vital signs: 2011 community report

VITALSIGNS2011 Community Report

EDUCATE

DISCOVER

SERVE

Administrative Officers

Robert O. Kelley, PhD President of the University of North DakotaJoshua Wynne, MD, MBA, MPH Vice President for Health Affairs and DeanGwen W. Halaas, MD, MBA Senior Associate Dean for Academic and Faculty AffairsJulie A. Blehm, MD Associate Dean, Southeast CampusCharles E. Christianson, MD, ScM Associate Dean for Clinical EducationRandy S. Eken, MPA Associate Dean for Administration and FinanceNicholas H. Neumann, MD, MMM Associate Dean for Student Affairs and Admissions (Interim) and Associate Dean, Southwest Campus

Joshua Wynne, MD, MBA, MPH Grand Forks (Executive Secretary)Thomas F. Arnold, MD DickinsonJohn R. Baird, MD FargoRep. Stacey Dahl, JD Grand ForksTerry Dwelle, MD BismarckJ. Brian Hancock, MD FargoL. Gary Hart, PhD Grand ForksSen. Ralph L. Kilzer, MD BismarckJohn M. Kutch, MHSA MinotCraig J. Lambrecht, MD Bismarck

Sen. Tim Mathern, MPA FargoRep. Ralph Metcalf Valley CityDavid Molmen, MPH Grand Forks (Chair)Carol K. Olson BismarckShari L. Orser, MD BismarckGrant H. Shaft, JD Grand ForksCourtney M. Koebele, JD Bismarck (Ex Officio)

2

Leadership

2011 Community Report

School of Medicine and Health Sciences Advisory Council

3

Educate, Discover, Serve


More Than Just A Medical School—A School Without WallsBasic Medical SciencesDoctor of Philosophy and Master of Science degrees are available in the following disciplines:

• Anatomy and Cell Biology• Biochemistry and Molecular Biology • Microbiology and Immunology • Pharmacology, Physiology, and Therapeutics

Medical Doctor (MD) ProgramAll medical students spend their first twoyears in Grand Forks. They learn throughlectures, laboratories, patient simulations,and in patient-centered learning groups,where basic and clinical sciences aretaught in the context of patient cases.They then spend two years of clinicaltraining in Bismarck, Fargo, Grand Forks,Minot, or a rural community through theRural Opportunities in Medical Education(ROME) program.

MD/PhD scholars program Outstanding students are prepared forcareers in academic medicine and research. Students pursue original research in laboratories or clinical settings with members of the graduatefaculty while also completing the medicalschool curriculum.

Residency Training Beyond the MD degree, the School of Medicine and Health Sciences providesresidency training: a period of advancedintensive training for medical schoolgraduates in their chosen medical specialty before independent practice as aphysician. Depending on the medical specialty, medical school graduates complete anywhere from three to sevenyears of residency training after medicalschool.

Residency training is provided in five specialties.

• Family Medicine (Bismarck, Minot)• Internal Medicine (Fargo)• Surgery (Fargo, Grand Forks)• Psychiatry (Fargo)• Transitional (Fargo)—a yearlong

program designed to introduce graduates to a wide range of medical and surgical specialties. The goal is to build a broad foundation of clinical skills as a base for future training in a medical specialty.

(An additional program in Family Medicine is provided through AltruHealth System in Grand Forks.)

Master of Public Health In collaboration with North Dakota StateUniversity, the School will offer a newMaster of Public Health program in 2012.

Health SciencesAthletic Training

• Four-year Bachelor of ScienceMedical Laboratory Science

• Multiple undergraduate and post graduate training options• Master of Science and Graduate Management Certificate• More than 60 clinical training sites in 10 states; more than half in North Dakota and the surrounding region

Cytotechnology Professional Program• Four-year Bachelor of Science professional program or postgraduate certificate

Occupational Therapy• Five-year Master of Occupational Therapy

Physician Assistant Studies• Two-year Master of Physician Assistant Studies

Physical Therapy • Three-year pre-physical therapy and three-year Doctor of Physical Therapy

The primary purposeof the University ofNorth Dakota Schoolof Medicine andHealth Sciences is toeducate physiciansand other health professionals and toenhance the quality oflife in North Dakota.Other purposesinclude the discoveryof knowledge thatbenefits the people ofthis state and enhances the qualityof their lives.

—North Dakota Century Code

Areas of Strength Your School of Medicine and Health Sciencesstrives to educate health care providers and scientists and to discover new knowledge toserve North Dakotans. The School has a well-deserved reputation forexcellence as one of 34 community-based medicalschools in the country, which gives our medicaland health sciences students the chance to practice in hospitals and clinics across NorthDakota. The School is grateful for the more than

900 part-time or volunteer clinical faculty in over30 communities throughout the state who help toeducate medical students and residents. Thereare four clinical campuses located in Bismarck,Fargo, Grand Forks, and Minot. Health sciencesstudents receive training not only here in NorthDakota but also across the country, including an occupational therapy campus in Casper, Wyoming,and a medical laboratory science campus at MayoClinic in Rochester, Minnesota.

Educate

• The School’s patient-centered learning curriculumis nationally recognized for producing qualitymedical graduates.

• At the forefront of medical education, theSchool uses the latest in simulation technologyfor teaching and serves as a valuable resourcefor health care professionals throughout NorthDakota and the region.

• An interprofessional health care course makesthe School a national leader in providingstudents with a strong practical understandingof the health care professionals on their team.

• Medical students and residents provide directcare to North Dakotans through the Centers forFamily Medicine in Bismarck and Minot as wellas through clerkships in communities throughoutthe state.

• Health sciences students provide direct careand services through internships in health care facilities across North Dakota.

The UND School of Medicine and Health Sciences Educates students to focus on patients and communities

The University of North Dakota School of Medicine and Health SciencesA National Leader in Rural Health—Serving North Dakota since 1905

4 2011 Community Report

Discover, Serve

Areas of Research Strength• Cancer and the environment• Neurodegenerative disorders• Health disparities in rural and American

Indian communities• Eating disorders and obesity• Gerontology• Infectious diseases

The School has facilities for the study ofdrug addiction and neurodegenerativediseases such as Parkinson’s, Alzheimer’s, multiple sclerosis, epilepsy, and others.

MD/PHD Scholars ProgramThe MD/PhD Scholars Program prepares physician-scientists to take observationsfrom the bedside into the laboratory,make basic discoveries, and translatetheir discoveries into new methods forprevention, diagnosis, and treatment ofdisease.

The UND School of Medicine and Health SciencesDiscovers new knowledge to transform lives through research

• The School improves the health andhealth care of North Dakotans throughresearch, community engagement, andprevention programs.

• Direct primary care to North Dakotansis provided through its family medicine clinics in Bismarck and Minot.

• The School leads the nation in ruralhealth through the Center for RuralHealth, one of the nation’s best. TheCenter is home to the nation’s onlyRural Assistance Center, a worldwide clearinghouse for information on ruralhealth issues, and the Health WorkforceInformation Center, which provides freeaccess to the most recent resources onthe nation’s health workforce in oneeasy-to-use online location.

• The new Master of Public Health program is a partnership betweenUND’s School of Medicine and HealthSciences; NDSU's College of Pharmacy,Nursing, and Allied Sciences; and other departments at both universities thatwill bolster the number of rural publichealth professionals in the state andbetter equip existing rural health workerswith the tools they need to improveservices.

The UND School of Medicine and Health SciencesServes North Dakota


Educate

In addition to undergraduate andgraduate students enrolled in programsoffered by the School of Medicine andHealth Sciences, faculty also teachbasic science coursesto undergraduate students who will become nurses, dietitians, teachers,and forensic scientists. Facultyalso teach over 400online courses.

Total undergraduate student enrollment for thespring of 2011 was 712.

Student Enrollments by MajorSpring 2011

Basic SciencesAnatomy and Cell Biology 9

(Graduate—Master and Doctoral)Biochemistry and Molecular Biology 18

(Graduate—Master and Doctoral,includes Pathology)

Microbiology and Immunology(Graduate—Master and Doctoral) 10

Pharmacology, Physiology, and Therapeutics

(Graduate—Master and Doctoral) 15

Total 52

Medical DoctorYear 1—Class of 2014 67Year 2—Class of 2013 62Year 3—Class of 2012 61Year 4—Class of 2011 55

Total 245

Health SciencesAthletic Training

Pre–Athletic Training 36Bachelor of Science 23

CytotechnologyPre-Cytotechnology 6Bachelor of Science—

Cytotechnology 1Medical Laboratory Science

Pre–Medical Laboratory Science 50Certificate 66Bachelor of Science 147Master of Science 43

Occupational TherapyPre–Occupational Therapy 215Professional Year I 49

(Undergraduate)Professional Year II 45

(Undergraduate)Professional Year III 51

(Graduate—Master)Physician Assistant 57

(Graduate—Master)Physical Therapy

Pre–Physical Therapy 203Doctoral 142

Total 1,134


Educate


Students in the healthsciences and medicinemeet or exceed theaverage on most nationally recognizedexams measuring academic progress.

Educate

School of Medicine and Health Sciences Student Performance on Nationally Recognized Exams

Program UND National Pass Rate Pass Rate

Athletic Training 57% 61%Medical Laboratory Science 95% 75%Cytotechnology 100% 93%Histotechnology 75% 68%Occupational Therapy 82% 82%Physical Therapy 78% 90%Physician Assistant 100% 88%Medical Student

Step 1Basic Science 90% 93%

Step 2Clinical Knowledge 98% 97%Clinical Skills 100% 97%

Step 3Independent Clinical Practice 100% 96%

Sources: Data are from the most recent examination in each respective area.


Educate

“Family physiciansare the bedrock ofprimary care, and primary care is thefoundation of a healthcare system that provides high quality, effective, and efficientcare to patients. It all begins with the medical schools andtheir faculty’s commitment to family medicine.”

Roland Goertz, President, AmericanAcademy of FamilyPhysicians

12.8

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10

20

30

40

50

'11'10'09'08'07'06'05'04'03'02'01'00'99'98'97'96'95'94'93'92'91'90'89'88'87'86'85'84'83'82'81

12.8

35.934.2

13.6

26.9

18

15.2

22.9 22.6

26

34

23.5

30

32

30.2

25.9

46.7

24.6

13.5

23

14.8

24.1

10.9

17.9 18.416.1

19

25.4

16.7 16.4

21.8

12.9 12.5 12.4 11.8 11.8 1210.7 10.8 10.7 10.3 10.8

12.313.4

14.615.9 16.6

15.413.4

12.810.9 10.3 9.3 9.2 8.4 8.5 8.3 8.2 7.5 7.8 8.3

UND Graduates Entering a Family Medicine Residency1981–2011

Sources:Division of EducationDivision of Research and Information ServicesAmerican Academy of Family Medicine

Department of Family & Community MedicineUniversity of North Dakota 3/11

Average 1981–2011UND SMHS 23.0%NATIONAL 11.3%

Percentageof Graduates

YEAR


Growing Our OwnInnovative Programs to Produce Health Care Providers for North Dakota

GOODTo Grow Our Own Doctors and otherhealth professionals, the 2011 Legislatureprovided to the School of Medicine andHealth Sciences $1.8 million in new fundingto expand the medical school class size byeight students, the health sciences classsize by 15 students, and the residency sizeby 9 residents. Slated to begin in the summer of 2012, the class size expansionwill be focused on educating more primarycare providers to deliver care in NorthDakota. Coupled with enhanced effortsaddressing retention of our own graduates for practice in North Dakota,this expansion of the class size will help toaddress the current and especially the anticipated looming shortage of providers.

ROMERural Opportunities in Medicine (ROME) isa 24–28 week interdisciplinary experiencein a rural primary care setting that isopen to third-year students at the Schoolof Medicine and Health Sciences. Studentslive and train in nonmetropolitan communities under the supervision ofphysician preceptors. ROME students experience health care delivery in ruralareas throughout the state of North Dakota,where providing access to health care issometimes challenging. Students learnabout problems commonly encounteredin primary care, from routine healthmaintenance to medical emergencies andrare and unusual diagnoses. Each primarypreceptor is board-certified in familymedicine, but students also work withboard-certified surgeons, internists, pediatricians, and other specialists available in the community.

RURALMEDRuralMed is a tuition waiver program (orscholarship) designed to encourage medicalstudents to select careers in family medicineand increase the number of family medicineproviders for rural North Dakota. Studentsaccepted for the RuralMed Program havetheir entire cost of tuition waived in return for their practicing in NorthDakota. Students will not have to borrowmoney for tuition and accrue interest formedical education.

INMED The Indians into Medicine Program(INMED), which was established in 1973,is a comprehensive program designed to assist American Indian students who aspire to be health professionals to meetthe needs of our Indian communities andto serve reservation populations. INMEDhas assisted approximately 20 percent ofU.S. American Indian physicians withtheir education.

Educate


SCRUBS CAMPSRural Collaborative Opportunities for Occupational Learning in Health (R-COOL-Health) Scrubs Camps are one-day learning experiences in which students are able to explore health careeroptions by hearing from local health careprofessionals and participating in excitinghands-on activities. In the first year, 1,457students participated and 531 volunteersat 23 different Scrubs sites delivered the interactive activities. Students learnabout the day-to-day working environmentof a surgical nurse, a flight-for-life operator, or a laboratory technician bypracticing with suturing simulators, injecting oranges, taking helicopter rides,dissecting pig hearts, typing blood samples, and participating in mock ambulance scenarios.

SCRUBS ACADEMYThirty-eight students who just completedsixth, seventh, or eighth grade participatedin the first Scrubs Academy on June 19–22,2011, at the Grand Forks campus. Students dissected a pig heart with SMHS Dean andcardiologist Dr. Joshua Wynne, and thestudents learned about anatomy, medicallaboratory science, emergency medicalservices, mental health, nursing, occupational therapy, optometry, pharmacy, physical therapy, public health,and radiology. The camp supplied CPRtraining and certification, and the stu-dents were given tours of the School ofMedicine and Health Sciences and itsSimulation Lab.

SEARCHStudent/Resident Experiences and Rotations in Community Health (SEARCH)is a program that helps to establish linksbetween the School of Medicine andHealth Sciences and communities to betterprepare students and residents in medicine and students in the physicianassistant program for primary care deliveryin health professional shortage areas.SEARCH takes a “service-learning” approach to health professional educationby combining community service andclinical experiences with explicit learningobjectives, preparation, and reflection.SEARCH provides health profession students an opportunity to experiencefirsthand what it is like to live and practice in rural and underserved areas.They quickly see the quality of servicesthat are available in rural facilities andthe relationships that providers establishwith their patients. Rural training programs can greatly enhance recruitmentand retention by preparing students andresidents for the realities of rural practice,increasing their clinical competence, andsocializing them to rural communities.

Educate


Areas of research strength• Cancer and the

environment• Neurodegenerative

disorders• Health disparities

in rural and American Indiancommunities

• Eating disorders and obesity

• Gerontology• Infectious diseases

FundingThe school received48% more researchfunding in FY2010than FY2009, up from$15.4 million to $22.8million .

DISCOVER

Research EventsSummer undergraduate Biomedical Research Poster Symposium

August 2011

Center of Biomedical Research Excellence (COBRE) Annual Neuroscience Symposium

Fall 2011

North Dakota Institutional developMENT Award (IDEA) networkof biomedical research excellence(INBRE) Annual Symposiumfor Undergraduate Research

October 2011

32nd Annual Frank Low Research DayApril 2012

Family Medicine Research ColloquiumJune 2012

83.59%

6.1%

FederalStatePrivate (Other)FoundationPrivate (Industry)

Sponsored project awards by sponsor Type

FY20100.01%

5.5%4.8%

Total number of proposals FY2010 ..........208Total number of awards FY2010 ..................93

Studying issues that matter to North Dakotans


DISCOVER

Holly Brown-Borg, PhD, Chester Fritz Distinguished Professor in the Department

of Pharmacology, Physiology, and Therapeutics, conducts internationally

recognized research on the aging process.Left to right: Lalida Rajanathamannee,

a postdoctoral student; Sharlene Rakoczy, aresearch specialist who has worked in the

lab for 12 years; and Dr. Brown-Borg.


Center for Rural HealthThrough funding from thestate Legislature, the Center helped communitieshold 23 Scrubs Camps anda Scrubs Academy for1,495 children acrossNorth Dakota. ScrubsCamps are one-day learning experiences forkids to learn about healthprofessions; the ScrubsAcademy was a three-dayexperience held at theSchool of Medicine andHealth Sciences for 38 middle-school students.

Serve

The Center for Rural Health at the School of Medicine and Health Sciences provides services to all53 counties and 100 communities in North Dakota. The Center provides technical assistance to all38 rural hospitals, 36 of which are critical access hospitals. The assistance is focused on improvingaccess to care, viability of rural health systems, quality of care, and rural health system development.Direct grants to health organizations in North Dakota awarded and administered through the Center for Rural Health totaled $1,353,161 for FY2010 and $1,812,459 for FY2011.

in FY 2010, The CeNTer for Rural Health provided • $570,555 to rural North Dakota hospitals for health services development or expansion (including emergency medical services and other rural partners)• $374,795 to expand rural health information technology (funding source was BlueCross BlueShield of North Dakota) • $407,811 for workforce development (funding sources were a federal Area Health Education Center grant, federal Student/Resident Experiences and Rotations in Community Health Grant, and state appropriations)

in FY 2011, The CeNTer for Rural Health provided • $646,903 to rural hospitals for health services development or expansion (including emergency medical services and other rural partners)• $375,000 to expand rural health information technology (funding source was BlueCross BlueShield of North Dakota)• $790,556 for workforce development (funding sources were a federal Area Health Education Center grant and state appropriations)


Neil Westergaard, assistant professor in the Math and

Science Department at WillistonState College, helped conduct a

Scrubs Camp in Williston onApril 14, 2011. Neil was among

531 staff from schools and health facilities across the state who

volunteered their time to conduct the camps.

Serve


Serve

MORE THAN 600 PRACTICING PHYSICIANS SERVING NORTH DAKOTACOMMUNITIES RECEIVED THEIR EDUCATION AT UND

Charles Nyhus, MD ’79, confers withhis patient and Rachel Ott, MD ’10,

during an exam at the CentralDakota Clinic in Harvey.


Serve

PercentageS of Physicians Practicing in North Dakota Who Are Graduates of the UND School of Medicine and Health Sciences

All Specialties 45%Family Medicine 66%Internal Medicine 46%Obstetrics and Gynecology 55%Pediatrics 31%Psychiatry 46%

Source: 2010 North Dakota Medical Services Directory published by the North Dakota Medical Association

Percentages of Health Care Providers Practicing in North Dakota Who Are Graduates of the University of North Dakota School of Medicine and Health Sciences

Athletic Trainers 17%Occupational Therapists 56%Medical Laboratory Scientists 51%Physician Assistants 41%Physical Therapists 58%

Data were collected from North Dakota state licensing boards and academic departments.

MORE THAN 600 PRACTICING PHYSICIANS SERVING NORTH DAKOTACOMMUNITIES RECEIVED THEIR EDUCATION AT UND


Nationwide, employee turnoverrates of 20–30 percent are often anexpected cost ofdoing business. Imagine locating yourcompany in a statewhere employeeturnover rates higherthan 15 percent arecause for concern andmany employers donot track turnoverbecause it's not anissue, much less a lineitem.

—North Dakota Department of

Commerce

A Stable WorkforceThe School of Medicine and Health Sciences faculty turnover rate (faculty who have left theirjobs) was 8.3% for FY2010. Since 2004, the average turnover rate for North Dakota University System faculty has been 8.1%.

The School of Medicine and Health Sciences staff turnover rate was 7.4% for FY2010. Since 2004,the average turnover rate for North Dakota University System staff has been 9.8%.

Benefited Faculty and Staff for Fiscal Year 2010

Total Benefited* Faculty—157Full time—142; Part time—15

• Basic Sciences (Anatomy and Cell Biology; Biochemistry and Molecular Biology; Microbiologyand Immunology; and Pharmacology, Physiology, and Therapeutics)—41

• Clinical Sciences (Center for Rural Health; Clinical Neuroscience; Family and CommunityMedicine; Internal Medicine; Obstetrics and Gynecology; Office of Medical Education; Pathology; Pediatrics; Radiology; and Surgery)—68

• Health Sciences (Medical Laboratory Science, Cytotechnology, Histotechnology, Occupational Therapy, Physical Therapy, Physician Assistant, and Sports Medicine)—48

Total Benefited* Staff—242Full time—210; Part time—32

Serve


*Benefited appointment is 20 hours/week or more.

Leaders of the School promote the satisfaction and

health of students, faculty, andstaff through novel activities

such as “Joggin’ with Josh,” aninformal 5K walk, jog, or run

along the outskirts of campus.Shown is the event on

August 12, 2010.

Serve


Biennial budget is$161,768,682 The majority comesfrom non-statesources such asgrants, contracts, patient revenue, andtuition.

56%$90,590,462

29.5%$47,721,761

14.5%$23,456,459

SalariesOperatingFringe Benefits

Expenditures: 2011–2013total: $161,768,682

UND School of Medicine & Health Sciences

29.6%$47,847,971

24.7%$40,000,000

16.6%$26,901,471

ND General FundLocal Funds Grants & ContractsTuitionOne-Mill Levy

Revenue: 2011– 2013total: $161,768,682

26%$42,000,000

3.1%$5,019,240



Jon Allen, MD, assistantdean of the northeast

campus in Grand Forks, isthe director of ND STAR

(Simulation, Teaching,and Research) for Health

Education, the School’ssimulation lab, which

provides complete and effective simulator

training for North Dakotaand the region.



64.8%

23.8%

11.4%

Retained DonorsRe-engaged DonorsNew Donors

PhilanthropySources of Donations Fiscal Year 2010

86.4%10.1%

AlumniFriendsCorporations/foundations/matching giftsOther

2.1%1.4%

“Thank you for grant-ing me the Academic Achievement Award.I’ve worked hard inmy pursuit of mymedical degree, and itis gratifying to knowthat the hard workhas paid off. I willcontinue to strive todo my best to get themost of my m edicaleducation.”

Bryn Putbrese, Second-Year Medical Student



“I would like to personally thank youfor the scholarshipyou provided in honorof Matt and Katrin Hjalmarson. I havemade it a personalgoal in life to helpthose in need boththrough my educationand financially whenpossible. By givingback to the community,I hope to repay someof the generosity thatwas bestowed uponme by scholarshipssuch as this.”

Nicole Likewise, Occupational Therapy Student

43.4%

19.9%

PhilanthropyUses of Donations Fiscal Year 2010

4.3%

1.5%

Faculty DevelopmentPriority Needs StudentsFacilitiesPrograms

30.9%




Read Dean Joshua Wynne’s weekly column in E-News, the School’s digitalnewsletter delivered to your inbox.

Subscribe to North Dakota Medicine, theSchool’s quarterly magazine available onthe SMHS website:http://www.med.und.edu/or through a print subscription.

To subscribe to E-News or North DakotaMedicine, please contact Kristen Peterson,[email protected]. (701) 777-4305.

Become a fan of our Facebook page:http://www.facebook.com/undsmhs

Follow us on Twitter:http://twitter.com/#!/UNDSMHS

See familiar faces posted on our Flickr account: http://www.flickr.com/photos/undsmhs/

Keep your finger on the pulse of the latest news and events from the School of Medicine and Health Sciences

If you would like further details about the information in this Community Report or the programs, departments, or research at the School, please contact Denis MacLeod, assistant director, Office ofAlumni and Community Relations, UND School of Medicine and Health Sciences, (701) 777-2733, [email protected]

Vital Signs 2011 represents the good-faith effort of the UND School of Medicine and Health Sciences toprovide current and accurate information about the School. Numerous sources were used in gatheringthe information found in this community report. We welcome corrections, which we will incorporate insubsequent issues of Vital Signs.

vital signs: 2011 community report

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