New Directions in Medical Education in Indiana
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New Directions in Medical Education in Indiana



A presentation from Marian University's Dr. Paul Evans, dean of college of osteopathic. For more information about Dr. Evans, please visit ...

A presentation from Marian University's Dr. Paul Evans, dean of college of osteopathic. For more information about Dr. Evans, please visit

Marian University's mission is to be "a Catholic university dedicated to excellent teaching and learning in the Franciscan and liberal arts traditions." This mission is the primary means by which the university seeks everyday to achieve its vision of transforming lives, society, and the world through its graduates.



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    New Directions in Medical Education in Indiana New Directions in Medical Education in Indiana Presentation Transcript

    • New Directions In Medical Education in Indiana
      Paul Evans DO, FAAFP, FACOFP
      Vice President and Dean
      College of Osteopathic Medicine
    • Introduction
      Presently there is one medical school in IN (Indiana University School of Medicine)
      In January 2010, Marian University announced the creation of a new osteopathic medical school
      First new medical school in state for over 100 years
    • Why do we need a new medical school in Indiana?
      What is osteopathic medicine, and what are differences between DO and MD physicians?
      What are the plans for MU-COM?
      How will the new school affect the city and state?
    • Needs - National
      Needs will exceed capacity to produce new doctors at today’s output
      Mismatches in primary care vs. specialist distribution
      Physician population is changing
      Specialty selection
      Work hours
      Access challenges (geographic and financial)
      Population increases and changes influence health care needs
      New schools, expanding class size – but…
      Capped residency programs CMS (BBA 1997)
    • MD and DO First Year Enrollment 2002-2014
    • Needs – Indiana
      Indiana population projections
      Over age 65 doubles from 2000 to 2030 (2x visits)
      More need with chronic diseases, obesity
      Physicians are aging, retiring too
      earlier retirement now than in past
      working fewer hours
      55.9 hr/wk (1976) vs. 50.2 hr/wk (2006) [JD 44.9, RN 37.3]
      more females
      life style more important
      Indiana short 5,000 physicians for population, state-wide
    • Needs – Indiana
      By 2020 the state needs 2,000 more primary care physicians
      needs met in only 19% urban, 2% rural counties
      54% Indiana counties = medically underserved (57 of 92)
      38% mental health provider shortage
      30% primary health care shortage
    • (McKeag et al – IU)
      Fam Med
      IM Gen
    • So why are primary care physician numbers going down?
    • Figure 3.Inflation-Adjusted Physician Fees Between 1989 and 2006
      JAMA. 2010;303(8):747-753
    • Osteopathic Medicine
      DO (Doctor of Osteopathic Medicine)fully trained, conventional physicians
      Licensed for all facets medical practice
      Emphasis on
      Whole patient philosophy (illness treatment in context of person, family and community)
      Wellness and Prevention
      Mind-body-spirit approach
      Additional training in osteopathic manipulation
      Structure intimately related to function
      Musculoskeletal system more than just motion and support (soft tissues, neural, lymphatics, circulation)
    • Osteopathic Medicine
      Very fast growing
      In 2010, DO students are 1 in 5 of all medical students
      Projected 1 in 4 by 2015
      About 30 schools nationwide
      Easier to start DO school with less emphasis on academic medical center model
      No ownership of hospitals
      Use community clinical training resources
    • New and Planned Colleges of Osteopathic Medicine
    • Osteopathic Medicine
      Higher percentage of primary care
      41% Family Medicine
      10% General Internal Medicine
      5% General Pediatrics
      4% OB/GYN
      Higher percent of practicing physicians
      Higher percentage of practice in rural and underserved communities
    • MU-COM Plans
      Plans to start August 2012
      Class size 150
      Geographic preference IN residents
      Mission is to produce osteopathic physicians for IN and surrounding states
      New health sciences building for both COM and School of Nursing
      Clerkships in communities around the state
      Encourage new residencies in Indiana
    • MU-COM Affects on Indiana
      Economic development building project in Indianapolis
      $53.5 million construction
      To compare, Final 4 in 2006 = $40 million
      318 direct jobs
      185 indirect jobs
      Hiring faculty, staff (about 60 full and part time)
      600 students when all 4 years are full in 2015
      Expansion of Marian University
      If 50% of DO graduates stay in IN, then 75 new physicians per year starting in 2017
    • Summary
      Marian University College of Osteopathic Medicine plans to start in 2012 with 150 students
      First Doctor of Osteopathic Medicine (DO) graduates in 2016
      MU-COM goal = to complement existing Indiana medical education by providing osteopathic physicians to address the predicted shortage
      Outcome = to improve the health of the citizens of Indiana