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1st appeared 25 June 1999

School Strong Despite Merger Difficulties, Debas Says

Haile DebasHaile Debas, dean of the School of Medicine and vice chancellor for medical affairs, says that although UCSF is facing an unprecedented crisis in its clinical operations, the medical school is "as strong as ever and confident about its future."

"Our educational mission has never received more attention, and the level of faculty participation in and excitement about education has never been higher," Debas said during his state of the school address on Monday. "Similarly, the research activities of the school are vibrant, and federal funding for our research has never been as high. The prospect of a new UCSF Mission Bay campus has produced great optimism as we enter the new millennium."

In an hour-long speech, Debas shared a number of revelations:

  • The School of Medicine is discussing recommendations to implement innovative curriculum reform submitted by the Committee on Curriculum and Educational Policy with extensive input from faculty and students. One recommendation is to create an "Academy of Educators" by establishing endowed chairs of limited term for the best teachers in various medical school departments.

  • UCSF is likely to come out of the federally mandated audit for compliance with Medicare rules governing physicians at teaching hospitals and other Medicare payment rules "remarkably well," he says. All five UC medical schools and other institutions nationwide are engaged in the process to review whether physicians at teaching hospitals comply with Medicare rules governing payment of professional services when a resident is involved and use appropriate codes for the level of service provided.

  • UCSF-Fresno received a gift of three acres of land located next to Community Hospital, which signed a new affiliation agreement with the University. "On this land we will build a home for the UCSF-Fresno academic programs," Debas says. "This development will change, decidedly and positively, the visibility of UCSF within Fresno."

  • UCSF Stanford Health Care expects to complete the analyses of options to reorganize clinical activities at UCSF/Mount Zion and will submit a recommendation to the UCSF Stanford board of directors on July 23. The School of Medicine also will submit an assessment of the plans as an official response to the UCSF Stanford board.

  • The architect selected to design the community center at UCSF's Mission Bay site is Ricardo Legoretta of Mexico, a world-famous architect whose signature style is a blend of space, light and color. "I have no doubt that he will produce a beautiful structure, a building designed to be the heart of the UCSF community," Debas says. A groundbreaking ceremony at the 43-acre research campus is slated for Oct. 25.

Mission Bay and the Future of Parnassus

While Debas says Mission Bay "provides incredible opportunities, it also poses some serious challenges. The most significant drawback is the separation of much of the basic science community from the clinicians," he says. Debas plans to engage faculty in a serious discussion of how to minimize the negative impacts of the separation next year.

Faculty and staff also will need to discuss the reorganization of programs on the Parnassus campus in light of Mission Bay development.

"The vision for a post-Mission Bay Parnassus campus is to develop preeminent programs in disease-based research," Debas says. "A full discussion on what these programs should be has not yet taken place. The areas that have been mentioned include immunology, diabetes, human genetics, neurosciences and vascular biology."

A faculty committee suggested that most of the space to be released once basic scientists leave for Mission Bay should be used to develop multidisciplinary, disease-based research programs. "Unfortunately, the space released on Parnassus by the move of the basic sciences to Mission Bay is only about 40,000 square feet," Debas says. This is because UC Hall, which houses faculty, is seismically unsafe and must be demolished. UCSF exceeds the space ceiling on Parnassus and is unable to replace UC Hall with a building of similar size.

No matter how the release space is used, Debas says, it is clear to him that the space "will not meet the need of clinical departments for academic space. Both Chancellor Bishop and I have identified the unmet and critical needs of the clinical departments as high priority issues, and we are exploring means to address the problem."

San Francisco General Hospital Medical Center (SFGHMC) also will be significantly affected by Mission Bay development as three research institutes will relocate to the new campus. As is the case with the Parnassus campus, much of the research space to be vacated at SFGHMC when the Gallo Center for Neurosciences, the Gladstone Cardiovascular Institute, and the Gladstone Center for Virology depart for Mission Bay has seismic problems. Still, Debas says, he finds the vision to develop a center for infectious diseases and vaccinology and to consolidate most of the activities of the AIDS Research Institute at SFGHMC to be "compelling." UCSF needs to develop strategies to find the necessary resources to make that plan happen, he says.

School of Medicine Priorities

In closing, Debas identified five important priorities for the School of Medicine over the next several years:

1. Resolving the UCSF Stanford financial crisis and the future of the merger;
2. Completing the first phase of Mission Bay, rejuvenating Parnassus research programs and finding ways to minimize the negative effects of the separation;
3. Identifying funding for teaching that is separate from clinical revenues;
4. Trying to solve the housing problem for students, residents and faculty; and
5. Constructing a building for UCSF-Fresno academic programs and significantly improving the quality of those training programs.

After delivering his state of the school speech, Debas celebrated the faculty's many achievements in the past year with the fourth annual Honors & Awards Recognition Presentation. This year, the presentation is available online. Please note: to view the presentation you need to have Macromedia's Flash plug-in, which is free and simple to install. A link to the presentation as well as to the plug-in website can be found on the School of Medicine website.

Links:

Honors & Awards Recognition Presentation (requires Flash plug-in)

Related Daybreak stories

Education the Priority for School of Medicine (1998)

Debas Looks Forward to a New UCSF That is "Caring and Curing" (1997)

Archive of UCSF Stanford-related stories

Source: Lisa Cisneros, Newsbreak editor

  

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