Department of Medicine

STATE OF THE DEPARTMENT OF MEDICINE JUNE 18TH, 2014

The Academic Year that Was (2013-2014) Implementation of Recommendations of Strategic Task Force Plan

Challenges Identified by Task Force • The department has outstanding institutions and faculty, but the “whole is less than the sum of its parts” • There is a lack of a cohesive vision as a department • There is evidence of decline in the quality and competiveness of the GME education programs • There is a lack of a research strategy that synergizes across divisions • There is no departmental clinical strategy that facilitates the efforts to address healthcare reform

Recommendation to Reorganize Structure to Improve Function

Steven B. Abramson, MD Chair, Department of Medicine

David Stern, MD Mark B. Pochapin, Katherine MD Wesnousky Vice Chair, Education/Faculty Vice Chair, Administrator/Chief Affairs Clinical of Staff Patrick M. Cocks, Doug Bails, MD MD Chief of Medicine, Associate Chair, Bellevue GME Michael LoCurcio, MD Associate Chair, UME TBD Associate Chair, CME

Martin Kahn, MD Associate Chair, Academic Affairs TBD Associate Chair, Mentoring

David T. Stern, MD Chief of Medicine, VA

Fritz Francois, MD Chief of Medicine, Tisch Michael H. Perskin, MD Associate Chair Ambulatory Katherine Hochman, MD Associate Chair, Quality

Glenn I. Fishman, MD Vice Chair, Research

Division Chiefs

Glenn I. Fishman, MD Dir., Cardiology

Joel D. Ernst, MD, Int Dir., I.D. & Immunology

Ira Goldberg, MD Dir., Endocrinology

Davd M. Oshinsky, MD Dir., Med. Humanities

Mark B. Pochapin, MD Gastroenterology

Edward Y. Skolnik, MD Dir., Nephrology

Sondra R. Zabar, MD Interim, Dir., GIM

William N. Rom, MD Dir., Pulmonary

Caroline S. Blaum, MD Dir., Geriatrics

Jill Buyon, MD Dir., Rheumatology

Howard A. Fine, MD Dir., Hem./Medical Onc.

Bruce N. Cronstein, MD Dir., Translational Med.

Recommendation: Promote One Clinical Faculty • Begin with fundamental respect for colleagues across institutions and practices • Strategic growth of Academic Divisions – Targeted world-class programs in specialized areas

• Responding to the external threats • Share best practices across teaching hospitals

One Faculty: Tri-institutional Council

New Division Directors

Dr. Jill Buyon Rheumatology

Dr. Ira Goldberg Endocrinology, Diabetes and Metabolism

New Associate Directors (Divisions Clinical)

Dr. Steven Hodak Dr. Michael Philips Endocrinology, Diabetes and Infectious Diseases and Immunology Metabolism

New Associate Directors Medicine Quality First

Dr. Laura Evans Bellevue

Dr. Katherine Hochman Tisch Hospital

Department of Medicine Administrative Leadership

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Thank You…

Dr. Ann Danoff Contributions as Director, Division of Endocrinology, Diabetes and Metabolism

Dr. Iven Young Contributions as Firm Chief

MEDICAL EDUCATION

Trends in Specialty Matching PGY-1 Students Matched to Internal Medicine 2004-2013

SHOW DATA FROM 2014

Departments that have 5 or more direct contact hours with UME students

DEPARTMENT 1 Medicine

UME Effort Hrs▼

11938

2 Cell Biology

6242

3 Emergency Medicine

4316

4 Pediatrics

4025

5 EFAA

2583

6 Radiology

1512

7 Pathology

1199

8 Obstetrics and Gynecology

947

9 Microbiology

932

10 Psychiatry

516

11 Biochemistry and Molecular Pharmacology

500

12 Population Health

485

13 NYU Cancer Institute

374

14 Physiology and Neuroscience

338

15 Skirball Institute

296

16 Hospital Operations

294

17 Dermatology

214

18 Neurology

150

19 Neurosurgery

92

20 Surgery

70

21 Neuroscience Institute

62

22 Child and Adolescent Psychiatry

57

23 Anesthesiology

26

24 Orthopedic Surgery

26

25 Rehabilitation Medicine

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Medical Student Education Michael LoCurcio Acting Internship Associate Chair, Education

Anthony Grieco Core Clerkship

Michael Tanner Ambulatory Care

Norma Keller Critical Care

Pamela Rosenthal CFM

Medical Student Education Firm Chiefs:

ANTHONY GRIECO

MICHAEL BRABECK

ELIZABETH WEINSHEL

DOREEN ADDRIZZO-HARRIS

MARTIN KAHN

JEROME LOWENSTEIN

MITCHELL CHARAP

RUTH ORATZ

IVEN YOUNG

*Dr. Paru Patrawalla

2013-2014 Residency Program Directors

Patrick Cocks

Louis Miller

Program Director

Senior Associate Program Director Assessment and Evaluation

Associate Program Directors Restructuring

Mary Fishman

Barbara Porter

Jennifer Rockfeld

FGP Outpatient Experience

Outpatient Experience

Quality Improvement and Patient Safety

Amit Uppal

Neil Shapiro

Margaret Horlick

Critical Care Experience

Inpatient Experience

Curriculum

Directors: Primary Care Residency Program

Sondra Zabar

Jennifer Adams

Mack Lipkin

Kathleen Hanley

Richard Greene

2013-2014 Chief Residents

Pavan Bhatraju Inpatient

Brian Greet

Matthew Ingham

Rani Nandiwada

VA Outpatient

VA: QI & Safety

Inpatient

Brandon Oberweis

Laura Van Metre

Alexander Volodarskiy

Matthew Vorsanger

Pascale White

Senior Chief

Primary Care

Inpatient

Inpatient

BH Outpatient

2014 -2015 Chief Residents

Mark Adelman

Josh Denson

Karen Kan

Andrew Levy

Inpatient

Inpatient

Inpatient

Senior Chief

Sarah MacArthur

Robert Mocharla

Jack Naggar

VA: QI & Safety

VA Outpatient

BH Outpatient

Greg Schrank Inpatient

Jessica Taft Primary Care

RESEARCH

Goals: Research Getting Divisions to the Top Ten • Valorize the Division Directors to develop strategic vision for translational research • Recruit four Division Directors, national leaders with clinical vision and translational research bona fides • Promote collaborative grants (RFP PPG) • Develop integrated clinical practice space that promotes clinical research (e.g., CMC, Cancer Center) • Nurture and support junior investigators (Saperstein, Colton, Farber, Fast-tracking, PSTP, Hirschl, other)

Millions

Department of Medicine is the Leader in Research Funding $80

Medicine $68M

$70 $60 $50 $40 $30 $20 $10 $0

Pop Health $29M

Skirball $22M

CLINICAL AND TRANSLATIONAL MEDICINE PROGRAMS Center for Musculoskeletal Care

Center for Diabetes and Metabolic Care

Center for Cardiovascular Care

Cancer Center Institute

Existing

(Dr. Steven Hodak)

In progress

Existing

Recruitment of additional disease-based clinicians & clinician-investigators (6-8) Integrated with NYULMC Clinical Research Unit/Health Outcomes & Population Science/CTSI/CHIBI (6-8)

Immunity & Inflammation Auto-Immunity Inflammatory Bowel Disease Infectious Diseases/Microbiome Asthma

Metabolomics Diabetes Obesity Metabolic Disorders

Cardiovascular Disease

Precision Medicine

Vascular Disease Structural Heart Disease Arrhythmias Heart Failure

Genetic Basis of Disease Targeted Therapeutics

THE NAMED CENTER FOR MOLECULAR MEDICINE Rheum, ID, GI Expansion

Endocrine Division Director

CV, Renal Expansion

Precision Medicine Program Director

Associate Prof (4-6)

Associate Prof

Associate Profs (2)

Associate Prof

Assistant Profs (4-6)

Assistant Profs (2)

Assistant Profs (4)

Assistant Prof (2)

Berger, Buyon, Chen, Cho, Cronstein, Delmar, Ernst, Fisher, Fishman, Gardner, Maass, Moore, Mor, Morley, Philips J, Philips M, Ramasamy, Reibman, Schmidt, Shopsin, Silverman, Skolnik

Integrated with I-CUBED / PATHOLOGY / CELL BIOLOGY / CANCER CENTER / NEUROSCIENCE

Katy Wesnousky Department Administrator

Glenn Fishman Vice Chair Research

Yelena Sionova Director, Research Administration Phil Himmelstein Finance Manager Clinical Trials Coordinators

Grants Manager – Translational/ DGIM

Financial Analyst Endo/Nephrology/ Translational/ DGIM

Grants ManagerPulmonary

Grants ManagerRheumatology

Financial Analyst Pulmonary/Infectious Disease/Gastroenterology

Grants ManagerCardiology

Grants ManagerEndocrinology

Financial Analyst Geriatrics/Humanities/ Rheumatology

Grants ManagerInfectious Disease

Financial Analyst Cardiology

Grants ManagerGeriatrics/GI/ Medical Humanities

Department of Medicine Creating a Pathway for Success for Young Investigators Timeline 0

1

2

Clinical Fellowship Training

3

4

5

6

7

Intensive Research Training (Asst in Service or Instructor)

8

9

10

11

Assistant Professor (CIE or ICE)

NIH K Awards

T32 training grants KL2 grants Foundations Philanthropy Physician-Scientist Training Program (SoM) Physician-Scientist Development Program (DoM)

PSDP Program Details (work in progress) 80% Protected Research Time Salary Support: Shared by Department, Division and other Sources Modest Project Support Nominations by Division Directors and Program Directors Selection Committtee of Physician-Investigators Anticipate ~ 3/year (Funded by Coltons, Sapersteins, new philanthropy)

NIH R awards Weissmann Scholars (within 6 yrs)

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MEDICINERESEARCH DISCOVERY THROUGH COLLABORATION

2014 DEPARTMENT OF MEDICINE RESEARCH DAY MAY 14, 2014 / 7:45 AM - 6:00 PM ALUMNI HALL B / NYU LANGONE MEDICAL CENTER 550 FIRST AVE / NEW YORK, NY 10016 MORNING PROGRAM

AFTERNOON PROGRAM

7:30 AM

12:10 PM

Continental Breakfast - Outside Farkas Hall

Posters Session II and Lunch

Research Day & Awards Dinner

Presentation Title

30

Medicine@NYULMC Co-editors:

David Oshinsky, PhD

Stacy Bodziak

Editorial Board: Steven Abramson, MD Doug Bails, MD Lucy Bruell Bruce Cronstein, MD Laura Evans, MD Carl Glenn Lisa Greiner Anthony Grieco, MD Kathy Hochman, MD Jonathan LaPook, MD Michael LoCurcio, MD Donna Marino Mark Pochapin, MD Harmony Reynolds, MD Neil Shapiro, MD Alex Sherman, MD Katy Wesnousky Jessica Wilson

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Medicine@NYULMC Spotlight Videos

Presentation Title

33

Donna Marino

Department of Medicine Philanthropy FY’14 YTD (Thru June 16th) Division Rheumatology

$10,818,835

Endocrinology

$7,666,667

Translational Medicine

$1,383,333

Cardiology

$1,245,585

General Internal Medicine

$981,976

Geriatrics

$498,100

All Other Total Department of Medicine

$1,492,450 $24,086,946

Promotions

First Annual Appointments & Promotions Reception

Presentation Title

37

Appointments and Promotions • Division of Cardiology Sripal Bangalore, MD, Associate Professor of Medicine Howard Weintraub, MD, Clinical Professor of Medicine • Division of Gastroenterology Fritz Francois, MD, Associate Professor of Medicine Jonathan D. LaPook, MD, Mebane Professor of ` Gastroenterology and Professor of Population Health • Division of General Internal Medicine Douglas B. Bails, MD, Clinical Associate Professor of Medicine Michael LoCurcio, MD, Associate Professor of Medicine Marc M. Triola, MD, Associate Professor of Medicine

38

Appointments and Promotions • Division of Hematology & Oncology Lawrence P. Leichman, MD, Professor of Medicine Yelena Novik, MD, Associate Professor of Medicine Ruth Oratz, MD, Clinical Professor of Medicine • Division of Infectious Diseases Melanie Maslow, MD, Professor of Medicine • Division of Pulmonary & Critical Care Laura E. Evans, MD, Associate Professor David L. Kamelhar, MD, Clinical Professor • Division of Rheumatology Brian D. Golden, MD, Clinical Associate Professor Sara B. Kramer, MD, Clinical Associate Professor Paula Rackoff MD, , Clinical Associate Professor 39

Major Awards and Appointments Laura Evans, MD, was named Bellevue's "Physician of the Year" at the annual New York City Health and Hospitals Corporation (HHC) Doctors’ Day Celebration. Martin J. Blaser, MD, was honored as the 2014 recipient of the NIH Clinical Center's Distinguished Clinical Research Scholar and Educator in Residence.

David S. Goldfarb, MD, received the 2014 Distinguished Teacher Award in the Basic Sciences at NYU School of Medicine. William N. Rom, MD, received the 2014 Distinguished Achievement Award from the American Thoracic Society

Harmony Reynolds, MD, named Saul j. Farber Assistant Professor Edward A. Fisher, MD, delivered the George Lyman Duff Memorial Lecture at the last annual scientific sessions conference of the American Heart Association Presentation Title Goes Here

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Major Awards and Appointments Norman B. Javitt, MD, PhD received the American Physiological Society’s History of Physiology Group 2014 Recognition Award Bruce N. Cronstein, MD, received the 2013 Arthritis Foundation Lee C. Howley Sr. Prize for Research in Arthritis.

Barry Rosenzweig, MD, has been appointed Assistant Dean for GME. Neil Shapiro MD Clinical Correlations published an article celebrating our 1000th article published and won a Silver Award from the American Society of Healthcare Publication Editors Rochelle (and Kurt) Hirschhorn MD awarded the 2013 Victor A. McKusick Leadership Award by American Society of Human Genetics Presentation Title Goes Here

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Department of Medicine Goals for 2014-2015

Clinical 1. Continue to promote One Faculty across institutions and practices – –

Clinical Tri-institutional leadership group Improve communication with Monthly Newsletter: Medicine@NYULMC

2. Develop New Centers for Clinical and Translational Research – – – – – –

Diabetes and Endocrine Autoimmunity Liver Disease, IBD, Advanced endoscopy Pulmonary Hypertension Asthma, Lung cancer LVAD/CHF, Arrhythmia, Interventional Cardiology

3. Promote Strength, Growth and Reputation of Clinical Practices

Research 1. Leadership Role of Division Directors: (Recruitment, NIH grants, faculty development, mentoring, etc) 2. Implement a strategic translational research plan that enables collective success of divisions 3. Committee on Research Collaboration – – – –

RFP ($25K X 4) Promote inter-divisional/departmental collaboration Develop collaborative NIH submissions of grants >$350K (RO1, PPG/Center, Co-PD/PI) Promote joint recruits with basic science departments (Cell Bio, Pathology, Genetics, Pop Health) – Promote collaborative opportunities for young scientists

Education and Academic Affairs 1. Focus on faculty leadership development 2. Increase mentoring of faculty (Mentoring “champion”, programs) 3. G21: Re-engineer GME programs – – – – – –

Implementation of CLER/NAS (B. Rosenzweig, Lou Miller) Compliance with RRC (ICU, ambulatory) Develop tracks for PC/IM, Research, Hospitalists, Specialists Technological innovation (iPads, handheld ultrasound, education data warehouse) Develop innovative models for GME financing for ambulatory training Develop competency based pathways to “graduation” of residents and fellows

Next Steps “In real life, strategy is actually very straightforward. You pick a general direction and implement like hell." ― Jack Welch Chair and CEO General Electric

In real life… Our successes flow from the talent and commitment of our physicians, scientists and staff. Thank you all for your many contributions to the missions of this great department!