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New Directions in Medical Education in Indiana

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Dr. Paul Evans, Vice President and Dean of the Marian University College of Osteopathic Medicine (MUCOM) gave this presentation on October 19, 2010 in Indianapolis at the monthly Life Sciences ...

Dr. Paul Evans, Vice President and Dean of the Marian University College of Osteopathic Medicine (MUCOM) gave this presentation on October 19, 2010 in Indianapolis at the monthly Life Sciences Luncheon Series organized by the Indiana Health Industry Forum.

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New Directions in Medical Education in Indiana Presentation Transcript

  • 1. New Directions In Medical Education in Indiana
    Paul Evans DO, FAAFP, FACOFP
    Vice President and Dean
    College of Osteopathic Medicine
  • 2. 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
  • 3. 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?
  • 4. 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
    Retirement
    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)
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10. MD and DO First Year Enrollment 2002-2014
  • 11.
  • 12. 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
  • 13. 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
  • 14. (McKeag et al – IU)
    Fam Med
    IM Gen
    Peds
  • 15. So why are primary care physician numbers going down?
  • 16.
  • 17. Figure 3.Inflation-Adjusted Physician Fees Between 1989 and 2006
    JAMA. 2010;303(8):747-753
  • 18.
  • 19. Osteopathic Medicine
    DO (Doctor of Osteopathic Medicine)fully trained, conventional physicians
    Licensed for all facets medical practice
    Differences
    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)
  • 20. 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
  • 21.
  • 22. New and Planned Colleges of Osteopathic Medicine
  • 23.
  • 24. 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
  • 25.
  • 26. 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
  • 27. 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
  • 28. 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