27/09/2011 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 • 1.3 Million Patient Contacts • 37 Clinic Locations • Over 4,000 International • 4 Fitness Centers Patients • 180-Room Hotel • $2 Billion Net Revenue • 850 Employed Physicians • 13000 Employees 1 27/09/2011 Ochsner Health System Footprint Denham Springs Hamm Heart-Vasc Covington Abita Springs Hammond MidCity OMC - Baton Rouge Bluebonnet Mandeville Slidell Prairieville OCHC - Slidell OHC - Kenner OMC - Kenner OCHC - Metairie Lake Vista Metairie Destrehan Ochsner Medical Center Elmwood OHC - Algiers OB Baptist Algiers Uptown OMC - West Bank Lapalco St. Anne Ochsner Strategic Direction Our Mission We Serve, Heal, Lead, Educate and Innovate. Ochsner will be a global medical and academic leader who will save and change lives. We will shape the future of healthcare through our Our Vision integrated health system, fueled by the passion and strength of our diversified team of physicians and employees. Our Imperatives (6) People: Best Group Practice Strategic Programs (18) Our most valuable Energized Workforce Change Kids, Change the Future Community: Quality: asset.. Best Company for Leaders Industry Thought Leader Serving the Error-free greater care that’s Community Alliances Highly Reliable Care need. affordable. LEAN Collaborative Research Academics: Loyalty: New Models of Care Delivery Future Clinicians National leader Patients, with global families & Accessibility for Patients Stability: Retail Services Impact. physicians. Financially Service Excellence Margin Optimization sustainable Hospital & Physician Networks Adequate Reserves and growing. Service Lines Technology Customer Research Educ/Dev (OLI) Corporate Svcs Strategic Tools Lean/ CAP / WO Analytics Op Cycle Governance 2 27/09/2011 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 3 27/09/2011 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 4 27/09/2011 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 5 27/09/2011 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 Internationalisation • 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 6 27/09/2011 MBBS program • 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 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 7 27/09/2011 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 . The Timeline • 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 8 27/09/2011 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 9 27/09/2011 10 27/09/2011 The Future • In the midst of recruiting our 2012 class of 80 students • Establishing research partnerships between Ochsner and UQ SOM, Centers, and Institutes UQ-SOM Research Collaborations with Ochsner Clinical School Projects In Early Discussion Domestic Individual Centre / Section Ochsner Individual Area Dr. Marie Krousel-Wood, Claire Jackson CPHCR Healthcare delivery system Director, Center for Health Research Gerard Byrne PCNRC Dr David Galarneau Psychiatrist involved in teaching Dr. Marie Krousel-Wood, Peter Davies CNRC Childhood Obesity Director, Center for Health Research Peter Davies CNRC Avery Corenswet Childhood Obesity Ian Yang Thoracic RC Dr. Leo Seoane Dr Leonardo Seoane, Dr Seoane and I agreed that we Jenny Moffatt Rural CSRC Co-Director, Lung Transplantation would like to collaborate on the Pulmonary/Critical Care Medicine student evaluations at a later stage. Glenda Gobe CKDR "a nephrologist" David Johnson Dr Cynthia Semlear Avery, Retrospective study, based on chart Jenny Moffatt Rural CSRC Nephrology Research Centre review Dr. Marie Krousel-Wood, Chronic disease, possibly Jenny Moffatt Rural CSRC Director, Center for Health Research diabetes/renal Centre for Medical Professors Jill Assessment of teaching practices of Education Dr. Veronica Gillispie Thistlethwaite & intimate examinations; comparison Research and Obstetrics & Gynecology Vivienne O'Connor of pap smear procedures Scholarship 22 11 27/09/2011 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 . 12 .