1. STATE OF THE DEPARTMENT OF MEDICINE JUNE 18 TH, 2014

2. The Academic Year that Was (2013-2014) Implementation of Recommendations of Strategic Task Force Plan

3. Challenges Identified by Task Force The department has outstanding institutions and faculty, but the “whole is less than the sum of its parts” There is a lack of a cohesive vision as a department There is evidence of decline in the quality and competiveness of the GME education programs There is a lack of a research strategy that synergizes across divisions There is no departmental clinical strategy that facilitates the efforts to address healthcare reform

4. Recommendation to Reorganize Structure to Improve Function

5. Division Chiefs Glenn I. Fishman, MD Dir., Cardiology Steven B. Abramson, MD Chair, Department of Medicine Glenn I. Fishman, MD Vice Chair, Research David Stern, MD Vice Chair, Education/Faculty Affairs Mark B. Pochapin, MD Vice Chair, Clinical Fritz Francois, MD Chief of Medicine, Tisch Doug Bails, MD Chief of Medicine, Bellevue David T. Stern, MD Chief of Medicine, VA Katherine Hochman, MD Associate Chair, Quality Patrick M. Cocks, MD Associate Chair, GME Michael LoCurcio, MD Associate Chair, UME TBD Associate Chair, CME Martin Kahn, MD Associate Chair, Academic Affairs Katherine Wesnousky Administrator/Chief of Staff Michael H. Perskin, MD Associate Chair Ambulatory Mark B. Pochapin, MD Gastroenterology Caroline S. Blaum, MD Dir., Geriatrics Sondra R. Zabar, MD Interim, Dir., GIM Howard A. Fine, MD Dir., Hem./ Medical Onc. Joel D. Ernst, MD, Int Dir., I.D. & Immunology Davd M. Oshinsky, MD Dir., Med. Humanities Edward Y. Skolnik, MD Dir., Nephrology William N. Rom, MD Dir., Pulmonary Jill Buyon, MD Dir., Rheumatology Bruce N. Cronstein, MD Dir., Translational Med. TBD Associate Chair, Mentoring Ira Goldberg, MD Dir., Endocrinology

6. Recommendation: Promote One Clinical Faculty Begin with fundamental respect for colleagues across institutions and practices Strategic growth of Academic Divisions –Targeted world-class programs in specialized areas Responding to the external threats Share best practices across teaching hospitals

7. One Faculty: Tri-institutional Council

8. New Division Directors Dr. Ira Goldberg Endocrinology, Diabetes and Metabolism Dr. Jill Buyon Rheumatology

9. New Associate Directors (Divisions Clinical) Dr. Michael Philips Infectious Diseases and Immunology Dr. Steven Hodak Endocrinology, Diabetes and Metabolism

10. New Associate Directors Medicine Quality First Dr. Katherine Hochman Tisch Hospital Dr. Laura Evans Bellevue

11. Department of Medicine Administrative Leadership 11

12. Thank You… Dr. Ann Danoff Contributions as Director, Division of Endocrinology, Diabetes and Metabolism Dr. Iven Young Contributions as Firm Chief

13. MEDICAL EDUCATION

14. Trends in Specialty Matching PGY-1 Students Matched to Internal Medicine 2004-2013

15. SHOW DATA FROM 2014 Departments that have 5 or more direct contact hours with UME students DEPARTMENTUME Effort Hrs▼ 1 Medicine11938 2Cell Biology6242 3Emergency Medicine4316 4Pediatrics4025 5EFAA2583 6Radiology1512 7Pathology1199 8Obstetrics and Gynecology947 9Microbiology932 10Psychiatry516 11Biochemistry and Molecular Pharmacology500 12Population Health485 13NYU Cancer Institute374 14Physiology and Neuroscience338 15Skirball Institute296 16Hospital Operations294 17Dermatology214 18Neurology150 19Neurosurgery92 20Surgery70 21Neuroscience Institute62 22Child and Adolescent Psychiatry57 23Anesthesiology26 24Orthopedic Surgery26 25Rehabilitation Medicine22

16. Medical Student Education Anthony Grieco Core Clerkship Michael LoCurcio Acting Internship Associate Chair, Education Norma Keller Critical Care Michael Tanner Ambulatory Care Pamela Rosenthal CFM

17. Medical Student Education Firm Chiefs: ANTHONY GRIECO MARTIN KAHN DOREEN ADDRIZZO-HARRISJEROME LOWENSTEIN RUTH ORATZ MICHAEL BRABECK ELIZABETH WEINSHELMITCHELL CHARAPIVEN YOUNG *Dr. Paru Patrawalla

18. 2013-2014 Residency Program Directors Louis Miller Senior Associate Program Director Assessment and Evaluation Patrick Cocks Program Director

19. Associate Program Directors Restructuring Jennifer Rockfeld Quality Improvement and Patient Safety Amit Uppal Critical Care Experience Barbara Porter Outpatient Experience Mary Fishman FGP Outpatient Experience Margaret Horlick Curriculum Neil Shapiro Inpatient Experience

20. Directors: Primary Care Residency Program Mack LipkinSondra Zabar Jennifer AdamsRichard Greene Kathleen Hanley

21. 2013-2014 Chief Residents Brian Greet VA Outpatient Pavan Bhatraju Inpatient Rani Nandiwada Inpatient Brandon Oberweis Senior Chief Matthew Ingham VA: QI & Safety Laura Van Metre Primary Care Alexander Volodarskiy Inpatient Matthew Vorsanger Inpatient Pascale White BH Outpatient

22. 2014 -2015 Chief Residents Robert Mocharla VA Outpatient Greg Schrank Inpatient Josh Denson Inpatient Andrew Levy Senior Chief Sarah MacArthur VA: QI & Safety Jessica Taft Primary Care Karen Kan Inpatient Mark Adelman Inpatient Jack Naggar BH Outpatient

23. RESEARCH

24. Goals: Research Getting Divisions to the Top Ten Valorize the Division Directors to develop strategic vision for translational research Recruit four Division Directors, national leaders with clinical vision and translational research bona fides Promote collaborative grants (RFP PPG) Develop integrated clinical practice space that promotes clinical research (e.g., CMC, Cancer Center) Nurture and support junior investigators (Saperstein, Colton, Farber, Fast-tracking, PSTP, Hirschl, other)

26. CLINICAL AND TRANSLATIONAL MEDICINE PROGRAMS THE NAMED CENTER FOR MOLECULAR MEDICINE Integrated with I-CUBED / PATHOLOGY / CELL BIOLOGY / CANCER CENTER / NEUROSCIENCE Rheum, ID, GI Expansion Endocrine Division Director Precision Medicine Program Director Associate Prof Assistant Profs (2) Associate Prof (4-6) Assistant Profs (4-6) Associate Prof Assistant Prof (2) Associate Profs (2) Assistant Profs (4) Berger, Buyon, Chen, Cho, Cronstein, Delmar, Ernst, Fisher, Fishman, Gardner, Maass, Moore, Mor, Morley, Philips J, Philips M, Ramasamy, Reibman, Schmidt, Shopsin, Silverman, Skolnik CV, Renal Expansion Integrated with NYULMC Clinical Research Unit/Health Outcomes & Population Science/CTSI/CHIBI (6-8) Recruitment of additional disease-based clinicians & clinician-investigators (6-8) Center for Musculoskeletal Care Existing Center for Diabetes and Metabolic Care (Dr. Steven Hodak) Center for Cardiovascular Care In progress Cancer Center Institute Existing Immunity & Inflammation Auto-Immunity Inflammatory Bowel Disease Infectious Diseases/Microbiome Asthma Metabolomics Diabetes Obesity Metabolic Disorders Cardiovascular Disease Vascular Disease Structural Heart Disease Arrhythmias Heart Failure Precision Medicine Genetic Basis of Disease Targeted Therapeutics

27. Katy Wesnousky Department Administrator Glenn Fishman Vice Chair Research Yelena Sionova Director, Research Administration Phil Himmelstein Finance Manager Gra n ts Manager – Translational/ DGIM Grants Manager- Pulmonary Grants Manager- Rheumatology Grants Manager- Cardiology Grants Manager- Endocrinology Grants Manager- Infectious Disease Grants Manager- Geriatrics/GI/ Medical Humanities Financial Analyst Endo/Nephrology/ Translational/ DGIM Financial Analyst Pulmonary/Infectious Disease/Gastroenterology Financial Analyst Geriatrics/Humanities/ Rheumatology Financial Analyst Cardiology Clinical Trials Coordinators

28. Assistant Professor (CIE or ICE) Assistant Professor (CIE or ICE) Clinical Fellowship Training 1234567891011120 NIH K Awards NIH R awards Department of Medicine Creating a Pathway for Success for Young Investigators Department of Medicine Creating a Pathway for Success for Young Investigators Timeline Weissmann Scholars (within 6 yrs) Weissmann Scholars (within 6 yrs) T32 training grants KL2 grants Foundations Philanthropy Physician-Scientist Training Program (SoM) Physician-Scientist Development Program (DoM) T32 training grants KL2 grants Foundations Philanthropy Physician-Scientist Training Program (SoM) Physician-Scientist Development Program (DoM) PSDP Program Details (work in progress) 80% Protected Research Time Salary Support: Shared by Department, Division and other Sources Modest Project Support Nominations by Division Directors and Program Directors Selection Committtee of Physician-Investigators Anticipate ~ 3/year (Funded by Coltons, Sapersteins, new philanthropy) PSDP Program Details (work in progress) 80% Protected Research Time Salary Support: Shared by Department, Division and other Sources Modest Project Support Nominations by Division Directors and Program Directors Selection Committtee of Physician-Investigators Anticipate ~ 3/year (Funded by Coltons, Sapersteins, new philanthropy) Intensive Research Training (Asst in Service or Instructor) Intensive Research Training (Asst in Service or Instructor)

30. Research Day & Awards Dinner Presentation Title Goes Here 30

31. Medicine@NYULMC Co-editors : Editorial Board: Steven Abramson, MD Doug Bails, MD Lucy Bruell Bruce Cronstein, MD Laura Evans, MD Carl Glenn Lisa Greiner Anthony Grieco, MD Kathy Hochman, MD Jonathan LaPook, MD Michael LoCurcio, MD Donna Marino Mark Pochapin, MD Harmony Reynolds, MD Neil Shapiro, MD Alex Sherman, MD Katy Wesnousky Jessica Wilson 31 Stacy BodziakDavid Oshinsky, PhD

33. Presentation Title Goes Here 33 Medicine@NYULMC Spotlight Videos

34. Donna Marino

35. Department of Medicine Philanthropy FY’14 YTD (Thru June 16 th ) Division Rheumatology$10,818,835 Endocrinology$7,666,667 Translational Medicine$1,383,333 Cardiology$1,245,585 General Internal Medicine$981,976 Geriatrics$498,100 All Other$1,492,450 Total Department of Medicine$24,086,946

36. Promotions

37. First Annual Appointments & Promotions Reception Presentation Title Goes Here 37

38. Appointments and Promotions Division of Cardiology Sripal Bangalore, MD, Associate Professor of Medicine Howard Weintraub, MD, Clinical Professor of Medicine Division of Gastroenterology Fritz Francois, MD, Associate Professor of Medicine Jonathan D. LaPook, MD, Mebane Professor of ` Gastroenterology and Professor of Population Health Division of General Internal Medicine Douglas B. Bails, MD, Clinical Associate Professor of Medicine Michael LoCurcio, MD, Associate Professor of Medicine Marc M. Triola, MD, Associate Professor of Medicine 38

39. Appointments and Promotions Division of Hematology & Oncology Lawrence P. Leichman, MD, Professor of Medicine Yelena Novik, MD, Associate Professor of Medicine Ruth Oratz, MD, Clinical Professor of Medicine Division of Infectious Diseases Melanie Maslow, MD, Professor of Medicine Division of Pulmonary & Critical Care Laura E. Evans, MD, Associate Professor David L. Kamelhar, MD, Clinical Professor Division of Rheumatology Brian D. Golden, MD, Clinical Associate Professor Sara B. Kramer, MD, Clinical Associate Professor Paula Rackoff MD,, Clinical Associate Professor 39

40. Major Awards and Appointments Laura Evans, MD, was named Bellevue's "Physician of the Year" at the annual New York City Health and Hospitals Corporation (HHC) Doctors’ Day Celebration. Martin J. Blaser, MD, was honored as the 2014 recipient of the NIH Clinical Center's Distinguished Clinical Research Scholar and Educator in Residence. David S. Goldfarb, MD, received the 2014 Distinguished Teacher Award in the Basic Sciences at NYU School of Medicine. William N. Rom, MD, received the 2014 Distinguished Achievement Award from the American Thoracic Society Harmony Reynolds, MD, named Saul j. Farber Assistant Professor Edward A. Fisher, MD, delivered the George Lyman Duff Memorial Lecture at the last annual scientific sessions conference of the American Heart Association Presentation Title Goes Here 40

41. Major Awards and Appointments Norman B. Javitt, MD, PhD received the American Physiological Society’s History of Physiology Group 2014 Recognition Award Bruce N. Cronstein, MD, received the 2013 Arthritis Foundation Lee C. Howley Sr. Prize for Research in Arthritis. Barry Rosenzweig, MD, has been appointed Assistant Dean for GME. Neil Shapiro MD Clinical Correlations published an article celebrating our 1000 th article published and won a Silver Award from the American Society of Healthcare Publication Editors Rochelle (and Kurt) Hirschhorn MD awarded the 2013 Victor A. McKusick Leadership Award by American Society of Human Genetics Presentation Title Goes Here 41

42. Department of Medicine Goals for 2014-2015

43. Clinical 1.Continue to promote One Faculty across institutions and practices – Clinical Tri-institutional leadership group – Improve communication with Monthly Newsletter: Medicine@NYULMC 2.Develop New Centers for Clinical and Translational Research – Diabetes and Endocrine – Autoimmunity – Liver Disease, IBD, Advanced endoscopy – Pulmonary Hypertension – Asthma, Lung cancer – LVAD/CHF, Arrhythmia, Interventional Cardiology 3.Promote Strength, Growth and Reputation of Clinical Practices

44. Research 1.Leadership Role of Division Directors: (Recruitment, NIH grants, faculty development, mentoring, etc) 2.Implement a strategic translational research plan that enables collective success of divisions 3.Committee on Research Collaboration – RFP ($25K X 4) – Promote inter-divisional/departmental collaboration – Develop collaborative NIH submissions of grants >$350K (RO1, PPG/Center, Co-PD/PI) – Promote joint recruits with basic science departments (Cell Bio, Pathology, Genetics, Pop Health) – Promote collaborative opportunities for young scientists

45. Awardees of the Department RFP for Collaborative Research Role of Netrin-1 in inflammation and Disease Bruce Cronstein, Kathryn Moore, Adam Mor, Ludovic Desvignes Association of Staphylococcus aureus and host B-cell responses during bacterial colonization Gregg Silverman, Bo Shopsin Platelet Activation and Endothelial Reactivity in the Pathogenesis of Tissue Inflammation/Injury in Systemic Lupus Erythematosus Jeffrey Berger, Jonathan Newman, Jill Buyon, Robert Clancy Adolescents Research-Study Group on Insulin-Resistance and Sleep (the ARISe group): pilot data collection Indu Ayappa, Antonio Convit, Ricardo Osorio, Andrew Varga, David Rapoport 45

46. Education and Academic Affairs 1.Focus on faculty leadership development 2.Increase mentoring of faculty (Mentoring “champion”, programs) 3. G21: Re-engineer GME programs – Implementation of CLER/NAS (B. Rosenzweig, Lou Miller) – Compliance with RRC (ICU, ambulatory) – Develop tracks for PC/IM, Research, Hospitalists, Specialists – Technological innovation (iPads, handheld ultrasound, education data warehouse) – Develop innovative models for GME financing for ambulatory training – Develop competency based pathways to “graduation” of residents and fellows

47. Next Steps “In real life, strategy is actually very straightforward. You pick a general direction and implement like hell." ― Jack Welch Chair and CEO General Electric

48. In real life… Our successes flow from the talent and commitment of our physicians, scientists and staff. Thank you all for your many contributions to the missions of this great department!