UICOMP: Accomplishments and Challenges

1. UICOMP: Accomplishments and Challenges University Student Medical Council February 9th 2013

2. Outline Accomplishments JUMP Simulation Center Student Learning Enhancement Program Rager Clinical Skills Lab GME: Cardiology Fellowship Curriculum USMLE Longitudinal Prep Student Research Day Team Based Learning and Teaching Clinical Education Comprehensive Longitudinal Career Planning and Counseling Assessment Computerized testing Customized Exam Subinternship OSCE Challenges

3. Jump Simulation Center

4. A $25 million joint gift to UICOMP and OSF HealthCare resulted in the Jump Trading Simulation and Education Center (Jump). When complete in April 2013, more than 60,000 square feet will be devoted to simulation education.

5. FIRST FLOOR PLAN 5

6. SECOND FLOOR PLAN - BUILDING

7. Jump will be a training ground, testing how medical students, physician residents and practicing clinicians interact with patients. Shown here, a medical student learns how to establish a central line.

8. Jump will incorporate all the vital aspects of a virtual hospital, including a simulation Intensive Care Unit, a virtual Operating Room, a simulation hospital ward and a virtual reality lab, utilizing actual hospital equipment.

9. Jump also will include a regional transport area to simulate patient transfers from an apartment studio and ambulance, as seen in this computer-generated image.

10. The tiniest, most medically fragile of all patients are cared for with state-of-the-art technology and equipment and an exceptional care team. Care for such a patient requires well-choreographed movements, which can be simulated in Jump.

11. Student Learning Enhancement Program – Phase II • Phase I • 3 more study rooms for students • Video conferencing ability

12. Rager Clinical Skills Lab • Update and Repurposing the Rager Lab • Emphasis on physical diagnosis • Small Group discussions and Self Learning

13. GME • Cardiology Fellowship • First cohort of fellows start in July 2013 • First of the many fellowships planned here in Peoria

14. UICOMP completed a nearly $13 million addition in December of 2011 with the Cancer Research Center.

15. The 24,000 square foot Cancer Research Center and its state-of-the-art lab facilities is designed for future expansion and additional researchers.

16. The Cancer Research Center expansion project was a public-private effort supported by national, state and local stakeholders.

17. Curriculum • USMLE Longitudinal Prep: • Student Feedback • Leadership provided by M3/M4 students • USMLE World resource provided to students • Average: Monthly meetings with students regarding preparing and strategizing for USMLE step I

18. Student Research Curriculum • Student Research Day • Student interest to have more research opportunities • James Scholars Program • First Annual Student Research Day: April 19th 2013

19. Educational Methodologies • Team Based Learning • General Pathology • Infection and Immunity • Musculoskeletal • Neurology • Hematology & Reticuloendothelial • Endocrine • Case Based Discussions • Cardiovascular • Renal • Simulation • Cardiovascular • Pharmacology • Over 25 TBL modules have been integrated into the M2 curriculum

20. Clinical Education • Internal Medicine/Emergency Medicine Collaboration • M3 orientation (class of 2015) – Simulation Center

21. Comprehensive Longitudinal Career Planning and Counseling • Student Affairs • Career Planning • Longitudinal • Workshops, seminars, panel discussions • Faculty and students • One on one meetings with Deans

22. Assessments • Computerized testing • M2 Year • M3 Year ( all clerkships starting July 2013) • Customized NBME exam • February 2013 to all M2 students • Formative assessment to help with board prep • Subinternship OSCE • 7 station OSCE: preparing to be an intern

23. Challenges • Financing: Declining State Budget

24. UICOMP FY12 Revenue • State/tuition is 12% of total UICOMP budget • MSP (patient care) and Revolving (largely contracts for teaching support) make up 72% of the budget

25. UICOMP FY12Revenue Funding Sources (thousands) • Contracts with OSF generate 35% of Revenue • Patient care performed largely at OSF generates an additional 28% of revenue

26. UICOMP FY13 Expense Budget (in millions) • As expected, vast majority of expense is academic/staff salary and benefits

27. UICOMP FY13 Expenses by Services • Clinical Services provide • Patient exposure for students and residents • Service to citizens of Illinois • Margin to support medical student teaching and building maintenance

28. Campus fiscal picture over time • Revenues have exceeded expenses each of the last seven years. • During FY2012, eliminated the last deficit funds and currently no funds are in deficit status.

29. University of Illinois Impact on local healthcare • Over 20% of area physicians attended one of the four sites of the University of Illinois Chicago for Medical School. • Over 25% of area physicians did their residency in a UICOMP residency. • Over 60% of area primary care providers trained in a UICOMP residency. • Many additional talented physicians choose our region for practice due to the opportunity to work with the medical school.

30. Challenges • Changes in the healthcare system at both state (Medicaid enhanced payment to University/ PATLA) and national levels • Interdependent relationships with our affiliated hospitals need to be maintained and strengthened • Declining State Budget

31. Summarize • University of Illinois College of Medicine at Peoria • Significant enhancements to curriculum, resources and support of medical student education. • Enhancing excellence in education, increasing clinical productivity, developing strategic initiatives and keeping a positive margin – all at the same time • Continues to build the regional healthcare economy

32. Questions