USD Sanford School of Medicine Mary Nettleman, MD, MS, MACP What - - PowerPoint PPT Presentation

USD Sanford School of Medicine

Mary Nettleman, MD, MS, MACP

What does SSOM do?

• High quality medical education
• Focused on South Dakota
• Keeping top talent in South Dakota
• Providing physicians for your

community ___________________________

• We couldn’t do it without you!

Demand for physicians continues to grow faster than supply

• Shortfall of 46,000 to 90,000 by 2025

– About 1/3 in primary care

• Lower range assumes increased reliance on

advanced practice clinicians

Complexities of Physician Supplly and Demand Projections 2013-

• 2025. AAMC 2015

• Providing physicians for

your community

Fulfilling the Mission

Top in the nation for the proportion of graduates ultimately practicing in a rural area 91st percentile for the proportion of students entering a Family Medicine residency 98th percentile for proportion of graduates who are Native American

MMT 2015 AAMC

• 41% of graduates

ultimately practice in South Dakota (2000-2004)

30% 35% 40% 45% 50% 55% 60% 65% 70% 2010 2011 2012 2013 2014

Percent of Graduating Class Planning to Practice in SD

How do our recent graduates judge us?

• Quality of clerkships is high

– 94th percentile OB Gyn – 91st percentile Family Medicine – 88th percentile General Surgery – 74th percentile Psychiatry

• Trained with other health professions

– 92nd percentile

• 93% agree/strongly agree that they are

satisfied with quality of medical education

MMT 2015 AAMC

Cost of Attendance is Low

• 26th percentile for in-state

cost of attendance

• Average student debt is

$138,000

MMT 2015 AAMC

Recent Scholarships through SDSMA and Alliance

• SDSMA is a key supporter of students through

scholarships and foundation support

• SDSMA Alliance provides important

scholarship funds, giving students a much needed boost.

• SDSMA districts endowed scholarships

through the SDSMA matching campaign: Sioux Falls, Black Hills, Pierre, Yankton.

• Past Presidents Scholarship

Entering Class Fall 2015

Initial Profile 3/28/15

• 67 MD students, 1 INMED
• 39 male (57%)
• Median GPA: 3.85
• MCAT Median: 31
• Nine are 26 years of age or
• lder
• 59 first-time applicants, 7 are

2nd, 2 are 3+

Preliminary Profile Fall 2015

• 43% have strong roots

in a town of <10,000

• 87% had sustained

volunteerism

Preliminary: Class entering Fall 2015

Augustana BHSU Presentation Mines SDSU

USD

Also 2 Creighton, 3 UNL, 1 UND, 1MT, 2 Drake, 1 Grinnell, 2 St. Johns, 1 USAF Acad, and some others

Sample Test Question 1978

What of the following occurs earliest in the Krebs Cycle? a) Oxidation of alpha-ketoglutaric acid b) Acetyl CoA combines with oxaloacetic acid c) CO2 is split off of isocitric acide d) Fumaric acid becomes malic acid

Sample question 2015

While participating in the Scholarship Pathways program you find yourself working at an outdoor clinic in a third world country. Here you meet a mother who has brought an infant with cholera and a life-threatening diarrhea. To combat this you order that the child be given an oral glucose and electrolyte

• solution. What is the pathophysiological basis of the problem that you are

trying to reverse by this treatment? a) Increased cAMP-dependent Cl- secretion b) Bacterial toxins stimulating the calcium-calmodulin pathway in smooth muscle c) Decreased Na+/K+-ATPase activity d) Loss of intestinal mucosa caused by bacterial toxin-induced epithelial cell death e) Fecal blood loss

Pillar 2

• Pillar 2 is the Clinical Foundations

pillar – 12 months – Referred to as the Longitudinal Integrated Clerkship (LIC) – Includes inpatient ‘mini-blocks’

Pillar 2: 1st round

• 1st students completed

Pillar 2 in June 2014

• Took step 2 USMLE in

summer/fall

• Did extremely well

Step 2 CK scores

170 180 190 200 210 220 230 240 250 Campus #1 Campus #2 Campus #3 All

Frontier and Rural Medicine F.A.R.M.

• Students in program have nine

months of clinical experience in a rural community

• Milbank, Mobridge, Parkston,

Platte, Winner

• 6 students per year, started

July

New FARM sites

• 3 new FARM sites

added

• Vermillion, Spearfish,

Pierre

• Plan minimum of 8

students in 8 sites each year by 1/17

Pillar 3: Advanced Medicine

• Deliberate revisiting of basic

science tailored to clinical experience and discovery

• Deliberate revisiting of

population science, hospital

• perations
• Some required rotations
• Room for electives and research

Match 2015

• 53 students

– 12 in SD residencies

• 22 in primary care
• 10 surgery/surgery preliminary
• 4 ObGyn
• 4 ER
• 3 Anesthesia
• 1-2 each: Neuro, Ortho, Path,

Psych, Rads

Match 2015

• Nationally, about 450 medical students never

found a residency slot

• Reasons are

– 1) academic difficulties – 2) failure of strategy

• We have had a 96% to 100% placement rate

for our students and this year was in that range

Providing physicians for your community

• Thank you!
• We couldn’t do it

without you!