Satellites looking for a planet while avoiding collisions: leading and organizing fragmented faculty on a research campus What are the challenges of engaging, motivating, and organizing faculty at a research and professional education campus? Michelle Arnold, Ph.D. Assistant Professor of Microbiology and Immunology President, Faculty Senate LSU Health Sciences Center in Shreveport Disclaimer: This presentation reflects my views as an Assistant Professor, academician, advocate, and activist. These views may not be shared by my colleagues.

A brief history of LSU Health Sciences Center in Shreveport 1876 – Charity Hospital established in Shreveport 1953 – Renamed Confederate Memorial Medical Center and moved to current location 1965 – LSU School of Medicine in Shreveport authorized by the Louisiana Legislature 1965 – School of Graduate Studies established as part of the LSU Medical Center 1969 – First class of 32 medical students began at the nearby VA Medical Center 1974 – First class of graduate students began (first graduates in 1978) 1975 – The medical building we use today was completed 1976 – Confederate Memorial became part of the LSU System 1977 – School of Allied Health Professions was established (first graduates in 1980) 2013 – After more than 150 years, the hospitals in Shreveport and Monroe transitioned from public to private entities 40 year history of the Medical Center limits our ability to raise money from alumni

University administration at LSUHSC-S Chancellor Dean of Medical School Chair of OMS Vice-Chancellor for Administration for Academic Affairs for Clinical Affairs for Research Dean of Allied Health Dean of Graduate School Associate Dean of Research GE Ghali, DDS MD Victor Yik Jane Eggerstedt, MD David Lewis, MD Chris Kevil, PhD Joe McCulloch Sandra Roerig 17 Clinical Science Departments 5 Basic Science Department 5 Allied Health Departments 450 faculty 600 residents and fellows 800 students

Faculty Academic Ranks at LSUHSC-S (1/2) Basic Science Departments (5) Professor Associate Professor Assistant Professor Research Assistant Professor (non-tenure track) Instructor (non-tenure track) Medical Library Science (also listed as a Basic Science Dept) Librarian Associate Librarian Assistant Librarian General Librarian (non-tenure track) Clinical Departments (17) Professor of Clinical _____ (non-tenure track) Associate Professor of Clinical _____ (non-tenure track) Assistant Professor of Clinical _____ (non-tenure track) ~60 ~10 14 ~210 ~20

Faculty Academic Ranks at LSUHSC-S (2/2) Allied Health (5) Professor Associate Professor Assistant Professor Instructor (non-tenure track) Professor of Clinical _____ (non-tenure track) Associate Professor of Clinical _____ (non-tenure track) Assistant Professor of Clinical _____ (non-tenure track) ~35 Total ~350 + Administrators/other ranks = ~450 446 total faculty and administrators, according to response to Act 619

Problems with organizing a fragmented faculty (in no particular order) (Perceived) lack of interaction between clinical and research faculty (Perceived) lack of transparency from administration generates distrust Extreme demands on physicians to see patients in an effort to raise money for institutional support (especially in dire financial circumstances) Clinical faculty/physicians rarely show up for Medical School classroom teaching Does not include teaching in the clinic Same problem does not exist in Graduate School or School of Allied Health Prof. Lack of academic experience amongst clinical faculty/physicians Are we an academic medical center or hospital/clinical practice? Comfortable position with 100% salary support (controversial topic) 144 medical schools in U.S., <10 offer 100% salary support

How do we change attitudes, and encourage faculty to take an interest in their institution? Perceptions amongst some faculty that we interact enough with our community We do not; e.g. four years after separation, Shreveport residents do not understand the difference between the Medical School (state) and the hospital (private partner) Perceptions amongst faculty that administrators (Chancellor, Vice-Chancellor, Dept. Chairs) do not listen to the faculty, so why bother Authoritarian vs democratic leadership How do you ask for a raise when the institution cannot make payroll Perceptions that hierarchy of authority must be followed From personal experiences, some Dept. Chairs think it is inappropriate for me in my role as President of the Faculty Senate to make requests or suggestions, because I am an Assistant Professor Perceptions that “rocking the boat” will cause greater problems or lead to job loss Part of confusion stems from University Health name