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University of Queensland (Brisbane,
Australia) and Ochsner Health System
(New Orleans, USA
Transnational Undergraduate Medical Education
Professor David Wilkinson
BSc(H) MBChB MSc MD PhD DSc FRCP FRACGP FAFPHM
Dean of Medicine & Head, School of Medicine
The University of Queensland
William W. Pinsky, MD
Executive Vice-President and Chief Academic Officer
Ochsner Health System
Professor and Head, Ochsner Clinical School
University of Queensland SOM
Overview of Ochsner Health System- The Clinical Enterprise
• 8 Hospitals
• 37 Clinic Locations
• 4 Fitness Centers
• 180-Room Hotel
• 850 Employed Physicians
• 13000 Employees
• 1.3 Million Patient Contacts
• Over 4,000 International
Patients
• $2 Billion Net Revenue
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Ochsner Health System Footprint
Destrehan
Elmwood
OCHC - Slidell
Slidell
Hamm Heart-Vasc
Hammond
Covington
Uptown
Baptist
Lapalco
Metairie
OHC - Kenner
OCHC - Metairie
Ochsner Medical Center
OMC - Kenner Lake Vista
OHC - Algiers OB
Algiers
OMC - West Bank
OMC - Baton Rouge
Abita Springs
MidCity
Bluebonnet
Prairieville
Mandeville
Denham Springs
St. Anne
Ochsner Strategic Direction
Collaborative Research
Future Clinicians
Our Imperatives (6)
People: Our most valuable asset.. Quality:
Error-free care that’s affordable.
Loyalty: Patients, families &
physicians. Stability: Financially sustainable
and growing.
Academics: National leader
with global Impact.
Community: Serving the
greater need.
Change Kids, Change the Future
Industry Thought Leader
Community Alliances
Our Mission We Serve, Heal, Lead, Educate and Innovate.
Strategic Tools Technology
Lean/ CAP / WO
Customer Research
Analytics Governance
Corporate Svcs Educ/Dev (OLI)
Op Cycle
Highly Reliable Care
New Models of Care Delivery
LEAN
Energized Workforce
Best Company for Leaders
Strategic Programs (18) Best Group Practice
Accessibility for Patients
Service Excellence
Hospital & Physician Networks
Service Lines
Retail Services
Margin Optimization
Adequate Reserves
Our Vision
Ochsner will be a global medical and academic leader who will save and change lives. We will shape the future of healthcare through our
integrated health system, fueled by the passion and strength of our diversified team of physicians and employees.
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National Reputation and Recent Awards
• Modern Healthcare Magazine – CEO Dr. Quinlan named “#1 Most Powerful Physician
Executive” (2007)
• Healthgrades – Top 5% of all US Hospitals for Patient Quality and Safety
• Alliance of Independent Academic Medical Centers – Innovation Award for linking GME
and Patient Safety
• Hospital & Health Networks Magazine – “Most Wired” (2007, 2006, 2005, 2004)
• Modern Healthcare Magazine – COO Warner Thomas “Most Prominent Up and Comer in
Healthcare” (September 2006)
• Thomson Reuters 100 Top Hospitals® – National Benchmarks, Ochsner Medical
Center is recognized as one of the top 15 “Major Teaching Hospitals.”
• Louisiana State Nurses Association – Louisiana Hospital of the Year (2006)
• U.S. News and World Report – 2011 “America’s Best Hospitals” for ENT; Cardiac
Diseases; GI; Orthopaedics; Pulmonology; Geriatrics; Gynecology
Domestic Academic Programs
• GME: 325 Residents/Fellows in 27 programs
• UGME: 600 student-months (Tulane and LSU)
• Nursing: 400 students
• Allied Health: 400 students
• Research: 3 NIH RO-1 Grants; 300 clinical protocols
• Library, Medical Editing, Medical Illustration
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The Goals, i.e. The Ochsner “Why”
• Raise Ochsner academic stature by partnering with a high profile University
• Enable high quality physician recruitment and retention
• Educate/train medical students and residents in the “Ochsner Way”
• Regenerate the Ochsner workforce
• Contribute to strengthening the NOLA and Louisiana physician workforce
• Enable a more robust translational research agenda
University of Queensland SOM
• 75 years old
• Top three medical school in Australia
• 2011 QS rating: 33 in the world http://www.topuniversities.com/university-rankings/world-university-rankings/2011/subject-rankings/
• Research University: $400M extramural funding annually
• HPV immunization developed at UQ
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The University of Queensland • Centenary in 2009
• 7 Faculties
• 6 Institutes
• 38,000 students; 7000 international, 10,000
postgraduate
• 5600 staff
• $ 1 billion revenue
Rankings
• Top Queensland University
• 3rd in Australia
• 32nd world ranking
• Member of Universitas 21
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School of Medicine
Now > 70 y old
3rd oldest in Australia
Australia’s largest medical
program
430 new students in Year 1 in 2009
(130 international)
MBBS program
School leaver / Graduate entry
Dual degree option
M Phil / PhD / MPH options
Ipswich
International rotations
Post graduate programs
Physician Assistants
Research
> 1200 staff including Academic
Title Holders
• Increase from 200 to 400 students studying
overseas (2006-8)
• Emphasis now shifting from electives to formal study (exchange)
• U21 / UNMDG
• IVIMEDS
• Partnerships eg IMU, Brunei Clinical School,
Apollo Hospitals Group India
Internationalisation
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• 4 years, 2 pre-clinical and 2 clinical
• Y1&2: lectures, symposia, PBL, clinical coaching,
tutorials, group work
• Y3&4: 10 x 8 week clinical rotations
• Medicine, Surgery, Rural/Community, GP, Mental
Health
• Obstetrics, Paediatrics, Medical Specialty,
Surgical Specialty, Elective
• Clinical schools
MBBS program
The Goals, i.e. The UQ “Why”
• To become Australia’s leading Medical School
• To have an established, widespread global reputation for excellence and innovation
• To be recognized as “Australia’s global medical school”
• Points of relevance include the Faculty, the University, Queensland, Australia, our region and the world
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The Plan
• Admit US students (citizens) to UQ medical school
• Use the UQ admission process and standards
• First two years in Brisbane; final two years at Ochsner
• Apply the accredited UQ curriculum and testing, plus . . .
• UQ academic year runs January – December
• 1/09: First class of students admitted; 1/10: Admitted students, 1/11: , 1/12: , 1/13:
• 3/09 : “Soft Opening” with current UQ students;
offer all 3rd and 4th year rotations • 4-5/09 – Endorsement by Gov. Jindal; meetings
with AAMC, AHA, La. Delegation, La. State Board
The Timeline
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Student Metrics
Minimum Entry Requirements:
Ochsner cohort average MCAT score: 9/9/M/10 28M
Ochsner cohort average GPA (1 - 7 scale equivalent): 6.34
Demographics:
Ochsner cohort gender ratio: 37% Female; 63% Male
Ochsner cohort average age: 28
Performance in MBBS Phase 1:
Ochsner cohort average GPA - Year 1 2009: 4.90
Overall UQ MBBS cohort average GPA - Year 1 2009: 5.22
Ochsner cohort average GPA - Year 1 2010: 4.53
Overall UQ MBBS cohort average GPA - Year 1 2009: 5.21
Ochsner cohort average GPA - Year 2 2010: 5.08
Overall UQ MBBS cohort average GPA - Year 1 2009: 5.43
Important Goals and Milestones
• Ochsner UGME office and support staff established
• Course Directors appointed for each major Discipline
• Learn the UQ curriculum and assessment methodology
• Establish UQ faculty appointments for all leaders and teachers
• Obtained reaccreditation for UQ SOM through the AMC – August 2010 site visit in NOLA; December 2010, 6 year accreditation obtained
• January 2011, first cohort returns to NOLA; Initial White Coat Ceremony
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The Future
• In the midst of recruiting our 2012 class of 80 students
• Establishing research partnerships between Ochsner and UQ SOM, Centers, and Institutes
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UQ-SOM Research Collaborations with Ochsner Clinical School
Projects In Early Discussion Domestic Individual Centre / Section Ochsner Individual Area
Claire Jackson CPHCR Dr. Marie Krousel-Wood,
Director, Center for Health Research Healthcare delivery system
Gerard Byrne PCNRC Dr David Galarneau Psychiatrist involved in teaching
Peter Davies CNRC Dr. Marie Krousel-Wood,
Director, Center for Health Research Childhood Obesity
Peter Davies CNRC Avery Corenswet Childhood Obesity
Ian Yang Thoracic RC Dr. Leo Seoane
Jenny Moffatt Rural CSRC Dr Leonardo Seoane,
Co-Director, Lung Transplantation Pulmonary/Critical Care Medicine
Dr Seoane and I agreed that we would like to collaborate on the student evaluations at a later stage.
Glenda Gobe David Johnson
CKDR "a nephrologist"
Jenny Moffatt Rural CSRC Dr Cynthia Semlear Avery,
Nephrology Research Centre Retrospective study, based on chart review
Jenny Moffatt Rural CSRC Dr. Marie Krousel-Wood,
Director, Center for Health Research Chronic disease, possibly diabetes/renal
Professors Jill Thistlethwaite & Vivienne O'Connor
Centre for Medical Education
Research and Scholarship
Dr. Veronica Gillispie Obstetrics & Gynecology
Assessment of teaching practices of intimate examinations; comparison of pap smear procedures
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The Challenge
• What is real healthcare globalization?
• What are the impacts on education and delivery models?
• What are the roles of the Universities?
The World is Flat . . .