fundamentals of Medicine I and II, designed to help the COM’s second- and fourth- year students maximize their learning and supplement their individual preparation for their licensing exams. Small study groups; combined exams in COMLEX format; personalized evaluations plans for at-risk students; increased resource materials and increased use of COMLEX Shelf Exams during clerkships were all part of this program. Results of this program were dramatic: not only were scores increased, but also the gap in performance between the top quartile and atrisk students was decreased. The CSAR provides guidance and academic support on an individual basis. An individualized study plan and weekly learning consultations with a CSAR staff member are provided to any student in need. The Office of Alumni Affairs maintains a comprehensive database of UMDNJ-SOM alumni. The system includes address, location and track of internship, residencies and fellowships, area of medicine, name and location of practice/employer and other information. This information is gained primarily through surveys, alumni correspondence, the AOA yearbook and directory, the New Jersey Association of Osteopathic Physicians and Surgeons (NJAOPS) directory, and various internet resources. As needed, the database can be queried to collate information about alumni. A summary report is furnished to the Dean following each survey cycle. As UMDNJ-SOM alumni are maturing and giving back to the endowment, an opportunity exists for rapid growth. The curriculum committee recently appointed an Assessment Subcommittee to develop, 33 Standard 5.4.1 Standard 5.4.1 Standard 5.4.2 Standard 5.4.3 Exhibit 27 NBOME Preparation Program 2003 Exhibit 70 Improvement of AtRisk Performance following Prep Course Standard 5.4.4 Exhibit 30 Alumni Survey 2004 Appendix 5 Alumni Survey 2004 Results implement, and continuously review institutional and student assessment. An assessment plan will include a survey of residency directors to assess performance of graduate PGYI residents. The staff in the Department of Academic and Student Affairs has an open door policy in serving students. If the appropriate individual is not immediately available, students set an appointment to meet with an individual staff member or Dean. The Associate and Assistant Deans and faculty members are available to counsel or assist students, by appointment, on an as needed basis. Faculty members provide students with information on their availability at the beginning of each class/lecture or course. Opportunities to consult with the administration are frequent and ongoing. The Senior Associate Dean for Academic and Student Affairs and the Assistant Dean for Education and Curriculum maintain an open door policy. The Deans frequently visit students in class, between classes and at lunch to engage in individual and/or group discussions. Students may walk in or make an appointment, at their convenience, with any member of the Academic and Student Affairs staff. Full time staff provides services devoted to student affairs, financial aid, academic counseling, administrator and faculty access and access to physical and mental health care. The Dean meets with the student leadership (Student Council) and various student organizations (STUCCO-Student Council, SOMA-Student Osteopathic Medical Association, SNMA-Student National Medical Association, etc.) at scheduled intervals throughout the academic year. Standard 5.5 The on-campus office of Family Medicine and the University Wellness Center are equipped to assist students with their physical health needs. Services include an array of wellness-related assessment activities (screening, dietitian, physicals) and exercise facilities. UMDNJ-SOM also pays for student memberships at the local YMCA near the campus. The Department of Family Medicine provides related health care and physician services to all eligible students. In addition to general counseling, provided by the Student Affairs staff, the Senior Associate Dean is a Licensed Professional Counselor and the COM also provides a designated psychiatrist who specializes in treating medical students. All students must have health insurance; UMDNJ-SOM provides comprehensive health insurance to each of its students at a discounted cost. This enables access to primary care, specialty care and hospital based services. In addition, UMDNJ-SOM Student Health Services are provided on the Stratford campus for all students and their immediate families. This center provides both well care and illness care at the Stratford Family Practice office at designated times. Mental health services are available on campus by appointment to each UMDNJ-SOM student. The health care services provided to UMDNJ-SOM students are performed in a confidential manner in accordance with HIPPA policies. A Director of Student Health and a Director of Student Mental Health are designated to oversee these areas and they also oversee a committee dedicated to issues of impaired students. UMDNJ-SOM recognizes the value of strong relationships among its students and its administration and faculty. For this reason, UMDNJ-SOM supports numerous programs that serve to open the lines of communication among all parties. In addition to the University’s open door policy, UMDNJ-SOM, through the Office of Alumni Affairs, the Office of Academic and Student Affairs and Student Government, host a variety of 34 Standard 5.5 Exhibit 71 Student Organizations informal gatherings in an effort to enhance interaction with and access to faculty and administration. Such get-togethers include, but are not limited to; alumni sponsored receptions, Dean’s Hour, The Student-Mentor Dinner, and weekly Grand Rounds. The UMDNJ-SOM Chapter of SOMA was recognized as Chapter of the Year for the New Jersey/New York region. This recognition was based on the Chapter’s charitable service to the medically underserved community in Camden City, New Jersey and the surrounding southern New Jersey community. The Office of Student Financial Aid is open five days a week, during regular business hours, to service students on the Stratford Campus. Extended hours of operation are added during seasonal peak periods. The office provides multiple service options for students which include individual counseling sessions, direct e-mail and telephone access to professional staff members and “walk in” access to financial aid staff. The Student Financial Aid Office is staffed by two full-time professional members and one support person. Under the direction of the University Financial Aid Office, the Stratford Office provides students resources to satisfy their financial needs, in conjunction with legislative and regulatory requirements. Services are provided using the latest technological advances in the delivery of financial aid and debt management. Standard 5.5 Providing students with the necessary tools to conduct financial business during their tenure at UMDNJ is part of the department’s overall mission. Budgeting Workshops are offered to incoming and continuing students during their first and second years of study. A printed record of individual indebtedness is provided on an annual basis. Graduating students with educational loan debt are required to attend an all-day Exit Program. The program date is built into the academic calendar, and includes sessions on the regulatory requirements of their student loans, loan consolidation and a primer on financial planning. The Student Financial Aid website houses an online library of documents including the Student Financial Aid Handbook, four years of class specific Exit Handbooks and multiple web resource links. Students apply for financial aid through the website. Applicants complete their Free Application for Federal Student Aid (FAFSA) and University Financial Aid Application online, download relevant forms, and complete the Federal Stafford Loan Master Promissory Note (MPN) using the e-signature process. Students have access to their financial aid history, including document tracking and award notification, using our web-based, self-service product. The site can be accessed from the Student Financial Homepage located at www.umdnj.edu/studentfinancialaid using multiple kiosks located throughout the campus, including ones located in the Student Financial Aid Office. The Office of the Registrar provides the secure and accurate maintenance, preservation and review of permanent academic records for all students who have attended the UMDNJ-School of Osteopathic Medicine in compliance with the Family Educational Rights and Privacy Act of 1974. All appropriate staff are continually trained relative to FERPA regulations and policy. The Office of the University Registrar provides each Enrollment Office with directives and standards relative to FERPA regulations to insure that all responsible parties are in compliance. FERPA regulations are clearly outlined in the UMDNJ-School of Osteopathic Medicine Education Handbook (pp. 14 – 20) and the University web site, http://www.umdnj.edu/oppmweb/Policies/HTML/studentservices/00-01-25-05_00.html 35 Exhibit 72 Financial Aid Materials Standard 5.6 Exhibit 29 Education Handbook The office utilizes practices recommended by the American Association of Collegiate Registrars and Admissions Officers (AACRAO). All paper files are locked in fireproof cabinets in the Records Room, accessed only by enrollment services personnel. The University implemented new secure academic records systems in both 1988 and 1998. Student records are currently maintained in the Banner Student System, the University’s integrated administrative computer system. This system is supported by a Coordinator of Data Services in the University Registrar’s Office and the Student Information Systems Support department. Students have unlimited access twenty-four hours a day, seven days a week, to their personal information stored on the Banner Student System. Both the University Banner Student System and the University network document imaging system are password protected. UMDNJ-SOM enrollment services personnel sign a confidentiality agreement. Each individual is authorized to utilize the system at security levels set by the University Registrar. In order to further secure student records, UMDNJ-SOM has issued student identification numbers to replace social security numbers on all documents. Standard 5.6 The University network document imaging system was developed and implemented in October of 2000 and presents an opportunity to convert our records. The Department of Information Technology and UMDNJ Hospital Management Information Systems coordinated the pilot program with American Management Systems with ongoing support, maintenance and the upgrade was provided by IS&T. Approximately 15-20 percent completion of record conversion has been accomplished; the project is ongoing. Conversion of microfilm records has been completed. The UMDNJ-SOM Student Record Retention/Disposal Guidelines was established in September of 2000 in accordance with AACRAO reference, Retention of Records—Guide for Retention and Disposal of Student Records (2000 edition). The Office of the Registrar maintains summary records for admissions credentials and student records for all current students, graduates and former students. All student records include grade rosters from the first and second years and clinical evaluation forms for the third and fourth years. Student performance is evaluated using UMDNJ-SOM’s grade legend. Policies and procedure are detailed in the UMDNJ-SOM Education Handbook. The Education Handbook is distributed to all students during the first year orientation in a CDROM format. Updates are provided every two years and the Handbook is accessible for students through the website. All students are referred to the Education Handbook upon entry as part of the orientation process. The Senior Associate Dean for Academic and Student Affairs is the first recourse for addressing student complaints. Student complaints, based on the significance of the complaint, may be resolved informally or formally, subject to the process outlined in the Education Handbook. The adjudication and resolution of student complaints are recorded and appropriately maintained by Student Affairs in individual student files or in a general file. Committee minutes from those committees where students are representatives and action plans created from student feedback, serve as our log of student complaints. At the end of each semester, student representatives at the Curriculum Committee present a summary of their curricular feedback and the Assistant Dean of 36 Exhibit 73 Family Educational Rights and Privacy Act Exhibit 74 University Records Management Policy Standard 5.7 Standard 5.8 Education and Curriculum creates a “punchlist” of tasks and assigns them to staff and/or faculty, to address these student concerns. Student concerns/complaints are reviewed as part of the ongoing planning process and are normally addressed by student representatives at the monthly meetings of the Student Affairs Committee. The Committee contains a student representative from each class who has the responsibility to bring general concerns expressed by the class to the Committee. The Committee is chaired by a faculty member and the Senior Associate Dean for Academic and Student Affairs serves as an ex-officio member. Exhibit 75 Student Affairs Committee Minutes Curriculum UMDNJ-SOM is currently moving from good to great in its curriculum. A restructuring of the curriculum to a case-based learning format, with the implementation of the new 3C Curriculum, will utilize multiple learning systems, evidence based learning, medical informatics and the integration of AOA competencies that will present new opportunities for student learning. The new curriculum will change the educational culture, better prepare students and will provide educational excellence and a national model. It will allow us to integrate OMM into every case scenario throughout the new curriculum. An expanding academic and research oriented Department of Osteopathic Sciences may bring the development of an OMM Fellowship. The integration of cultural competencies and interdisciplinary training into the curriculum will enrich student learning. An integral part of the new curricular effort will be the expanded utilization of UMDNJ-SOM’s state-ofthe-art Clinical Education and Assessment Center. The Center is used for teaching and assessment in coursework and clerkships, including casework in interpersonal and communications skills, ethical dilemmas, palliative care, physical diagnosis skills and COMLEX-PE preparation. The Clinical Education and Assessment Center offers students and faculty a unique live demonstration and feedback process for the assessment of student learning outcomes. Standard 6.1 Appendix 13 Executive Summary of 3C Curriculum Exhibit 76 3C Curriculum Task Force Report In support of its research mission, UMDNJ-SOM offers several unique options for students seeking to pursue careers in biomedical research or teaching graduate studies. The Graduate School at UMDNJ-SOM offers 31 independent graduate level courses leading to the Masters of Science, plus a multidisciplinary Masters of Biomedical Sciences, a Ph.D. and a combined D.O. /Ph.D. degree program. The number of students enrolled in these programs has increased from 14 in 2003 to 74 in 2005. In conjunction with the UMDNJ-School of Public Health, UMDNJ-SOM offers a program leading to a dual degree of DO with a Masters in Public Health, a degree program that can be completed in five years. A joint DO/PhD degree is offered through an interdepartmental program in the Departments of Cell Biology and Molecular Biology. Students are required to complete 40 credit hours of coursework and 40 credit hours of thesis research, including a written dissertation, public defense and final oral examination, and are under the direction of a faculty research mentor. UMDNJ-SOM anticipates a DO/MBA program, in cooperation with Rowan University, to be implemented in July 2006. Students will be able to complete both degrees in five years. A new campus-wide wireless network is now available for student, staff and faculty use. WebCT and DxR Clinician will be used to supplement classroom teaching, quizzes, tutorials, case studies, assignments and learning resources and retention of lecture 37 Exhibit 77 DxR Clinician material. While limited technological support for curricular innovation had existed at UMDNJ-SOM in the past, preventing rapid growth in distance and online learning modules, additional staffing in IST in academic computing has boosted online offerings and raised awareness of online options for faculty and students. Students will now be provided with a feedback tool and self-directed tracking, a valuable addition to classroom learning. The Department of Family Medicine has developed three WebCT courses, focusing on Mental Health, Cultural Competency and Palliative Care with support from HRSA funding. WebCT accessibility anytime/anywhere is an enhancement to the new curriculum. Student feedback has already been highly positive on the use of this methodology as a teaching tool. UMDNJ-SOM is a national leader in the development of a model geriatric and ethnogeriatric curriculum. UMDNJ-SOM is currently the national leader in the provision of dedicated curriculum time to geriatrics, with the national mean at 14.42 hours devoted to geriatrics while SOM provides an 18-hour course, a one-month required rotation and a one-month elective. UMDNJ-SOM is also a leader in geriatric fellowship training. With a total of seven fellowships offered nationally, SOM offers three of these and is one of two osteopathic programs that are federally funded to prepare geriatric fellows in a twoyear program. The school is consistently and conscientiously responsive to student feedback regarding the curriculum and students are represented at each phase of the curricular review process. Students serve as voting members of the Curriculum Committee, on the Assessment Subcommittee and the Curriculum Task Force. Academic issues raised by students are considered carefully by administration and faculty, and formative and summative assessment is handled in a fair and confidential manner. Academic issues raised in student challenges are weighed carefully and responsively by course directors. Every student knows that academic support services from the Center for Student Academic Resources (CSAR) are available to enhance their studies. Increasing utilization of student support office services has resulted in the adding of staff to the CSAR office to meet student needs. UMDNJ-SOM functions like a traditional academic medical center. SOM has one of the largest local affiliate osteopathic teaching hospital systems, in close proximity to campus, at Kennedy and Our Lady of Lourdes Medical Centers, with over 1000 beds. With the strength of our affiliate system, all core clerkship training is completed at our own affiliate sites. Distant or regional campuses are not used for required rotations. All directors of core clerkships are UMDNJ-SOM full-time faculty. Because of its relationships with multi-hospital affiliates, UMDNJ has adequate training opportunities within our affiliate system to accommodate all UMDNJ-SOM students for their core rotations. Volunteer faculty members who serve as directors for selective rotations are accountable to the UMDNJ-SOM department chair for their discipline. Thus, we are able to function as a true academic medical center. The Curriculum Committee and its 3C Curriculum Task Force and Assessment Committee, consisting of faculty, deans, students and interested observers, meet monthly to consider issues, problems, improvements, and new trends the curriculum may take in order to strengthen and expand the school’s educational direction. All recommendations of the Task Force regarding the new curriculum are reviewed by the Curriculum 38 Standard 6.1 Standard 6.2 Exhibits 9,10,11,12 Affiliation Agreements Standard 6.1 Exhibit 22 Minutes of Curriculum Committee Exhibit 78 Curriculum Task Force Minutes Exhibit 79 Assessment Subcommittee Minutes Committee. The Assistant Dean for Education and Curriculum and the Curriculum Committee Chair meet with student representatives prior to every Curriculum Meeting to discuss curricular issues to be raised. Decisions regarding instructional change are made by the Curriculum Committee which has a faculty representative from every department and four student representatives. Committee members discuss and vote on recommendations that are then sent on to the Dean’s Executive Council for consideration. Substantive changes to the curriculum are also approved by a vote of the faculty. The Curriculum Committee is consistently assessing the knowledge, skills and attitudes necessary for students graduating from the institution to possess in order to practice excellent patient care. Each class elects a voting student member to the Curriculum Committee who gives continuing feedback relative to curriculum design, curriculum implementation and curriculum evaluation. These student members also give an annual report to the Curriculum Committee, including recommendations for improvement. Student representatives communicate findings to their constituencies. Student feedback offered by student curricular representatives is assessed and then assigned to an academic team member for follow-up. A sample of this “Punchlist for Action” is available for on-site review in the documentation files. Evaluation results for courses are sent to course directors and department chairs and a summary report is sent to the Dean each semester. Student issues are communicated at meetings of the Student Affairs Committee and are also attended by faculty and the Senior Associate Dean of Student and Academic Affairs, who communicates to the Center for Academic Resources support personnel and the Academic Affairs Program Administrator, who attend the meetings. The Assistant Dean for Education and Curriculum regularly reports to Executive Council and Department Chairs meetings and visits Departmental Meetings to communicate detailed curricular issues. The Assistant Dean for Education and Curriculum meets regularly to brief the Dean and the Assistant Dean for Education and Faculty Development on key findings on issues in Academic Affairs. The Academic Assistant Dean meets bi-weekly with a cross disciplinary academic team and academic staff members to relate key findings. The evaluation of didactic courses in the curriculum takes place each semester with student completion of an online evaluation tool designed to measure student response to the course, the instructors, the learning tools employed, the laboratory, when applicable, and the textbook. Students are asked to assess the redundancy of the material presented, as related to other courses in the curriculum. Each semester these results are tallied and presented to the department chair and the Assistant Dean for Education and Curriculum. Results of course evaluations are used by the Assistant Dean for Education and Curriculum to change or alter course content or prompt the replacement of a course director or faculty lecturer. Successive course evaluations on a specific issue may prompt discussion at Curriculum Committee meetings or Executive Council. In addition, the Assistant Dean for Education and Curriculum prepares an annual report to the Dean summarizing these evaluations by department. The Dean utilizes the results in this report for the annual evaluation of each Chair. 39 Standard 6.2 Exhibit 80 Curricular Modifications 2003 - 2005 Exhibit 81 Punchlist for Action Standard 6.14 Standard 6.2 Exhibit 82 Course Evaluation Results Standard 6.2 Exhibit 83 Clerkship Evaluation Results UMDNJ-SOM performs periodic evaluation of the effectiveness of curricular and extracurricular experiences of students by implementing alumni surveys and cognitive skills and clinical simulations. Alumni surveys are conducted every two to three years. The results of the alumni survey are forwarded to the Assistant Dean for Education and Curriculum to provide input into curriculum design and evaluation. Student experiences with tutors in the academic support services area are evaluated each semester, measuring tutors’ ease of understanding, patience, and knowledge of subject areas and this information is shared with the Assistant Dean for Education and Curriculum. The assessment of student learning outcomes is used to improve teaching and learning. Results are shared with department chairpersons and course directors and are used to plan and implement faculty development interventions and, to make changes to the current curriculum. Feedback from students on course evaluations as well as in Curriculum Committee meetings and through student Curriculum Representatives’ meetings with the Assistant Dean are considered as an impetus for consideration of change in the curriculum. UMDNJ has an annual faculty evaluation program, performed by the department chairs. Each faculty member is evaluated on their educational contributions. UMDNJ-SOM’s Office of Academic Affairs produces reports on courses and clerkships that include student evaluations and COMLEX scores. These reports are utilized for the evaluation of course and clerkship directors. In addition, evaluation results are built into the strategic planning and budget planning processes. The Dean and leadership select periodic ad hoc groups to examine the allocation of resources and revisit the assumptions underlying the long-term vision of the school. These sessions provide focused feedback to the school’s leadership to guide renewal efforts. Osteopathic principles and practices are integrated throughout the present curriculum in all course work at UMDNJ-SOM. It is the responsibility of the course director and clerkship director to ensure the osteopathic principles and practices are integrated throughout each course. In the History of Osteopathic Medicine course in the first year, students learn the history of osteopathic medicine, the meaning of osteopathic medicine and the roles of osteopathic physicians. In the first year Functional Anatomy course, osteopathic sciences faculty introduce anatomical and physiologic concepts necessary to understand osteopathic principles. The course is focused on the introduction of the biomechanics of the human body, kinematics and the relationship of form and function. In Osteopathic Manipulative Medicine I, through 30 hours of lecture and 90 hours of psychomotor skills, students learn the diagnosis of somatic dysfunction by developing history, physical and palpatory skills as they apply to biomechanics. Students are introduced to examples of direct and indirect treatment systems. In Osteopathic Manipulative Medicine II, through 15 lecture hours and 30 psychomotor lab hours, students learn treatment models and apply osteopathic principles and practice to special populations. In the second year, in the Osteopathic Manipulative Medicine III course (15 lecture hours and 30 psychomotor skills lab hours), students demonstrate the diagnosis and application of osteopathic manipulative treatment, the ability to write exercise prescriptions, physical therapy consults, and the use of osteopathic principles and practices in office and hospital settings. This year, a student OMM clinic was opened and a hospital OMM consultation service was successfully initiated. A dedicated OMM lab was opened, fitted with height 40 Exhibit 23 Dean’s Academic Report Standard 6.2 Standard 6.3 Exhibit 84 OMM Resources adjustable tables, anatomic models and educational tools. The OMM Lab will be fitted with video equipment and monitors in this academic year. In 2004-2005, a two-week OMM rotation was instituted in the family medicine specialty month in the fourth year. For 2005-6, this rotation was moved to the year three Family Medicine clerkship. It included clinical and didactic sessions focusing on osteopathic screening examinations and the diagnosis and application of osteopathic manipulative treatment. Third and fourth year students may choose a two or four-week elective rotation in osteopathic manipulative medicine, concentrating on the clinical, the family medicine office and the hospital settings. UMDNJ-SOM has purchased library materials for OMM review and distributed those materials to students. A program of standardized patient encounters is in development for fourth year students to prepare for the COMLEX PE examination. The existing four-year medical school curriculum spans 179 weeks: year one is 40 weeks; year two is 42 weeks; year three is 49 weeks and year four is 48 weeks. The new curriculum includes 42 weeks in year one and 43 weeks in year two. Scheduling for years three and four will remain essentially unchanged. In the current UMDNJ-SOM curriculum, students are exposed to the latest knowledge base in research, basic sciences and clinical medicine. The first year of the curriculum stresses the basic sciences, including clinical instruction and community experiences. The foundation has been carried forward into the second clinically oriented year, including an increase in primary care ambulatory training and community-based experiences. A full description of each course is published in the Education Handbook. In the new curriculum, the integration of the basic, biological, behavioral, and clinical sciences into the first two years will be integral to the process. Some lecture time will be reserved for the basic sciences; for example, the steroid biochemistry lecture will be preserved in teaching reproduction. Each clinical case will be edited by basic science faculty so basic science questions can be integrated into the cases. In the past, we have taught the sciences and sought out clinical examples to illustrate concepts. In the new curriculum, the clinical presentations will drive the basic sciences. If a patient presents with lower back pain, the student will learn the basic science that relates to the pain issue. We are also converting basic science material to online formats, as another way to supplement teaching. Affiliation agreements have been secured with Kennedy Memorial Hospitals-University Medical Center at Stratford, Cherry Hill and Washington Township; Our Lady of Lourdes Medical Center in Camden; Christ Hospital in Jersey City and Barnert Hospital in Paterson, New Jersey, in accordance with established UMDNJ policies. The course director of each clinical course taught at clinical affiliates is a full-time, part-time, or volunteer faculty member of UMDNJ-SOM. The UMDNJ-SOM clerkship directors are affiliated with the Kennedy Health System, which is comprised of three hospitals and numerous ambulatory health centers and services throughout southern New Jersey. Most third year rotations include one or more segments at a Kennedy Health System hospital and/or center. Students are directly supervised by UMDNJ-SOM faculty, or by preceptors affiliated with the hospital. Many of these preceptors are voluntary faculty members. The Department of Family Medicine oversees a preceptor program which begins in the first year and continues into the third 41 Standard 6.4 Exhibit 85 Courses in the present curriculum Exhibit 86 Current First Year Schedule Exhibit 87 Current Second Year Schedule Standard 6.5 Exhibit 88 3C Curriculum Schedule Standard 6.9 Standard 6.10 year clerkship. This group of preceptors includes both full-time and community-based faculty members who have been specially trained for this program. Third-year students also spend time in ambulatory settings. Some are based at UMDNJSOM sites, such as the New Jersey Institute for Successful Aging and the CARES Institute at UMDNJ-SOM. Others may be community based, at individual physicians’ offices, the Camden County Health Services Center or one of New Jersey’s Area Health Education Centers. Students may complete their Radiology rotation at an out-of-system site. Third year students complete rotations in Family Medicine, Geriatrics, Internal Medicine, Obstetrics and Gynecology, Pediatrics, Psychiatry, Radiology and Surgery. Most rotations require students to spend a portion of their time in a hospital setting and the other part in an ambulatory setting. Fourth year students are required to complete two rotations in Family Medicine, one in Emergency Medicine, and two rotations in Medicine, Family Medicine or Surgical Specialty. They also complete five elective rotations. The responsibility for developing learning objectives in the present curriculum has been delegated by the Curriculum Committee to the course and clerkship directors. Substantive changes are reviewed by the Curriculum Committee. These goals are articulated to the faculty, house staff and students via the student handbook and materials are distributed to the students at the beginning of courses and clerkships. The Deans and faculty create clearly defined goals, plans and objectives against which educational outcomes can be evaluated. These goals, plans and objectives are reviewed in terms of their congruence with the university mission. Statements of desired educational objectives are created for specific competencies, for courses and for the degree program. Faculty, along with the Assistant Dean for Education and Curriculum, choose measures for determining whether students have achieved agreed upon expectations. These decisions are often made based on the recommended evaluation tools in the ACGME toolbox. Standard 6.6 Standard 6.7 Exhibit 89 Current Course Syllabi Exhibit 2 UMDNJ Strategic Plan Completed 2004 Each course is developed by a course director who works with department members to write objectives consistent with the mission of UMDNJ-SOM. The course director is responsible for the successful delivery of the course. Course objectives are approved by the department chair of the course and the academic dean. The objectives are presented in the Student Handbook which each student receives. At the beginning of each course, the course director presents students with a copy of the course objectives, the evaluation procedures and the syllabus. The syllabus contains course requirements, reading assignments, textbooks, lab assignments, evaluation criteria, clinical responsibilities, core clinical skills to be learned, presentation and report assignments, and community service requirements. The School utilizes the following methods of assessment of student learning outcomes: course and clinical evaluation forms; written examinations, lab exercises, practical skills tests, small group discussions; NBOME subject Exams-administered regularly throughout the curriculum; formative essays and class presentations; extensive use of a state-of-the art Standardized Patient Laboratory and formative evaluation through this medium; summative clinical skills examinations in the Standardized Patient Laboratory; standardized patient assessment of students in the SP lab; completion of a final examination in the SP Lab that must be passed before students begin hospital rotations; 42 Standard 6.8, 6.8.1 and practical examinations by direct faculty observation of manual medicine techniques. The Assessment Subcommittee is reviewing assessment tools currently used in clinical and preclinical training. With continued faculty development, faculty members will fine tune their skills in classroom assessment techniques and formative evaluation. Comprehensive Osteopathic Integrated Learning Scenarios (COILS) have been developed by faculty to integrate manual manipulation into third and fourth year clerkships. Alumni surveys have been administered every other year beginning in 2000 to assess how graduates rate the training they received at UMDNJ-SOM to prepare them for their current level of practice and to address the health needs of their patients. Alumni are also asked to list major strengths and weaknesses of the four-year medical school program. UMDNJ-SOM has developed the new, competency based 3C Curriculum for the class entering in August 2005. The curriculum is based on the Seven Competencies of the American Osteopathic Association. Seven subcommittees of the faculty, one for each competency, have developed the learning objectives in each competency domain. Ninetysix people, the vast majority faculty members, participated in the process. These learning objectives were distributed to the entire faculty for comment. UMDNJ-SOM is utilizing a two year implementation program for these new competencies. The OMM curriculum is switching to a competency-based format in academic year 2005-2006. Medical knowledge, Interpersonal Communication, Practice Based Learning, & Patient Care Competencies began in August 2005 (Class of 2009) within the structure of the existing curriculum. Practice Based Learning is being implemented in Community Medicine (Year One), Interpersonal Communication in Introduction to Patient Dynamics (Year Two) and Patient Care in Physical Diagnosis (Year Two). The Professionalism and Systems Based Practice competencies are being implemented in the entire 3C Curriculum. UMDNJ-SOM does not require affiliation agreements when students complete elective rotations at out-of-system sites. When other sites require an affiliation agreement in order for our students to complete a rotation, we complete a “Memorandum of Understanding,” which identifies the mutual responsibilities and expectations of UMDNJ and the outside educational site. The Memorandum of Understanding is signed by administrators from both institutions. The UMDNJ-SOM Curriculum Committee reviews the training criteria for clinical clerkships to ensure that the school’s mission and objectives are met. Since all core rotations are offered in-system, there is close departmental supervision of each clerkship’s curriculum. Each clerkship has goals and objectives that are regularly reviewed by the department. The Education Handbook contains a description of each of the clerkship’s goals and objectives. A great strength of UMDNJ-SOM is that all core clerkship directors and department chairs are full-time faculty members who teach at our affiliate sites. Any volunteer faculty members report to the clerkship directors and/or department chairs. Since the UMDNJ-SOM students are able to be accommodated for their core clerkship training at our affiliated institutions, their education is supervised by UMDNJ-SOM fulltime, paid faculty. 43 Exhibit 90 COILS Standard 6.8 Standard 6.8.1 Exhibit 91 Competencies for 3C Curriculum Standard 6.9 Appendix 14 Clerkship Adequacy Model Because of the strength and depth of the affiliate system, UMDNJ-SOM is able to offer clinical instruction at our own affiliate sites. Distant or regional campuses are not used for core rotations. The faculty members who teach the students during their core clerkships are either employees of UMDNJ-SOM, or report to UMDNJ-SOM faculty. Thus, planning and implementation is conducted by approved faculty. Standard 6.10 To enable students to evaluate clinical rotations and classroom courses, UMDNJ-SOM now uses an online evaluation form. To insure anonymity, students are given code numbers instead of names on the forms and the identity of the code numbers are known only to Academic Affairs staff. As of Spring 2004, these forms can be completed by students from any computer station. Standard 6.11 All core clerkships have added validated assessment tools to the clinical evaluation forms. These tools include NBOME shelf examinations, multiple choice examinations, essays, case presentations or structured oral examinations. Preceptors, attending physicians or residents, complete the evaluation forms. In addition, an exit interview with the clerkship director and student is expected for all core rotations. A process for student challenges of clinical evaluations and the clinical evaluation forms are outlined in the Student Education Handbook. Standard 6.13 Standard 6.12 UMDNJ-SOM has always done a great amount of assessment of both students and programs. It became evident during this self-study and the recent Middle States self-study that the school did not have a formal, written assessment plan, although the components of such a plan are in place. At its May 19, 2005 meeting, the UMDNJ-SOM Curriculum Committee approved the formation of an Assessment Subcommittee with the following charge: to find evidence for congruence between the institution's stated mission, goals and objectives and the actual outcomes of its programs and activities and to assemble and analyze the information in order to improve teaching and learning. It was decided that the Assessment Subcommittee would assess the current status of student and institutional academic assessment, write the UMDNJ-SOM Assessment Plan, develop tools to feedback results to the faculty, apply techniques of continuous quality improvement to assessment efforts at UMDNJ-SOM, report Monthly to the Curriculum Committee and complete an annual report on Student and Institutional Assessment. The recently completed first draft of the UMDNJ-SOM Assessment Plan is Appendix 15. Results from student evaluations of clerkships are shared with both the Clerkship Directors and the Department Chairs at the end of each academic year. Information from the evaluations is used annually to adjust and improve the clerkships. The Assistant Dean for Education and Curriculum prepares an annual report for the Dean about the educational contributions of each department. This report includes these clerkship evaluations and reports on COMLEX scores by discipline. The report is used by the Dean and Chairs to measure the educational contributions of faculty members on the annual performance appraisal. 44 Appendix 15 UMDNJ-SOM Assessment Plan Standard 6.14 CHAPTER V EXCELLENCE IN RESEARCH SCHOLARLY ACTIVITIES “The UMDNJ-School of Osteopathic Medicine is among the top osteopathic schools in the country in terms of their research enterprise and federal funding …its main contribution has been training physicians for Southern New Jersey…this is a critical contribution to the health care needs of the state.” New Jersey Commission on Health Science, Education and Training Final Report—October 2002 UMDNJ-SOM is committed to the advancement of knowledge through research and education and to the ongoing development of osteopathic medicine through scientific research. Towards this end, UMDNJ-SOM has undertaken, as part of its strategic plan, the continuous recruitment of respected and highly motivated research faculty to provide the core of the research leadership for the institution. The school’s strategic goals are to increase extramural funding for research as well as to increase funding for education and training. AOA Standards Standard 7.1 Consistent with research goals outlined by NIH, UMDNJ-SOM seeks to translate research into practice and encourages collaborations and partnerships at all levels. Its strategic planning efforts are directed at increasing clinical trials and clinically-related research projects; expanding research training and education; increasing the number of publications, poster presentations and abstracts; and fostering the pursuit of training grants by clinical departments. Faculty is actively engaged in mentoring students and promoting both independent and collaborative interdisciplinary research. Research has been identified as an institutional priority for the school. Over the past ten years, UMDNJ-SOM has developed a solid research presence. Current faculty has approximately 93 extramurally funded projects totaling more than 11 million dollars annually. UMDNJ-SOM faculty has competed successfully for extramural funding from federal, state, volunteer health agencies and foundations. UMDNJ-SOM is the leader, among all osteopathic colleges of medicine, in NIH research dollars, having increased its research dollars from NIH nearly 48 percent since 1998. Over the past 20 years, UMDNJSOM has never ranked lower than third among osteopathic medical schools in NIHfunded research. The School does a large amount of scholarly research as well. SOM has committed to filling vacant research faculty lines; increasing extramural grant support; increasing participation in clinical drug trials; and developing a plan for utilizing tenured faculty to further research, education and training initiatives. A plan to identify and implement opportunities for research training and education by clinicians and house staff was implemented and is ongoing. Research and scholarly pursuits are identified as faculty goals and are reviewed as part of the annual performance appraisal process. As with all academic medical centers, clinical and research financial demands on faculty compete with educational needs. Ongoing faculty development programs offered through the Department of Medicine and the New Jersey Institute for Successful Aging, focus on the development of research skills and serve as research enhancement opportunities for faculty. 45 Appendix 2 NIH Ranking The creation of “centers of excellence” that have evolved into statewide Institutes (e.g., the CARES Institute at UMDNJ-SOM and the evolving NJ Institute for Successful Aging), support the mission of education, research, clinical and community service, and foster interdisciplinary collaboration and development of partnerships for research and education. In 2005, the New Jersey Department of Human Services (DHS) committed $1.5 million to UMDNJ-SOM’s Center for Children’s Support to help establish the CARES (Child Abuse Research Education and Service) Institute of UMDNJ-SOM to create protocols for treating abused children at four regional diagnostic treatment centers. The CARES Institute at UMDNJ-SOM was designated by the U.S. Department of Health and Human Services as one of only three exemplary programs in the nation for sciencebased mental health treatment services. Philadelphia Magazine chose the University Headache Center, the Center for Children’s Support, now the CARES Institute at UMDNJ-SOM, and the NJ Institute for Successful Aging as among the brightest centers of excellence for health care services in the Delaware Valley. UMDNJ-SOM faculty members from all clinical departments and centers, students, residents, and fellows, are actively involved in a broad spectrum of clinical research. A number of faculty are engaged in research related to osteopathic principles and practices. These have included studies investigating the effectiveness of osteopathic manipulative medicine in irritable bowel syndrome, emphysema and chronic bronchitis, pneumonia, infection, back pain, chronic headache, carpal tunnel, chronic pain, acute sinusitis, premenstrual syndrome, congestive heart failure, and falls prevention. In addition, biopsychosocial studies investigating the impact of osteopathic philosophy on outcomes as well as attitudes and practice patterns have been conducted in such areas as osteoporosis prevention, health promotion/disease prevention, hospice and end of life care, physician assisted suicide and other ethical issues. This track record of osteopathic related research, many of which have been extramurally funded, has precipitated UMDNJ-SOM’s invitation to participate as one of five sites nationally in the Multi-Center Osteopathic Pneumonia Study in the Elderly (MOPSE), which is regarded in the profession as a high profile, groundbreaking endeavor. UMDNJ-SOM offers several unique options for students seeking to pursue careers in biomedical research or teaching graduate studies. The Graduate School at UMDNJ-SOM offers 31 independent graduate level courses leading to the Masters of Science, plus a multidisciplinary Masters of Biomedical Sciences, a Ph.D. and a combined D.O. /Ph.D. degree program. The joint DO/PhD degree is offered through an interdepartmental program in the Departments of Cell Biology and Molecular Biology. Students are required to complete 40 credit hours of coursework and 40 credit hours of thesis research, including a written dissertation, public defense and final oral examination, and are under the direction of a faculty research mentor. These programs endeavor to build a cadre of osteopathic faculty with backgrounds in research who can advance scientific research in the profession and they provide students with opportunities to interact with those carrying out research and exposure to rapidly changing advances in their fields, since one of UMDNJ-SOM’s current challenges is that there is no biometrics department to support statistical analysis and methodological design. 46 Exhibit 35 Faculty Publications Standard 7.1 UMDNJ-SOM is one of only eight medical schools in the country to win a “Caring for Community” grant award in June 2004 from the Association of American Medical Colleges (AAMC), in collaboration with the Pfizer Medical Humanities Initiative for the student run free Camden Saturday Health Clinic (CSHC). The primary goal of the clinic, which was founded by UMDNJ-SOM students, is to provide urgent, primary and preventative health care, as well as health education to the medically underserved population in Camden, New Jersey. From 1998 to 2005, UMDNJ-SOM demonstrated an increasing commitment to strengthening its research component. A new science center addition of 21,000 square feet was completed in 2004, expanding clinical laboratories and basic science research space to a total of 95,000 square feet. These facilities support faculty and student research and are a key feature used in recruitment of research faculty to the SOM campus. In 2004, an endowed Chair was directed to aging research to spearhead the development of research through the NJ Institute for Successful Aging. In addition, the 2005 award of an endowed chair for primary care research, from the Osteopathic Heritage Foundation, will foster osteopathic and aging-related research projects and provide opportunities for faculty and students to pursue independent and collaborative research interests within a mentored environment. The creation of this research infrastructure will provide UMDNJSOM with the momentum to realize its strategic goal for research and will benefit the osteopathic profession, the university, UMDNJ-SOM, its faculty and its students. The UMDNJ strategic plan indicates the institutional commitment to the conduct of biomedical, psychosocial, clinical and public health research. There are good support systems in the University system including IST, statistical software packages, library electronic journal selection with broad spectrum access across disciplines, access to faculty and resources in other schools for presentations and involvement by various disciplines in research. The UMDNJ Office of Research, created by action of the Board of Trustees in late 1998, is charged with expanding and developing research at UMDNJ to its full potential by creating a research-friendly environment at UMDNJ; assisting faculty in identifying internal and external sources of support for research; marketing the clinical and basic research capabilities to appropriate industrial partners; and working with the Research Deans of the eight schools to create competitive new research programs and initiatives across departments and schools. Recent completion of a 21,000 square foot laboratory addition to the Science Center, the recruitment of a permanent Chairman of Cell Biology, the recruitment of a University Professor as Director of Research for the NJ Institute for Successful Aging and the current and future recruitment of both basic science and other research faculty, will significantly strengthen our existing research faculty and programs. UMDNJ-SOM’s Director of Clinical Trials has been working with clinicians and industry to expand opportunities for clinical drug trials. Relationships with pharmaceutical companies present opportunities to yield increased clinical trial activity. Ongoing New Jersey legal issues regarding research consent in cognitively impaired individuals across settings impedes the school’s ability to engage in research or pursue opportunities for research with this population. Opportunities do, however, exist to increase resource sharing and collaboration among universities to support research. The Dean and other school leaders are working with legislators to promote reasonable human subjects protections policies in NJ for 47 Standard 7.1 individuals who are incapacitated to enable them to participate in research. Educational research on competencies and outcomes may be driven by the new curriculum and education and training grants. Federal grant funding currently supports faculty development in research; however, continuing threats to Title VII funding and the general volatility of federal funding for research projects, make higher education institutions, such as UMDNJ-SOM, currently funded, vulnerable and subject to these shifts. The New Jersey Institute for Successful Aging will promote collaborative research and form educational and research partnerships to advance the research mission in a vibrant, interdisciplinary environment. These investments in the research enterprise will establish a critical mass of funded scientists that will enable us to significantly advance the school’s research and teaching missions. New faculty will bring new research programs, complement and expand already existing programs, energize the growth of the graduate school and enhance the collaborative research opportunities for clinical faculty and students. UMDNJ-SOM was recently invited by Rutgers University to collaborate on a proposal to the Federal Economic Development Administration to create a high technology business incubator in Camden, New Jersey, with an emphasis on small biotech startups that will stimulate the development of new business, jobs and economic development in the Camden and the Southern New Jersey region. UMDNJ-SOM is the partner for the wet labs floor designed to support biomedical and life sciences research. The wet lab research space will be managed by UMDNJ-SOM’s Department of Research. UMDNJ-SOM strives to create an environment that is intellectually challenging and supports the spirit of inquiry among its students, creating opportunities for students to interact with academicians in a variety of scholarly pursuits. This occurs through participation in faculty research/scholarly activities, through teaching, and through the delivery of health care. A healthy research environment requires standards and guidelines to maintain ethical and responsible conduct and business and research integrity. A university-wide Compliance Program for HIPAA defines and governs the conduct of all employees. Guidelines for Scientific Research are in place and serve to reinforce principles of academic scholarship and research and educate students and new researchers. The University’s Policy on Misconduct in Science maintains the integrity of the research process and practices, serving established researchers by providing a framework for tailoring department-specific guidelines and supporting them in their roles as mentors. To fulfill the mandate of a Federal Wide Assurance filed with the federal Office of Human Research Protections, UMDNJ has pledged to ensure that the conduct of human subjects’ research, under the auspices of the University, shall meet all Federal and Institutional requirements for human subject protection. UMDNJ and UMDNJ-SOM adhere to the highest ethical standards, through established policies and procedures governing compliance and training in protection of human subjects. Under the direction of the Senior Vice President for Academic Affairs, the Deans of all UMDNJ schools, Vice Presidents of patient care units, and all Research Deans are required to implement and ensure compliance with University policy on human subjects’ research. To maintain organizational ethics and integrity, all applications for funds for research, educational and service grants, subgrants, contracts, subcontracts and cooperative agreements must be 48 Standard 7.1 Exhibit 92 Policy on Misconduct in Science accompanied by a Financial Disclosure Form signed by all participating faculty, declaring any real or potential financial conflict of interest. In the fall of 2000, UMDNJ instituted a Human Subjects Protections Program, as part of its ongoing commitment to the protection of subject volunteers enrolled in research studies conducted by faculty, students and staff. The program was implemented in January of 2001 and designed as a tertiary program of education and training, Institutional Review Board (IRB) review and continued monitoring and observation of ongoing research studies. The University Office of Human Subjects Protections currently resides within the UMDNJ Office of Academic Affairs/Office of the Vice President for Research. Services provided by the three campus IRB systems (Newark, New Brunswick, Stratford) include campus education, pre-review of research protocols involving human subjects, advisement of new programs at the planning phase, program review and review of potential collaborative relationships by faculty. Standard 7.1 The Office of Human Subjects Protections has the responsibility to assure that UMDNJ fulfills its institutional responsibilities for the conduct of research involving human participants, as required by the campus assurances filed with the Federal Health and Human Services’ Office for Human Research Protection(OHRP), as well as our regulatory responsibilities with the Food and Drug Administration (FDA), New Jersey State law and sponsor requirements. The Executive Director of the Office of Human Subjects Protections acts as the primary educator for all faculty, students, staff and IRB members in the principles and ethics of human subject protections. This individual also acts as the liaison with federal regulatory officials, university administration, the Dean of each school or oversight unit, the hospital bioethics committees and a resource for our affiliates. Mandatory education in the ethics and practical application of the principles of human subjects’ protection was implemented in July of 2001 and is monitored via the IRB approval process. UMDNJ also maintains an Office of Business Conduct that has an established Compliance Program to define and govern conduct expected of employees, to provide guidance on resolution of questions related to business conduct and ethical issues, and to establish a mechanism for employees to report possible violations. Ethical principles and integrity apply to all levels of University involvement, including basic and clinical research and day-to-day business. Staff and faculty are required to complete compliance training and human subjects’ protection training programs that are offered online through the WebCT program. These include training in the following: HIPAA and HIPAA Security; Compliance Education Program (corporate compliance); EMTALA (Emergency Medical Treatment and Labor Act); Documentation Guidelines for Teaching Physicians; and Research Training and Education (RITE). Additional trainings (e.g., IRB Facts and FAQs; Investigators and the IRB: Partners in Research; Communicating with the IRB: Forms, Forms, Forms; Expedited and Exempt IRB Review; Boot Camp for Clinical Researchers on industry-sponsored clinical drug trials; and Writing and Editing Informed Consent Documents) are conducted periodically throughout the year. The Research Animal Facility at UMDNJ-SOM is organized and maintained as a centrally operated and controlled facility for animal husbandry, research and surgery. The facility is 49 Exhibit 93 HIPAA Compliance Training located on the first floor of the Science Center and occupies approximately 8,000 square feet comprising rooms for animal housing, isolation and quarantine, necropsy/laboratory, cage washing, surgical prep, scrub and operating rooms. The Research Animal Facility is USDA approved and fully accredited by the Association for Assessment and Accreditation for Laboratory Animal Care (AAALAC), International. The Research Animal Facility is under the administration of a Director holding a D.V.M degree. He has specific training in laboratory medicine and has acted as the Attending Veterinarian at SOM for fifteen years. Research infrastructure moves beyond the physical facilities to include a comprehensive administrative and committee structure to monitor and review all research activities and provide the support needed to faculty and students engaged in research endeavors. Summary UMDNJ-SOM strives for excellence in its daily work, continuously improving from intrinsic goodness to overall greatness in all of its endeavors. Building on the rich heritage of the osteopathic profession, the school challenges its students and faculty to pursue new and creative approaches to addressing the health care needs of the diverse population it serves. UMDNJ-SOM continues to be a national leader in the education and training of primary care physicians devoted to excellence in their profession. As a comprehensive educational, clinical resource and training center for students, faculty, physicians and health service providers in the region, its research is of national and international significance. In fulfilling its mission, to educate physicians who practice in the state, it contributes significant economic and social benefits to the citizens of New Jersey. UMDNJ-SOM takes great pride in its accomplishments, its contributions to New Jersey, and its ability to meet and exceed the standards put forth by the Council on Osteopathic College Accreditation for full reaccreditation. 50 Exhibit 94 Vivarium Accreditation Standard 7.1 Exhibit 95 NIA-Funded Student Research Mini-Grants Exhibit 96 Summer Student Research Program Exhibit 97 Total and Annualized Amounts for Active Funding Exhibit 98 Clinical Drug Trials 1998-2005 Exhibit 99 Education and Training Grants Exhibit 37 AROC brochures Exhibit 36 Family Medicine Board Review Brochures