State of the College Address

1. State of the College Address September 9, 2013 Etta D. Pisano, MD Vice President for Medical Affairs Dean, College of Medicine

2. Annual Report • MUSC Health/Medical Affairs • Education • Research • Other Progress

3. Strategic Plan ~ Mission 2015 MUSC Health/Medical Affairs 2015 Vision: MUSC will be nationally recognized as a premier academic medical center Intent: Top 25 among academic medical centers for reputation, quality, service, efficiency and financial performance by 2015

4. MUSC Health/Medical Affairs STRATEGIC INTENT: Top 25 among academic medical centers for reputation, quality, service, efficiency and financial performance by 2015. • UHC Quality and Accountability Study • US News & World Report

5. Clinical Affairs - Accomplishments • Nationally Ranked Specialties • Ear, Nose & Throat • Nephrology • Rheumatology • Pediatrics: Cardiology & Heart Surgery • Pediatrics: Gastroenterology • Pediatrics: Nephrology

6. Clinical Affairs - Accomplishments • High Performers • Cancer • Cardiology & Heart Surgery • Diabetes & Endocrinology • Gastroenterology • Geriatrics • Gynecology • Neurology & Neurosurgery • Orthopaedics • Pulmonology • Urology

7. Clinical Affairs - Accomplishments South Carolina Rankings

8. Clinical Affairs - Accomplishments Dr. Jonathan Edwards Dr. Alex Vandergrift

9. Clinical Affairs - Accomplishments

10. Clinical Affairs – Progress in Affiliations • Georgetown Health System • External legal counsel engaged; drafting partnership agreement • Draft Joint Operating structure completed • Site visit for MUSC faculty; LINAC and Waccamaw Hospital Tues., Aug. 6th

11. Clinical Affairs – Progress in Affiliations • Surgical Care Affiliates (SCA) • MUSC legal team finalized Co-Development Agreement • Co-Development Agreement signed by all entities • Ambulatory surgery center selected • External legal counsel engaged; drafting Joint Venture documents

12. Clinical Affairs – Progress in Affiliations • Onsite visits by Drs. Pisano, Cawley and Feussner • Met with C-Suite members & selected Board members • Preliminary discussion of joint mission and driving strategies • External consultant engaged (The Beckham Company) • Negotiating with BMH on consulting contract Dr. Jack Feussner Dr. Pat Cawley

16. Clinical Affairs - Growth FY 13 Visit Counts by Place of Service Q1 & Q2 • FY 13 Goal: 2% • Q 1 & Q2 Results: 4% MUSC Marketing Department Data

17. Clinical Affairs – Access Wins! • Department of Neurology • Opened new patient ACCESS Clinics. • Decrease in New Patient Appointment Lag by 42%. • Added an additional 576 new patient appointments. • The Division of Cardiology • Plans to expanded clinical capacity by standardizing. • The division added 2.0 FTE of clinical activity (without hiring any additional faculty). • Added an additional 1800 new patient appointments. Peter Zwerner, MD “Just say, ‘Yes’!”

18. Education – Accomplishments • Achieved Liaison Committee on Medical Education (LCME) reaccreditation. • Strengths- • Curriculum. • Career and advising system. • Research opportunities for students. • Diversity. Dr. Deborah Deas

19. Education – Accomplishments • LCME reaccreditation - things to work on- • Indebtedness of our students. • Debt counseling for our students.

20. Education – Accomplishments • U.S. News and World Report top 10 most popular medical schools. • 3,558 total applicants • 6% of applicants were offered admission • Of those offered admission, 78% accepted • Average GPA of admitted class – 3.7 • Average MCAT of admitted class – 29 • 40% female, 60% male, 17% underrepresented in medicine students

21. Education – Accomplishments • We improved our Step 1 Board Prep Program over the past year. • Our USMLE Step 1 first-time pass rate increased from 91% to 93%, with a second attempt pass rate of 100%. • Our USMLE Step 2CK pass rate increased from 96% to 99%, and we maintained a USMLE Step 2CS pass rate of 96%.

22. Education – Accomplishments • Match Assistance Program – 98% of students matched initially, with 100% of our students eventually matching. • Of the 157 students who matched, 42 (27%) are staying in S.C. for their residency training.

23. Education – Accomplishments • Our Student Satisfaction Survey reveals that our students are highly satisfied with their education- • 94% of students responding believe they have received a high quality education at MUSC; • 94% believe they made the right choice in selecting MUSC for their training; and • 93% indicate they would recommend MUSC to a prospective student.

24. Education – Accomplishments • The Academy of Medical Educators (established in June 2012)- • 25 faculty members have joined to date Dr. Paul McDermott Dr. Leonie Gordon Dr. Debra Hazen-Martin

25. Education – Ongoing Efforts • Potential secondary medical education campuses under development/consideration.

26. Research – Accomplishments • Department of Public Health Sciences. • Center for Genomic Medicine. • Infrastructure Committee. • Biorepository Committee. • Enhanced support for SCTR. Dr. Craig Crosson

27. Research - Accomplishments • Bridge funding program • 17 faculty funded for a total investment of $840,000. • Those 17 faculty have since received over $10 million in extramural funding. • Top 50 in NIH rankings for medical schools.

28. Research – Ongoing Efforts • A Clinical Research Task Force was convened this spring to improve our competitiveness and efficiency and promote best practices in conducting clinical trials. • Initial areas being targeted for review and improvement include developing systems to improve financial monitoring of trials, staff training, IRB, and space utilization. Dr. Kathleen Brady Dr. Patrick Flume

29. Research – Ongoing Efforts • NCI renewal for Hollings Cancer Center – renewal application was submitted in May, and site visit takes place September 24. Dr. Andrew Kraft

30. Leadership Recruitments Dr. Don Rockey, Chair of Medicine

31. Leadership Recruitments Dr. Vincent Pellegrini, Chair of Orthopaedics

32. Leadership Recruitments Dr. Donna Johnson, Chair of Obstetrics and Gynecology

33. Leadership Recruitments Dr. Bruce Ovbiagele, Co-Chair of Neurosciences (Neurology)

34. Leadership Recruitments Dr. Philip Howe, Chair of Biochemistry and Molecular Biology

35. Leadership Recruitments Dr. Yuko Palesch, Interim Chair, Department of Public Health Sciences

36. Leadership Recruitments Dr. Steven Ethier, Interim Director, Center for Genomic Medicine

37. Ongoing Recruitment Efforts • Chair, Department of Family Medicine • Chair, Department of Pathology • Chair, Department of Public Health Sciences • Chair, Department of Regenerative Medicine

38. Administrative Accomplishments • Continued implementation of University-wide Funds Flow Process. • Continued implementation of Basic Science Department funding model.

39. Administrative Accomplishments • Implementation of new Clinical Faculty Compensation Framework. • Tracks productivity. • Balancing all missions. • Transparent, fair, unified. • Adapts to new delivery metrics (quality and safety). • Flexible depending on clinical service needs. • Shadow system through implementation in July 2014.

40. Administrative Accomplishments • Continued assessment and improved utilization of space assigned to the college. • COM is currently subsidizing the cost of academic, research and office space by ~ $11 million/year. • COM has set a goal of reducing unfunded space cost by at least 25% over the next two years. • COM has established departmental benchmarks for average IDC rates for grant funding, effective July 1, 2013. • Continued implementation of Faculty Affairs Roundtables and COM Leadership School.

41. Questions?