STATE OF THE SCHOOL OF MEDICINE Steven T. DeKosky, MD, FACP Vice President & Dean April 28, 2010

Our Students It is with a deep sense of joy that I move that the Faculty of the School of Medicine, contingent upon the students' completion of the final requirements for their degree, recommend to the Faculty of the University of Virginia that the listed students be awarded the degree of Doctor of Medicine.

Our Faculty It is with gratitude and appreciation that I thank our distinguished faculty.

Match Day 2010

Student Awards Raven Awards Amir Allak (MD, MBA 2010) Lisa Herrmann (MD 2010) Bolivar Network's Graduate Student Book Scholarship Jose Mattos (MD, MPH 2011)

Awards & Recognition of Our Distinguished Faculty

Thomas Jefferson Award J. Thomas Parsons, PhD Chair of Microbiology F. Palmer Weber Professor of Medical Research

2010 Distinguished Scientist Alan F. “Rick” Horwitz, PhD Department of Cell Biology Harrison Distinguished Professor of Cell Biology

Distinguished Scientists Richard L. Guerrant, MD J. Thomas Parsons, PhD Michael J. Weber, PhD

American College of Physicians 2009 Key Contact of the Year Preston Reynolds, MD, PhD Division of General Medicine, Geriatrics, and Palliative Care

AOA Robert J. Glaser Distinguished Teacher Award Eugene C. Corbett, Jr., MD Division of General Medicine, Geriatrics, and Palliative Care Anne L & Bernard Brodie Professor of Clinical Internal Medicine

2010 Edlich-Henderson Inventors of the Year Kevin R. Lynch, PhD Department of Pharmacology Timothy L. Macdonald, PhD Department of Chemistry

2010 Sharon L. Hostler Women in Medicine Leadership Award Wendi W. El-Amin, MD Department of Family Medicine

Distinguished Recognition George A. Beller, MD Distinguished Scientist Award American College of Cardiology Robert M. Carey, MD Robert Tigerstedt Distinguished Scientist Award American Society of Hypertension Richard L. Guerrant, MD Recipient of the Mentor Award Infectious Disease Society of America Benjamin D. Kozower, MD J. Maxwell Chamberlain Award The Society of Thoracic Surgeons

Christopher M. Kramer, MD Simon Dack Award Journal of the American College of Cardiology Gordon W. Laurie, PhD Named Silver Fellow The Association for Research in Vision & Ophthalmology Bradley M. Rodgers, MD Saltzberg Award Recipient Surgical Section of the American Academy of Pediatrics Robert M. Strieter, MD Master American College of Physicians Brian R. Wamhoff, PhD Cardiovascular New Investigator of the Year American Physiological Society Distinguished Recognition

Roger C. Burket, MD Fellow, American Academy of Child and Adolescent Psychiatry Kevin A. Janes, PhD NIH New Innovator Award, Packard Fellow Wendy J. Lynch, PhD Kavli Fellow, National Academy of Sciences Weibin Shi, PhD American Heart Association Best Science Award William F. Walker, PhD College of Fellows, American Institute for Medical and Biological Engineering National Recognition

Reid Adams, MD President, American Hepato-Pancreato-Bilary Association Jann T. Balmer, PhD President, Alliance for Continuing Medical Education Steven T. DeKosky, MD President, Neurology Council of the American Board of Psychiatry and Neurology Robin A. Felder, PhD Chair, Medical Automation Conference Barry M. Gumbiner, PhD Board of Scientific Counselors National Institute of Child Health & Human Development National Leadership

Richard L. Guerrant, MD Chair of the Board on Global Health, Institute of Medicine Irving L. Kron, MD President, American Thoracic Society Victoria F. Norwood, MD Chair, Council of Pediatric Subspecialties Jennifer Kim Penberthy, PhD North American President, Cognitive Behavioral Analysis System of Psychotherapy International Network

National Leadership Karen S. Rheuban, MD President, American Telemedicine Association Bruce D. Schirmer, MD President, Society of American Gastrointestinal Endoscopic Surgeons: Education and Research Foundation Mark H. Stoler, MD President, American Society for Clinical Pathology

Editorships Anindya Dutta, MD, PhD Cancer Research John A. Kern, MD International Journal of Vascular Medicine Norbert Leitinger, PhD International Journal of Inflammation Timothy Schmitt, MD World Journal of Hepatology Mark H. Stoler, MD Diagnostic Molecular Pathology International Journal for Gynecological Pathology

US News Rankings Rank Overall2524- GPA th MCAT rd NIH Grants$145.8 M$149.7 M41 st NIH $ Per Faculty $145,800$159,40041st Peer Group3.7 22nd Residency Group st

Graduate and Medical Education

Claude Moore Medical Education Building

Medical Education Entering Class (2014) Applicants – 4,286 Offers – 423 Holding – 339 Target – 148 Current Profile: MCAT – Q GPA – 3.79 M/F – 55/45 URM – 72

Medical Education New Deans Associate Dean for Admissions and Student Affairs John J. Densmore, MD, PhD (Also College Dean) Assistant Deans for Student Affairs (College Deans) Rasheed A. Balogun, MBBS Meg G. Keeley, MD Christine P. Peterson, MD Assistant Dean for Medical Education Support Troy S. Buer

NexGen Curriculum Initiates with Class of 2014 Five Goals of the New Curriculum –Assure that all graduates demonstrate mastery of the 12 UVA School of Medicine Competences Required of the Contemporary Physician 12 UVA School of Medicine Competences Required of the Contemporary Physician –Integrate content around organ systems –Integrate basic and clinical sciences within each educational experience and across all phases of the curriculum –Incorporate experiential and active-learning activities –Provide frequent developmental activities for clinical skills Faculty Development – “Teach the Teacher” Consistent with New LCME Requirements

NexGen “Teach the Teacher” Science of Education Restructure the Lecture Support Resources Internal Champions

Graduate Programs Leadership Brian R. Duling, PhD Professor of Molecular Physiology and Biophysical Science and Biomedical Engineering Robert M. Berne Professor of Cardiovascular Research

Amy H. Bouton, PhD Professor of Microbiology Associate Dean for Graduate and Medical Scientist Programs Graduate Programs Leadership

Graduate Student Data PhD Recruiting 604 Applicants 338 Training Grant Eligible 107 Offers of Admission 34 Acceptances MSTP Recruiting 157 Applicants 147 Training Grant Eligible 15 Offers of Admission 2 Acceptances

National Science Foundation Graduate Research Fellowships Paul Anthony Jensen Biomedical Engineering Jason A. Papin, PhD, Mentor Chelsi Snow Biochemistry and Molecular Genetics Bryce M. Paschal, PhD, Mentor Soo Jung Shin Biomedical Engineering Kimberly Kelly, PhD, Mentor

Research

Senior Associate Dean for Research Erik L. Hewlett, MD Professor of Medicine Division of Infectious Diseases and International Health

Senior Associate Dean for Research Margaret A. Shupnik, PhD Senior Associate Dean for Research Professor of Medicine and Physiology Division of Endocrinology

Research Strategy Expanded Role for RAC –Support strategic planning efforts for the SOM Strategy Sessions –Involve Chairs, Center Directors, Research Deans Clinical Research Infrastructure Group –With the sunsetting of the GCRC, we are working to ensure the SOM has the needed clinical research infrastructure and financial support CTSA –New Direction –New Leadership (Annex, Owens, Harrison, Yeager) Research Core Support

Current SOM Bridge Funding Program Current SOM Bridge Funding 25% Department, 25% SOM, 50% VPR

UVA SOM Total External Funding Funding (in millions) by Fiscal Year

Ivy Translational Research Building Initiate by end of 2012 Multiple design discussions, for best way to accomplish translational research goals

NIH Awards – RC1 – Challenge Grants 1 – S10 – High End Instrumentation 1 – G20 – Core Facility 2 – DP3 – Fine Mapping for Type 1 Diabetes 1 – DP2 – New Innovator 1 – PO1- Program Project Grant 2 – T32 – Training Grants 1 – R56 – High Priority/Short-Term Project 5 – RC2 – Infrastructure Grants Please see State of the School Address on the web for the full listing of Grant Awards – RO1s 7 - K08 – Clinical Scientist Research Career Development Award 2 – K12 Scholars – CTSA funded 6 – K23 – Mentored patient-oriented research career development awards 1 – K99/R00 – Pathway to Independence 11- R21 - Exploratory/Developmental 2-UO1s – Cooperative Agreements 1 – RO3 – Small Grant Program Fabulous Job By Our Faculty!

High Impact Publications Cell Nature Nature Cell Biology Nature Biotechnology Nature Genetics Nature Immunology Nature Medicine Please see State of the School Address on the web for the full listing of faculty published, by journal. JAMA Lancet New England Journal of Medicine Proceedings of the National Academy of Sciences (PNAS) Science

Clinical Practice

Quality Mortality –Improvement of 10% - from 1.18 to 1.09 –Clinical documentation improvement project –Multipronged mortality improvement project GOAL = th Percentile

Quality Length of Stay –Better than expected – 44% of departments –Continues to be of concern –Has risen years after Discharge By Noon (DBN) –Patient Throughput Group

Hospital Relationships Shenandoah Valley Augusta Health More than 50 years in the Valley 26,400 square feet of clinic space Cardiology, Pulmonary, Critical Care, Infectious Disease Strengthening UVA’s relationships with Rockingham Memorial Hospital, Valley Health, Centra

Hospital Relationships Culpeper Regional Hospital Excellent relationships, collaborations Existing Clinics: Endocrine, Infectious Disease, PMR, Vascular/Cardiology, Pediatric Cardiology, Pediatric Urology In Process: GI, Breast

Outreach – Outpatient Growth Z 29 N 64W A 29

4/2/ FY10 MD Service Locations & Work RVUs per Site* FY2010 First 7 months (July 2009– January 2010) based on Work RVUs; includes only MD visits, consults and procedures. Roanoke Mem 1151 BCCH 151 Centra Peds Winchester Peds +MC Washington Co Hlth Dept 509 Culpeper Total: 756 N.Neck Free Clinic 4 S. Va Bch Gen 148 S. Jackson 250 S. Norfolk Gen 332 Mem Reg MC 147 MCV 1723 Johnston Mem + 284

UVA Presence in the Markets

UVA Employee Connection Service to UVA Faculty, Staff and Their Families Primary Care Appointment within 2 business days Specialty Care Appointment within 5 business days Diagnostic Radiology Appointment within 3 business days Applies to Initial and Follow up visits

Clinical Faculty 186 Best Doctors in America 47 Top Doctors 17 Top Cancer Doctors

New Clinical Facilities Hand Center –Joint program between Orthopaedics and Plastic Surgery –Casting, therapy, radiology, minor procedures Spine Center –Opening May 10 in Fontaine Research Park –Joint program between Neurological Surgery and Orthopaedics –Includes PM&R, Physical Therapy, Anesthesia, and Neurology Focused Ultrasound

(Former LTACH) June 2010 UVA Transitional Care Hospital

2011 Hospital Bed Expansion

Spring 2011 Emily Couric Cancer Center

2013 Barry and Bill Battle Building

Chair Search Update Biomedical Engineering Mark Yeager, MD, PhD 2 nd Visits MicrobiologyAlan “Rick” Horwitz, PhD 2 nd Visits PediatricsCraig A. Peters, MD Short List Public Health Sciences Karen Johnston, MD, MSc 2 nd Visits

Department and Center Visits 13 Through April 28 Pathology, OB/GYN, Orthopaedics, Neurosurgery, Urology, Neurology, Neuroscience, Psychiatry, Radiology, Biochemistry and Molecular Genetics, Cell Biology, Anesthesiology, Ophthalmology More Visits to Come

The Campaign for Health Goal of $500M Reached Early Bridge Campaign –Build resources for core needs –Complete capital projects –New priorities –Bridge funding

Questions?