The University of Nevada School of Medicine

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The University of Nevada School of Medicine

  1. 1. The University of Nevada School of Medicine
  2. 3. The University of Nevada School of Medicine’s Report to Governor Guinn’s Commission on Health Care James E. Rogers Chancellor, Nevada System of Higher Education John A. McDonald VP Health Sciences and Dean
  3. 4. <ul><li>A First Step In The Dialogue: </li></ul><ul><li>Medical Education: A Quick Primer </li></ul><ul><li>The Core Problem: The State’s Health Care Needs </li></ul><ul><li>Current Snapshot Of The University Of Nevada School Of Medicine </li></ul><ul><li>What Does The State Need Us To Be? </li></ul><ul><li>Our Emerging Vision: The University Of Nevada Health Sciences Center </li></ul><ul><li>Questions And Discussion </li></ul>
  4. 5. Medical Education: A Quick Primer <ul><li>Nationally, 126 schools of medicine graduated 16,648 students in 2004, average class 132 </li></ul><ul><li>University of Nevada School of Medicine has a graduating class size of 52 </li></ul><ul><li>The University of Nevada School of Medicine is small, focused on primary care, with limited specialty training programs and limited research </li></ul><ul><li>The state needs us to be a complete medical school </li></ul>
  5. 6. Graduate Medical Education (Residencies and Fellowships) <ul><li>Three to ten years post-MD </li></ul><ul><li>Regulated by the Accreditation Council on Graduate Medical Education (ACGME) </li></ul><ul><li>70% of physicians practice where they completed their final training </li></ul><ul><li>Residency and fellowship programs are the most efficient way to build a state-wide physician workforce </li></ul>
  6. 7. Building a new residency program Year 7 or 8 Years 3 and 4 Year 3 Recruit Faculty and Staff; Create Curriculum; Prepare Program Information Form; apply for site visit First Class Finishes First Class Starts Provisional Accreditation; Advertise for residents Program Site Visit, RRC Review Years 1 and 2 Year 4 or 5
  7. 8. Nevada’s Physician Workforce Crisis <ul><li>Nevada ranks 48th in the nation in physicians per 100,000 population </li></ul><ul><li>This severely limits access to care for Nevadans </li></ul>
  8. 9. UNSOM: Our Heritage and Current Status In sum: We are not what we need to be. Nevada’s population and their health needs are growing and changing; UNSOM (and the other health professional schools at UNR and UNLV) need to grow and change accordingly Founded in 1969 Among smallest of medical schools in the nation Limited Graduate Medical Education programs NIH Funded Research Rank: 101 out of 126 schools, due to small size and scope of faculty
  9. 10. Rural health rotation
  10. 11. Plastic and Reconstructive Surgery: Restoring hope where there was none
  11. 12. Saving Hannah’s Hand
  12. 13. Saving Hannah’s Hand
  13. 15. Nevada’s Gap in Medical Education 189 645 906 617 Faculty 194 348 534 479 Total Residents & Fellows 10.2 12 52 2.4 NV 13.8 41 107 5.9 AZ 9.6 38 104 2.5 UT 17.5 37 76 1.9 NM State Poverty Residency & Fellowship Programs Medical School Class Population (millions) State
  14. 16. Nevada’s gap in residency training programs
  15. 17. Nevada’s gap in fellowship training
  16. 18. Nevada’s physician “pipeline” is the smallest in the US
  17. 19. Expanded Graduate Medical Education Requires Resources <ul><li>Direct Costs: Salaries and hospital-based costs typically funded by Federal Government (CMS) or Veterans Administration </li></ul><ul><li>Major Issue: CMS funded “slots” are capped </li></ul><ul><li>School of Medicine also incurs costs and needs resources to support expanded education </li></ul><ul><li>Infrastructure (space, technology, support staff) </li></ul>FACULTY
  18. 20. What Does Nevada Need Its Medical School to Be? <ul><li>A key part of the solution to the State’s healthcare workforce shortage </li></ul><ul><li>A source of primary and specialty care physicians trained to work in teams with other health care providers </li></ul><ul><li>A contributor to the Nevada’s economic development through biomedical research </li></ul><ul><li>A partner for innovative private-public partnerships – Ruvo Institute, Lili Claire, Center for Chronic Fatigue Syndrome, NVCI </li></ul>
  19. 21. What Does Nevada Need Its Medical School To Be? <ul><li>Focused on the health needs of Nevadans </li></ul><ul><li>A training ground for physicians and residents trained in the most current, best practices for patient care </li></ul><ul><li>A medical school that remains accessible and affordable for the best of Nevada’s future physicians </li></ul><ul><li>A source of great pride for Nevada </li></ul>
  20. 22. Our Emerging Vision: The University of Nevada Health Sciences Center <ul><li>A Health Sciences Center is a University-based, integrated set of health professional education and biomedical research programs, aligned with supportive patient care programs and facilities. </li></ul><ul><li>Health Sciences Centers, on a national basis, are highly diverse, take many forms, and fulfill their missions in a variety of ways. </li></ul>
  21. 23. A Health Sciences Center is not just buildings. It is: <ul><ul><li>Shared missions of health professional education, biomedical research, patient care, and community health improvement </li></ul></ul><ul><ul><li>A medical school and other health professional schools (Nursing, Public Health, Pharmacy, Dentistry, etc.) </li></ul></ul><ul><ul><li>An aligned teaching hospital (or more than one), deeply committed to the success of the academic programs and faculty </li></ul></ul><ul><ul><li>Guided by leadership devoted to the common missions and working within an organizational structure empowered to make decisions and commit resources </li></ul></ul>
  22. 24. Our Emerging Vision: The University of Nevada Health Sciences Center <ul><li>Quality faculty – with breadth and depth across the disciplines and passionate career commitments to teaching and research – form the core of a Health Sciences Center. </li></ul>FACULTY EDUCATION PATIENT CARE RESEARCH COMMUNITY HEALTH PHARMACY NURSING MEDICINE BASIC SCIENCES PHYSICAL THERAPY PUBLIC HEALTH DENTISTRY
  23. 25. What Will The University of Nevada Health Science Center Do for Nevada? <ul><li>As Nevada changes, its health care system needs to change. A robust Health Sciences Center will: </li></ul><ul><ul><li>Educate more physicians and health professionals, improving access to care </li></ul></ul><ul><ul><li>Develop programs to improve the population’s health </li></ul></ul><ul><ul><li>Bring research dollars and talent into the State </li></ul></ul>
  24. 26. What Will The University of Nevada Health Science Center Do for Nevada? <ul><ul><li>Enhance the State’s access to research-based care and prevention </li></ul></ul><ul><ul><li>Anticipate and meet critical needs of a rapidly growing and aging population </li></ul></ul><ul><ul><li>Build Nevada’s national reputation as a state with outstanding health care for all </li></ul></ul>
  25. 27. <ul><li>We need to work together to: </li></ul><ul><ul><li>Articulate the major health policy issues for the State </li></ul></ul><ul><ul><li>Define a process to solve these problems </li></ul></ul><ul><ul><li>Address how to finance graduate medical education </li></ul></ul><ul><ul><li>Improve the health of Nevadans </li></ul></ul><ul><ul><li>Develop a shared vision of the benefits of a health sciences center </li></ul></ul>Governor’s Commission – UNHSC Planning
  26. 28. Questions and Discussion

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