USD Sanford School of Medicine Mary Nettleman, MD, MS, MACP
What does SSOM do? • High quality medical education • Focused on South Dakota • Keeping top talent in South Dakota • Providing physicians for your community ___________________________ • We couldn’t do it without you!
Demand for physicians continues to grow faster than supply • Shortfall of 46,000 to 90,000 by 2025 – About 1/3 in primary care • Lower range assumes increased reliance on advanced practice clinicians Complexities of Physician Supplly and Demand Projections 2013- 2025. AAMC 2015
• Providing physicians for your community
Fulfilling the Mission Top in the nation for the proportion of graduates ultimately practicing in a rural area 91 st percentile for the proportion of students entering a Family Medicine residency 98 th percentile for proportion of graduates who are Native American MMT 2015 AAMC
• 41% of graduates ultimately practice in South Dakota (2000-2004)
Percent of Graduating Class Planning to Practice in SD 70% 65% 60% 55% 50% 45% 40% 35% 30% 2010 2011 2012 2013 2014
How do our recent graduates judge us? • Quality of clerkships is high – 94 th percentile OB Gyn – 91 st percentile Family Medicine – 88 th percentile General Surgery – 74 th percentile Psychiatry • Trained with other health professions – 92 nd percentile • 93% agree/strongly agree that they are satisfied with quality of medical education MMT 2015 AAMC
Cost of Attendance is Low • 26 th percentile for in-state cost of attendance • Average student debt is $138,000 MMT 2015 AAMC
Recent Scholarships through SDSMA and Alliance • SDSMA is a key supporter of students through scholarships and foundation support • SDSMA Alliance provides important scholarship funds, giving students a much needed boost. • SDSMA districts endowed scholarships through the SDSMA matching campaign: Sioux Falls, Black Hills, Pierre, Yankton. • Past Presidents Scholarship
Entering Class Fall 2015 Initial Profile 3/28/15 • 67 MD students, 1 INMED • 39 male (57%) • Median GPA: 3.85 • MCAT Median: 31 • Nine are 26 years of age or older • 59 first-time applicants, 7 are 2 nd , 2 are 3+
Preliminary Profile Fall 2015 • 43% have strong roots in a town of <10,000 • 87% had sustained volunteerism
Preliminary: Class entering Fall 2015 Augustana USD BHSU Presentation Mines SDSU Also 2 Creighton, 3 UNL, 1 UND, 1MT, 2 Drake, 1 Grinnell, 2 St. Johns, 1 USAF Acad, and some others
Sample Test Question 1978 What of the following occurs earliest in the Krebs Cycle? a) Oxidation of alpha-ketoglutaric acid b) Acetyl CoA combines with oxaloacetic acid c) CO2 is split off of isocitric acide d) Fumaric acid becomes malic acid
Sample question 2015 While participating in the Scholarship Pathways program you find yourself working at an outdoor clinic in a third world country. Here you meet a mother who has brought an infant with cholera and a life-threatening diarrhea. To combat this you order that the child be given an oral glucose and electrolyte solution. What is the pathophysiological basis of the problem that you are trying to reverse by this treatment? a) Increased cAMP-dependent Cl- secretion b) Bacterial toxins stimulating the calcium-calmodulin pathway in smooth muscle c) Decreased Na+/K+-ATPase activity d) Loss of intestinal mucosa caused by bacterial toxin-induced epithelial cell death e) Fecal blood loss
Pillar 2 • Pillar 2 is the Clinical Foundations pillar – 12 months – Referred to as the Longitudinal Integrated Clerkship (LIC) – Includes inpatient ‘mini - blocks’
Pillar 2: 1 st round • 1 st students completed Pillar 2 in June 2014 • Took step 2 USMLE in summer/fall • Did extremely well
Step 2 CK scores 250 240 230 220 210 200 190 180 170 Campus #1 Campus #2 Campus #3 All
Frontier and Rural Medicine F.A.R.M. • Students in program have nine months of clinical experience in a rural community • Milbank, Mobridge, Parkston, Platte, Winner • 6 students per year, started July
New FARM sites • 3 new FARM sites added • Vermillion, Spearfish, Pierre • Plan minimum of 8 students in 8 sites each year by 1/17
Pillar 3: Advanced Medicine • Deliberate revisiting of basic science tailored to clinical experience and discovery • Deliberate revisiting of population science, hospital operations • Some required rotations • Room for electives and research
Match 2015 • 53 students – 12 in SD residencies • 22 in primary care • 10 surgery/surgery preliminary • 4 ObGyn • 4 ER • 3 Anesthesia • 1-2 each: Neuro, Ortho, Path, Psych, Rads
Match 2015 • Nationally, about 450 medical students never found a residency slot • Reasons are – 1) academic difficulties – 2) failure of strategy • We have had a 96% to 100% placement rate for our students and this year was in that range
Providing physicians for your community • Thank you! • We couldn’t do it without you!
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