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we thank you all for coming and we'rereally excited about this weekend hopeyou're enjoying it so far and getting achance to catch up with friends and andalso maybe learn a little bit so I'mVivian Lee I'm the Dean of the MedicalSchool and this is now the beginning ofmy third year here and I'm very pleasedto give you a bit of an update on thingsthat are happening in the medical schoolit can't be comprehensive because thereare so many things going on but i'lljust give you a few highlights and thenhappy to answer questions or converseeven after after today if you'reinterested in knowing more so this issort of how I feel right now I'm one ofthose little kids the journey toenlightenment are we there yet I thinkwe're making some progress so here'swhat I'd like to cover over the next fewminutes share with you some of theannouncements some of the newrecruitment spear joining here the youand a few people who have announced thatthey'll be stepping down from positionstalk about the new expanded school ofmedicine class size some little bit of aconversation about healthcare reform andhow we as an institution are looking totake that on innovation here at the Uand then finally I want to talk a littlebit share with you just some very earlythoughts about the medical schoolbuilding and and the future of thatbuilding so that's what I'm hoping tocover so since we last met we've broughtsome really great new talent to theUniversity we have two new chairs in theschool of medicine and I'm thrilled withboth of them so Wendy Chapman obtainedher PhD in biomedical informatics righthere at the U not too long ago while agoand then went to the University ofPittsburgh for most of her careerrecently had moved to UC San Diego andthen we were able to recruit her and herhusband back here to Utah she is anationally recognized informa titian herexpertise is in natural languageprocessing Sam finlayson is another starrecruit for us he's the new chair ofsurgery remember that Shawn Mulvihillstepped down from that position in orderto become the CEO of the facultypractice and so at that vacancy wedidn't a nationwide searchSam Hales was from Boston he did all ofhis training in Boston through Harvardin the mass general and then went toDartmouth where he was a faculty membergot very involved in health servicesresearch became the vice chair forsurgery at Dartmouth and just two yearsago he was recruited back to Harvard tothe brigham and women's hospital by AtulGawande many of you would know that nameand a tool recruited Sam back to be hisright-hand man in doing health servicesresearch at the Brigham and that's wherewe found Sam so we are delighted tobring him here to Utah we did have alittle secret weapon which was that hishis eldest child i think is at harvardhis number two just started at BYU thislast fall so that was a real advantagefor us and we of course take advantageof any opportunity that we can so we'rereally happy to have them join and thenwe have two new hires in the HealthSciences level many of you know SteveWarner who has run development for manymany years for us just a wonderfulindividual part of the family well Stevegot called on a mission to be a missionpresident for the LDS church of allplaces to Hawaii so we stop feelingsorry for him just a couple of weeks agowhen snow started here and so we had toreally fill those very large shoes andso Jay vogelsang will be joining us nexttuesday as the new head of developmentand he comes from he comes from the Westbut most recently he's been at the MayoClinic he ran the Mayo Clinic's lastcampaign that was a multi-billion dollarcampaign it was a very successfulcampaign and so we are thrilled to havehim coming David Brody it's already here1he just started last month we have never1had a chief financial officer for the1whole of Health Sciences Gordon Crabtree1is the CFO for the hospital and clinics1which is about a 1 billion dollar1enterprise but all of Health Sciences1were at almost two and a half billion1now so we've never had a CFO to take1over the whole financial picture to work1with each of the financial1administrators and to help make sure1that we have the money to realize all1the goals and all the strategies that1were aiming for so David comes to us1from Northwestern he's phenomenal fun1nominally talented individuals so we're1very very lucky outside of the medical1school we had a retirement in the1College of Nursing and so we were able1to recruit Trish Morton from the1University of Maryland to be a new dean1there she's phenomenal you know we have1a new dental school and I'll talk about1that shortly and so we had to recruit a1new dental Dean Lynn Powell was our1founding dean and got us started and1then we were able to recruit Rena1d'souza from Baylor she is really the1queen of academic dentistry she's the1president of the American Dental1Research Association she's just highly1regarded I got a ton of emails after1that announcement went out nationally1from people congratulating us on1recruiting her and then our Dean of the1College of Health is also stepped down J1graves and so we've appointed an interim1dean Robin Marcus who is a physical1therapist and also a very talented1person this year we will have three1chair searches three of our really1wonderful chairs have decided that after1more than a decade of serving his chair1they've sort of had enough with this1administrative work so John Hoidal who1is just a phenomenal individual has1decided that at the end of this academic1year he'd like to step down from the1chair of internal medicine of course1that's a huge huge role for us to fill1bill McMahon also wants to return to his1research on autism in psychiatry and1similarly Steve Stevens wants to return1back to his work as a neuro1interventional radiologist and so all1three of these individuals have1contributed a lot to the organization1and they'll be hard act to follow but we1will be starting those searches now and1so if you know of anybody good let me1know so a couple of updates so thank you1so much for your support this was a1little video that we made with the1students that we you know in this new1day and age we youtubed it over to the1governor's office a video of our1students thanking the governor for1approving the funding for an additional1ten million dollars a year to the school1of medicine every year to increase our1class size from 80 to to 102 and then1which we did this fall right now and1then in two more years were going up to1122 and we're just thrilled about that1there's a lot of projections about the1a shortage most of you told me last year1that we were a hundred ever since you1remember being here or you know we never1exceeded that while the population has1tripled in Utah so I think it's about1time we increased just a little bit so1we're really grateful the community just1helped us so much in lobbying the1legislature for this additional funding1and so here's the new class so the day1after the day after the governor signed1the bill because he signed in late1spring we sent out 20 more acceptance1letters and said welcome to the class1and so this I have to say is just a1phenomenal class a hundred and two1students almost every county in Utah is1represented almost every university or1college in Utah is represented according1to senate bill 42 which was the piece of1legislation that gave us the extra1funding eighty-two percent of our class1has to be either a Utah resident have1graduated from a Utah high school or1have graduated from a Utah University2that's the new rule that we r we have to2abide by which was no problem at all for2us so 84 out of 102 students are you2talk id's as we call them and then there2are the 8 from Idaho and then there are210 at large so that's basically the2composition of our class our new dean of2admissions is a guy named bench hand who2reports up to now to Wayne Samuelson has2just done a phenomenal job you went all2across the state met with the pre-meds2all over and really influenced their2decisions to come here so this is kind2of a bragging slide that he shared with2me this is where our students went to2college before coming to medical school2this fall and of course we have all the2universities represented from Utah2including byu-hawaii n provo and the you2and us you and you view and all the Utah2schools Weber State Westminster on top2of that we have some of our top students2some of the top students from Harvard2Stanford Dartmouth upenn Wash U2wellesley we really got some phenomenal2students and these students what was so2remarkable2is that they not only are terrific2students but they also decided to accept2our offers at rates that we've never2seen before so here's our overall2statistics so we had fifteen hundred and2thirty five applications for our hundred2slots actually was they thought they2were only competing for 80 slots at the2time but we ended up admitting 100 and2this is a really interesting statistic2for me so we offered 90 slots 902acceptance letters to our utah kids and2you'll see that 79 of those accepted our2offer that's an eighty-eight percent hit2rate and you know that these students2are applying to twenty or thirty medical2schools and the ones that get into the2you frequently get to other great2schools but eighty eight percent of them2accepted our offer and we typically2don't go much above fifty percent2usually our top students get stolen away2by other places because they get2scholarships and and our other otherwise2tempted so that's just phenomenal that's2that's a really great sign that we are2putting out a good message that we have2a great medical school and so here are2some of the medical schools that that2are our kids rejected in order to come2to the you and you'll see that there are2some really great medical schools that2they turn down in order to come to the2you including the University of Michigan2including Dartmouth including Harvard2including Vanderbilt University of2Wisconsin University of Washington eww2so we're really we're really really2pleased and so I think that that's2that's just great news for the whole2medical school right yeah we're really2pleased about that another interesting2statistic about this class is that we2have fifty two women and fifty men2that's unbelievable haha we've never2really got much more than a third and2you might say well Vivian new kind of2shifted the numbers you must have2admitted more women but actually we2didn't need a manual Mormon we always2admit about half and half the problem is2the women don't come and that's why2usually our classes are third women and2two-thirds men but this year through2this very persistent outreach and the2Dean of Admissions brought us to a bunch2of the schools around so I personally2visited us us you2BYU and the you and frequently brought a2few physicians with me some of whom were2women you know we really tried to say2this is this could be a great career for2you and so as a result eighty percent of2the women that we offered positions to2accept it and that's much much higher2than usual so we're really excited about2it so now what this leads to is a2conversation a little bit about2scholarships because I know that many of2you have supported us through2scholarships and just just by the2numbers you know that if you're going to2increase the class size by fifty percent3the scholarships have to go up because3the state funding doesn't cover that the3state funding was simply just to cover3the actual intrinsic costs of educating3these additional students and building3the the resources and the anatomy labs3and all those things to go with it so3here is our track record for scholarship3fund raising that Kristen gaurang has3been in charge of in recent years and3you'll see the graph kind of goes right3to left for some reason but anyway so3the latest years here two thousand3twelve to thirteen and we we raised3about eight hundred and eighty-four3thousand dollars which was about a ten3percent increase from the previous year3and we're really really grateful for3that and what we're hoping and this is3just a outright ask of all of you is3that you will continue to support us3because our our students are really3terrific but it does cost a lot to go to3medical school and any way in which we3can help them they'll be encouraged to3go into primary care and pursue the3things that they love so as I said as we3increase the number of students to 122 a3fifty percent increase we're going to3require an increase in scholarships just3to give them the same amount of money3that they're getting now and so we have3a few we have a few different options3let's see here in this slide just to3give you kind of a menu of the kinds of3scholarship options and to share with3you a new program that we have so the3most common gift I think that our alumni3give and we're very grateful for these3are these named scholarships that's five3thousand dollars per year or with a3five-year commitment3we have a new program which was3developed as we were talking with the3legislature about increasing the class3size which had to do with how do we get3more physicians into underserved3communities and so this is a new model3we've copied a bunch of other states3lots of states in the middle of the3country have this kind of plan also it's3a loan forgiveness model so the idea is3that we give them it's not a scholarship3out right so we give them some money but3we say this is a loan but after you3finish your training if you go in serve3in a rural or underserved area and do3primary care then every year that you3practice there will forgive one year of3the loan so you have to practice there3for four years to forgive the four years3of the loan so it's intended to really3encourage people it doesn't force them3they can go into orthopedics and just3pay the money back that's okay but it3kind of encourages people it's not3exactly okay but I mean you know what I3mean by that but it encourages them to3to think about primary care and serving3the rural and underserved area so we're3weird this is brand-new we have a little3bit of money to get this program started3and we would love to see this grow and3then finally I just want to call out to3the full tuition scholarship for those3of you who can aspire to this kind of a3gift robert ballard was a very special3graduate of this medical school and gave3a planned gift when he was alive he3supported this and then he gave a3planned gift to provide for a full ride3for two students every year and the way3in which he structured it was to say3when we rank those students when we3admit them let's give the full ride to3the top two students and make sure that3they are not stolen by all these other3medical schools that also go after our3top two students let's make sure that3they stay here because we want our best3and brightest to stay here in Utah and3so that's how he configured his gift and3I would love to see my goal my dream is3to have our top ten to be able to do ten3full rides so that we always know we3always get our top ten students here in3Utah to stay at the University of Utah3it's pretty stiff competition for those3top students I don't know if you realize3but the Cleveland Clinic even though4they're small they only have430 some students they're all on a full4ride so we we are against some places4Baylor has a bunch of these so we want4to be able to keep our students here and4not not be stolen away by those other4schools and most of these students they4want to stay here so okay let me just4transition a little bit to what we're4doing in terms of our overarching4strategy and the themes we're talking4about here the you across all of Health4Sciences not just in the school of4medicine and our goal is to lead the4transformation of academic medicine and4by that we are specifically saying that4for our patients and payers best4outcomes lowest cost greatest4satisfaction very important to me our4faculty and staff to create a really4productive and satisfying work4environment with great compensation and4benefits and then of course the reason4why we're all here for our students and4trainees the opportunity to participate4in a fully engaged and respectful4learning environment that equips them4for the changing world that's very4important to us and then of course more4broadly for the community and population4the work we do in research that4translates into better health for the4state and nation as well as our4community service work so these are kind4of the goals that we've articulated for4Health Sciences as a whole and I do have4a few more bragging slides because I4figure we all like to brag about our4alma mater so hopefully these will be of4interest to you so you know that in 20104the University of Utah was ranked4compared to all the academic medical4centers in the country number one in4quality and that's beating out the4Stanford's and the Hopkins and the mayos4and we just heard although it's not4public knowledge yet that we are in the4top 10 for the fourth year in a row and4that puts us in the company with only4mayo and Beaumont Hospital in Detroit4there's only three of us that have been4the top ten for four years in a row out4of all hundred and ten hundred and4fifteen medical schools so how's that4that's pretty good right our our4Hospital and Clinics leadership have4just been phenomenal so I have to give4them a huge amount of credit for that4and then there are a number of other4awards that are coming in like US News4and World Report just this year consumer4reports which we didn't expect4ranked at all I mean we didn't know4anything about this ranking system they4ranked about 450 hospitals any hospital4that had any students or trainees4including the inter-mountain system and4we were number 10 in the country out of4450 hospital so we're feeling we're not4we're not satisfied of course we're4always trying to improve quality but at4least we're getting some recognition so4we're happy about that so how are we4thinking about health care reform and4improving quality I just have I think4maybe two or three slides just giving4you a flavor about how we're thinking4about healthcare reform so one of the4areas that we're really focused on is4costs which is not only about saving4money but improving quality lots of4studies have shown that we actually by4overspending in many cases reduce the4quality by overspending and I think in4the beginning nobody felt that that4would be true but now I think everybody4understands it's really true when we4overspend we do too many procedures like4in my case we do too many scans we find4incidental findings and then all these4things happen that really don't improve4health and so one of the things that was4recommended in this institute of4medicine report this came from an IOM4report from about a year and a half ago4was why don't we look to other4industries like manufacturing like the4airplane industry you know airline4safety look at other industries to say4how can we improve quality identify5inefficiencies and remove waste and a5lot of that is embodied in this whole5management approach called lean and lean5is about understanding where you have a5lot of variability system and driving5down your costs so I only have one slide5on this initiative but I want to explain5this to you really well because I think5this is one of the most interesting and5important things we're doing here at the5U even though we haven't made it5beautiful you guys are the one of the5first groups to see this so it hasn't5been beautified by our PR people yet5okay but it will be it will be but5you're seeing it in the raw okay so5you're getting your early access here to5this information so we are calling it5value-driven outcomes and the premise5behind this is that in healthcare which5is eighteen percent of the economy we5don't really know the costs5providing care I'm not talking about5charges like what we put on the bills5I'm saying what does it really cost us5to see a patient to give a vaccination5to do an MRI scan what does it cost us5right do you do know those of you who5practice do you have any idea what it5actually costs you to have a patient5come into your office for 30 minutes and5then leave any idea know what it costs5you to go into the o.r and do a do a5surgical procedure no idea right so this5is eighteen percent of our economy5imagine any other business imagine5walking into a Ford manufacturing plant5or an albertsons grocery store and no5one knows what it actually costs for a5can of beans or for a windshield wiper5in a karmic manufacturing plant like5nobody knows the customer doesn't know5the manager of the shop doesn't know5nobody knows the actual cost so then we5arbitrarily put some price tags on5everything which now of course are in5the press everybody's all up in arms5about how crazy our bills are but our5bills are actually kind of made up5numbers their numbers that we come up5with through negotiating with insurance5companies whatever they'll pay us that's5kind of what our charges right so that5is the background and there's been some5some folks in the broader health5services research field have realized5this so one of the most important people5whose realized this is a guy named5Michael Porter who's a professor at the5Harvard Business School and if anybody's5done business training he's the father5of strategy he's the guys were in all5the textbooks on strategy at Harvard5Business School and he's been writing5about a lot in fact he had just a piece5of your interested in this last month in5the Harvard Business Review it's a great5piece on what's wrong with health care5and he says you know the dirty little5secret of health care is nobody knows5the costs so how can we bring the cost5down if we don't know our costs right so5we started on this project about a year5and a half ago to know our costs at the5University of Utah to break down every5component from what does it cost for5every minute in the o.r for us every5minute in the MRI scanner our pharmacy5costs our lab costs our unit of5physician5time costs it you can see it's kind of a5big deal it's about a hundred and5thirty-five million lines of code of5programming code to do this work but we5sequestered this whole group of nerds5these really smart people into a place5in research park for six months and they5created this program and it's this is5the raw program what it does for you is5it enables you to look at the last5fiscal year the whole year all the5patients that came to the University of5Utah system so we have more than a5million patient visits a year and you5can break it down by departments this is5orthopedic surgery you can do it by drgs5or ICD codes or whatever you want to do5but in this case we did hip replacements5so these are all the hip replacements5done in the system for the last year and6this isn't in this case by provider so6these are all different orthopedic6surgeons and here you see the average6cost not what we charged but when it6actually cost us to do this procedure6and can you see that it varies from6about there's about a hundred percent6difference between the most expensive6and the least expensive provider now you6may say in this day and age who cares6right if this guy if it costs 18,000 he6can probably charge you know twice that6and we still make a margin and this guy6can chart you know we can pay but6increasingly we're getting we're in a6capitated market bundle payments6capitated markets we're only going to6get paid one fixed amount for doing a6hip so we are going to care how much6these costs so when you look at these6costs you see first of all that there's6about a hundred percent difference6between the lowest and the highest cost6provider and then because we've6calculated all the different components6you can see what's driving the cost each6of these colors is a different piece and6the biggest driver is the prosthesis6itself so this big orange blocks if some6folks are using a prosthesis that cost6three times as much as another one and6right now we're reimbursed for it so we6don't really care too much about that6right now I mean we care from a system6wide perspective but it doesn't really6impact our finances but when we get paid6just one dollar amount we really care a6lot another screen of this shows you6their outcomes so it shows you that this6surgeon has the exact same outcomes as6this surgeon okay so that's kind of an6Gordon factor as well then you can also6notice all these other lines and how6variable they are so some of them are6length of stay some of them are labs the6green is o our time pharmacy radiology6some people don't use any radiology some6people use some radio you see how much6variability there is the take a message6of this is the only constant is the6variability so we're using this kind of6data now to drive system wide change6across the organization to put all the6orthopedist sir in the room we show them6these data we show them their outcomes6data and then we start to say you know6what wouldn't it be better if we could6come up with some consistent care6pathways where we have some protocols6for how we take care of our patients and6this will really improve quality because6it will reduce errors right now when you6go to the floor and you ask the nurses6you know which doc likes which drug on6which day or which DVD prophylaxis or6which whatever everybody's got their own6little protocol and they all get6confused right so we make a lot more6mistakes in it's a lot harder to write6care so this tool even though it's a6tool and it may not be super super sexy6is represents I think we are the first6in the country to do anything like this6the UHC folks of all the academic6hospitals have actually sent teams out6to study what we're doing now and we're6sharing it we want other people to learn6how to do it too but this is going to be6absolutely critical for us in this era6of health care reform have any of you6who are who are practicing have you6experienced capitated or bundle payments6yet some of you right so I don't know if6you know it but for those of you in Utah6as of January 1 2013 so just this past6January all of Medicaid is now capitated6so Medicaid we're paid per patient per6month or per member per month to take6care of these patients and if they come6in and they get this hip replacement we6are out a lot of money we are at a lot6of money and that's ten percent of our6volume right now ten percent of our6adults thirty percent of our kids so as6that changes these kinds of tools are6going to be absolutely critical for all6health systems to really navigate health6care reform so we've used this kind of6tool oh we got a few Wars for it we've6used this7well now to implement a number of7changes across the organization and in7all of them were tracking the impact on7quality the impact on access and the7impact on costs so some of these for7example our access so by reducing the7variability or adjusting how we're doing7things we can get patients in faster in7some cases it's simply about saving7money from unnecessary lab tests and so7on so this is a system-wide effort now7and we're doing allotted a lot of7training and and I'm personally really7really excited about it so what we're7trying to do is to achieve this what we7call a virtuous cycle of reform7implement some things like these new7care pathways in these tools which will7benefit our clinical enterprise but at7the same time spin off some good7research projects right some really good7research to show that by changing the7way we practice we can have better7outcomes and lower costs and provide an7environment for our trainees that's7really equipping them for the future and7that to me is is absolutely essential so7that's our goal some of our strategies7here are just summarized here our7overall strategy we're really as an7academic Medical Center we're feeling7the squeeze from all directions you know7the government's shutdown the NIH was7already cut but now they're not even7issuing any checks it's like to make7matters worse we don't expect any more7money in our clinical enterprise only7less education has never been well7funded even though we got more money7from the state it's still way7underfunded so how are we approaching7this well we have a few strategies for7increasing revenue and just improving7our yield one is we were investing a lot7in faculty development we're investing a7lot in helping our faculty get grants in7doing programs to help them be better7educators all kinds of faculty we're7making a lot of faculty development7invest investments philanthropies got to7be a big driver for us that's why Jays7imminent arrival is the head of Devon7is so important and then I think where7we can really see some opportunity is7through leveraging all the innovation7and the intellectual property that's7coming out of this place and generating7more licensing revenue so I came from an7organization NYU happened to be and it7still is now number one in the country7and licensing revenue we were making7about a hundred and sixty million7dollars off of our IP just in the7medical school alone so there's a lot of7opportunity here a lot of innovation we7just need to kind of just package it and7get it moving over a little bit better7so you know the university of utah7number one in startups in the nation for7two years there's a lot of possibilities7and so we created last year under the7leadership of dr. john lan joel a new7center for medical innovation that i7think is just really really exciting7it's a partnership between the Health7Sciences the College of Engineering and7the school of business plus tech7ventures of course and it puts all these7really bright minds together to think7about innovation and let me show you7some of the components of what this7Center is about so there's three little7programs here that I'm just going to7highlight briefly that's all sort of fit7together one is the Utah bio design7program so the Biodesign program it's an7undergraduate program it takes7undergraduate engineering students7partners them up with clinicians and7then has them innovate and create new7devices so I don't know if any of you7have heard this story but one of the7best stories out of this program was to7young women when they were freshmen in7this program so they're 18 year old two7women try not to call them girls but7they're too young women and they are7these engineering students and they're7in this program and they come into the7operating room and they've got their8masks on and they're really nervous and8their search standing at the back and8they're observing and trying to think of8how they can use their engineering tools8to innovate and as they're observing8it's an abdominal case it's a surgical8case in the abdomen and you know you got8the retractors and the surgeon you got8the lights overhead but of course you8know the surgeon how many of you are8surgeons few of your surgeons okay so8you know your heads in the way8so you have your a little head lamp on8and so they're kind of getting blinded8by the headlamp whenever he looks up and8they're thinking this seems kind of8barbaric and so their idea was to put8LED lights on the retractors is it why8not put LED lights on the retractors it8shines right in the field it's an8interesting engineering project because8you need power to it it needs to be8sterilized abul you know needs to be8reusable so there is some engineering8aspect to it and so starting as freshmen8they came up with an idea it's created a8company they submitted this project they8were in the top five winners of a8national competition for innovation for8undergraduates and that's the kind of8idea you know those are the kinds of8things that I think we can do here8here's another example of what students8did so John Fang is a gastroenterologist8here at the U he does all the scopes and8he has had this idea for years about why8do we put ng tubes down blind blindly8you know and then get the x-rays why not8just use a scope help use the scope to8put it down then just pull the scope out8and he's had this idea for years he's8not an engineer he doesn't have any8background in this at all and so this8team of undergraduates supervised by a8faculty member helped develop the8prototype for him and that's now called8Vera track they have a company there in8faced there in trials and it's another8example of how these partnerships can be8so great so that's the bio design8program the second program I want to8tell you about which is super exciting8also is called bench to bedside have you8heard about the bench to bedside any of8you heard about this ok this is a great8student started competition ok the8students who started this or8undergraduate majors and engineering8here at the U and then they came to the8you for medical school and they said wow8there's so many opportunities here what8if we created teams and made a8competition and every team has a health8science a student at least one an8engineering student because that was8their roots and then the brilliant step8they had was to put an mba student at8least one mba student on every team8right the mba student grounded is this8really practical is this really scalable8do you really have a business plan and8then this year they added on law8students so we actually have two law8students who are doing patent searches8for us i lost8so we're now in our we're just starting8our fourth year of this device8competition typically we've had 60 808students participating last year out of8those 80 that participated there were 148provisional patents filed that's pretty8good and every year one or two teams8actually go off and do a start-up one or8two so this year we've set a record we8have more than 200 students8participating this year because we open8it up it used to be just a medical8school but now it's pharmacy nursing8everybody in the health sciences and we8opened it up more on the law side and8other students so we have more than 408teams put together this year and we've8expanded it and i'll talk about this8more we now have two tracks in the8competition one is devices and the other8is video games and apps yeah I tell you8a little bit more about the video games8and apps in a second because I think8that's really excited so again this is a8student student initiated it's all word9of mouth I was visiting with my9counterpart at UCSF last year and I was9telling her about this program and she9said I am so envious I said why she said9well we got a gift for a million and a9half dollars to do the same thing to9partner between UCSF pretty good medical9school and UC Berkeley pretty good9engineering school and we wanted to do9the same thing and I said wow that's9incredible that's ten times our budget9right we have 150,000 we think that's9pretty good and she said right the9problem is I had nine students sign up9eight from the medical school one from9engineering I said we could use that9money we could collaborate no problem so9we're really lucky at student-driven and9there's just so much energy behind it9this is an example of one of the9innovations from last year a new9cervical tenaculum right so when medical9students see the cervical tenaculum they9sort of think that's barbaric too so9they have a new idea about that and9there's a great event if any of you are9in town in April where we have all the9students with their prototypes and their9big boards and they're all pitching9doing their elevator pitches on their9ideas it's judged by venture capital9folks in the community and so many of9their ideas are actually funded or they9receive our prize money so that's9fabulous and then the last component I9wanted to share with you which is very9brief is called the bio innovate program9and this is a master's degree offered9from bioengineering that's run by in9collaboration and it's to take people9like us who may not have an engineering9background physicians or pharmacists or9other people who have a really great9idea and they want to know how do I take9this great idea into making a prototype9into filing for the IP market analysis9business plan all the way to getting9insurance approval and so it's a9one-year course on entrepreneurship9basically I'm for the professionals and9we've been recruiting junior faculty and9every year we have a couple of faculty9where as part of their recruitment into9OB GYN into anesthesia into the ER is we9will sponsor them to do this because9they have some crazy idea in their head9and they want to do this and we're the9only place that will offer this and so9we can we can really successfully9recruit so those are three components9and now I just want to elaborate a9little bit more on the video gaming9piece of this so the video gaming here9how many of you do you even know we have9a video gaming program at the University9of Utah a few of you know you guys do9know that's good those of you who don't9know it's a combined program between9media arts and computer science it9doesn't have anything to do with health9sciences it was something started on9main campus and that they have created a9bunch of video games that have actually9gone to market last year they were9ranked number three in the country as a9graduate program behind MIT and USC this9year they're ranked number one in the9country which is really great for us and9so we're really interested in partnering9with them to develop video games and9apps for health and and you may say9video games that seems so childish why9would we want to do that actually9they're just enormous opportunities here9and i'll just give you an example of9four projects that are already happening9now they already have prototypes some of9already have venture capital funding so9pediatric patients with cancer there's a9video game the kids have these little9things that they wave around on the9screen they're all these cancer cells9and these kids they're crabby cancer9cells and they take their little hammers9which are like.we devices and they kind9of try to kill all the cancer cells and9so that's an empowerment kind of9software tool helping student having9these kids visualize what their cancers9are about helping them kind of cope with10it they can play the game with their10friends and their siblings there's some10studies that show that if the kids feel10empowered over their cancers they10actually do a little bit better in10coping with it there's a whole category10of spinal cord injury there's a video10game where these folks are who have10spinal cord injuries are walking and10they have a farm and there's a field and10all these animals and things are coming10to attack their vegetables and they have10to kind of whack them away and then the10course of doing it is part of rehab but10it also these devices measure the force10that they can do and measure their range10of motion so it's actually a data10collection system as well life skills10for children with autism that's a10medical that's a bench to bedside10product from last year so those are the10medical students who came up with this10video game they think that you can10create video games you know autistic10kids frequently are very interested in10video games and they've created the10prototype for one which is to teach kids10to wash their hands so the video game10it's a very simple prototype we only10give them five hundred dollars each team10to do this so they don't have a lot of10money to work with but their prototype10has a TV screen or the computer screen10with a bunch of colored bubbles and10there's a camera interface and you just10have to rub your hands and when you rub10your hands the bubbles pop and so you're10just motivated to just keep rubbing your10hands for as long as it takes to10Washington that that's their prototype10so they have some venture they just got10some venture capital money about fifty10thousand dollars to get that started10another one was tracking dietary intake10in glycogen storage diseases this was10another bench to bedside student project10just simply a social media type thing10where you track how much of whatever you10ate and you get so many points if you10eat this and don't eat that and then you10compare with your other GSD friends who10might be local or might be across the10country and it's kind of like a game to10try to get kids to comply with their10diet10recommendations so just to give you a10flavor of the range of opportunity there10do you get a sense of kind of how10interesting it could be I think this is10a field where 10 years from now we'll10look back and will think wow I never10thought you could do that you know I10mean because it's so so disruptive so10innovative so we're doing a lot of other10games that are on the horizon including10surgical training and simulation games10patient management games diabetes games10even a new game on air quality so this10is something that we're rolling out in10partnership with that video gaming team10there now committed to devoting the10majority of their work to medicine and10health and so we're we're really excited10and each of these has the benefit of10helping people which is our top priority10but also potentially generating revenue10which is also a priority for us so10that's kind of a win-win for us ok now10let me just finish what I want to say10I'm going to skip this for a minute and10talk about the campus for the last few10minutes so here's another announcement10have you guys ever heard of this website10I've never heard of it best medical10degrees com never heard of it right but10anyway 40 they ranked the 40 most10beautiful medical schools in the US okay10I guess that's a factor at best medical10degrees and look the university of utah10number 14 another breaking point for us10except this isn't the School of Medicine10it's the hospital so just a little10detail but they did call out our10beautiful natural you know setting and10the gorgeous landscape that we're in and10what they really pointed out is that we10have an opportunity a unique opportunity10now and I'm emphasizing the word10opportunity that comes along only every1040 or 50 years and I seem to have hit11the timing just right on this which is11to make our campus and here's the School11of Medicine building right here all of11you know the building here which is11unfortunately as I'm going to talk about11exceeded its use-by date11and to try to convert it and to create a11whole new campus and the reason for this11you might say well she's kind of crazy11why would she want to why would she want11to take down this building and I'll tell11you I don't want to take down this11building so this building we've been11talking about this building for a long11time because it's not seismically sound11but Lloris bets my predecessor he left11me kind of a parting gift before he left11he called in the architects to come and11assess the building again and they said11yes it's still seismically unsound but11that's really the least of your problems11the problem with this building is the11basic infrastructure is falling apart11the water the power the HVAC all the11infrastructure is falling apart and we11know that it's it's leaking all the time11we have to repair it and they said you11will get out at the most five years of11life from this building and every year11that you keep it up you would be pouring11millions in just to keep it going so11they they already had warned this years11ago that we should think about taking a11dad but Lloris he got his timing right11he exited just in time haha and handed11this over to me so we are going to have11to take the School of Medicine down and11it is costing us a lot of money just to11repair it now every year we're having to11put more and more money into it and so11this is our big challenge that you will11hear more about again this is the first11time I'm really talking about this11publicly so you're the first ones to11hear this news but we are going to have11to take this building down and we are11working on it internally and what I want11to do is just share with you how we're11trying to convert that make lemonade out11of this lemon which is to take the11opportunity in taking down this building11to say well what would we really like11the campus to look like how would we how11can we view this as a campus redesign11opportunity because this is a six11hundred thousand square foot building11right in the heart of the campus right11so when you take it down you do have the11chance to redefine it and we noticed11when we brought in the architects they11said you know you've built a ton of11buildings here Loris built a lot of11buildings here11but they haven't created a campus feel11and so that's what we're trying to think11about too is how to create a campus how11to create more interactions in the11course of this project so here's what11our plan is going to be over the next11five years or so we have to do some11renovations we are going to build a new11wing of huntsman Jon Huntsman senior is11is just driving this with with great11gusto and we're absolutely thrilled11about that because we are bursting at11the seams so there will be a new wing of11huntsman for research and then some11other renovations we have to build a11hospital services building because there11are some critical services for the11hospital that are right now housed in11the School of Medicine building so we11need to relocate them in close proximity11and then we have to take down the 52111building and we have set a target for11ourselves that building is going to be11emptied by the end of December 201511that's just about two years from now11remember it's 600,000 square feet so we11will take one year to take down that11building one year because I think how11many trucks are going to have to go from11here out here to take down 600,00011square feet of bricks and mortar that's11a lot of building and then we have the11chance to build a new building and when11we build the new building the architects11are actually planning to create a ring11road here kind of a circular road that11will go all the way around the academic12core of the campus and that can be at12that point there can be hopefully12electric shuttle buses and things like12that so it can keep keep car traffic out12of this area but kind of connect the12whole campus together and will enable us12to have a big green space here which we12think will be really really nice so let12me just show you kind of we don't have12mock-ups yet of the building this is12just a very preliminary kind of12placeholder but so here would be there12will be a building here and then this12will be part of that circular road and12of course the back part is the hospital12so it'd be connected to the hospital and12we're planning to call this the meed12building medical education and discovery12so the med building12Medical Education and discovery and what12you can't see here is because 521 is so12huge and goes down deeply there's a12two-story deep crater that will be left12when we take out five 21 and we had the12option of creating the world's largest12swimming pool or an innovation zone so12we decided for the innovation zone so12under here is going to be an innovation12zone and they're planning actually in12kind of a you know at the Louvre they12have that glass pyramid kind of thing so12the idea is to have some glassy thing12here that will connect into the12underground and a big innovation zone12and you know these architects they're12still sort of playing you're messing12around with that idea but we're trying12to try to convert this into an12opportunity and so we're looking forward12over the next year or two to starting to12plan out what this new building will12look like and get some excitement around12it but you can see that this is a big12deal for us it's a big big project and12and we hope that everyone can help us12with it our goal when we design this12building and again this is not the12building this is not what the building12is going to look like the architects12just sort of plunge something in there12for now but our goal is to create a12really iconic medical school building12you know a building that's just going to12be really classy and just really12beautiful the business school did a12great job when they built a new business12school building it's sort of really12reflective of their aspirations to be a12really great business school and we have12aspirations to be an even better medical12school than we already are and to have a12really nice home that reflects that12aspiration I think will be really12important for the campus so look forward12to filling you in on that more in the12future so with that I'll close with my12last slide here just to say that we are12always looking forward to communicating12with everybody here in the room we have12tried to increase the kinds of12communication venues and opportunities12last year we had an algorithms for12innovation report and in the next couple12of weeks you'll be getting in the mail12the new algorithms for innovation and12your report so I hope you'll enjoy that12and give us some fee12back we have some great websites now our12website at the main campus is the health12feed website then we have I have my own12blog site and of course we have an12algorithms website where we put all of12this material and more online so we have12lots of different ways to communicate12electronically and of course you can12always email me if you have any oops12sorry I have a little glitch and so well12we're making a lot of progress we're not12quite there yet but hopefully in working12together with all of you we can we can12get there so with that I think that's my12last slide I'm happy to take any12question

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