1. Idaho State University Medical Education Program DATE

3. Frequently Asked Questions

4. The Rent vs. Mortgage Analogy Why should Idaho create a medical education program? Doesn’t buying seats do the job? Providing medical education is a lot like putting a roof over your head. You can rent or you can buy . One provides shelter on a month-to-month basis ; the other adds the benefits of autonomy and equity . One is buying a service; one is making an investment. In times of economic downturn, growing medical education (professors, staff, clinicians and students) in state makes even more sense and will have a substantial economic payoff.

5. Idaho’s Matured Health Care Education WWAMI has worked up to this point. Why not expand it? We have matured since that arrangement began more than 30 years ago. During that time, Idaho has made investments in its own health profession programs and partnerships. We have what it takes to build our own program now. Students who complete their education here are more likely to set up practice here helping to improve one of the lowest physician-to-population ratios in the nation.

8. Ongoing Funding What would it cost to continue to fund the medical education program? If students were charged the same tuition as WWAMI currently charges, state support would total $6.6 million annually for 60 students per class, with a total enrollment of 240 students. Students could bear the full cost by paying a $46,952 annual tuition , or pay half the expense at $23,476 annual tuition. Of course, other proportions of student-to-state cost burden could be proposed.

9. ISU as a Lead Institution Why should ISU lead the state in a medical education program? Education in the health professions (which includes medical education) is ISU’s State Board of Education (SBOE) assigned area of both unique and primary emphasis in the state. (BSU has public policy and urban regional planning; UI has agriculture, architecture, law, and natural resources.) ISU offers 75% of the health professions degrees offered in Idaho . BSU offers 16%, and UI offers less than 9%.

10. Idaho’s Educational Planning How has the State Board of Education indicated Idaho State University as the right institution to lead the medical education program effort? The SBOE asked for medical-education-experienced applicants when hiring for ISU’s current presidency . Each of the four finalists had medical-education experience. The SBOE also included a medical degree (MD) in ISU’s eight-year plan.

11. Health Professions Workforce Demand: 2004-14 Position Idaho Growth Annual Openings National Growth Annual Openings Physician Assistants 56.6% 26 49.6% 4,000 Pharmacists 55.9% 80 24.6% 10,000 Dental Hygienists 49.5% 55 43.3% 8,000 Physical Therapists 38.6% 30 36.7% 7,000 Occupational Therapists 35.2% 22 33.6% 4,000 Registered Nurses 38.6% 593 29.4% 120,000 Respiratory Therapists 36.0% 29 28.4% 6,000 Mental Health Counselors 31.8% 15 27.2% 5,000

12. The Role of Idaho State University in Delivering Health Professions and Medical Education

14. SBOE-Approved Missions Institution Unique Programs Statewide Primary Emphasis “ Regional” or Continuing Emphasis Idaho State University Health Professions Health-Professions-related Biological and Physical Sciences Teacher Preparation Business Education Engineering Technical Training Boise State University Public Policy and Urban Regional Planning Business and Economics Engineering Social Sciences Public Affairs Performing Arts Teacher Preparation Health-Professions-related Biological and Physical Sciences Education University of Idaho Agriculture Architecture Law Natural Resources Agriculture Natural Resources Metallurgy Engineering Architecture Law Foreign Languages Teacher Preparation International Programs related to Primary Emphasis areas Responsible for Regional Medical and Veterinary Medical Education Programs in which the State of Idaho participates Business Education Liberal Arts Physical, Life and Social Sciences

15. ISU Health Profession Degrees

16. ISU Health Profession Degrees

17. ISU Health Profession Degrees

18. BSU and UI Health Profession Degrees

19. Health Profession Degree Programs at BSU, UI and ISU 75% 16% 9%

22. Existing Resources in Health Professions and Medical Education at Idaho State University

23. ISU Inventory Summary

26. Inventory: ISU Administration *These are administrators with experience in a medical school environment.

28. Health Corridor: Community

29. Health Corridor: On-Campus

31. Inventory: ISU Residencies Family Medicine Dentistry Pharmacy MD and DO: 3 years DDS: 1 year PharmD: 1 or 2 years (8 total residencies) 65 Graduates 43 Graduates 116 Graduates Started in 1992; full GME accreditation. Started in 2000, expanded to Boise in 2005; Accreditation with ADA, Council on Dental Accreditation in 2001. Expansion site is pending. Started in 1992, full American Society of Health-Systems Pharmacists accreditation.

32. ISU Medical Residencies: Idaho Sites for Graduate Practice

33. Inventory: ISU Clinics

39. Inventory: ISU Anatomy Facilities Total space 2,650 square feet Lab cadaver capacity 8-11 Cadaver cold storage capacity 18 ISU Anatomical Donation Program 12+ annually

42. A Proposed Distributive Model for a Medical Degree Program

44. University of Utah

45. Oregon Health & Science University

52. Collaboration Among Universities

57. How a Medical Education Program Will Benefit Practicing Health Care Professionals and Organizations

61. How a Medical Education Program Will Benefit Research and Associated External Funding

62. Examples of Medical Research Collaborative Projects * All examples taken from collaborations between U. of Indiana School of Medicine and the Indiana University-Purdue University Indianapolis. Medical Discipline Partner Discipline Research Area Neurosurgery Mathematics Mathematical modeling and real time analysis of brain activity in neurological disease (Center for Mathematical Biosciences) Pharmacology Chemistry Medicinal chemistry/new drug synthesis Anatomy Computer and Information Science Analysis and modeling of facial features in fetal alcohol syndrome Medical Records Computer and Information Science Health information database security and access Pediatrics Geology Correlation of soil lead content, weather patterns, children’s outdoor play activities, and blood lead levels in children (Center for Environmental Health) Radiology Physics, Chemistry Development of new medical imaging methods Radiology Nuclear engineering, Physics, Chemistry Medical isotope production for disease diagnosis

63. Examples of Medical Research Collaborative Projects * All examples taken from collaborations between U. of Indiana School of Medicine and the Indiana University-Purdue University Indianapolis. Medical Discipline Partner Discipline Research Area Medicine Philosophy Medical ethics/bioethics Public Health, Nursing Art, Computer & Information Science Contemporary digital videos to discourage young women from smoking Medicine History History of medicine Medicine Sociology HIV risk and behavioral choices Medicine Engineering Biomedical engineering, e.g. of heart devices or biocompatible materials Medicine Economics Health care economics Pathology Chemistry, Law Forensic Science Medicine Public Affairs Analysis of smoking behavior; smoking policy development (Center for Health Policy)

64. How a Medical Education Program Will Benefit Academic Programs

65. Examples of Interdisciplinary Medical Education Programs * All examples taken from collaborations between U. of Indiana School of Medicine and the Indiana University-Purdue University Indianapolis. Medical Discipline Partner Discipline Program Medicine Engineering Ph.D. in Biomedical Engineering M.D. Natural Science or Biomedical Engineering M.D.-Ph.D. Medicine, Biostatistics Mathematics Ph.D. in Biostatistics M.D. Business M.D.-M.B.A. Pathology, Pharmacology/Toxicology Chemistry, Biology M.S. in Forensic Science

66. Estimated Phased Cost Analysis of a Medical Degree Program

68. Operating Costs: Buildup Years Classes -4 Classes -3 Classes -2 Classes -1 Administration 700,148 1,467,949 1,692,774 1,692,774 Faculty 0 0 0 2,534,610 Program 39,383 142,650 190,150 577,650 Clinical 0 0 0 0 TOTAL 739,531 1,610,599 1,882,924 4,805,034 Revenue 0 0 0 0 Net Difference -739,531 -1,610,599 -1,882,924 -4,805,034

69. Operating Costs: First Years of Classes Year 1 Year 2 Year 3 Year 4 Administration 1,692,774 1,692,774 1,692,774 1,692,774 Faculty 4,438,558 4,854,489 4,854,489 4,854,489 Program 901,550 1,044,900 1,044,900 1,044,900 Clinical 603,357 1,636,386 3,676,386 3,676,386 TOTAL 7,636,239 9,228,549 11,268,549 11,268,549 Revenue 2,817,136 5,634,272 8,451,408 11,268,549 Net Difference -4,819,103 -3,594,277 -2,817,141 0

70. One-Time Startup Costs for Idaho MD Program 60 students per year; 240 total enrolled. PLUS: Facilities (leveraging existing facilities for didactic instruction) $3,502,000 Faculty startup packages 5,000,000 Additional instructional equipment 200,000 Faculty and staff recruitment and relocation 2,337,300 TOTAL $11,039,000 Interim Financing $21,000,000

71. Funding Options 60 students per year; 240 total enrolled. Option Student Tuition Level From Tuition State Support Total Funding Students pay all costs $46,952 $11,268,545 $0 $11,268,545 Students pay half of costs $23,476 $5,634,272 $5,634,272 $11,268,545

72. Questions?