Case Western Reserve University School of Medicine

MINUTES September 12 – 4:00 p.m., T-501 FACULTY COUNCIL Case Western Reserve University School of Medicine ______A) Jill Barnholtz-Sloan, Chair of Faculty Council, opened the meeting promptly at 4:00pm. Minutes from the June 13, 2001 were approved with minor corrections

B) Election of Departmental Representatives to Faculty Council: Maureen McEnery/Richard Zigmond

Dr. McEnery discussed the email drafted by Richard Zigmond and sent to the entire faculty of medicine regarding membership on Faculty Council. Medical School bylaws require that departmental representatives be elected by the faculty members in each department and are not to be appointed by the department chair. Being a member of Faculty Council bears the responsibility to share and relay information to ones home departments

Last year, the late Mark Smith, who was Chair of the Faculty Council sent out a notice to all faculty members stating that “this year, the Faculty Council will act as a conduit between the School of Medicine’s administrative leadership and the faculty….Our goal is to reinvigorate the faculty's governance system and structure at the medical school, and we can only do this with your active participation.”We want to continue to honor that commitment.

The Dean has made a commitment to attend future Faculty Council meetings and that presents a great opportunity for discussion . President Snyder has come to the School of Medicine to meet with School of Medicine Faculty in the past, but few faculty were present.

Dr. McEnery stated that two extremely important issues were brought to Faculty Council this year. It is important that we (Faculty Council) be the voice of the faculty and use this opportunity to be heard. If you (Council members) have any issues, please bring them to the attention of our Chair.

C) XYZ ad hoc Committee Update: David Katz

Dr. Katz began with briefly explaining the purpose for the formation of the XYZ ad hoc Committee. Many basic science faculty requested more time to review the proposed compensation plan and offer feedback. The Dean agreed and initiated this committee in response to a request from Faculty Council.

A Council member expressed concern that the composition of members for this ad hoc committee did not actually reflect the entire faculty and specifically the concerns of the

Approved Minutes 9/12/11 basic science faculty. Dr. Katz pointed out that the committee members reflected the full spectrum of concerns articulated by the medical school faculty assured everyone that this ad hoc committee has been serious and diligent about its work.

In brief, the ad hoc committee has met twice with full transparency. Minutes from each meeting will be made available and distributed to all faculty once approved. At the first meeting, the Dean outlined the context and reasoning for this plan. The Dean stated that there are significant financial pressures and obligations in the years ahead. As the School of Medicine’s expenses continue to increase, there needed to be a plan in place that would have some flexibility to address these financial issues. The Deans primary goals for a compensation plan are to remain competitive in research, recruit and retain stellar faculty, and remain afloat. With that, the Dean left the meeting and the ad hoc committee began to deliberate.

The timeline for the ad hoc committee is to provide a progress report to the Dean by October 1, 2011 followed by a final recommendation to the Dean by December 31, 2011. Dr. Katz stated that Faculty Council would have the opportunity to review the plan prior to submission to the Dean.

Final points summarized by the ad hoc committee:  The need to review current compensations plans at peer institutions and find out what is working and why

 Address issues with the currently proposed plan’s lack of details regarding metrics, what proportion of the total salary would be at risk each year, how the potential changes would affect the process for the chairs to advocate for their faculty

 Work in partnership and have regular interaction with the basic science chairs with specifics of a compensation plan. Establishing a subcommittee of basic science chairs to work with the ad hoc committee

Randy Marcus, Chair of the Department of Orthopedics, discussed with the ad hoc committee an incentive plan currently used in his department that has proven to be successful, has support from the faculty and has had a positive impact on departmental productivity (grant funding, publications, and increased visibility). The plan is a base salary + cost of living raise which, together, makes up 85% of total compensation; 15% is bonus. The metrics only affect the bonus. Base salary was set at the initial recruitment based on the market rate. Dr. Katz said that there was a lot of interest in this plan by the ad hoc committee. The ad hoc committee is also reviewing other plans including one by Bill Merrick which has alternative approaches for base salary calculation and review metrics.

Approved Minutes 9/12/11 Dr. Katz concluded his presentation by stating that he felt the ad hoc committee has been fair and equitable in its review of the compensation plan and recognizes that any plan put forth should allow the School of Medicine to be competitive with other institutions and it should honor and reward our faculty. The ad hoc committee is making good progress in its review and is confident that they will be able to provide a thoughtful plan to the Dean by October 1, 2011.

A Council member asked about the current SOM budget and whether or not specific information of the budget was provided to the ad hoc committee for its review. Council discussed this point and recognized that regardless of the budget of the medical school, that ad hoc committee has to design a plan that fulfills the criteria it outlines for a compensation plan. The Dean wants a plan that will provide flexibility and allow the school of medicine to be competitive. It is not necessary to know those specifics to fulfill that charge.

Dr. Barnholtz-Sloan stated that there has been a lot of legitimate concern by the faculty over this issue. She assured everyone that all of those concerns will be addressed. She is working with the Dean to address many of those concerns, but in order for the ad hoc committee to do its work and move forward, they do not need specific numbers and budget information. Christopher Masotti, Vice Dean for Finance and Administration, will be invited to a future Faculty Council meeting to discuss those calculations. The Dean knows that it is very important to be transparent with any and all information concerning a compensation plan and has planned a town hall meeting in the near future.

A Council member raised the concern that the ad hoc committee is neither representative nor legitimate by virtue of the simple fact that the committee was appointed and not elected. Dr. Katz pointed out that Faculty Council asked the Dean to empanel an ad hoc committee and that the Dean responded to that request. New members may want past information regarding the compensation plan and that information will be made available to those who would like it.

The issue of transparency and openness was discussed. It was stressed the ad hoc committee is very open to anyone who wants to send comments or suggestions to them. However, realizing that the ad hoc committee is under strict time constraints those who wish to send comments should do so as soon as possible. Dr. Barnholtz-Sloan stated that information discussed at the ad hoc committee meetings will come back to Faculty Council for feedback. At this point, to meet deadlines that probably will be in the form of an email. The next scheduled Faculty Council meeting (November 14, 2011) would be after the first deadline to present the draft proposal to the Dean.

Council members discussed the alternative compensations plans and looked for definition of compensation plans and what is competitive around other institutions. The consensus was that there is an extraordinary range and variety of compensations plans

Approved Minutes 9/12/11 at other institutions. We will trust that the ad hoc committee will be able to review some of those plans and design one that meets the needs of the Dean, Faculty, and Administration.

A Council member stated that the fact that currently faculty are working without a contract and are concerned. Dan Aker, Associate Dean for Faculty Affairs and Human Resources, answered that the Dean was aware of this. In response to the letters sent to her from Faculty Council, and in order to address concerns, she agreed to delay sending those contracts from a certain amount of time. We are preparing those contracts now and faculty should have them in the next few weeks. They will not look like the XYZ pay structure.

D) Future of Anatomy: Scott Simpson

Dr. Barnholtz-Sloan reminded Council members of events from June Faculty Council meeting in which the future of the Department of Anatomy was discussed. It was important that Faculty Council hear from the Department of Anatomy and provide an overall update on the status; what changes do you anticipate to the dept in 6mos, 1yr, etc, and what options have been offered to faculty in your dept in the future.

Dr. Scott Simpson, a Professor in the Department of Anatomy and Council member, spoke to Council and thanked them for the opportunity to speak. For clarification, the Department of Anatomy has had an interim chair since 1998, with promises of having a permanent chair put in place. Dan Ornt, who is currently the interim chair for the department, also serves as the Director for the Center for Medical Education. Faculty in Anatomy who teach extensively where offered a place in the newly created Center for Medical Education. Faculty in the Center could be promoted, but there would be no tenure considerations.

Dr. Simpson prepared a statement which follows:

[Insert Text] Dr. Simpson was asked to provide the text, but is still in review and will be available at a later date

The Dean is scheduled to be present at the next Faculty Council meeting where these concerns and others can be addressed. Council members discussed specifically what might be asked of the Dean. Those included, what is the main issue with the Department of Anatomy? Why has there not been a commitment to recruit and retain a permanent chair?

It is extremely difficult to build a core research faculty when there has never been a commitment of a permanent chair. Chairs are important to any department’s success as

Approved Minutes 9/12/11 they can act as a buffer and advocate for the faculty and the discipline. They also can spearhead a movement that will enable the department to be successful and continue to grow.

Council members discussed the situation and wondered how the new curriculum impacts the Department of Anatomy. Dr. Simpson answered that the departments teaching commitments have decreased to 2/3 of the pre-curriculum value and a number of contact hours were lost with the implementation of the new SOM curriculum. Additionally, tutorial hours are running and covered by teaching assistants. There continues to be a “gross anatomy” course through the 1st and 2nd years of the core curriculum.

The overall feeling from the Department of Anatomy is that there has been no real communication from the Dean. The Center for Medical Education is talked about, but where are the specifics? Anatomy faculty think that the Dean is not supportive of keeping the department as a viable department in SOM. This is evident by the situation with Dan Ornt and not having questions answered; Dan Ornt directly to the Dean. Faculty in the Department of Anatomy finds this situation very disconcerting. Alternatives to closing the department need to be discussed and addressed in a transparent manner. It was concluded that hopefully all needed questions will be raised and answered when the Dean attends the next meeting in November. At some point, this issue will come back to Faculty Council when there is some formal action to be taken. With that, Council members made a motion that the Faculty Council provide a cover letter to Dean Davis offering the November Faculty Council meeting as a forum for discussion about these issues related to the Department of Anatomy, as the Faculty Council notes the seriousness of the concerns that the Department of Anatomy has brought to its attention. This cover letter will be sent after the Department of Anatomy sends an email to Dean Davis with their questions/thoughts. . The motion was seconded and unanimously approved.

There being no further business, the meeting adjourned.

Respectfully submitted, Preston Pugh - Faculty Secretary

In attendance

Faculty Council (2011-2012) Jill Barnholtz-Sloan, chair

Voting Members I. Department Representatives *Anatomy Scott Simpson (13)

Approved Minutes 9/12/11 Anesthesiology and Perioperative Medicine-UHC TBE Anesthesiology-CCLCM TBE Anesthesiology-Metro TBE *Biochemistry Focco van den Akker (13) Bioethics TBE Biomedical Engineering Xin Yu (12) *Dermatology-UHC Susan Nedorost (13) Dermatology-Metro TBE *Emergency Medicine-UHC Dennis Guy (13) *Emergency Medicine-Metro Christopher Wyatt (14) *Environmental Health Sci’s David McCoy (13) Epidemiology and Biostatistics Daniel Tisch (14) *Family Medicine-UHC Sybil Marsh (14) *Family Medicine-Metro Christine Alexander (13) General Medical Sci’s Kristian Baker (14) *Genetics Thomas La Framboise (13) Medicine-UHC Ashley Faulx (12) Medicine-CCLCM Mark Mayer (12) Medicine-Metro TBE *Molecular Biology & Micro. Cathy Carlin (14) Molecular Medicine-CCLCM TBE Neurological Surgery-UHC TBE *Neurology-UHC Michael Devereaux (13) Neurology-MHS TBE *Neurosciences David Katz (12) *Nutrition Michelle Puchowicz (13) Ophthalmology-CCLCM TBE Ophthalmology and Visual Sci-UHC Johnny Tang (13) Molecular Medicine-CCLCM Philip Howe (12) Orthopaedics-Metro TBE Otolaryngology, HNS-UHC TBE Otolaryngology, HNS-Metro Stephen Houser (13) *Pathology- UHC Nick Ziats (14) Pathology-CCLCM TBE *Pathology-Metro Dan Cai (12) *Pediatrics-UHC Lydia Furman (12) Pediatrics-CCLCM Skyler Kalady (12) Pediatrics-Metro Susan Carlin (13) *Pharmacology You-Wei Zhang (12) *Physical Med. & Rehab-Metro Richard Wilson (12) *Physiology and Biophysics William Schilling (13) Plastic Surgery-UHC Arun Gosain (13)

Approved Minutes 9/12/11 *Psychiatry-UHC Jeanne Lackamp (14) Psychiatry-Metro TBE *Radiation Oncology-UHC Janice Lyons (13) Radiology-UHC Dan Hsu (12) Radiology-CCLCM TBE Radiology-Metro Michael McNamara (13) *Reproductive Biology-UHC Sam Mesiano (13) Reproductive Biology-MH Sylvie Hauguel-de Mouzon (13) *Surgery-UHC Adnan Cobanoglu (13) Surgery-CCLCM TBE Surgery-Metro Bram Kaufman (12) Urology-UHC Sanjay Gupta (14)

II. At-Large Representatives Preclinical Jim Bruzik (14) *Maureen McEnery (12) *Wen-Quan Zou (12) *Robert Petersen (13) Richard Zigmond (13)

Clinical David Kaelber (12) Qing Yin Zheng (12) *Katherine Lee (14) *Sandy Werner (13) *Ronald Triolo (13)

Institutional Representatives

University Hospitals of Cleveland Veterans Administration MetroHealth Medical Center Cleveland Clinic Foundation

Non-Voting Members President Barbara Snyder Dean Pamela Davis Vice Dean for Educ & Acad Affrs Daniel Ornt CME Chair Keith Armitage Faculty Senator Nick Ziats Medical Student I TBE

Approved Minutes 9/12/11 Medical Student II TBE Medical Student III TBE MSTP Student Zachary Nevin

Steering Committee (One-year term of office) Jill Barnholtz-Sloan, chair Joseph Carter, past-chair Adnan Cobanaglu, chair-elect Maureen McEnery Michael McNamara Robert Petersen Richard Wilson Richard Zigmond

Dan Anker, Associate Dean for Faculty Affairs & Human Resources Preston Pugh, Secretary

*indicates those in attendance **indicates an excused absence

Approved Minutes 9/12/11