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Minutes: October 18, 2006
357th MEETING OF THE MEDICAL SCHOOL COUNCIL
3 p.m., Wednesday, December 13, 2006
School of Medicine Administration, Board Room 103
PRESENT: Drs. Bluemke, Brayton, Dagnelie, Geller, Honeycutt, Huang, Lehmann, Liu, Maragakis, McCarthy, Mears, Pidcock, Schramm, Sterni, Tufaro, Whitmore, Yaster, Zellars, Mr. Pirruccello, Mss. Foy and Sandone.
ABSENT: Drs. Aucott, Bergles, Bhatti, Caterina, Chan, Choi, Cormack, DeLeon, Denmeade, Efron, Flynn, Gultekin, Holcroft, Iacobuzio-Donahue, Kravet, Lorsch, MacDonald, Magaziner, Mooney, Peters, Robinson, Roper, Schulick, Siberry, Tompkins, Walker, Wang, Woolf, Zhu, Messrs. Prucz and Watkins, Ms. Cohen.
GUESTS: Dr. Dorman, Ms. Heiser.I. Minutes
The minutes of the October 18, 2006 and November 8, 2006 meetings were approved.II. Continuing Medical Education (CME) Update, Part I – Dr. Todd Dorman
Dr. Dorman opened his presentation by addressing the required financial disclosure policy. He noted CME is now highly regulated and regulations are enforced. He described the changing CME environment from a somewhat relaxed environment to one that is highly regulated with sound educational principles and a linkage between needs and outcomes assessment. In predicting the future, he spoke of a “proven” needs and “proven” impact regulatory environment.
In discussing past administrative problems, Dr. Dorman noted partnerships had not been encouraged. Office practices and the cost structure inhibited these relationships. Efforts have been successful in increasing this activity. Other administrative issues related to the time it takes to close an account. Dr. Dorman addressed past reasons for delays and outlined efforts to streamline the process with the goal of a 120 day closure window. Evaluations were also mentioned as a past problem that has been addressed by hiring a new provider and instituting a 60day past activity metric. The goal is to have a web-based system before July 2007.
Dr. Dorman outlined issues related to the cost structure noting that 75% of the courses were profitable and $2 million was returned to departments/divisions last year. He noted the current fee schedule, which was established in 1993, is under revision as costs have increased significantly since that time. Data was presented on a 2002 cost survey that placed Johns Hopkins CME within $100 of the mean of 60 university offices. A new survey has recently been completed with a January/February 2007 reporting time frame.
Dr. Dorman addressed the accreditation issues noting AMA and ACCME standards. The school recently received a six year approval from the ACCME. He addressed the OCME’s approach to regulation and offered to meet with departments to provide educational seminars. Recent focus has been directed to regulatory issues. Dr. Dorman’s goal over the next two years is to migrate focus to education, which is the primary mission of the OCME.
In the future “gap identification” content and outcomes data will be required for CME courses. The new Simulation Center will provide additional resources for CME.
In response to questions, Dr. Dorman indicated an average lead time to establish a course is six months; many universities require twelve months. He addressed scheduling issues and reported only the space needed for a course is now being booked. The relationships with drug companies was raised and it was reported the University is taking measured steps to address this issue. A tiered system for services was suggested and discussed.
Dr. Dorman thanked the Medical School Council for the opportunity to present. He will return later in the year for a Part II report. Dr. Sterni thanked Dr. Dorman for his presentation.III. Update on the Status of the Joint Oversight Committee on Faculty Development and Gender – Dr. Nancy Honeycutt, Chair of JOC
The Joint Oversight Committee (JOC) was established by the Dean upon recommendation of the Committee on Faculty Development and Gender to monitor equity factors and present an annual report to the faculty and Dean. The JOC membership consists of representation from the Medical School Council, the Women’s Leadership Council, and the Advisory Board of the Medical Faculty.
A handout was distributed that summarized the major findings and the recommendations of the Committee on Faculty Diversity and Gender and the role of the JOC this past year in monitoring the recommendations.
Dr. Honeycutt reported on the following recommendations:
A standing committee (the JOC) has been appointed to monitor equity factors.
An annual analysis of faculty salaries has been instituted, and results from 2005-2006 are expected in early 2007. Department Directors will be asked to rectify salary discrepancies that cannot be justified based on objective criteria.
An infrastructure, including the appointment of an Assistant Dean for Faculty Development and Equity, has been provided to the Vice Dean for Faculty.
A mandatory annual review by department and division directors for Assistant Professors and Associate Professors is required prior to the Dean approving a faculty salary. Faculty are given the opportunity to indicate on their annual appointment letter whether they have had an annual review.
Promotion rates are being monitored to determine if male and female faculty are being recommended for promotion in a timely manner.
Department directors will be asked to identify important decision-making committees in their departments and to provide gender representation to ascertain the role of women in the decision-making process.
The directors of the Faculty and Staff Assistance Program and the Worklife Program will be invited to address the Medical School Council in early 2007 to present the offerings of these two resources.
An expanded educational program on sexual harassment has been undertaken with close to 40 sessions being offered. The majority of the faculty has received this training with a goal for all faculty to complete training by June 2007. The program will be incorporated into each new faculty orientation program. A website (http://www.hopkinsmedicine.org/fac_development/career/legal/) also offers training.
A faculty exit interview process is being developed. An on-line exit interview process is nearing completion and questions are being developed for a in-person process.
The JOC is modifying the 2003-2004 Faculty Development and Gender Committee survey with the goal of re-surveying the faculty this academic year. This is consistent with the recommendation of the Faculty Development and Gender Committee that faculty be surveyed in three years to assess progress.
The Faculty Development and Gender Committee also recommended that significant financial resources should be raised and dedicated to the recruitment, retention, and promotion of women to the senior ranks of the faculty. In order to reduce barriers to inclusion, the report recommended that meetings and conferences outside the hours of 8 a.m. to 5 p.m. should be discouraged. The conference and meeting schedule recommendation generated discussion as it was felt by some to be impractical due to clinical demands in certain specialties.
Dr. Sterni thanked Dr. Honeycutt for her presentation.
IV. Other Business
Slides of both presentations will be distributed to the Medical School Council. 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.
January 17, 2007
February 14, 2007
March 21, 2007
April 18, 2007
May 23, 2007
June 20, 2007