Maria Chandler, MD, MBA 1

UC Irvine MD/MBA Joint Degree Program

Maria Chandler, MD, MBA

Faculty Advisor, MD/MBA Program

PH (949)824-6138

mchandle@uci.edu

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Mission

To train a select group of physicians in the aspects of business who will lead our community and the entire healthcare industry toward a solution to the incredible challenge we are faced with of providing patients with quality care that is financially and ethically responsible.

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Why A Dual Degree?

The Association of American Medical Colleges:

Future physicians must “acquire leadership skills,” be able to “analyze financial data,” and “negotiate contracts.” (4/97)

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Why A Dual Degree?The University of California Commission on the

Future of Medical Education:

“urges medical schools to emphasize business skills.”

“Trainees today should also have a sophisticated understanding of business management.”

“Doctors must exhibit business acumen if they want to land a job.” (6/97)

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Why A Dual Degree?Dr. Windsor Sherrill, Ph.D., MBA:• Leadership opportunity• Job security• Possible changes in medicine• Personal career goals-to combine clinical and

administrative roles, to innovate, to make a difference

(MD/MBA students: An analysis of medical student career choice. Med Education Online 2004;9:14-www.med-ed-online.org)

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MD/MBA Search Firms• UpToDate (Boston)-MD Sales Position

• Wimbledon Group (Colorado)-VP of Strategy

and Operations for Enlight Biosciences • Janet Wright & Associates Inc (Non-profit

sectors Canada)-Executive VP, Mt. Sinai Hospital Toronto

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Why A Dual Degree?

Physicians in Leadership Positions:Hospitals 46%

Managed Care 78%

Group Practice 55%

(Hospitals & Health Networks 8/5/97)

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Why a Dual Degree?Dr. Kim B. Clarke, PhD, Dean of Harvard Business School:“Medicine and business have long been intertwined…but today, with the extraordinary promise of emerging medical technologies, sweeping changes in the delivery of health care, and the push to control the cost of medications, the need for leaders firmly grounded in both fields has never been greater.”

(“Harvard Introduces Joint MD-MBA.” FOCUS, May 14, 2004.)

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Why a Dual Degree?New York Times:“Indeed, doctors have become so interested in the business side of medicine that more than 40 medical schools have added, over the last 20 years, an optional fifth year of schooling for those who want to earn an M.B.A. degree as well as an M.D. Some go directly to Wall Street or into health care management without ever practicing medicine.”

(“Lure of Great Wealth Affects Career Choices.” New York Times, November 27, 2006)

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Personality Types of MD/MBAs

Physicians (INFP)• Introvert• Intuitive• Feeling• Perceiving

Business Type (ESTJ)• Extrovert• Sensing• Thinking• Judging

O’Connor and Shewchuk, Enhancing Administrator-Clinician Relationships: The Role of Psychological Type. Heal Care Management Review 18, no.2 (1993): 57-65.

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U.S. MD/MBA Programs (65+)University of Alabama School of MedicineBaylor College of MedicineUniversity at Buffalo State University of New York School of Medicine & Biomedical SciencesUniversity of Colorado Health Sciences Center School of MedicineColumbia University College of Physicians and SurgeonsJoan & Sanford I. Weill Medical College of Cornell UniversityUniversity of Florida College of MedicineDartmouth Medical SchoolEmory University School of MedicineIndiana University School of MedicineJefferson Medical College of Thomas Jefferson UniversityUniversity of Kentucky College of MedicineUniversity of Michigan Medical SchoolUniversity of Minnesota Medical SchoolThe Ohio State University College of MedicineSaint Louis University School of MedicineKeck School of Medicine of the University of Southern CaliforniaUniversity of Texas Southwestern Medical Center at Dallas Southwestern Medical SchoolUMDNJ--New Jersey Medical SchoolVanderbilt University School of MedicineYale University School of MedicineUniversity of California, Davis, School of MedicineUniversity of South Florida College of MedicineBrody School of Medicine at East Carolina UniversityTexas Tech University Health Sciences Center School of Medicine

Mayo Medical SchoolMcGill University Faculty of MedicineUniversity of Illinois College of Medicine-Urbana ChampaignDrexel University College of MedicineUniversity of Iowa Roy J. and Lucille A. Carver College of MedicineCase Western Reserve University School of MedicineTemple University School of MedicineUMDNJ-Robert Wood Johnson Medical SchoolUniversity of California, Irvine, College of MedicineTufts University School of MedicineUniversity of Chicago Pritzker School of MedicineUniversity of Connecticut School of MedicineUniversity of Illinois College of MedicineDavid Geffen School of Medicine at UCLAUniversity of Rochester School of Medicine and DentistryUniversity of Pennsylvania School of MedicineMedical University of South Carolina College of MedicineWright State University School of MedicineUniversity of Arkansas College of MedicineGeorgetown University School of MedicineUniversity of Cincinnati College of MedicineNorthwestern University, The Feinberg School of MedicineWake Forest University School of MedicineDuke University School of Medicine

Source: AAMC Curriculum Directory 2007

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Dual Degree Popularity#1 MD/PhD 130#2 MD/MPH 75#3 MD/MBA 65#4 MD/JD 21

Total U.S. Medical Schools: 130

Source: AAMC Curriculum Directory 2009

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MD/MBA Degree Growth

0

10

20

30

40

50

60

MD/MBA Programs

1993

2001

2005

2009

(MD/MBA Programs in the United States: Evidence of a Change in Health Care Leadership by David B. Larson, MD, MBA, Maria Chandler, MD, MBA, Howard P. Forman, MD, MBA. Academic Medicine, March 2003)

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The Paul Merage School of BusinessFirst in nation to establish a healthcare MBA program

Highly regarded in news media ranking of business schools: • Ranked #5 in faculty "intellectual capital" (Business Week)• Ranked #6 nationally in Information Technology (The Wall Street Journal 2006)• Ranked #24 internationally (top 10 in U.S.) for Executive MBA programs,

faculty research ranked #14 internationally (Financial Times 2006)• Ranked #38 nationally, #19 among public universities for full-time MBA (US

News 2006)

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5 Year Joint Degree ProgramYear Summer Fall Winter Spring

1 MD MD MD

2 MD MD MD

3 MD MD MD MD

4 MD MBA MBA MBA

5 MD MD MBA MBA

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MD/MBA Students Acceptedby MBA Start Date

1997 11998 11999 22000 2 2001 32002 5

2009 8

2010 14

2011 10

2003 52004 52005 72006 72007 102008 16

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Application Process• Apply on-line• Students apply during their 2nd medical school year• Previous business courses or experience is not

necessary• PRIME LC students may apply (please don’t if you’d

prefer an MPH)• GMAT not required for admission

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• Employment History – CV. Submit a copy of your CV. • Application Fee. The application fee is WAIVED for

medical students. In order to receive your waiver, you must start the online application and request a waiver. Be sure to request the waiver prior to completing and submitting your application.

• Admissions Test. No admissions test is required. The MCAT substitutes for the GMAT.

• Please submit the online application and all supporting materials by March 2011

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MBA Curriculum SampleCore

• Organizational Management• Financial Accounting• Economics• Information Technology• Business and Government• Operations, Marketing• Strategy

Electives• US Health Policy, Federal Health

Policy• Healthcare Entrepreneurship:

Physician to CEO• Physicians as Medical Directors• Management of Healthcare

Organizations• Strategic Planning/Marketing of

Healthcare services

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CAREER OPPORTUNITIES FOR GRADUATES

• Non-profit Clinics• Biotechnology • Hospital Administration• Health Information Technology• Entrepreneurial Ventures

• Legislation/Policy• Medical Research• Managed Care• Academics• Pharmaceuticals

Physician Leaders in…

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Job Preference of MD/MBA StudentsJob Activity Mean Score

Medical Director – Multi-specialty group 1.56

Medical Director of Major HMO 1.70

Medical Director of largest insur./managed care co. in region 1.85

CEO of biotechnology company 1.93

Medical Director – Single specialty group 1.93

Chief of Staff of 500 bed hosp. (tertiary care) in for-profit system 1.93

Nationally recognized expert in cost control disease management 1.93

Chief of Staff of large, tertiary care acad med center serving indigent pop 2.00

Medical Liaison of WHO 2.00

Chief of Staff of sole provider hospital in rural area 2.11

Dep Director of State Board of Health 2.3

Medical Director of inner city health clinic 2.6

Table adapted from “MD/MBA Students:An Analysis of Medical Student Career Choice" by Windsor Westbrook Sherrill, Ph.D., MBA

Rank 1-3 with 1 most desirable

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Dual MD/MBA Programs on the Rise:Employers See Value in Business, Medical Training

Employers are starting to recognize the value of a dual degree in medicine and business. In fact, Wellpoint has created a fellowship program designed especially for these grads. Called the Physician Executive Fellowship, the one-year program is aimed at grooming physicians for careers in medical management."I'm hoping other organizations follow suit and say they have to start training these young physicians as well," Chandler said.One of the biggest misconceptions about dual degree students is that they are motivated by money, she continued. In fact, research has shown most students who choose dual degrees want to make a difference in health care.These students need guidance, however. Chandler said most are hoping to connect with a mentor. Many need ideas for projects they can do for credit -- highly complex examples of knowledge in both medicine and business. In fact, the dual degree students at the University of California at Irvine created the business plan for the school's simulation center and helped bring it to fruition.Research shows most students are pleased with their choice to pursue a dual degree. According to a survey of 87 graduates, 90 percent said they were "happy" or "very happy" with their degrees.Chandler said she hopes someday that all medical schools will not only offer a dual degree but incorporate business principles into their medical curriculum. "Physicians are trained in a dictatorial way," she said. "They're trained to be the dictator of their OR ...whereas business school is all about a team approach."

It started with a letter that Maria Chandler, MD, sent to the dean of the medical school at the University of California at Irvine.The pediatrician had recently completed her MBA and offered her assistance if the medical school had any students who were interested in a similar path. Chandler got a quick response."He sent a letter right back and said, 'How'd you like to start a MD/MBA program here?'" Chandler said.That was in 1996, and only a handful of schools offered the dual degree. Today, there are more than 130, and Chandler has gone on to create the National Association of MD/MBA Students, a non-profit organization aimed at helping graduates.Most of the students who pursue dual degrees are entrepreneurial by nature, Chandler said. Surveys of the graduates show most choose to pursue clinical practice for at least a little while after graduation, although many choose to assume administrative duties at an early age.

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Graduating Class