USF Health Morsani College of Medicine Annual Report–2018

2018 ANNUAL REPORT

USF Health

the power of academic medicine

Dr. Charles J. Lockwood in the trauma operating room at the USF Health Center for Advanced Medical Learning and Simulation (CAMLS)

USF Health

the power of academic medicine

The University of South Florida recently joined the ranks of just two other Florida institutions with the designation of Preeminent State Research University. This prestigious achievement, a tribute to USF System President Judy Genshaft’s bold vision and leadership, was the culmination of years of hard work to transform USF into a premiere institution of higher learning.

A vital part of this path to preeminence has been the USF Health Morsani College of Medicine, a member of USF’s integrated health sciences center. USF Health is also comprised of the colleges of nursing, public health and pharmacy, school of physical therapy and rehabilitation sciences, biomedical sciences graduate and postdoctoral programs, and the largest multispecialty group practice on Florida’s west coast.

We are a place where the power of academic medicine thrives. A place where the next generation of doctors train with many of the best and brightest minds in health care. A place where research bridges the gap between discovery and promising new treatments. And, a place where we make lives better for the patients, families and communities we serve, even when confronted with the most challenging problems—whether it’s solving a complex case defying diagnosis or combating emerging global infectious diseases that threaten public health.

This annual report offers a glimpse of how we harness our power as the region’s only academic medical center to bring the best doctors, technology and patient care to Tampa Bay. With our primary teaching hospital, Tampa General Hospital (TGH), we are embarking on a bold new path to become Florida’s leading academic medical center.

I’m pleased also to update you on our new medical school and heart institute now under construction in Water Street Tampa, an unprecedented urban development project transforming downtown Tampa’s waterfront. The academic excellence within this iconic building will help catalyze the region’s economic development and further strengthen USF’s presence downtown, that already includes our partner TGH, the USF Health South Tampa Center for Advanced Healthcare and our outstanding medical simulation center, CAMLS.

USF Health Morsani College of Medicine

Charles J. Lockwood, MD, MHCM Senior Vice President, USF Health Dean, USF Health Morsani College of Medicine

The power of academic medicine

builds the future of health care This August, incoming USF medical students donned their first white coats at the downtown Tampa Convention Center, a few 100 yards from the construction site of the new USF Health Morsani College of Medicine (MCOM) building.

These students, USF’s most competitive MD class ever, will be among the first to occupy the college’s new home, co-located with a state-of-the-art cardiovascular institute, when it opens late 2019.

WATER STREET

More than a new building, this facility will help build the future of health through transformative education, research and patient care. Already, the USF Health Morsani College of Medicine and Heart Institute are building buzz with inquiries from biotech start-ups, powerhouse researchers and high-caliber students.

Among its features are: • A primary anchor for Water Street Tampa, a $3-billion real estate development by Strategic Property Partners, the joint venture of Jeff Vinik and Cascade Investments LLC, which

is transforming Tampa’s downtown waterfront into the world’s first WELL-certified district.

• 13-story, 395,000 square-foot facility with a 400-seat auditorium/lecture halls, experiential learning laboratory, smaller classrooms, clinical research unit and laboratories to support the Heart Institute, and public spaces designed with wellness in mind.

• Close to the college’s primary teaching hospital, Tampa General Hospital, and blocks away from USF Health’s worldclass medical simulation center, CAMLS. • Exceptional structural support including 47,000 tons of concrete, a weight equal to 155 Boeing 747 jets, and 2.5 million linear feet of rebar, equal to 479 miles or the distance between Tampa and Atlanta.hospital, Tampaw Top and middle: Renderings of the new USF Health MCOM and Heart Institute interiors.

Bottom: Visiting the construction site for the new building are, from left, USF System President Judy Genshaft; Frank and Carol Morsani, for whom the college is named; and USF Health’s Dr. Charles J. Lockwood.

50

ACRES Size of Water Street Tampa development in which MCOM will be key anchor

31

NIH-funded cardiovascular faculty researchers to work at Heart Institute

1,800

Anticipated building occupants

28M

$

Additional NIH funding within 5 years projected by Heart Institute alone

66-73M

$

Expected yearly economic activity driven by the Heart Institute.

USF Health Morsani College of Medicine

The power of academic medicine

reshapes learning

•

EDUCATION

Today’s disruptive health care system and accelerated pace of medical knowledge requires us to rapidly adapt to innovative technologies, new clinical applications and changes in health care delivery. USF Health is preparing physicians and other health professionals with the skills and confidence needed to lead and respond to changing state and national health care needs, while fueling their initial inspiration to care for individual patients.

Our efforts to reshape and advance student learning over the past year included: • Transitioned an Office of Educational Affairs to a Department of Medical Education, further elevating MCOM’s teaching mission to the same level of rigor as our research and clinical care missions.

•C reated a comprehensive curriculum map to assess all four years of MD education, with the aim of more effectively addressing gaps or redundancies and strengthening content integration.

• Helped lead a state-wide task force to create a collaborative document of core competencies to strengthen pain management education, including changes in opioid prescribing guidelines.

USF Health medical students are now taught how to administer naloxone, the medication to reverse opioid overdoses.

• Started ultrasound training for first- and second-year students, using simulation technology that transforms manikins and healthy volunteers into ultrasonography cases with pathological conditions.

• Expanded opportunities for USF Health students to train together as interdisciplinary, coordinated teams to improve patient safety and health outcomes. In FY 2018, medical students logged 88,000 standardized patient/ simulation encounters at CAMLS, including learning how to communicate more effectively with patients and other health care professionals, interprofessional team training in critical care and disaster situations, and practicing procedures on manikins and virtual task trainers before performing them in real-life clinical settings.

608 full-time faculty

743

medical residents and fellows training in 85 specialty programs

718

medical students

422

PhD and master’s students (medical sciences, bioinformatics and biotechnology)

71

physician assistant students

Fourth-year medical student Chelsea Sparks (right) with mentor Summer Decker, PhD, director of Radiology Imaging Research.

Sparks works with Decker on generating 3D models of the upper femur, using big data mining and patient-specific CT scans, to analyze symmetry and age and sex differences in the bone.

The project aims to individualize implant design to improve hip surgery outcomes.

USF Health Morsani College of Medicine

EDUCATION

Jean Fils, MD, associate professor of psychiatry, is among the faculty members who presented students with their first white coats at the USF Health Morsani College of Medicine’s 2018 White Coat Ceremony.

140

A medical student team practices advanced life support using a patient simulator at the USF Health Center for Advanced Medical Learning and Simulation (CAMLS).

physical therapy students (DPT)

77

athletic training students (masters)

94%

of all USF Health medical students conduct research or other scholarly concentration projects

515.04 Average MCAT score of MCOM Class of 2022

6,008

Incoming Class Average MCAT Score 515.04

Average MD Student Debt $171,750

514.05

$168,072

AMCAS applications for class of 2022; 6,000+ for last three years, up 50% since 2014

2017

2018

This year’s MCAT places MCOM in the 93rd percentile of all students taking the exam nationally.

USF Health Morsani College of Medicine

National 2017 graduates

USF Health MCOM 2017 graduates

133%

increase in MCOM clinical trial revenue, from $6.3 M in FY 2014 to $14.7 M in FY 2018

61%

percentage of USF-wide total research awards earned by MCOM faculty: $288.5M in FY 2017

4

PhD student Lindsey Shelton (right) works with USF Health neuroscientist Laura Blair, PhD, at an automated stereotactic injector station in Blair’s laboratory at the USF Health Byrd Alzheimer’s Center.

Blue Ridge Institute for Medical Research NIH ranking in top 50

start-up companies formed based on technology developed at MCOM—out of 10 total USF-wide, FY 2018

U.S. News & World Report ranking up for 3rd consecutive year

No. 66

No. 63

No. 23 No. 56

RESEARCH

No. 49

No. 1

No. 19

2017

17 spots higher overall, a 35% increase in one year

No. 18

No. 55

No. 1 2016

AAMC research ranking: Public medical schools only

No. 1 2017

2018

2019

Medical Schools- Research category, USNWR

2015

2016

2017

As ranked by Association of American Medical Colleges

The power of academic medicine

discovers and innovates The MCOM continues to play critical roles in driving discovery and innovation as USF further advances in national and international recognition. Investigators in cardiovascular disease, diabetes, neuroscience, translational and clinical science, among others, attracted more than 60% of USF’s record-breaking total research awards in FY 2017.

The college pursues research excellence at all levels: from its dean, a National Academy of Medicine member who participates in NIH translational research assessing environmental influences on fetal growth restriction, to an MD curriculum supporting opportunities for robust, faculty-mentored student research in biomedicine, health disparities, international medicine, entrepreneurship, and other scholarly concentrations.

MCOM research highlights at a glance: • Recruited more than half of the USF Health Heart Institute’s 31 NIH-funded faculty, who conduct bench-to-beside research to find new ways to detect, treat and prevent cardiovascular diseases.

• Launched the USF Health Neuroscience Institute, with the state-of-the-art Byrd

USF Health Morsani College of Medicine

Alzheimer’s Center as its centerpiece.

Scientists and clinicians study the brain in unique ways, aiming to accelerate promising discoveries into first or improved treatments for neurological and psychiatric disorders.

• With USF’s College of Engineering created a new Department of Medical Engineering to optimize interdisciplinary education and research for innovative health care solutions.

• Building cross-disciplinary teams in medicine and public health to advance USF global infectious diseases research.

• Opened an expanded outpatient Clinical Research Center in the Morsani Center to accommodate increased clinical trials. The new space houses more infusion rooms, a full laboratory, multiple workstations, and features to protect study participants’ privacy.

Top right: USF Health Heart Institute Director Samuel Wickline, MD, with biomedical engineer Hua Pan, PhD, MBA, who studies at the molecular level how cancer treatments may damage the heart.

Bottom right: USF Health neurologist Derrick Robertson, MD, a leading clinical researcher at the Morsani Clinical Research Center, with a patient participating in a multiple sclerosis drug trial.

The power of academic medicine

makes life better

Caring for the region

Flagship outpatient care centers Morsani Center for Advanced Healthcare

USF Health is the only academic medical center in the region, offering patients and families from across Tampa Bay greater access to more advanced care.

We are the largest multispecialty group practice on the west coast of Florida, having added 162 physicians and providers since 2014 — pushing our total to more than 900 clinical care providers.

Several key milestones are helping propel our patient care mission forward:

PATIENT CARE

•F irst in the region Cardiogenetics Clinic: Launched laboratory and clinic research focus on inherited heart diseases that can lead to potentially deadly heart rhythm disturbances.

•E xpanded Cardiothoracic Surgery and Transplantation: New integrated effort with new hires means more expertise for the most complex thoracic, cardiac, pulmonary and esophageal conditions — including new work in mechanical circulatory support and ventricular assist devices (VAD). The CT team works with the TGH transplant programs — one of the busiest heart and lung disease centers in the country.

• One of the nation’s top Cardio-Oncology programs: USF Health and Moffitt Cancer Center formed a powerful academic research and training program to address potential cardiac complications of cancer treatment.

South Tampa Center for Advanced

• New quality initiative targets inpatient infections: USF Health’s residency program and TGH collaborate on a two-year effort to improve timely recognition and treatment of sepsis. Medical residents are key members of the interprofessional teams implementing best-practice protocols to improve sepsis outcomes.

Since January 2018, the initiative has tracked early identification of sepsis and reductions in sepsis deaths.

Disorders Center

• Eye Institute expansion: New 27,000-squarefoot space allows our Ophthalmology team to greatly expand its services in a modern and state-of-the-art facility.

Moffitt Cancer Center

• Quality improvements earn strong MIPS score: Our group ranked in the top quartile among U.S. multispecialty practices for the Medicare Services Merit-Based Incentive Payment System (MIPS) score, earning 90.18 on our first-time submission. The score earns us a quality bonus of 1.35%.

Healthcare Neuroscience Institute, home of the Johnny B. Byrd Sr., Alzheimer’s Center and Parkinson’s Disease and Movement

Key hospital partners Tampa General Hospital (primary teaching affiliate) James A. Haley Veterans’ Administration Hospital Johns Hopkins All Children’s Hospital

… and other hospital affiliates

The physicians of USF Health treat patients in more than three dozen hospital and specialty care locations across Florida’s west coast.

USF Health and Tampa General Hospital: Forging stronger ties Our partnership with TGH—our primary teaching hospital—offers an unfailing foundation for our inpatient care, as well our education mission. This year, TGH was named by U.S. News & World Report the #1 best hospital in the Tampa Bay area, and in the top 50 nationally in six specialties—all led or co-led by MCOM faculty.

TGH serves as the training hospital for 74% of MCOM’s accredited residency programs. TGH, a 1010-bed non-profit facility that delivers world-class care, is the region’s only center for Level l trauma and comprehensive burn care. It is one of the nation’s busiest adult solid organ transplant centers, houses a nationally accredited comprehensive stroke center, has an 82-bed Level IV neonatal intensive care unit, and is a state-certified spinal cord and brain injury rehabilitation center.

USF Health Morsani College of Medicine

900+

USF Health physicians and other clinical providers comprise the largest multispecialty group practice on Florida’s west coast

6

Adult medical specialties for which U.S. News & World Report ranked Tampa General Hospital as one of the nation’s Top 50 hospitals (2018– 19): Diabetes and Endocrinology, Gastroenterology and GI Surgery, Nephrology, Orthopaedics, Pulmonology, and Urology. All are led or co-led by USF Health physicians.

USF Health total patient care volume on the rise (inpatient and outpatient)

PATIENT CARE

989,318 934,170 861,485 786,049

FY:

2015

2016

2017

2018

TGH President and CEO John Couris and USF Health’s Dr. Charles J. Lockwood

Building upon a longstanding academic affiliation, the University of South Florida and Tampa General Hospital are committed to strengthening our partnership to create an even more dynamic academic medical center for the state’s largest, and still growing, metropolitan area. We are so much greater than the sum of our parts — together we will raise standards of care and expand our reputation for medical excellence in the Tampa Bay region, statewide, and nationally.

Charles J. Lockwood, MD, MHCM Senior Vice President, USF Health Dean, USF Health Morsani College of Medicine

USF Health Morsani College of Medicine

The power of academic medicine

connects with communities, locally and globally The Carnegie Foundation ranks USF as a Community Engaged institution, a designation recognizing the university’s collaborative service to its larger communities near and far.

Whether screening for hypertension in an inner city neighborhood near USF or offering well child exams in a remote village halfway around the world, our students and faculty have no shortage of opportunities to help create healthier, more sustainable communities. MCOM ranks at the 90th percentile or better in engaging students in community experiences related to health disparities and to cultural awareness/competence, according AAMC performance benchmarks.

COMMUNITY

Community service learning that prepares USF’s aspiring physicians to care for patients with diverse backgrounds includes: •H elping the uninsured next door: The BRIDGE Healthcare Clinic, a national model, teams faculty-supervised medical students with their peers in physical therapy, pharmacy, public health and other health professions, who provide free medical care to uninsured living near USF.

•H itting the streets: The student-run organization Tampa Bay Street Medicine brings basic health care and hygiene to Tampa’s homeless on the streets and in shelters. A mobile unit recently expanded access to care, and this year TBSM began clinics for seafarers at the Port of Tampa Bay. •G lobal outreach: USF Health’s International Health Service Collaborative sent MCOM students to 25 countries last year for clinical rotations, research, international field experiences, conferences and service learning activities.

This page: Medical student Ali Grana makes friends in Cedro Galan, Nicaragua.

Opposite page, clockwise from top left: Last year, 1,091 patients visited the BRIDGE Clinic where USF Health students provide free facultysupervised care.

Medical student Kyler Dykes takes blood pressures at a Panama clinic before patients see physicians.

Student volunteers disembark from TBSM van to serve at the Tampa Bay Port’s seafarers clinic.

Medical student Erik Madsen examines a patient at a clinic in Haiti.

12,881

Volunteer hours logged by MCOM students in FY 2018 providing faculty-supervised care in health clinics for medically underserved populations across the region, including USF Health’s BRIDGE Clinic and Tampa Bay Street Medicine.

795

Service hours contributed by MCOM students in FY 2018 at health-related community events, including screenings, health education and prevention activities.

173

MCOM students who studied abroad in FY 2018, traveling to 25 countries for international scholarly concentrations, clinical rotations, research and service learning.

USF Health Morsani College of Medicine

Strategic hires Ramesh Ayyala, MD Professor; James and Heather Gills Endowed Chair in Ophthalmology Before USF: Tulane University Expertise: Clinical and surgical management of glaucoma, corneal disease, and cataracts; slow release drug delivery systems, pressure sensor and surgical outcomes of glaucoma

Thomas Rutherford, MD Professor of Ob/Gyn; Director of MCOM Gynecologic Oncology Fellowship Program; Director of Surgical Quality at the Tampa General Hospital Cancer Center.

STRATEGIC HIRES

Before USF: Western Connecticut Health Network, Yale University School of Medicine in New Haven, Conn.

Expertise: Ovarian cancer treatment and research; isolating and characterizing the stem cell associated with ovarian cancer; hyperthermic intraperitoneal chemotherapy (HIPEC), highly concentrated, heated chemotherapy delivered directly to the abdomen after tumor removal; nanotechnology as a targeted approach to seek and destroy difficult-to-treat ovarian cancer, site-specific drug or other therapy to kill chemotherapy-resistant ovarian cancer cells not eliminated by surgery.

I tell every resident (physician) I teach to treat every patient like she is your own mother. When you take care of patients, you’re caring for the entire family.

Liwang Cui, PhD Professor of Infectious Disease Before USF: Pennsylvania State University Expertise: Malaria; developmental biology, molecular parasitology; parasite genomics, host-parasite interactions

Christian Bréchot, MD, PhD

George E. Davis, MD, PhD

Professor of Infectious Disease; Senior Associate Dean for Research in Global Affairs

Professor of Molecular Pharmacology and Physiology

Before USF: Pasteur Institute, Paris

Before USF: University of Missouri School of Medicine, Columbia, MO

Expertise: Viral hepatitis B and C and link to liver cancer; global research collaborations in emerging pathogens, virology, tropical disease and microbiome’s role in chronic disease and maternal/child health

Expertise: Vascular and tumor cell biology; extracellular matrix; molecular and signaling basis for capillary tube assembly and maturation; growth factor requirements in capillary formation vs. regression

Haywood Brown, MD

John Dunning, MD

Associate Dean for Diversity for MCOM; Vice President for Diversity, Inclusion and Equal Opportunity for USF System Before USF: Duke University Medical Center Expertise: Diversity initiatives; obstetrics, gynecology, maternalfetal medicine with emphasis on maternal complications of pregnancy and perinatal health disparities

Professor of Surgery Before USF: Papworth Hospital, Cambridgeshire, UK, and Oxford Expertise: All adult cardiac surgical conditions; heart and lung transplantation, mechanical circulatory support and ventricular assist devices, surgery of the thoracic aorta, adult congenital [GUCH]; surgery of the pulmonary arteries including pulmonary endarterectomy

Kami Kim, MD Professor of Infectious Disease; International Medicine; Global Health Before USF: Albert Einstein College of Medicine, Bronx, NY Expertise: Host and parasite factors important for pathogenesis of severe malaria; epigenetic and genetic influences on Toxoplasma development and pathogenesis

Paul Kuo, MD Professor; Richard G. Connar Endowed Chair in Surgery; Chair of the Department of Surgery; Surgeon-in-Chief at Tampa General Hospital Before USF: Loyola University Medical Center in Chicago Expertise: Hepatobiliary surgery, abdominal transplantation; big data and clinical analytics

Jun Miao, PhD Assistant Professor of Infectious Disease Before USF: Pennsylvania State University Expertise: Malaria parasite developmental biology; malaria parasite epigenetics; malaria drug-resistance, Vivax malaria population genetics and epidemiology

Haru Okuda, MD Executive Director of both the USF Health Center for Advanced Medical Learning and Simulation and the Interprofessional Education Simulation (IPE) Programming

Sam Wickline, MD

Before USF: National Medical Director, Veterans Health Administration, Simulation Learning Education and Research Network (SimLEARN) program

Before USF: Washington University School of Medicine in St. Louis

Expertise: Simulation-based clinical education and training, ER medicine

Thomas McDonald, MD Professor of Cardiology; Molecular Pharmacology and Physiology; Director of Adult Medical Genetics Before USF: Albert Einstein College of Medicine, NY Expertise: Genetic conditions affecting the heart, including hereditary arrhythmias, and hereditary heart muscle conditions

USF Health Morsani College of Medicine

Eun Mi Park,EdD Assistant Professor of Family Medicine; Assistant Dean for MCOM Educational Affairs Before USF: Johns Hopkins School of Medicine Expertise: Psychometric assessments of adult learner autonomy profile factors as personal leadership skills and promoters for active lifelong learning processes in diverse settings

Professor of Cardiology; Director of the USF Health Heart Institute; Tampa General Hospital Endowed Chair for Cardiovascular Research

Expertise: Molecular basis of inflammation, cell death and atherosclerosis that cause heart, vascular and other organ diseases; molecular basis of disease-causing processes using novel imaging methods to detect the genetic signature of cells and deploying nanoparticles to treat a variety of cardiovascular conditions, including targeting atherosclerotic plaques that cause heart attacks.

USF has put forward a significant investment and has great enthusiasm for pursuing solutions to cardiovascular disease. It really is a great place to build this center. I believe we have a lot to offer in terms of bench-tobedside research that could solve some major cardiovascular problems like atherosclerosis and heart failure.

A leading center for health care simulation learning The University of South Florida’s Center for Advanced Medical Learning and Simulation (CAMLS) is one of the country’s top medical simulation facilities. Under one roof, the 90,000 square-foot, three-story facility houses the latest simulation technology and experiences to train the full spectrum of students and health care professionals. It has the resources to realistically replicate nearly all medical/clinical environments, with a dedication to improving patient safety and quality of care. Part of the mosaic of USF Health’s expanded presence in downtown Tampa, CAMLS is within walking distance of the new USF Health Morsani College of Medicine and Heart Institute under construction in the Water Street Tampa urban development district.

USF Health is an integral part of the University of South Florida, established in 1956 and located in Tampa — a high-impact, global research university dedicated to student success. USF Health is a partnership of the Morsani College of Medicine, the College of Nursing, the College of Public Health, the College of Pharmacy, the School of Physical Therapy & Rehabilitation Sciences, the Biomedical Graduate & Postdoctoral Programs, and the physicians of USF Health. Together through talent and innovation, USF Health is integrating patient care, education and research to our shared value:

MAKING LIFE BETTER

USF System President University of South Florida Judy Genshaft, PhD

Senior Vice President, USF Health Dean, USF Health Morsani College of Medicine Charles J. Lockwood, MD, MHCM 2018 Annual Report produced by: USF Health Communications and Marketing 12901 Bruce B. Downs Blvd., MDC 47 Tampa, FL 33612 (813) 974-3300 health.usf.edu Design Cynthia Greco Editors/Writers Anne DeLotto Baier, Elizabeth Peacock, Sarah Worth Contributing Photographers Eric Younghans (lead), Torie M. Doll, Ryan Noone, Sandra C. Roa Exterior and interior building renderings HOK/Skanska

USF Health 12901 Bruce B. Downs Blvd.

MDC 47 Tampa, FL 33612

12901 Bruce B. Downs Blvd., Tampa, FL 33612 . 813-974-3300

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