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 VITAL SIGNS 2012 Community Report

EDUCATE   DISCOVER   SERVE

THE UNIVERSITY                         OF NORTH DAKOTA

LEADERSHIP Administrative Officers Robert O. Kelley, PhD President of the University of North Dakota Joshua Wynne, MD, MBA, MPH Vice President for Health Affairs and Dean Gwen W. Halaas, MD, MBA Senior Associate Dean for Academic and Faculty Affairs Randy S. Eken, MPA Associate Dean for Administration and Finance Charles E. Christianson, MD, ScM Associate Dean for Clinical Education Joycelyn A. Dorscher, MD Associate Dean for Student Affairs and Admissions Julie A. Blehm, MD Associate Dean, Southeast Campus, Fargo Nicholas H. Neumann, MD, MMM Associate Dean, Southwest Campus Martin L. Rothberg, MD Assistant Dean, Northwest Campus, Minot Susan Zelewski, MD Assistant Dean, Northeast Campus, Grand Forks

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2012 Community Report

School of Medicine and Health Sciences Advisory Council Joshua Wynne, MD, MBA, MPH Grand Forks (Executive Secretary) Thomas F. Arnold, MD Dickinson John R. Baird, MD Fargo Rep. Stacey Dahl, JD Grand Forks Terry Dwelle, MD Bismarck J. Brian Hancock, MD Fargo L. Gary Hart, PhD Grand Forks Sen. Ralph L. Kilzer, MD Bismarck John M. Kutch, MHSA Minot Craig J. Lambrecht, MD Bismarck Sen. Tim Mathern, MPA Fargo Rep. Ralph Metcalf Valley City David Molmen, MPH Grand Forks (Chair) Maggie D. Anderson, MM Bismarck Shari L. Orser, MD Bismarck Grant H. Shaft, JD Grand Forks Courtney M. Koebele, JD Bismarck (Ex Officio)

EDUCATE, DISCOVER, SERVE A Community-Based School of Medicine and Health Sciences UND is one of 27 medical schools in the country that is community-based, meaning we don’t own or operate our own hospital. Rather, we partner with health care providers in the community to educate our students. Basic Medical Sciences Doctor of Philosophy and Master of Science degrees are available in the following disciplines: • Anatomy and Cell Biology • Biochemistry and Molecular Biology • Microbiology and Immunology • Pharmacology, Physiology, and Therapeutics Medical Doctor (MD) Program All medical students spend their first two years in Grand Forks. They learn through lectures, laboratories, patient simulations, and in patient-centered learning groups, where basic and clinical sciences are taught in the context of patient cases. They then spend two years of clinical training in Bismarck, Fargo, Grand Forks, Minot, or a rural community through the Rural Opportunities in Medical Education (ROME) program. MD/PhD Scholars Program  Outstanding students are prepared for careers in academic medicine and research. Students pursue original research in laboratories or clinical settings with members of the graduate faculty while also completing the medical school curriculum.

health research and evaluation, and environmental health. At NDSU, students can specialize in health promotion, pharmacy and public health, infectious disease management, or disaster and emergency preparedness. The inaugural Master of Public Health degree classes started in the fall of 2012. Health Sciences Athletic Training • Four-year Bachelor of Science Medical Laboratory Science • Four-year Bachelor of Science or post-graduate certificate • Categorical Certificate • Master of Science • More than 60 clinical training sites in 10 states; more than half in North Dakota and the surrounding region Cytotechnology Professional Program • Four-year Bachelor of Science professional program or postgraduate certificate Histotechnician Certificate Occupational Therapy • Five-year Master of Occupational Therapy Physician Assistant Studies • Two-year Master of Physician Assistant Studies Physical Therapy • Three-year pre-physical therapy and three-year Doctor of Physical Therapy

Master of Public Health   Raymond L. Goldsteen, DrPH, is the founding director of the School’s Master of Public Health Program, a unique graduate program offered jointly by the University of North Dakota (UND) and North Dakota State University (NDSU). At UND, students can specialize in rural health, including rural health management and policy, population 2012 Community Report

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EDUCATE The primary purpose of the University of North Dakota School of Medicine and Health Sciences is to educate physicians and other health professionals and to enhance the quality of life in North Dakota. Other purposes include the discovery of knowledge that benefits the people of this state and enhances the quality of their lives. —North Dakota Century Code

The University of North Dakota School of Medicine and Health Sciences is a national leader in rural health—serving North Dakota since 1905 Areas of Strength Your School of Medicine and Health Sciences educates health care providers and scientists and strives to discover new knowledge to serve North Dakotans. The School has a well-deserved reputation for excellence as one of 27 community-based medical schools in the country, which gives our medical and health sciences students the chance to practice in hospitals and clinics across North Dakota. The School is grateful for the more than 900 part-time or volunteer clinical faculty in over 30 communities throughout the state who help to educate medical students and residents. There are four clinical campuses located in Bismarck, Fargo, Grand Forks, and Minot. Health sciences students receive training not only here in North Dakota but also across the country, including an occupational therapy campus in Casper, Wyoming, and a medical laboratory science campus at Mayo Clinic in Rochester, Minnesota.

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2012 Community Report

The UND School of Medicine and Health Sciences educates students to focus on patients and communities • The School’s patient-centered learning curriculum is nationally recognized for producing caring, patientcentered, and dedicated practitioners. • At the forefront of medical education, the School uses the latest in simulation technology for teaching and serves as a valuable resource for health care professionals throughout North Dakota and the region. • An interprofessional health care course makes the School a national leader in providing students with a strong practical understanding of the various health care professionals on their team. • Medical students and residents provide direct care to North Dakotans through the Centers for Family Medicine in Bismarck and Minot as well as through clerkships in communities throughout the state. • Health sciences students provide direct care and services through internships in health care facilities across North Dakota.

DISCOVER, SERVE The UND School of Medicine and Health Sciences discovers new knowledge to transform lives through research Areas of Research Strength • Cancer and the environment • Neurodegenerative disorders • Health disparities in rural and American Indian communities • Eating disorders and obesity • Aging • Infectious diseases The School has facilities for the study of drug addiction and neurodegenerative diseases such as Parkinson’s, Alzheimer’s, multiple sclerosis, epilepsy, and others.

• The School leads the nation in rural health through the Center for Rural Health, one of the nation’s best. The Center is home to the nation’s only Rural Assistance Center, a worldwide clearinghouse for information on rural health issues, and the Health Workforce Information Center, which provides free access to the most recent resources on the nation’s health workforce in one easyto-use online location. • The new Master of Public Health program is a partnership between UND’s School of Medicine and Health Sciences; NDSU's College of Pharmacy, Nursing, and Allied Sciences; and other departments at both universities that will bolster the number of rural public health professionals in the state and better equip existing rural health workers with the tools they need to improve services. • The School is a major provider of health care practioners for the state of North Dakota, especially family physicians practicing in rural areas.

The UND School of Medicine and Health Sciences serves North Dakota • The School improves the health and health care of North Dakotans through research, community engagement, and prevention programs. • Direct primary care to North Dakotans is provided through its family medicine clinics in Bismarck and Minot.

Brij B. Singh, PhD, professor in the Department of Biochemistry and Molecular Biology, conducts research to identify molecular targets for treating Alzheimer’s, Huntington’s, and Parkinson’s diseases or to establish markers for early diagnosis of these neurodegenerative diseases.

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EDUCATE Student Enrollments by Major Spring 2012 Basic Sciences Anatomy and Cell Biology 8 (Graduate—Master and Doctoral) Biochemistry and Molecular Biology 15 (Graduate—Master and Doctoral, includes Pathology) Microbiology and Immunology (Graduate—Master and Doctoral) 10 Pharmacology, Physiology, and Therapeutics (Graduate—Master and Doctoral) 14 Total  47 Medical Doctor Year 1—Class of 2015 Year 2—Class of 2014 Year 3—Class of 2013 Year 4—Class of 2012

58 62 61 61 Total  242

Residents  (Post-MD degree training in family medicine, internal medicine, surgery, psychiatry, and transitional)

Total  106

The 2011 North Dakota Legislative Assembly authorized the University of North Dakota School of Medicine and Health Sciences to increase student enrollment. This will result in additional medical and public health practitioners, therapists, and other health professionals to serve North Dakota’s changing health care needs. As a partial implementation of the School’s Healthcare Workforce Initiative (HWI), the following expansion of class sizes will begin to address workforce shortages in North Dakota: • Eight additional medical students/year (starting August 2012) 6

2012 Community Report

Health Sciences Athletic Training Pre–Athletic Training Bachelor of Science Cytotechnology Pre-Cytotechnology Bachelor of Science— Cytotechnology Medical Laboratory Science Pre–Medical Laboratory Science Certificate Bachelor of Science Master of Science Occupational Therapy Pre–Occupational Therapy Professional Year I (Undergraduate) Professional Year II (Undergraduate) Professional Year III (Graduate—Master) Physician Assistant (Graduate—Master) Physical Therapy Pre–Physical Therapy Doctoral

40 22 7 2 52 84 136 58 105 46 45 40 55

194 141 Total  1,027

• Fifteen additional health sciences students/year (starting August 2012) • Nine new residency slots/year (starting July 2012) Full implementation of the HWI proposes an additional enrollment increase at UND’s School of Medicine and Health Sciences in 2014. As a precondition for complete HWI implementation, the Legislature requested that the SMHS complete a facility space utilization study. You can read the executive summary of the study online at http://bit.ly/IkOp3A.

The School’s Interprofessional Health Care Course codirected by Eric L. Johnson, MD, associate professor, in the Department of Family and Community Medicine at the SMHS, and Maridee Shogren, MSN, of the UND College of Nursing, involves every allied health profession on campus and is run on a collaborative model that doesn’t assign a “higher” value to any one profession or specialty over any other.

In addition to undergraduate and graduate students enrolled in programs offered by the School of Medicine and Health Sciences, faculty also teach basic science courses to undergraduate students who will become nurses, dietitians, teachers, and forensic scientists. Total undergraduate student enrollment for the spring of 2012 was 705. 2012 Community Report

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EDUCATE Our goal is for our students in the health sciences and medicine to meet or exceed the accepted standard on nationally recognized exams measuring academic progress.

School of Medicine and Health Sciences Student Performance on Nationally Recognized Exams Program Athletic Training Medical Laboratory Science

UND  Pass Rate 86% 92%

79%

Cytotechnology

100%

93%

Histotechnology

100%

67%

Occupational Therapy

78%

84%

Physical Therapy

96%

90%

Physician Assistant

91%

86%

97%

94%

98% 100%

97% 98%

98%

95%

Medical Student Step 1 Basic Science Step 2 Clinical Knowledge Clinical Skills Step 3 Independent Clinical Practice

Sources: Data are from the most recent examination in each respective area.

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National  Pass Rate 61%

2012 Community Report

EDUCATE “Family physicians are the bedrock of primary care, and primary care is the foundation of a health care system that provides high quality, effective, and efficient care to patients. It all begins with the medical schools and their faculty’s commitment to family medicine.” —Roland Goertz, President, American Academy of Family Physicians Our goal is to exceed the national average of students going into family medicine by 100 percent.

UND Graduates Entering a Family Medicine Residency 1981–2012 Average 1981–2012 UND SMHS 23.0% NATIONAL 11.2% UND SMHS Goal 22.4%

50

Percentage  of Graduates

40

30

20

10

0

‘81 ‘82 ‘83 ‘84 ‘85 ‘86 ‘87 ‘88 ‘89 ‘90 ‘91 ‘92 ‘93 ‘94 ‘95 ‘96 ‘97 ‘98 ‘99 ‘00 ‘01 ‘02 ‘03 ‘04 ‘05 ‘06 ‘07 ‘08 ‘09 ‘10 ‘11 ‘12

Year Sources: Division of Education Division of Research and Information Services American Academy of Family Medicine Department of Family & Community Medicine University of North Dakota 3/12

2012 Community Report

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EDUCATE Growing Our Own Innovative Programs to Produce Health Care Providers for North Dakota GOOD To Grow Our Own Doctors and other health professionals, the 2011 Legislature provided to the School of Medicine and Health Sciences $1.8 million in new funding to expand the medical school class size by eight students, the health sciences class size by 15 students, and the residency size by 9 residents. Beginning in the summer of 2012, the class size expansion will be focused on educating more primary care providers to deliver care in North Dakota. Coupled with enhanced efforts addressing retention of our own graduates for practice in North Dakota, this expansion of the class size will help to address the current and especially the anticipated looming shortage of providers. RuralMed RuralMed is a tuition waiver program (or scholarship) designed to encourage medical students to select careers in family medicine and increase the number of family medicine providers for rural North Dakota. Students accepted for the RuralMed Program have their entire cost of tuition waived in return for their practicing in North Dakota. Students will not have to borrow money for tuition and accrue interest for medical education. INMED The Indians into Medicine Program (INMED), which was established in 1973, is a comprehensive program designed to assist American Indian students who aspire to be health professionals to meet the needs of our Indian communities and to serve reservation populations. INMED has assisted approximately 20 percent of U.S. American Indian physicians with their education.

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2012 Community Report

ROME Rural Opportunities in Medicine (ROME) is a 24–28 week interdisciplinary experience in a rural primary care setting that is open to third-year students at the School of Medicine and Health Sciences. Students live and train in nonmetropolitan communities under the supervision of physician preceptors. ROME students experience health care delivery in rural areas throughout the state of North Dakota, where providing access to health care is sometimes challenging. Students learn about problems commonly encountered in primary care, from routine health maintenance to medical emergencies and rare and unusual diagnoses. Each primary preceptor is boardcertified in family medicine, but students also work with board-certified surgeons, internists, pediatricians, and other specialists available in the community. Interprofessional Health Care Course (IPHC) The course includes eight allied health professions on campus and is run on a collaborative model that doesn’t assign a “higher” value to any one profession or specialty over any other. Almost 2,000 students have completed the course. The IPHC is modeled on the School’s acclaimed patientcentered learning small-group curriculum. The focus of the course is to learn about the role of other health care professionals and how to interact as a health care team. Eight disciplines are involved in the course: medicine, nursing, occupational therapy, physical therapy, music therapy, communication sciences and disorders, social work, and nutrition and dietetics. The goal of IPHC education is collaborative practice. Students learn every person on a team is a patient advocate, which significantly reduces errors in the health care system and that leads to improved cost efficiency, an appropriately important issue for the twenty-first century.

Minot Longitudinal, Integrated Clerkship  A clerkship is a course of clinical training that third- and fourth-year medical students undertake in specialty areas. In the summer of 2012 in Minot, the first cohort of medical students undertook a longitudinal, integrated third-year clerkship (LIC). Students work with preceptors in each of the specialties; for example, spending a half day every week in the office with each primary care preceptor, less frequent office time with surgery and obstetrics and gynecology preceptors, balanced by operating room and delivery room time, and regular emergency department shifts. An important feature of the new LIC is that students develop a panel of patients, whom they follow throughout the year, accompanying them to consultant visits and procedures, and following them through hospitalizations. Ample evidence from several schools shows that students in longitudinal, integrated clerkships perform as well or better on standardized tests than their traditional counterparts, and LIC students increase in their patientcenteredness through the year, while traditional students decrease in this important measure of attitude. R-COOL-Health Scrubs Camps Rural Collaborative Opportunities for Occupational Learning in Health (R-COOL-Health) Scrubs Camps are one-day learning experiences where students are able to explore health care careers from their local health care providers through hands-on, interactive activities. Since the program’s start in 2010, 1,864 students, 742 volunteers, and 143 communities have participated in the Scrubs Camp program. Students who have participated in Scrubs Camps have learned about various health care careers and participated in interactive activities, including dissecting pig hearts, typing blood samples, and participating in mock emergency scenarios.

R-COOL-Health Scrubs Academy Forty-five North Dakota junior high students participated in the second annual Scrubs Academy, held at the University of North Dakota campus, June 24–27. Students participated in a dissection, explored the inside of a 32-foot inflatable colon, and learned more about anatomy, medical laboratory science, emergency medical services, mental health, occupational therapy, physical therapy, public health, nutrition, music therapy, and radiology. As part of the academy, students received CPR training and became certified in the Health Insurance Portability and Accountability Act (HIPAA). Most health facilities in North Dakota require that students be HIPAA-certified before allowing them to job shadow, and job shadowing is an important step in selecting a career path. Students also were given the opportunity to explore and learn more about the School of Medicine and Health Sciences, the UND campus, and the Grand Forks community. North Dakota Area Health Education Center (AHEC) The North Dakota AHEC addresses critical health care workforce shortages in the state. Without an adequate workforce, access to essential health and medical services and the quality of care will suffer. With regional centers located in Hettinger and Mayville to serve the western and eastern parts of the state, North Dakota AHECs work with students in kindergarten through college, rural communities, medical professionals, and educators. The North Dakota AHEC program has provided over 8,000 contact hours to health care providers for continuing education opportunities. In addition, the AHECs have provided funding for health career fairs, career awareness activities, and various training programs, resulting in 6,000 students trained. Learn more about North Dakota AHECs by visiting http://www.ndahec.org. 2012 Community Report

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DISCOVER Of the 27 community-based medical schools in the United States, the SMHS is ranked No. 6 in external funding for sponsored projects. The School’s goal is to be No. 1.

Studying Issues That Matter to North Dakotans Areas of Research Strength • Cancer and the environment • Neurodegenerative disorders • Infectious diseases

• Health disparities in rural and American Indian communities • Eating disorders and obesity

FY2010  Sponsored project awards  by sponsor type

FY2011  Sponsored project awards  by sponsor type 0.4%

0.01% 4.8% 5.5%

2.6% 83.59%

• Aging

5.0%

FY2012  Sponsored project awards  by sponsor type

1.4%

6.5%

90.6%

0.1%

7.4% 70.9%

6.1%

15.1%

Total number of proposals................208 Total number of awards ......................93 Total funding ................$22,793,108.00 Federal

State

Total number of proposals................145 Total number of proposals................160 Total number of awards ......................91 Total number of awards ......................97 Total funding ................$19,915,255.00 Total funding ......................$12,230,393 Private (Other)

Research Events • Summer Undergraduate Biomedical Research Poster Session August 2012 • North Dakota Institutional Development Award (IDEA) Network of Biomedical Research Excellence (INBRE) Annual Symposium October 2012 12

2012 Community Report

Foundation

Private (Industry)

• American Indian Health Research Conference • 33rd Annual Frank Low Research Day • Surgery Research Colloquium

October 2012 April 2013 June 2013

Erin Holdman is one of many students who experience conducting research shoulder-toshoulder with leading biomedical researchers whose work has implications in treating Alzheimer’s disease, autism, breast cancer, depression, diabetes, drug addiction, environmental cancer risks, epilepsy, heart disease, Parkinson's disease, schizophrenia, and skin cancer.

2012 Community Report

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SERVE Through funding from the state Legislature, the Center for Rural Health helped communities hold 32 Scrubs Camps and 2 Scrubs Academies for 1,947 children across North Dakota. Scrubs Camps are one-day learning experiences for kids to learn about health professions; the Scrubs Academies are four-day experiences held at the School of Medicine and Health Sciences for 45 middle-school students.

The Center for Rural Health at the School of Medicine and Health Sciences provides services to all 53 counties and 100 communities in North Dakota. The Center provides technical assistance to all 38 rural hospitals, 36 of which are critical access hospitals. The assistance is focused on improving access to care, viability of rural health systems, quality of care, and rural health system development. Direct grants to health organizations in North Dakota awarded and administered through the Center for Rural Health totaled $1,353,161 for FY2010, $1,812,459 for FY2011, and $1,556,381 for FY2012. FY 2010  • $570,555 to rural North Dakota hospitals for health services development or expansion (including emergency medical services and other rural partners) • $374,795 to expand rural health information technology (funding source was BlueCross BlueShield of North Dakota) • $407,811 for workforce development (funding sources were a federal Area Health Education Center grant, federal Student/Resident Experiences and Rotations in Community Health grant, and state appropriations) FY 2011  • $646,903 to rural hospitals for health services development or expansion (including emergency medical services and other rural partners) • $375,000 to expand rural health information technology (funding source was BlueCross BlueShield of North Dakota) • $790,556 for workforce development (funding sources were a federal Area Health Education Center grant and state appropriations) FY 2012  • $573,293 to rural hospitals for health services development or expansion (FLEX, SHIP, Frontier) • $983,088 for workforce development (funding sources were federal area Health Education Center grant, federal Student/Resident Experiences and Rotations in Community Health grant, and state appropriations.) 14

2012 Community Report

The Scrubs Academies provide students with hands-on activities and information as well as experience with health professionals; students also become certified in cardiopulmonary resuscitation (CPR) and the Health Insurance Portability and Accountability Act (HIPAA). Most health facilities in North Dakota require that students be HIPAA-certified before allowing them to job shadow, and job shadowing is an important step in selecting a career path.

2012 Community Report

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EDUCATE More than 560 Practicing Physicians Serving North Dakota Communities Received Their Education at UND Percentages of Health Care Providers Practicing in North Dakota who are Graduates of the University of North Dakota School of Medicine and Health Sciences Athletic Trainers

20%

Occupational Therapists

54%

Medical Laboratory Scientists

40%

Physician Assistants

41%

Physical Therapists

58%

The School of Medicine and Health Sciences Alumni Medical Laboratory Scientists Athletic Trainers

1,618 190

Doctor of Medicine

1,854

Physical Therapists

1,571

Occupational Therapists

1,651

Physician Assistants

1,666

Data were collected from North Dakota state licensing boards and academic departments.

Percentages of Physicians Practicing in North Dakota who are Graduates of the UND School of Medicine and Health Sciences All Specialties

39%

Family Medicine

66%

Internal Medicine

45%

Obstetrics and Gynecology

56%

Pediatrics

30%

Psychiatry

42%

Source: Medical Marketing Service. (2011). AMA MAster File, 2011. [Data file]. Wood Dale, IL: Medical Marketing Service.

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2012 Community Report

“During our pediatrics class, there were several occasions when parents volunteered to bring their children in, which greatly contributed to our learning experience.” —Year three student physical therapists Theresa Cowles and Rachel Bloms

Physical Therapy students Theresa Cowles (left) and Rachel Bloms practice their pediatric skills with Jocelyn Dawes (center).

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SERVE Nationwide, employee turnover rates of 20–30 percent are often an expected cost of doing business. Imagine locating your company in a state where employee turnover rates higher than 15 percent are cause for concern and many employers do not track turnover because it's not an issue, much less a line item. —North Dakota Department of Commerce

A Stable Workforce The School of Medicine and Health Sciences faculty turnover rate (faculty who have left their jobs) was 4.3% for FY2011. Since 2006, the average turnover rate for North Dakota University System faculty has been 8.6%. The School of Medicine and Health Sciences staff turnover rate was 8.8% for FY2011. Since 2006, the average turnover rate for North Dakota University System staff has been 10.5%.

Benefitted Faculty and Staff for Fiscal Year 2011 Total Benefited* Faculty—162 Full time—148; Part time—14 Total Benefited* Staff—261 Full time—226; Part time—35 *Benefited appointment is 20 hours/week or more.

Working at the School is exciting, because I am involved with the training of the next generation of health care professionals and biomedical researchers through collaborative programs at UND, NDSU, state undergraduate institutions, and tribal colleges. I find my work with programs at the K–12 level that are designed to increase the number of students entering science, technology, engineering, and mathematics especially inspiring. Karen Cisek Project Coordinator, Department of Pathology

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2012 Community Report

Leaders of the School promote the satisfaction and health of students, faculty, staff, and their families through novel activities such as “Joggin’ with Josh,” hosted by Dean Joshua Wynne, an informal 5K walk, jog, or run along the outskirts of campus. Shown participating in Joggin’ with Josh in 2011 are April Coming Hay and her son Damion.

2012 Community Report

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EDUCATE, DISCOVER, SERVE Biennial budget is $161,768,682 The majority comes from non-state sources such as grants, contracts, patient revenue, and tuition.

UND School of Medicine & Health Sciences

Expenditures: 2011–2013 Total: $161,768,682 14.5% $23,456,459   29.5% $47,721,761

56% $90,590,462

Revenue: 2011–2013 Total: $161,768,682 3.1% $5,019,240

29.6% $47,847,971

16.6% $26,901,471 24.7% $40,000,000

26% $42,000,000

Salaries Operating Fringe Benefits

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2012 Community Report

ND General Fund Local Funds  Grants & Contracts Tuition One-Mill Levy

The newest members of the School’s leadership team: Raymond Goldsteen, director of the Master of Public Health Program, and Joycelyn Dorscher, associate dean for Student Aairs and Admissions, contribute critical expertise to the School.

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EDUCATE, DISCOVER, SERVE Philanthropy Sources of Donations Fiscal Year 2011 4.8%

2.5% 66%

79.4%

12%

13.3%

22%

Retained Donors Re-engaged Donors New Donors Total Donors: 

700 237 130 1,067

Alumni Friends Corporations/foundations/ matching gifts Other Total Donors:

“Thank you for awarding me the Karen and Elvira Lynner Medical Scholarship. Your support of my education is truly a blessing that I am enormously grateful for.” Laura Luick, Second-Year Medical Student 22

2012 Community Report

847 142 27 51 1,067

Fiscal Year 2010 Retained Donors Re-engaged Donors New Donors

Philanthropy Uses of Donations Fiscal Year 2011 3.3% 49.2%

6.9%

Alumni 924 Friends 108 Corporations/foundations/ matching gifts 22 Other 15 Total Donors: 1,069 Students Priority Needs Programs Faculty Facilities

7% 33.6%

693 254 122 Total Donors: 1,069

$ 688,531 1,069,190 52,508 1,505,190 150,000 Total: $3,465,419

Fiscal Year 2009

Students Priority Needs  Programs Faculty Facilities Total:

$376,472.71 257,004.64 53,910.00 53,165.62 25,000.00 $765,552.97

Retained Donors Re-engaged Donors New Donors

657 285 105 Total Donors: 1,047

Alumni Friends Other

904 119 24 Total Donors: 1,047

Students Programs Faculty

$ 145,970 2,906,967 2,407,174 Total: $5,460,111

“Thank you so much for the generous scholarship! We have an excellent program, and donor support goes a long way in helping offset all our debt.” Adrianne Racek, Third-Year Medical Student 2012 Community Report

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Percentage of Students

24 60%

40%

20%

0% ’01 ’05 ’06 ’07

2012 Community Report ’02 ’06 ’07 ’08 ’03 ’07 ’08 ’09 ’04 ’08 ’09 ’10 ’05 ’09 ’10 ’11

*

4 Students Graduated in 2012 = 97%

3 Students Graduated in 2011 = 91%

55 Students Graduated in 2010 = 86%

64 Students Admitted in 2006

0 Students Graduated in 2011 = 95%

1 Student Graduated in 2010 = 95%

59 Students Graduated in 2009 = 94%

63 Students Admitted in 2005

1 Student Graduated in 2010 = 94%

1 Student Graduated in 2009 = 92%

58 Students Graduated in 2008 = 91%

64 Students Admitted in 2004

1 Student Graduated in 2009 = 89%

0 Students Graduated in 2008 = 87%

55 Students Graduated in 2007 = 87%

63 Students Admitted in 2003

1 Student Graduated in 2008 =95%

1 Student Graduated in 2007 = 93%

52 Students Graduated in 2006 = 91%

57 Students Admitted in 2002

0 Students Graduated in 2007 =100%

5 Students Graduated in 2006 = 100%

53 Students Graduated in 2005 = 91%

58 Students Admitted in 2001

EDUCATE

Completion rates* measure the full-time, first-time students who enrolled in a professional degree program and completed their degree within the maximum time, which varies based on the program. For medical doctorate students at the School, the maximum time allowed to complete a four-year degree is six years. The national completion rate for medical students who graduate within seven years is 94 percent. Our goal is to exceed the national benchmark for completion. Doctor of Medicine (Four-year program)

100%

80%

Years ’06 ’10 ’11 ’12

Number Graduated/Number Admitted = Completion Rate

Percentage of Students

0 ’05

60

40

20

’06 ’08

80 ’06

’08

’08

Years ’09

’10 ’07

’10 ’10 ’08 ’11

’09

’09 38 Students Graduated in 2012 = 93%

’11

41 Students Admitted in 2009

’08

36 Students Graduated in 2011 = 90%

’10

40 Students Admitted in 2008

38 Student Graduated in 2010 = 93%

41 Students Admitted in 2007

42 Student Graduated in 2009 = 98%

’07

55 Students Graduated in 2012 = 95%

0 ’09

58 Students Admitted in 2010

20 ’06

60 Students Graduated in 2010 = 91%

40 ’08

43 Students Admitted in 2006

’05

66 Students Admitted in 2008

20 47 Students Graduated in 2012 = 98%

48 Students Admitted in 2009

45 Students Graduated in 2011 = 94%

48 Students Admitted in 2008

49 Student Graduated in 2010 = 98%

50 Students Admitted in 2007

50 Student Graduated in 2009 = 100%

50 Students Admitted in 2006

47 Students Graduated in 2008 = 98%

48 Students Admitted in 2005

40

44 Students Graduated in 2008 = 100%

Percentage of Students 60

32 Students Graduated in 2008 = 100%

60

44 Students Admitted in 2005

0

32 Students Admitted in 2006

Percentage of Students 100

Doctor of Physical Therapy (Three-year program)

80

Years ’12

Occupational Therapy (Three-year program; rates are for first-time test takers from Grand Forks and Casper, Wyo., campuses.)

100

80

Years ’12

Master of Physician Assistant Studies (Two-year program. A new class begins every other year.)

100

’12

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EDUCATE Residency Training Beyond the MD degree, the School of Medicine and Health Sciences provides residency training: a period of advanced intensive training for medical school graduates in their chosen medical specialty before independent practice as a physician. Depending on the medical specialty, medical school graduates complete anywhere from three to seven years of residency training after medical school. Residency training through the School is provided in five specialties. • Family Medicine (Bismarck, Minot) • Internal Medicine (Fargo) • Surgery (Fargo, Grand Forks) • Psychiatry (Fargo) • Transitional (Fargo)—a yearlong program designed to introduce graduates to a wide range of medical and surgical specialties. The goal is to build a broad foundation of clinical skills as a base for future training in a medical specialty. (An additional program in Family Medicine is provided through Altru Health System in Grand Forks.)

The School is or will provide funding to support the following new residency programs: • Altru Health System Family Medicine Program—a rural track as part of the family medicine program. • UND Family Medicine programs at Bismarck and Minot—a rural track at each of the campuses. • UND Surgery program—a rural track designed to train general surgeons for practice in rural areas of North Dakota and the region. • St. Alexius Medical Center—a novel hospitalist training program with development of a rural hospitalist model. • UND Obstetrics and Gynecology program—to begin the planning for an Ob-Gyn training program to accept its first residents in 2013. • Essentia Health—to begin the planning for a Fargobased family medicine training program that emphasizes rural care to accept its first residents in 2014.

Left to right: Dr. Michael Greenwood, MD ’11 and transitional year resident; Dr. M. Samir Toumeh, internal medicine resident ’08, Sanford Hospitalist, and clinical assistant professor of internal medicine; Dr. Rekha Kallamadi, program year (PGY) three internal medicine resident; and Dr. Rishi Seth, PGY-1 internal medicine resident. Photo courtesy of Michael K. Smith, Sanford Health Marketing.

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2012 Community Report

Jeffrey Hostetter, MD, assistant professor and director of the Center for Family Medicine–Bismarck, is pictured in front of the new home for the School’s Southwest Campus. The North Dakota Legislature provided funding for the four-story facility, which is a cooperative effort between Sanford Bismarck Medical Center (formerly Medcenter One), St. Alexius Medical Center, and UND. Open to the public, the Center is adjacent to both hospitals, making it ideal for faculty, staff, residents (medical school graduates), medical students, and, most importantly—patients.

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EDUCATE, DISCOVER, SERVE Keep your finger on the pulse of the latest news and events from the School of Medicine and Health Sciences Read Dean Joshua Wynne’s weekly column in E-News, the School’s digital newsletter delivered to your inbox.

Become a fan of our Facebook page: http://www.facebook.com/undsmhs

Subscribe to North Dakota Medicine, the School’s quarterly magazine available on the SMHS website: http://www.med.und.edu/ or through a print subscription.

Follow us on Twitter: http://twitter.com/#!/UNDSMHS

To subscribe to E-News or North Dakota Medicine, please contact Kristen Peterson, kristen.peterson@med.und.edu. (701) 777-4305.

See familiar faces posted on our Flickr account: http://www.flickr.com/photos/undsmhs/

If you would like further details about the information in this Community Report or the programs, departments, or research at the School, please contact Denis MacLeod, assistant director, Office of Alumni and Community Relations, UND School of Medicine and Health Sciences, (701) 777-2733, denis.macleod@med.und.edu Vital Signs 2012 represents the good-faith effort of the UND School of Medicine and Health Sciences to provide current and accurate information about the School. Numerous sources were used in gathering the information found in this community report. We welcome corrections, which we will incorporate in subsequent issues of Vital Signs.


Vital Signs--2012 Community Report