university of einnesota mission, goals, objectives, …

UNIVERSITY OF EINNESOTA Medical School

MISSION, GOALS, OBJECTIVES, AND PRIORITIES

INTRODUCTION

The Medical School of the University of Minnesota began as an examining faculty in 1883 and f i r s t admitted students to a formal curriculum for the Doctor of Medicine degree in 1888. The faculty has continuously graduated physicians since tha t year and now has one of the largest alumni bodies among medical schools in the United States. As early as 1909, the faculty offered graduate degrees to physicians who pursued approved courses in medicine and surgery for specified periods a f t e r taking the degree of Doctor of Medicine. From these beginnings, the Medical School has achieved educational, research, and service roles recognized fo r the i r excellence in quality as well as in meeting needs of the State , the Nation, and even the world.

In addition to th i s medical school's large s i ze and academic excellence, w i t h par t icular emphasis on the basic health scierices, the faculty and the administration have responded to the needs of society by supporting a very large program in Family Practice, education fo r physicians in the many specialty areas, and service to the people of the region as a referral center for medical and health problems. In addition, courses fo r other health science programs, for appropriate a1 1 ied health f i e lds , and for non-health science students a re offered by the Medical School faculty.

Founded on the premise tha t advances in medical sciences will be derived from fundamental research in the basic heal t h science disciplines and the application of that research in the c l in ica l f i e lds , for more than seventy years the Medical School ' s faculty has been consistently and widely recognized for s ignif icant contributions to biomedical research.

Today, the Medical School ' s faculty successfully competes nationally fo r research and training grants and contracts, a most important com- ponent in the University of Minnesota's hi gh-ranking position among universit ies a t t ract ing federal funds. Many research programs capi tal ize on the vigor' and strength of interdisciplinary approaches, both intro- collegiate and intercol legiate , which characterize a collaborative environment niaintai ned by th i s faculty. This s p i r i t of interdisciplinary collaboration i s fostered by the uniqueness of the physical location of

the Medical School within the campus o f the University of Minnesota.

Through the faci 1 i t i e s of the University of Minnesota Hospitals and Clinics, the Medical School c l in ica l faculty provides the people of th i s s t a t e primarily, b u t also those in the region and nation, a unique t e r t i a ry care resource for health services. A decade ago, the faculty in i t i a t ed a training program in family practice in response to public needs; t h i s program i s currently the largest one in the United States . The Medical School i s a major producer of physician spec ia l i s t s in the three major primary care f i e lds : family practice, internal medicine, and pediatrics. As a consequence, there has been a s h i f t in health services offered a t a l l levels -- primary, secondary, and t e r t i a ry -- a t the University of Minnesota Hospitals and Clinics, which contributes to the cl inical experiences essential f o r the professional educational programs. Through a f f i 1 ia t ions with hospitals and c l in ics in the metropolitan area as well as throughout the S ta te , the Medical School has assisted in a t t rac t ing physician s t a f f s for these insti$utions which insure a high qual i ty delivery of health care; i n turn, these a f f i l i a t e d hospitals provide the Medical School and the other Health Science col legiate units with exemplary health care set t ings optimal fo r the teaching of health professionals.

The Medical School shall continue to f u l f i l l i t s mission in collaboration with the other medical schools and health professional educational programs in the State . I t s history, i t s s i ze , i t s location, the excel 1 ence of i t s facul ty , i t s producti vi ty , i t s mu1 tip1 e programs, i t s reputation -- a l l substantiate the leadership<role th i s school plays in the State as well as in the Nation. The climate and events of the future wi 11 demand e f f i c i en t uti 1 i zati on of a1 1 avai 1 able resources. Future circumstances and pressures wi 11 require wise, collaborative decisions among the Health Science col legiate units and a t higher admini-. s t r a t tve levels in order to preserve the academic excellence and strength o f t h i s medical school.

STATEMENT OF MISSION

The mission of the Medical School i s to conduct programs of education, research, and service which will contribute to the provision of ex- ce l len t health care for the people of the State . Consistent with the mission of the Health Sciences, the Medical School also will contribute as fu l ly as resources permit to both national and international health.

EDUCATION

The Medical School shall provide opportunities and programs in

1 ) undergraduate medical edu~a t ion for the training of future physi ci ans ,

2 ) graduate medical education fo r the post-M.D. training o f physicians in specialty f i e lds ,

3) appropriate f i e lds for certain categories of non-physi cian health professionals,

4) basic heal t h sciences for future academicians and research personnel in those disciplines ,

5) basic health sciences for other health science students and non-health science students j n the University, and

6 ) continuing education.

The Medi cal School programs shall i ncl ude undergraduate, graduate, and conti nui ng education in a1 1 medical di scipl i nes. The programs shall be comprehensive and shall maintain the high quality of University- based scholarship.

RESEARCH

A highly important mission of the Medical School, which has worldwide application, i s to fos te r and conduct research for the advancement o f the health sciences. Research in the Medical School shall include basjc investigations into the s t ructure of biological materi a1 s and the nature and regulation of biological processes. The Medical School shall a1 so encourage and conduct applied research directed toward the t ranslat i on of basic sc i en t i f i c knowled~e into improved, more effect ive standards and practices in the care of the s ick. The research mission of the Medical School i s fundamental to both the teaching and service missions.

SERVICE

An important mission of the Medical School i s to maintain a s t a f f of health professionals capable of providing health care resources fo r the people of the S ta te , region, and Nation. The Medical School faculty shall provide professional consultative services to the pub1 i c and to practicing health care personnel. Medical School personnel shall provide d i rec t pat ient care consistent with th i s consultative role and wi t h the School ' s responsi bi 1 i ty for providing essential educational and research resources for the faculty, students, and communi ty.

The Medical School shall maintain a continuing dialogue with the community in order that the School may consider and develop approaches, methods, and practical solutions for meeting health care needs expressed by the public and the medical profession.

STATEMENT OF GOALS, OBJECTIVES, AND PRIORITIES

. EDUCATION

GOAL 1: Maintain production of an appropriate number of physicians and spec ia l i s t s , in collaboration with the other medical schools in Minnesota, t o serve, primarily, the health care needs of the State and region.

Objective A: Collaborate with the other units of the Health Sciences, especially with the Center fo r Health Services Research i n achieving this goal; encourage the State of Minnesota to maintain an ongoing, effect ive analysis and monitoring system of health manpower for providing health care in the State .

PRIORITY: High Importance, 1983

Objective B: Seek r e l i e f from federal, s t a t e , o r other res t r ic t ions which might tend to prevent the Medical School from admitting and producing appropriate numbers of physicians and speci a1 i s t s , as determined by accepted health manpower s tudies .


Objective C: Gain faculty and administrative approval fo r changing - the number of student enrollments in the various programs according to the findings of health manpower studies.

PRIORITY: High Importance, 1983' '

GOAL 2: Continue to offer e.ducationa1 opportunities in the Medical. School to qualified residents of Minnesota and to qualified students with d i f fe rent ethni c and socio-economi c backgrounds', regardless of the i r residency s tatus .

Objective A: Cooperate with the mi nori ty recrui tment programs of the University and a s s i s t in improving the selection process of these students to provide greater assurance that they will successfully complete the Medical School curri cul um; in th i s en- deavor, high pr ior i ty should be placed on encouraging residents of the State to prepare for and seek a medical education.

PRIORITY : High Importance, 1980

Objective B: Support the University Administration i n i t s e f for t s t o obtain funding, both State and non-State, for the support of minority student programs in heal t h sciences education, including medical education.

PRIORITY: Important, 1980

GOAL 3: Provide a program of excellence in undergraduate medical education, including basic heal t h sciences and cl i ni cal sciences , in the context of a program which mai ntai ns f lex ib le curricular pathways, or "tracks", t o serve the individual s tudent 's in te res t s and aptitudes .

Objecti ve A: The Educati ona 1 Pol i cy Commi t t e e i s responsi bl e for development and evaluation of the undergraduate curriculum and shall report i t s periodic surveillance of the curriculum to the Executive Faculty. Eva1 uati ons of courses shall be developed and furnished t o departments and course program directors by the s t a f f of the Office of Curri cul urn Affairs.


Objective B: Encourage the faculty t o recognize the importance and cent ra l i ty of i t s responsibil i ty in teaching; through the Office of Curricul urn Affairs, consider and implement mechanisms for improving

' educational programs and faculty teaching 'ski 11s.


Objective C: The Educational Pol icy Commi t t e e shall review the content and effectiveness of teaching of par t icular subjects, including cl inical pharmacology, nutr i t ion, costs of medical care, preventive medicine, ger ia t r ics , and chemical dependency, and encourage the presentation of core material in the curriculum on these and other subjects, as deemed appropriate.


Objective D: ~ o l laborate with other Health Sciences col legiate units . .

t o enhance the development of courses of common in te res t and use- fulness to a l l health science students.


Objective E: continue to provide and improve special , innovative educational programs in response to expressed educational and

- public needs, such as the Rural Physician Associate Program and the Program in Human Sexuality.


GOAL 4: Provide educational programs in selected a1 l ied health f i e lds leading to a baccalaureate degree o r , i n cer tain cases, an appropriate ce r t i f i ca t e or Associate of Arts degree.

Objective A: Review the des i rab i l i ty of maintaining these programs a t the University of Minnesota in view of .the development of similar programs within the S t a t e ' s higher education systems : medical technology, physical therapy, occupational therapy, cer t i f ied registered nurse anesthet is t , radiation therapy tech ni ci an, x-ray techni ci an, respiratory therapis t , and speech therapis t .


Objective B: Be receptive to establishing new programs which the University of Minnesota i s uniquely qua1 i f i ed to offer .


GOAL 5: Through the faculty in the basic health science discipl ines , of fer courses to

a). students of health science col legiate units other than the Medical School,

b) students registered in col legiate units other than the Health Science uni ts , and

c) students enrolled in the Graduate School as candidates fo r advanced degrees in the basic health science discipl ines .

Objective A: Review the individual courses offered to non-medi cal students to establish work loads and costs of such courses; reduce dup3 ications of offerings and consol idate wherever possible.

PRIORITY : Utmost Importance, 1981

Objective B : Continue cooperation with the Graduate School to maintain and enhance the quality of graduate degree programs through recruitment of superior faculty, provision of teaching ass i s tan t support, space, and equipment.

PRIORITY: Utmost Importance, 1980

GOAL 6:

GOAL 7: .

Objective C: Review the numbers of graduate students by discipl ine to assure appropriate producti vi ty to meet the demands.


Objective D: Continue a combined MD-PhD program f o r selected students; continue to cooperate with other units . in sponsoring DDS-MD and Biomedical ~ n ~ i n e e r i ng PhD-MD programs for- selected students .


Provide graduate degree programs in the c l in ica l science f ie lds under the auspices of the Graduate School.

Objective A: Continue and compl e t e internal and external reviews of a1 1 graduate programs .in cl inical f i e lds to ascertain strengths, weaknesses, and need for such advanced degree programs, in cooperation with the Graduate School.


Provide graduate medical education within the Medical ~choo) fo r those MD graduates who wish advanced training in the c l in ica l f ie lds to qualify fo r cer t i f ica t ion by the American Board of Medical Special t i e s , or t o gain subspecial ty training.

Objective A: Maintain through each specialty board and Medical School department, i nformati on regarding the supply and demand in each f i e ld and adjust admissions and output of post-MD graduate. programs as i ndi cated.


Objective B: Review past practices of enrollment of MD graduates i n e i ther the Graduate School (Medical Fellows), or in the Medical School (Medi cal Fell ow Speci a1 i s t s ) , i ncl udi ng review of regi s t r a t i on practices and tu i t ion charges. In consequence of recent pertinent court decisions, c l a r i fy future academic and tax s ta tus of these pos t - M D graduate students .


GOAL 8: Provide a spectrum of programs of continuing education in the medical science disciplines, especially for physicians of the State , b u t a lso of the region and the nation.

Objective A: Provide the Medical School faculty and v is i t ing or invited facul ty opportuni t i e s to teach physicians concerning the most advanced methods of di agnosi s , pathophysi 01 ogy , treatment (techniques and drugs), and outcomes in managing disease s t a t e s .


. Objective B: Devise effect ive methods of providing continuing medical education to the practicing physician.


Objective C: As an established Health Sciences Center, with an acknowledged leadership in Continuing Medical Education, the Medical School s t a f f in the Office of Continuing Medical Education will work cooperatively with external groups to of fer high quality programs throughout the State .


. Objective D: 'The Office of Continuing Medical Education will col laborate with the Minnesota Medical Association and national accrediting organizations t o improve the quality of continuing educ- - a t i onal programs offered in Minnesota.

PRIORITY : Important, 1980

STATEMENT OF GOALS, OBJECTIVES, A N D PRIORITIES

RESEARCH

GOAL 1 : Encourage and maintain an ambiance conducive to the conduct of individual and collaborative research in a broad range of biological and medical discipl ines .

objective A : Recruit faculty who will bring special expertise and strength not presently ident i f ied in exis t ing faculty.


Objective B: Collaborate with the facul t ies of the various academic units t o uti 1 ize effect ively and cooperatively the best research t a l en t in the University.


Objective C: Build strength and depth in research among faculty and student groups and fos ter working relationships to enhance out- standing research potential for future excellence in selected s c i e n t i f i c discipl ines; examples: human genetics, immunology (importance in organ transplantation and cancer), and neurosciences.


Objective D: Support coordinating faculty committees derived from several disci ~l i nes , to advise the adrnini s t r a t i on and to stimul ate research excellence in ident i f ied areas; eg, human genetics, immunology, cancer, and cardiovascular medicine.


GOAL 2: Promote and encourage basic, i nterdi sci pl i nary research, selected categorical research programs and centers, and i nter-i nsti t u t i onal coll aborati ve e f for t s .

Objective A: Distribute timely and pertinent announcements of

research opportunities t o the facul ty . PRIORITY: Important

Objective B: Support symposia and conferences which enhance interdisciplinary research.

PRIORITY: Important

Objective C: Ut i l ize the Office of the Dean,..wbene~er appropriate, as well as consult selected faculty members, to explore and emphasize the potentials fo r collaborative studies.

PRIORITY : Important

'GOAL 3: Conduct educational and training programs to produce future academic researchers in basic and cl i ni cal heal t h science discipl ines . (See Education Goal No. 6 ) .

PRIORITY: High Importance

GOAL 4: Maintain the superior record and enhance the capacity of the faculty i n successfully competing for and obtaining external funding for a broad spectrum of research projects and programs.

Objective A: Review annually with Heads oT departments the nature and amount of research funding accruing to each faculty member..


Objective B: Develop a space allocation system which will recognize and be consi s ten t wi t h the faculty member's research productivity and research project funding.


Objective C : Consider possible mechanisms through which faculty members not currently deriving personal income from the practice of

medicine may obtain augmentation t o the i r . base sa la r ies in re- la t ion to research funding generated by the individual .


Objective D: Utilize research support funds available to the Dean's Office t o a s s i s t in procuring s ian i f icant items of major equipment for share used, which will enhance the facul ty ' s potential for conducting research of high qua1 i ty.


GOAL 5: Encourage and support applied research which trans1 ates basic s c i e n t i f i c knowledge into greater understanding of human health, human disease, prevention of i l lness, and therapeutic possi bi 1 i t i e s .

Objective A: Through annual reviews with Heads of departments, encourage and moni tor involvement and accompl i shments of facul ty i n programs of applied research and t ranslat ion of new knowledge to health care set t ings.

PRIORITY: Important

GOAL 6: cooperate with and a s s i s t i n research on health manpower, health care delivery, and socio-economic aspects of medical care and practice. (See Education Goal No. 1 )

PRIORITY: Important

GOAL 7: Encourage research in various aspects of.medica1 education, incl udi ng adrni ssions, curri cul urn organi zation and teachi ng competence, i n undergraduate, graduate, and conti nui ng medi cal education. .

GOAL 1:

GOAL' 2:

GOAL 3:


SERVICE

Provide the professional s t a f f to operate selected model programs in primary and comprehensive health care.

Objective A : Maintain support systems f o r the Department of Fami ly Practi ce and Communi ty Heal t h and i t s communi ty based c l in ics .


Objective B: Encourage departmental involvement in outreach programs and primary care units such as the Community University Health Care Center.

PRIORITY: Important

In cooperation with existing or future Health Main'tenance Organizations .

i n the State , develop a model health care panel of consumers and/or a f f i l igted ins t i tu t ions , thereby providing opportunity fo r student experiences in the growing system of pre-payment fo r health care costs.

Objective A : Explore potential for a University of Minnesota Health Maintenance Organi zati on of students, faculty , and/or employees , which would emphasize to the consumer the importance of educational relationships in HMO's.


Objective B: Expand and develop contractual faculty and student relationships with existing HMO's in the community to provide t e r t i a ry care servi ces and educational experiences.

PRIORITY: Important

Provide speci a1 i zed medi cal care services consistent with the role of the University of Minnesota Health Sciences Center as a statewide referral center.

Objective A: Develop an off ice capable of serving Minnesota as a telephonic consul ta t ion center through which quick, expert, personal advice can be obtained by any practicing physician, wherever located in the State.


GOAL 4: Importune, to the Health Services Agency (HSA) responsible for the health care plan for the State of Minnesota, tha t the University of Minnesota Medical School, with i t s faculty and f a c i l i t i e s of the University Hospitals and Clinics, offers unique services to the en t i re State .

Objective A: Emphasize to the HSA the importance of offering specif ic services within an academic health care center, such as tha t of the University, not only as a service, b u t as c r i t i c a l t o the success of certai n educational programs whi ch must provide the health manpower required for the future.

PRIORITY: Utmost Importance

GOAL 1:

GOAL 2:

-a


OTHERS

Continue t h e development o f phys i ca l f a c i l i t i e s requ i red t o meet t he needs of t h e educat ional , research, and s e r v i c e missions.

Ob jec t ive A: Organize and b r i n g t o f r u i t i o n a successfu l c a p i t a l fund d r i v e t o complete the Phi 11 ips-Wangensteen b u i l d i n g .


Ob jec t i ve B: Support t he renewal program f o r replacement of medical and s u r g i c a l beds o f U n i v e r s i t y Hosp i ta l s i n a new f a c i l i t y .

PRIORITY: Utmost Importance, ' l980 through 1986

Ob jec t i ve C: Complete the renovat ion o f the Jackson-Owre- Mi l lard-Lyons quadrangle.

.PRIORITY: Utmost Importance, 1981 -

Continue t o rev iew the system f o r t h e p r i v a t e c o n s u l t a t i o n p r a c t i c e of medicine by the c1 i n i ca l f a c u l t y .

Ob jec t i ve A: Review p o l i c i e s regard ing t h e p r i v a t e c o n s i l t a t i o n p r a c t i c e system t o i n s u r e

a ) maintenanc,e o f f acu l t y ,

b) q u a l i t y o f p a t i e n t serv ices ,

c ) successful mon i to r i ng system, and

d) maintenance o f geographic and s t r i c t f u l l t ime opt ions.


Objec t ive B: Maximize the b e n e f i t s o f t he p r i v a t e consul t a t i o n p r a c t i c e system f o r the development o f t he programs o f the Medical School through the use o f

a ) income deposi t ed t o development accounts,

b) income used to support the uni t ' s missions in education, research, and service.


Review University and Health Sciences policies and practices regarding tenure and temporary appointments, especially in cognizance of the limited funds available to the Medical School through re- curring State appropriations.

Objective A: Consider and propose policies and procedures through which the system can recognize academic competence by advancement i n facul ty rank, irrespective of achievement of tenure.


Objective B: Consider and propose policies and procedures through which Medical School faculty who cannot achieve tenure, because of 1 imi ted avai 1 abi 1 i ty of "hard funds", may. receive a1 1 other benefits afforded regular faculty members.

PRIORITY: High Importance, 1980 1

GOAL 4: complete the revision of the Constitution and Bylaws of the Medical School through Committee action; present the revised document to the Executive Faculty for adoption and forward to the Board of Regents.


GOAL 5: Make a determined e f f o r t t o recru i t women and minorities into tenured faculty appointments and to administrative positions, in

I order to present vis ible and effect ive role models to the growing number of medical students in these categoreis.

i PRIORITY: Important, 1983

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