memorandum - system.nevada.edusystem.nevada.edu/tasks/sites/nshe/assets/file/...aug 05, 2014 ·...

Thomas L. Schwenk, M.D. Professor of Family Medicine Dean, School of Medicine Vice President, Division of Health Sciences

Office of the Dean Office of the Dean University of Nevada, Reno/332 2040 West Charleston Blvd., Ste. 400 Reno, Nevada 89557-0332 Las Vegas, Nevada 89102 (775) 784-6001 (702) 671-221

www.medicine.nevada.edu [email protected]

MEMORANDUM To: James Dean Leavitt, Chair

Health Sciences System Committee Nevada System of Higher Education, Board of Regents

From: Thomas L. Schwenk, M.D. Professor of Family Medicine

Vice President, Division of Health Sciences and Dean, School of Medicine

Date: August 5, 2014 Re: School of Medicine September Update

In lieu of my personal presence at the September 5 Health Sciences Committee, I am providing this written summary of recent activities and developments affecting UNSOM. I will follow the usual outline format of past meetings, an updated version of which is attached. Las Vegas Major developments in Las Vegas include:

Official opening of the new Patient Care Center in Henderson, Early development of a full partnership with MountainView Hospital which will lead to

several new residency programs to start as early as 2016, The formal appointment of the UNSOM Dean as an ex officio member of the UMC

Governing Board (along with Dr. Atkinson, the UNLV Planning Dean), Development of a collaborative approach between UNSOM, UNLV and UMC to a

strategic focus for residency and fellowship training that matches UMC expertise with resources,

Launch of two new fellowships (cardiology and GI) on July 1, 2014, and Planning for new programs in pulmonary/critical care and orthopaedic surgery in July

2015. Reno Major developments in Reno include:

The formation of a standing executive committee composed of Renown Health and UNSOM leaders to manage the newly-formed partnership and serve as a clearinghouse for a wide range of operational ventures between the two institutions,

(HEALTH SCIENCES SYSTEM COMMITTEE 09/05/14) Ref. HSS-6, of 22

August 5, 2014

Preliminary work in developing an affiliation agreement with Renown Health which describes the nature and scope of a formal partnership,

Early exploration of the clinical integration of the Department of Pediatrics with Renown Children’s Hospital,

Agreement on a job description, funding model, recruitment strategy, and search committee for a Chair of the Department of Pediatrics who will also serve as Pediatrician-in-Chief of Renown Children’s Hospital,

Exploration of potential philanthropic support for the combined Pediatrician-in-Chief/Department Chair position described above,

Early plans to develop a new residency program in Neurology, Development of plans for funding and launching a new Office of Community Physician

Faculty Engagement to support all administrative needs for volunteer community physician teachers,

Continued development of plans for a family medicine residency program at St. Mary’s Hospital,

Exploration of a new family medicine residency program at Carson-Tahoe Hospital, and Development of a pilot project to care for high-intensity, complex PEBP patients with a

patient-centered medical home team of health professionals supported by a substantial case management fee.

Statewide Major developments statewide include:

Continued discussion of the implications of the Statewide Steering Committee and BOR directives regarding the long-term vision for UNSOM as a Reno and UNR based school of medicine with continued GME partnerships and limited but critical medical student teaching capacity in Las Vegas,

First group of student to complete years 1 and 2 of the revised curriculum received particularly high scores on the first step of their license exam (USMLE),

Continued planning for a new 3rd year curriculum to be launched in July 2015, Continued launch of the new Practice Management and Clinical Electronic Medical

Record system, with the departments of Pediatrics and Obstetrics/Gynecology (in Las Vegas) to be brought on-line in September 2014,

Pilot implementation in several departments of new physician salary plans based on clinical and academic productivity,

Launch of a new rural family medicine residency program in Winnemucca with the first residents starting in Las Vegas in July 2014 and moving to Winnemucca in July 2015, and

Continued development of the application for a Physician Assistant program (described by Dr. Klass previously).

(HEALTH SCIENCES SYSTEM COMMITTEE 09/05/14) Ref. HSS-6, Page 2 of 22

Not started In process Completed

a. Continue strong clinical and GME presence in Las Vegas X

b. Develop new outreach clinical facility in Las Vegas X

c. Develop partnership with MountainView Hospital to launch several new primary care and specialty residency programs beginning in 2016

X

d. Launch new residency and fellowship programs at UMC, including cardiology and gastroenterology in 2014, and pulmonary / critical care and orthopaedic surgery in 2015

X

e. Improve practice management and business operations X

f. Joint task force headed by CEO, Dean, and UNLV Planning Dean to develop UMC-GME strategic plan

X

g. Develop process for joint management of UMC clinical contracts

X

h. Proactive outreach by UNSOM to community physician leaders to participate with UNSOM in UMC contracts, enhance quality of care, expand UNSOM faculty expertise and size

X

Las Vegas

Status of UNSOM Strategic Planning and ImplementationNSHE Board of Regents

Health Sciences CommitteeSeptember 2014


Not started In process Completeda. Develop academic medical center in partnership with Renown Health (RH)

X

b. Integration of Department of Pediatrics with Children’s Hospital at Renown Health (RH)

X

c. Participation in RH Physician Collaboration Committee X

d. Develop GME relationship with St. Mary’s Medical Center for Family Medicine

X

e. Expand selected subspecialties in Pediatrics and Internal Medicine with possible fellowship development

X

f. New Patient-Centered Medical Home venture with PEBP X

g. Improved practice plan operations X

Reno

Status of UNSOM Strategic Planning and ImplementationSeptember 2014

2

NSHE Board of RegentsHealth Sciences Committee


Not started In process Completed

a. Develop comprehensive statewide vision X

b. Complete 1st/2nd year curriculum transformation X

c. Begin planning for 3rd and 4th year curriculum transformation

X

d. Overhaul practice plan governance structure to strengthen statewide strategic planning and local operational control

X

e. Implement full Practice Management and Clinical EMR IT system

X

f. Develop physician productivity-based salary plan X

g. Improve practice plan and business operations X

h. Develop detailed plan for GME expansion X

i. Develop Institute for Clinical and Translational Research X

j. Expand and strengthen statewide tele-health / tele-medicine capabilities and resources

X

k. Develop IT and AV support of education programs X

l. Develop new approaches to rural outreach and training X

m. Develop Physician Assistant (PA) training program X

Statewide

Status of UNSOM Strategic Planning and ImplementationSeptember 2014

3

NSHE Board of RegentsHealth Sciences Committee


Location of Undergraduate and Graduate Medical Education Among Licensed Allopathic Physicians (MDs) in Nevada

July 2014

Tabor Griswold, PhD, and John Packham, PhD

Office of Statewide Initiatives University of Nevada School of Medicine

411 West Second Street Reno, Nevada 89503

www.medicine.nevada.edu/statewide


http://www.medicine.nevada.edu/statewide

Table 1: Actively Licensed Allopathic Physicians (MDs) in Nevada by County (with a Nevada Address) and Location of Medical Education – 2014

Region/County

Licensed Allopathic Physicians (MDs)

Total Physicians

University of Nevada School of Medicine

Undergraduate Medical Education

Graduate Medical Education

Number Number Percent Number Percent

Rural and Frontier

Churchill County 27 6 22.2 5 18.5

Douglas County 76 11 14.5 1 1.3

Elko County 40 7 17.5 1 2.5

Esmeralda County 0 – – – –

Eureka County 0 – – – –

Humboldt County 12 0 0.0 0 0.0

Lander County 1 0 0.0 0 0.0

Lincoln County 2 0 0.0 0 0.0

Lyon County 20 4 20.0 3 15.0

Mineral County 3 0 0.0 0 0.0

Nye County 17 0 0.0 0 0.0

Pershing County 0 – – – –

Storey County 0 – – – –

White Pine County 9 2 22.2 1 11.1

Region Subtotal 207 30 14.5 11 5.3

Urban

Carson City 180 27 15.0 11 6.1

Clark County 3,355 225 6.7 344 10.3

Washoe County 1,132 260 23.0 167 14.8

Region Subtotal 4,667 512 11.0 522 11.2

Nevada – Total 4,874 542 11.1 533 10.9

* Note: 185 physicians in Nevada completed both undergraduate and graduate medical education in Nevada.


URBAN COUNTIES


Table 2: Actively Licensed Allopathic Physicians (MDs) in Carson County and Location of Medical Education – 2014

Licensed Allopathic Physicians (MDs) in Carson County

Location of Education Number Percent


IMG 30 16.7

Nevada 27 15.0

California 19 10.6

Texas 13 7.2

Ohio 7 3.9

Pennsylvania 7 3.9

Massachusetts 6 3.3

Missouri 5 2.8

Nebraska 5 2.8

Other States 61 33.9

Total 180 100.0


California 44 24.4

Nevada 11 6.1

Arizona 9 5.0

New Massachusetts 8 4.4

New Mexico 8 4.4

Washington 8 4.4

Minnesota 7 3.9

Colorado 6 3.3

Missouri 6 3.3


Total 180 100.0

* Note: 6 physicians in Carson City completed both undergraduate and graduate medical education in Nevada.


Table 3: Actively Licensed Allopathic Physicians (MDs) in Clark County and Location of Medical Education – 2014

Licensed Allopathic Physicians (MDs) in Clark County



IMG 1,229 36.6

California 252 7.5

Nevada 225 6.7

New York 171 5.1

Illinois 147 4.4

Texas 119 3.5

Pennsylvania 105 3.1

Ohio 81 2.4

Missouri 79 2.4

Washington, D. C. 66 2.0

Other States and Canada 881 26.3

Total 3,355 100.0


California 547 16.3

New York 497 14.8

Nevada 344 10.3

Illinois 220 6.6

Texas 179 5.3

Pennsylvania 153 4.6

Michigan 151 4.5

Ohio 139 4.1

Arizona 99 3.0


Total 3,355 100.0

* Note: 97 physicians in Clark County completed both undergraduate and graduate medical education in Nevada.


Table 4: Actively Licensed Allopathic Physicians (MDs) in Washoe County and Location of Medical Education – 2014

Licensed Allopathic Physicians (MDs) in Washoe County



Nevada 260 23.0

IMG 181 16.0

California 100 8.8

New York 51 4.5

Illinois 49 4.3

Texas 47 4.2

Ohio 31 2.7

Pennsylvania 31 2.7

Michigan 30 2.7


Total 1,132 100.0


California 257 22.7

Nevada 167 14.8

New York 66 5.8

Arizona 48 4.2

Texas 45 4.0

Michigan 39 3.4

Illinois 36 3.2

Ohio 34 3.0

Pennsylvania 33 2.9


Total 1,132 100.0

* Note: 75 physicians in Washoe County completed both undergraduate and graduate medical education in Nevada.


RURAL AND FRONTIER

COUNTIES


Table 5: Actively Licensed Allopathic Physicians (MDs) in Churchill County and Location of Medical Education – 2014

Licensed Allopathic Physicians (MDs) in Churchill County


Undergraduate Medical Education Nevada 6 22.2 IMG 5 18.5 Illinois 3 11.1 Canada 2 7.4 Pennsylvania 2 7.4 Other States 9 33.3 Total 27 100.0 Graduate Medical Education Nevada 5 18.5 California 4 14.8 Pennsylvania 3 11.1 Virginia 3 11.1 Michigan 2 7.4 Other States 10 37.0 Total 27 100.0

* Note: 4 physicians in Churchill County completed both undergraduate and graduate medical education in Nevada.


Table 6: Actively Licensed Allopathic Physicians (MDs) in Douglas County and Location of Medical Education – 2014

Licensed Allopathic Physicians (MDs) in Douglas County


Undergraduate Medical Education California 14 18.4 Nevada 11 14.5 New York 6 7.9 Pennsylvania 5 6.6 Illinois 4 5.3 Other States 36 47.4 Total 76 100.0 Graduate Medical Education California 28 36.8 Ohio 6 7.9 Arizona 5 6.6 Michigan 5 6.6 Nevada 1 1.3 Other States 31 40.8 Total 76 100.0

* Note: 1 physician in Douglas County completed both undergraduate and graduate medical education in Nevada.


Table 7: Actively Licensed Allopathic Physicians (MDs) in Elko County and Location of Medical Education – 2014

Licensed Allopathic Physicians (MDs) in Elko County


Undergraduate Medical Education IMG 9 22.5 Nevada 7 17.5 California 6 15.0 Illinois 3 7.5 Washington, D.C. 2 5.0 Other States 40 67.5 Total 40 100.0 Graduate Medical Education California 16 40.0 Michigan 3 7.5 New York 2 7.5 Illinois 2 5.0 Nevada 1 2.5 Other States 15 37.5 Total 40 100.0

* Note: 1 physician in Elko County completed both undergraduate and graduate medical education in Nevada.


Table 8: Actively Licensed Allopathic Physicians (MDs) in Humboldt County and Location of Medical Education – 2014

Licensed Allopathic Physicians (MDs) in Humboldt County


Undergraduate Medical Education IMG 2 16.7 California 1 8.3 Iowa 1 8.3 Kentucky 1 8.3 Nevada 1 8.3 Other States 6 50.0 Total 12 100.0 Graduate Medical Education California 5 41.7 Arizona 1 8.3 Florida 1 8.3 Idaho 1 8.3 North Dakota 1 8.3 Other States 3 25.0 Total 12 100.0


Table 9: Actively Licensed Allopathic Physicians (MDs) in Lander County and Location of Medical Education – 2014

Licensed Allopathic Physicians (MDs) in Lander County


Undergraduate Medical Education California 1 100.0 Total 1 100.0 Graduate Medical Education Michigan 1 100.0 Total 1 100.0

Table 10: Actively Licensed Allopathic Physicians (MDs) in Lincoln County and Location of Medical Education – 2014

Licensed Allopathic Physicians (MDs) in Lincoln County


Undergraduate Medical Education California 1 50.0 IMG 1 50.0 Total 2 100.0 Graduate Medical Education Nebraska 1 50.0 Wyoming 1 50.0 Total 2 100.0


Table 11: Actively Licensed Allopathic Physicians (MDs) in Lyon County and Location of Medical Education – 2014

Licensed Allopathic Physicians (MDs) in Lyon County



IMG 5 25.0

Nevada 4 20.0

Georgia 2 10.0

Arizona 1 5.0

California 1 5.0

Other States 7 35.0

Total 20 100.0


Nevada 3 15.0

California 2 10.0

Georgia 2 10.0

Texas 2 10.0

Wisconsin 2 10.0

Other States 9 45.0

Total 20 100.0 * Note: 1 physician in Lyon County completed both undergraduate and

graduate medical education in Nevada.


Table 12: Actively Licensed Allopathic Physicians (MDs) in Mineral County and Location of Medical Education – 2014

Licensed Allopathic Physicians (MDs) in Mineral County


Undergraduate Medical Education IMG 3 100.0 Total 3 100.0 Graduate Medical Education Illinois 1 33.3 Indiana 1 33.3 Texas 1 33.4 Total 3 100.0


Table 13: Actively Licensed Allopathic Physicians (MDs) in Nye County and Location of Medical Education – 2014

Licensed Allopathic Physicians (MDs) in Nye County


Undergraduate Medical Education IMG 5 29.4 Texas 3 17.6 Pennsylvania 2 11.8 Arkansas 1 5.9 California 1 5.9 Other States 5 29.4 Total 17 100.0 Graduate Medical Education California 3 17.6 Colorado 2 11.8 Kentucky 2 11.8 Texas 2 11.8 Illinois 1 5.9 Other States 8 41.2 Total 17 100.0


Table 14: Actively Licensed Allopathic Physicians (MDs) in White Pine County and Location of Medical Education – 2014

Licensed Allopathic Physicians (MDs) in White Pine County


Undergraduate Medical Education IMG 4 44.4 Nevada 2 22.2 Canada 1 11.1 Tennessee 1 11.1 Utah 1 11.1 Other States 0 0.0 Total 9 100.0 Graduate Medical Education California 2 22.2 Arizona 1 11.1 Illinois 1 11.1 Canada 1 11.1 Nevada 1 11.1 Other States 4 44.4 Total 9 100.0


memorandum - system.nevada.edusystem.nevada.edu/tasks/sites/nshe/assets/file/...aug 05, 2014 ·...

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