STATE OF THE STATE OF THE DEPARTMENT OF MEDICINEDEPARTMENT OF MEDICINE

JUNE 18JUNE 18THTH, 2014, 2014

The Academic Year that Was(2013-2014)

Implementation of Recommendations of Strategic Task

Force Plan

Challenges Identified by Task Force

• The department has outstanding institutions and faculty, but the “whole is less than the sum of its parts”

• There is a lack of a cohesive vision as a department • There is evidence of decline in the quality and

competiveness of the GME education programs • There is a lack of a research strategy that synergizes

across divisions

• There is no departmental clinical strategy that facilitates

the efforts to address healthcare reform

Recommendation to Reorganize Structure to Improve Function

Division Chiefs

Glenn I. Fishman, MDDir., Cardiology

Steven B. Abramson, MDChair, Department of

Medicine

Glenn I. Fishman, MD

Vice Chair, Research

David Stern, MDVice Chair,

Education/Faculty Affairs

Mark B. Pochapin, MD

Vice Chair, Clinical

Fritz Francois, MDChief of Medicine,

Tisch

Doug Bails, MDChief of Medicine,

Bellevue

David T. Stern, MDChief of Medicine,

VA

Katherine Hochman, MD

Associate Chair, Quality

Patrick M. Cocks, MD

Associate Chair, GME

Michael LoCurcio, MD

Associate Chair, UME

TBDAssociate Chair,

CME

Martin Kahn, MDAssociate Chair, Academic Affairs

Katherine Wesnousky

Administrator/Chief of Staff

Michael H. Perskin, MD

Associate Chair Ambulatory

Mark B. Pochapin, MDGastroenterology

Caroline S. Blaum, MDDir., Geriatrics

Sondra R. Zabar, MDInterim, Dir., GIM

Howard A. Fine, MDDir., Hem./Medical Onc.

Joel D. Ernst, MD, Int Dir., I.D. & Immunology

Davd M. Oshinsky, MDDir., Med. Humanities

Edward Y. Skolnik, MDDir., Nephrology

William N. Rom, MDDir., Pulmonary

Jill Buyon, MDDir., Rheumatology

Bruce N. Cronstein, MDDir., Translational Med.

TBDAssociate Chair,

Mentoring

Ira Goldberg, MDDir., Endocrinology

Recommendation: Promote One Clinical Faculty

• Begin with fundamental respect for colleagues across institutions and practices

• Strategic growth of Academic Divisions – Targeted world-class programs in specialized areas

• Responding to the external threats

• Share best practices across teaching hospitals

One Faculty: Tri-institutional Council

New Division Directors

Dr. Ira Goldberg

Endocrinology, Diabetes and

Metabolism

Dr. Jill Buyon

Rheumatology

New Associate Directors (Divisions Clinical)

Dr. Michael Philips

Infectious Diseases and Immunology

Dr. Steven Hodak

Endocrinology, Diabetes and

Metabolism

New Associate Directors MedicineQuality First

Dr. Katherine Hochman

Tisch Hospital

Dr. Laura Evans

Bellevue

Department of Medicine Administrative Leadership

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Thank You…

Dr. Ann DanoffContributions as Director, Division of Endocrinology,

Diabetes and Metabolism

Dr. Iven YoungContributions as Firm Chief

MEDICAL EDUCATION

Trends in Specialty Matching PGY-1 Students Matched to Internal Medicine 2004-2013

SHOW DATA FROM 2014

Departments that have 5 or more direct contact hours with UME students    

  DEPARTMENT UME Effort Hrs▼

1 Medicine 11938

2 Cell Biology 6242

3 Emergency Medicine 4316

4 Pediatrics 4025

5 EFAA 2583

6 Radiology 1512

7 Pathology 1199

8 Obstetrics and Gynecology 947

9 Microbiology 932

10 Psychiatry 516

11 Biochemistry and Molecular Pharmacology 500

12 Population Health 485

13 NYU Cancer Institute 374

14 Physiology and Neuroscience 338

15 Skirball Institute 296

16 Hospital Operations 294

17 Dermatology 214

18 Neurology 150

19 Neurosurgery 92

20 Surgery 70

21 Neuroscience Institute 62

22 Child and Adolescent Psychiatry 57

23 Anesthesiology 26

24 Orthopedic Surgery 26

25 Rehabilitation Medicine 22

Medical Student Education

Anthony GriecoCore Clerkship

Michael LoCurcioActing Internship

Associate Chair, Education

Norma KellerCritical Care

Michael TannerAmbulatory Care

Pamela RosenthalCFM

Medical Student Education Firm Chiefs:

ANTHONY GRIECO

MARTIN KAHN

DOREEN ADDRIZZO-HARRIS JEROME LOWENSTEIN RUTH ORATZMICHAEL BRABECK

ELIZABETH WEINSHEL MITCHELL CHARAP IVEN YOUNG

*Dr. Paru Patrawalla

2013-2014Residency Program Directors

Louis MillerSenior Associate Program Director

Assessment and Evaluation

Patrick CocksProgram Director

Associate Program DirectorsRestructuring

Jennifer Rockfeld Quality Improvement and

Patient Safety

Amit UppalCritical Care Experience

Barbara Porter Outpatient Experience

Mary FishmanFGP Outpatient Experience

Margaret HorlickCurriculum

Neil ShapiroInpatient Experience

Directors: Primary Care Residency Program

Mack LipkinSondra Zabar

Jennifer Adams Richard GreeneKathleen Hanley

2013-2014 Chief Residents

Brian GreetVA Outpatient

Pavan Bhatraju Inpatient

Rani Nandiwada Inpatient

Brandon OberweisSenior Chief

Matthew InghamVA: QI & Safety

Laura Van MetrePrimary Care

Alexander Volodarskiy Inpatient

Matthew VorsangerInpatient

Pascale White BH Outpatient

2014 -2015 Chief Residents

Robert MocharlaVA Outpatient

Greg Schrank Inpatient

Josh Denson Inpatient

Andrew LevySenior Chief

Sarah MacArthur VA: QI & Safety

Jessica TaftPrimary Care

Karen Kan Inpatient

Mark AdelmanInpatient

Jack Naggar BH Outpatient

RESEARCH

Goals: ResearchGetting Divisions to the Top Ten

• Valorize the Division Directors to develop strategic vision for translational research

• Recruit four Division Directors, national leaders with clinical vision and translational research bona fides

• Promote collaborative grants (RFP PPG)

• Develop integrated clinical practice space that promotes clinical research (e.g., CMC, Cancer Center)

• Nurture and support junior investigators (Saperstein, Colton, Farber, Fast-tracking, PSTP, Hirschl, other)

CLINICAL AND TRANSLATIONAL MEDICINE PROGRAMS

THE NAMED CENTER FOR MOLECULAR MEDICINE

Integrated with I-CUBED / PATHOLOGY / CELL BIOLOGY / CANCER CENTER / NEUROSCIENCE

Rheum, ID, GI Expansion

EndocrineDivision Director

Precision MedicineProgram Director

Associate Prof

Assistant Profs (2)

Associate Prof (4-6)

Assistant Profs (4-6)

Associate Prof

Assistant Prof (2)

Associate Profs (2)

Assistant Profs (4)

Berger, Buyon, Chen, Cho, Cronstein, Delmar, Ernst, Fisher, Fishman, Gardner, Maass, Moore, Mor, Morley, Philips J, Philips M, Ramasamy, Reibman, Schmidt, Shopsin, Silverman, Skolnik

CV, Renal Expansion

Integrated with NYULMC Clinical Research Unit/Health Outcomes & Population Science/CTSI/CHIBI (6-8)

Recruitment of additional disease-based clinicians & clinician-investigators (6-8)

Center forMusculoskeletal Care

Existing

Center for Diabetes and Metabolic Care(Dr. Steven Hodak)

Center for Cardiovascular CareIn progress

Cancer Center InstituteExisting

Immunity & Inflammation

Auto-ImmunityInflammatory Bowel Disease

Infectious Diseases/MicrobiomeAsthma

MetabolomicsDiabetesObesity

Metabolic Disorders

Cardiovascular Disease

Vascular DiseaseStructural Heart Disease

ArrhythmiasHeart Failure

PrecisionMedicine

Genetic Basis of DiseaseTargeted Therapeutics

Katy WesnouskyDepartment

Administrator

Glenn FishmanVice Chair Research

Yelena SionovaDirector,Research

AdministrationPhil HimmelsteinFinance Manager

Grants Manager –

Translational/DGIM

Grants Manager-Pulmonary

Grants Manager-

Rheumatology

Grants Manager-Cardiology

Grants Manager-

Endocrinology

Grants Manager-Infectious Disease

Grants Manager-

Geriatrics/GI/ Medical

Humanities

Financial Analyst Endo/Nephrology/

Translational/DGIM

Financial Analyst Pulmonary/Infectious

Disease/Gastroenterology

Financial Analyst Geriatrics/Humanities/

Rheumatology

Financial Analyst Cardiology

Clinical Trials Coordinators

Assistant Professor(CIE or ICE)

Assistant Professor(CIE or ICE)

Clinical Fellowship Training

Clinical Fellowship Training

1 2 3 4 5 6 7 8 9 10 11 120

NIH K AwardsNIH K Awards NIH R awardsNIH R awards

Department of MedicineCreating a Pathway for Success for Young Investigators

Department of MedicineCreating a Pathway for Success for Young Investigators

Timeline

Weissmann Scholars(within 6 yrs)

Weissmann Scholars(within 6 yrs)

T32 training grantsKL2 grants

FoundationsPhilanthropy

Physician-Scientist Training Program (SoM)Physician-Scientist Development Program (DoM)

T32 training grantsKL2 grants

FoundationsPhilanthropy

Physician-Scientist Training Program (SoM)Physician-Scientist Development Program (DoM)

PSDP Program Details (work in progress)80% Protected Research Time

Salary Support: Shared by Department, Division and other SourcesModest Project Support

Nominations by Division Directors and Program DirectorsSelection Committtee of Physician-Investigators

Anticipate ~ 3/year(Funded by Coltons, Sapersteins, new philanthropy)

PSDP Program Details (work in progress)80% Protected Research Time

Salary Support: Shared by Department, Division and other SourcesModest Project Support

Nominations by Division Directors and Program DirectorsSelection Committtee of Physician-Investigators

Anticipate ~ 3/year(Funded by Coltons, Sapersteins, new philanthropy)

Intensive Research Training(Asst in Service or

Instructor)

Intensive Research Training(Asst in Service or

Instructor)

Research Day & Awards Dinner

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Medicine@NYULMC Co-editors: Editorial Board:

Steven Abramson, MDDoug Bails, MDLucy BruellBruce Cronstein, MDLaura Evans, MDCarl GlennLisa GreinerAnthony Grieco, MDKathy Hochman, MDJonathan LaPook, MDMichael LoCurcio, MDDonna MarinoMark Pochapin, MDHarmony Reynolds, MDNeil Shapiro, MDAlex Sherman, MDKaty WesnouskyJessica Wilson

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Stacy BodziakDavid Oshinsky, PhD

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Medicine@NYULMC Spotlight Videos

Donna Marino

Department of MedicinePhilanthropy

FY’14 YTD (Thru June 16th)

Division

Rheumatology $10,818,835

Endocrinology $7,666,667

Translational Medicine $1,383,333

Cardiology $1,245,585

General Internal Medicine $981,976

Geriatrics $498,100

All Other $1,492,450

Total Department of Medicine $24,086,946

Promotions

First Annual Appointments & Promotions Reception

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Appointments and Promotions• Division of CardiologySripal Bangalore, MD, Associate

Professor of Medicine Howard Weintraub, MD, Clinical Professor of Medicine

• Division of GastroenterologyFritz Francois, MD, Associate Professor of Medicine

Jonathan D. LaPook, MD, Mebane Professor of ` Gastroenterology and Professor of Population Health

• Division of General Internal Medicine Douglas B. Bails, MD, Clinical Associate Professor of MedicineMichael LoCurcio, MD, Associate Professor of Medicine Marc M. Triola, MD, Associate Professor of Medicine

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Appointments and Promotions• Division of Hematology & OncologyLawrence P. Leichman, MD,

Professor of Medicine Yelena Novik, MD, Associate Professor of Medicine Ruth Oratz, MD, Clinical Professor of Medicine

• Division of Infectious DiseasesMelanie Maslow, MD, Professor of Medicine

• Division of Pulmonary & Critical CareLaura E. Evans, MD, Associate Professor David L. Kamelhar, MD, Clinical Professor

• Division of RheumatologyBrian D. Golden, MD, Clinical Associate Professor

Sara B. Kramer, MD, Clinical Associate Professor

Paula Rackoff MD, , Clinical Associate Professor

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Major Awards and AppointmentsLaura Evans, MD, was named Bellevue's "Physician of the Year" at the annual New York City Health and Hospitals Corporation (HHC) Doctors’ Day Celebration.

Martin J. Blaser, MD, was honored as the 2014 recipient of the NIH Clinical Center's Distinguished Clinical Research Scholar and Educator in Residence.

David S. Goldfarb, MD, received the 2014 Distinguished Teacher Award in the Basic Sciences at NYU School of Medicine.

William N. Rom, MD, received the 2014 Distinguished Achievement Award from the American Thoracic Society

Harmony Reynolds, MD, named Saul j. Farber Assistant Professor

Edward A. Fisher, MD, delivered the George Lyman Duff Memorial Lecture at the last annual scientific sessions conference of the American Heart Association

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Major Awards and AppointmentsNorman B. Javitt, MD, PhD received the American Physiological Society’s History of Physiology Group 2014 Recognition Award

Bruce N. Cronstein, MD, received the 2013 Arthritis Foundation Lee C. Howley Sr. Prize for Research in Arthritis.

Barry Rosenzweig, MD, has been appointed Assistant Dean for GME.

Neil Shapiro MD Clinical Correlations published an article celebrating our 1000th article published and won a Silver Award from the American Society of Healthcare Publication Editors

Rochelle (and Kurt) Hirschhorn MD awarded the 2013 Victor A. McKusick Leadership Award by American Society of Human Genetics

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Department of Medicine

Goals for 2014-2015

Clinical1. Continue to promote One Faculty across institutions and

practices– Clinical Tri-institutional leadership group– Improve communication with Monthly Newsletter: Medicine@NYULMC

2. Develop New Centers for Clinical and Translational Research– Diabetes and Endocrine– Autoimmunity– Liver Disease, IBD, Advanced endoscopy– Pulmonary Hypertension– Asthma, Lung cancer – LVAD/CHF, Arrhythmia, Interventional Cardiology

3. Promote Strength, Growth and Reputation of Clinical Practices

Research

1. Leadership Role of Division Directors: (Recruitment, NIH grants, faculty development, mentoring, etc)

2. Implement a strategic translational research plan that enables collective success of divisions

3. Committee on Research Collaboration– RFP ($25K X 4)– Promote inter-divisional/departmental collaboration– Develop collaborative NIH submissions of grants >$350K (RO1, PPG/Center, Co-PD/PI)– Promote joint recruits with basic science departments (Cell Bio, Pathology, Genetics, Pop

Health)– Promote collaborative opportunities for young scientists

Education and Academic Affairs

1. Focus on faculty leadership development 2. Increase mentoring of faculty (Mentoring

“champion”, programs)3. G21: Re-engineer GME programs

– Implementation of CLER/NAS (B. Rosenzweig, Lou Miller)– Compliance with RRC (ICU, ambulatory)– Develop tracks for PC/IM, Research, Hospitalists, Specialists– Technological innovation (iPads, handheld ultrasound, education data

warehouse)– Develop innovative models for GME financing for ambulatory training– Develop competency based pathways to “graduation” of residents and

fellows

Next Steps

“In real life, strategy is actually very straightforward. You pick a general

direction and implement like hell."― Jack WelchChair and CEO General Electric

In real life…

Our successes flow from the talent and commitment of our physicians, scientists and staff.

Thank you all for your many contributions to the missions of this great department!