E. Albert Reece, MD, PhD, MBAVice President for Medical Affairs, University of MarylandJohn Z. and Akiko K. Bowers Distinguished Professor and

Dean, University of Maryland School of Medicine

October 23, 2012SMC Campus Center

Welcome

University of Maryland School of MedicineNew Faculty Orientation

The University of Maryland School of MedicineCelebrated its Bicentennial in 2007

University of Pennsylvania 1765 - 1st

Columbia (University College of

Physicians & Surgeons) 1768 - 2nd

Harvard 1783 - 3rd

Dartmouth 1798 - 4th

Establishment of Medical Schools in the U.S.

(Oldest Public Medical School in America)

College of Medicine of Maryland 1807 - 5th

University of Maryland School of Medicine: 200+ Years of Selected Firsts

1823 First medical school in U.S. to build its own hospital for clinical instruction

1833 First course in the nation on hygiene or preventive medicine

1848 First medical school to require anatomical dissection

1866 First chair of gynecology and pediatrics in the nation established

1900 First experimentally-induced case of yellow fever

1902 Discovery of Wright’s stain

1906 First description of a new disease, histoplasmosis

University of Maryland School of Medicine: 200+ Years of Selected Firsts

1969 Established world’s first Shock Trauma Center

1994 Researchers develop aromatase inhibitors, a new class of drug that has become the standard form of treatment for breast cancer patients

2009 Researchers complete the genomic sequencing of the human rhinoviruses (common colds) and assemble them into a “family tree”

2010 Faculty surgeons complete the world’s first robotically assisted, minimally invasive aortic valve bypass surgery

2012 Faculty surgeons complete the world’s most comprehensive face transplant to date, replacing both jaws, teeth, tongue, and skin and underlying nerve and muscle tissue

USM Board of Regents

USM Chancellor

UM Baltimore

President

Jay A. Perman

UMMS Board ofDirectors

UMMS President & CEO

• UMMC– University Hospital– Cancer Center– Shock Trauma

Maryland General

Balt.-Wash. Medical Ctr

J.L. Kernan Hospital

Civista Health System

Jennifer LitchmanVice President

Communications

Kathleen M. ByingtonVice President

Admin. & Finance

Bruce E. JarrellSenior Vice PresidentAcad. & Res. Affairs*

Peter J. MurrayVice President & CIO

Information Tech.

James L. HughesVice President

Enter. & Econ. Dev.

E. Albert ReeceVice President

Medical Affairs**

Mt. Washington Pediatric

University of Maryland Baltimore Foundation UMBF

University System of Maryland USM

Faculty Physicians Inc. UPI

University of Maryland Medical System UMMS

University of Maryland Medical Center UMMC

Chester River Health System

Shore Health System

Robert A. ChrencikPresident and CEO

for UMMS

Schools

Christian StohlerDean

School of Dentistry

Phoebe A. HaddonDean

Carey School of Law

Janet D. AllanDean

School of Nursing

Natalie D. EddingtonDean

School of Pharmacy

Richard P. BarthDean

School of Social Work

Bruce E. JarrellDean

Graduate School

* Dean of Graduate School

** Dean of Medical School

E. Albert ReeceDean

School of Medicine

University of Maryland Faculty Physicians, Inc. (FPI)

Upper Chesapeake Hlth Sys

Peter N. GilbertSenior Vice President

Chief Operating Off.

Private Corporations

Ed BrodyPresident & CEO

UMBF, Inc.

University of Maryland School of MedicineVP for Medical Affairs & Dean

Personalized & Genomic Medicine

Allied Health(2)

Basic (6) Clinical (17)

Programs(6)

Institutes(3)

OrganizedResearch

Centers (11)

Shock, Trauma & Anesthesiology

Research (STAR)

Stem Cell Biology & Regenerative

Medicine

Departments(25)

Medical & Research Technology

Physical Therapy &Rehabilitation Science

Anatomy &Neurobiology

Biochemistry &Molecular Biology

Epidemiology &Public Health

Microbiology &Immunology

Pharmacology &Exp. Pharmaceutics

Anesthesiology

Dermatology

Diagnostic Radiology& Nuclear Medicine

Emergency Medicine

Family & Community

Medicine

Medicine

Neurology

Neurosurgery

Obstetrics, Gynecology&

Reproductive Sciences

Ophthalmology &Visual Sciences

Orthopaedics

Otorhinolaryngology-Head & Neck Surgery

Pathology

Pediatrics

Psychiatry

Radiation Oncology

Surgery

ComparativeMedicine

Minority Health & Health Disparities

Education & Research

Neuroscience

Oncology

Human Virology

Genome Sciences

Center for ResearchOn Aging

Health Policy/HealthServices Research

Integrative Medicine

Mucosal Biology

Physiology

Vaccine Development

Trauma

Vascular &Inflammatory Diseases

Clinical & Translational

Sciences

Biomedical Engineering& Technology *

Bimolecular Therapeutics *

MD Psychiatric Research Center *

20

2011 2012

Full-Time Faculty 1,334 1,320

Part-Time Faculty 279 291

Adjunct Faculty 1,226 1,225

Clinical Fellows* 209 214

Research Fellows 356 343

Residents* 613 606

Staff 2,101 2,046

Faculty Physicians, Inc. Staff 1,001 1,011

TOTAL INDIVIDUALS 7,119 7,056

TOTAL WORKFORCE

*UMMC pays salaries of most

2,836

3,057

557

University of Maryland School of Medicine

Research

Research Vision & Major Research Programs

• Create and/or expand research magnet programs and funding

• Increase emphasis on translational research

• Increase emphasis on collaboration and multi-disciplinary groups

• Increase consortia grants and contacts

• Enhance faculty recruitment and retention

• Achieve Top-10 ranking

• AIDS/HIV• Aging• Bioterrorism Defense• Cardiovascular Disease• Cancer• Community Mental Health• Diabetes• Disparities• Genomics• Infectious Diseases• Metabolic Disorders• Schizophrenia• Transplant• Trauma• Vaccines

INCREASE THE IMPACT OF RESEARCH AND DISCOVERY ON

HUMAN HEALTH

MAJOR PROGRAMS BASEDON FUNDING

FY08 FY09 FY10 FY11 FY12$0

$50

$100

$150

$200

$250

$300

$350

$400

$450 25%

Total Grants & Contracts FY2008-2012SINCE 2000, SOM HAS RECEIVED:$4.0 BILLION IN TOTAL GRANTS & CONTRACTS$2.0 BILLION IN NIH FUNDING

Mil

lion

s

7.0% 2.6% 15.8% 3.4%

Rank School Grants & Contracts Rank School Grants & Contracts

UMSOM NATIONAL RANK 20116th OUT OF ALL 76 Public Medical

Schools (top 10%)

9. Alabama $255,373,364

10. Oregon $247,597,325

3. UCLA-Geffen $571,385,780

1. U Washington $784,611,376

4. UCSD $405,171,492

5. Colorado $352,590,697

7. Michigan $344,089,855

2. UCSF $756,068,277

8. North Carolina $304,765,886

6. Maryland $352,068,835

1. Harvard $2,083,479,003

4. Duke $617,933,462

5. Penn - Perelman $602,168,184

7. Columbia $566,653,318

8. Johns Hopkins $545,205,979

9. Mount Sinai $482,376,272

10. Pittsburgh $464,971,680

11. Yale $456,892,188

12. Wash U - St. Louis $431,572,366

16. Maryland $352,068,835

13. Stanford $431,082,001

18. Case Western $337,935,499

UMSOM NATIONAL RANK 201116th OUT OF ALL 138 Public & Private

Medical Schools (top 15%)

Source: AAMC

Research Metric 1: Sponsored ProgramsDirect Expenditures per Principal Investigator

8th

Technology Transfer

2011 2012

U.S. Patents Issued 24 29

Foreign Patents Issued

65 15

Scientific Disclosures

77 121

Technology Inventions Licensed

15 26

Start-Up Companies Formed

3 2

  SOM Inventors Company

Products on the Market:

   

Stroke Rehab Device Jill Whithall, PhDSandy Macomb Waller, PT, PhD

EncorePath, Baltimore

Medical Information System

Marcelo Cardarelli, MD, MPH Blnk Medical Technologies, Baltimore

Medical Software Christopher Meenan Analytical Informatics, LLC

Phase III Clinical Trials:

   

Cholera Vaccine (2012)

Myron Levine, MD, DTPHJames Kaper, PhD

PaxVax, San Diego

Phase II Clinical Trials:

   

Stroke Marc Simard, MD, PhD Remedy Pharmaceuticals, New York

Celiac Disease Alessio Fasano, MD Alba Therapeutics, Baltimore

Head & Neck Cancer Scott Strome, MD Gliknik, Baltimore

Prostate Cancer Vincent Njar, PhDAngela Brodie, PhD

Tokai, Boston

Health Sciences Facility III and the Future$284.0 Million Construction Project

Economic ImpactDuring

ConstructionAnnual, Ongoing

Jobs 2,983 804

Economic Activity

$407.8M $117.3M

Tax Revenue

$19.3M $5.6M

Size: 322,000 GSF/180,000 NASF

• The Maryland General Assembly approved $4.7 million in new SOM matching funds for the design and engineering

University of Maryland School of Medicine

Clinical

University of Maryland School of Medicine and University of Maryland Medical System

A Joint Vision for Health Care (Reece/Chrencik)

• Combined revenue approximately $4 billion

• Economic Impact greater than $6 billion

• Misalignment is a common occurrence among academic health centers

• Realignment can have powerful economic and academic benefits

A Symbiotic OrganizationalAlignment

UMSOM UMMS

Greatest Overall Impact on Human Health and State Economy

Fully Aligned Academic Health Centers: A Model for 21st CenturyJob Creation and Sustainable Economic Growth

E. Albert Reece, Robert Chrencik, Edward D. Miller

* University of Maryland Medicine (UMM) and Johns Hopkins Medicine (JHM)

• As of February 2012, Maryland’s unemployment rate was 6.5% (20% below the national average).

• Large Generators of Economic Activity in Maryland:– Non-military Federal Jobs: $11.4 Billion Annually– MD Academic Health Centers*: $11.5 Billion Annually

• While federal jobs in Maryland and beyond are expected to shrink, UMM and JHM expect to add thousands of new jobs.

Reece EA, Chrencik RA, Miller ED. Academic Medicine. 2012 Jul; 87(7):928-7.

UMSOM Clinical Services Throughout MarylandUMMC (Baltimore)• Full Service

Maryland General (Baltimore)

• HIV• Vascular Surgery• ED• Ophthalmology• Radiology• Cardiology• Endocrinology• Plastic Surgery

Kernan (Baltimore)• Orthopaedics• Anesthesiology and Pain Ctr.• Neurology• Rehabilitation• Rheumatology• Complementary Medicine• Radiology• ENT• Pathology• Medicine• ID• Pulmonary• Plastic Srugery• Cardiology

BWMC (Anne Arundel)• Vascular Surgery• OB• Dermatology• Oncology (Medical and Surgical)• Radiation Oncology• Cardiology• ENT• Plastic Surgery• Breast Surgery• Peds Subspecialty

Shore Health

(Talbot and Queen Anne’s)

• Neurosurgery• Transplant Surgery• Cardiology• Freestanding ED• ED• Plastic Surgery• Pediatric Surgery

Chester River(Kent and Queen Anne’s)• Emergency Medicine

Upper Chesapeake

(Harford)• Pulmonary• Specialty Pediatrics• Cardiology• ED• Peds ENT• Thoracic Surgery• Breast Surgery• Pediatric Suyrgery

Texas Station• Orthopaedics

Westminster• Cardiology

Columbia• Radiation Oncology• Orthopaedics

College Park• Orthopaedics• Sports Medicine

FY11 FY12 % Change

Total Patient Volumes (includes office and inpatient/outpatient visits)

1,131,405 1,169,079 3.3%

Admissions and Observations(UMMC only; includes newborns and trauma)

39,585 41,260 4.2%

Inpatient Surgeries(UMMC only; includes trauma)

14,896 15,729 5.6%

Practice Plan Performance Patient Care Statistics

FY08 FY09 FY10 FY11 FY12$0

$50

$100

$150

$200

$250

Practice Plan PerformanceTotal Clinical Revenue FY2008-2012

Mil

lion

s

7.6%8.0% 1.3% 6.8%

25%

University of Maryland Faculty Physicians, Inc.Professional Building Renovations

University of Maryland Faculty Physicians, Inc.Professional Building Renovations

419 W. Redwood Street

Education

University of Maryland School of Medicine

Total Student Enrollment(Medical, Graduate, Allied Health and Public Health)

Students 2011 2012

Medical (MD) 634 642

MD/PhD 37 36

Graduate (MS/PhD) 345 340

Public Health (MPH) 50 52

Physical Therapy (DPT/PhD) 168 185

Genetic Counseling (MS) 13 13

Medical and ResearchTechnology (BS/MS)

72 70

TOTAL 1,319 1,338

678

268

392

Student Diversity

Source: Office of Institutional Research and Accountability*Includes Native American, African American, Hispanic American, and Multi-Racial Americans

2012 Percent Minority*

Medical (MD) 12%

MD/PhD 17%

Graduate (MS/PhD) 15%

Physical Therapy 12%

Genetic Counseling 15%

Public Health 36%

Medical & Research Technology 36%

A National Medical School

Where our graduates train?

Where our graduates practice?

University of Maryland School of MedicineStudents’ Residency Program Location (Match Year 2005-2012) (928 students)

Graduates of the University of Maryland School of MedicinePost-residency Location (Graduated 1966-2007) (7,467 graduates)

Finance & Philanthropy

University of Maryland School of Medicine

FY08 FY09 FY10 FY11 FY12$0

$10

$20

$30

$40

$50

$60

$70

8.0%

Private Support by YearFY2008 – 2012

18.7% 5.0%

Mil

lion

s

4.5%

41%

Academic CitizenshipMajor Emphasis in the SOM

Participation and contributions of faculty are important to the success of the School of Medicine

UMSOM Strategic Initiatives for FY13 and Beyond

• HSFIII (Keep momentum moving forward)

• Proton Therapy Facility (Ensure project stays on schedule)

• Personalized and Genomic Medicine Program (Begin integrating certain aspects into clinical care)

• Heart Center (Advance development of a combined clinical and research center of excellence)

• Advance integration of SOM clinical services in select system hospitals.

• Progressive investments in select magnet clinical programs, while maintaining strength in all others

UMSOM Key Five-Year Strategic PlanPriorities & Targets

• Accelerate Discovery & Innovation in Medicine.

• Support existing and emerging centers of translational research excellence.

• Emphasize rapid translation of research discoveries from bench to bedside.

• Prioritize recruitment of established physician-scientists to advance research and clinical care.

• Develop pipeline of exceptional new investigators.

• Nurture existing research faculty.

• Greater integration of SOM throughout Medical System.

• Creating a cadre non-traditional clinical faculty to assist System hospitals.

• Fuller integration of IT across all hospitals in System.

UMSOM Key Five-Year Strategic PlanPriorities & Targets

• Enhanced clinical research using system-wide hospitals data.

• Implementing research discoveries and technological advances to patient care throughout the System.

University of Maryland School of MedicineA Third Century

America’s Oldest Public Medical School -Where Discovery Transforms Medicine