356th MEETING OF THE MEDICAL SCHOOL COUNCIL
3 p.m., Wednesday, November 8, 2006
School of Medicine Administration, Board Room 103
PRESENT: Drs. Bhatti, Bluemke, Brayton, Choi, Dagnelie, DeLeon, Efron, Gultekin, Honeycutt, Liu, MacDonald, Maragakis, McCarthy, Mears, Mooney, Pidcock, Robinson, Schramm, Siberry, Sterni, Tufaro, Whitmore, Yaster, Zhu, Mss. Foy and Sandone.
ABSENT: Drs. Aucott, Bergles, Caterina, Chan, Cormack, Denmeade, Flynn, Holcroft, Huang, Iacobuzio-Donahue, Kravet, Lehmann, Lorsch, Magaziner, Peters, Roper, Schulick, Tompkins, Walker, Wang, Woolf, Zellars, Messrs. Prucz and Watkins, Ms. Cohen.
GUESTS: Drs. Miller and Nichols, Ms. Heiser.I. Minutes
The minutes of the October 18, 2006 meeting will be voted upton at the December meeting.II. LCME Site Visit, New Education Building – Dr. David Nichols
Dr. Nichols presented a “big picture” overview of LCME issues. At the February 2006 site visit continued accreditation was granted with several areas requiring further review. A second site visit is scheduled in January 2007 and if deemed necessary, a follow-up visit in December 2007. Dr. Nichols addressed some of the challenges the school faces in complying with the LCME standards. The accrediting body is placing more emphasis on centralized control of the curriculum and this is a cultural change for this institution. Outcomes data is required and the school has a plan in place to gather such data. A lack of cultural competency assessment was identified: Dr. Simpson and a faculty committee has developed a matrix that identifies, for each year of the curriculum, the cultural competency objectives, the educational intervention, and assessment.
Dr. Nichols reported on the investment the School of Medicine has made in medical education over the past couple of years. Additional resources have been provided for the Student Assistance Program, Student Affairs, Student Assessment, the Student Outcomes Database, Reed Hall, the College System, and teacher support. In addition, a new education building is under construction and will be open in 2009.
The LCME noted the many strengths of the school including its leadership, its strong faculty, and its financial strength. There were areas requiring attention including financial aid counseling, University Health Services, inadequate study space, inadequate hospital on-call rooms, and a system of curricular management to address weaknesses in the curriculum. Dr. Nichols addressed each of these issues and outlined the plans for remediation. There are a number of “transition areas” the LCME will review during the next cycle including updates on career advising, curriculum reform, continuity of care, palliative care, end of life care, health promotion, health disparities, and women’s health.
The LCME also addressed the racial diversity of the faculty; Dr. Nichols noted a major initiative of Johns Hopkins Medicine is to increase diversity of the faculty and student body .
Dr. Nichols called attention to two websites that address two concerns raised by the site visitors. There is now an expanded UHS website (http://www.hopkinsmedicine.org/uhs/) and a website containing the Teacher/Learner Policy (http://www.hopkinsmedicine.org/som/students/policies/relationships.html). Even though considerable effort was expended in informing students and faculty of the existence of a Teacher/Learner Polcy, the students were not sufficiently knowledgeable of the policy at the time of the last site visit.
The new Education Building will be built on the Reed Hall tennis court site near the Outpatient Center oval driveway and will be adjacent to the simulation center planned for the top floors of the Outpatient Center. The building will contain two 180 seat auditoria, prefunction space, and a café on the first level. The second and third levels will be devoted to the Colleges with community space, a learning studio, academic computing, teaching labs, small group rooms, a Welch Library Touchdown suite, and offices for medical education services. The fourth level will be devoted to teaching anatomy and will contain classrooms and quite study space. The building will be equipped with state-of-the-art audio/visual, computer, and imaging equipment. It is anticipated the bulding will be 71,000 net sq/ft, and cost $50 million.
Dr. Sterni thanked Dr. Nichols for his presentation.III. Update on the State of the School of Medicine – Dr. Edward Miller
Dr. Miller opened his remarks by responding to a series of topics provided by the Medical School Council prior to the meeting.
New Goals for Fund for Johns Hopkins Medicine
The new goal for the Johns Hopkins Medicine campaign has been extended to $2 billion dollars. As of June 30, 2006 $1.4 billion had been raised. The goal for the next $600 million are as follows:
$300 million for Brain Sciences
$200 million for young investigators
$100 million for recruitment of diverse faculty
Salary Structure for Established Faculty
Dr. Miller reported the institution is doing its best to get to the AAMC 50th percentile, but it is not easy. He explained the university pay-out on endowment income is in the 4.5 to 5% range. Two million dollars in endowment is needed to generate $100,000. He discussed fund raising efforts, described the genesis of some recent large contributions, and the wishes of donors to fund programs and diseases.
Update on Building Progress
A new 280,000 sq/ft research building is under construction as part of the Biotech Development Project. The School of Medicine will lease 100,000 sq/ft for IBBS initiatives. There is considerable interest from biotech companies to lease space in this structure which is adjacent to the School of Medicine Basic Sciences lot. Dr. Miller reported the Kennedy Krieger Institute will build a new building at Broadway and Madison, housing for the elderly will be built near Ashland Avenue as part of the biotech initiative, a new Pediatrics Outpatient Building has opened at Wolfe and Fayette, the library at Broadway and Orleans will be relocated to a site near Dunbar High School, and a hotel for oncology patients will be built on the Broadway library site. These are plans for expansion for both the Schools of Nursing and Public Health. Parking capacity has increased as the campus has expanded.
Diversity and Gender Issues
Dr. Miller spoke of institutional efforts to address diversity issues at all levels. A diversity retreat for senior leadership was held last fall and two additional retreats are planned for faculty and senior staff. The Johns Hopkins mission statement was revised to include diversity as a core value. Each department director was asked to submit a diversity recruitment/retention plan to the Dean. Dr. Miller discussed the successful Johns Hopkins Medicine Board of Trustee diversity scholarship program and the University’s “undergraduate no tuition program” for Baltimore City students.
Gold and Silver Book Changes
Dr. Miller was pleased with the large faculty attendance at the recent meeting to discuss Gold and Silver Book changes. He emphasized the importance of annual faculty reviews. He spoke of the expanded orientation program for new faculty and the importance of faculty to utilize the resources available for their professional development.
In response to a question regarding resource equity across departments, Dr. Miller noted 30 of 32 chairs have been appointed since he became dean. Each chair, as part of the recruitment process, negotiates resources with the dean.
Dr. Sterni thanked Dr. Miller for his presentation.IV. Other Business
There being no further business this meeting was adjourned at 4:45 p.m.
Mary E. Foy
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.
December 13, 2006
January 17, 2007
February 14, 2007
March 21, 2007
April 18, 2007
May 23, 2007
June 20, 2007