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PRESENTATION: JOHN A. BURNS SCHOOL OF MEDICINE (JABSOM)


Presented to the Mānoa Faculty Senate on April 20, 2005

 

JABSOM: Development and Adaptation Discussion 2005

  • Wm. Haning
  • Manoa Faculty Senate

  • Introduction to what we do
    • Scope - Undergraduate, Medical School, Graduate Programs, Residencies, CME, and PMEC
    • Range - where we do these things
    • Assets and instruments - faculty, resources
  • Long-term aims of the medical school
    • Depth of training
    • Effects on health
    • Breadth of training ( neighbor islands, Pacific, Asia)
    • Research infrastructure development and capitalization plan
  • Effects system-wide and on Manoa Campus (teaching assets, RTRF) of the
    • Move to Kakaako
    • Autonomy initiative recommended by Regents' Committee

Functions of the School

  • Scope - Undergraduate, Medical School, Graduate Programs, Residencies, CME, and PMEC
    • Medical Technology Program
    • Speech Pathology Program
    • Manoa undergraduate teaching
      • Physiology
      • Biochemistry
      • Tropical Medicine
    • Residencies (HRP)
      • Geriatric Medicine
      • Internal Medicine
      • Obstetrics-Gynecology
      • Orthopedics
      • Pathology
      • Pediatrics
      • Psychiatry
      • Surgery
    • CME -- Hawaii Consortium for Continuing Medical Education
    • PMEC (in development)

Functions of the School

  • Range - where we do these things
    • Geographically
      • Neighbor Islands
      • Asia, Pacific
    • Sites (Oahu)
      • Biomedical Sciences Building
      • Medical Education Building (Kaka'ako)
      • Hospitals: QMC, SFH, KFMC, KMC, Kuakini, Rehab, Leahi, TAMC, Spark Matsunaga DVAMC, HSH
      • Outpatient programs: Co-located with hospitals & free-standing

Functions of the School

  • Assets and instruments - faculty, resources
    • Research
      • CRC, Cancer Center Hawaii, ACTG, PARC, Hawaiian Mental Health, PBRI, intramural departmental sites and laboratories
    • Instructional & Administrative
      • Office of Medical Education
      • Graduate Division
      • Office of Graduate Affairs
        • CME, PMEC
        • Collaborations - CBA
      • Clinical Departments
      • Native Hawaiian Health
      • CAM

Long-term aims of the medical school

  • Depth of training
    • Subspecialty areas with need
      • Anesthesia
      • Cardiology
      • Gastroenterology
      • Pediatric Orthopedics
    • Specialty areas with proven expertise
      • Addiction Psychiatry/Medicine
      • Geriatrics
      • Forensics, Sports, others
  • Effects on health
  • Breadth of training ( neighbor islands, Pacific, Asia)
  • Research infrastructure development and capitalization plan

Effects of Change (Teaching Assets, RTRF)

  • Present state November 2004
  • Move to Kaka'ako
  • Autonomy initiative recommendation by Regents' Committee

Effects of Change (Teaching Assets, RTRF)

(millions dollars)
  2005 %
Income 112.9 100.0
Gen Op 23.0 20.4
RTRF 2.7 2.4
Contract/Grants 50.7 44.9
Other (endowment, UCERA, PH, HRP, etc) 36.5 32.3

Budget (additional data to be provided)

Effects of Change (Teaching Assets, RTRF)

  • Present state
    • Biomed pre- and post-flood
    • Income
      • Sources
      • Obligations
    • Expenses
  • Move to Kaka'ako
    • Access
    • Function
  • Autonomy initiative recommendation by Regents' Committee
    • Limited concurrence by JABSOM
    • Shape of the school

Effects of Change (cont.)

  • Autonomy initiative recommendation by Regents' Committee
    • "New unit" Systemwise SVP w/ CRCH, SoN, PBRC, JABSOM [no]
    • Health Sciences Council [yes]
    • Kaka'ako point of contact [qualified -- should be via SVP Research]
    • Entrepreneur-in-residence [maybe]
    • Single University Hospital [no]
    • Limitation to Centers of Research Excellence [qualified yes]
    • Independent study, Kaka'ako costs/revenues [no -- done]

Effects of Change (cont.)

  • Benefits of a separate health sciences college within the UH System
    • To UHM
    • To JABSOM
    • To citizenry
  • Drawbacks

Shape of the School

  • Medical school:
    • Extension of a validated PBL model into both pre-med and post-residency training (PMEC)
    • Service basis complemented by contractual relationships for training, research, and clinical services outside Hawai'i
    • Self-sustaining, revenue-generating
    • Mission conformity: To be the best medical school in the world with an Asian-Pacific focus.

Questions & Input