Johannes Vieweg, MD https://md.nova.edu/
The Organizational Framework for a 21st Century Medical School
Dr. Kiran C. Patel College of Allopathic Medicine
Medical Education│Research│Patient Care│Community Engagement
Learning Objectives
• Rationale for U.S. Medical School expansion since 1990.
• Key components and requirements for academic medical centers in the US.
• Criteria for LCME accreditation and compliance.
• Elements for medical curricular design
• Prevention and population health as opportunities to integrate research and education with clinical care.
Challenges for Population Health
• Aging Population • Chronic Illnesses • Obesity • Expensive, Yet Vital
Health Technologies • Physician Shortage • Climate Change • Divided Government
Physician Supply & Demand All Specialties
Health Challenges in Florida
• FL ranks 30/50 in core health measures
• Shortage of 10,000 doctors in FL and 100,000 nationwide by 2025
• Ranks 42/50 in GME slots per capita
https://www.americashealthrankings.org/
Fort Lauderdale – Broward County
• High Growth Region – Marine Industry – Tourism – Trade & Business
• Challenges – Traffic – Homelessness – HIV – Snowbirds
Accreditation Models
• Community-Based Model • FIU, FAU, FSU, UCF (all new FL medical schools)
• Academic Health Center Model – UM, UF, USF (established FL medical schools)
• Both Accreditation pathways follow specific LCME requirements and require upfront agreements and planning with hospital partner
• Transition from one into the other model possible over time
Level of Integration Among AHCs
Less More Level of Integration
Targeted Model
Barrett, DJ, Acad Med: 83:804-808, 2008
Achieve Accreditation
Faculty & Staff Standing
Committees
Policies & Faculty Bylaws
Educational Curriculum
Development
LCME Site Visit Management and
Preparation
DCI Management &
Submission
Quality Improvement
Program
Defining our Identity Mission – Vision - Values
• Mission: Advancing human health through innovation in medical education, research, patient care, and community engagement.
• Vision: To become an exemplary medical college recognized for excellence by fostering an innovative culture that supports diversity, collaboration, critical thinking, and creative leadership.
• Values: Excellence, Innovation, Teamwork, Communication, Diversity, Accountability
Mission – Vision - Values
Accreditation
Standard 1: Mission, Planning Organization and Integrity Standard 2: Leadership and Administration Standard 3: Academic and Learning Environments Standard 4: Faculty Preparation, Productivity, Participation & Policies Standard 5: Educational Resources and Infrastructure Standard 6: Competencies, Curricular Objectives and Curricular Design Standard 7: Curriculum Content Standard 8: Curricular Management, Evaluation and Enhancement Standard 9: Teaching, Supervision, Assessment and Student and Patient Safety Standard 10: Medical Student Selection, Assignment, and Progress Standard 11: Medical Student Academic Support, Career Advising, and Educational Records Standard 12: Medical Student Health Services, Personal Counseling, and Financial Aid Services
LCME Standards
CQI: LCME Compliance
The Flexner Report - 1910
The Road We Must Take
HeavyBackpacks
TeacherLecturing
StaticTextbooks
Learningissolosport
HighStressAssessments
DigitalDevice
FlippedClassroom
EngagingCoursework
Collaborative
Learning
ContinuousFeedback
Engaging Coursework = Better Learners
Microsoft HoloLens AnatomyTM
NSUMD Unique Curriculum Features
Curriculum Focus on
Clinical Practice & Scholarship
Case-based, System Sequenced
Active Learning
Early Access To Training in
Clinical Environments
Interdisciplinary Learning On One Campus
Threads in Genomics,
Prevention & Precision Medicine
Requirement for Scholarly
Conduct
Evaluation and
Benchmarking
NSUMD Curriculum Design Systems and Threads
Infl
amm
atio
n
Ne
uro
Car
dio
Gas
tro
-In
tes.
End
ocr
ine
Interprofessionalism
Research/Genetics
Teamwork/Leadership
NSUMD Curriculum
1. Full LCME Accreditation by 2022
2. Alignment with Hospital and Community Parterns
3. Translational Research
4. Population Health Initiative(s)
a. Healthy City FLL
b. Quality Improvement Collaborative
c. Opioid use prevention
Key Initiatives
Acad. Village & New Hospital Site
A. Sherman Library
Collaborative Research Building
Health Professions Building
Parking
Student Dormitory Med. Education
Building
Health Professions Division Center for Collaborative Research
New Hospital Rendering Alvin L. Sherman Library
New Health Education Campus
• 300,000 square feet; Groundbreaking: Q4 2018 • Architectural Design follows Curriculum • Medical Simulation Resources • Next Generation Technology • Integration of Education with Clinic Space (NSU Health) • Community Education
The NSU Biomedical Campus as an Economic Driver in Broward County
• Economic Impact: $4 Billion by 2030 $3 Billion (Campus) • Total Employment: 9,000 • Wages, Salaries/Benefits: $700 Million • New Construction: $650 Million • Health Services:
– Outpatient Volumes: 750/day – Inpatient Capacity: 250-bed facility
• No tax monies or governmental revenue
*New study in progress (NSU Institutional Effectiveness)
• HCA East Florida Division
• Provision CARES Proton Therapy Center
• Palm Beach VA Medical Center
27
Key Partners & Affiliates
Objectives: 1. Educational Continuum
• UGE-GME-CME 2. Practice Plan Support
• Joint faculty recruitment
Partnership Platform
Healthy City Initiative
• Cities can apply to become a WHO-designated "Healthy City” by establishing healthy public policy at the local level through health promotion
• Collaborations with:
– Alliance for Healthy Cities (AFHC)
– National League of Cities
– League of California Cities
– Rankings through Forbes, Morgan Stanley, USA Today, USG, Sterling and others
Tertiary Care
Secondary Care
Primary Care
Population Health/Wellness
The future is going to be driven by population management, expense reductions and preventive care
Population Health Initiative Health Care Pyramid
Diabetes Community Health Intervention
Value-Based Ambulatory Care Model
Objective: Develop a patient-centered service model by improving patient experience and health outcomes:
– Custom Care Teams “Health Managers”
– Custom “Health Plan”
– Home health services
– Telemedicine
Value-Based Care Model
Florida and the Opioid Crisis
DEA Collaboration Project
Impact of NSUMD on the Future of Florida
• A Healthier Florida – Focus on disease prevention, chronic care and genetic
medicine – Provide patient-centered education and research – Become the “Partnership Leader” in Florida
• Regional Community Impact – Health City Fort Lauderdale
• Economic Impact – Expected impact $2B (NSU MED-MD and new hospital) – For every dollar directly spent by a medial school or
teaching hospital, an additional $1.30 is indirectly generated for a total impact of $2.30
– Development of a knowledge-based economy (R&D)