JABSOM: Development and Adaptation Discussion 2005

• Wm. Haning
• Manoa Faculty Senate

• Introduction to what we do
  • Scope - Undergraduate, Medical School, Graduate Programs, Residencies, CME, and PMEC
  • Range - where we do these things
  • Assets and instruments - faculty, resources
• Long-term aims of the medical school
  • Depth of training
  • Effects on health
  • Breadth of training ( neighbor islands, Pacific, Asia)
  • Research infrastructure development and capitalization plan
• Effects system-wide and on Manoa Campus (teaching assets, RTRF) of the
  • Move to Kakaako
  • Autonomy initiative recommended by Regents' Committee

Functions of the School

• Scope - Undergraduate, Medical School, Graduate Programs, Residencies, CME, and PMEC
  • Medical Technology Program
  • Speech Pathology Program
  • Manoa undergraduate teaching
    • Physiology
    • Biochemistry
    • Tropical Medicine
  • Residencies (HRP)
    • Geriatric Medicine
    • Internal Medicine
    • Obstetrics-Gynecology
    • Orthopedics
    • Pathology
    • Pediatrics
    • Psychiatry
    • Surgery
  • CME -- Hawaii Consortium for Continuing Medical Education
  • PMEC (in development)

Functions of the School

• Range - where we do these things
  • Geographically
    • Neighbor Islands
    • Asia, Pacific
  • Sites (Oahu)
    • Biomedical Sciences Building
    • Medical Education Building (Kaka'ako)
    • Hospitals: QMC, SFH, KFMC, KMC, Kuakini, Rehab, Leahi, TAMC, Spark Matsunaga DVAMC, HSH
    • Outpatient programs: Co-located with hospitals & free-standing

Functions of the School

• Assets and instruments - faculty, resources
  • Research
    • CRC, Cancer Center Hawaii, ACTG, PARC, Hawaiian Mental Health, PBRI, intramural departmental sites and laboratories
  • Instructional & Administrative
    • Office of Medical Education
    • Graduate Division
    • Office of Graduate Affairs
      • CME, PMEC
      • Collaborations - CBA
    • Clinical Departments
    • Native Hawaiian Health
    • CAM

Long-term aims of the medical school

• Depth of training
  • Subspecialty areas with need
    • Anesthesia
    • Cardiology
    • Gastroenterology
    • Pediatric Orthopedics
  • Specialty areas with proven expertise
    • Addiction Psychiatry/Medicine
    • Geriatrics
    • Forensics, Sports, others
• Effects on health
• Breadth of training ( neighbor islands, Pacific, Asia)
• Research infrastructure development and capitalization plan

Effects of Change (Teaching Assets, RTRF)

Effects of Change (Teaching Assets, RTRF)

Budget (additional data to be provided)

Effects of Change (Teaching Assets, RTRF)

• Present state
  • Biomed pre- and post-flood
  • Income
    • Sources
    • Obligations
  • Expenses
• Move to Kaka'ako
  • Access
  • Function
• Autonomy initiative recommendation by Regents' Committee
  • Limited concurrence by JABSOM
  • Shape of the school

Effects of Change (cont.)

• Autonomy initiative recommendation by Regents' Committee
  • "New unit" Systemwise SVP w/ CRCH, SoN, PBRC, JABSOM [no]
  • Health Sciences Council [yes]
  • Kaka'ako point of contact [qualified -- should be via SVP Research]
  • Entrepreneur-in-residence [maybe]
  • Single University Hospital [no]
  • Limitation to Centers of Research Excellence [qualified yes]
  • Independent study, Kaka'ako costs/revenues [no -- done]

Effects of Change (cont.)

• Benefits of a separate health sciences college within the UH System
  • To UHM
  • To JABSOM
  • To citizenry
• Drawbacks

Shape of the School

• Medical school:
  • Extension of a validated PBL model into both pre-med and post-residency training (PMEC)
  • Service basis complemented by contractual relationships for training, research, and clinical services outside Hawai'i
  • Self-sustaining, revenue-generating
  • Mission conformity: To be the best medical school in the world with an Asian-Pacific focus.

Questions & Input

• haning@hawaii.edu
• 586-7436/pager 577-6922
• William Haning, MD