Global Medical Forum Middle East Summit May 13, 2004 Beirut, Lebanon

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Global Medical Forum Middle East SummitMay 13,
2004Beirut, Lebanon
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The Medical School and the Academic Medical
CenterWill they evolve together in the Middle
East?
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AUBMC- Overview
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Health Care Challenges in our region (1)

• As reported by WHO
• 45 of the regions diseases are non communicable
  and are expected to rise to 60 by 2020. Some of
  the risk factors are smoking, unhealthy diets and
  physical inactivity
• Cardiovascular diseases account for 31 of deaths
  in the region
• Hypertension affects 26 of the adult population
• Incidence of cancer is soaring due to rapidly
  ageing population and high rates of smoking and
  other environmental causes
• Onset of type 2 diabetes mellitus at an
  increasingly young age

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Health Care Challenges in our region(2)

• Financial
• Rising level of poverty
• Burden of health care financing is primarily on
  the household
• Limited health care insurance because of large
  number of self employed workers

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Health Care Challenges in our region (3)

• Political - Post Sept 11, 2001
• Increasing instability in the region
• New security measures are making it difficult to
  get visas
• For physicians to get into residency programs, to
  participate in exchange programs or to attend
  conferences
• For patients and their families to receive
  medical treatment

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Major Concerns

• How can we recruit, retain and build our
  professional force?
• How will we achieve a fairly uniform health care
  culture?
• Where will we send our young physicians for
  training?
• What are our targets specialty, numbers,
  specific skills?
• Are the Continuing Medical Education Programs
  customized for our needs?

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Response to the Health Care Challenges of the
region

• Medical Education/Post Graduate Training
• Research Opportunities
• Faculty recruitment
• Partnerships with regional medical centers and
  with centers in North America and Europe
• Outreach programs
• Multidisciplinary programs of excellence

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Academic Medical Centers

• In the USA, bring the hospital, FM (outpatient
  care), SoN and SPH interacting within the same
  environment
• Develop and test models of practice including
  facility requirements
• Provide data for credentialing portfolios
• Build a critical mass of people that can provide
  effective CME programs

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Issues of Importance for Academic Medical Centers

• Benchmarking themselves and seeking accreditation
  
• Recruiting and retaining faculty members
• Attracting top students into the profession
• Strengthening the curriculum
• Enhancing research capabilities

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• JCW Report 1998 Hospital
• Academic Review 1999 FM Hospital
• Middle State Universities
• American Council of Graduate Medical Education
  (ACGME) for Postgraduate Training
• Periodic Reviews

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Requirements for Teaching and Clinical Service
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Models for practice

• At the FM, a new Medical Practice Plan (MPP) was
  established
• With the MPP implementation, recruited 38
  physicians since January 2000 (15 in 02-03) and 8
  in (03-04 so far) without increasing the academic
  salaries
• Opened new beds in the hospital to achieve target
  of 325 beds
• Changed the mix of patients and achieved
  admission targets

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Academic salaries are expected to decrease due to
gradual implementation of the new MPP in service
departments
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Current Number of Faculty

• Emeritus 14
• Basic Sciences 18
• Full-time (MPP participants) 148
• MPP Non-participants 69
• 
  ______________________________________
  __________________________________________________
  ________________________
• Total Number of Faculty 249

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Current Number of House-staff

• Interns (PGY I) 68
• Residents 138
• Fellows 22
• ________________________
  ___
• Total Number of House-staff 228

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Agreements with US Universities
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Programs with Universities in North America

• Signed agreements with universities abroad to
  facilitate elective clerkships for AUB students
• Introduced basic and clinical clerkship for
  non-AUB students
• Established a relationship with Johns Hopkins
  University, MUSC, and reactivated the
  relationship with the Sherbrooke University
  (Canada) for joint graduate and research programs

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Programs with Universities in North America

• - 60 of the Medicine IV students take one or
  two months of elective clerkships abroad.
• Participating Universities Baylor (20), Emory
  (15), Columbia (7).
• - 70 of our students were rated excellent and
  30 were rated good.

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Conclusion

• A process of dialogue should be initiated by
  governments, orders of physicians and major
  medical centers
• Revenue streams need to be earmarked at all
  levels
• As Machiavelli wrote There is nothing more
  difficult to plan, more doubtful of success, nor
  more dangerous to manage than the creation of a
  new order of things
• Let us decide to start

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THANK YOU