Tomorrow’s physicians will need a strong sense of the business side of health care if they hope to succeed in providing their patients with quality, safe and value-based care.
That was the key message from Charles J. Lockwood, MD, senior vice president for USF Health and dean of the Mosani College of Medicine (MCOM), as the keynote speaker for this year’s MCOM Scholarly Concentrations Student Symposium.
His talk gave the students – who are immersed in scientific and clinical information –invaluable insight into the economics that drive our ever-changing health care system.
Dr. Charles Lockwood provides medical students with a primer on the new economics of health care.
“Value-based care is here and providers will be changing,” Dr. Lockwood said. “Hospitals will continue to expand and will need help understanding cost, managing variation and optimizing supply chain. And physician/payer partnerships will produce to new models of health care delivery focusing on population health management.”
The pillars of a successful system, he told the students, will include alternative payment models, integrated practice units center round conditions but include multidisciplinary teams, measuring outcomes and measuring costs because of mandated metrics and opportunities to improve within, coordinated care across setting that ensure follow-up care and patient education, and provider scale and expansion that can increase coverage and better utilize assets.
He quickly assured the students that, despite the seemingly constant changes that disrupt existing workflow and habits, they would thrive in their future health care settings. Reflecting on his own career that involved tremendous transitions in health care, he said he’s never seen a stable period.
“But you will be practicing in a much saner environment than when I was just out of medical school,” he said.
Held Nov. 13, the Student Symposium is an opportunity for the mostly second- and third-year medical students to present their preliminary research data. Their projects will likely become their capstone project that culminates their work in their fourth year, so the event is somewhat like a practice run.
This 6th annual symposium featured 33 presentations by medical students participating in the faculty-mentored Scholarly Concentration Program, a college wide program that provides medical students with an elective minor, of sorts, in one of 10 areas, providing them with opportunities for academic endeavors in areas of special interest. The concentrations are: Innovation, Entrepreneurship and Business in Medicine; Health Disparities; Health Systems Engineering; International Medicine; Law and Medicine; Medical Education; Medical Humanities; Medicine and Gender; Public Health; and Research.
Each concentration includes elements of course work, practical application, and scholarly presentation and allows for self-directed learning, enhances interactions between students and fosters relationships between students and faculty.
Mikaela Arida and LesleAnn Hayward provide the first presentation.
Following Dr. Lockwood’s address, the students presented their work. Topics included the mechanics of disease, community involvement, health issues in poor communities, and medical education. The presentations were judged, and winners include Bradford Miller, MSIII – Outstanding Clerkship Level Oral Presentation – Room B; Curtis Gravenmier, MSII – Outstanding Pre-Clerkship Level Oral Presentation – Room B; Evan Horowitz, MSI along with Jonathan Rogozinski, MSIV -¬ Outstanding Clerkship Level Oral Presentation – Room A; and Nirav Patel, MSII – Outstanding Pre-Clerkship Level Oral Presentation – Room A.
All presenting students and their topics include:
Nicole Abdo: “A Biomechanical Comparison of Suture Button Suspensionplasty versus Ligament Reconstruction with Tendon Interposition for First Carpometacarpal Arthritis”
Mikaela Aradi, LesleAnn Hayward: “Twenty-five years into the Indian HIV Epidemic: Profile of walk-in patients that access HIV testing services at an integrated counseling and testing center in Mumbai, India”
Corin Agoris, Andrew Benz, Anthony Clark: “Topically Applied Vancomycin Powder Reduces the Rate of Surgical Site Infection in Patients Undergoing Craniotomies for Primary Brain Tumors”
Mark Bender: “Early Outcomes and Fusion Rates in Patients Undergoing a “Hybrid” Lumbar Total Disc Replacement and Arthrodesis to Alleviate Symptoms Associated with Degenerative Disc Disease”
Sara Bijan: “Cesarean Incision Outcomes After Use of a Negative Pressure Wound Therapy Dressing: A Case Series”
O’Shaine Brown: “Seroepidemiology of Hepatitis among Patients Receiving Care at Kasturba Hospital in Mumbai, India”
Vinodh Chandra: “Clinical Course of Melioidosis in Patients treated with commonly used anti-diabetic drugs: a retrospective cohort study”
Zachary Christopher: “The First Histological Report on the Immune Response to Allogeneic Mesenchymal Stem Cell Transplantation in the Human Heart”
Amanda Copenhaver: “Education for Palliative Care Clinicians on Islamic Teachings Regarding End-of-life Care: A Pilot Study”
Shailaja Emani: “Retrospective analysis of the safety and efficacy of intrasaccular WEB device in the management of cerebral aneurysms at Hull Royal Infirmary”
Garrett Fitzpatrick: “The efficacy of preoperative MRSA screening in surgical patients”
Jeffrey Francis: “Use of Tissue Marking Ink to Intraoperatively Identify the “Hot Spot” in Sentinel Lymph Nodes for Melanoma”
Faris Galambo: “Development of a Co-Culture Injury Model for Studying Vascular Smooth Muscle Cell Migration In Vitro”
Brittany Gozlan: “Weight Perception among NYC Public Housing Residents: Do Neighborhood Obesity Prevalence and Activity Space Size Influence Weight Perception”
Curtis Gravenmier: “A Mechanism for the Evolution of the Warburg Effect”
Carolyn Hanna, Peter Hanna, Jacob Pierce: “Learning Outside the Classroom: Medical Student Performance, Classroom Attendance & Motivation?”
Evan Horowitz, Jonathan Rogozinski: “CT-OAM Guided Analysis of the Ankle Joint to Assist with Component Placement in Total Ankle Arthroplasty”
Kelsey Hundley: “Layperson Cancer Screening: An Assessment of Skin Cancer Screening Education, Attitudes and Behaviors in Hairdressers of Tampa Bay”
Seung-eun Jang: “Epidemiological Transition of Cardiac and Non-Cardiac Gastric Cancer Worldwide”
Sooraj John: “Autoimmune Polymyositis Following Immune Checkpoint Inhibitor Therapy Targeting CTLA-4 and PD-L1”
Kaley McCrary: “G-WISE: A Proposal Using a Novel Approach – Calling on Grandmother’s Wisdom for Recruitment and Retention of African American Men in Prostate Cancer Clinical Trials”
Erik Madsen: “Mesoamerican Nephropathy”
Michael Manasterski: “Tampa Bay Street Medicine: Reflections on the Roots of Poverty”
Megan Melody: “Achievement of Remission but No Type of Induction Regime is Associated with Improved Outcomes in Double Hit Lymphomas”
Bradford Miller: “Compassionate use of D-mannose in a Pediatric Patient with Congenital Disorder of Glycosylation Type 1k”
Nirav Patel: “Heart transplant recipients have higher mortality rate after Thymoglobulin (rATG) Induction. Retrospective Single-Center Study with Five Years Follow-up”
Yohan Perera: “Evaluation of ocular hypertension in rural Southern Zambia”
Luis Perez-Mena: “Review of Colon Cancer Screenings at USF’s BRIDGE Clinic”
Vicky Pham: “Practical Issues of Retroperitoneal Sarcoma: Institutional Review, Literature Review and Sarcoma Pathology Centered Multidisciplinary Approach”
Alisha Rathi: “Role of Obstructive Sleep Apnea and Endoscopic Findings of Gastric and Duodenal Ulcers in Bariatric Surgery Patients”
Julia Rauchfuss: “fH Generation: Sustaining the Cedro Galan Health Initiative Through Careers in Healthcare”
Carrie Ryan: “Transthoracic Anastomotic Leak after Esophagectomy: No Longer a Catastrophe”
Christopher Story: “A Comparative Assessment of the Efficacy of Patient Education Materials in a Peruvian Outpatient Clinic”
Dr. Lockwood with student presenters.
Photos by Eric Younghans, USF Health Office of Communications.
