Department of Medicine Faculty Meeting

September 16, 2010Announcements

Review of 2009-10Goals for 2010-11

AnnouncementsBMC review of FTI recommendations underway

– Multiple implementation committees established– Employees to be laid off-exact number pending– Multiple initiatives to secure additional funding and

improve finances long-termClinical incentive payments to be distributed at the

end of October, 2010Sleep Lab at Commonwealth Avenue facility now

openFaculty Development and Diversity Seminar,

Appointments and Promotions, Karen Freund, M.D., Wilkins, Noon on September 21, 2010

Faculty encouraged to create individual web page (see bmcmedicine.info/FacultyForm.html )

Announcements (con’t)Site visit to review NCI Designated Cancer Center

application in OctoberBiostatistical core under Dr. Janice Weinberg

renewed, adding a ProgrammerAdditional Patient Recruiter to be funded for the

Clinical Research Resources Office in the CTSI to create patient registry

Dr. Avi Spira establishing a sequencing coreUpgrade to research IT infrastructure in planning

stagesBUSM and BMC reviewing options for research

integration – Dr. Corkey serving on the advisory group

Leadership Searches 2010-11

Chief, Section of Gastroenterology (Search committee chair Richard Cohen)

Chief, Section of GeriatricsResidency Training Program Director

(Search committee chair Tom Moore)Director, HIV-AIDS Program Director

(Search committee chair Bob Horsburgh)

Grand RoundsSeptember 17: Sue Kim Hanson Memorial Lecture: Microbiota and

HIV at the Interface of Innate and Adaptive Immunity, Daniel Littman, M.D., Professor of Pathology and Microbiology, NYU School of Medicine, Investigator Howard Hughes Medical Institute

Sept. 24: The Peculiar Case of Phineas Gage: The Evolution of Judgment, Faith T. Fitzgerald, M.D., Visiting Professor, Professor of Internal Medicine, Univ. of California-Davis School of Medicine

Oct. 1: Infectious Diarrhea: An Update, Carol Sulis, M.D., Associate Professor of Medicine, BUSM

Oct. 8: Clinical Decision Making and Indecision in Managing Patients with Diabetes and Osteoporosis, Ellen Miller, M.D., Vice President of Academic Affairs, NS/LIJ-Southside Hospital, Bay Shore, NY

Oct. 15: Topic To Be Announced, Emelia Benjamin, M.D., Professor of Medicine, Vice Chair for Faculty Development and Diversity, Dept Medicine, BUSM

Early Career Faculty Development Program

Structured mentoring program for Assistant Professors will meet starting in January 2011 to provide peer support and one-on-one guidance to meet professional goals.

Information sessions Evans 118 :– Thursday, September 23, 12:00 to 12:30 p.m. – Wednesday, September 29, 5:00 to 5:30 p.m.

For more information and to submit application: http://www.bumc.bu.edu/facdev-medicine/mentoring/

ECIBR Retreat Day: Collaborative Research and Future Growth

Monday, September 20, 2010, Hiebert, 10-4 pm9:30 – 10:00: Sign in10:00 – 10:30: Welcome10:30 – 12:30: ARC Presentations12:30 – 1:15: Lunch1:15 – 3:15: Introduction of new Pre-ARCs3:15 – 4:00: Presentation from Office of Development

and Technology4:00 – 5:00: Reception

Mini-Symposium: New Frontiers in Molecular Medicine:

Honoring Dr. Jack MurphyFriday, October 1, 2010, EBRC(X Bldg)

714/715, 650 Albany Street, begins in Wilkins Board Room with a Speakers Luncheon with Graduate Students and Post-Doctoral Fellows (1:00 – 1:20), then moves to EBRC, X714/715

This event is scheduled to adjourn with a reception from 5:00 – 6:00 pm

Evans DaysDecember 9-10, 2010

Wilkins Lecture: 3:30 p.m., December 9, 2010, Keefer Auditorium, Cynthia Kenyon, Ph.D., University of California, San Francisco

Ingelfinger Lecture: 12 noon, December 10, 2010, Keefer Auditorium, Richard Shannon, M.D., Chair of Medicine, University of Pennsylvania

Abstract Submissions will be accepted from September 6 through October 4 at 5 pm athttp://www.call4abstracts.com/busm_main/busm10d1/ For questions-Maria (maria.losurdo@bmc.org)

Department of MedicineDepartment of MedicineAnnual Review 2009Annual Review 2009--1010

New Faculty and Promotions

2009-2010

New Faculty 2009-2010

Rank (anticipated)Faculty MemberSection

Professor

Maria Trojanowska, PhDRheumatology

Professor

Jerrold Ellner, MDInfectious Disease

Professor

Tien Hsu, MDHem/Onc

Professor

Robert Levine, MDGastroenterology

Associate ProfessorIgor Kramnik, MD, PhDPulmonary

Associate ProfessorOmar Eton, MDHem/Onc

Associate ProfessorTimothy Naimi, MDGIM

Assistant ProfessorAmy Baranoski, MDInfectious Disease

Assistant ProfessorTeresa Cheng, MDGIM

Assistant ProfessorKatherine Lupton, MDGIM

Assistant ProfessorJonathan Berz, MDGIM

Assistant ProfessorElizabeth Rourke, PHdGIM

Assistant ProfessorWinnie Suen, MD, MScGeriatrics

Assistant ProfessorGyungah Jun, PhDGenetics

Assistant ProfessorVishwajeet Puri, PhDEndocrinology

Assistant ProfessorThomas Travison, PhDEndocrinology

Assistant ProfessorRobert Helm, MDCardiology

Assistant ProfessorClaudia Hochberg, MDCardiology

Assistant ProfessorAshvin Pande, MDCardiology

Assistant ProfessorAmy Wasserman, MD Rheumatology

Assistant ProfessorTing-hsu Chen, MD, MPHPulmonary

Assistant ProfessorRenda Weiner, MD, MPHPulmonary

Assistant ProfessorEdward Jones-Lopes, MDInfectious Diseases

Assistant ProfessorNatasha Hochberg, MDInfectious Disease

InstructorAngela Leung, MDEndocrinology

InstructorJared Magnani, MDCardiology

Clinical InstructorNaomi Amudala, NPRheumatology

Clinical InstructorDiane Feeney, NPHem/Onc

Clinical InstructorSaulius Girnius, MDHem/Onc

Clinical InstructorYolanda Perez-Shulman, NPGIM

Clinical InstructorMeeky Kim, NPGIM

Clinical InstructorCezanne Cartier, NPCardiology

Research Assistant ProfessorAndreea Bujor, MDRheumatology

Research Assistant ProfessorSarah Haigh-Molina, PhDGastroenterology

InstructorAlessandra Farina, MD, PhDRheumatology

InstructorSatish Kenchaiah, MDPreventive Medicine

InstructorGitana Bradauskaite, MDNephrology

InstructorGrzegorz Rymarczyk, PhDMolecular Medicine

InstructorDuyen Ngo, MDHem/Onc

InstructorClaire Horkan, MD, BChGIM- Hospitalist

InstructorAnjali Grandhige, MDGIM- Hospitalist

InstructorWendy Gray, MDGIM

InstructorTara Dumont, MDGIM

InstructorSharmeel Wasan, MDGastroenterology

InstructorAudrey Calderwood, MDGastroenterology

InstructorAnsu Noronha, MDGastroenterology

Promotions 2009-10

NephrologyAssistant ProfessorVipul Chitalia M.D.

NephrologyAssistant ProfessorAylit Schultz M.D.

Comp BioMedicineAssistant ProfessorKatrina Steiling M.D.

GIMAssistant ProfessorCharlene Weigel M.D.

GIMAssistant ProfessorMelissa DiPetrillo M.D.

RheumatologyAssistant ProfessorSteven Vlad M.D.

NephrologyAssistant ProfessorTamar Aprahamian PhD

EndocrinologyAssistant ProfessorSonia Ananthakrishnan M.D.

EndocrinologyProfessorSayon Roy PhD

GeriatricsProfessorSharon Levine M.D.

RheumatologyAssociate Professor Eugene Kissin M.D.

Hem/OcAssociate Professor Gerald Denis PhD

CardiovascularAssociate Professor George Phillippides M.D.

GIMAssociate Professor Karen Lasser M.D.

EpidemiologyAssociate Professor Tuhina Neogi M.D. DSc

Hem/OcProfessorAdam Lerner, M.D.

CardiovascularAssociate Professor Kevin Monahan, M.D.

GIMProfessorWarren Hershman, M.D.

Faculty FTEE Distribution FY ’10 vs FY ’11 (Budget)

Faculty Distribution by RankRank Total Percent

WomenURM’s(%)

Professor 91 22 4 (4.4)

Associate Professor 76 42 6 (7.9)

Assistant Professor 165 50 13 (7.9)

Instructor 40 70 3 (7.5)

Total for all Ranks 372 44 31 (8.3)

Department of Medicine Award Recipients 2009-10

Bridge Grants: Sam ThiagalinghamHerb Cohen Ken Albrecht Mike Wolfe Lynn Moore Flora Sam Xuemei Zhong

DOM Pilot Grants: Tracy BattagliaMichael Wolf Xuemei Zhong Kalpana Gupta Gustavo MostoslavskyCTSI: Douglas Faller,

Stephanie Lee/Jennifer Rosen, Fred Little, Avi Spira/Lee Goldstein

Pepper Center: Wen Guo

Department of Medicine Evans Awardees 2009-10

Evans Junior Faculty Merit Awardees:Tracy Battaglia, M.D.Andrea Coviello, M.D.Naomi Hamburg, M.D.Ross Summer, M.D.

Evans Scholars:Joseph Vita, M.D.Vasan Ramachandran,

M.D.

Clinical Program2009-10

Volume Increased in the Inpatient and Outpatient Setting

Demand remains strongAccess for new patients improvedFaculty productivity increasedClinical revenue increased substantiallyMajor effort underway to analyze and reduce

inpatient mortalityFinancial pressures on BMC and DOM increased

Inpatient Medical Service

Clinical Productivity

Access for Ambulatory Visits

Goals for Clinical Program 2010-11

Reduce OBSERVED MORTALITY on the inpatient medical service

Improve ACCESS for new patientsImprove clinical infrastructure to support patients and

providersIncrease marketing of clinical practiceImprove net collection rate to >90% and collections per

wRVUClinical documentation and coding initiative underwayRedesign of inpatient medical teams planned for

implementation July 2011

Research Program2009-10

Substantial increase in total research fundingand funding per research faculty FTEE

Evans Center for Interdisciplinary Biomedical Research has supported very successful research collaboratives and training initiatives

Core use has increased substantiallyNew cores established (biostatistics, sequencing)Fair Expectations and Code of Conduct

established for faculty and trainees

Evans Center Affinity Research Collaboratives

Mitochondria: one organelle multiple organs

Blood microbiomeCV consequences of

metabolic diseaseBiomarkersProtein trafficking and

neurodegenerative diseases: Alzheimer’s Disease as a first model system

Regenerative medicineSex differences in

adipose tissue remodeling: mechanisms and role in disease risk associated with obesity

Atrial FibrillationCommon macrophage

signatures for immunesuppression

Pre-ARC- Aortic stiffness

RESEARCH FUNDINGDepartment of Medicine

(excludes VA and RWMC)

30

50

70

90

110

130

150

2008 2009 2010

BUSMBMCTOTAL

Research Funding per Faculty Research FTEE in Dept Medicine

($m)

0

0.2

0.4

0.6

0.8

1

1.2

FY 2009 FY 2010

$ per FTEE w/oNEIDL

Research Goals for 2010-11

Align research space with programmatic needs and opportunities

Continuously refine core resourcesProvide more consistent and substantial

support for T and K awardeesDevelop additional interdisciplinary

research and training opportunitiesImprove research infrastructure

(purchasing, IT)

Education Program 2010

Residency Program Leadership changesAmbitious change in resident rotationsSuccessful ACGME site visitsIncrease in ambulatory teaching for students and

residentsJournal Club for clinician educators started this

weekCore Curriculum for Educators International experiences for residents being

formalized

Medicine Clerkship Evaluation (Administration)

Graduate Questionnaire of BUSM (‘06-’10) on Internal Medicine

Clerkship

4.404.50Teaching by residents and fellows

4.204.24Received feedback

4.004.18Observed by faculty performing Physical Examination

4.004.12Observed by faculty taking History

4.504.58Variety of patients

3.503.52Quality of educational experience

All Schools

BUSMMeasure

Faculty Development and Diversity 2009-10

18 Faculty received faculty development grants

Mentoring program to be initiatedLGBT working group establishedSubstantial resources placed on DOM

websiteSeminar series continuously updatedFocus on professionalismNew Faculty Orientation initiated

Faculty Development and Diversity Goals for 2010-11

Roll out Mentoring Program (16 faculty) campus-wide

Enrich resources available for URM and LGBT faculty

Establish new Faculty AwardsRefine and further develop seminar series

and faculty development grantsMonitor reasons for faculty departures

Department of Medicine Budget Overview 2009-10

Category Expense

Section Support (recruitments, formula, deficits)

8.45 m

Incentives and Awards (clinical incentives, >90%, bridge, pilot, Evans Faculty Awards)

2.90

Education (GPMM, VA, VC Educ)

0.54

Research (includes cores, ECIBR)

1.96

Central Administration (includes billing & collection)

5.14

Revenue Net of Expenses

2.11 m

Administrative Initiatives 2010-11

Meet financial operations service standardsUtilize new General Ledger system in preparation

for conversion to ATLASMonitor and improve compliance with billing

regulations where necessaryMaintain DOM IT service standardsIncrease efficiency of administrative servicesEnhance training of support staff Accelerate process for credentialing of physiciansOptimize clinical revenue

Final Thoughts