state of the department of medicine june 18 th, 2014
TRANSCRIPT
STATE OF THE STATE OF THE DEPARTMENT OF MEDICINEDEPARTMENT OF MEDICINE
JUNE 18JUNE 18THTH, 2014, 2014
The Academic Year that Was(2013-2014)
Implementation of Recommendations of Strategic Task
Force Plan
Challenges Identified by Task Force
• The department has outstanding institutions and faculty, but the “whole is less than the sum of its parts”
• There is a lack of a cohesive vision as a department • There is evidence of decline in the quality and
competiveness of the GME education programs • There is a lack of a research strategy that synergizes
across divisions
• There is no departmental clinical strategy that facilitates
the efforts to address healthcare reform
Division Chiefs
Glenn I. Fishman, MDDir., Cardiology
Steven B. Abramson, MDChair, Department of
Medicine
Glenn I. Fishman, MD
Vice Chair, Research
David Stern, MDVice Chair,
Education/Faculty Affairs
Mark B. Pochapin, MD
Vice Chair, Clinical
Fritz Francois, MDChief of Medicine,
Tisch
Doug Bails, MDChief of Medicine,
Bellevue
David T. Stern, MDChief of Medicine,
VA
Katherine Hochman, MD
Associate Chair, Quality
Patrick M. Cocks, MD
Associate Chair, GME
Michael LoCurcio, MD
Associate Chair, UME
TBDAssociate Chair,
CME
Martin Kahn, MDAssociate Chair, Academic Affairs
Katherine Wesnousky
Administrator/Chief of Staff
Michael H. Perskin, MD
Associate Chair Ambulatory
Mark B. Pochapin, MDGastroenterology
Caroline S. Blaum, MDDir., Geriatrics
Sondra R. Zabar, MDInterim, Dir., GIM
Howard A. Fine, MDDir., Hem./Medical Onc.
Joel D. Ernst, MD, Int Dir., I.D. & Immunology
Davd M. Oshinsky, MDDir., Med. Humanities
Edward Y. Skolnik, MDDir., Nephrology
William N. Rom, MDDir., Pulmonary
Jill Buyon, MDDir., Rheumatology
Bruce N. Cronstein, MDDir., Translational Med.
TBDAssociate Chair,
Mentoring
Ira Goldberg, MDDir., Endocrinology
Recommendation: Promote One Clinical Faculty
• Begin with fundamental respect for colleagues across institutions and practices
• Strategic growth of Academic Divisions – Targeted world-class programs in specialized areas
• Responding to the external threats
• Share best practices across teaching hospitals
New Division Directors
Dr. Ira Goldberg
Endocrinology, Diabetes and
Metabolism
Dr. Jill Buyon
Rheumatology
New Associate Directors (Divisions Clinical)
Dr. Michael Philips
Infectious Diseases and Immunology
Dr. Steven Hodak
Endocrinology, Diabetes and
Metabolism
New Associate Directors MedicineQuality First
Dr. Katherine Hochman
Tisch Hospital
Dr. Laura Evans
Bellevue
Thank You…
Dr. Ann DanoffContributions as Director, Division of Endocrinology,
Diabetes and Metabolism
Dr. Iven YoungContributions as Firm Chief
SHOW DATA FROM 2014
Departments that have 5 or more direct contact hours with UME students
DEPARTMENT UME Effort Hrs▼
1 Medicine 11938
2 Cell Biology 6242
3 Emergency Medicine 4316
4 Pediatrics 4025
5 EFAA 2583
6 Radiology 1512
7 Pathology 1199
8 Obstetrics and Gynecology 947
9 Microbiology 932
10 Psychiatry 516
11 Biochemistry and Molecular Pharmacology 500
12 Population Health 485
13 NYU Cancer Institute 374
14 Physiology and Neuroscience 338
15 Skirball Institute 296
16 Hospital Operations 294
17 Dermatology 214
18 Neurology 150
19 Neurosurgery 92
20 Surgery 70
21 Neuroscience Institute 62
22 Child and Adolescent Psychiatry 57
23 Anesthesiology 26
24 Orthopedic Surgery 26
25 Rehabilitation Medicine 22
Medical Student Education
Anthony GriecoCore Clerkship
Michael LoCurcioActing Internship
Associate Chair, Education
Norma KellerCritical Care
Michael TannerAmbulatory Care
Pamela RosenthalCFM
Medical Student Education Firm Chiefs:
ANTHONY GRIECO
MARTIN KAHN
DOREEN ADDRIZZO-HARRIS JEROME LOWENSTEIN RUTH ORATZMICHAEL BRABECK
ELIZABETH WEINSHEL MITCHELL CHARAP IVEN YOUNG
*Dr. Paru Patrawalla
2013-2014Residency Program Directors
Louis MillerSenior Associate Program Director
Assessment and Evaluation
Patrick CocksProgram Director
Associate Program DirectorsRestructuring
Jennifer Rockfeld Quality Improvement and
Patient Safety
Amit UppalCritical Care Experience
Barbara Porter Outpatient Experience
Mary FishmanFGP Outpatient Experience
Margaret HorlickCurriculum
Neil ShapiroInpatient Experience
Directors: Primary Care Residency Program
Mack LipkinSondra Zabar
Jennifer Adams Richard GreeneKathleen Hanley
2013-2014 Chief Residents
Brian GreetVA Outpatient
Pavan Bhatraju Inpatient
Rani Nandiwada Inpatient
Brandon OberweisSenior Chief
Matthew InghamVA: QI & Safety
Laura Van MetrePrimary Care
Alexander Volodarskiy Inpatient
Matthew VorsangerInpatient
Pascale White BH Outpatient
2014 -2015 Chief Residents
Robert MocharlaVA Outpatient
Greg Schrank Inpatient
Josh Denson Inpatient
Andrew LevySenior Chief
Sarah MacArthur VA: QI & Safety
Jessica TaftPrimary Care
Karen Kan Inpatient
Mark AdelmanInpatient
Jack Naggar BH Outpatient
Goals: ResearchGetting Divisions to the Top Ten
• Valorize the Division Directors to develop strategic vision for translational research
• Recruit four Division Directors, national leaders with clinical vision and translational research bona fides
• Promote collaborative grants (RFP PPG)
• Develop integrated clinical practice space that promotes clinical research (e.g., CMC, Cancer Center)
• Nurture and support junior investigators (Saperstein, Colton, Farber, Fast-tracking, PSTP, Hirschl, other)
CLINICAL AND TRANSLATIONAL MEDICINE PROGRAMS
THE NAMED CENTER FOR MOLECULAR MEDICINE
Integrated with I-CUBED / PATHOLOGY / CELL BIOLOGY / CANCER CENTER / NEUROSCIENCE
Rheum, ID, GI Expansion
EndocrineDivision Director
Precision MedicineProgram Director
Associate Prof
Assistant Profs (2)
Associate Prof (4-6)
Assistant Profs (4-6)
Associate Prof
Assistant Prof (2)
Associate Profs (2)
Assistant Profs (4)
Berger, Buyon, Chen, Cho, Cronstein, Delmar, Ernst, Fisher, Fishman, Gardner, Maass, Moore, Mor, Morley, Philips J, Philips M, Ramasamy, Reibman, Schmidt, Shopsin, Silverman, Skolnik
CV, Renal Expansion
Integrated with NYULMC Clinical Research Unit/Health Outcomes & Population Science/CTSI/CHIBI (6-8)
Recruitment of additional disease-based clinicians & clinician-investigators (6-8)
Center forMusculoskeletal Care
Existing
Center for Diabetes and Metabolic Care(Dr. Steven Hodak)
Center for Cardiovascular CareIn progress
Cancer Center InstituteExisting
Immunity & Inflammation
Auto-ImmunityInflammatory Bowel Disease
Infectious Diseases/MicrobiomeAsthma
MetabolomicsDiabetesObesity
Metabolic Disorders
Cardiovascular Disease
Vascular DiseaseStructural Heart Disease
ArrhythmiasHeart Failure
PrecisionMedicine
Genetic Basis of DiseaseTargeted Therapeutics
Katy WesnouskyDepartment
Administrator
Glenn FishmanVice Chair Research
Yelena SionovaDirector,Research
AdministrationPhil HimmelsteinFinance Manager
Grants Manager –
Translational/DGIM
Grants Manager-Pulmonary
Grants Manager-
Rheumatology
Grants Manager-Cardiology
Grants Manager-
Endocrinology
Grants Manager-Infectious Disease
Grants Manager-
Geriatrics/GI/ Medical
Humanities
Financial Analyst Endo/Nephrology/
Translational/DGIM
Financial Analyst Pulmonary/Infectious
Disease/Gastroenterology
Financial Analyst Geriatrics/Humanities/
Rheumatology
Financial Analyst Cardiology
Clinical Trials Coordinators
Assistant Professor(CIE or ICE)
Assistant Professor(CIE or ICE)
Clinical Fellowship Training
Clinical Fellowship Training
1 2 3 4 5 6 7 8 9 10 11 120
NIH K AwardsNIH K Awards NIH R awardsNIH R awards
Department of MedicineCreating a Pathway for Success for Young Investigators
Department of MedicineCreating a Pathway for Success for Young Investigators
Timeline
Weissmann Scholars(within 6 yrs)
Weissmann Scholars(within 6 yrs)
T32 training grantsKL2 grants
FoundationsPhilanthropy
Physician-Scientist Training Program (SoM)Physician-Scientist Development Program (DoM)
T32 training grantsKL2 grants
FoundationsPhilanthropy
Physician-Scientist Training Program (SoM)Physician-Scientist Development Program (DoM)
PSDP Program Details (work in progress)80% Protected Research Time
Salary Support: Shared by Department, Division and other SourcesModest Project Support
Nominations by Division Directors and Program DirectorsSelection Committtee of Physician-Investigators
Anticipate ~ 3/year(Funded by Coltons, Sapersteins, new philanthropy)
PSDP Program Details (work in progress)80% Protected Research Time
Salary Support: Shared by Department, Division and other SourcesModest Project Support
Nominations by Division Directors and Program DirectorsSelection Committtee of Physician-Investigators
Anticipate ~ 3/year(Funded by Coltons, Sapersteins, new philanthropy)
Intensive Research Training(Asst in Service or
Instructor)
Intensive Research Training(Asst in Service or
Instructor)
Medicine@NYULMC Co-editors: Editorial Board:
Steven Abramson, MDDoug Bails, MDLucy BruellBruce Cronstein, MDLaura Evans, MDCarl GlennLisa GreinerAnthony Grieco, MDKathy Hochman, MDJonathan LaPook, MDMichael LoCurcio, MDDonna MarinoMark Pochapin, MDHarmony Reynolds, MDNeil Shapiro, MDAlex Sherman, MDKaty WesnouskyJessica Wilson
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Stacy BodziakDavid Oshinsky, PhD
Department of MedicinePhilanthropy
FY’14 YTD (Thru June 16th)
Division
Rheumatology $10,818,835
Endocrinology $7,666,667
Translational Medicine $1,383,333
Cardiology $1,245,585
General Internal Medicine $981,976
Geriatrics $498,100
All Other $1,492,450
Total Department of Medicine $24,086,946
Appointments and Promotions• Division of CardiologySripal Bangalore, MD, Associate
Professor of Medicine Howard Weintraub, MD, Clinical Professor of Medicine
• Division of GastroenterologyFritz Francois, MD, Associate Professor of Medicine
Jonathan D. LaPook, MD, Mebane Professor of ` Gastroenterology and Professor of Population Health
• Division of General Internal Medicine Douglas B. Bails, MD, Clinical Associate Professor of MedicineMichael LoCurcio, MD, Associate Professor of Medicine Marc M. Triola, MD, Associate Professor of Medicine
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Appointments and Promotions• Division of Hematology & OncologyLawrence P. Leichman, MD,
Professor of Medicine Yelena Novik, MD, Associate Professor of Medicine Ruth Oratz, MD, Clinical Professor of Medicine
• Division of Infectious DiseasesMelanie Maslow, MD, Professor of Medicine
• Division of Pulmonary & Critical CareLaura E. Evans, MD, Associate Professor David L. Kamelhar, MD, Clinical Professor
• Division of RheumatologyBrian D. Golden, MD, Clinical Associate Professor
Sara B. Kramer, MD, Clinical Associate Professor
Paula Rackoff MD, , Clinical Associate Professor
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Major Awards and AppointmentsLaura Evans, MD, was named Bellevue's "Physician of the Year" at the annual New York City Health and Hospitals Corporation (HHC) Doctors’ Day Celebration.
Martin J. Blaser, MD, was honored as the 2014 recipient of the NIH Clinical Center's Distinguished Clinical Research Scholar and Educator in Residence.
David S. Goldfarb, MD, received the 2014 Distinguished Teacher Award in the Basic Sciences at NYU School of Medicine.
William N. Rom, MD, received the 2014 Distinguished Achievement Award from the American Thoracic Society
Harmony Reynolds, MD, named Saul j. Farber Assistant Professor
Edward A. Fisher, MD, delivered the George Lyman Duff Memorial Lecture at the last annual scientific sessions conference of the American Heart Association
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Major Awards and AppointmentsNorman B. Javitt, MD, PhD received the American Physiological Society’s History of Physiology Group 2014 Recognition Award
Bruce N. Cronstein, MD, received the 2013 Arthritis Foundation Lee C. Howley Sr. Prize for Research in Arthritis.
Barry Rosenzweig, MD, has been appointed Assistant Dean for GME.
Neil Shapiro MD Clinical Correlations published an article celebrating our 1000th article published and won a Silver Award from the American Society of Healthcare Publication Editors
Rochelle (and Kurt) Hirschhorn MD awarded the 2013 Victor A. McKusick Leadership Award by American Society of Human Genetics
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Clinical1. Continue to promote One Faculty across institutions and
practices– Clinical Tri-institutional leadership group– Improve communication with Monthly Newsletter: Medicine@NYULMC
2. Develop New Centers for Clinical and Translational Research– Diabetes and Endocrine– Autoimmunity– Liver Disease, IBD, Advanced endoscopy– Pulmonary Hypertension– Asthma, Lung cancer – LVAD/CHF, Arrhythmia, Interventional Cardiology
3. Promote Strength, Growth and Reputation of Clinical Practices
Research
1. Leadership Role of Division Directors: (Recruitment, NIH grants, faculty development, mentoring, etc)
2. Implement a strategic translational research plan that enables collective success of divisions
3. Committee on Research Collaboration– RFP ($25K X 4)– Promote inter-divisional/departmental collaboration– Develop collaborative NIH submissions of grants >$350K (RO1, PPG/Center, Co-PD/PI)– Promote joint recruits with basic science departments (Cell Bio, Pathology, Genetics, Pop
Health)– Promote collaborative opportunities for young scientists
Education and Academic Affairs
1. Focus on faculty leadership development 2. Increase mentoring of faculty (Mentoring
“champion”, programs)3. G21: Re-engineer GME programs
– Implementation of CLER/NAS (B. Rosenzweig, Lou Miller)– Compliance with RRC (ICU, ambulatory)– Develop tracks for PC/IM, Research, Hospitalists, Specialists– Technological innovation (iPads, handheld ultrasound, education data
warehouse)– Develop innovative models for GME financing for ambulatory training– Develop competency based pathways to “graduation” of residents and
fellows
Next Steps
“In real life, strategy is actually very straightforward. You pick a general
direction and implement like hell."― Jack WelchChair and CEO General Electric