Mount Sinai School of Medicine DENNIS S CHARNEY

Mount Sinai School of Medicine DENNIS S. CHARNEY, M. D. Dean September 22, 2009 Accelerating Science Advancing Medicine Achieving and Maintaining Greatness

Quality Best Doctors in NY • 152 FPA Doctors in 49 specialties Total 415 in 56 specialties (includes voluntaries, affiliates and non-FPA) US News & World Report Rankings • Medical School 2009 #22 (from #33 in 2004) • Hospital Honor Roll 2009 -2010 #19 (never before) (out of 4, 861 hospitals analyzed) Top 20 in 6 Specialties Top 50 in 11 Specialties NIH Funding Rank • Academic Medical Centers 2009 #18 (from #25 in 2004) • U. S. Medical Schools (AAMC) 2009 #3 Research Dollars/Principal Investigator #2 Research Density The Scientist's annual "Best Places to Work in Academia Survey" • MSSM in Top 15 2009 AAMC Spencer Foreman Community Service Award Accelerating Science Advancing Medicine Achieving and Maintaining Greatness

Tripartite Missions of MSSM 1. Clinical 2. Education 3. Research Accelerating Science Advancing Medicine Achieving and Maintaining Greatness

Faculty Practice The practice has seen exceptional growth • Jan-Jun 2008 vs 2009 –Membership in FPA has grown by 7% –Number of visits grew by 10% –w. RVUs grew by 12% –Receipts grew by 7% • Successful recruitment of outstanding clinicians has driven the volume and receipts • Emphasis on core values has resulted in better patient satisfaction –Studer Group training for doctors and staff –Press-Ganey surveys and reports for feedback and coaching Accelerating Science Advancing Medicine Achieving and Maintaining Greatness

Faculty Practice Receipts FPA Patient Care Receipts compared to other Top Ranked Schools Receipts Northwestern U Feinberg SOM Weill Cornell Medical College Emory Univ. SOM Wake Forest Univ. SOM Mount Sinai SOM Washington Univ. in St. Louis SOM Univ. of WI SOM & Public Health Columbia Univ. Coll of P & S Duke Univ. SOM Univ. of Rochester SOM and Dentistry $ $ $ $ $ 403, 534, 216 395, 356, 507 435, 246, 077 277, 581, 384 363, 526, 485 464, 400, 000 448, 616, 038 435, 065, 000 359, 974, 095 294, 492, 579 600 707 928 615 828 1, 061 1, 107 1, 200 1, 006 985 Yale Univ. SOM Univ. of Virginia SOM Univ. of CA Los Angeles SOM Medical Univ. of SC Coll of Med Univ. of Iowa Coll. Of Med Univ. of Utah SOM Univ. of CA, San Francisco, SOM Univ. of Minnesota Medical School Massachusetts General Hospital Beth Israel-Deaconess Med Ctr Oregon Health & Science Univ. SOM Univ. of NC at Chapel Hill SOM Univ. of CA San Diego SOM Accelerating Science Advancing Medicine Name Clinical Receipts MDs /MD 2008 $ $ $ $ 264, 092, 763 200, 678, 554 336, 777, 755 198, 219, 334 175, 108, 351 242, 079, 755 293, 199, 914 176, 050, 588 497, 476, 362 210, 649, 000 183, 597, 355 166, 967, 686 120, 974, 174 908 728 1, 275 761 683 950 1, 180 721 2, 123 923 839 1, 012 780 $672, 557 $559, 203 $469, 015 $451, 352 $439, 041 $437, 700 $405, 254 $362, 554 $357, 827 $298, 977 $290, 851 $275, 657 $264, 139 $260, 472 $256, 381 $254, 821 $248, 475 $244, 176 $234, 327 $228, 222 $218, 829 $164, 988 $155, 095 Achieving and Maintaining Greatness

FPA Strategic Goals • Continue to develop a patient-centered, efficiently-run, professionally- managed FPA without losing any of the entrepreneurial spirit that has led to the unmatched success in growth over the past 5 years • Continue to develop a culture of service, so that our patient satisfaction matches our outstanding quality of patient care • Continue to improve operational efficiency, such as in the revenue cycle, realizing economies of scale where appropriate • Continue our practice growth • Expand primary care on campus and develop strategic alliances to expand our primary care reach • Rebrand the FPA – Name, East Coast Mayo/Cleveland Clinic Accelerating Science Advancing Medicine Achieving and Maintaining Greatness

Education: Recognition • 2009 AAMC Spencer Foreman Community Service Award • AMA Foundation – Pride in the Profession Awarded to Dean for Medical Education, David Muller MD – Student Leadership Awarded to 2 students – AMA Foundation Minority Scholars Awarded to 2 students Accelerating Science Advancing Medicine Achieving and Maintaining Greatness

Education: Quality – Matriculating Class of 2009 MD Students Number of Complete Applications: Number of Interviews (excl EA/MSTP) Size of Class MSTP 4, 768 853 140 11 NYS State Residents 33% Women 53. 6% URM 17. 9% Average MCAT 34. 9 Average GPA 3. 69 Number of Undergraduate Schools 48 (Penn=12, Harvard=9, Brown=8, Columbia=7, NYU=7) Accelerating Science Advancing Medicine Achieving and Maintaining Greatness

Education: Quality – Matriculating Class of 2009 Ph. D Students Number of Complete Applications: Size of Class NYS State Residents Women URM Average GRE Average GPA 359 30 37% 77% 1280 3. 54 Number of Undergraduate Schools 28 (UChicago=1, Emory=1, Cornell=2, Peking University=1, Columbia=1, Bates=1, Williams=1, Wellesley=1) Accelerating Science Advancing Medicine Achieving and Maintaining Greatness

Education: Strategic Plan I am proud to introduce Mount Sinai’s vision for the School of Medicine. The programs and advances you will read about here represent a bold departure from the traditional medical school model. They also reflect Mount Sinai’s deep and longstanding commitment to translational medicine. Dennis S. Charney, MD Anne and Joel Ehrenkranz Dean of Mount Sinai School of Medicine and Executive Vice President for Academic Affairs of The Mount Sinai Medical Center Our goal is to prepare physicians and scientists to enter society as informed advocates and activists ready to advance research and clinical care and capable of promoting change. All our efforts and reforms are focused on creating a more integrated, patient -centered learning experience in both basic science and clinical medicine. David Muller, MD Marietta and Charles C. Morchand Chair in Medical Education and Dean for Medical Education Accelerating Science Advancing Medicine Achieving and Maintaining Greatness

Education: Notable curriculum and programs • Competencies-based Curriculum – A more individualized approach to education A more even distribution of science and medicine • Longitudinal Clinical Experience (LCE) – one of two schools in the country to implement a Longitudinal Clinical Experience for an entire entering class, allowing students to experience doctoring from the very start, and helping them ‘translate’ the science they learn into a clinical context. • INSPIRE – 3 -4 months of protected time in the fourth year for mentored scholarly projects • 5 year MD/MSCR - PORTAL • East Harlem Health Outreach Partnership (EHHOP) • Visiting Doctors • Adolescent Health Center Accelerating Science Advancing Medicine Achieving and Maintaining Greatness

Education: Institute for Medical Education Director: Lisa Coplit, MD Goals of the new Institute: • • • Recognition/Reward for Excellence in Education Support for Promotion on Educator Track Support and development in Teaching/Education Support and development of Scholarship Create an Educational community Accelerating Science Advancing Medicine Achieving and Maintaining Greatness

Education: Strategic Goals • Recruitment of outstanding medical and graduate students • Develop unique cutting edge curriculum in medical and graduate school • Establish new Ph. D programs (Computational Genetics, Global/Public Health) • NAS Report: A New Biology for the 21 st Century: Ensuring the United States Leads the Coming Biology Revolution • Continue to align Ph. D programs with focus of the Research Institutes • Mentorship Accelerating Science Advancing Medicine Achieving and Maintaining Greatness

Independent Status • Institutional Accreditation Middle States Commission on Higher Education • Charter Amendment, New Name New York State Department of Education Target Date: November, 2010 Accelerating Science Advancing Medicine Achieving and Maintaining Greatness

Research Productivity • MSSM is now #18 in NIH Funding with ~$200 M in grants • AARA Funding Outstanding • The efficiency of space utilization has improved – In 2006, the average institutional research density was $565/sf – In 2007, the average institutional research density was $639/sf – In 2008, the average institutional research density is $651/sf • This increase has enabled us to make major recruitments within our existing space Accelerating Science Advancing Medicine Achieving and Maintaining Greatness

Direct Expenditures per Principal Investigator Purpose: Assesses research productivity of faculty engaged in research Higher Number is Favorable Formula: Direct Expenditures / Number of PIs Accelerating Science Advancing Medicine Achieving and Maintaining Greatness

Grant $s per Net Assignable Square Foot (NASF) Purpose: Reflects productivity of research space Higher Number is Favorable Formula: Total Grant $s / NASF Accelerating Science Advancing Medicine Achieving and Maintaining Greatness

Research Space Use Research Space at 95% occupancy Accelerating Science Advancing Medicine Achieving and Maintaining Greatness

Center for Science and Technology at East River Science Park Accelerating Science Advancing Medicine Achieving and Maintaining Greatness

Strategies for Facilitating Biomedical Breakthroughs Academic Medical Centers Mount Sinai 1. Create multidisciplinary interdepartmental research institutes and centers which are high in scientific diversity, depth, and integration. 2. Encourage a highly focused research effort and intense and frequent interaction of faculty from diverse backgrounds 3. Create a Departmental-Institute matrix that results in scientific breakthroughs relevant to human disease 4. Recruit great scientists Accelerating Science Advancing Medicine Achieving and Maintaining Greatness

Genomics Institute NEW NIH DIRECTOR’S TOP TWO OBJECTIVES “Apply High-Throughput Technologies to Understand Fundamental Biology and Uncover the Causes of Disease. ” “Support Translational Research to Take Advantage of New Discoveries that Can Lead to New Diagnostics and Treatments. ” Francis Collins, MD, Ph. D August 17, 2009 Accelerating Science Advancing Medicine Achieving and Maintaining Greatness

Mount Sinai Genomics Institute A Core Technology Institute MISSION: To provide the latest Genetic/Genomic Technologies and Computational and Analytical Capabilities for MSSM Investigators Accelerating Science Advancing Medicine Achieving and Maintaining Greatness

Mount Sinai Genomics Institute A Core Technology Institute • Provide Latest Technologies & Analytical Capabilities: – Expand Current Genome Capabilities: • Recruit Expert Faculty and Staff • High Throughput Sequencers • Chip-Based Technologies – Expand Proteomics/Metabolomics Technologies: • Recruit Expert Faculty and Staff • Mass Spectrometers • Provide Bioinformatic/Computational Capabilities: – Recruit Expert Faculty and Staff – Super Computer Power – Develop & Provide New Analytical Tools Accelerating Science Advancing Medicine Achieving and Maintaining Greatness

Mount Sinai Genomics Institute A Core Technology Institute • Recruit World-Class Director • Provide the Latest Technologies for Genomic, Proteomics, & Metabolomics: $15 M Recruit Expert Faculty & Staff – Next Generation Sequencers – Whole Genome Sequencers – Mass Spectrometers, etc. • Markedly Expand Bio. Informatics & Computational Capabilities: $15 M Recruit Expert Faculty & Staff – Hardware and Software, etc. – Tool Development Total Costs Accelerating Science Advancing Medicine $30 M Achieving and Maintaining Greatness

Mount Sinai Institutes of Clinical & Translational Sciences CTSA: PI H Sampson, MD Dean for Translational Biomedical Sciences Award: $35 m over 5 years Accelerating Science Advancing Medicine Achieving and Maintaining Greatness

Center for Science & Medicine ~500, 000 GSF devoted to Translational Research & Clinical functions Occupancy: 2012/13 Successful recruitment of outstanding faculty with research support has exceeded the strategic plan targets Accelerating Science Advancing Medicine Achieving and Maintaining Greatness

Center for Science & Medicine Accelerating Science Advancing Medicine Achieving and Maintaining Greatness

Keys to Our Continued Success • Great leadership at all levels • Financial discipline • Transparent decision-making based on performance • Recruitment and retention at all levels • Alignment of Education, Research & Clinical missions A CULTURE OF EXCELLENCE Accelerating Science Advancing Medicine Achieving and Maintaining Greatness