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University of Queensland (Brisbane,

Australia) and Ochsner Health System

(New Orleans, USA

Transnational Undergraduate Medical Education

Professor David Wilkinson

BSc(H) MBChB MSc MD PhD DSc FRCP FRACGP FAFPHM

Dean of Medicine & Head, School of Medicine

The University of Queensland

William W. Pinsky, MD

Executive Vice-President and Chief Academic Officer

Ochsner Health System

Professor and Head, Ochsner Clinical School

University of Queensland SOM

Overview of Ochsner Health System- The Clinical Enterprise

• 8 Hospitals

• 37 Clinic Locations

• 4 Fitness Centers

• 180-Room Hotel

• 850 Employed Physicians

• 13000 Employees

• 1.3 Million Patient Contacts

• Over 4,000 International

Patients

• $2 Billion Net Revenue

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Ochsner Health System Footprint

Destrehan

Elmwood

OCHC - Slidell

Slidell

Hamm Heart-Vasc

Hammond

Covington

Uptown

Baptist

Lapalco

Metairie

OHC - Kenner

OCHC - Metairie

Ochsner Medical Center

OMC - Kenner Lake Vista

OHC - Algiers OB

Algiers

OMC - West Bank

OMC - Baton Rouge

Abita Springs

MidCity

Bluebonnet

Prairieville

Mandeville

Denham Springs

St. Anne

Ochsner Strategic Direction

Collaborative Research

Future Clinicians

Our Imperatives (6)

People: Our most valuable asset.. Quality:

Error-free care that’s affordable.

Loyalty: Patients, families &

physicians. Stability: Financially sustainable

and growing.

Academics: National leader

with global Impact.

Community: Serving the

greater need.

Change Kids, Change the Future

Industry Thought Leader

Community Alliances

Our Mission We Serve, Heal, Lead, Educate and Innovate.

Strategic Tools Technology

Lean/ CAP / WO

Customer Research

Analytics Governance

Corporate Svcs Educ/Dev (OLI)

Op Cycle

Highly Reliable Care

New Models of Care Delivery

LEAN

Energized Workforce

Best Company for Leaders

Strategic Programs (18) Best Group Practice

Accessibility for Patients

Service Excellence

Hospital & Physician Networks

Service Lines

Retail Services

Margin Optimization

Adequate Reserves

Our Vision

Ochsner will be a global medical and academic leader who will save and change lives. We will shape the future of healthcare through our

integrated health system, fueled by the passion and strength of our diversified team of physicians and employees.

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National Reputation and Recent Awards

• Modern Healthcare Magazine – CEO Dr. Quinlan named “#1 Most Powerful Physician

Executive” (2007)

• Healthgrades – Top 5% of all US Hospitals for Patient Quality and Safety

• Alliance of Independent Academic Medical Centers – Innovation Award for linking GME

and Patient Safety

• Hospital & Health Networks Magazine – “Most Wired” (2007, 2006, 2005, 2004)

• Modern Healthcare Magazine – COO Warner Thomas “Most Prominent Up and Comer in

Healthcare” (September 2006)

• Thomson Reuters 100 Top Hospitals® – National Benchmarks, Ochsner Medical

Center is recognized as one of the top 15 “Major Teaching Hospitals.”

• Louisiana State Nurses Association – Louisiana Hospital of the Year (2006)

• U.S. News and World Report – 2011 “America’s Best Hospitals” for ENT; Cardiac

Diseases; GI; Orthopaedics; Pulmonology; Geriatrics; Gynecology

Domestic Academic Programs

• GME: 325 Residents/Fellows in 27 programs

• UGME: 600 student-months (Tulane and LSU)

• Nursing: 400 students

• Allied Health: 400 students

• Research: 3 NIH RO-1 Grants; 300 clinical protocols

• Library, Medical Editing, Medical Illustration

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The Goals, i.e. The Ochsner “Why”

• Raise Ochsner academic stature by partnering with a high profile University

• Enable high quality physician recruitment and retention

• Educate/train medical students and residents in the “Ochsner Way”

• Regenerate the Ochsner workforce

• Contribute to strengthening the NOLA and Louisiana physician workforce

• Enable a more robust translational research agenda

University of Queensland SOM

• 75 years old

• Top three medical school in Australia

• 2011 QS rating: 33 in the world http://www.topuniversities.com/university-rankings/world-university-rankings/2011/subject-rankings/

• Research University: $400M extramural funding annually

• HPV immunization developed at UQ

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The University of Queensland • Centenary in 2009

• 7 Faculties

• 6 Institutes

• 38,000 students; 7000 international, 10,000

postgraduate

• 5600 staff

• $ 1 billion revenue

Rankings

• Top Queensland University

• 3rd in Australia

• 32nd world ranking

• Member of Universitas 21

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School of Medicine

Now > 70 y old

3rd oldest in Australia

Australia’s largest medical

program

430 new students in Year 1 in 2009

(130 international)

MBBS program

School leaver / Graduate entry

Dual degree option

M Phil / PhD / MPH options

Ipswich

International rotations

Post graduate programs

Physician Assistants

Research

> 1200 staff including Academic

Title Holders

• Increase from 200 to 400 students studying

overseas (2006-8)

• Emphasis now shifting from electives to formal study (exchange)

• U21 / UNMDG

• IVIMEDS

• Partnerships eg IMU, Brunei Clinical School,

Apollo Hospitals Group India

Internationalisation

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• 4 years, 2 pre-clinical and 2 clinical

• Y1&2: lectures, symposia, PBL, clinical coaching,

tutorials, group work

• Y3&4: 10 x 8 week clinical rotations

• Medicine, Surgery, Rural/Community, GP, Mental

Health

• Obstetrics, Paediatrics, Medical Specialty,

Surgical Specialty, Elective

• Clinical schools

MBBS program

The Goals, i.e. The UQ “Why”

• To become Australia’s leading Medical School

• To have an established, widespread global reputation for excellence and innovation

• To be recognized as “Australia’s global medical school”

• Points of relevance include the Faculty, the University, Queensland, Australia, our region and the world

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The Plan

• Admit US students (citizens) to UQ medical school

• Use the UQ admission process and standards

• First two years in Brisbane; final two years at Ochsner

• Apply the accredited UQ curriculum and testing, plus . . .

• UQ academic year runs January – December

• 1/09: First class of students admitted; 1/10: Admitted students, 1/11: , 1/12: , 1/13:

• 3/09 : “Soft Opening” with current UQ students;

offer all 3rd and 4th year rotations • 4-5/09 – Endorsement by Gov. Jindal; meetings

with AAMC, AHA, La. Delegation, La. State Board

The Timeline

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Student Metrics

Minimum Entry Requirements:

Ochsner cohort average MCAT score: 9/9/M/10 28M

Ochsner cohort average GPA (1 - 7 scale equivalent): 6.34

Demographics:

Ochsner cohort gender ratio: 37% Female; 63% Male

Ochsner cohort average age: 28

Performance in MBBS Phase 1:

Ochsner cohort average GPA - Year 1 2009: 4.90

Overall UQ MBBS cohort average GPA - Year 1 2009: 5.22

Ochsner cohort average GPA - Year 1 2010: 4.53

Overall UQ MBBS cohort average GPA - Year 1 2009: 5.21

Ochsner cohort average GPA - Year 2 2010: 5.08

Overall UQ MBBS cohort average GPA - Year 1 2009: 5.43

Important Goals and Milestones

• Ochsner UGME office and support staff established

• Course Directors appointed for each major Discipline

• Learn the UQ curriculum and assessment methodology

• Establish UQ faculty appointments for all leaders and teachers

• Obtained reaccreditation for UQ SOM through the AMC – August 2010 site visit in NOLA; December 2010, 6 year accreditation obtained

• January 2011, first cohort returns to NOLA; Initial White Coat Ceremony

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The Future

• In the midst of recruiting our 2012 class of 80 students

• Establishing research partnerships between Ochsner and UQ SOM, Centers, and Institutes

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UQ-SOM Research Collaborations with Ochsner Clinical School

Projects In Early Discussion Domestic Individual Centre / Section Ochsner Individual Area

Claire Jackson CPHCR Dr. Marie Krousel-Wood,

Director, Center for Health Research Healthcare delivery system

Gerard Byrne PCNRC Dr David Galarneau Psychiatrist involved in teaching

Peter Davies CNRC Dr. Marie Krousel-Wood,

Director, Center for Health Research Childhood Obesity

Peter Davies CNRC Avery Corenswet Childhood Obesity

Ian Yang Thoracic RC Dr. Leo Seoane

Jenny Moffatt Rural CSRC Dr Leonardo Seoane,

Co-Director, Lung Transplantation Pulmonary/Critical Care Medicine

Dr Seoane and I agreed that we would like to collaborate on the student evaluations at a later stage.

Glenda Gobe David Johnson

CKDR "a nephrologist"

Jenny Moffatt Rural CSRC Dr Cynthia Semlear Avery,

Nephrology Research Centre Retrospective study, based on chart review

Jenny Moffatt Rural CSRC Dr. Marie Krousel-Wood,

Director, Center for Health Research Chronic disease, possibly diabetes/renal

Professors Jill Thistlethwaite & Vivienne O'Connor

Centre for Medical Education

Research and Scholarship

Dr. Veronica Gillispie Obstetrics & Gynecology

Assessment of teaching practices of intimate examinations; comparison of pap smear procedures

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The Challenge

• What is real healthcare globalization?

• What are the impacts on education and delivery models?

• What are the roles of the Universities?

The World is Flat . . .