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  • 1. The Uniformed Services University of the Health Sciences: A Unique Resource AMMA/Joint Health Command Symposium Canberra 30 October 2010
  • 2. Uniformed Services University of the Health Sciences
  • 3. USU is a joint service institution: Army, Navy, Air Force and U.S. Public Health Service • F. Edward Hébert School of Medicine Hébert • Undergraduate – M.D. • Graduate programs in the biomedical sciences • Graduate medical education (within NCA) • Graduate School of Nursing • Advanced practice degrees (M.S.N) • Doctoral degree (Ph.D.) • Postgraduate Dental College Master of Science degrees (M.S.) • Armed Forces Radiobiology Research Institute • U.S. Military Cancer Institute • Continuing Health Education Programs
  • 4. History of USU • USU was chartered in 1972 by an act of • USU was chartered in 1972 by an act of Congress, as envisioned by Congressman F. Congress, as envisioned by Congressman F. Edward Hébert (D-LA) Edward Hébert (D-LA) • The medical school opened in 1976; the • The 1976; the Graduate School of Nursing was added in Graduate School of Nursing was added in 1993. The Postgraduate Dental College was 1993. The Postgraduate Dental College was added in 2010 added in 2010 • USU is the nation’s military and public • USU is the nation’s military and public health services academy, with the mission health that includes the accession of fully qualified that includes the accession of fully qualified officers into the medical, dental,nursing officers into the medical, and medical service corps of the uniformed and medical service corps of the uniformed services services • Officers provide much of the senior • Officers provide much of the senior leadership of the uniformed services health leadership of the uniformed services health activities activities
  • 5. F. Edward Hébert School of Medicine Hébert • Average entry age is 24-25 24-25 • 3:1 male to female ratio • 165-180 students per class 165-180 • Nearly 50% prior service • Rank: O-1 O-1 • Military unique curriculum • Army - 37% • Navy - 30% • Air Force - 30% • Public Health Service - 3%
  • 6. Medical students come to USU with widely diverse backgrounds: • From undergraduate university, no prior military affiliation • ROTC • Service Academies • Prior service enlisted • Prior service officer • Medic/corpsman, submariner, MP, musician, aviator, second-generation USU students, etc.
  • 7. Military Unique Curriculum Includes: •Combat field resuscitation •Combat field resuscitation (cognitive) (cognitive) •Blast injury •Blast •High velocity GSW injury •High velocity GSW injury •Field exercises •Field Operations Kerkesner/ Kerkesner/ Bushmaster (practical labs) Bushmaster (practical
  • 8. • Global infectious disease Global infectious disease • WMD/Disaster and humanitarian assistance humanitarian assistance • Medical ethics in war • Preventive Medicine • Aviation/aerospace medicine medicine • Hypo-/Hyperbaric Hypo-/Hyperbaric medicine medicine
  • 9. Unique aspects of Preventive Medicine curriculum: In addition to the epidemiology and biostatistics that are In addition to the epidemiology and biostatistics that are taught in most schools, USU provides: taught in most schools, USU provides: • • Preventive services delivery in medical care setting – including oral health Preventive services delivery in medical care setting including oral health • • Extensive 2nd year course in parasitology that includes laboratory diagnosis Extensive 2nd year course in parasitology that includes laboratory diagnosis of parasitic diseases of parasitic diseases • • 3rd-4th year intersession course on health services 3rd-4th year intersession course on health services • • Introduction to operational field preventive medicine is included Introduction to operational field preventive medicine is included in Kerkesner by Department of Military and Emergency Medicine in Kerkesner by Department of Military and Emergency Medicine • • 4th year electives in tropical medicine, during which students 4th year electives in tropical medicine, during which students have structured learning experiences at overseas sites in Africa, have structured learning experiences at overseas sites in Africa, South America, or Southeast Asia. South America, or Southeast Asia.
  • 10. Graduate Education Programs in the Biomedical Sciences Research Degree Programs: Interdisciplinary Ph.D. Programs Interdisciplinary Ph.D. Programs •Emerging Infectious Diseases •Emerging Infectious Diseases •Molecular and Cell Biology •Molecular and Cell Biology •Neuroscience •Neuroscience Department-based Ph.D. Programs Department-based Ph.D. Programs •Clinical and Medical Psychology •Clinical and Medical Psychology •Environmental Health Sciences •Environmental Health Sciences •Medical Zoology •Medical Zoology Doctor of Public Health Doctor of Public Health Physician Scientist (MD-Ph.D.) Physician Scientist (MD-Ph.D.)
  • 11. Federal Civilian and Career Officer programs: Master of Public Health Master of Science in Public Health Master of Tropical Medicine & Hygiene Master of Military Medical History Master of Healthcare Administration and Policy
  • 12. • Master of Healthcare Administration and Policy - Focused on political and economic dimensions of health policy - Focused on issues involving cost, quality and access in the cost, administration of healthcare services - One year didactic; one year practical experience - DoD Military Health System - Veterans Administration headquarters Veterans Administration headquarters - Agency for Healthcare Research and Quality - National Institutes of Health - TRICARE Management Activity - USAID/U.S. State Department Department - Logistics Management Institute - Defense Health Board
  • 13. Graduate School of Nursing • Established by Congress in 1993, the Graduate School of Nursing’s Nursing’s mission is to educate advanced practice nurses • Uniformed service members; Average Rank: O-3 O-3 • Federal service civilians enrolled in Ph.D. program
  • 14. GSN Unique Contributions • Nurse Anesthesia program – Rated among the top 5 in the country by U.S. News & World Report • Family Nurse Practitioner program • Psychiatric Mental Health Nurse Practitioner program • Perioperative Clinical Nurse Specialist program • Ph.D. in Nursing Science program
  • 15. College of Post-Graduate Dental Studies • USAF Comprehensive Dentistry Residency Program • Navy Post-graduate Dental School • Army: under review • Master of Science in Oral Health
  • 16. • As of May 2010, USU has awarded more than 4,500 medical degrees, 1,100 masters and doctoral degrees in the biomedical sciences, and 1,100 masters and doctoral degrees in the biomedical sciences, and 470 nursing science degrees 470 nursing science degrees
  • 17. Research and Consultation
  • 18. Armed Forces Radiobiology Research Institute • Established 1960 • Mission: provide expertise and operational support in a radiation or nuclear event • Research program: develop effective and safe countermeasures • TRIGA, Cobalt60, LINAC • Became part of USU in 2004
  • 19. Graduate Education Programs in the Biomedical Sciences Research Degree Programs: Interdisciplinary PhD Programs •Emerging Infectious Diseases •Molecular and Cell Biology •Neuroscience Department-based PhD Programs •Clinical and Medical Psychology •Environmental Health Sciences •Medical Zoology Doctor of Public Health Physician Scientist (MD-PhD) Post-doctoral Fellowships
  • 20. Center for Disaster and Humanitarian Assistance Medicine A USU-based center under Department of USU-based Military and Emergency Medicine. Mission : to advance the understanding and delivery of disaster medical care and humanitarian assistance worldwide. Uniquely positioned academic center actively developing relationships between governmental agencies, non- non- governmental agencies, and private volunteer organizations to improve relief efforts.
  • 21. Recent Experience • Hurricane Katrina • Banda Aceh, Indonesia • Afghanistan and Iraq • Pakistan • Haiti
  • 22. Center for Neuroscience and Regenerative Medicine Congress directed CNRM to study combat casualties cared for at WRAMC and NNMC using advanced neuroimaging technology at the NIH Clinical Center Unprecedented collaboration among USU, NIH (particularly NIMH, NINDS), WRAMC, and other federal agencies Focused on TBI and PTS: Identifying pathophysiology Developing models Understanding plasticity Exploring regenerative approaches Enhancing rehabilitation
  • 23. Center for the Study of Traumatic Stress • Research, education, consultation and training • Preparing for/responding to the psychological effects and health consequences of traumatic events • Natural disasters (hurricanes, floods and tsunami) • Human-made disasters (motor vehicle and plane crashes, war, terrorism and bioterrorism) • Studies of genetic vulnerability to stress, individual and community responses to terrorism • Policy recommendations to help our nation and its military and civilian populations
  • 24. Center for Deployment Psychology • Training • Support • Programs • Progress
  • 25. Infectious Diseases Clinical Research Program (IDCRP) Interagency Agreement in 2006 National Institute of Allergy and Infectious Disease (NIAID)/ Uniformed Services University Objectives: Establish and support a DoD infectious disease clinical research network Develop a portfolio of protocols focused on militarily relevant infectious disease problems Research program synergized with: other DoD clinical and research partners the civilian research community including federal partners, academia and industry. Establish a network Infectious Disease IRB (Institutional Review Board) that streamlines the approval process for multicenter projects One IRB review and one Headquarters review Two years in the making – first meeting in June 08
  • 26. IDCRP Clinical Research Network IDCRP headquarters at USU, National Naval Medical Center, Walter Reed Army Medical Center, Walter Reed Army Institute of Research, Naval Medical Research Center, Data Analysis Military HIV Research Program Center University of Minnesota Landstuhl Regional Medical Center Germany Naval Medical Center & Naval Health Research Center San Diego, CA Naval Medical Center Naval Medical Portsmouth, VA Research Unit 3 Cairo, Egypt Naval Medical Research Unit 2 Jakarta, Indonesia Eisenhower Army Medical Center Tripler Army Ft. Gordon, GA Medical Center, WHMC/SAMMC Honolulu, HI BAMC/SAMMC USAISR UAFSAM San Antonio, TX Naval Medical Research Center Detachment U.S. Army Medical Research Unit Lima, Peru Nairobi, Kenya
  • 27. IDCRP Project Collaborations DoD GEIS – Global Emerging Infections Surveillance System WRAIR – Walter Reed Army Institute of Research NMRC – Naval Medical Research Center VRC – Vaccine Research Center of NIAID DoD Overseas Medical Research Labs USAMRIID – US Army Medical Research Institute for Infectious Diseases NHRC – Naval Health Research Center USAFSAM – US Air Force School of Aerospace Medicine CDC - Centers for Disease Control and Prevention UT Health Science Center San Antonio INSIGHT - International Network for Strategic Initiatives in Global HIV Trials CHAVI – Center for HIV/AIDS Vaccine Immunology at Duke University KEMRI – Kenya Medical Research Institute Kericho, Kenya Makerere University, Kampala, Uganda Nabi Pharmaceuticals
  • 28. Lessons Learned “My education at USU came back in a flash when I was placed in an environment where the culture and environment were not optimal.” Captain David Lane USU Alum
  • 29. The Military/PHS Connection • Military assets • Rapid deployability • Logistics • Communications • Security • Heavy lift • Engineering capability • PHS assets • Public health, population health focus • Interaction with civilian authorities • Sustainability
  • 30. Walter Reed National Military Medical Center
  • 31. “The prototype 21st century academic medical center.” - Harvey Fineberg, M.D., Ph.D. President, Institute of Medicine
  • 32. Walter Reed Army Medical Center
  • 33. Building #2 Renewal • Heaton Pavilion (Building 2): 1.3 million square foot hospital completed in 1977 (2.4 million square feet including interstitial floors) • Facility is over 30 years old • Cost of hospital renovation/renewal estimated at $550M (2002) • Renewal/Renovation would require 12-15 years to execute construction while maintaining operability of hospital • Periodic disruptions to service throughout project lifecycle as medical functions rotate through transitional locations required to vacate space during phased construction
  • 34. National Naval Medical Center
  • 35. 15 September 2011…
  • 36. USU Alumni
  • 37. USU Alumni Selected for Flag Rank
  • 38. USU Alumni in Action • Lisa Peterson • U.S. Navy Lieutenant and flight surgeon • Banda Aceh Tsunami response on aircraft carrier U.S.S. Abraham Lincoln • Provided anti-malarial treatment and other preventive measures, along with emergent services • Carrier and crew took on unaccustomed roles, including water desalination, repair of facilities for health care and water purification, and support of other relief operations
  • 39. USU Alumni in Action • Various grads supported: • U.S.S. Comfort, Bataan and Iwo Jima during Hurricane Katrina response efforts in Mississippi and Louisiana • On-ground and air rescue support following earthquakes in Pakistan and Central Java
  • 40. USU Alumni
  • 41. USU Alumni have become integral to operational medicine and have played significant roles across the federal health system since the first class graduated in 1980