FACULTY ASSEMBLY

Tuesday, November 24, 2009

4:00 p.m. (Central Time)

United Hospital Auditorium

AGENDA

1. The State of the School2. Fiscal Year 09 Financial Report3. Faculty Recruitment4. Policy on Policy5. Posting of Minutes6. Discussion of posted Departmental Reports

Bismarck SW CampusCenter for Family Medicine Conference Room515 East Broadway Fargo SE CampusMedical Education Center, Room 2251919 North Elm Street

MeritCareVideo Conference Basement of HospitalRoom OSS720 4th Street North Grand Forks SMHSUnited Hospital Auditorium, Room 1350501 N. Columbia Road

Altru HospitalConference Room A1000 Columbia Road South

Minot NW CampusNW Campus Conference1201 11th Avenue SW

Hettinger West River Regional Medical CenterLibrary Room

Devils Lake Mercy HospitalEducation Room

JamestownJamestown HospitalConference Room 446

Connection Issues Contact:

Don Larson at 777-5046

Bismarck SW CampusCenter for Family Medicine Conference Room515 East Broadway Fargo SE CampusMedical Education Center, Room 2251919 North Elm Street

MeritCareVideo Conference Basement of HospitalRoom OSS720 4th Street North Grand Forks SMHSUnited Hospital Auditorium, Room 1350501 N. Columbia Road

Altru HospitalConference Room A1000 Columbia Road South

Minot NW CampusNW Campus Conference1201 11th Avenue SW

Hettinger West River Regional Medical CenterLibrary Room

Devils Lake Mercy HospitalEducation Room

JamestownJamestown HospitalConference Room 446

Connection Issues Contact:

Don Larson at 777-5046

ARTICLE IV - GOVERNANCE Section One - Faculty Assembly The Faculty Assembly shall consist of all voting members of the faculty of the School.

Subsection One - Duties and Responsibilities a. The Faculty Assembly shall meet at least annually at a time and place set by the Dean of the School. b. The Faculty Assembly shall receive an annual report from the Dean and the Faculty Academic Council on the State of the School. The Dean shall circulate a written agenda to all Faculty Assembly members at least one week prior to a scheduled meeting.

Source: SMHS Bylaws Revised by FAC - April 3, 2000

Joshua Wynne, M.D.

Interim Vice President for Health Affairs

Interim Dean

Professor Of Medicine

Joshua Wynne, M.D.

Interim Vice President for Health Affairs

Interim Dean

Professor Of Medicine

Faculty Assembly Presentation State of the SMHS

2009

Overview of Presentation

• Campus Climate and Environment• Faculty• Facility Update and Facility Needs• Scholarship and Research• Clinical Care• Service• Students and Education

Overview of Presentation

• Initiatives• Issues and Challenges• Notable Achievements

Campus Climate and Environment

• Enhanced communication - bidirectional– Enews sent out weekly

• Mailing list now includes voluntary faculty, SMHS Advisory Council members, UND Deans and VPs, all SMHS students (not just MS)

– Enews column by Interim Dean– Lunch meetings with Interim Dean

• Students• Faculty• Staff

Campus Climate and Environment

• Improved interaction with ND Legislature during the recent session– ~ 20% increase in base funding for SMHS,

including $1.275M to stabilize CFM– $5.4M for new Center for Family Medicine– $225K for EMR for CFM– $600K to initiate RuralMed program– $500K for CRH for health care planning

• Lunch meetings with voluntary faculty at campus hospitals

Campus Climate and Environment

• Bus tour visits to rural communities planned for each quarter of 2010

• Dean’s Committee on Diversity– Members: Drs. Halaas (Chair), M.A. Sens,

Dunlevy, Sukalski, Brown-Borg, Romanick and Mr. DeLorme

– Focus of committee• Salary equity• Recruitment• Promotion and tenure• Retention

Campus Climate and Environment

• Process– Emphasis on participatory and engaged

faculty governance, with open discussion and opportunity for input• Faculty Academic Council (FAC)

– Bimonthly meetings– Primary faculty governance entity

• Departmental Chairs’ Meetings• Process on Process

Faculty

• New faculty– Gwen Halaas, M.D.,

M.B.A., Associate Dean for Academic and Faculty Affairs, Director of CME

– Chernet Tessema, Ph.D., Instructor, ACB

– Joyce Ohm, Ph.D. – Assistant Prof, BMB

– Mark Koponen, M.D. - (Forensic Pathologist); Associate Professor

– Kurt Zhang, Ph.D. - (Bioinformatics); Assistant Professor

– Xuesong Chen, Ph.D., Assistant Professor, PPT

– Mikhail Golovko, Ph.D., Assistant Professor, PPT

– Mandy Meyer, Ph.D., Assistant Professor, OT/ACB.

Faculty

• New appointments– Dr. Byron Danielson – Vice-Chair, Dept. of

Internal Medicine– Dr. Neville Alberto – Program Director,

Transitional Year Residency– Dr. Guy Tangedahl – Interim Program

Director, Family Medicine Residency (Bismarck)

– Dr. David Bradley – Chair, Dept. of Microbiology and Immunology

Faculty

• New appointments– Brad Gibbens and Marlene Miller

• Interim Co-Directors, Center for Rural Health

– Dr. Kathy Sukalski – Interim Chair, Dept. of Biochemistry and Molecular Biology

Faculty

• Promotion and/or tenure– John Watt, Ph.D. - Associate Professor

with tenure, Dept. of Anatomy and Cell Biol– Scott Garrett, Ph.D. - Associate Professor

with tenure, Dept. of Pathology– Sonia Zimmerman, Ph.D., Assistant

Professor to Associate Professor, Dept. of Occupational Therapy

– Stephen Stripe, M.D., Associate Professor, Dept. F.C.M., Minot CFM

Faculty

• Recruitment– Gerontology search

• Sanford MeritCare issue

– 9 basic science faculty– Director, Center for Rural Health

Facilities• Center for Family

Medicine (Bismarck)• Forensic Science

Building (Grand Forks)• Upgrade to CEC• Simulation Center

adjacent to the CEC

Facility Needs

• Additional wet lab space – Stimulus grant status

• Allied health building

Facility Needs

• Upgrade and refurbishment of SMHS building

• Research space (especially translational research) in Fargo

Scholarship and Research

• Strong effort to get funding, but highly competitive environment– Grant applications are up substantially

(~36% increase c/w prior 4 years)– Funding is down (~16% c/w prior 4 years)

SMHS Grant Activity ($M)

Scholarship and Research

• Strong program in eating disorders continues (>$15M in funding to Dept. Clinical Neurosciences)

• 78% of grant $ from federal government (NIH, HRSA, Indian HS, DOD)

• 8% from foundations

Scholarship and Research

• Funding leaders– Clinical Neurosciences– CRH– PPT– Surgery– Pathology– INMED

Scholarship and Research

• Great progress has been made in building research infrastructure– INBRE and COBRE grants (~$26M)

• Next step will be to build the competitive investigator grants– Interdisciplinary collaboration– New recruits

• Coordinated with and supported in part by UND

– Partnership with industry

Clinical Care

• Hospitals are increasingly looking to partner with the SMHS for faculty recruitment– Dr. Sticca and the Dept. Of Surgery– Gerontology

• Clinical Chairs are looking at expanded practice opportunities in ND and the region

Service• Allied health – Parents as co-instructors

(Dept. of PT)• CHPPR - Preventing and reducing

chronic health conditions caused by unhealthy behaviors

• Continuing Medical Education– Sponsored or jointly approved 340 CME

activities– ~4,500 physician and ~7,100 other health

professionals participated

Service

• Tobacco Quitline – Dept. of Family and Community Medicine

• CRH and RAC - 37 programs and research projects underway to address a variety of rural health issues in North Dakota and across the United States

Service

• Health Workforce Information Center (CRH)– Initiated in 2008 as a national resource

center on health workforce– Assist providers, educators, researchers,

and policy makers in developing strategies to meet future workforce demand

Students – Current Enrollment• M.D. (M.D./Ph.D.)

241• M.S./Ph.D. - Basic Sciences

48• D.P.T. Physical Therapy

144• Clinical Lab Science

291• Cytotechnology / Histology

14• B.S. Athletic Training

25• M.O.T. Occupational Therapy (Grand Forks)

93– Casper, WY)

20 • Physician Assistant

61• Physician in Training Residency Programs

100

TOTAL 1,037

• Other Programs– Continuing Medical Education– Laboratory Education for North Dakota (LEND)– >1600 undergraduate students

Students and Education

• Medical students– ~300 applications and ~150 interviewed for

55 slots– Most popular residency choices: Family

medicine/Surgery/Internal medicine Pediatrics/OB-GYN/Emergency medicine

– Contrary to national preference for “EROAD” specialties (“life style” choices)

Students and Education

• Our 6 residency programs received ~3,000 applications and matched 32 positions!

• Allied health– CLS Celebration

Initiatives

• RuralMed• SMHS Recruitment Process• SMHS Advisory Council (especially

regarding the budget process)• Development Activities

– Dave Miedema – Director of Development• Meeting with faculty and students

– Case Statement• Conflict of Interest Policy

Initiatives• MPH program in conjunction with NDSU• Masters program in biomedical

engineering with NDSU• Enhanced program in medical simulation

(Simulation Center)• Revamped Dean’s Hour• Symposium on Voluntary Faculty

Teaching and Scholarship (Dr. Hyder)• Research Retreat – Tentatively 12/19/09

Issues and Challenges• Student debt• Anticipated contraction of NIH and NSF

funding• Graduate student tuition waivers• UND F&A policy• Clinical practice plan revenue• Curriculum update• Need for more diversity• Re-writing of SMHS bylaws

Outstanding Achievements• Dr. Patrick Carr

– UND Foundation/Thomas J. Clifford Award and Class 2012 Golden Apple Award

• Dr. Edward Carlson – Hippocratic Dignity Award

• Dr. Stephen Tinguely – 2009 Medical Student Graduation Speaker

• Dr. D. Sens – INBRE

• Dr. Geiger – COBRE, and Chester Fritz Distinguished

Professor award

Outstanding Achievements

• ~96% pass rate of PT graduates on national exam

• Mary Ann Sens, MD, PhD - Board of Directors, National Association of Medical Examiners

• UND Founders Day award to Dept. of O.T. for Excellence in Teaching

Outstanding Achievements• Dr. Michael Atkinson - Outstanding Faculty

Award for Undergraduate Teaching• Student Vickie Gorder published case study

in Journal of American Academy of PA• OT Students: Jen Frueh , Nicole Keiffer,

Ashley Tyre and Kacie Moll-Preysz were recognized at the Spring 2009 Frank Low Research Day.

• Brittany Siefert elected Student Representative to the Wyoming OT Association.

• Gold Humanism Society Inductees– 8 third year students - Miran Blanchard,

Dan Dixon, Katrina Gardner, Chad Hanson Erica Martin, Jennifer Mullally, Luke Van Alstine, Stacie Wellman

– Deans Judy DeMers and Charlie Christianson

Outstanding Achievements

Fiscal Year 09 Financial Report

Dean Randy Eken

2004-05 2005-06 2006-07 2007-08 2008-09$30,000,000

$35,000,000

$40,000,000

$45,000,000

$50,000,000

$55,000,000

$60,000,000

$65,000,000

$70,000,000

$56.6 M

$60.4 M $60.3 M $62.7 M

$65.6 M

UND SMHS Total Revenues History

2004-05 2005-06 2006-07 2007-08 2008-09$0

$10,000,000

$20,000,000

$30,000,000

$40,000,000

$50,000,000

$60,000,000

$15.0 M $15.5 M $15.9 M $16.8 M $17.3 M

$41.6 M$44.9 M $44.3 M $45.9 M

$48.3 M

UND SMHS Sources of Revenue

General Fund Other Funds

General Fund, $17.3M, 26.4%

Tuition, $11.0M, 16.7%

One-Mill Levy, $1.9M, 3.0%Grants & Contracts, $17.7M,

27.0%

Local Funds, $17.7M, 26.9%

UND School of Medicine & Health Sciences 2008-09 Sources of Revenue

Total $65.6 M

Salaries, $37.7 M, 57.5%

Fringe Benefits, $8.6 M, 13.0%

Operating & Equipment $19.3 M, 29.5%

UND SMHS 2008-09 Object of ExpendituresTotal $65.6 M

UND SMHS Analysis of 2009-11 General Fund Appropriation (SB2003)

Adjusted 2007-09 General Fund Base $34,027,701

Base Funding Increases

Parity Increase $ 3,214,275

Equity Increase $ 505,999

College Affordability $ 767,426

Total Base Funding Increase $ 4,487,700

Other Priority Base Funding Increases

Bismarck and Minot CFM Operations $ 1,275,000

RuralMed Program $ 600,000

Comprehensive Health Delivery Plan $ 500,000

Total Priority Base Funding Increase $ 2,375,000

General Fund Increase: Recurring $ 6,862,700

One-Time Funding: Electronic Medical Records $ 225,000

General Fund Total SB2003 $ 41,115,401

One-Time Funding: Permanent Oil Tax Trust Fund: Bismarck CFM $ 5,400,000

UND SMHSAnalysis of 2009-11 Appropriation Budget

Revenue Adjusted Budget New Budget Percent

Budget 07-09 2009-11 Authority 09-11 Increase

General Fund $34,027,701 $41,115,401 $7,087,700 20.8%

Tuition $21,776,148 $24,205,445 $2,429,297 11.2%

One-Mill $3,840,882 $4,034,000 $193,118 5.0%

Total Revenues $59,644,731 $69,354,846 $9,710,115 16.3%

Actual/Budgeted Expenditures ($59,644,731) ($69,354,846) ($9,710,115) 16.3%

UND SMHSAnalysis of 2009-11 Appropriation Budget

Budget Plan to Spend Additional Appropriations Authority

Increases to Base Budgets for 2009-11

Salary Increases (Average 5%) $4,506,143 Fringe Benefits (Health Ins. $8,033 > $9,912 per position) $1,114,197 Operating Budgets (Increase 2.1%) $ 481,175 Funding base for Residency Programs $ 200,000 Funding base for Community Faculty $ 100,000 Faculty Salary Support to Departments $ 596,931

Grants & Contracts Officer (moved from local funds) $ 111,669 Total Base Increases $7,110,115 New Budget Initiatives approved by ND Legislature

Centers for Family Medicine $1,275,000 Rural Med Program $ 600,000 Rural Health Program $ 500,000

Electronic Medical Records (One-Time Funding) $ 225,000

Total New Budget Initiative Increases $2,600,000 Total Planned Increase in Expenditures 2009-11 $9,710,115

Basic ScienceFaculty Recruitment

Basic Science Search Committee

Policy on Policy

http://www.med.und.nodak.edu/

Posting of Minutes

http://www.med.und.nodak.edu/

Discussion of Departmental Reports