Year 3 Annual State of the Department, Presented October 12, 2021 by R. Lor Randall, M.D., F.A.C.S
for here. So um I'm gonna get going. This is uh an annual tradition now. It's the state of the department address and it's it's a look back at the year and I look forward to the next year what we hope to do based on what we have done. Uh There is these ones in the middle do have dollar signs to sign to them, but I don't think any of them frankly uh skew my uh my perception is relevant to this talk but they may in some ways. Certainly my involvement with the C. O. G. In some of these societies influences how I think. So not all these claimers are necessarily, financially, you need to be self aware of how you might be influenced by other parties and your decision making. We fly through the slide every year um or every talk every talk. But let's pause for a moment and look at this because we're gonna have a strategic plan retreat next year. We might want to revisit these these So we want to lead an excel in the delivery and advancement of integrated comprehensive patient centric Moscow, skull of care. Our department is dedicated to improving the musculoskeletal health, not just orthopedic health, musculoskeletal health of patients of today and tomorrow. By a culture of collaboration and diversity. We will focus our leverage and leverage our expertise in clinical care. We are a clinical department, advancing knowledge through innovation, education and advocacy. So again we do this every year. Um we sort of have a cell cycle life cycle of the department every year and I want to recognize Todd Albert and Pamela roby who are are expected chapman and ready annual lecturers. What we're gonna do over the course of this hour is look at what's new in the department, reflect on what's going on in the greater U. C. D. H. And revisit our strategic plan. It's gonna be a bit of a flyover um for a recap of year one and two priorities. There are handouts in the back of the room. You also have the electronic version attached to your invite, electronic invite, I encourage you to look at it and reflect on it. Um I'm gonna break some of the tenants of dr Mark lee. He's given us a great how to teach the modern learner lecture series and I'm gonna break some attendants. I have some busy slides and I say that I say to those slides to you this is your time to look at the handout, it's before you at your leisure. But I thought to get the full perspective of what we're trying to do here. I did have to have some busy slide because we've been a very busy department and I also want to recognize all of you For all you've done during this incredibly challenging 18 months or so professionally and personally and all the people beyond our department that have worked so hard, I don't think we need to belabor this, we all understand it but I thought it was appropriate to recognize so for those of you who know me, you appreciate that? I like structure. I like to think of things in terms of organizational charts and I like to think about pillars and and goals followed by strategies, getting down to tactics and this is our administrative orchard and the and the salient points are as we are, we share joe Mcdonald with PMR. So some of the people in this orange chart are a crossing both departments sharing my switch for example we've got a waxing extra mural grant portfolio and she is overseeing both P. M. Rs and Rs. And we share some resources with PMR as well and it really makes us for a lean and agile department and in many departments the rehab is governments but this really gives us a finger on the pulse of what's happening with rehab as well. Yeah battery must be going Mhm. So the I I want to always show all the data that's relevant. You'll see over the years, we go through this and consistency across all the talks. We did take a little dip in our U. S. News and world report. I'll talk about that again a little bit more on the left side in terms of the adults and the pedes we actually bumped up um we you know when you're on this list, everyone likes the tattoo when your office list, everyone likes to throw acrimony at it. It's it's a little bit of an interesting thing but what's most important here is even though we slipped a little bit, our national reputation is going up consistently over the last three or four years. We are second only urology in terms of percent growth and our reputation scores when you drill down on the numbers, a lot of our numbers are down in terms of throughput of certain kinds of cases that U. S. News and world reports ah looks into and we had a couple of adverse events. We had a wrong site procedure, a couple of other things that tip this a little bit. So I'm not too concerned about this. I don't put a lot of emphasis in it but it is a metric by which we are measured and we are I think pretty stable. We had some events to challenge us and we held strong, we slipped a little bit. You saw in the last slide also I showed the vision scores of eight that's for ambulatory, that's the whole school or the whole health system I should say. And you look at it, this is the this is the breakdown but this is vision is the academic medical centers across the country and it's out of 52. We were in the twenties and we jumped up to eight. I haven't seen the impatient scores but moving up to eight is remarkable because boots on the ground experience is a lot of frustration with efficiencies and things of that sort. So um the connect their disconnect is real potentially. But we are eight out of 52 academic medical centers in terms of our vision quality scores for ambulatory services. So new things the department we all know Kent leeches now our vice chair for research, he is also the Ellison professor Dr Reddy retired this year and passed the baton that can't leech you can see on the right. His accolades has done quite a bit of remarkable, has quite a remarkable national and international reputation. What is so critical in this sort of role is his ambassadorship, his stewardship. This is in a youtube video of him speaking to the O. R. S. About the mission of innovation and musculoskeletal health And so people have the finger on the pulse via Kent leech and we couldn't be more proud to have him in this role. I'm going backwards now. Right, sorry just use this one. Alright thanks sorry guys. Um Mark Lee is a seasoned veteran with us Dr Mark Lee um but he has assumed the mantle as chief of the trauma section under his leadership, we've been able to really move forward in a lot of ways to grow this section. We have a staffing model now we're getting we're working to get to six surgeons 5.5 clinical. We'll talk about that. He's partnering with dr thorpe and others to develop an urgent access clinic. Um and urgent access O. R. S. When you TSS eventually opens we will have some access to some urgent O. R. S. Which will certainly help the hand service and others. He has visions of selecting an elective practice. He obviously has a national international reputation and non unions and now unions but we have Gillian souls and pelvic reconstruction and others and his vision is to really be able to have a world class acute care hot trauma but then some cold trauma and elective as well. And then um through his reputation we've been able to work and I'll get into this a little bit um to bring someone back who will announce um for potentially a K. Award campaign and really get us on the NIH national map in terms of our trauma and then we would like to eventually expand off of campus. Many of you have heard me um really try to bark up this tree and I'm tenaciously still working on it. So in the back of the room we have dr Gillian souls if you wouldn't mind raising your hand for those who don't know we don't have a camera that can show you. But a huge recruit for us, She has a national reputation in trauma and pelvic and hip reconstruction but also in education. So she'll compliment many of our educational masters quite well and she's really assumed the mantle giving grand rounds just a few weeks ago, she did her trauma fellowship with us but then was also with jomana who's internationally recognized for his, his thoughts around hip and pelvis reconstruction and was the recipient of numerous awards. We have Amanda Whittaker joining us who also has a national reputation of pediatric neuro muscular disorder. She she did her fellowship at boston Children's in a residency that that safety score to the west known as UCSF. Um She did the really great Case Western Reserve biomedical research track at Case Western, which is highly competitive and she is the recipient of multiple awards. And she's also going to be helping in the on the trauma service with brian and holly but have a major uh steak at Shrine. And this is just an example of how we're building forward in the pediatric realm with Shrine in lock in lock step. Sophia and I don't know if Amanda if you're in the room, I don't, I don't see you but Sophia traveling if you wouldn't mind raising your hand. Sophia comes to us. She is active duty in the Air Force. She has a three year contract with us and she's going to help build out our urgent care clinic under the auspices of dr thorpe and and Mark lee and we're having accelerated access soars again once the U. T. S. S builds out, she did a residency at the medical University in south Carolina and U. V. A. She has numerous awards and she's a fantastic addition and we're really excited to have her as well. And we've just signed signed Sean Campbell who is joining the trauma service. He did his fellowship at Harborview and his residency at stanford and was in med school at U. C. I. He's only a year and a half into practice and has 49 publications. They got the blue ribbon research award at stanford. He is a salt of the earth kind of guy and he is really excited to join us. He's leaving a very lucrative practice if you will at H. S. S. Hospital for special surgery to join us. And we are really excited to have him. And then one of our big recruits which is tentative is this character. He's the only guy who is smooth and Mark lee and his presentations. Um And I wonder why that is um the mentorship role but it's not finalized but we have a T. O. L. Out with him and he's looking at the letter um and having some of his colleagues evaluated but I think it's pretty safe to say we're likely going to get him everyone. It really doesn't need any introductions and his awards. There's so many would overload the computer but we're really excited about what he's going to bring in terms of the wet lab experience, he's gonna get the mentorship of Kent leach and this is jenny Kara struggle introduced to just a moment to really put the nose to the grindstone to spend half of his time in the lab in Oak Park which is where we moved the lab. Um And he's gonna get his reps clinically and he's hungry for that. But we're also gonna sort of show him some tough love in terms of getting his research together and we're really excited. This is johnnie Carr Asher who has an adjunct appointment with us. She was at R. M. SK Innovation meeting last night in Oak Park. She is a clinician scientist, K. 08 recipient and she was my first recruiter fuel outside the department. We recruited from the U. C. L. A. During a residency at UCSF and she was in the medical scientist training program in Illinois which is a highly comparative program where they pay for all of your schooling to do your dissertation. And she is also the recipient of numerous awards. So we're excited to have her. And then this is actually not not pending because I got the vote in last night uh probably through tang is joining us many of you know her, she's going to be an adjunct assistant professor with us. She is going to be working with the trauma team and other, she's working with the spine team and looking at fragility fractures and other bone endocrine endocrine, open these. She has a great attitude, She has a keen intellect and she's going to really help round out how we think about musculoskeletal health, not just through the scalpel but through the lens of other aspects of healthcare, faculty promotions. We don't have time to go through these. This is all terrific. We've already talked about Kent Yashar, congratulations on moving up and cassandra and then big shout out to doctors abo for his making distinguished professor above scale. We all know his incredible educational and intellectual academic value. So kudos just ever so briefly, these are the merits actions for the year and I'm not going to go through them, but I just wanted to give a shout out for their active everyone's academic commitment to excellence. Dac meets tonight. We're actually going to meet in the A. C. C. I want to get this is version two point oh, this is the first white paper I wrote. This is a way by which the faculty faculty representing all the sites of service. That's how people are picked can come to a meeting that's a bit casual. This is how we, we like to meet. It's in the evening. There's a loose agenda, but the idea is for faculty bring sites of service issues to the chair and leadership, joe is also there and also for the chair and leadership to warm up ideas to get feedback Randall. That's a stupid idea. Don't do it. Don't think about it versus hey, that's something you should probably bring to the faculty with this idea. So it's a casual way to sort of build a unit for those of you. Uh, faculty, we will be turning over to two year term. Everyone has terms. So starting next academic year july 1, 2023 will have a new crew shout out to the Education Committee. We've had some people rolling off Michelle James rolled off and it's, this is under the vice chair of Education. But these people do an incredible amount of work for the department in, in recruiting the best and the brightest and dealing with educational issues, cassandra lee, obviously being the steward through all of this and then steve thorpe, bringing in the recruits. But this is a very active crew and kudos We want to recognize our diamond are recipients of last year, just so everyone's clear, this is the 2020 results. Um, and then this is 2020, not 21 that will be announced soon for the 2020 results of the Sacramento magazine top docs. Again, a slide filled with information, but I just wanna highlight and you can look through this. The talk will be online to look at what our amazing faculties denying standout achievements by faculty. Our nine faculty with standout achievements and we want to recognize them. We have three residents that have really knocked it out of the park in terms of their academic recognition, august size. You can see here just just cleaned it up with his graduation last year in terms of all of the awards Christopher holland has really done some incredible work and then max Hafner really maximized his year in the lab. So shout out to To you three for your accolades. I do like to keep track of the department's peer reviewed publications, There's different ways of doing it, there's google scholar a variety, but I really find pub med index medicus publications really, the standard, we were just shy of 2 50 for a couple of years, dropped off with Covid and we're on the way back up Um 179 is where we are, but if you do the arithmetic, it's, we're probably going to be around 240. Uh and there's actually a few that just I saw recently, we do keep track of this as a metric to see about our overall academic productivity. So a lot of exciting stuff going on in the department. I want to now switch gears here a little bit and talk about the capital reinvestment that is happening around us that will positively impact us. And this is a 10 year plan and it is um thanks to dr Lubarsky who saw the writing on the wall that certain things have been neglected Over the next 30 over the next 10 years, five, more than $5 billion dollars of money cash, not all cash, but uh Capital will transform our health care system and you can just see the spending in 2013. We are 57 per year million by 2029. We're going to be up to almost uh a billion dollars in expense per year. You're gonna see these very business slides on the electronic dashboards. The chairs have been pushing for this hard um, so that people can see in real time where projects are, there are several sizes and just showing one, we're gonna go through several of the projects, but you can see down below planning construction close out project completion, project continuation. We have made it clear that leadership needs to be accountable for this and we can't just be Delivering to the faculty, these ideas and they're not getting traction on them and not getting report out. So you will be seeing these on the dashboards around campus and on the website for those who are external and this is the project timeline for all of these projects, this place will look entirely different by 2030, many of us will have moved on by then some of us will still be here, but it's going to be a very exciting time of growth And I always like this cranes on campus cranes on campus for my 20 years that use use Utah. There was always a crane on campus. It's not about buildings, it's about people, but buildings house people and projects and so it's important to keep up and stay ahead of the curve. It's going to involve the whole campus hospital patient care education and then the research, I want to point out here. Um, I know we're not supposed to use the cursor to do it. But the laser pointer here. So this is gonna be a G square over here. This building here where the cursor is. That is New Oak Park. I'm gonna show some fights. This is where we are now. Building one. We're moving here. You can see just from the aerial shot. It's quite a big building. Markley was in there and actually was in there last night. I think he was um seeing the excitement that we have about this. So first we got to get the all the cars off the ground so we can build a lot of these places. So there's a lot of uh parking lots going up. You can see the one across from the eye center in the E. C. C. That's going up. We've got a new bus system. I'd like to actually find money for a light rail system between the Davis campus. It'd be nice to take a light rail across the causeway but I'm not sure that's gonna happen. And then we are obviously that a bike friendly environment as well. This is the grand marquis if you will of of all the capital investment, this is the California tower. This is going to massively expand our occupancy. This is an artistic rendition. But you can see this is where the E. D. Is now. Um we're gonna have to displace the Mic Michael chapman E. R. Signage and we I made that clear that we need to do that because this is gonna but right up here. But this is where his signage is. And we're going to have this tower here and this atrium here and these are artistic renditions. So here's an aerial blueprint view of it. You can see this is where this is the cancer center over here. This is uh X. Y. Street I guess, or X Street. Um And then this is it's gonna expand this little this little walk through here and this is gonna be the main hospital but this is also going to be some services rendered. The oars are just going to expand right into it. And these are gonna be the O. R. S. Right here. Just more artistic conditions. But before that we've got what is really going to be exciting. It's a sacramento ambulatory surgery center. This is that parking structure that you guys can see across from the A. C. C. This is where the that part there it is right there. This is the where the ambulatory surgery center is gonna go. Uh They were saying the latter part of 2024 but I pushed him on that so it's likely um in In full transparency is going to be opening in early 2025 which means probably mid to late 2025 but we're really excited about orthopedics will be a major player here and some of the people are recruiting in the next cycle and this cycle will be made as well as the current faculty major presence there once the S. A. S. And our clinics are gonna be in there as well. We're gonna have uh radiology embedded specifically in the orthopedic clinic. So they will be in, our clinic will be on either side of patient rooms and the radiology suites between. It'll be really nice. We will keep our academic offices on the third floor and it's gonna be a whole revamp of the ambush of the A. C. C. And we're gonna at least double our footprint on the third floor in terms of expanding that out and um that'll be great for for growth. I do want to give a shout out to the rehab hospital which is under construction now this will improve our throughput in the hospital, get patients out quicker to this rehab episode, it's going to be on broadway. So once that opens up we will get patients out even faster, which helps throughput gets patients out of the hospital, gets patients out of the pack, you keeps people moving, switching into innovation a little bit, we've all know Aggie square dot Mayor Steinberg, working with Chancellor May. This was a big draw for a lot of people to come here, including myself, this is the plan project and again, to draw your attention, this is Oak Park right now, this is where our wet lab and anatomy work is being done and we're gonna be right there. This is where we were so not, we're as close. Um, and we definitely have more space. The first phase will be the science technology and lifelong learning surgical skills lab, which orthopedics is at the design table now um is going to be housed in here, which will be state of the art, surgical skills facilities for all disciplines including orthopedics. This is the artistic rendition and we'll have the Alice Waters culinary Institute um, for those of you, she, she's a greater shape. My niece, she is a bay area of northern California legend, she is really excited about being involved with Aggie Square and then the Ortho Library is finally coming Phil Wolinsky is not here. But thank goodness fulfill advocating for this. This is going to go out in the court in the green, in front of the nursing building. This is gonna be a retractable roof uh facility that will be out the summer of this coming year. Open to all participants in the health care system, including obviously the faculty to be a great way to work off some stress. Um, and do your reading on the treadmill. But offsite we're moving folsom is, is, you can see here, this is the Folsom Lake, we bought this land. You see di h bought this land and right now they are already starting work on a medical office building and they will have the vision is to have an amateur surgery center and a short state primary care if you will hospital primary secondary care Facility out here. The medical office building is slated to open in 2025. The rest would be coming in the latter part of the decade. And then the Rockland South classroom medical center, joe and I went out there last february to agitate about this. This is what dignity is also housed out of this. So we've had to work around our relationships with dignity, dignity. But this is what is in place right now. But you can see here this is all going to be a build out over the next 10 years with an ambulatory surgery center and another hospital. And so when we bring in faculty moving forward, we'll probably be looking to have them either live halfway between folsom or halfway between Rockville and here are Rock Clinic season the sportscenter which we highlighted last year is opening in september Athletic Center. And so I'm gonna switch gears um, to the strategic plan. But before I do, so I wanna give a shout out to my colleagues that the other UCS we've been meeting since Covid last year. Go on talking about what they were, what was happening in all the different institutions. We've subsequently gone onto funds flow, come other compensation issues, patient reported outcomes registries and merits and it's been great to be able to cross reference with the other chairs. We hear something from our, from our leadership, We take it to the chairs, we bet it we we see if there's internal consistency and now what we're doing is is reaching out to the sections and having them join. You can see uh, Dr Kleinberg is in on this last call, It was in critical, you know, the spine section has been on the front end of pace report outcomes and some registry stuff as of other services. But we had them, the spine representatives from several campuses come on, it's very casual, get to know their vision and then the chairs uh regroup and see how we can support these people. Um, and so it's it's been pretty productive. So we have a strategic plan, we have a document that's living and breathing and adapts every year. We've made changes. You can see the edits are tracked in the document before you. We have vision mission statement. We have values that drive our decision making and we have these four pillars and they're pretty straightforward clinical care, innovation, education, and then advocacy. Everything is based upon development. We've got to have a strong development crew, Melissa Bean has been instrumental in helping us do that. And we've had some incredible manufacturers. We'll talk about a little bit later, but nothing that none of this happens without development. So thank you. Mr Bean. I'm not going to read this busy slide either. You've got it in your hand out before you. Hopefully you've you've reflected on this, this is our clinical care, the description and its value based and there's the value equation, This is another busy slide. But the point is you've got it in front of you and I just want you to represent this is our first year report out. And if you go through this and you see anything like, well I I haven't seen a lot of traction on this one issue. Talk to me, talk to the chair and the vice chair that's overseeing it. So for the clinical issues it's ERIC and myself speak to one of us, why you say this is launched? I don't see it happening, give us that kind of feedback. Same thing for the second year. These are the things we say are either emerged or launched. Keep us keep us to this. And then this is the busy 3rd year, third year. Okay, a lot on the slide. You're not supposed to process this slide by looking at it now, but you have it before you. This is what we work on the vice chairs and myself meet once a month on a weekend, we spend up to two hours hashing out these issues, talking about what way we can move the needle on all these fronts. So a shout out to dr Kleinberg, he's been an instrumental and uh fantastic partner and moving several of the things forward. I want to thank you. It's really been uh an incredible privilege to work side by side with you on this R. A. P. P. System is really coming online. We've had a four fold increase over the last couple of years. He's been engineering saturday case coverage and this is not at the expense of the trainees. We know how hard you're working. We know education is your top priority after patient care. We are not trying to encroach upon your educational experience. This department is growing and is growing faster than our trainees. We will always prioritize the training experience. But there will be cases that are done potentially where there's not a trainee and there's an A. P. P. In the case and that will all follow ours. It will we will be getting constant feedback from the administrative chiefs. Please see this as a compliment and not a threat. All right. He's been working hard on the patient reported outcomes and promise um Gavin Pereira has been helping him as well. And then just this this promotions and merit advancement committee that he's put together has really been able to bring some sense of of understanding to this somewhat nebulous process. And so thank you again, Dr Kleinberg, this is just some data. Um this is the patient reported outcomes and the promise scores specifically. Gavin Prayer has been helping on this. What you see here is that we are we are distributing a ton of them, but they're only getting filled in a small portion. I've spoken with Marlena and Kimberly they're going in a lot of different directions but we really want to see more green and we're happy with the absolute numbers, relatively speaking will never be truly happy but relatively happy. But we want to see this green and then this is just the blue is uh epic care and the oranges, my chart, how they're filling it out. But we are gaining traction and I'd say from nonexistence to now middle of the road experience in terms of A. M. C. S and promise and we'll we'll we'll be bumping into that upper court trial I think within the next year shout out to fill Wolinsky and these sections for getting their value projects put forward. Really appreciate them. Sports will be presenting it at the next faculty meeting. I really appreciate Phil's championing this. You know, uh as many of you know Phil is going onto literally greener pastures. He's taken a job at Dartmouth and well we're gonna talk about that in another setting in some degree, but he's been an instrumental um champion for the as a chief value officer and we're really grateful to him and Gavin Prayer will finish out his term as value officer, everyone has term. So it's just a couple more years with this. I want to give a shout out to you uh charge Avedon and john Mehan for taking um morbidity mortality of quality assurance to the next level. It's really remarkable what they're doing and they've got this queue view platform which the leadership has been able to negotiate free of cost for the department. Will they allow us to be able to standardize it compare across other departments outside that are using QQ. Which is actually the minority. There's only a handful of programs programs across the country they're doing it but we would look forward to on boarding others with it and really get better robust ways of doing analytics. And john McCain is particularly fastidious and in these sorts of analytics. So it's great to have them as a combo with this and this will be rolling up this month. I wanna give a shout out to the ambulatory arthur plastic system. We are on the front edge nationally in terms of especially at a place like UC Davis of ambulatory arthur plastic. We're doing a relatively good volume. 50 patients through september of 21 86 went home that 86% went home the same day all met um amateur criteria with 24 hours. We're we we had had these visions around you. T. S. S. That's not happening. So we're pretty much status quo until we get to the S. A. S. C. But with the S. A. S. C. I see these surgeons running to rooms and really increasing the volume. I'm not at the cost of safety. However there is a downside. We have to be very attentive to that. So for the clinical mission these are our top three priorities increasing over access. U T. S. S. U T S S U T S s. I'd like to actually get my first set of allocation personally to be selfish for a moment. But we are working at ford center and center and West coast spine and joint to get further access. We're going to continue to build on our AP P program to be able to facilitate going to these other places. Orlando is all announced. It's gonna be helping with some of our underserved outreach efforts. And then again dr Traven is going to be working on the urgent care clinic and then clinic efficiencies every year. We we have a lot of challenges uh and UC Davis health with deficiencies and we are working on it despite the busy and data telling us that we're doing pretty good Mechanistic innovation pillar. Again you have the description, just take a breath or switching gears. This is the structure around it. We've got Kent leech now is the Ellison Professor and the Vice Chair of Research. We'll be we'll be bringing in a couple of other investigators but this is the structure by which um we we make decisions for innovation. Again, first year report out. This is just to say you need to look at this, you need to hold us accountable if you don't see this happening second year report out what we did last year are we doing it? Let us know this is what we're going to be doing this year, we've got a lot of our real goal is to complete this uh strategic plan by year four so we can look to version two point oh, I'm going to highlight some of what we're going through in the next few minutes. One of the things informed by our strategic plan is a growing presence at the academy and Rs this year Given Given Covid, we actually had a good representation. We had eight papers and seven posters and about five I CLS in symposia. I wasn't sure because we, the fastidiousness of um or I should say the fidelity of those numbers is in question, so I wasn't sure it was five, maybe it was six, maybe it was four. And we had six presentations at Rs, which is good. I'd like to see double digits. So We're growing on the mechanistic side. Um we've had increased number of federally funding projects, funded projects are collaborative papers are going up. The mechanistic section had 36 in 2020. And through September we have 34, which which is on target for about 45. We had nine grant applications last year for federal funds or something like D. O. D and NSF. We have 14 so far this year. Um We have improved, improved interaction and we have greater outreach. All three of these investigators have remembered uh leadership positions in O. R. S. For the NIH. One of the things that's really exciting um is Bart wise, you heard him give his grand rounds just a few weeks ago complementing and and working with Kent leech since Kent is a biomedical engineer to round us out in terms of our clinical portfolio we've grown this with is still a positive margin by the way. Um We've got Omar raise your hand. Umar umar has been incredible in terms of managing some of the population databases and disparities data. We've got an R. 21 that he and our grant writer Emily camera going on for a pathologic fracture clinical trial, which is really exciting to be a first for the department, prospective studies are up, retrospective studies are becoming um almost unwieldy. We one of the goals this year is to find out how we can resource uh the CRCs in the clinical mission for this, all of this clinical research activity that is going on. I always highlight the research resident. Um It was max happened last year doing some um public health and a ton of other projects this year. Um Ed O'donnell is is working with JD Car Asher in her lab, looking at medicine, medicine medicine genesis in sarcomas, looking at some stem cell work but a variety of epigenetic modulation is to look at how primaries go on to form a task. These um personally it's a dream come true because this is what I spend my time doing in Utah and I'm excited for this partnership. Um, with dr Kerr Asher, The T- 32 goes very well competitive scored last year we resubmitted it and we'll be hearing, uh, Hearing this this month and this again again, 20 unique are ones, this would be a huge feat if we get it. If we don't get it, we are still better for having done it. But we had a very competitive application last year and her hopeful. So here's the bottom line in terms of a metric, uh, surrogate for how we're moving on innovation. It's about the patient of tomorrow. It's not about grants, but grants are peer reviewed. Their highly competitive and they reflect the best science And we are almost fivefold, 478% increase since 2018. We're almost at $5 million Kudos. We've nudged up in the blue ridge ranking. It's a um, it's the top 10 is really hard to break. We if we were to measure it now we're in number 20 and we were number 30 in 2019. This is a very pain, painful busy slide, but it's, it's supposed to be a shock slide. Dr lee doesn't like these sorts of things I realized. But this is just to show you all the industry funded grants we have going on as well. It's an impressive number and kudos to all the people on this list and then the fellowship grants, doctors year, Donny Javad on and Mark Lee have have consistently gotten great training grants. So that's also terrific. This is the dis the dispersion if you will. We have medical device business being the primary driver and then a oh north America but federal funds is number third. Uh, and I'd like to get into the top two. So are our top five priorities for research this coming year, develop a strategy to prioritize clinical research projects and available resources. We are working on this last night, we were in Oak Park. The one of these is from last night and one of us from last month, but we are working towards that. And this also complements the regularly scheduled opportunities for research activity. Faculty discuss ongoing projects. This was also happening last night. We're working on multi P. I grants. I'm trying to chum up some interest in a program, project grant or pro program project grant or PPG around metastatic carcinoma of bone. So we're really working towards those sorts of things. We want to recruit new faculty and I'll talk about that in a minute and expand our facilities. We want to reinvest in the technical resources, this is Oak Park right here. It's got a fantastic foyer or atrium which we will hopefully have a reception that you can see it right here. Um, we hope to have a reception to recognize all of our academic achievements. Once we are permitted to do so. But this is our big recruit for the year. We've got the Ellison chair field now we're going off the Doris Flynn chair. Okay. And this is going to be a molecular biologist um with interest in developmental biology, oncology and a variety of other sources. The I think it went out this week. It's been posted. I I put a delay on it or on the launch because I've been talking with Dr Michelle James and others about how we might be able to partner with pediatrics and they're wet lab space. But we are deciding to move forward with us and we're very excited. Okay, education. You've got the description for you to read at your at your leisure and give us feedback. This is the structure around education under the auspices of Dr Mark lee. Sandra lee is our program director and Dr thorpe is our residency selection director of the Ed Common Red really bust their bum to uh make a lot of these decisions. Uh I realized a lot of these decisions shout out to our outgoing class. This is how many of you know, this is how I know him. This is out on on the sac river. We have an annual chief stay now with with the chair where we go out um uh drink some water and lemonade and uh Wakeboard and water ski. Um Of course some people are just too good for that. So unfortunately he couldn't make it. This just roasting augie a little bit. He, he wasn't at, this is actually a graduation, but he unfortunately couldn't make us with us. He had a personal event to attend. But I look forward to this year's chiefs getting out some of you, we warmed up already. I hope my wrists and shoulder will be okay. But then, um, but look forward to getting you out there. We want to recognize their incoming residents were very diverse. Class were very excited about them. We want to recognize our incoming fellows, very excited to have again, another diverse, highly energetic and super talented group. And we want to recognize our outgoing fellows, many of who went on to academics. Others went into what we might call private practice or, or non academic medicine, but we're proud of all of them and they are part of the Lipscomb chapman as well. So again at your perusal at your convenience. First year educational goals. 2nd year educational goals where their statuses, this is what we're doing this year and I'll highlight the top five again. So we want uh and this is informed by the faculty at the annual treat. We're going to support diversity under row. We'll talk about that again for the med student undergraduate level. We're going to um I want to give a shout out to Christopher bain who has worked with Kent leach to make sure that we do a good job on moving the anatomy labs and simulation, the anatomy labs out of building one into oak park. We got the feedback loud and clear from the faculty around that. And so thanks for dr bain helping with that. Um Mark lee is working with all of us to improve the faculty in terms of teaching the adult learner and the modern Lerner. We're gonna be using the latest technologies, we will be building out again the skills lab. We are a major contributor to this cooperative skills lab that's going to be going into a G square right here, I'm sorry right here. Um and then again, working on the A. P. P. S as relates to the trainees. It's part of the educational pillar guys and gals. It is part of the understanding that with these A. P. S. P. S coming on, we will be making sure that they are facilitating your education. It's encoded in the DNA of the education killer. Okay. The last pillar is advocacy. Again, you have it available to you first year goals, second, your goals, what we're doing this year and I'll highlight these but we've got a lot going on and a lot of them are high priority but they're most of them are pretty low activation energy. All right. A lot has happened the last couple of years to open open up society's eyes about the disparities across society. But as health care professionals, that's what we want to focus. So the department is creating a chief diversity and outreach officer and the first uh chief officer in this regard will be Orlando Roberto, we've got a job description, we've gone over that and this, this is what he's going to be doing, encouraging and fostering all faculty participation, efforts to recruit and retain diverse residents and faculty work on health equity, diversity, inclusion and then make sure that we partner with these and other organizations and dimension the J robert Gladden society and ruth Jackson and he's, we've got a quote from Roberto on here through our commitment to diversity in orthopedics. We pledged to transform our department and orthopedics into especially that mirrors and is sensitive to the communities and peoples that we treat. We've rebranded last year, the Lipscomb to the Lipscomb chapman. This is the mission statement, I won't read it, we've seen it every year. I just want to emphasize that the, that we were very reverent to dr Lipscomb, but many of the, many of the graduates wanted to recognize dr chapman for his incredible work and so it's been re branded that way and we have a variety of things going on. We have the resident fellow graduation receptions, these are pictures from those things as well as the new resident and fellow welcome barbecue. I want to give a shout out to Dave Mansky, who was the second president chris Coghlan was the first President, Dave Mask has taken taken the mantle, Could you please raise your hand. He's given an incredibly generous gift to the department as of just a couple of days ago as well as the School of Medicine. It's a it's a massive gift and we are very grateful for that. But as if not more importantly, you're incredible commitment to the department to help us take us where we want to go. So thank you and thank you to all the alumni. This is where the money's go. These alumni really are wedded to us and they have been, we have a budget of 100 K for the residents and trainees. Alright, last year, you can see where the money is on the, on the pie chart went this year we built and travel. We are building a competitive system for funding research projects. It does need to have some sort of stringency to in peer review, but we are really, really excited. I'm gonna give a shout out to Sonya who was there. Sonia's in the back of the room. Sonia's a new publication and uh, production specialists. She brings a whole new sense of vision to what we want to be. These are some of her social media products. We're gonna be migrating to a new website platform. She brings in a lot of great ideas. She is overwhelmed with the intake, so to speak. Well, we're we're looking forward to her working with all of the members of the faculty for our advocacy pillar, fundraising is up, we're steadily up about 6% per year, Participation is increasing to one and 3. That's pretty, pretty good. Um You can, we've showed you where the focus was and L CASS's very L. C. O. A. S Lipscomb chapman is very gregarious group of graduates. They really want to host a lot of events. We have the mantle the bridle of of Covid, but look out when it comes off because they they're really excited to host some social events, which is part of What are you? Five priorities. Top five priorities are for the advocacy pillar. We have the grand round mock sessions, support diversity advocate prioritization of physical plan, infrastructure, advocate for contracts that we can build our elected practices and share department strategic plan with the greater clinical uh strategic plan coming out of U. C. Th they are very excited to um they've they've actually referenced our strategic plan as they build theirs out. So, lastly, real quick wellness. Um it's a tough place to work. We're very busy trauma center. We are we are also a safety net hospital. Were also a church terry quaternary hospital. We are all things to all people. And so that leads to burnout and where there's a baseline burnout with EMR and all that kind of stuff. Anyway, so we've got a challenge. So john Davis has done a nice job. Start getting this going eric Visa um is complimenting him and we look forward to further progress on this again, First year report out, well, this accountable to it second year and what we're trying to do this year and I'll highlight those before we wind up close down. So, um, social activities, it's loud and clear. This is social activity to me. Um, this was a great day um, with Chianti unwinding after being on the tumor service, but you know, also the positive attitude seen by the spine service there in the O. R. The smiles. Um, this was literally feedback from the faculty at the time of the treat smile more. Um, optimize face to face activities. We will be looking at child care and so I'm going to close out here. It was a quick, quick flyover and I'm sure marco two pulled me aside and said way too much content, all these sorts of things. But my enthusiasm gets the better of me. Sometimes it's my one chance to really convey to you that leadership is accountable. We're not perfect, We'll stumble, but I guarantee you, we'll get our stride back, we'll get up, we'll keep charging forward. We're carrying the banner of being the best program in the country. It's been an immensely challenging 18 months, 85% ISH, 90% of the strategic plan, 1.0 is launched or emerging and the rest is deferred. So we actually have done, will have done by year four what we wanted to do in five years. um in terms of getting things going now these aren't like done and closed issues, these are ongoing issues. We have to continue building the sales continue to drive forward. I'd also say we have incredible new talent coming in diverse talent, different perspectives, mid career, early on, some people even further along in their career, different thinking, high energy and we're really excited to have them. You C. D. H. Is finally re investing in its infrastructure. It was a little bit clear to me when I was looking at the position became blatantly clear day one what we don't have we are an incredible group of individuals doing an incredibly ambitious mission and it frankly is under resourced and it's about time that we turn this thing around cranes on campus. They should put a giddy up in your step and start seeing these things around. Even even prostrate before the the parking lots because the parking lots means the S. A. S. C. All of these things going up means progress means a great tomorrow. And what I'm really excited for is for 2022 for the faculty retreat. The faculty to come together hopefully having a full day in person where we start crafting version Strategic Plan 2.0 to fill these buildings to fill this vision of growth and expansion beyond what we've been doing over the last couple of decades. Um so again this is a quote, I always like quotes, this is Helen Keller is always an inspiration. It's a clipped out. But what it's basically saying to you is that adversity builds character. Not everything is easy, easy, easy when it's easy, you, you get lazy and you're thinking, take your challenges and and help them make you stronger and inspire you to to succeed. This is again the faculty photo, which doesn't reflect the department photo doesn't reflect all the department, Much of it was much of the participation was virtual unfortunately. So it's, it is a bridge, but we will be changing this out for the, this year. Next year there'll be too many faces on the screen. You won't be able to count them all. But we are, we are moving forward as a, as a group together. I want to recognize the staff. Thank you all very much. Um, these are particular people. Um, it's a group of people I want to thank you and, and really the best endorsements, endorsements come from your teammates, look out for each other, support each other. When someone stumbles helped them up and when you stumble, they'll help you up, find your personal zen, minds my family, They mean everything to me and when I have a rough day, I go to them, some people that's what their structure is, other people. It's other things, whatever it is, find your zen, find that place that you go to when you're feeling downtrodden because it's a long haul. So my last slide here, um, to wrap it up is we have the chairs, annual staffing award. 2019 Margaret and Maggie were the recipients last year was Ashton Duran. And this year it's Darcy. Darcy has done an incredible job with helping the faculty. She's helping with Eminem. She's done an, an immense amount of work and she's always grace under pressure. Very a plum. So I don't know if Darcy's here or she's virtual, but if we could have a round of applause for Darcy barn and she, uh, we have a lovely plaque, um which I would have preferred to present to her in person, but I will be presenting it to her and with that I will stop and we have about five minutes or so for questions start a little bit later. A lot of content.
