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University of Connecticut School of Medicine Faculty Forum Meeting ...

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<strong>University</strong> <strong>of</strong> <strong>Connecticut</strong> <strong>School</strong> <strong>of</strong> <strong>Medicine</strong><br />

<strong>Faculty</strong> <strong>Forum</strong><br />

<strong>Meeting</strong> Minutes <strong>of</strong> October 20, 2010<br />

Dr. Robert Cushman, Chair <strong>of</strong> the Oversight Committee, called the <strong>Forum</strong> to order at 5:05 PM.<br />

Approximately 20 people attended the meeting.<br />

CREATE Status Update<br />

Dr. Cushman began with the background. CREATE evolved from the prior CREAM pr<strong>of</strong>iles,<br />

and was suggested by Dean Laurencin after the report from the PwC consultation in 2008, the<br />

goal <strong>of</strong> which was to establish a clearer tracking <strong>of</strong> the funds supporting faculty salaries. The<br />

purpose in establishing the original Transition to Excellence (“TE”) was to replace<br />

“Miscellaneous” with clearer delineations <strong>of</strong> existing and new, worthwhile faculty activities<br />

which did not fit into the other four categories, and for which funding either by general funds<br />

(GF) or extramural funds was deemed appropriate. Dr. Cushman introduced Carolle Andrews,<br />

now Chief Administration Officer, who oversaw the rollout <strong>of</strong> the first iteration <strong>of</strong> CREATE, to<br />

provide a status update.<br />

Ms. Andrews explained that the program is still a work in progress. The problem that needed to<br />

be solved was how GF money was being used. A substantial portion <strong>of</strong> salaries were lumped into<br />

one bucket called Education, which was not very informative. CREATE is an attempt to capture<br />

both effort and dollars. “Transition to Excellence” first evolved to capture activities that were<br />

not supported by external funds. That category is also intended to capture start-up funds. Ms.<br />

Andrews indicated that the Dean and the team wanted a goal <strong>of</strong> no more than 10% in the TE<br />

bucket. She indicated that there is the need for some redefining <strong>of</strong> what goes into each <strong>of</strong> the<br />

several categories For instance, the “TE” has now been split into two categories, Transition and<br />

Excellence (“T & E”), with Transition representing support for faculty pursuing changes in<br />

academic focus, additional training, and/or “inherently in the eye <strong>of</strong> the beholder”, while<br />

Excellence comprises activities that are deemed valuable to the Department and/or <strong>University</strong>,<br />

such as chairing national organizations, serving on State commissions, etc.<br />

Ms. Andrews provided data on the summary <strong>of</strong> the SOM Departments, which indicated that in<br />

both FY10 and so far in FY11, “T&E” is consistently below the 10% target and the comparison<br />

<strong>of</strong> SOM totals for FY10 compared to YTD FY11 show positive trending. The presentation went<br />

on to include:<br />

• Data <strong>of</strong> Breakout by department (basic and clinical) for FY10 and FY11;<br />

• The original definitions <strong>of</strong> each category (Clinical, Education, Research, Administration,<br />

Transition to Excellence);<br />

• The original Assignments/Guidelines for Administrative support / %-effort for SOM<br />

Councils/Committees/positions;<br />

• An example <strong>of</strong> an individual’s activity report;<br />

• Activity Report Definitions and the components <strong>of</strong> the Prime Metrics Guidelines; and<br />

• Next Steps for FY2011<br />

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She indicated that there is enough familiarity with the program and that most faculty have<br />

reviewed their individual pr<strong>of</strong>iles/activity reports. All either have access to .pdf files, or<br />

information can be e-mailed to them. She went on to say that it is now a time to step back and<br />

evaluate the overall usefulness <strong>of</strong> CREATE. Is it doing what it was intended to do? How can it<br />

be improved? There are still difficulties remaining regarding capture <strong>of</strong> all information, such as<br />

that relating to faculty whose salaries are supported by contracts.<br />

There followed a question and answer session, with participation by many <strong>of</strong> the 20 persons<br />

present. The following represents an aggregation <strong>of</strong> the spectrum <strong>of</strong> points and/or questions<br />

raised regarding the program, without specific attribution to individuals, except answers to the<br />

CREATE questions.<br />

• From today’s presentation, this seems to be benign and is a different story than what we<br />

have heard over time. Is this revisionism for the faculty? Has all <strong>of</strong> the angst been<br />

wasted?<br />

• Once you have the data, what is the purpose and what will be done with it?<br />

o CA: Her job is to collect the data, what the chairs and deans do with the<br />

information is clearly up to them.<br />

• Problem is that you are tracking revenue streams that do not adequately reflect effort.<br />

o CA: Your pr<strong>of</strong>ile is all about salary and reflects AA (assignment authorization).<br />

• It was noted that this might not adequately reflect effort. An example was given from the<br />

floor <strong>of</strong> a faculty member with 3 grants bringing in over 6 M in direct and indirect costs,<br />

but only covering 30% salary (10% on each grant) due to high salary or salary cap. The<br />

individual is listed as 30% R only. One faculty member bringing in 1 grant (2M in direct<br />

and indirect costs) with 30% <strong>of</strong> salary covered is listed at 30% R. Yet F&A coming to the<br />

school is vastly higher for first vs. second.<br />

o CA: Stated it was felt that faculty were not putting enough % effort on grants,<br />

instead they were using money to pay staff.<br />

• It was pointed out to her that at least in most wet labs, these are the people physically<br />

doing the bench work.<br />

• Regarding Education, what is expected? Who oversees this? Do we need all A through<br />

F?(referring to prime metrics in hand out)<br />

o CA: Illustrations <strong>of</strong> expected contributions both clinical and academic. This<br />

comes with a faculty member’s appointment. Expect to see salary dollars<br />

supported by Chair and faculty member to determine if the faculty member is<br />

meeting expectations. Judgment on this is between the Chair and faculty member.<br />

• With respect to appointment contracts, it was pointed out that at least for the faculty<br />

member speaking, there was has nothing in the contract that stipulates goals and<br />

expectations as far as % effort and $$ as reflected by CREATE. The faculty member was<br />

hired to teach, do research and participate in administration, period.<br />

o CA: Indicated that some faculty appointment contracts she has seen are very<br />

detailed in this respect. There was a suggestion that new contracts (not clear if<br />

this means existing faculty or new faculty) will reflect what is expected in terms <strong>of</strong><br />

time and $$.<br />

• The Prime Metrics guidelines are confusing. What are they supposed to mean?<br />

o CA: Activity reports measure productivity/metrics; they are not clearly defined<br />

and this should be the next step. They need to collect a broader input from faculty.<br />

To date, they have only received the Chairs’ input.<br />

• Concern rose over the fact that the prime metrics indicate that faculty are expected to<br />

teach 100-200hr as part <strong>of</strong> their “base” salary. Therefore, this effort does not show up in<br />

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E. Since all reporting is now effort/salary driven, it was pointed out that this makes no<br />

sense.<br />

• A hypothetical question was posed: If one was charged with building a new medical<br />

school from scratch, would one use the new business model <strong>of</strong> CREATE? How would<br />

metrics fit into productivity <strong>of</strong> the school? Are they destructive or helpful? It was<br />

suggested that the goal should be to describe/show what the school is trying to do so that<br />

faculty will want to contribute. Implication was that “corporate structure” was<br />

detrimental.<br />

• If was stated that what the faculty need to do is have a conversation with the Dean. If not,<br />

we are subject to deal with what we are given.<br />

• One faculty member indicated that their individual CREATE pr<strong>of</strong>ile did not correctly<br />

reflect the time spent by that faculty member in each category, but was told by the<br />

Department Chair that this “could not be changed.” So the question was how to get<br />

CREATE to reflect reality.<br />

o CA: Indicated that the Chair apparently did not understand the system and she<br />

would be happy to have a conversation with him/her. Also, the faculty member<br />

can contact CA’s <strong>of</strong>fice directly. CA wants to get the results that faculty need.<br />

o CA: A suggestion <strong>of</strong> a task force may be needed.<br />

Proposed changes to SOM Bylaws<br />

Dr. Cushman asked if there were any concerns about the proposed changes. The following<br />

represents an aggregation <strong>of</strong> the spectrum <strong>of</strong> points and/or questions raised regarding the Bylaws.<br />

• Why do all approvals need to go to the Provost?<br />

o RC: Since moving to the “One <strong>University</strong>” philosophy, reporting relationships<br />

have changed.<br />

o Chair <strong>of</strong> SAPC, in audience, indicated that the Provost is taking this seriously.<br />

The Provost wants to understand matters that he is asked to approve, before he<br />

approves. SAPC system is now more complicated and more formal because <strong>of</strong> this<br />

arrangement.<br />

• Philosophically, why is there a need for annual reviews if promotions and post tenure<br />

review are every several years (5)? Why is there the burden and humiliation <strong>of</strong> annual<br />

reviews?<br />

o Member <strong>of</strong> the Compensation Executive Committee, in attendance, indicated<br />

that this review system went into effect with the creation <strong>of</strong> the CREAM pr<strong>of</strong>ile,<br />

which tied merit to salary increases.<br />

o RC: Indicated that going to the centralized Compensation Executive Committee<br />

review <strong>of</strong> all chairs’ reviews <strong>of</strong> all faculty inherently diminished some <strong>of</strong> the<br />

fundamental duties <strong>of</strong> the Department Chairs.<br />

Dr. Cushman reiterated that within one to two weeks the electronic elections for the Bylaws will<br />

be sent out for all eligible faculty to vote upon (yes or no), item by item.<br />

LCME Review and Plans for Response Process<br />

Dr. Cushman began by stating that none <strong>of</strong> the members <strong>of</strong> the task force assigned by the Dean<br />

to complete the Action Plan response to the LCME were available to attend tonight’s meeting<br />

due to various conflicts. Dr. Cushman indicated that he was unable to attend the retreat which<br />

followed the visit by the Secretary <strong>of</strong> LCME, and opened the floor for any present who HAD<br />

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attended that retreat to comment or provide an update. The following are points that were<br />

discussed:<br />

• The Action Plan is currently being rewritten to ensure that we meet the LCME<br />

requirements.<br />

• Most responses by UCHC were deemed appropriate by the LCME, and we are on the<br />

right track.<br />

• The visit by the Secretary <strong>of</strong> the LCME was useful; it provided guidance on how to<br />

reshape the document.<br />

• There is concern over the many vacancies in leadership positions. Several searches are<br />

underway. Currently there are no updates or status.<br />

• What are the implications <strong>of</strong> Dr. Bruce Koeppen’s departure?<br />

• There is an issue over the loss <strong>of</strong> faculty. It was reported that 133 have left in the last<br />

three years, with only about 50 new faculty hired in that same period.<br />

• <strong>Faculty</strong> retention is needed. There needs to be a “big” plan to address this issue. Why<br />

are they leaving?<br />

Dr. Cushman concluded that the concerns over retentions will be communicated to the Dean.<br />

Minutes from the forum will be posted on the website, <strong>Faculty</strong> <strong>Forum</strong> 2010. The next forum will<br />

be in April, 2011.<br />

Adjournment: The meeting adjourned at 6:25 PM.<br />

Respectfully submitted,<br />

Joanne Feltman<br />

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