Challenges & Opportunities Medicine Faculty BMC- Tufts MC - - PowerPoint PPT Presentation

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Boston University | Medical Campus Boston University | Medical Campus

Medicine Faculty Karen Antman, M.D. Provost, Medical Campus Dean, School of Medicine

Boston University | Medical Campus

Challenges & Opportunities

• BMC- Tufts MC merger discussions
• Lost South Block Gym for students
• Next LCME review:

–2018 Self Study –2019 Site Visit

Boston University | Medical Campus

New leadership

10/1 Dr. Ron Coley, NEIDL Director 1/1

• Dr. Sandro Galea, SPH dean

1/1

• Dr. Scott Duncan, Orthopedics chair

Search Committees:

• Psychiatry search committee
• Cancer Center workshops

Boston University | Medical Campus

AAMC list similar to BUSM Committee on Faculty Affairs: Dr. Sandy Auerbach, Chair

BUSM CFA Issues:

• Stressors imposed by changes in funding for research, clinical

work and graduate education.

• Uncertainties about demands related to promotion.
• Work-life balance issues.

Best approaches include:

• Faculty development programs
• Grant preparation assistance
• Wellness programs
• Enhanced faculty communication.
• Enhanced collaboration of clinical, research & education arms
• f the institution.

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Boston University | Medical Campus

AAMC CFAS Top Ten issues

• Dr. Sandy Auerback, FAC Chair & BUSM delegate

1. Emphasis on faculty clinical productivity over research & teaching: effects on promotion & tenure 2. Effects of health system aggregation on role, value of academic faculty 3. Federal fiscal crisis impact on sustainable research agenda 4. Federal funding of residency positions, work force, & the GME cap 5. Resident education, work hours, quality metrics, & competencies 6. Innovations in education: teaching, learning, & content delivery 7. Work-life balance, life stress, & the 2 career family 8. Governance of tomorrow’s academic health centers: the need for & role of physician leaders – the value of leadership training 9. Mission balance and strategic planning for tomorrow’s medical schools – focusing on strengths rather than growth

• 10. Mentoring – more need than ever in the current environment

Boston University | Medical Campus

AAMC Faculty Forward Survey June 2014

Participation: 826 of 1,026 (76%) faculty who receive a BU paycheck

Boston University | Medical Campus

AAMC Faculty Forward Survey, June 2014 Cohort & Peer schools

George Washington Texas Tech U Rochester Georgia HSU Thomas Jefferson U South Florida Johns Hopkins U Mississippi UC Irvine Loyola U Missouri-Columbia UCLA Med College of Wisconsin U N Carolina (Chapel Hill) UMDNJ Michigan State U Nevada U Arizona Stanford U New Mexico U Arkansas SUNY Upstate U Oklahoma U Florida

Boston University | Medical Campus

Participation vs. Peers

BUSM Peers Cohort

All Faculty 76% 61% 62% Full-Time Part-Time 78 66 63 44 66 42 Basic Science Clinical 85 74 59 61 71 62 Men Women 77 75 59 62 62 65 Majority (White, Asian) Minority (other) 77 70 69 70 66 62

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Boston University | Medical Campus

Clinical Participation

ENT 12 12 100% Urology 6 6 100% Ophthalmology 27 25 93% Orthopaedics 11 10 91% Pediatrics 101 85 84% ObGyn 48 40 83% Radiology 36 29 81% Anesthesiology 25 20 80% Emergency Med 38 30 79% Family Medicine 56 43 77% Medicine 390 293 75% Surgery 42 29 69% Neurology 53 32 60% Neurosurgery 5 3 60% Pathology 37 21 57% Psychiatry 39 21 54% Dermatology 29 14 48%

Boston University | Medical Campus

Medicine Participation 293/390 = 75%

Other 14 14 100% Geriatrics 23 22 96% Rheumatology (Arthritis) 17 15 88% Computational Biomedicine 8 7 88% Renal 24 21 88% Gastroenterology 20 17 85% Pulmonary 37 31 84% Clinical Epi 6 5 83% Endocrinology 35 26 74% CVI 7 5 71% General IM 79 54 68% Heme Oncology 38 25 66% Cardiovascular Medicine 32 21 66% Infectious Disease 37 23 62% Biomedical Genetics 7 4 57% Preventive Medicine & Epidemiology 6 3 50%

Boston University | Medical Campus

Faculty Forward AAMC Survey Results The Positives Good participation Job clarity & meaning Peer interactions Collegiality Merit based promotions Relationship with supervisor

Boston University | Medical Campus

Faculty Forward AAMC Survey Results Areas for Improvement

• clarity of medical school’s mission
• support for culture of innovation
• usefulness & frequency of feedback
• promotion criteria
• pace of professional advancement
• faculty retention

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Boston University | Medical Campus

Satisfaction by Clinical Department School & Cohort: mean green = 74%

17% 12% 7% 11% 18% 23% 11% 20% 16% 11% 13% 15% 6% 3% 21% 13% 5% 8% 17% 4% 24% 26% 14% 6% 26% 9% 10% 12% 18% 20% 19% 10% 7% 13% 20% 75% 83% 84% 69% 63% 68% 71% 63% 91% 70% 72% 71% 67% 66% 85% 98% 71% 100% 75% 75% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Very Dissatisfied or Dissatisfied Neither Satisfied nor Dissatisfied Very Satisfied or Satisfied

Boston University | Medical Campus

Job Summary Score

Full Time Faculty: Top Two (% very satisfied & satisfied) Clinical Departments BU Cohort I am satisfied with my autonomy at work 78 78 My day-to-day activities give me a sense

• f accomplishment

79 81 My role here is clear to me 80 76 I am usually willing to give more than what is expected of me in my job 96 95

Boston University | Medical Campus

Medical School Mission

1: strongly disagree; 5: strongly agree Mean BUSM’s mission is clear Is accomplish- ing its mission stated values match actual values BUSM 3.66 3.65 3.61 Peers 3.75 3.74 3.59 Cohort 3.72 3.66 3.56

Boston University | Medical Campus

BUSM Mission

Voted by the faculty 9/10/09 BUSM is dedicated to the educational, intellectual, professional, & personal development of a diverse group of exceptional students, trainees, & faculty who are deeply committed to the study & to the practice of medicine, to biomedical research, & to the health

• f the public.

We, as a community, place great value on excellence, integrity, service, social justice, collegiality, equality of opportunity, and interdisciplinary collaboration.

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Boston University | Medical Campus

Vision

BUSM will provide international leadership in medical education, research, & patient care.

Boston University | Medical Campus

My priorities:

Quality of academic life BUSM should be:

• the best place to learn, teach & discover

(thus attention to learning & living space, cores & leadership development.)

• recognized for:

–innovation in education, care –urban & global health

Boston University | Medical Campus

Alan Alda Communicating Science Workshop

10/21/14

Alan Alda hosted PBS Scientific American Frontiers 1993-2005

Boston University | Medical Campus

Medical School Governance

Full Time Faculty: Top Two (% very satisfied & satisfied) Clin BU Cohort Lab BU Cohort sufficient deans office communication 33 43 46 42 good job explaining med school finances 26 27 24 28 reasonable deans office pace of decision making 38 40 44 40 faculty participation opportunities in med school governance 37 43 46 40 faculty can express opinions without fear of retribution 43 46 49 47

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Boston University | Medical Campus

Medical School culture fosters…

Full Time Faculty: Top Two (% very satisfied & satisfied) Clin BU Cohort Lab BU Cohort

teaching excellence 63 63 68 60 performance excellence 66 65 62 62 collegiality 77 70 64 73 diversity 80 71 69 66 innovation 59 60 53 58

Boston University | Medical Campus

I am satisfied with…

Full Time Faculty: Top Two (% very satisfied & satisfied) Clinical departments BU Cohort quality of my interactions with department colleagues 87 81 my fit (sense of belonging) in my: department 80 73 medical school 58 60 the intellectual vitality in my: department 76 70 medical school 65 64

Boston University | Medical Campus

My department colleagues …

Full Time Faculty: Top Two (% very satisfied & satisfied) Clinical Departments BU Cohort

Are respectful of my efforts to balance work and home responsibilities 79 72 Usually get along well together 87 81 I feel appreciated 79 74

Boston University | Medical Campus

Mentoring

Full Time Faculty: Top Two (% very satisfied & satisfied) Clinical departmets BU Cohort

I feel appreciated by my supervisor 74 72 My supervisor actively encourages my career development 66 66 I am satisfied with the quality of mentoring that I receive 84 78 The feedback I receive from my unit head is generally useful 74 78 I am satisfied with how frequently I receive feedback from my unit head 76 79

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Boston University | Medical Campus

Promotion criteria are applied equally…

Full Time Faculty: Top Two (% very satisfied & satisfied)

Clinical departments BU Cohort

to faculty across comparable positions 50 50 regardless of: gender 79 78 race/ethnicity 82 81 sexual orientation 85 82

Boston University | Medical Campus

I am satisfied with my…

Full Time Faculty: Top Two (% very satisfied & satisfied)

Clin BU Cohort Lab BU Cohort

Overall compensation 49 54 56 53 Incentive based compensation, e.g. bonuses 27 41 17 37 Health benefits 79 76 73 68 Retirement benefits 78 75 77 70 Overall benefits package 71 71 65 65

Boston University | Medical Campus

My department is successful in hiring faculty

Full Time Faculty: Top Two (% very satisfied & satisfied) Clinical departments BU Cohort

High quality

65 63

Women

82 81

Racial & ethnic minority

61 65

Boston University | Medical Campus

My department is successful in retaining faculty

Full Time Faculty: Top Two (% very satisfied & satisfied) Clinical departments BU Cohort

High quality

48 53

Women

69 72

Racial & ethnic minority

60 63

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Boston University | Medical Campus

What I must do to be promoted is clear to me…

Full Time Faculty: Top Two (% very satisfied & satisfied) Clinical departments BU Cohort

Teaching, Education 53 61 Research, Scholarship 69 65 Patient Care, Client Services 45 61 Administration, Institutional Service 40 50

Boston University | Medical Campus

% of total med school faculty at Professor Rank

Clinical, Research or Unmodified: AAMC 2013

% of women % of men HMS 5 16 Yale 8 22 Tufts 8 24 USC 8 25 Einstein 9 25 Dartmouth 9 28 BU 10 26 U Mass 13 23 Columbia 13 32 NYU 14 30 Brown 17 37

Boston University | Medical Campus

Mean Hours worked

Full Time Faculty: Top Two (% very satisfied & satisfied) BU Clin Peer Cohort BU Lab Pee r Cohort Teaching, Education 7.7 8.7 10.0 14.8 12.4 13.8 Research, Scholarship 14.9 16.4 13.8 31.3 35.4 33.4 Patient Care, Client Services 24.7 27.9 27.3

• Administration, Institutional

Service 8.5 9.0 9.3 8.2 9.9 9.4 Total Hours 55.9 62.0 60.4 54.3 58.2 56.8

Boston University | Medical Campus

Mean Hours Worked per Week

Men Women BU 55.6 52.6 Peers 58.4 53.7 Cohort 57.3 53.5

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Boston University | Medical Campus

Faculty Forward AAMC Survey Results The Positives Good participation Job clarity & meaning Peer interactions Collegiality Merit based promotions Relationship with supervisor

Boston University | Medical Campus

Faculty Forward AAMC Survey Results Areas for Improvement

• clarity of medical school’s mission
• support for culture of innovation
• usefulness & frequency of feedback
• promotion criteria
• pace of professional advancement
• faculty retention

Boston University | Medical Campus

Questions?