FUNCTIONS AND STRUCTURE OF A MEDICAL · Web viewWithin the past three years, approximately 160 security cameras have been added to the MDC complex, pushing the total number to approximately

GENERAL INSTRUCTIONS FOR COMPLETING THE DATABASE

Each question in the database is preceded by the relevant LCME accreditation standard. In some cases two standards are closely related, and the questions are germane for documenting compliance with each of the two standards. Additional related information is sometimes contained in the responses to questions that deal with other standards; in those cases, cross-references to the additional information are included in italics. The cross-references are intended to help self-study groups and the survey team identify all relevant data for assessing compliance with standards.For comprehensive instructions regarding database completion, please refer to the document “Background and Instructions for Completing the LCME Medical Education Database and Institutional Self-Study,” available on the LCME web site at: http://www.lcme.org/database.htm.

The school should maintain a master database that contains all of the information used for the self-study. When it becomes necessary to update database sections after the self-study report is complete but prior to the survey visit, the school should create a separate database containing the updated information only.

Most questions require a narrative answer or completion of a table; in some cases, it will be necessary to duplicate a blank table (for example, to summarize each of the school’s clinical teaching sites). Use as much space as necessary to answer each question completely, or to complete the tables.

Any supporting documents that are requested in the database (e.g., bylaws, organizational charts, policy documents) should be compiled in a separate (red) binder, divided by tabs for each section of the database; do not include such appended materials in the individual database sections.

The header on each page should indicate the most recent academic year for which information is available at the time of the self-study, not the academic year in which the database is being completed; in most cases, the year for which information is available will be academic year 2005-2006 for self-studies concluding in 2006-2007. When the requested data are for a different time period than that indicated in the header, the applicable time period should be included in the response to the question.

If database information is updated after completion of the self-study, the academic year listed in the header should be changed accordingly, and marked with the word “Update” in the header along with the year shown (e.g., “Update 2006-07”). Note that changing the header will affect all pages of a database section; therefore, a fresh (blank) copy of the database section should be used for updates.

If requested information is available from the school’s web site, make sure to print a copy of the web site information for the master database maintained by the school. Changes to such documents after completion of the self-study should be printed and stamped “Updated” to indicate that they have changed, and included in the updated database. In addition, database pages that list URLs of modified web pages should indicate that the web site information has been altered from the original data available to the self-study groups.

http://www.lcme.org/database.htm

The database copies sent to the LCME Secretariat should include printed copies of any information referred to by website URL. The Secretariat is required to maintain complete print records of all database information.

Most of the Key Quantitative Indicators (Part A of each database section) can be completed using information contained in the Longitudinal Statistical Summary Report. This report is prepared annually by the AAMC Section for Institutional, Faculty, and Student Studies, and sent directly to the dean.

SPECIAL INSTRUCTIONS FOR SECTION V: EDUCATIONAL RESOURCES All clinical teaching facilities listed in response to the questions for standard ER-6 should

also be included in response to the questions for standards ER-7 through ER-10.

Academic Year 2005-2006

SECTION V. EDUCATIONAL RESOURCES

Part A: Key Quantitative Indicators

Please provide the following information, using your school’s copy of the Longitudinal Statistical Summary Report as the data source.

a. Total revenues (in millions, one decimal place)

1997-98 1998-99 1999-2000 2000-01 2001-02 2002-03 2003-2004 2004-2005209.6 219.7 232.7 251.1 265.6 291.1 306.6 316.2

b. Total expenditures (in millions, one decimal place) 1997-98 1998-99 1999-2000 2000-01 2001-02 2002-03 2003-2004 2004-2005

206.0 214.5 228.1 246.5 262.3 285.4 304.3 310.0

c. Total state appropriations, if applicable (in millions, one decimal place) 1997-98 1998-99 1999-2000 2000-01 2001-02 2002-03 2003-2004 2004-2005

42.8 45.3 49.7 50.1 49.4 46.9 49.0 32.7* ^

d. Professional fee (practice plan) revenues (in millions, one decimal place) 1997-98 1998-99 1999-2000 2000-01 2001-02 2002-03 2003-2004 2004-2005

91.8 95.7 94.9 104.8 106.4 126.6 120.7 130.6

e. Direct federal grants and contracts (in millions, one decimal place)1997-98 1998-99 1999-2000 2000-01 2001-02 2002-03 2003-2004 2004-2005

27.7 30.6 34.2 40.0 49.5 46.5 61.8^ 64.9

* Prior to 04/05, the $11M of State allocation for Moffitt Cancer Center flowed through USFCOM.

^ Approximately $2.5M of Medicare flow through was similarly removed from the USFCOM state appropriations and is reflected as an increase in Federal appropriations.

LCME Medical Education Database 2006-07 V. Educational Resources 1


SECTION V. EDUCATIONAL RESOURCES

Part B. Narrative Data and Tables

ER-1. The LCME must be notified of any substantial change in the number of students enrolled or in the resources of the institution, including the faculty, physical facilities or the budget.___________________________________________________________________________________

Indicate any plans or expectations to increase or decrease enrollment, as well as any anticipated major changes in institutional resources (such as revenue sources, faculty strength, clinical affiliations, residency training programs) over the next five years.

Plans or expectations to increase or decrease enrollment over the next five years are largely dependant upon state funding and statewide initiatives. There are no current plans to reduce medical student enrollment and our current enrollment of 480 is capped unless the USF College of Medicine receives additional capital funds and enrollment funds from the legislature and LCME approval to expand.

The continued growth in the USFPG practice plan and new sources of facility fees from the opening of the Ambulatory Service Center will increase revenue sources over the next five years. The USF practice plan will be opening eight operating rooms and five procedure rooms in our new Center for Advanced Healthcare on the USF campus. New facility fees and new physicians will provide additional revenue sources for the physicians and faculty of the College of Medicine. Additionally, the College of Medicine has made an initiative to recruit basic science faculty with research awards. It is anticipated that research funding will increase as well as federal indirect rebate funds.

Anticipated major changes in faculty strength include the hiring of seasoned basic science researchers and out-patient ASC faculty to support the Center for Advanced Healthcare. In addition, the College is currently developing an Orthopedic Surgery and Sports Medicine initiative so new hires and a Chairperson are being recruited. The College of Medicine is committed to recruiting basic science and clinical science educators and will provide substantial state funds to provide release time for educating students in an out-patient setting.

In terms of clinical affiliations, we expect two new affiliations: one with University Community Hospital in Tampa and one with Lakeland Regional Medical Center and Watson Medical Clinic (a multi-specialty group practice in Lakeland, Florida). At University Community Hospital, we are in the development phase of establishing orthopedic, cardiovascular and transitional residency programs. The orthopedic residency, once approved, would also operate out of the Lakeland Regional Medical Center and Watson Medical Clinic. Additionally, at Lakeland Regional Medical Center and Watson Medical Clinic, we are in the discussion phase of a Maternal Fetal Program expansion in collaboration with Tampa General Hospital.

The Graduate Medical Education programs (residency and fellowship) at the College of Medicine continue to grow in both number and quality. Currently, there are approximately 580 residents and fellows in 62 programs. This growth is largely at Tampa General Hospital and is funded through a Common-Pay-Source agreement by the hospital to the college through a written-affiliation agreement. In addition, we have applied for a transitional year residency (24-36 residents total) at University Community Hospital, cardiology-advanced subspecialty program in electrophysiology and in interventional cardiology, and an orthopedic residency (10 residents) at University Community Hospital, Lakeland Regional Hospital/Watson Clinic, Halley V A Hospital, Moffitt, Shriners, and All Children’s Hospitals. There is not, nor is there anticipated to be, a reduction in revenue sources, faculty strength,



clinical affiliations or residency-training programs during the next five years. Rather, we anticipate continued growth.

Two other anticipated increases in facility and programmatic resources will be an Advanced Center for Health Care and an expansion of a joint faculty office building planned in coordination with the H. Lee Moffitt Cancer Center and Research Institute.

The Advanced Center for Health Care will focus on a service-delivery model that provides an ideal experience for our patients and their families, as well as our faculty, staff, and students. The center will include two new buildings and the existing practice locations of USF Health. The USF Health South Pavilion, a 130,000 square-foot medical office building, will be constructed on the Tampa General Hospital Campus. Current offices and services at this location will be relocated to the new building with the addition of new service lines, diagnostic imaging, and other diagnostic procedures. The university plans to occupy and operate this building in 2007. The other new facility, the USF Health North Pavilion – Laurel, will be located on the USF Tampa Campus and be comprised of a six-story 194,400 square-foot building. Included within this facility will be 8 out-patient operating rooms, 5 endoscopy suites, diagnostic imaging, basic clinical office space, pharmacy, food services, and a community resource library. The planned occupancy for this building is 2007. The combined project costs are estimated at approximately $90 million. The joint faculty office building expansion with the H. Lee Moffitt Cancer Center is planned for 2009/10.



ER-2. The present and anticipated financial resources of a medical school must be adequate to sustain a sound program of medical education and to accomplish other institutional goals.

The costs of conducting an accredited program leading to the MD degree should be supported from diverse sources, such as income from tuition, endowments, earnings by the faculty, support from the parent university, annual gifts, grants from organizations and individuals, and appropriations by government. Evidence for compliance with this standard will include documentation of adequate financial reserves to maintain the educational program in the event of unexpected revenue losses, and demonstration of effective fiscal management of the medical school budget.

ER-3. Pressure for institutional self-financing must not compromise the educational mission of the medical school nor cause it to enroll more students than its total resources can accommodate.

Reliance on student tuition should not be so great that the quality of the program is compromised by the need to enroll or retain inappropriate numbers of students or students whose qualifications are substandard.

a. Provide a revenue and expenditure summary for the current fiscal year (based on budget projections) and for each of the past three fiscal years. The format for the summary and the data for the three completed fiscal years should be obtained from Schedule A, Column C of the LCME Part IA Annual Financial Questionnaire.

The legislative process in Florida establishes tuition guidelines and maximum tuition increase guidelines through state law. The tuition increases have averaged 3 to 5 % and have kept pace with the Consumer Price Index. USF continues to place in the middle quartile of all public institutions in its level of in-state tuition.

Since the last accreditation, growth in grant funds and external affiliates have grown; therefore, there has not been a heavy or excess burden placed on students or state appropriations to fund other missions.

Charts begin on the next page.



From LCME Schedule A Projected

Current Revenues Current Yr 05-06 4/05 03/04 02/03

Tuition and Fees MD Program (1) 8,550,538 7,080,618 6,480,106 4,960,638 Other (Identify) Ph D, PT, Masters 1,862,797 2,104,802 969,689 575,170

Total Other (2) 1,862,797 2,104,802 969,689 575,170

Government Appropriations Federal (3) 1,104,039 2,413,422 0 0 State (Adjusted)(From line 93 (4) 35,820,021 32,724,916 49,024,115 46,882,273 Local (5) 0 0 0 0Parent University Approp (From line 102) (6) 0 0 0 0

Grants & Contracts Federal Grants/Contracts-Direct (7) 43,196,433 40,113,522 26,564,942 22,429,219 State Grants/Contracts-Direct (8) 3,842,623 5,518,039 3,526,777 2,244,735 Local Grants/Contracts-Direct (9) 0 0 0 0 Private Grants/Contracts-Direct (10) 13,878,781 19,360,715 31,748,065 21,789,103 Facilities and Administrative Costs (11) 12,752,273 14,965,486 8,371,004 8,529,080

Medical Service Practice Plans (12) 156,493,000 130,643,143 120,697,952 126,588,036 Network Affiliations (13) 0 0 0 0 MSO (14) 0 0 0 0 Other Medical Service (Identify) 0 0 0 0

Total Other Medical Service (15) 0 0 0 0

Gifts and Endowment Income Gifts (16) 2,000,000 1,974,385 2,559,461 3,730,608 Endowments (17) 6,500,000 6,199,087 6,116,551 6,216,997

Hospitals (Medical School Programs) University Owned (18) 0 0 0 0 Veterans Administration (19) 12,161,050 12,008,441 11,545,866 11,600,435 Other Federal (20) 0 0 0 0 State or Municipal (21) 0 0 19,876,916 19,866,851 Other Affiliations (22) 31,627,792 29,605,741 7,904,813 8,465,989

Other Revenues Sales and Services (23) 1,100,000 1,063,974 898,173 603,328 Consulting (24) 0 0 0 0 Interest Income (25) 0 0 0 0 Gains (Losses) on Investments (26) 0 0 0 0 Leases/Rentals (27) 0 0 0 0 Other: (Identify) Continuing Professional Education 10,516,800 10,481,475 10,290,342 6,653,787

0 0 0 0Total Other Revenues (28) 10,516,800 10,481,475 10,290,342 6,653,787

Total Revenues (29) 341,406,147 316,257,766 306,574,772 291,136,249

Total Expenses and Transfers (30) 338,236,147 310,040,002 304,319,643 285,376,368

Excess (Shortfall) of Revenues * 3,170,000 6,217,764 2,255,129 5,759,881 Less Expenses and Transfers (31)* Excess of revenues over expenditures: Practice Plan (1 million); Continuing Professional Education (500K); Gift & Endowment receipts over expenditures (100K). Total $1,600,000.


Academic Year 2005-2006 V. Educational Resources

b. Insert a copy of the most recently completed LCME Part IA Annual Financial Questionnaire, including the “Overview of Organization and Financial Characteristics.”

Response begins on next page.

LCME Medical Education Database 2006-07 V. Educational Resources 5/6/2023 6












































c. Complete the following tables using information contained in Schedule B of the LCME Part IA Annual financial Questionnaire. Use the same departments as in FA-2.

++NOTE: The first two charts below represent the requested data as submitted in Schedule B of the LCME Part IA Annual Financial Questionnaire. In this questionnaire, Pathology has been included as a clinical department because they report patient revenues (practice plan). Since the time that document was submitted, however, we have re-organized our basic sciences departments from six into three – as such only three basic science departments are shown in FA-2. To comply with the instructions for this standard, an additional chart below shows Pathology in its new department of Pathology and Cellular Biology. The patient revenues are shown under “other” in this additional chart.

Departmental Finances

BASIC SCIENCE DEPARTMENT EXPENDITURES (FISCAL YEAR)* ++

BASIC SCIENCE DEPARTMENT EXPENDITURES FY ½($ in Millions)

DepartmentResearch and

TrainingState Funds

All Other Sources

Total Expenditures

Anatomy 0.346 1.489

0.065 1.900

Biochemistry 1.784 1.431

0.233 3.448

Genetics - - - - Microbiology/Immunology/Virology 1.327

1.147

0.207 2.681

Neurosciences 0.900 0.602

0.005 1.507

Pathology - - - -

Pharmacology 1.014 1.356

0.406 2.776

Physiology/Biophysics 1.173 0.997

0.067 2.237

Other - 0.945

0.286 1.231

Total Basic Science Departments 6.544 7.967

1.269 15.780

* From LCME Annual Financial Questionnaire



Clinical Department Finances

CLINICAL DEPARTMENT EXPENDITURES FY ¾ ( $ in Millions ) ++Department Practice Plan Grants &

ContractsOther School / Dept. Sources

Clinical Affiliates

State Funds

Total Expenditures

Anesthesiology 6.287 0.029 0.484 0.394 0.448 7.642 Dermatology - - - - - - Emergency & Urgent Care

- - - - - -

Family Medicine 1.876 0.116 0.508 - 1.392 3.892 Medicine 21.319 2.361 1.786 2.989 4.148 32.603 Neurology 2.512 1.002 0.168 0.452 0.805 4.939 Neurosurgery 3.211 0.635 0.313 0.365 0.291 4.815 OB/GYN 4.492 0.375 0.218 0.266 1.466 6.817 Ophthalmology 2.586 0.466 0.209 0.403 0.665 4.329 Orthopedics - - - - - - Otolaryngology 2.095 0.143 0.061 0.224 0.510 3.033 Pathology 1.732 1.299 0.252 0.435 0.961 4.679 Pediatrics 13.627 3.949 3.885 3.350 3.229 28.040 Physical Medicine - - - - - - Psychiatry 3.037 0.988 0.920 0.112 1.870 6.927 Preventative Medicine/Public Health

- - - - - -

Radiation Oncology - - - - - - Radiology/Diagnostic Radiology

4.617 0.259 0.149 0.428 1.142 6.595

Surgery 11.276 0.653 1.067 1.480 1.860 16.336 Urology - - - - - - Other 21.899 37.940 1.773 0.503 2.146 64.261

Total Clinical Departments

100.566 50.215 11.793 11.401 20.933 194.908

* From LCME Annual Financial Questionnaire

BASIC SCIENCE DEPARTMENTS WITH PATHOLOGY CLINICAL INCLUDED IN "OTHER" ++

Department

Research & Training State Funds

All Other Sources Total Expenditures

Pathology & Cell Biology 1.645 2.450 2.484++ 6.579 Molecular Medicine 3.111 2.578 0.440 6.129 Molecular Pharm & Phys 2.187 2.353 0.473 5.013 Genetics 0.000 0.000 0.000 0.000 Neurosciences 0.900 0.602 0.005 1.507 Other 0.000 0.945 0.286 1.231 Total Basic Sciences 7.843 8.928 3.688 20.459



ER-4. A medical school must have, or be assured use of, buildings and equipment appropriate to achieve its educational and other goals.

The medical school facilities should include offices for faculty, administrators, and support staff; laboratories and other space appropriate for the conduct of research; student classrooms and laboratories; lecture hall(s) sufficiently large to accommodate a full year’s class and any other students taking the same courses; space for student use, including student study space; space for library and information access; and space for the humane care of animals when animals are used in teaching or research.

______________________________________________________________________________

a. Complete a table of teaching facilities like that below for each building where medical students regularly take classes, including labs. Do not include classrooms located in clinical facilities.

Building: Health Sciences - MDC Phases I and IIYear Constructed: 1974-1978 Year of Last Major Renovation: 2004Type of Room* Seating Capacity Main Educational Use(s)**MDC 1519 Conference Room 12 Small Group DiscussionMDC 0905 Conference Room 6/9 = 15 Small Group DiscussionMDC 2510 Conference Room 30 Small Group DiscussionMDC 3510 Conference Room 30 Small Group DiscussionMDC 2057 Conference Room 12 Small Group DiscussionMDC 3054 Conference Room 10/15 = 25 Small Group DiscussionMDC 4054 Conference Room 10/16 = 26 Small Group DiscussionMDC 2149 Conference Room 10/10 = 20 Small Group DiscussionMDC 2154 Conference Room 5 Small Group DiscussionMDC 3136 Conference Room 26 Small Group DiscussionMDC 3134 Conference Room 8 Small Group DiscussionMDC 2202 Conference Room 8 Small Group DiscussionMDC 2203 Conference Room 4 Small Group DiscussionMDC 2216 Conference Room 4 Small Group DiscussionMDC 1004 Conference Room 14/14 = 28 Small Group DiscussionMDC 1025 Conference Room 12/14 = 26 Small Group DiscussionMDC 1413A Conference Room Small Group DiscussionMDC 1419 Conference Room 10/10 = 20 Small Group DiscussionMDC 2301 Conference Room 14/17 = 31 Small Group DiscussionMDC 1055 Computer Stdy Rm 19 Stations Student Computer InstructionMDC 1507 Classroom 43 Small Group DiscussionMDC 1508A Classroom 16 Small Group DiscussionMDC 1508B Classroom 8/4 = 12 Small Group DiscussionMDC 1508C Classroom 10/2 = 12 Small Group DiscussionMDC 1348 Class Laboratory 12 Lab Animal Instruction

*Lecture hall, science lab, conference room, small-group discussion room, etc. If several rooms of similar type and seating capacity are used, simply indicate total number of such rooms in parentheses.

**Lectures, small-group discussion, dissection, wet labs, slide study, etc.



Building: Health Sciences Laboratories - MDLYear Constructed: 1974 Year of Last Major Renovation: 2002Type of Room* Seating Capacity Main Educational Use(s)**MDL 1003 Lecture Hall 124 + 2 Handicap LectureMDL 1005 Lecture Hall 124 + 2 Handicap LectureMDL 1020 Conference Room 12 Student Lab, Instruction & StudyMDL 1028 Class Laboratory 32 Student Lab, Instruction & StudyMDL 1029 Class Laboratory 32 Student Lab, Instruction & StudyMDL1030 Class Laboratory 32 Student Lab, Instruction & StudyMDL 1031 Class Laboratory 32 Student Lab, Instruction & StudyMDL 1037 Class Laboratory 32 Student Lab, Instruction & StudyMDL 1038 Class Laboratory 32 Student Lab, Instruction & StudyMDL 1039 Class Laboratory 32 Student Lab, Instruction & StudyMDL 1040 Class Laboratory 32 Student Lab, Instruction & StudyMDL 1006 Anatomy Laboratory 128 Anatomy InstructionMDL 1015 Computer Stdy Rm 5 Work Stations Student Computer LabMDL 1018 Conference Rm 22 Small Group Conference Room

Total NSF = 27,381 *Lecture hall, science lab, conference room, small-group discussion room, etc. If several rooms of

similar type and seating capacity are used, simply indicate total number of such rooms in parentheses.

**Lectures, small-group discussion, dissection, wet labs, slide study, etc.

b. Who is responsible for scheduling and coordinating the use of these facilities? Are the facilities shared with other educational programs? Describe any recurrent problems.

As a result of the review by at least three different self study committees, effective September 2006, a new centralized approach to scheduling classroom and small group rooms will be implemented. This new system will facilitate the scheduling of classroom and small group rooms in the educational program. We are expecting this implementation to alleviate the logistical issues identified. Our facilities are shared with the DPT program.

c. Describe any special facilities for learning physical examination skills, conducting standardized patient exams, or administering OSCEs; do not include regular physical examination rooms (for patient care) located in hospitals or clinics, unless they have been modified significantly for educational purposes. Note any recurrent problems or shortcomings with such facilities.

We have developed a state-of-the art center where we are able to both teach and evaluate the students on their clinical skills. These skills are introduced during the student’s first semester of medical school curriculum. Students are taught and evaluated during all four years of their medical school experience. By the close of their fourth year, the USF Health medical student will have had more than fifty (50) hours of direct clinical skills assessment within the center.

The Center for Advanced Clinical Learning opened its doors in September 2005. This ground-breaking training facility simulates actual patient care and gives medical, nursing and physical therapy students’ hands-on clinical skills experience in s safe, controlled environment. For medical students, each formulates a care plan to address the needs of a (mock) standardized patient, who is trained to portray a set of symptoms and give a medical history. Once the care plan is devised, the standardized patient is trained to give feedback on the student’s performance.



The 8000 square-foot center has twelve state-of-the-art clinical examination rooms equipped with advanced digital video monitoring as well as a closed-circuit computerized evaluation system, with computer capabilities both inside the room and in a student station immediately outside the clinical room. Each room is linked on a master video-monitoring display in the control room, as well as having accessibility in the Video Monitoring Room itself. In addition, one-way glass serves as a viewing arena for faculty to assess their students in their management of patients. Each room is capable of being used as a mock-up of a clinical room in an outpatient setting. By adjusting equipment and sound, an emergency room or inpatient setting can be simulated.

The center also has a video-monitoring room where faculty can listen and review their students without the student’s knowledge. The central computerized system is closed-circuit to protect the students and standardized patients. In accomplishing a hands-on clinical experience for each of our medical, nursing and physical therapy students, professionalism, cooperation, and patient care are nurtured.

d. Complete the table below showing the number of faculty offices, research labs, and net square footage for each academic department of the medical school. Add rows as needed.

Department Name# Faculty Offices

Total Net Sq Ft(offices) # Research Labs

Total Net Sq Ft(labs)

Pathology & Cell Biology 25 2,842 27 9,226Molecular Medicine 37 3,890 46 13,233

Molecular Pharmacology & Physiology

27 2,945 33 9,038

Family Medicine 10 1,401 0 0Psychiatry and Behavioral

Medicine26 11,571 14 7,967

Pediatrics 35 5,430 45 7,527Surgery 8 1,055 2 732

Radiology 0 0 0 0Obstetrics Gynecology 6 693 4 1,447

Internal Medicine 24 2,859 15 4,129Ophthalmology 8 825 2 612

Neurology 5 909 1 367Anesthesiology 2 429 1 287Otolaryngology 5 410 5 1,080Neurosurgery 7 894 9 2,534

Interdisciplinary Oncology 193 79,860 79 122,248

Physical Therapy 17 2,717 1 204



*Leased Offices

Department Name Total Net Square FeetAnesthesiology 6,571Cardiovascular Crisp 5,219OB/GYN 21,702Orthopedics 1,010Pediatrics 34,343Internal Medicine 17,815Dermatology 3,373Neurology 3,552Neurosurgery 8,841Psychiatry 307Suncoast Gerontology 5,172Surgery 20,117Interdisciplinary Oncology 1,168

Source: USF Physicians Group

*Note: At the present time, USF does not have a comprehensive database to provide the breakdown of number of faculty offices and research labs on its leased properties.

e. Describe safeguards in place to assure adequate space for the humane care of animals used in teaching and research.

The University of South Florida has not used animals in teaching for several years. For research, however, we have a centralized program for animal care and use that manages eleven (11) facilities located in three counties surrounding Tampa Bay. Principal facilities are located at the following locations:

The College of Medicine (COM) has a 23,174 National Science Foundation vivarium constructed in 1971, and renovated in 1996, supported in part by NIH/NCRR grant #1 G20 RR09758-01.

The James A. Haley Veterans Administration Hospital (VAH), has an 11,308 National Science Foundation vivarium constructed in 1968 and renovated in 2004, supported in part by a Department of Veterans Affairs, Medical Research Service shared equipment grant.

H. Lee Moffitt Cancer Center & Research Institute includes the Moffitt Research Center (MRC) with a 10,094 square-foot National Science Foundation animal facility and the Stabile Research Building (SRB) constructed in 2004 with a 29,890 square-foot National Science Foundation mouse facility, supported in part by NIH/NCRR grant #1 C06 RR17510-01, and partially equipped through support from NIH/NCRR grant #1 G20 RR019609-01.

All Children’s Hospital (ACH) has a 12,131 square-foot National Science Foundation vivarium constructed in 1985 and a 150 square-foot National Science Foundation zebra fish aquaria facility in the adjoining Children’s Research Institute.

The College of Public Health (COPH) has a 1,500 square-foot National Science Foundation animal facility.



The College of Arts & Sciences has a combined 3,780 square-foot National Science Foundation animal facility in three separate buildings that house the laboratories of the Departments of Biology (BIO) and Psychology (PSY).

The College of Marine Science located in the Knight Oceanographic Center (KOC) has a 350 square-foot National Science Foundation marine aquaria facility.

Approximately 24,626 square feet of National Science Foundation fully heated and air-conditioned space is available for animal housing, 10,540 square feet of specialized core laboratories are available to all research faculty within several facilities, and 1,770 square feet of National Science Foundation nonrodent surgery space is located in the COM, and referred to as the Surgical Core Laboratory. The Surgical Core Laboratory includes locker rooms for surgeon preparation, a scrub alcove, an animal patient pre-operative preparatory room, a post-operative recovery room, four operating rooms for surgical procedures involving nonrodent USDA-regulated species, and a veterinary pharmacy and surgical supply room.

The division maintains 4,537 square feet of National Science Foundation management offices and break rooms for animal-care personnel in each of the principal locations, and has administrative offices at the College of Medicine, the Moffitt Research Center, and the Stabile Research Building for veterinarians and support staff.

The 10,540 square feet of National Science Foundation specialized laboratories include rooms for procedures or rodent surgical procedures, necropsy, total body or focal γ-irradiation or X-irradiation, the Mouse Models Core Facility, an In Vivo Mouse Imaging Core Facility, and a Mouse Pathology Core Facility.



ER-5. Appropriate security systems should be in place at all educational sites.______________________________________________________________________________

Describe measures employed to provide a safe study and learning environment for students outside of regular working hours, at both the main campus and clinical teaching sites. Note any special protections available if students are exposed to physical danger (for example, interactions with patients in detention facilities.)

The College of Medicine is one component of the USF Health complex which also includes the College of Nursing, the College of Public Health, and the School of Physical Therapy. USF Health is also a part of the University of South Florida which contributes resources to provide a safe environment for all USF Health students outside of regular working hours.

The University of South Florida Police Department (USFPD) is the primary resource that provides security on the Tampa campus. USFPD is a State of Florida Certified Law Enforcement Agency that has additionally achieved accreditation status granted by the Commission for Florida Law Enforcement Accreditation, Inc. It operates 24-hours per day, 7-days per week, and 365-days per year. USFPD patrol officers are deployed on campus in marked and unmarked patrol cars, motorcycles, bicycles, scooters and on foot to provide quick responses as well as a high degree of visibility and accessibility to students, faculty and staff. The University Police detachment assigned directly to USF Health employs two full-time officers (1 sergeant and 1 law enforcement officer) and two security guards. These four individuals receive back-up support from USFPD as needed.

At the College of Medicine, which is primarily located in the MDC complex, several measures are in place which benefit students, faculty, and staff, and some that specifically benefit medical students. The aforementioned police officers and security guards generally allow for around-the-clock coverage of the complex, which is routinely augmented by officers from the main office. In each of the parking lots that surround the complex, is a Blue Light Emergency Telephone which automatically connects to the Police Dispatcher when the receiver is lifted; the location of the caller is displayed immediately to the dispatcher in the event the person is unable to speak. In each of the Student Labs, emergency telephones also connect the caller directly to the Police Dispatcher when the receiver is lifted. In addition to the standard 9-1-1 number for emergency calls, two additional direct telephone lines are highly publicized as intake lines for police assistance. Within the past three years, approximately 160 security cameras have been added to the MDC complex, pushing the total number to approximately 200. These cameras can be viewed by law enforcement personnel at both the main campus police office and at the USF Health police office.

As a result of the September 11th attacks, the university has implemented a plan to increase security throughout the campus. USF Health is in the final stages of a process that will implement a card-access system for after-hours access to all of its facilities. At the time of this writing, approximately 95% of the MDC complex is on the card-access system, with the balance soon to be finished. The medical student areas are all operational. With the completion of this project, USF Health, in conjunction with Physical Plant, has already begun a total re-keying of the interior of the complex.

All students are urged to call the USF Health police office if they need an escort to or from the parking lots. In the event a USF Health officer or security guard is not available, the call will be routed to the main campus police office for assistance. Additionally, the University Student Government maintains the Safe Team, a student-run organization which escorts students to their locations at night.



The USFPD provides many educational and training programs to students throughout the year, including Rape Aggression Defense (RAD) classes, Personal Safety classes, and Burglary and Theft Prevention classes, among others. Each year, the USF Health police officers speak to the new incoming Medical Student I class as part of their mandated orientation session. Handouts on various subjects are distributed throughout the year; articles on security regularly appear in campus newspapers, on-line newsgroups, on-line bulletins, and newsletters. The USFPD maintains a website that posts many emergency notices and community crime alerts in addition to providing general security and safety information to the USF community.

All hospitals serving as teaching sites have standard security personnel and protocols common to large metropolitan hospitals. These include Tampa Veterans’ Hospital and Bay Pines VA Healthcare, Moffitt Cancer Center, Tampa General Hospital, and All Children’s Hospital. After-hour parking for students is secure at All Children’s Hospital, Moffitt, Tampa and Bay Pines. At the South campus complex containing Tampa General Hospital, 17 Davis Center, and Harborside, 24-hour parking is in short supply, so students frequently park in remote areas. Tampa General’s remote parking is in Ybor City and is available to students as well as TGH employees with a parking pass. This is a city lot and is guarded from 5:00 am to 8:30 pm. Shuttle buses and security personnel escorts are available for students after hours, and while advised to use them, students tend to not use these services. A 1400-car parking garage is planned at TGH to open in the spring of 2007 to help with parking problems. The Genesis Clinic and 30th Street Clinic are open only during the day (7 a.m. to 5 p.m.) and provide no special security measures for staff or students.



ER-6. The medical school must have, or be assured use of, appropriate resources for the clinical instruction of its medical students.

Clinical resources should be sufficient to ensure breadth and quality of ambulatory and bedside teaching. This includes adequate numbers and types of patients (acuity, case mix, age, gender, etc) as well as physical resources.

______________________________________________________________________________

a. List each inpatient teaching site where your students take one or more of the listed required clerkships* and check the clerkship(s) offered:

The main clinical external teaching sites are Tampa General Hospital, James A. Haley Veterans’ Hospital, Moffitt Cancer Center, All Children’s Hospital, Bay Pines Veterans Hospital, St. Joseph’s Hospital, and Shriners Hospital. Several ambulatory care sites utilized for out-patient teaching centers include the following: USF Medical Clinic, 30th Street Clinic, 17 Davis, Harbourside Medical Tower, Genesis, and the USF Psychiatry and Development Center. These facilities are adequate to provide the necessary clinical instructional components of the medical student’s clinical experience.

Facility Name

(Check)Primary Care & Special

Pop-ulations

InpatientMedicine

and Pediatrics

Newborn and

Maternal Health

Emergent & Urgent

Care

Neuro-

psychiatry

Surgical Care

Integrated Neuroscience

Critical Care

Tampa General Hospital

x x x x x x x

Haley VA Hospital

x x x x x x

Moffitt Cancer Center

x x x x

All Children’s Hospital

x x

Bay Pines VA Hospital

x x x

St. Joseph’sHospital

x

Shriners Hospital

x

(* If you offer major core clerkships in different subjects (e.g., Interdisciplinary Primary Care, Women’s and Children’s Health) please modify the headings accordingly.)



b. For each inpatient site listed in the preceding table, provide the following information:(Use a separate page for each institution)

Facility Name: Tampa General HospitalName of Chief Executive Officer: Ronald A. HytoffYear Appointed: 2000

Number of beds 877Average occupancy rate 69.9%Average length of stay 6.84%Number of annual admissions 32,678Number of outpatient visits/year 171,207Number of ER visits per year 66,355

Clinical ServiceNumber of Beds

Avg Daily Census

Number of Students per RotationYour Medical Students Visiting Medical

Students3rd year 4th year

Family Medicine 0 0 0Internal Medicine Med Surg*

607 435 10 2 1

Pediatrics (Med Surg)* 10 2 1Ob/Gyn 50 38 10 1 0Surgery (Med Surg)* 20 2 0Neurology (Med Surg)* 0 1 0Psychiatry 22 18 20 1 0Neurosurgery (Med Surg) 0 0 0Other (specify): ICU 136 136 0 6 0Other (specify): Rehab 59 50 0 0 0TGH Beds are not differentiated into Medical vs. Surgical



Facility Name: Haley Veterans’ HospitalName of Chief Executive Officer: Forest FarleyYear Appointed: FY 2005

Number of beds 320Average occupancy rate 78.8%Average length of stay 7.8%Number of annual admissions 11,628Number of outpatient visits/year

741,475

Number of ER visits per year 47,113


Avg Daily Census



Family Medicine N/A N/A 0 0 0Internal Medicine 110 96.4 10 6* 1Pediatrics N/A N/A 0 0 0Ob/Gyn N/A N/A 0 0 0Surgery 57 47.1 10 6* 0Neurology 5 0.5 0 1 0Psychiatry 50 31.6 20 1 0Neurosurgery N/A N/A 0 0 0Other (specify): SCI 60 49.9 0 0 0Other (specify):RMS 38 26.7 0 0 0Other (specify): N/A N/A

* Includes critical care



Facility Name: Moffitt Cancer Center Name of Chief Executive Officer: William S. Dalton, Ph.D., M.D. Year Appointed: 2002

Number of beds (staffed) 138Average occupancy rate 82%Average length of stay 6.5Number of annual admissions 6361Number of outpatient visits/year

205,737

Number of ER visits per year 0


Avg Daily Census



Family MedicineInternal MedicinePediatricsOb/GynSurgeryNeurologyPsychiatryNeurosurgeryOther (specify):DIO* 138 113 10 11 1Other (specify):Other (specify):

* Department of Interdisciplinary Oncology



Facility Name: All Children’s HospitalName of Chief Executive Officer: Gary CamesYear Appointed: December 2002

Number of beds 216Average occupancy rate (with observation days)

80.6%

Average length of stay 6.5Number of annual admissions 9,275Number of outpatient visits/year

210,256


Clinical ServiceNumber of Beds*

Avg Daily Census



Family Medicine N/A 0 0 0Internal Medicine N/A 0 0 0Pediatrics N/A 30.1 10 2 2Ob/Gyn N/A N/A 0 0 0Surgery N/A 6.9 0 0 0Neurology N/A 0 0 0Psychiatry N/A N/A 0 0 0Neurosurgery N/A 5.6 0 0 0Other: Neonatology N/A 53.9 0 0 0Other: Hematology/Oncology

N/A 22.4 0 0 0

Other: Critical Care N/A 12.7 0 0 0Other: Cardiac – Pediatric N/A 7.8 0 0 0Other 25.1 0 0 0All Children’s Hospital beds are not organized by specialty.



Facility Name: Bay Pines VA HospitalName of Chief Executive Officer: Wallace M HopkinsYear Appointed: March 2005

Number of beds 469Average occupancy rate 71.12Average length of stay 14Number of annual admissions 9,899Number of outpatient visits/year

871,813



Avg Daily Census



Family Medicine 0 0 0Internal Medicine 111 97.92 0 5 1Pediatrics 0 0 0Ob/Gyn 0 0 0Surgery 37 27.58 2 0 0Neurology 7 4.02(inc

luded in Medicine above)

2 0 0

Psychiatry 33 25.75 4 0 0Neurosurgery 0 0 0NHCU 142 95.68 0 0 0Other (specify):Gerimedicine

0 0 0

Other (specify):Pulmonary 0 0 0Other (specify):Cardiology 0 0 0Other (specify):Infectious Disease

0 0 0

Other (specify):Endocrinology

0 0 0

Facility Name: St. Joseph’s Hospital



Name of Chief Executive Officer: Isaac MallahYear Appointed: 1996

Number of beds 883 Average occupancy rate 72.4%Average length of stay 5.1Number of annual admissions 45,862Number of outpatient units/year visits/year

2,528,306



Avg Daily Census

Number of Students per RotationYour Medical

StudentsVisiting Medical


Family Medicine 34 28.1 0 0 0Internal Medicine 146 103.1 0 0 0Pediatrics 173 130.2 0 0 0Ob/Gyn 151 82.4 0 0 0Surgery 154 107.1 0 0 0Neurology 28 25.7 0 0 0Psychiatry 48 39.1 0 0 0Neurosurgery – incl in surg 0 0 0Other (specify): Cardiology 92 77.6 0 0 0Other (specify): Critical Care 57 46.3 0 2 0Other (specify):



Facility Name: Shriners HospitalName of Chief Executive Officer: Alice Reed LanfordYear Appointed: 2001

Number of beds 60Average occupancy rate 25%Average length of stay 5%Number of annual admissions 1,000Number of outpatient visits/year

11,000

Number of ER visits per year 0


Avg Daily Census

Number of Students per RotationYour Medical

Students*Visiting Medical


Family Medicine 0 0 0Internal Medicine 0 0 0Pediatrics 60 15 0 0 0Ob/Gyn 0 0 0 0 0Surgery 0 0 0 0 0Neurology 0 0 0 0 0Psychiatry 0 0 0 0 0Neurosurgery 0 0 0 0 0Other (specify): 0 0 0 0 0

*While this is an “in-patient” site, the students participate in the ambulatory setting of this hospital.



c. Complete the following table for each ambulatory site* used for required medical student education:

Site Name: USF Medical ClinicSite Type**: Stand Alone

Total Annual Patient Visits: 2004/05 395,837

Course or Clerkship Offered

Academic Period (Year)When Offered

Duration(weeks) No. Students per Rotation

Primary Care and special Populations

05/06 16 40

Neuropsychiatry 05/06 8 20

*If groups of doctors’ offices or preceptorial sites are used, such entities can be described collectively instead of being listed individually. **Stand-alone clinic, private offices, etc.

Site Name: Harbourside Medical Towers (USF)

Site Type**: Stand-alone

Total Annual Patient Visits: 25, 659 *




Surgical Care 05/06 8 20Annualized and including neurosurgery


Site Name: USF Psych CenterSite Type**: Stand-alone

Total Annual Patient Visits: 15, 571*




Neuropsychiatry 05/06 8 20Annualized 05-06


Site Name: 17 Davis Pediatric Clinic (USF)






Primary Care & Special Populations

05/06 16 40

Annualized 05-06




Site Name: 30th Street (Tampa General Hospital)

Site Type**: Stand-alone Total Annual Patient Visits: 7146*




Neuropsychiatry 05/06 8 20Includes all subspecialties


Site Name: Genesis Clinic(Tampa General Hospital)






Primary Care & Special Populations

05/06 16 40

Newborn/Maternal Health

05/06 4 10

Annualized 05-06




ER-7. A hospital or other clinical facility that serves as a major site for medical student education must have appropriate instructional facilities and information resources.

Appropriate instructional facilities include areas for individual student study, for conferences, and for large group presentations (lectures). Sufficient information resources, including library holdings and access to other library systems, must either be present in the facility or readily available in the immediate vicinity. A sufficient number of computers are needed that allow access to the Internet and to other educational software. Call rooms and lockers, or other secure space to store personal belongings, should be available for student use.

___________________________________________________________________________________

a. Complete the following table for each clinical facility used for any required core clerkship. Check the appropriate columns indicating if the listed resource is generally available to students during the clerkship.

Facility Name (list)

(check)

Library

Lecture or

Confer-ence

Room(s)Study

Area(s) ComputersCall

Rooms

Shower or

Chang-ing Area Lockers

Tampa General Hospital X X X X X X XHaley Veterans’ Hospital

X X X X X X X

Moffitt Cancer Center X X X X All Children’s Hospital X X X X X X XBay Pines VA Hospital X X X X X X XSt. Joseph’s Hospital X X X X Shriners Hospital X X X X X X USF Medical Clinic* X X X 17 Davis Pediatric Clinic

X X X X

Harbourside Medical Towers

X X X

USF Psych Center* X X X 30th Street Clinic X X X Genesis X X X

* On the USFCOM campus

b. Comment on the adequacy at each site of the educational resources checked above, and the adequacy of library and information technology services (Internet access, library holdings, interactive databases, etc.) at each site.

Each clinical facility (Tampa General Hospital, Tampa Veterans’ Hospital, Moffitt Cancer Center, Shriners Hospital, All Children’s Hospital, Bay Pines Hospital) has a dedicated Medical Library with a basic set of journals and textbooks. In addition, the College of Medicine provides a password restricted “virtual library” through any and all web-enabled computers at all of our clinical sites as well as at home. This virtual library provides full database search engines (Ovid, PubMed, MD Consult, EBM,



Cochrane’s, CancerLit, CINAHL, etc) as well as over one hundred full-text electronic journals, over one hundred full-electronic textbooks, and access to InterLibrary Loan and a State-of-Florida-wide catalog of available books. Each library has appropriate study space, computer terminals, printers, and librarian support. The Health Center Library, in addition to providing the above-mentioned resources, provides dedicated research librarians to teach residents and students, to facilitate searches, and to assist in literature review for projects and studies.



ER-8. Required clerkships should be conducted in health care settings where resident physicians in accredited programs of graduate medical education, under faculty guidance, participate in teaching the students.

It is understood that there may not be resident physicians at some community hospitals, community clinics, and the offices of community-based physicians. In that case, medical students must be adequately supervised by attending physicians.

___________________________________________________________________________________

All clerkships in medicine, psychiatry, surgery, obstetrics, pediatrics, neuroscience, emergency and urgent care take place in conjunction with accredited residencies, within JACHO-accredited institutions. Each of the above mentioned residency training programs is conducted under the supervision of USF faculty members.

Family Medicine is not a required clerkship at USF. For students interested in this rotation, we have an accredited Family Medicine residency at one of our affiliated hospitals, Morton Plant. Other, non ACGME residencies in Family Medicine are also available at other clinics and hospitals. The majority of electives available to our students are conducted in similar environments, with residents in ACGME- accredited programs under the direction of USF faculty. However, we do not discourage students from taking elective rotations in environments that address other important competencies (rural clinics, private clinics, private offices, for example) but these must be approved on an individual basis by the associate dean for student affairs and students must be supervised by physicians who have been approved by the university to serve as faculty or preceptors.

Refer to responses for standard IS-12-A.



ER-9. There must be written and signed affiliation agreements between the medical school and its clinical affiliates that define, at a minimum, the responsibilities of each party related to the educational program for medical students.

Written agreements are necessary with hospitals that are used regularly as inpatient sites for core clinical clerkships. Additionally, affiliation agreements may be warranted with other clinical sites that have a significant role in the clinical education program.

Affiliation agreements should address, at a minimum, the following topics:

- The assurance of student and faculty access to appropriate resources for medical student education. - The primacy of the medical school over academic affairs and the education/evaluation of students. - The role of the medical school in appointment/assignment of faculty members with responsibility for medical student teaching. - Specification of the responsibility for treatment and follow-up when students are exposed to infectious or environmental hazards or other occupational injuries.

If department heads of the school are not also the clinical service chiefs at affiliated institutions, the affiliation agreement must confirm the authority of the department head to assure faculty and student access to appropriate resources for medical student education.

The LCME should be advised of anticipated changes in affiliation status of a program’s clinical facilities.

ER-10. In the relationship between the medical school and its clinical affiliates, the educational program for medical students must remain under the control of the school’s faculty.

Regardless of the location where clinical instruction occurs, department heads and faculty must have authority consistent with their responsibility for the instruction and evaluation of medical students.

The responsibility of the clinical facility for patient care should not diminish or preclude opportunities for medical students to undertake patient care duties under the appropriate supervision of medical school faculty and residents.

___________________________________________________________________________________

a. For each clinical teaching site where students take one or more required core clerkships,* insert a copy of the current affiliation agreement with the medical school.

All individuals providing instructional activities to medical students are either full-line faculty of USF or volunteer clinical and courtesy faculty members of the College of Medicine. Regardless of rank or type of faculty, a semester assignment or letter of agreement is developed by the medical school and the faculty mentor outlining the educational responsibilities. All affiliation agreements maintain educational requirements and are included.

See Section V, Appendix ER-10a.



b. If not explicitly defined in the affiliation agreements, describe the mechanisms in place (whether formal or informal) at each site to assure the medical school’s authority to conduct educational activities for its students.

The medical school’s authority to conduct educational activities for our students are explicitly defined in the affiliation agreements.

*Does not include subspecialty or widely dispersed, purely ambulatory clerkships (e.g., at individual preceptor offices).



ER-11. The medical school must have access to well-maintained library and information facilities, sufficient in size, breadth of holdings, and information technology to support its education and other missions.

There should be physical or electronic access to leading biomedical, clinical, and other relevant periodicals, the current numbers of which should be readily available. The library and other learning resource centers must be equipped to allow students to access information electronically, as well as to use self-instructional materials.

___________________________________________________________________________________

a. Give the name and year of appointment for the directors of the library and information technology services unit, and the title of the person to whom each reports. Note any other schools or programs served by each.

Director of the Shimberg Health Sciences Library: Beverly Shattuck, MBA, MS, appointed in 1989. Reports to: Paul M.Wallach, MD,Vice Dean, College of Medicine.

Director of Health Sciences Center Information Technology: James McKenzie, MA appointed as interim Assistant Vice-President of Technology CIO on 9/9/05 and permanent Assistant Vice-President of Technology/CIO on 3/16/06 Reports to: Joann Strobbe, Chief Financial Officer and Associate Vice President, Finance, Administration, and Technology, USF Health - College of Medicine

The library also serves the College of Nursing, College of Public Health, School of Physical Therapy, and university programs with a health component such as biomedical engineering, psychology, biology, chemistry etc. The Shimberg Health Science Library is designated as a regional medical library by the National Network of Libraries of Medicine (NN/LM) and is charged with providing services and materials to hospital libraries and health care practitioners in the region.

Director Title Reports to Date of initial Director appointment

James J. McKenzie

Asst VP of Technology/CIO

Assoc. V.P. Joann Strobbe

1998

Sidney Fernandes

Director Application Development


2003

James Saunders Director Support Services Asst VP of Technology/CIO .

1997

Barry Silverstone

Director Telemedicine Asst VP of Technology/CIO

2000

David Hearne Director Network Services Asst VP of Technology/CIO

2005

Tim Bulu Director Information Security


2005

Susan Pringle Director ASK IT Asst VP of Technology/CIO

2005

All directors above serve the College of Medicine, College of Nursing, College of Public Health, and School of Physical Therapy directly. Further, there are affiliate relations with the USFPG Medical Clinic group and partner hospitals (listed below under “c”)



b. Briefly summarize any campus-wide or consortium agreements that extend the library’s access to information resources (e.g., university OPAC or regional library network). How does the library interact with other university and affiliated hospital libraries?

As a result of agreements and consortial arrangements with the USF Libraries System, the State University Library System (SULS), the Consortia of Southern Biomedical Libraries (CONBLS) and the Southern Chapter of the Medical Library Association, students and faculty of the College of Medicine have access to resources such as Science Direct, Web of Knowledge, thousands of multi-disciplinary e-journals, e-books and electronic thesis. As a member of CONBLS the library receives significant discounts on selected subscriptions and medical image databases, such as images.MD and Anatomy.TV. College of Medicine students and faculty have borrowing privileges and full access to all online resources owned by the 5 libraries in the USF Library System. In addition, holders of USF library cards have borrowing privileges at all 11 state university libraries in Florida. Medical students and faculty also have access to collections at affiliate hospitals Moffitt Cancer Center, Tampa General Hospital, Haley Veterans’ Hospital, All Children’s, etc.

c. Briefly summarize any campus-wide or consortium agreements that extend the information technology service unit’s access to information resources (e.g., university data network, Internet-2 connection). How does the IT unit interact with university and affiliated hospital information networks?

USF Health IT serves as the central hub for a myriad of other campus IT groups and off-campus sites. On the main USF campus, USF Health has strong working relationships and shared responsibilities with: Information Technology, Academic Computing, the Research IT group, Florida Mental Health Institute Information Systems, USF Physicians Group Information Systems and others.

Interaction occurs at senior management levels, such as Information Security Workgroup, regular CIO meetings, Desktop Management, ID Management and Space meetings but also at the technological level of shared email and calendar systems, shared anti-virus system, shared student services, including scheduling, registration, grading, and enterprise-shared payroll, Human Resources, and financial systems. Finally, the Portal systems run by Academic Computing and Information Technology groups are fully participated in and shared by USF Health faculty, staff and students.

Off-campus, USF Health IT serves as the shared communications hub for the following hospitals, and provides IT, (data/phone network access, Internet 2 connection) and library resource access to and from:

St. Petersburg USF campus Tampa General Hospital All Children’s Hospital University Community Hospital James Haley Veterans’ Hospital Bay Pines Healthcare Moffitt Cancer Center Moffitt Cancer Center South Gulf Coast Medical Center Morton Plant Mease Hospital Shriners Hospital Children’s Research Institute Turley Family Health Center Suncoast Gerontology



All interaction occurs at two levels as follows: technical day-to-day shared management via firewall VPNS (Virtual Private Networks) and VLANs (Virtual Local Area Networks), and daily/weekly/monthly interaction at the management level. Written business agreements exist where appropriate, vis-à-vis Federal laws, such as HIPAA.

d. Complete the following table, as appropriate, for the library and information technology services units:As of August 2006, all of USF HEALTH has wireless network service to all buildings, including walkways and quadrangles outside many of the buildings. In addition, the College of Medicine has recently gone from CAT 3 cabling to CAT 6. This means the College will go from 10 meg to 1000 meg and even technically possible to 10,000 meg.

Library Info. Technology Services

Total user seating 355 775 (including wet labs)

Number of photocopiers 4 1Audiovisual services (yes or no) yes YesNumber of small-group study rooms 3 noneNumber of individual carrels available to medical students 74 noneNumber of public workstations 34 25Number of computer classrooms 1 6Total number of seats in computer classrooms 10 19 (but all 775 have

wireless access)Network connections available in computer classrooms? (yes or no) yes Yes, CAT 5e-CAT6

also wireless in all

e. Complete the following table showing library holdings for the current and preceding two years:

Current Year One Year Ago Two Years AgoJournal Subscriptions (Print) 1251 1287 1189Journal Subscriptions (Electronic) 2342 2088 1729Book Titles (Print) 23,500 22,948 21,958Book Titles (Electronic) 918 905 840Audiovisual Titles 520 508 1,080Educational Software Titles 367 362 358Databases 427 525 412Other Holdings (specify)Total Expenditures for Holdings 959,000 849,000 829,000

f. Indicate the number of items borrowed or received from other libraries or document delivery services during the most recent academic year on behalf of users.

A total of 1,839 items were borrowed from other libraries on behalf of users. This figure is for items borrowed for all USF Health colleges.



ER-12. The library and information services staff must be responsive to the needs of the faculty, residents and students of the medical school.

A professional staff should supervise the library and information services, and provide instruction in their use. The library and information services staff should be familiar with current regional and national information resources and data systems, and with contemporary information technology.

Both school officials and library/information services staff should facilitate access of faculty, residents, and medical students to information resources, addressing their needs for information during extended hours and at dispersed sites.

___________________________________________________________________________________

a. Complete the following table describing FTE staffing for the library and information technology services units:

LibraryInfo. Technology

ServicesProfessional staff 11 13Technical specialists or paraprofessionals 10 19Clerical support staff 3 2Student or hourly support staff 4 15Total 28 49

b. Describe the mechanisms used to assure the ongoing professional skills of the library and information technology staff.

The Shimberg Health Science Library staff members are highly regarded on and off campus for their expertise, service, and innovation in providing information and education to students and faculty in the College of Medicine. Librarians are members of professional organizations such as the Medical Library Association, Florida Health Science Library Association, Association of Academic Health Science Libraries, etc., and actively participate in educational programs, focus groups, discussion groups, and meetings sponsored by these organizations. Shimberg librarians hold elective office in professional organizations and regularly present papers at conferences. To ensure that relevant skills are kept up-to-date, librarians attend continuing education courses that are certified by the Medical Library Association. In addition, the department encourages and financially supports staff members who want to take classes offered at commercial sites or other universities to learn new information technology skills or enhance existing skills.

IT provides regularly scheduled specific technical training for all new systems used. Typically each employee is encouraged and, in some cases, required to have full manufacturer’s certification for the specific product or application before operation. IT provides technical and customer-service training with a Support Technician to each new employee for six to eight weeks of training upon employment.

In the application development and networking areas, each employee is expected to attend one technical seminar each semester, and most take advantage of the USF-supplied technical training for advanced degrees. In the Network Services group alone, currently all staff members are pursuing Master’s degrees in IT fields. Most, if not all, of the directors have advanced degrees in IT or are actively pursuing Masters, MBAs or PhDs now.



c. Describe how the library and information technology services unit support medical education, both individually and jointly. How do they interact with other education support units (e.g., office of medical education or curriculum planning group)?

IT supports medical education and the Office of Continuing Medical Education by providing both network and application development/support services. Networking provides normal network components of service in server/infrastructure/id management and bandwidth and storage solutions. Application development coded two key applications for use by this group, PACES (clinical logging and evaluation tool, and curriculum management) and QuestionMark (a student medical testing application).

IT meets regularly with the local medical education IT group, providing shared solutions and expertise. Medical education management meets with IT management on a regular basis and ad hoc on projects.

d. Provide usage data, if available, for library study space, audiovisual resources, and public access computing equipment for faculty and residents.

The library’s mission is to support educational and research activities by facilitating access to information and teaching lifelong learning skills. The library works to establish partnerships with faculty interested in integrating electronic library resources into the curriculum. Librarians continuously update faculty and students about new resources and services by maintaining a dynamic library web site, by making presentations in the classroom and at remote clinical sites and by publishing award-winning newsletters and educational materials. Because library staff members are early adapters of new technology, they are in an excellent position to provide instruction and assistance as new resources such as PDA databases and wireless devices are integrated into the curriculum.

The Shimberg Health Science Library Education and Reference staff members provide assistance to library users at the reference desk, by email, and by phone. The library Education Department offers regularly-scheduled instruction sessions in efficient database searching, information management skills, and the use of print, electronic, and Internet resources. As new resources are added to the library collection, instructional materials and courses are created electronically and in print. Private, individualized instruction is also offered to students and faculty. In recent years library staff members have actively participated in orientation programs for College of Medicine students. The library director is a member of HSC committees such as LRISC (Long Range Information Services Committee) and ad hoc committees for projects with a library component or requirements.

IT provides public access computing in the following five locations: the 80-seat College of Public Health Open Use labs, the Student Lounge (one wired-data connection plus wireless), the Graduate Student Lab (wireless connectivity), the Medical Student Lab (10 wired connections plus wireless), the Internet Café (six wired connections plus wireless) and the Information Technologies/College of Medicine Training Lab (19 wired seats plus wireless), plus one IT Kiosk.

Tracking information is kept only in the Information Technologies/College of Medicine Training Lab since the others are 100% open use. This IT lab runs a slate of 24 distinct IT classes and had 320 attendees during January 2005-September 2005, or an average yearly total of nearly 500 students.

e. List the hours in which the library and public access computers are open and available to faculty and students during the academic year.

Hours: Monday – Friday: 7:30 a.m. to 11 p.m., Saturday 10 a.m. to 11 p.m., Sunday Noon to 11 p.m.. Extended hours are always provided during exam periods and whenever students request additional hours in support of special projects. The library is open and staffed 358 days a year.

The public access computer areas hours are as follows:



Student Lounge – 24 hours per dayGraduate Student Lab - 24 hours per dayIT Medical Student Lab—M through F 8 a.m. to 5 p.m.Internet Café - M-F 8 a.m. to 2.p.m. (students are allowed to remain until 5 p.m.)IT Kiosk - M - F 8 a.m. – 5 p.m.COPH Open Use Lab - 7 days a week 9 a.m. to 8 p.m. (After hours by use of security badge)

f. Describe the methods to provide faculty and students with access to library and information resources from off-campus sites.

The Shimberg Health Science Library Home Page www.hsc.usf.edu/library is the preferred point of entry for off-campus students and faculty for twenty-four-hour access to all electronic resources. Remote users are authenticated with an HSC user account or USF ID via several proxy systems such as Libproxy, USF’s Blackboard or EZproxy. Instructions for remote access and an FAQ section are on the library web page.

Other library services that are now available online for remote users include online book renewals, interlibrary loan requests, electronic reserves and online book hold requests. With the electronic document delivery service, all interlibrary loan articles and photocopies can be sent to an email address or delivered as a URL for web-based pick up. A pilot project to provide twenty-four-hour virtual reference service is scheduled to be tested in 2006 in cooperation with selected academic medical libraries in all US time zones.

Most of the USF Health users are off-campus, with an estimated 2500 users off-campus and 2100 on campus. The South Campuses (Davis Island and St. Petersburg) are connected via both 100 med Ethernet network and OC3 ATM links. Local remote satellite offices are connected with 10 meg Ethernet links, and 1.5 meg T1 links. Most are connected via VoIP for phone service.

From other remote sites USF Health offers a secured Outlook Web Access web page for email and calendar/contact connectivity, full video conferencing facilities to service medical student classes with full video storage and archiving facilities for older classes, and a multi-platform VPN product suite (SecuRemote, SecureClient, SecurePlatform) for connectivity to files and servers. All remote connectivity requires authentication, including all wireless connectivity. Further anticipated developments include a managed (i.e. requires Active Directory authentication) Internet Instant Message (IM) system, student blogging services, and a collaborative portal service. This portal service will provide individual students with a fully-featured application server for their use.

Finally, we support remote sites and users with considerable personal and departmental storage space on the following: personal home directory drives, departmental or center group drives, multi-and cross-disciplinary CRISP storage space and discussion areas, personal video server space, personal and departmental web space, and soon, personal portal sites and space will be available.

___________________________________________________________________________________

END OF SECTION V


http://www.hsc.usf.edu/library

Documents

FUNCTIONS AND STRUCTURE OF A MEDICAL · Web viewWithin the past three years, approximately 160 security cameras have been added to the MDC complex, pushing the total number to approximately