University of Chicago Department of Medicine - The University of ...
University of Chicago Department of Medicine - The University of ...
University of Chicago Department of Medicine - The University of ...
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<strong>University</strong> <strong>of</strong> <strong>Chicago</strong><br />
<strong>Department</strong> <strong>of</strong> <strong>Medicine</strong>
RICH HISTORY OF DISCOVERY<br />
• Nobel Laureate Enrico Fermi and his<br />
colleagues conducted the first controlled,<br />
self-sustaining, nuclear chain reaction on<br />
Dec. 2, 1942, and initiated the modern<br />
nuclear age.<br />
• Nathaniel Kleitman identified REM sleep,<br />
the stage when most dreaming occurs.<br />
• Charles Huggins- Nobel Prize in <strong>Medicine</strong><br />
in 1966 for advancing cancer research with<br />
his studies on relationship between<br />
hormones and prostate cancer<br />
• Presidential Medal <strong>of</strong> Freedom, National<br />
Medal <strong>of</strong> Science winner Dr. Janet<br />
Davison Rowley discovered the first<br />
consistent chromosomal abnormalities<br />
linked to cancer, demonstrating that cancer<br />
is a genetic disease.
Subspecialty Section Chiefs<br />
Cardiology<br />
James Liao, MD,PhD<br />
GI, Hepatology & Nutrition<br />
Stephen Hanauer, MD *<br />
Infectious Dis. & Global<br />
Health- David Pitrak, MD<br />
Dermatology<br />
Christopher Shea, MD<br />
Genetic <strong>Medicine</strong><br />
Nancy Cox, PhD<br />
Nephrology<br />
Gary Toback, MD,PhD<br />
Emergency <strong>Medicine</strong><br />
Linda Druelinger, MD *<br />
Geriatrics & Palliative Care<br />
William Dale, MD,PhD<br />
Pulmonary/Critical Care<br />
Jesse Hall, MD*<br />
Endo, Diabetes & Metab<br />
Roy Weiss, MD,PhD*<br />
Hospital <strong>Medicine</strong><br />
David Meltzer, MD,PhD<br />
General Internal Med<br />
Deborah Burnet, MD *<br />
Hematology/Oncology<br />
Richard Schilsky, MD<br />
Rheumatology<br />
Marcus Clark, MD
Why come to <strong>University</strong> <strong>of</strong> <strong>Chicago</strong>?<br />
• Team Based Approach<br />
• Intellectual Curiosity<br />
• Extraordinary Research and<br />
Mentoring
Why come to <strong>University</strong> <strong>of</strong> <strong>Chicago</strong>?<br />
Team Based Approach<br />
• Learn and practice<br />
medicine combining<br />
compassion and science in<br />
an environment conducive<br />
to cure and discovery<br />
• Learn new skills and new<br />
technologies that will shape<br />
and impact your careers in<br />
medicine, as well as the<br />
discipline <strong>of</strong> medicine itself.
Why come to <strong>University</strong> <strong>of</strong> <strong>Chicago</strong>?<br />
Team Based Approach<br />
4+2 in July 2013<br />
• enhances inpatient team dynamics<br />
• improves ambulatory experience<br />
R1<br />
Gens Amb MICU Amb Gens Vac Mercy Amb H/O Amb CCU/Cards Vac Gens Amb Cards Amb H/O<br />
4 wks 2 wks 4 wks 2 wks 4 wks 2wks 4 wks 2wks 4 wks 2wks 2wks/2wks 2wks 4 wks 2wks 4 wks 2wks 4 wks
Center for Care & Discovery<br />
Opening February 2013<br />
•Designed for Multidisciplinary<br />
Rounding<br />
•Designed for multidisciplinary<br />
treatment<br />
•High tech imaging and OR’s<br />
•Adjacent to <strong>Medicine</strong>’s research<br />
programs
• 10-story<br />
Center for Care & Discovery<br />
• 1.2 million-square-foot building<br />
• 240 private inpatient/ICU beds<br />
• 21 state-<strong>of</strong>-the-art ORs<br />
• 12 rooms for GI, cardiac &<br />
pulmonary procedures<br />
• 7 interventional radiology suites<br />
• High-resolution MRI and CT<br />
• All telemetry beds
Why come to <strong>University</strong> <strong>of</strong> <strong>Chicago</strong>?<br />
Intellectual Curiosity<br />
• Innovative programs in:<br />
• Clinical Excellence<br />
• Bench & Translational Research<br />
• Clinical & Patient Oriented Research<br />
• Outcomes<br />
• Disparities Genetic/Genomics<br />
• Community Outreach & Global Health<br />
• Medical Ethics & Religion<br />
• Novel Programs<br />
• Clinical Excellence (Bucksbaum<br />
Institute)<br />
• Comprehensive Care for Physicians<br />
• CTSA
Why come to <strong>University</strong> <strong>of</strong> <strong>Chicago</strong>?<br />
Research & Mentoring
$ in thousands<br />
400<br />
350<br />
300<br />
250<br />
200<br />
150<br />
100<br />
NIH Funding Per Faculty<br />
Top 10 Medical Schools<br />
50<br />
0<br />
$391<br />
$328 $314<br />
$271 $261 $248 $245<br />
18 15 12 2 82<br />
7 8 14 3<br />
$234 $226 $223<br />
PSOM ranks #2 in NIH Funding/Faculty (last year #3)<br />
1<br />
2011 NIH Rank
Top Medical Schools (Midwest)<br />
NIH Funding / Faculty 2011<br />
U <strong>of</strong> <strong>Chicago</strong> $328.1 1<br />
Wash U $216.2 2<br />
U <strong>of</strong> Michigan $175.6 3<br />
U <strong>of</strong> Wisconsin $164.5 4<br />
U <strong>of</strong> Iowa $173.3 5<br />
Northwestern $142.4 6<br />
Medical College <strong>of</strong> Wisconsin $68.0 7<br />
Indiana U $64.1 8
Mentorship<br />
Helping you get the fellowship<br />
• 11 - Active T32’s/T35 Training Grants<br />
• 2- K12s (Oncology and Asthma)<br />
• 11 - F32s (Individual NRSAs)<br />
• 21- K08/K23s<br />
• DOM has 120 fellows in 12 programs<br />
• New & unique programs in Hem/Onc,<br />
Hospital <strong>Medicine</strong>, Bucksbaum.<br />
or job you want
Rich tradition in training multi generations <strong>of</strong><br />
scientists & leaders<br />
IBD Medical Education Critical Care <strong>Medicine</strong><br />
Joseph<br />
Kirsner,MD,PhD<br />
Stephen<br />
Hanauer ,MD<br />
David<br />
Rubin ,MD<br />
Arthur Rubenstein, MD<br />
Holly Humphrey, MD<br />
Vinny Arora, MD John McConville, MD<br />
Lawrence<br />
Wood, MD<br />
Jesse<br />
Hall, MD<br />
JP Kress, MD
INTERNAL MEDICINE<br />
RESIDENCY PROGRAM<br />
Kate Thompson, MD Intern Selection<br />
Chair<br />
John McConville, MD Program Director
1994-1997 U <strong>of</strong> C IM Residency<br />
1998 Chief Resident<br />
1999-2001 U <strong>of</strong> C pulm/cc fellowship<br />
2007-2011 PD pulm/cc fellowship<br />
2010 IM associate PD<br />
2011 IM PD
Academic Training In<br />
<strong>Medicine</strong><br />
• Immersion in State <strong>of</strong> the Art Clinical <strong>Medicine</strong><br />
• Formal Training in Academic <strong>Medicine</strong>
Core Values<br />
Team‐based structure<br />
Overnight call (still)<br />
House staff autonomy for clinical decision making<br />
Small‐medium sized program<br />
Devoted clinical faculty who are expert teachers<br />
Institution is devoid <strong>of</strong> hierarchy<br />
House staff drive programmatic change
Core Values<br />
Spring 2012 retreats identified new challenge:<br />
reduced time together for intern/resident<br />
Thought secondary to:<br />
overnight call<br />
2011 duty hours regulations<br />
continuity clinic
R1<br />
Clinical Curriculum<br />
Change to 4+2 system in July 2013<br />
4 week inpatient block followed by 2 week<br />
ambulatory block<br />
No clinic during 4 week block<br />
Categorical Intern<br />
Gens Amb MICU Geri Gens Vac Cards Amb H/O ER CCU Cards<br />
NF<br />
Vac Gens Consult Cards Amb H/O<br />
4 wks 2 wks 4 wks 2 wks 4 wks 2 wks 4 wks 2 wks 4 wks 2 wks 2 wks 2 wks 2 wks 4 wks 2 wks 4 wks<br />
2<br />
wks<br />
4 wks
Clinical Curriculum<br />
Change to 4+2 system in July 2013<br />
Enhances intern and resident interaction<br />
Devoted time solely for ambulatory medicine<br />
Eliminates continuity clinic during 4 week blocks<br />
Enables longitudinal ambulatory experience in<br />
sub‐specialty clinic<br />
Equalizes rotation length (14 or 28 days)
Clinical Curriculum<br />
Change to 4+2 system in July 2013<br />
90% <strong>of</strong> house staff voted in favor <strong>of</strong> 4+2
Notable Curricular<br />
Elements<br />
• CART Conference / Simulation<br />
• iPads<br />
• Global Scholars Program<br />
• Community Health<br />
• Teaching Curriculum<br />
• Mercy
State <strong>of</strong> the Art Clinical<br />
Training<br />
• Technology / Simulation<br />
– CART Training / Conference<br />
– CART Monitoring<br />
ECG<br />
Vents<br />
Comps<br />
ETCO2
• Technology<br />
State <strong>of</strong> the Art Clinical<br />
Training<br />
– iPad clinical applications<br />
– iPad education applications
Global Scholars<br />
<strong>University</strong> <strong>of</strong> <strong>Chicago</strong> Global Health Partners:<br />
• Universidad Andres Bello, Santiago, Chile<br />
• <strong>University</strong> <strong>of</strong> Cape Town, Cape Town, South Africa<br />
• Lagos State <strong>University</strong> Teaching Hospital, Ikeja, Nigeria<br />
• Sivananda Rehabilitation Home, Hyderabad, India<br />
• Kamuzu Central Hospital Skin Clinic, Lilongwe, Malawi<br />
• Wuhan <strong>University</strong>, Hubei Province, China<br />
• <strong>University</strong> <strong>of</strong> Ibadan, Ibadan, Nigeria<br />
• <strong>University</strong> <strong>of</strong> <strong>Chicago</strong> Research Facility, Dhaka, Bangladesh<br />
• SHARE-India, Hyderabad, India<br />
•Funding for Two House Staff each year<br />
•Masters <strong>of</strong> Health Studies with Global<br />
Health Emphasis planned
Community Health<br />
Englewood Clinic<br />
• Largest free clinic in Illinois<br />
• 100% uninsured patients<br />
• New site in Englewood<br />
• 15 <strong>Medicine</strong> Residents/ UC faculty<br />
• 100% <strong>of</strong> continuity clinic<br />
experience<br />
2.5 Miles
PSA: 8 <strong>of</strong> 10<br />
8 <strong>of</strong> <strong>Chicago</strong>’s 10<br />
lowest income<br />
communities are<br />
in UCH’s primary<br />
service area.<br />
8 <strong>of</strong> the 10 Poorest Neighborhoods<br />
At least 33% below the citywide average<br />
H
Teaching Curriculum<br />
Student Teaching<br />
Ward supervision and teaching (MS3&4)<br />
Clinical Skills Courses (MS1&2)<br />
History taking<br />
Physical Diagnosis<br />
Resident Teaching<br />
Morning report presentations<br />
Ambulatory presentations<br />
Formal Didactics on Teaching<br />
At each orientation (annually)<br />
Intern Retreat<br />
Residents as Teachers Lectures<br />
and Curriculum<br />
Outcomes:<br />
<strong>Chicago</strong> Program Directors<br />
Cook County Hospital<br />
Loyola <strong>University</strong><br />
<strong>University</strong> <strong>of</strong> <strong>Chicago</strong><br />
<strong>University</strong> <strong>of</strong> Illinois (M/P)<br />
CR placement (each year)<br />
UCMC(4)<br />
CCH(1-2)<br />
MacNeal (1)<br />
Mercy (1)<br />
Christ Hospital (1)
UC at Mercy Hospital<br />
• Started July 1, 2009<br />
• Complete UC Internal <strong>Medicine</strong><br />
team:<br />
– Attending<br />
– Resident<br />
– Intern<br />
– Student<br />
• Community / Secondary care<br />
• Diverse patient population:<br />
– Pilsen<br />
– Chinatown<br />
– Bronzeville<br />
– Oakland<br />
MERCY HOSPITAL
Program Strengths<br />
• Scholarship<br />
• Fellowship Match<br />
• Small Program<br />
• Classic Training<br />
• Full Time, Academic Faculty<br />
• South Side <strong>of</strong> <strong>Chicago</strong>
Scholarship:<br />
Activity by Graduating Class<br />
100<br />
90<br />
80<br />
70<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
0<br />
2005 2007 2009 2011<br />
Research<br />
Research<br />
w/product
Cardiology<br />
2007-2012 Match Results<br />
Allergy/Immunology<br />
• Mass Gen<br />
• UC - Denver<br />
• Brigham & Women's<br />
• BI Deaconess<br />
• Brown<br />
• Cleveland Clinics (4)<br />
• Cornell (3)<br />
• Duke (2)<br />
• Emory<br />
• Loyola (4)<br />
• NYU<br />
• Tufts (2)<br />
• U <strong>of</strong> C (12)<br />
• U <strong>of</strong> Colorado<br />
• UC San Diego (2)<br />
• U Michigan<br />
• U Minnesota<br />
• U Penn<br />
• U Pittsburgh (2)<br />
• UT Southwestern<br />
• Vanderbilt<br />
• U Wisconsin<br />
• Yale<br />
Endocrinology<br />
• Johns Hopkins<br />
• U <strong>of</strong> C (4)<br />
Gastroenterology<br />
• Brigham & Women's (3)<br />
• Duke<br />
• Loyola<br />
• Mt. Sinai<br />
• Rush (3)<br />
• Tufts<br />
• U <strong>of</strong> C (9)<br />
• UNC<br />
• UT Southwestern (3)<br />
• Vanderbilt<br />
• WashU<br />
Geriatrics<br />
• U <strong>of</strong> C (3)<br />
• U Alabama<br />
Hematology/Oncology<br />
• Cleveland Clinics<br />
• Johns Hopkins<br />
• Loyola<br />
• MD-Anderson<br />
• Northwestern<br />
• Sloan-Kettering (7)<br />
• Stanford (4)<br />
• U <strong>of</strong> C (10)<br />
Palliative Care<br />
• MGH (2)<br />
• NIH<br />
Infectious Diseases<br />
• Beth Israel Deaconess<br />
• Columbia<br />
• Stanford<br />
• U <strong>of</strong> C (7)<br />
• UCSF<br />
• U Minnesota<br />
General <strong>Medicine</strong><br />
• Mount Sinai<br />
• Northwestern<br />
• U <strong>of</strong> C (4)<br />
• Harvard<br />
Nephrology<br />
• Northwestern (2)<br />
• UAlabama<br />
• UC San Francisco<br />
Pulmonary/CC<br />
• Duke<br />
• Harvard<br />
• Johns Hopkins<br />
• U Michigan<br />
• Mt Sinai (2)<br />
• Northwestern (3)<br />
• UCSF<br />
• U <strong>of</strong> C (10)<br />
• U <strong>of</strong> Colorado<br />
• U <strong>of</strong> Penn<br />
• U Washington
Small, Personal<br />
Program<br />
• 32 Categorical Interns<br />
• Safe-Ride program<br />
• Ticket fund
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