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Minutes: April 16, 2008

PRESENT:  Drs. Argani, Armstrong, Brayton, Cooke, Cromwell, Dagnelie, Goldstein, Halushka, Honeycutt, Maragakis, McCarthy, Schramm, Stivers, Yaster, Yehia, Zellars, Mss. Nguyen, Oliver, and Foy.

ABSENT:  Drs. Allaf, Bergles, Bhatti, Bluemke, Chan, Choi, Cormack, DeLeon, Efron, Flynn, Geller, Huang, Jia, Kravet, Leahy, Li, MacDonald, Magaziner, Mears, Mooney, Peters, Pidcock, Pomerantz, Robinson, Siberry, Tompkins, Tufaro, Whitmore, Woolf, Messrs. Pirruccello and Skelley, Mss. Fairman and Warner.

GUESTS: Drs. Dorman and Nichols, Mss. Heiser and Zuccarelli, Mr. Manfuso (for Mr. Gilbert).

I.  Minutes

The minutes of the March 19, 2008 meeting were approved.

II. Continuing Medical Education Update – Dr. Todd Dorman, Associate Dean and Director of CME

NIH
The NIH closed its CME offices and issued an RFA for CME. Johns Hopkins University was awarded the contract and is under a one year pilot program partnership.

Industry Interactions
Donor vs. Exhibitor- Educational grants must be separate from exhibitor. National policy by accreditation forbids quid pro quo arrangements. Suggested topics and speakers are now forbidden. 

Regularly Scheduled Conferences
Two years of compliance data was presented. The most common problem is missing disclosure forms.

Tuition Remission
The funding of CME activities for faculty from the University benefits pool is at risk. Dr. Dorman learned on April 11, 2008 that tuition remission was eliminated as of July 1, 2007. A meeting to discuss rescinding this change is scheduled with the Controller in early May. Some 14% of CME is funded from this source.

Conflict
Attention was called to the April 16, 2008 JAMA articles and editorial on conflicts and guest writing.

Third Annual Symposium
The Art and Science of Education Symposium will be given on September 19, 2008 at Mt. Washington. Abstract submission will open in late May. The guest speaker is Geoff Norman, Ph.D. of McMaster University.

Dr. Dorman responded to questions relating to CME funding and compliance issues.

Dr. Honeycutt thanked Dr. Dorman for his presentation.


III. UAE- JHUSOM Proposal – Dr. David Nichols

The School of Medicine responded to an RFP to manage a medical school in the United Arab Emirates and bring it up to world class standards. The challenge is much greater than just managing a medical school as infrastructure issues such as premedical preparation, residency training, certification, nursing, etc. need to be addressed. All of these issues were addressed in the RFP response.

The School is now in the first phase of negotiating with the Health Authority in Abu Dhabi. It’s now time to bring the School of Medicine faculty into the discussions as the initiative cannot go forward without faculty support.

Should the proposal go forward, the School would benefit financially at a time when the NIH budget and Medicare funding are uncertain. There are diversity issues that must be aligned with our core values.

Dr. Nichols noted Hopkins has some experience in the United Arab Emirates as the Tawam Hospital is currently being managed by Johns Hopkins.

Dr. Nichols emphasized the importance of faculty input in the upcoming discussions. As discussions evolve, a strategic planning process will be implemented.

Dr. Nichols will be visiting departments to discuss the proposal and to assess faculty interest.

The following issues/comments were addressed during the Q&A session:

- The diploma issued during the first five years would be joint; after five years the diploma would be from the Johns Hopkins University.
- Promotion periods may need adjusting to protect faculty who participate.
- Level of support for faculty may be related to time period of participation.
- Lessons learned from other schools with international affiliations suggest that research should be incorporated into the affiliation from the beginning.
- The affiliation could be a platform for distance education.
- Equivalent accreditation standards must be developed.
- Non-discrimination policies must be in place.
- Long term assignment will be critical to success.
- Junior, as well as senior faculty should participate.
- Additional faculty recruitment will be necessary.

Dr. Honeycutt thanked Dr. Nichols for his presentation.

IV. Hospital Consumer Assessment of Health Providers Survey – Ms. Rebecca Zuccarelli, Senior Director of Service Excellence, JHMI

 Ms. Zuccarelli presented the results of a recently released patient satisfaction survey.

The Survey tool was tested and developed by the Agency for Healthcare Research and Quality (AHRQ) and addresses seven domains of care. The survey results addresses both local and national comparisons on the following: nurse communication, doctor communication, pain management, responsiveness of hospital staff, communication about medications, room cleanliness, room quietness at night, discharge information, willingness to recommend, and an overall rating.

Survey results showed the State of Maryland was below the national average in most areas surveyed.

Results for Johns Hopkins pointed out several areas for improvement and strategies will be put in place to address specifics.

Dr. Honeycutt thanked Ms. Zuccarelli for the presentation.

V. Other Business

Benefits- Drs. Zellars and Brayton developed a brief benefits survey that was reviewed. After minor modifications, the survey will be sent to each Medical School Council member for distribution to their constiuents.

There being no further business this meeting was adjourned at 5:00 p.m.
Respectfully submitted,
Mary E. Foy
Secretary

Future Medical School Council meetings:

All meetings will be held in the School of Medicine Board Room (SOM 103), 3:00 to 5:00 p.m.

May 14, 2008

June 18, 2008

 

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