1

US Virgin Islands vs. Mainland

US Virgin Islands

US Mainland

Notes

Poverty 28.9% 15.1%Unemployment

13% 5.8%

MedicallyUninsured

30-35% 12% Post ACA

# MDs / 1,000

1.4 2.3 1.6-3.2Range by State

Infant Mortality

6.79 6.1 2010

BACKGROUND

• University of The Virgin Islands• Founded 1962 – Historically Black College & University (HBCU)• Public, land-grant university, accredited by Middlestate• Seeking to create the first English speaking LCME accredited

medical school in the Caribbean (1st class 2016?)• Of note:3 accredited schools in Puerto Rico

• Only 3 / 106 HBCUs have medical schools.• The first new HBCU medical school in over 35 years.• 2013: 2.8% of medical school enrollees African-American• 39 Caribbean for-profit medical schools NOT LCME accredited. • Mission is not to train MDs for Caribbean• Graduates classified as foreign medical graduates.• Only 50% enter residency programs in USA

VisionTo improve the health care of the people of the Territory and wider Caribbean community and to address pressing national and international health issues in support of the global community.  MissionTo educate students from the diverse communities of the USVI, the wider Caribbean and the Continental US as physicians dedicated to the health and well-being of their communities.  These physicians will be prepared through innovative pedagogy that results in physicians who are life-long learners, solution finders, team players and leaders of the 21st Century.

UVI School of Medicine: Why?

• To Improve the healthcare of the people of the USVI• Hospitals will become teaching hospitals• Facilitate recruitment of physicians• Medical school brings new expertise in healthcare policy &

management• Simulation center: emphasize on patient safety and quality

• Train next generation of physicians for the USVI• USA: growing shortage of physicians

• Research: public health & Infectious disease• Economic impact• Approximately $60m per year• Bio-technology and medical device industries

• University of the Virgin Islands: Grow biomedical sciences• Train allied health professionals

USA: Supply vs. Demand

Why Liaison Committee on Medical

EducationAccredited Medical School?

• Quality of the education• Ability to enter residency program• Ability to practice in USA

Medical students graduating from LCME Accredited vs. Non-accredited schools

Liaison Committee Medical Education (LCME) Timetable

• November 2014 - Preliminary submission

• February 2015 – LCME Board approved site visit

• May 31-June 4 2015 – Site visit

• October 20 – Preliminary approval

• July 2016 – 1st class 25 students

• July 2017 – 2nd class 50 students

• July 2020 - Full Accreditation Key issues: Facilities, Faculty and Finances

Simulation Center St. CroixSquare Footage19,401 GSF Budget $8M

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https://www.youtube.com/watch?v=OfdXCbk8pUs

13

https://www.youtube.com/watch?v=3csgztX4S9g

14

https://www.youtube.com/watch?v=55tR8xCysr8

Medical School Simulation CenterTo be Initially Managed by USF - CAMLS Tampa FL

Professional education Surgeons, cardiologists etc. First responders: EMS, National Guard,

Coast Guards, etc. Nurses & allied healthcare professionals Medical students

New industries Biotechnology Medical devices

Development of the UVI School of Medicine Simulation Center

in St Croix, U.S. Virgin Islands: Market Demand Analysis Report

Prepared for University of the Virgin Islands

July 31, 2015

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The Market: Key Findings

• The combined local and regional market for the UVI School of Medicine Simulation Center (“UVISOM Simulation Center”) is estimated to be approximately 9,700 users per year at full operation.

• There are strong market drivers locally and in the wider Caribbean for healthcare professionals to access to a UVISOM Simulation Center.

• The national mandates requiring healthcare professionals to obtain educational units to maintain licensing and certification for clinical practice will drive volume.

• Pairing training with a vacation in the Caribbean can be an attractive proposition for healthcare professionals on the US mainland.

• Establishing regular training programs with the National Guard and Emergency Medical Service units will provide support for the community plus an independent source of sustainable revenue.

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Executive Summary - Projected Market by Region

9,664* 10,500

Leeward Islands Market; 487

Mainland Market; 6048.97

USVI Market; 3128

Market Analysis Projected Seat Occupancy

*Calculation does not include the volume of USVI paramedics, EMTs (see Appendix D), and technologists who are also potential markets. Numbers for these professionals are not available at the time of the study. The student market volume reflects UVI medical and nursing students and Barry PA students only.

UVISOM Simulation Center Target Based on Economic Impact Study

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pharmacists; 562military; 600

other; 618.915dentists; 947

students; 1034

nurses; 1036.46

physicians; 4866.1

Executive Summary - Projected Market by Professionals

9,664*10,500

Market Analysis Projected Seat Occupancy

*Calculation does not include the volume of USVI paramedics, EMTs (see Appendix D), and technologists who are also potential markets. Numbers for these professionals are not available at the time of the study. The student market volume reflects UVI medical and nursing students and Barry PA students only.

UVISOM Simulation Center Target Based on Economic Impact Study

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Executive Summary – Market Split by Professionals

Potential Markets not included at this time:

• EMTs • Leeward Island

medical students needing additional skill sets

pharmacists, 562 (6%)military, 600

(6%)other, 619 (6%)

dentists, 947 (10%)

USVI students, 1,034 (11%)

nurses, 1,036 (11%)

physicians, 4,866 (50%)

Includes UVI medical and nursing students and Barry University PA students

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Economic ImpactUVISOM Simulation Center

ESTIMATED UVISOM TOTALS

ECONOMIC IMPACT Total Delegate Fees to Sim Center $9,810,469

Annual Sponsorship $5,902,500

Annual F&B Costs paid by Delegates $915,644

Total Revenue to STX SIM Center $16,628,613

50 FTEs (25 permanent FTEs plus 25 visiting faculty & staff for different programs) $2,882,250

Annual Hotel & Per Diem Expenditure $10,072,081

Annual Inter-Island Travel for STT delegates $15,000

Total Additional Expenditures From Delegates $10,087,081

EST TOT ECONOMIC IMPACT $29,597,944

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Medical Education Building St Thomas28,947 GSF Budget $11M

  St Thomas St Croix St John

4th Year

Medical SchoolYears 3 & 4 -clinical medicine

Schneider HospitalEast End family Clinic

Juan Luis Hospital Frederiksted Clinic

Myrah Keating Clinic

U. South FloridaTampa General Hospital

Clinical Rotations

1. EMS 2. Autopsies with Medical Examiner3. Private offices4. Public health clinics

INNOVATION

Number Students 50 per yearDepartments:Medical ScienceClinical

1 medical science (vs. 8-9)3 clinical (vs. 12)

No lectures “flipped” classroom – Just in Time Teaching (JiTT)

Anatomy 3D simulation + autopsies with Medical Examiner

Introduction to clinical medicine.

EMS, homeless clinic, geriatrics

# FT faculty needed for UVI:

47 UVI existing faculty, clinicians and new hires

Summary of Economic Impact

• The UVISOM Simulation Center Economic Impact Study conducted in May 2015 estimated the annual impact to be approximately $30M when fully operational

• This market analysis estimates that as a “destination training center” some 6,500 off island learners could generate an annual demand:• Assumption 1- 3 nights: 20,000 extra hotel rooms• Assumption 2 – 5 nights: 50,000 extra hotel rooms (if 50% bring their

families)

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Partners• University Central Florida (established 2006)– Curriculum & assessment– UVI faculty development– Safety net in the event of exigency

• University of South Florida– 4th year clinical rotations at Tampa General Hospital– Master in Public Health – on line– Development and management of simulation center

Annual Economic Impact USVI  St Thomas St Croix Total Medical school classrooms1

New hires2

 $24-30m 64

 $1m  5-10

 $31m 69-74

Medical school simulation centerNew hires3

  0

 $30m50

 $30m50

TOTALfully operationalClassrooms + simulation center

  $24-30m

  $31m

  $55-61m

Hotel bookings:3 room nights  5 room nights (50% delegates & 2 rooms per family)

   20,000 50,000

 

Notes: Analysis does not include construction related expenditures1. Medical school classrooms: formula annual expenditures x 1.8-2.2

based on analysis of other new US medical schools. This includes direct, indirect and induced economic effects: student spending, new hires, re-spending etc.

2. Includes MDs, PhDs & support staff3. Includes MDs, technical & support staff

University Central Florida

• New medical school – 17 miles south Orlando Florida• Brainchild Governor Jed Bush• State of Florida appropriates $34 million / year

for UCF College of Medicine